Nthawi zina mukakhala ndi chimfine kapena ziwengo, chifuwa, mphuno yotuluka madzi, ndi maso oyabwa sizimatha mosavuta, sichoncho? Nthawi zina madokotala nthawi zina amakulemberani mankhwala otchedwa Promethazine; Codeine. Izi kwenikweni ndi kuphatikiza kwa mankhwala awiri. Mmodzi ndi antihistamine, ndipo wina ndi opioid choletsa chifuwa. Pamodzi, awiriwa adzalamulira zizindikiro zanu.
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?
Chabwino, popeza dokotala wakupatsani mankhwala awa, ndikofunikira kukambirana mfundo zofunika zokhudza thanzi lanu ndi gulu lanu la chisamaliro musanagwiritse ntchito. Izi zili choncho chifukwa anthu ena omwe ali ndi matenda enaake akhoza kukhala okhudzidwa kwambiri ndi mankhwalawa, kapena angakumane ndi mavuto ena. Yang'anani ngati muli ndi vuto lililonse mwa awa:
- Matenda a Addison
- Chotupa cha muubongo
- Matenda a shuga
- Matenda a ndulu
- Glaucoma (Glaucoma)
- Kuvulala mutu
- Matenda a mtima
- Ngati mudayamba mwakhalapo ndi kugunda kwa mtima kosasinthasintha ('Mbiri ya kugunda kwa mtima kosasinthasintha')
- Ngati mwakhala mukugwiritsa ntchito mankhwala osokoneza bongo ('Mbiri ya vuto la kugwiritsa ntchito mankhwala osokoneza bongo')
- Ngati mumamwa mowa nthawi zonse
- Matenda a impso
- Matenda a chiwindi
- Ngati muli ndi kuthamanga kwa magazi kotsika (`Kuthamanga kwa magazi kotsika`)
- Mavuto a m'mapapo kapena kupuma, monga mphumu
- Vuto la thanzi la maganizo ('Mkhalidwe wa thanzi la maganizo')
- Matenda a kapamba
- Matenda ofanana ndi khunyu
- Mavuto a m'mimba kapena m'matumbo
- Matenda a chithokomiro
- Kuvuta kukodza
- Ngati mwakhala ndi vuto lachilendo la ziwengo chifukwa cha mankhwala a codeine, promethazine, phenothiazines, kapena mankhwala ena, zakudya, utoto, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba
- Ngati ndinu mayi woyamwitsa
Ngati pali vuto lotere, muyenera kuuza dokotala wanu , chifukwa ndiye angasankhe ngati mankhwala awa ndi oyenera kwa inu kapena ngati angakupatseni china.
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Mankhwalawa ayenera kumwedwa pakamwa. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala monga momwe dokotala wanu kapena wamankhwala akukulangizirani. Mutha kumwa mankhwalawa musanadye kapena mutadya. Komabe, ngati muli ndi vuto la m'mimba, ndi bwino kumwa pamodzi ndi chakudya.
Chofunika kwambiri ndikugwiritsa ntchito supuni kapena chidebe cholembedwa bwino poyesa mankhwala. Masipuni ndi supuni zomwe tili nazo kunyumba sizolondola. Funsani ku pharmacy ngati mulibe. Komanso, musalole kuti mankhwalawo awire poyesa. Nthawi zonse tsukani chikho choyezera ndi madzi mukatha kuyeza. Imwani mankhwala pokhapokha ngati dokotala wakuuzani, komanso kuchuluka komwe mwapatsidwa. Musamwe zoposa kuchuluka komwe mwapatsidwa.
Nthawi iliyonse mukalandira mankhwala awa ku pharmacy, kaya ndi atsopano kapena owonjezeredwa, mudzapatsidwa kabuku ka malangizo apadera (`MedGuide`). Nthawi zonse muyenera kuŵerenga mosamala, chifukwa ali ndi mfundo zofunika kwambiri kuti mukhale otetezeka.
Chofunika: Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana aang'ono. Chifukwa chake, onetsetsani kuti mwalankhula ndi dokotala wanu za kupereka mankhwalawa kwa ana.
Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo. Izi zitha kukhala zoopsa kwambiri, choncho musazengereze.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira. Musamwe mlingo umodzi kawiri nthawi imodzi. Kuchita izi kumawonjezera chiopsezo cha zotsatirapo zoyipa.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa!
Tsopano tiyeni tikambirane za zinthu zina zomwe zingagwirizane ndi mankhwalawa. Izi ndizofunikira kwambiri, chifukwa mankhwala ena angayambitse zotsatirapo zoopsa akamwedwa ndi promethazine; codeine.
Musamwe mankhwala a promethazine; codeine ndi zinthu izi!
Ngati mukugwiritsa ntchito chilichonse mwa izi, muyenera kusiya kumwa Promethazine; Codeine solution:
- Mowa
- Mankhwala ena oletsa ziwengo, chifuwa ndi chimfine
- Mankhwala ena oletsa nkhawa kapena tulo
- Mankhwala ena ochizira kuvutika maganizo, monga amitriptyline, fluoxetine, ndi sertraline
- Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu, mwachitsanzo carbamazepine, phenobarbital, phenytoin, primidone
- Cisapride
- Dofetilide
- Dronedarone
- Mankhwala oletsa ululu, monga halothane, isoflurane, methoxyflurane, ndi propofol, amagwiritsidwa ntchito popangitsa munthu kugona panthawi ya opaleshoni.
- Mankhwala oletsa ululu am'deralo, monga lidocaine, pramoxine, tetracaine
- Mankhwala a mtundu wa `MAOI` (MAOI monga Carbex, Eldepryl, Marplan, Nardil, ndi Parnate)
- Mankhwala opumulitsa minofu pochita opaleshoni
- Metoclopramide
- Mankhwala ena oletsa ululu kapena chifuwa (opiates)
- Phenothiazines (monga chlorpromazine, mesoridazine, prochlorperazine, thioridazine)
- Pimozide
- `Quinidine`
Mankhwalawa amathanso kuyanjana ndi promethazine; codeine...
Mankhwala otsatirawa angagwirizanenso ndi Promethazine; yankho la Codeine. Choncho uzani dokotala wanu za izi:
- Mankhwala oletsa mavairasi a chiwindi, HIV kapena Edzi
- Atropine
- Maantibayotiki ena, monga erythromycin ndi clarithromycin
- Mankhwala ena omwe amagwiritsidwa ntchito pa mavuto a chikhodzodzo, monga oxybutynin ndi tolterodine
- Mankhwala ena a matenda a bowa, monga ketoconazole ndi itraconazole
- Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a Parkinson ndi monga benztropine ndi trihexyphenidyl.
- Mankhwala ena omwe amaperekedwa pa matenda am'mimba, mwachitsanzo `dicyclomine`, `hyoscyamine`
- Mankhwala ena ochizira matenda oyenda, monga scopolamine, ndi awa:
- Ipratropium
- Mankhwala ena omwe amatalikitsa nthawi ya QT (imayambitsa kugunda kwa mtima kosazolowereka)
- Rifampin
Mndandandawu sukuphatikizapo zinthu zonse zomwe zingachitike. Choncho uzani dokotala wanu za mankhwala onse, zitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya zomwe mukumwa. Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingasokoneze mankhwala anu.
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
Pali zinthu zingapo zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa. Tiyeni tiwone zomwe zili.
Imwani mankhwala awa monga momwe dokotala/dokotala wanu wanenera. Musamwe mankhwala opitirira muyeso woyenera.Ngati mugwiritsa ntchito mankhwalawa kwa nthawi yayitali, mutha kukhala ndi vuto la "kulekerera", kapena kuzolowera. Izi zikutanthauza kuti pakapita nthawi, mpumulo wa chifuwa chanu udzachepa. Ngati zizindikiro zanu sizikusintha, kapena ngati zikuipiraipira, uzani dokotala wanu .
