Mwana wako ari kuomerwa here nekugara akatarisa pane zvaanoda? Kana kuti wakambonzwa sekuti ari kunetseka nekugara akatarisa pane zvaanoda ari kudzidza kana kubasa here? Atomoxetine mushonga unonyorerwa navanachiremba weADHD (Attention-Deficit Hyperactivity Disorder). Unozivikanwa zvikuru nezita rekuti Strattera. Saka nhasi, ngatidzidzei zvakawanda nezvemushonga uyu, zvaunoita chaizvo, mashandisirwo awo, uye zvaunofanira kungwarira zvikuru.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, Atomoxetine mushonga unoshandiswa kurapa ADHD. Unovandudza kugona kwako nekwemwana wako kuisa pfungwa pane chimwe chinhu uye unobatsira kudzora maitiro asina kurongeka.
Uyu uri muboka remishonga inonzi SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Muchidimbu, mushonga uyu unoshanda nekuenzanisa mashandiro emamwe makemikari (neurotransmitters) anotakura mameseji pakati petsinga dziri muuropi hwedu. Izvi zvinobatsira zvikuru mukudzora kutarisisa uye maitiro. Dzimwe nguva, chiremba wako anogonawo kunyora izvi kune zvimwe zvinhu. Saka kana uine mibvunzo, usazeza kubvunza chiremba wako.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga kushandisa atomoxetine, unofanira kuudza chiremba wako kana uine chimwe chezvirwere zvinotevera, sezvo ruzivo urwu runogona kukanganisa chiyero chemushonga kana kuti mushonga wacho wakakunakira here.
| Dambudziko rako rehutano kana dambudziko | Sei uchifanira kuzivisa chiremba? |
|---|---|
| Glaucoma | Mushonga uyu unogona kuwedzera kumanikidzwa kwemaziso. |
| Kukwira kweropa kana kuderera, chirwere chemwoyo, kurova kwemoyo kusina kurongeka, kana nhoroondo yekurohwa nesitiroko | Mushonga uyu unogona kukanganisa BP uye kurova kwemoyo. |
| Chirwere chechiropa | Kana kushanda kwechiropa kukanganisika, mushonga wacho unobviswa mumuviri zvishoma nezvishoma. |
| Chirwere chepfungwa chakadai semania kana bipolar disorder | Mushonga uyu unogona kuwedzera mamiriro ezvinhu akadaro. |
| Rudzi rwebundu rinonzi pheochromocytoma | Iri bundu rinokura mumatumbu eadrenal, uye mushonga uyu unogona kukonzera kukwira kweropa zvine njodzi. |
| Pfungwa dzekuzviuraya kana nhoroondo yadzo | Kashoma, mushonga uyu unogona kuwedzera pfungwa dzakadaro. |
| Kuedza kubata pamuviri, kuva nepamuviri, kana kuyamwisa | Muzviitiko izvi, mazano echiremba akakosha kuti mushonga wacho uve wakachengeteka. |
| Kurwara neatomoxetine kana mimwe mishonga, chikafu, kana madhayi | Zvakakosha kuziva izvi kuti usanyanya kunzwa allergy. |
Ndinofanira kushandisa mushonga uyu sei?
Nzira yekushandisa mushonga uyu iri nyore kwazvo.
- Inwa nemuromo negirazi remvura.
- Tevedzera mirairo yachiremba nemazvo.
- Unogona kuitora usati wadya kana kuti wapedza kudya, asi kana uchinzwa kurwadziwa mudumbu, zvakanaka kuitora pamwe chete nechikafu.
- Izvi zvinogona kuita kuti zviomere vamwe vanhu kurara husiku. Kana uchifanira kutora mushonga unopfuura mumwe chete pazuva, edza kutora mushonga wekupedzisira usati wasvika 6pm.
- Chinhu chinonyanya kukosha ndechekuti, usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba.
- Kana ukatora mushonga wakawandisa netsaona, enda kuchipatara chiri pedyo neEmergency Unit (ETU) kana kufonera National Poisons Information Centre kuColombo National Hospital nekukasika .
Mushonga uyu wakanyorerwa iwe chete. Saka usambogovana mushonga wako nemumwe munhu. Unogona kuva nengozi.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakakanganwa.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Atomoxetine mushonga unogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
| Usambofa watora Atomoxetine pamwe chete nemushonga uyu! | |
|---|---|
| MAOIs (semuenzaniso, Carbex, Eldepryl, Marplan, Nardil, Parnate) | Cisapride |
| Dronedarone | Pimozide |
| Reboxetine | Thioridazine |
| Chenjerera zvikuru kana ukatora Atomoxetine pamwe chete nemushonga uyu. | |
| |
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese, mavhitamini, nemishonga yemiti yaunotora. Usakanganwa kuudza chiremba wako kana uchisvuta kana kunwa doro.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Mwoyo murefu wakakosha: Zvinogona kutora vhiki kana kupfuura kuti mushonga uyu ushande zvizere. Saka, usarega kuutora nekuti "hausati wanzwa zviri nani." Ramba uchiutora sezvakarairwa nachiremba wako.
