Kodi dokotala wanu wakupatsani mankhwala a Thioridazine kapena munthu wina wapafupi nanu? Ngati ndi choncho, tiyeni tikambirane mwachidule za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito. Mukawerenga izi, mudzamvetsetsa bwino mankhwalawa.
Mwachidule, Thioridazine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga schizophrenia . Madokotala nthawi zambiri amalemba mankhwalawa ngati mankhwala ena alephera kapena ovuta kupirira. Ndi a gulu la mankhwala otchedwa antipsychotics. Amagwira ntchito poyesa kuchuluka kwa dopamine, mankhwala omwe ali muubongo wathu omwe amathandiza kuwongolera malingaliro athu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, muyenera kudziwitsa dokotala wanu ngati muli ndi vuto lililonse la matenda kapena mavuto awa. Izi ndizofunikira kwambiri posankha chithandizo choyenera.
| Mkhalidwe/Vuto | Kufotokozera |
|---|---|
| Ubongo ndi dongosolo lamanjenje | Chotupa cha muubongo, matenda amisala, kuvulala mutu, khunyu, matenda a Parkinson, mavuto olamulira minofu. |
| Mtima ndi magazi | Matenda a mtima, kugunda kwa mtima kosasinthasintha, kuthamanga kwa magazi kutsika, kuchepa kwa maselo a magazi (oyera, ofiira, ma platelet). |
| Matenda ena | Matenda a shuga, matenda a chiwindi, glaucoma, matenda a prostate, matenda a m'mapapo kapena kupuma (monga mphumu), kutsekeka kwa matumbo, kuvutika kumeza, komanso kuvutika kukodza. |
| Moyo ndi ziwengo | Ngati mumamwa mowa pafupipafupi, muli ndi pakati kapena mukuyesera kutenga pakati, muli mayi woyamwitsa, kapena mwakhala ndi vuto la Thioridazine kapena mankhwala ena, zakudya, kapena utoto. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi. Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera kapena phukusi la mankhwala. Musamwe mopitirira muyeso wolembedwa pazifukwa zilizonse.
Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala wanu. Kuchita zimenezi kungayambitse vuto lalikulu. Ngati musiya kumwa mankhwalawo, dokotala wanu adzakufotokozerani momwe mungachitire.
Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana, choncho lankhulani ndi dokotala wanu za vutoli.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Dziwani: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Thioridazine ingagwirizane ndi mankhwala ena, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba.
| Mankhwala omwe sayenera kumwedwa ndi Thioridazine | |
|---|---|
| Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a mtima (monga Amiodarone, Quinidine) | Cisapride, Fluoxetine, Paroxetine, ndi Pimozide |
| Propranolol, Pindolol, Saquinavir | Mankhwala ena omwe amawonjezera nthawi ya QT |
| Zinthu zina zomwe zingayambitse mavuto ndi Thioridazine | |
| Mowa | Mankhwala a ziwengo ndi chifuwa (Antihistamines) |
| Mankhwala oletsa nkhawa kapena kugona | Mankhwala ena ochizira kuvutika maganizo |
| Mankhwala ochepetsa kuthamanga kwa magazi | Mankhwala oletsa khunyu (monga Phenobarbital) |
| Mankhwala osokoneza bongo | Mankhwala operekedwa kuti apangitse munthu kusazindikira panthawi ya opaleshoni |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse, mankhwala azitsamba, ndi mavitamini omwe mukumwa. Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kuyezetsa kuchipatala: Pitani kwa dokotala wanu masiku omwe mwakonza kuti mukaone ngati muli ndi vuto. Muuzeni ngati zizindikiro zanu zikupitirira kapena zikuipiraipira.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona, kuzungulire, kapena kuona zinthu molakwika. Choncho, pewani zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Chizungulire chingachitike mukayimirira mwadzidzidzi kapena kudzuka pamalo omwe mukukhala. Chifukwa chake, sinthani malo pang'onopang'ono. Pewani kumwa mowa chifukwa vutoli likhoza kukulirakulira.
- Kutentha kwa thupi: Mankhwalawa angakhudze momwe thupi lanu limalamulira kutentha kwake. Mungamve kuzizira pang'ono nthawi yozizira, ndipo thupi lanu lingatenthe msanga nthawi yotentha. Chifukwa chake, valani zovala zofunda masiku ozizira. Masiku otentha, samalani ndi dzuwa, valani zovala zopepuka, ndipo imwani madzi ambiri.
