Kuvutika maganizo, kapena monga tonse tikudziwira, si kufooka m'maganizo, ndi vuto lachipatala lomwe limafuna chithandizo. Pazochitika zotere, pamodzi ndi psychotherapy, nthawi zina mankhwala amafunikanso. Mtundu umodzi wa mankhwala omwe amaperekedwa kuti athetse kuvutika maganizo kotere ndi Trimipramine. Ngati dokotala wanu wakupatsani mankhwalawa, ndikofunikira kwambiri kudziwa zambiri za izi. Tiyeni tikambirane mwachidule.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Trimipramine ndi ya gulu la mankhwala otchedwa tricyclic antidepressants (TCAs). Mankhwala ena muubongo amathandiza kulamulira maganizo athu. Makamaka, amatchedwa serotonin ndi norepinephrine. Kuchuluka kwa mankhwala amenewa kumatha kusintha pakagwa kuvutika maganizo.
Chomwe mankhwalawa amachita ndikuwonjezera kuchuluka kwa mankhwala awiriwa muubongo, zomwe zimapangitsa kuti munthu akhale ndi maganizo abwino. Zili ngati kuyatsa maswichi awiri omwe amalamulira chimwemwe ndi bata.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwauza dokotala wanu popanda kubisa chilichonse. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Matenda kapena zinthu zina | Chifukwa chiyani muyenera kuuza dokotala ? |
|---|---|
| Ngati muli ndi vuto la mowa | Kuphatikiza mowa ndi mankhwala awa kungapangitse zotsatirapo zake kukhala zoipa. |
| Matenda amisala monga bipolar kapena schizophrenia | Mankhwalawa amatha kusintha zizindikiro zimenezo. |
| Kuvuta kukodza, mavuto a prostate | Mankhwalawa angathandize kuti mkodzo usungike bwino. |
| Matenda a mtima, kusayenda bwino kwa kugunda kwa mtima, matenda a mtima aposachedwa | Mankhwalawa angakhudze ntchito ya mtima. |
| Matenda a glaucoma | Pali kuthekera kwa kupanikizika kwa maso. |
| Matenda a chiwindi kapena impso | Njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Matenda a m'mapapo kapena kupuma monga mphumu | Chiwopsezo cha zotsatirapo zina chikhoza kuwonjezeka. |
| Kugwidwa ndi Khunyu kapena Stroke | Zoopsa za mikhalidwe imeneyi zimatha kusiyana. |
| Matenda a chithokomiro | Pakhoza kukhala ubale pakati pa kuchuluka kwa mahomoni ndi kugwira ntchito kwa mankhwalawa. |
| Maganizo ofuna kudzipha, zoyesayesa, kapena mbiri ya banja la munthu wotere | Maganizo amenewa angachuluke poyamba kumwa mankhwala, choncho pamafunika chisamaliro chapadera. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Muyenera kulankhula ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana. |
| Ngati mwana akuyamwitsa | Kuyenera kuganiziridwa ngati mankhwalawo angapitirire kwa mwana kudzera mu mkaka wa m'mawere. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Kuti mudziwe ngati pali vuto la ziwengo ndi mankhwala kapena zosakaniza zake. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Imwani mankhwalawa ndi kapu ya madzi. Imwani mlingo womwe dokotala wanu wakupatsani, panthawi yomwe mwapatsidwa. Musamwe mankhwala ochulukirapo kuposa kuchuluka komwe dokotala wanu wakupatsani.
Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungakuike vuto lanu pachiwopsezo kapena kungayambitse zotsatira zina zoyipa. Ngati musiya kumwa mankhwalawa, chitani izi monga momwe dokotala wanu wanenera, pang'onopang'ono kuchepetsa mlingo.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, ndi vuto ladzidzidzi. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Si masewera.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha. Musapatse wina mankhwalawa chifukwa chakuti ali ndi zizindikiro zomwezo monga inu.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Izi ndizofunikira kwambiri. Mukamwa mankhwalawa, amatha kusokonezana ndi mankhwala ena. Izi zingayambitse zotsatirapo zoopsa. Choncho uzani dokotala wanu za mankhwala onse, zitsamba, ndi mavitamini omwe mumamwa.
| Musamwe Trimipramine ndi izi | |
|---|---|
| MAOIs (monga Marplan, Nardil, Parnate) | Linezolid |
| Methylene buluu (yomwe imalowa m'mitsempha) | Pimozide |
| Mankhwala a phenothiazine monga Thioridazine | Mankhwala ena omwe amachepetsa kugunda kwa mtima |
| Cisapride | Wort wa St. John (chotsitsa cha zitsamba) |
| Mavuto angabwerenso ndi mankhwalawa (uzani dokotala wanu). | |
| Mankhwala ochepetsa kuthamanga kwa magazi (monga Clonidine) | Mankhwala a khunyu (monga Carbamazepine) |
| Ma Barbiturates (monga Phenobarbital) | Cimetidine |
| Mahomoni a chithokomiro | Mankhwala ochepetsa ululu omwe amalembedwa ndi dokotala |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Kusintha kwa maganizo ndi maganizo ofuna kudzipha
Ichi ndiye chinthu chofunikira kwambiri. Nthawi zina, makamaka m'masabata oyamba a chithandizo kapena pamene mlingo wasinthidwa, zizindikiro za kuvutika maganizo zingachuluke kapena malingaliro atsopano odzipha angawonekere. Ngati inu kapena achibale anu muwona izi , lankhulani ndi dokotala nthawi yomweyo.