- Ngwarira hutano hwepfungwa: Kashoma, pfungwa dzekuzviuraya kana shanduko muhunhu (semuenzaniso, kuwedzera hasha, kutsamwa, kana kuora mwoyo) zvinogona kuitika kuvana nevakuru vechidiki vanotora mushonga uyu. Kana ukaona shanduko yakadaro kamwe kamwe muhunhu hwemwana wako, fonera chiremba wako nekukasika.
- Zvakakosha kuvarume: Kana murume akanzwa kurwadziwa kana kuti kuoma kwenguva refu kweanopfuura maawa mana, zvinogona kunge zviri chirwere chakakomba. Kana izvi zvikaitika , unofanira kutsvaga rubatsiro rwechiremba nekukurumidza usati wakuvara zvachose.
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope kana dzungu. Saka usatyaira kana kushandisa michina kusvika waziva kuti izvi zvinokukanganisa sei. Chenjerera paunomuka kana kugara pasi nekukurumidza, kunyanya kana wakwegura.
- Muromo wakaoma: Kana uchinzwa sekuti muromo wako waoma, tsenga chingamu isina shuga wonwa mvura yakawanda.
Migumisiro inogona kuitika
Kufanana nemushonga upi zvawo, Atomoxetine inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kutsvuka kweganda kana maziso, weti yero yakasviba, tsvina yakachenuruka. |
| Kuchinja kwepfungwa nemaitiro | Kuzvidya mwoyo, kushatirwa, kufunga kuzviuraya, kuora mwoyo. |
| Zviratidzo zveSitiroko | Kushaya simba kwechiso, ruoko, kana gumbo kamwe kamwe, kuoma kutaura, musoro wakanyanya. |
| Kuoma kwekuita weti | Kuoma kwekuita weti kana kusaita weti zvachose. |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Atomoxetine mushonga unobatsira neADHD. Zvisinei, zvinotora nguva kuti uwane mhedzisiro yakazara, saka iva nemoyo murefu uye ushandise nguva dzose sezvakarairwa nachiremba wako.
- Usarega kutora mushonga wako kamwe kamwe usina kubvunza chiremba wako.
- Iva nechokwadi chekuzivisa chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mamiriro ehutano auri kutora.
- Ngwarira zvakanyanya nezvemigumisiro yakaipa yakaita sekuchinja kwemaitiro emwana wako kana kufunga kuzviuraya. Kana ukaona chimwe chinhu chakadai, tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu ndewako chete. Usaugovane nevamwe.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eAliskiren / Tekturna anoshandiswa pai?
Uyu mushonga unobudirira zvikuru wechizvarwa chitsva uye chakasiyana (Direct Renin Inhibitor) wakawanikwa pasi rose kudzora 'High Blood Pressure'! Kunyange zvazvo mamwe mapiritsi ese ekumanikidza anomisa rwizi rweacid kana rwadonha, piritsi iri rinovhara tsime rerwizi (Renin) 100% uye rinovhara, richimisa pressure kuti isaungane pakutanga.
💬 Ungaderedza sei BP uchishandisa piritsi idzva iri (Aliskiren)?
Rwizi rwemakemikari runokwidza BP runotanga neenzyme inonzi 'Renin' inoburitswa neitsvo dzedu! Mamwe mapiritsi (ACE/ARB) anoshanda paAngiotensin chemical inogadzirwa nayo. Asi kana piritsi iri rikapinda mumuviri, rinoenda zvakananga kuitsvo rovhara muchina mukuru weenzyme unonzi 'Renin' 100%. Ipapo rwizi harutombotangi, mitsipa yeropa inozorora uye pressure inodonha pakarepo.
💬 Ndeipi njodzi huru inouraya (Black Box Yambiro) yekuziva paunenge uchitora mushonga uyu (Aliskiren)?
Piritsi iri, semamwe mapiritsi eBP, haribvumidzwe zvachose kuvakadzi vane pamuviri! Kana mukadzi ane pamuviri akanwa mapiritsi aya akabata pamuviri, itsvo dzemwana dzinogona kuparadzwa/kubuda ropa uye mwana anogona kufa (Fetal morbidity). Zvakare, kana uine chirwere cheshuga uye ukanwa piritsi iri pamwe chete nemamwe mapiritsi eBP (ACE/ARB - semuenzaniso Losartan), pane njodzi yekukuvara kweitsvo ne100%/potassium yakawandisa uye rufu.
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