Musasiye kumwa mankhwalawa mwadzidzidzi mutagwiritsa ntchito kwa nthawi yayitali. Kuchita zimenezi kungayambitse vuto lalikulu. Izi zili choncho chifukwa thupi lanu lazolowera mankhwalawo. Izi sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwalawo. Kuledzera ndi khalidwe lokhudzana ndi kupeza ndi kugwiritsa ntchito mankhwala pazifukwa zina osati zachipatala. Ngati dokotala wanu akufuna kuti musiye kumwa mankhwalawo, adzachepetsa pang'onopang'ono mlingo, kuti pasakhale zotsatirapo zake.
Pali mitundu ingapo ya mankhwala ochepetsa ululu (opiates). Ngati mumwa mitundu ingapo nthawi imodzi, kapena ngati mumwa mankhwala ena omwe amakupangitsani kugona, mungakhale ndi zotsatirapo zina. Choncho perekani dokotala wanu mndandanda wa mankhwala onse omwe mumamwa. Adzakuuzani kuchuluka kwa kumwa. Musamwe mopitirira muyeso womwe mwapatsidwa. Ngati mukuvutika kupuma kapena mukumva kugona mopitirira muyeso, imbani ogwira ntchito zadzidzidzi nthawi yomweyo.
Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Choncho, mpaka mutadziwa momwe mankhwalawa amakukhudzirani, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala. Musayime kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho, pewani kumwa mowa.
Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa (photosensitivity). Choncho, pewani kukhudzana ndi dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zoteteza khungu lanu ndipo gwiritsani ntchito mafuta oteteza khungu ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
Mankhwalawa angayambitse kudzimbidwa. Yesani kuchita chimbudzi kamodzi pa masiku awiri kapena atatu aliwonse. Ngati simukuchita chimbudzi patatha masiku atatu, lankhulani ndi dokotala wanu. Izi zili choncho chifukwa chakuti codeine yomwe ili mu mankhwalawa imatha kuchepetsa matumbo. Kumwa madzi ambiri ndikudya ulusi wambiri kungathandize. Komabe, ngati kudzimbidwa kuli koopsa, muyenera kulankhula ndi dokotala wanu .
Pakamwa panu pakhoza kukhala pouma. Kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba, ndi kumwa madzi ambiri kungathandize kuthetsa vutoli. Ngati vutoli likupitirira kapena likukulirakulira, onani dokotala wanu.Ndiuzeni. Mankhwalawa angayambitse maso ouma komanso kusawona bwino. Ngati muvala ma contact lens, mungakhale ndi vuto linalake. Kugwiritsa ntchito madontho opaka mafuta kungathandize. Ngati vutoli likupitirira kapena litakula kwambiri, onani dokotala wa maso anu.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Chabwino, tsopano tiyeni tiwone zotsatirapo zake zomwe zingachitike mukamwa mankhwalawa. Zina mwa izo ndi zoopsa pang'ono, ndipo muyenera kuuza dokotala nthawi yomweyo. Zina mwa izo sizowopsa kwenikweni, koma ngati zipitirira kapena zikuyamba kuvutitsa, ndi bwino kuuza dokotala wanu .
Ngati mukukumana ndi zotsatirapo izi, uzani dokotala wanu nthawi yomweyo!
- Matenda a ziwengo—matuza pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi
- Kuvutika maganizo kwa mitsempha yapakati ('CNS depression')—kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kumva kufooka, chizungulire, chisokonezo, kuvutika kukhala maso
- Malungo aakulu, minofu yolimba, thukuta lowonjezeka, kugunda kwa mtima mofulumira kapena kosasinthasintha, komanso kusokonezeka maganizo — izi zitha kukhala zizindikiro za matenda otchedwa neuroleptic malignant syndrome.
- Matenda—malungo, kuzizira, chifuwa, kapena kupweteka pakhosi
- Kusagwira bwino ntchito kwa adrenal gland - nseru, kusanza, kusowa chilakolako, kufooka kapena kutopa kosazolowereka, chizungulire
- Kuthamanga kwa magazi kotsika—chizungulire, kumva kufooka kapena mutu wopepuka, kuona zinthu mopanda chiyembekezo
- Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya, monga kuwona zinthu mopanda chiyembekezo, kuona kuwala kozungulira magetsi, kapena kutaya masomphenya
- Kuvuta kukodza
- Kusuntha thupi kosalamulirika komanso kobwerezabwereza, kuuma kwa minofu kapena kupindika, kunjenjemera kapena kugwedezeka, kutayika kwa mgwirizano kapena kugwirizana, kusakhazikika, kuyenda mozungulira - izi zitha kukhala zizindikiro za extrapyramidal syndrome (EPS).
