Dzimwe nguva, kusuruvara kwedu, kuzvidya mwoyo, uye kushaya simba kunowedzera zvekuti hatikwanise kuita mabasa edu ezuva nezuva. Panguva dzakadaro, paunoona chiremba, anogona kukuongorora kuti une depression uye okupa mushonga. Desipramine mushonga unoshandiswa kurapa depression. Saka kana iwe kana mumwe munhu ari pedyo newe akanyorerwa mushonga uyu, zvakakosha kuti uzive nezvazvo.
Chii chinonzi Desipramine?
Zvichitaurwa zviri nyore, Desipramine mushonga unoshandiswa kurapa kushungurudzika. Uropi hwedu hunogadzira mishonga yemakemikari. Tinodaidza kuti ma neurotransmitters. Serotonin neNorepinephrine makemikari maviri makuru anodzora manzwiro edu, zvinoreva mufaro wedu, runyararo, uye nhanho dzebasa.
Kushungurudzika kunokonzerwa nekusarongeka kwemakemikoro aya. Desipramine inoshanda nekuwedzera huwandu hweserotonin ne norepinephrine muuropi, zvichibatsira kudzorera mashandiro avo. Mushonga uyu uri muboka remishonga inonzi tricyclic antidepressants (TCAs) .
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga Desipramine, zvakakosha kupa chiremba wako mufananidzo wakazara wehutano hwako. Mushonga uyu ungasaenderana nemamwe matambudziko ehutano. Kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuzivisa chiremba wako.
| Mamiriro kana tsika | Sei uchifanira kuudza chiremba? |
|---|---|
| Kana uine chirwere chemwoyo kana kuti wakamborwara nemoyo | Mushonga uyu dzimwe nguva unogona kukanganisa kurova kwemoyo. |
| Pfungwa dzekuzviuraya, kuedza kwekare, kana nhoroondo yemhuri yekuzviuraya | Mishonga yekuderedza kushungurudzika, kunyanya pakutanga, inogona kuwedzera pfungwa idzi mune vamwe vanhu, saka kutarisirwa kwakasimba kunodiwa. |
| Zvimwe zvirwere zvepfungwa, zvakaita sebipolar disorder kana schizophrenia | Mushonga uyu unogona kuchinja kana kuita kuti zviratidzo izvozvo zviwedzere kuipa. |
| Chirwere chechiropa | Mushonga uyu unobviswa mumuviri nechiropa. Kana chiropa chisina kushanda zvakanaka, mushonga uyu unogona kuungana mumuviri. |
| Dambudziko reGlaucoma | Mushonga uyu unogona kuwedzera kumanikidzwa kwemaziso. |
| Kuoma kwekuita weti, matambudziko eprostate | Mishonga inogona kuita kuti dambudziko iri riwedzere kuipa. |
| Pfari kana kuti pfari (Kubatwa nepfari) | Mushonga uyu unogona kuwedzera zvishoma njodzi yekubatwa nepfari. |
| Dambudziko rekunwa doro | Kusanganisa doro nemushonga uyu kunogona kuwedzera hope nezvimwe zvinokonzeresa hope. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Unofanira kukurukura nachiremba wako kana mushonga wacho ungakanganisa mwana. |
| Kurwara nemimwe mishonga, chikafu, uye madhayi | Kuti uzive kana une allergy ne desipramine kana chimwe chezvinhu zviri mairi. |
Ndingashandisa sei mushonga uyu chaizvo?
Zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo, sezvakarairwa nachiremba.
- Medza piritsi iri negirazi remvura.
- Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva, sezvawakarairwa nachiremba wako.
- Usatore mushonga unopfuura wawakanyorerwa.
- Chinhu chinonyanya kukosha ndechekusarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kana ukadaro, unogona kuona zviratidzo zvekurega mushonga zvakaita sedzungu, kuda kurutsa, uye musoro. Kana kuti mamiriro ako ezvinhu anogona kutowedzera kuipa. Kana ukarega, ita sezvakarairwa nachiremba wako, uchideredza zvishoma nezvishoma mushonga wacho.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifungidzira kuti watora mushonga wakawanda kupfuura zvaunofunga, usatore zvishoma. Enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Mimwe mishonga inogona kupindirana neDesipramine
Desipramine inogona kushanda pamwe chete nemimwe mishonga yakawanda, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yakanyorerwa nachiremba, mishonga isingatengeswi nechiremba, mishonga yechivanhu, mavhitamini, nezvimwe zvinowedzera.
Pazasi pane mienzaniso mishoma chete.
- Zvine njodzi huru kutora Desipramine pamwe chete nemimwe mishonga yekudzora kushungurudzika yakaita seMAOIs (semuenzaniso Carbex, Marplan).
- Mishonga yezvirwere zvepfungwa yakaita se phenothiazines (semuenzaniso perphenazine, chlorpromazine).
- Mimwe mishonga yekurapa chirwere chemwoyo.
- Mamwe maantibiotic, akadai seLinezolid.
- Inogona zvakare kupindirana nezvinhu zviri mumimwe mishonga inotengeswa kunze kwemutero wechiremba wedzihwa, kukosora, uye allergies.
Saka, gara uchibvunza chiremba wako usati watanga chero mushonga mutsva.
Zvinhu zvekungwarira pakushandisa mushonga
- Ziva zvaunofunga: Mumavhiki ekutanga ekutanga mushonga wekuderedza kushushikana, kana pakuchinja mushonga, vamwe vanhu vanogona kufunga zvekuzviuraya, kuzvidya mwoyo, kusagadzikana, uye kuita zvinhu zvisina kujairika. Kana iwe kana mhuri yako mukaona chero shanduko idzi, taurai nachiremba wenyu nekukasika.Usatya izvi, asi zvakakosha kuti uzive.