- Ngati mukumva nkhawa kapena nkhawa
- Ngati mukumva kusakhazikika komanso kukwiya kwambiri,
- Ngati mwadzidzidzi mwayamba kuchita zinthu mopitirira muyeso
- Ngati simungathe kugona
- Ngati mukumva kuti kuvutika maganizo kwanu kukuipiraipira
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kugona kapena kuzunguzika. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala, makamaka ngati ndinu okalamba. Izi zingakupangitseni kuzunguzika ndi kugwa. Pewani kumwa mowa. Izi zingakupangitseni kugona kwambiri.
Pakamwa pouma, kudzimbidwa ndi zinthu zina
- Pakamwa pouma:Izi zitha kuthetsedwa ndi zinthu monga kutafuna chingamu chopanda shuga komanso kumwa madzi ambiri.
- Kudzimbidwa: Ngati simunachite chimbudzi kwa masiku awiri kapena atatu, lankhulani ndi dokotala wanu. Kudya zakudya zokhala ndi ulusi wambiri komanso kumwa madzi ambiri kungathandize.
- Kumva kukhudzidwa ndi dzuwa: Khungu lanu likhoza kukhala losakhudzidwa ndi kuwala kwa dzuwa mukamamwa mankhwalawa. Choncho, valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta oteteza ku dzuwa mukamapita padzuwa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina ndi zoopsa, zina ndizofala. Tiyeni tiwone zomwe zili.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo (matuza pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime) | Maganizo ofuna kudzipha , kusintha kwa maganizo |
| Kusintha kwa kugunda kwa mtima (kugunda kwa mtima mofulumira kapena kosasinthasintha, kupweteka pachifuwa, kupuma movutikira) | Kupweteka kwa maso mwadzidzidzi , kusawona bwino, kuona mphete mozungulira magetsi |
| Matenda a Serotonin: Zizindikiro zomwe zingachitike ndi izi: kusakhazikika, kusokonezeka, kugunda kwa mtima mofulumira, kuuma kwa minofu kapena kugwedezeka, thukuta kwambiri, kutentha thupi, kusanza, ndi kutsegula m'mimba. | |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Pakamwa pouma | Kugona tulo |
| Chizungulire | Kutsekereza |
| Kusintha kwa chilakolako kapena ntchito yogonana | Kunjenjemera pang'ono (Kunjenjemera) |
Uthenga Wopita Nawo Kunyumba
- Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Ena mwa iwo akhoza kusokonezana ndi mankhwalawa.
- Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi kusintha kwadzidzidzi kwa malingaliro anu kapena khalidwe lanu, kapena ngati mukuganiza zodzipha, makamaka kumayambiriro kwa chithandizo.
- Pewani kumwa mowa mukamamwa mankhwalawa.
- Pewani kuyendetsa galimoto kapena kuchita zinthu zomwe zimafuna kukhala maso mpaka mutadziwa momwe mankhwalawo akukukhudzirani.
- Kumwa mankhwala ochulukirapo ndi vuto ladzidzidzi. Ngati izi zitachitika, pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi makapisozi a Trimipramine / Surmontil amagwiritsidwa ntchito pa chiyani?
Iyi ndi imodzi mwa mankhwala akale komanso amphamvu kwambiri a matenda amisala mu zamankhwala (TCA - Tricyclic Antidepressant class) omwe angagwiritsidwe ntchito poletsa 'Depression' yoopsa! Imagwiritsidwa ntchito kwa odwala omwe salandira chithandizo omwe sanawone kusintha kulikonse ngakhale kuti pali mankhwala ena atsopano a matenda amisala (SSRI/SNRI) makamaka kwa iwo omwe ali ndi 'kusowa tulo kwakukulu ndi kuvutika maganizo kwakukulu'.
💬 Kodi mankhwala awa (Trimipramine) amachepetsa bwanji kuvutika maganizo akalowa muubongo?
Kuvutika maganizo kumachitika chifukwa cha kuchepa kwa mankhwala a happy/energy muubongo (Serotonin, Norepinephrine). Chomwe mankhwalawa amachita ndikuletsa 100% kuletsa kubwezeretsedwa kwa mankhwala a happy omwe amatulutsidwa ndi ubongo. Kenako ubongo umadzaza ndi mankhwala amenewo, ndipo kuvutika maganizo kwa wodwalayo kumachira kwathunthu. Komanso, chifukwa chimaletsa histamine, chimapereka 'mphamvu yotonthoza'.
💬 Ndi zotsatirapo zotani zomwe zingakukwiyitseni kwambiri ngati mupitiliza kumwa mapiritsi awa (TCA)?
Iyi ndi mankhwala akale (TCA) kotero ali ndi zotsatirapo zambiri zoyipa! Ali ndi mphamvu ya 'anticholinergic', yomwe imayambitsa pakamwa pouma, kudzimbidwa, kusawona bwino, komanso kuvutika kukodza. Komanso, pali chiopsezo chachikulu cha kusintha kwa mtima wa wodwalayo ndi kugunda molakwika (Arrhythmia/QT Prolongation), yomwe ndi vuto lopha, kotero dokotala ayenera kuyang'ana ECG nthawi zonse.
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