Zotsatirapozi nthawi zambiri sizifunika kuuzidwa kwa dokotala (koma ngati zikupitirira kapena zikuvutitsa, muuzeni).
- Chisokonezo
- Kudzimbidwa
- Chizungulire
- Kugona tulo
- Pakamwa pouma
- Mutu
- Kusanza
- Kusanza
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake. Muthanso kunena za zotsatirapo zake ku FDA (1-800-FDA-1088).
Kodi ndingasunge bwanji ndikutaya mankhwalawa mosamala?
Pali njira yosungira mankhwala awa. Ndikofunikiranso kuwataya bwino mukamaliza kugwiritsa ntchito kapena akatha ntchito.
- Sungani mankhwalawa kutali ndi ana ndi ziweto. Mankhwalawa angagwiritsidwe ntchito molakwika ('molakwika'). Choncho sungani pamalo otetezeka kuti muwateteze ku kuba. Musagawire mankhwala awa ndi wina aliyense. Kugulitsa kapena kupereka mankhwalawa kwa wina ndi koopsa komanso kotsutsana ndi lamulo.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius - pakati pa madigiri 59 ndi 86 Fahrenheit). Tetezani ku kuwala.
- Mankhwalawa akhoza kukhala oopsa kapena kupha ngati atengedwa ndi akuluakulu ena, ana, kapena ziweto. Choncho ndikofunikira kwambiri kuwataya mwamsanga pamene simukuwafunanso kapena akatha ntchito. Pali njira ziwiri zochitira izi:
- Tengani mankhwala awa kupita nawo ku pulogalamu yobweza mankhwala. Funsani ogulitsa mankhwala kapena apolisi za pulogalamu yotereyi.
- Ngati simungathe kubweza mankhwalawo, yang'anani chizindikiro kapena mkati mwa mankhwalawo kuti muwone ngati ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala. Ngati kuli kotetezeka kuwataya m'zinyalala, tulutsani mankhwalawo m'chidebecho. Sakanizani mankhwalawo ndi chinthu chomwe simukuchifuna, monga zinyalala za amphaka, dothi, kapena khofi. Ikani osakanizawo m'thumba kapena m'chidebe ndikutseka mwamphamvu. Kenako tayani m'zinyalala.
Pomaliza, zinthu zofunika kukumbukira
Ngakhale kuti yankho la "Promethazine; Codeine" ndi mankhwala operekedwa ku chifuwa, chimfine, ndi zizindikiro za ziwengo, ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala kwambiri chifukwa ali ndi chosakaniza cha "opioid" chotchedwa "codeine. "
- Nthawi zonse imwani kuchuluka kokha komanso monga momwe dokotala wanu wanenera. Kumwa mochulukirapo kungakhale koopsa.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo, chifukwa mankhwalawa angagwirizane ndi mankhwala ena.
- Popeza zingayambitse kugona, musayendetse galimoto kapena kuchita chilichonse chomwe chimafuna kusamala kwambiri mukamamwa mankhwalawa.
- Sivomerezedwa kuti ana azigwiritsa ntchito. Komanso, isungeni pamalo omwe ana sangafikire.
- Musamwe pamodzi ndi mowa.
- Musasiye kugwiritsa ntchito mwadzidzidzi. Chepetsani mlingo pang'onopang'ono monga momwe dokotala wanu wanenera.
- Tayani mosamala mukamaliza kugwiritsa ntchito kapena mukatha ntchito.
Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Adzakuthandizani.
` Promethazine Codeine Solution, Mankhwala a chifuwa, Mankhwala a chimfine, Ziwengo, Opioids, Zotsatirapo zake, Kugona

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