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope nedzungu. Saka, dzivisa kutyaira, kushanda panzvimbo dzakakwirira, kana kushandisa michina inoda kungwarira kusvika waziva kuti mushonga uyu unokukanganisa sei. Kunyanya kana uri munhu mukuru, mira wakatwasuka paunosimuka kubva panzvimbo yawakagara kana kubuda pamubhedha.
- Doro: Dzivisa doro zvachose paunenge uchitora desipramine. Doro rinogona kuwedzera zvakanyanya migumisiro yemushonga, kunyanya hope.
- Muromo wakaoma: Izvi zvinowanzokonzera migumisiro yakaipa. Unogona kuzvigadzirisa nekutsenga chingamu isina shuga, kusvuta masiwiti asina shuga, uye kunwa mvura zuva rese.
- Kuzvimba: Mushonga uyu unogona kukonzera kuvimbiwa. Zvakakosha kudya chikafu chine faibha yakawanda (michero, miriwo) uye kunwa mvura yakawanda. Kana usina kubuda tsvina kwemazuva anopfuura maviri kusvika matatu, udza chiremba wako.
- Kunzwa kwezuva: Ganda rako rinogona kunge richinzwa chiedza chezuva zvakanyanya paunenge uchitora mushonga uyu. Saka, shandisa sunscreen uye pfeka mbatya dzinofukidza muviri wako paunenge uchibuda muzuva.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Desipramine inogona kukonzera migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana. Tafura iri pazasi inotsanangura izvi zvakajeka.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekutaurira chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza, kurova kwemoyo kusina kurongeka, dzungu, kurwadziwa pachipfuva. |
| Chirwere cheSerotonin | Kusagadzikana, kuomarara kwetsandanyama kana kudedera, kudikitira zvakanyanya, fivha yakanyanya, kugwinha, kurutsa, manyoka. Ichi chirwere chine njodzi zvikuru. |
| Kuchinja-chinja kwemanzwiro kwakanyanya | Pfungwa dzekuzviuraya, kuwedzera kwekuora mwoyo, hutsinye. |
| Zvimwe zviratidzo zvakakomba | Kubatwa nepfari, kurwadziwa kwemaziso kamwe kamwe, kuona zvisipo, kutadza kuita weti. |
| Kana zvikaramba zvichiitika kana kuti zvichikunetsa, udza chiremba wako. | |
| Migumisiro yakajairika | Muromo wakaoma, hope, dzungu, kuzvimba, kuda kurutsa, kudedera. |
| Zvimwe | Kuchinja kwechido kana mashandiro epabonde. |
Mharidzo Yekuenda Nayo Kumba
- Desipramine mushonga wekuderedza kushungurudzika. Zvinogona kutora mavhiki akati wandei kuti ubatsirwe zvizere nemushonga uyu. Saka, iva nemoyo murefu uye tora mushonga sezvawakarairwa nachiremba wako.
- Usarega kutora mushonga kana kuchinja mwero wemushonga chero chikonzero chipi zvacho usina kurairwa nachiremba wako.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yechivanhu).
- Nyatsocherechedza pfungwa dzako nemanzwiro ako paunotanga kutora mushonga uyu. Kana ukaona shanduko dzisinganzwisisike, kunyanya pfungwa dzekuzviuraya, taurira chiremba wako nekukasika.
- Kana ukanwa mushonga wakawandisa, enda kuchipatara (ETU) nekukasika kana kufonera National Poisons Information Center .
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eDesipramine / Norpramin anonyorerwa chirwere chipi?
Uyu mumwe wemishonga yekare uye ine simba kwazvo (TCA - Tricyclic Antidepressant) yekurapa chirwere chepfungwa inogona kushandiswa kurapa 'Kuora Mwoyo neKunetseka' kwakanyanya! Uyu wakasiyana zvishoma nemimwe mishonga yeTCA (yakaita seAmitriptyline). Kunyange zvazvo mimwe yacho ichikonzera hope/hope kumurwere, piritsi iri rinopa murwere 'Stimulating effect' uye rinomuita kuti arambe achishanda zuva rese.
💬 Mushonga uyu (Desipramine) unopa sei murwere mufaro nesimba panguva imwe chete?
Kuora mwoyo kunokonzerwa nekudzikira kwemakemikari europi anofadza (Norepinephrine, Serotonin). Chinonyanya kuitwa nemushonga uyu (pane kuwedzera Serotonin) ndechekuwedzera huwandu hwekemikari inonzi 'Norepinephrine' muuropi ne100%, iyo inobvisa kufinhwa uye inopa uropi simba uye kugona kutarisa pane chimwe chinhu. Ndosaka vanachiremba vachikurudzira izvi kuvarwere vane usimbe uye vasingakwanise kubuda pamubhedha.
💬 Ndezvipi migumisiro mikuru uye njodzi huru dzeizvi?
Kune njodzi dzakawanda! (Migumisiro yeAnti-cholinergic). Izvi zvinokonzera muromo wakaoma, kuoma weti, uye dzungu/musoro wakapfava pakubuda pamubhedha. Imwe njodzi ine njodzi ndeyekuti ine kukanganisa kukuru pamoyo! Pane njodzi huru yekuchinja rhythm yemoyo wemurwere uye kukonzera chirwere chinouraya (Arrhythmia/Tachycardia).
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