- Kuwala kwa dzuwa:Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa. Choncho, ngati mukufuna kukhala padzuwa, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Pakamwa pouma: Pakamwa pouma pakhoza kuchitika. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga ndi madzi akumwa.
- Matenda a Shuga: Ngati muli ndi matenda a shuga, mankhwalawa angawonjezere shuga m'magazi mwanu. Choncho funsani dokotala wanu ngati mukufuna kusintha zakudya kapena mankhwala anu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Thioridazine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Matenda a Malignant a Neuroleptic | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, komanso kusokonezeka maganizo. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha ziwalo za thupi mosalamulirika, kunjenjemera, kuuma kwa minofu, kusakhazikika, komanso kuvutika kuyenda. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya, zizindikiro za matenda (malungo, chifuwa, pakhosi), chizungulire chifukwa cha kuthamanga kwa magazi, khunyu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) | |
| Kudzimbidwa | Chizungulire |
| Kugona tulo | Pakamwa pouma |
| Kulemera | |
Kodi muyenera kusunga bwanji mankhwalawo?
Sungani mankhwala pamalo omwe ana ndi ziweto sangafikire . Sungani kutentha kwa chipinda (osakwana madigiri 30 Celsius), ndi chivindikiro chotsekedwa bwino. Musagwiritse ntchito mankhwala otha ntchito ndipo muwataye bwino.
Uthenga Wopita Nawo Kunyumba
- Musasiye kumwa mapiritsi a Thioridazine kapena kusintha mlingo popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, mankhwala azitsamba omwe mukumwa, ndi matenda aliwonse omwe muli nawo.
- Ngati mukukumana ndi mavuto ena aakulu monga kutentha thupi kwambiri, kuuma kwa minofu, kapena kusintha kwa kugunda kwa mtima, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kumwa mowa mukamamwa mankhwalawa. Samalani kwambiri mukamachita ntchito zomwe zimafuna kusamala, monga kuyendetsa galimoto.
- Ngati mwamwa mankhwala ochulukirapo, imbani National Poison Information Centre nthawi yomweyo kapena pitani ku chipatala chapafupi cha Emergency Department (ETU).
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Thioridazine (Thioridazine / Mellaril) amagwiritsidwa ntchito pa chiyani?
Iyi ndi mankhwala akale (mankhwala oletsa matenda amisala / Phenothiazine) omwe amagwiritsidwa ntchito pochiza matenda amisala oopsa otchedwa 'Schizophrenia'! Masiku ano si onse omwe amaperekedwa, nthawi zambiri amagwiritsidwa ntchito kwa odwala ovuta kwambiri (osalandira chithandizo) omwe samawoneka kuti amatha kumva mawu achilendo kapena kulimbana/kufuula ngakhale atapatsidwa mankhwala ena onse (osachepera awiri).
💬 N’chifukwa chiyani mankhwala awa (Thioridazine) akugwiritsidwa ntchito ngati 'njira yomaliza' masiku ano?
Chifukwa chachikulu cha izi ndi zotsatira zoyipa kwambiri za mankhwalawa! (Chenjezo la Black Box). Izi zitha kusintha kwambiri zizindikiro zamagetsi za mtima wa wodwalayo (QT prolongation / Arrhythmia / Torsades de pointes), zomwe zimapangitsa kuti kugunda kwa mtima mwachangu mwadzidzidzi/kuima kwa mtima komanso kupha mtima. Chifukwa chake, omwe akumwa mankhwalawa ayenera kuyesedwa ECG ndikuwunika kuchuluka kwa potaziyamu m'magazi nthawi zonse.
💬 Kupatula mtima, ndi zotsatirapo zina zoopsa ziti zomwe mapiritsi awa (Thioridazine) angayambitse?
Izi zitha kuwononga maso kwambiri komanso kosatha. Ngati mlingo wawonjezeka, retinopathy ya pigmentary ikhoza kubuka m'diso lakuda ndi kumbuyo kwa retina, zomwe zimapangitsa kuti munthu asamaone bwino komanso asaone bwino. Palinso chiopsezo chachikulu cha kutaya madzi m'thupi, kugona tulo tosakhazikika, komanso kugwedezeka kosalamulirika kwa thupi/lilime (Tardive Dyskinesia).
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