Hapana chakaipa kupfuura kukosora uye mhino yakavharika kana uine dzihwa. Haugone kufema zvakanaka, haugone kurara husiku, uye hapana chaunogona kuita. Saka kana ukaenda kunoona chiremba panguva yakaita seiyi, anogona kukunyorera sirapu yekudzora zviratidzo izvi. Nhasi, tiri kutaura nezvemumwe mushonga unoshandiswa zvakanyanya. Une zvinhu zvitatu zvakabatanidzwa.
Mushonga werudzii uyu?
Zvichitaurwa zviri nyore, uyu musanganiswa wemishonga mitatu, imwe neimwe inoita basa rakasiyana.
1. Dextromethorphan: Iyi inoshandiswa kudzora kukosora . Inovhara kwenguva pfupi chiratidzo chekukosora chinoenda kuuropi.
2. Phenylephrine: Iyi mushonga unobvisa kudzimbira . Unovhara tsinga dzeropa dziri mukati memhino kwenguva pfupi, zvichideredza kuzara kwemhino uye mhino dzinoyerera.
3. Pyrilamine: Uyu mushonga unoshandiswa kurapa allergies . Unodzora zviratidzo zveallergies zvakaita sekurumwa, mhino inoyerera, uye kuhotsira.
Chinhu chakakosha ndechekuti mushonga uyu unongodzora zviratidzo zvechikosoro kana allergy chete. Haugone kurapa hutachiona mumuviri wako.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakanaka, ichi ndicho chikamu chakakosha. Chiremba wako asati akupa mushonga uyu, anofanira kuziva nhoroondo yako yese yezvekurapa . Kunyanya kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako .
- Asima
- Zvirwere zvetsinga dzeropa
- Chirwere cheshuga
- Eczema kana zvimwe zvirwere zveganda
- Glaucoma, chirwere chekuwedzera kwedzvinyiriro mumaziso
- Kukwira kweropa kana chirwere chemwoyo
- Chirwere cheitsvo kana chiropa
- Matambudziko eprostate kana kuoma kuita weti
- Maronda emudumbu kana zvimwe zvirwere zvemudumbu
- Chirwere chethyroid
- Kana uine allergy kune chero chinhu chiri mumushonga uyu kana kune chero mimwe mishonga, chikafu, kana kuchengetedza.
- Kana uine pamuviri, kana kuti uri kutarisira mwana munguva pfupi iri kutevera
- Kana uri amai vanoyamwisa
Ndinofanira kushandisa mushonga uyu sei?
Ziva zvinhu izvi paunenge uchishandisa mushonga uyu.
- Uyu mushonga wemushonga unonwiwa.
- Inwa mushonga wawakanyorerwa nachiremba wako, panguva yakakodzera. Usaunwe kakawanda kana kupfuura mwero.
- Usashandise zvipunu zvemumba kana zvipunu zvekuyera kuyera mushonga. Hazvina kururama. Shandisa kapu kana chipunu chakakosha chinouya nemushonga kana chinogona kuwanikwa ku pharmacy uye chinogona kuyera nemazvo mu milliliters (ml).
- Kana ichipiwa vana: Kunyange zvazvo mushonga uyu dzimwe nguva uchipiwa vana vane makore anopfuura maviri ekuberekwa, unofanira kungoitwa chete pasi pezano rachiremba wevana. Usaupe vana wega.
- Vanhu vane makore anopfuura 65: Vanhu vakwegura vanogona kunzwa migumisiro yemushonga uyu zvakanyanya, saka vanowanzo pihwa mushonga wakaderera.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu unopfuura mwero wakatarwa, usanonoka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Paunenge uchitora mushonga uyu, panogona kunge paine kusawirirana (kusangana) nezvimwe zvinhu zvauri kushandisa. Saka ziva izvi zvakare.
| Kudyidzana Kwemishonga | |
|---|---|
| Usatore mushonga nezvinhu izvi. | |
| Mimwe mishonga yekare yekuderedza kushungurudzika inonzi MAOIs (semuenzaniso, Carbex, Eldepryl, Marplan, Nardil, Parnate). Iva nechokwadi chekuudza chiremba wako kana uri kutora chero ipi zvayo yemishonga iyi. | |
| Kana ukatora izvi, bvunza chiremba wako. | |
| Doro kana chero chinhu chine doro | Migumisiro yemushonga (hope) inogona kuva yakanyanya kuipa. |
| Mishonga yekuderedza kuora mwoyo, kuzvidya mwoyo, kana zvimwe zvirwere zvepfungwa | Kurara nezvimwe zvinogona kukonzera hope. |
| Mishonga yeBP yakakwira | Zvinogona kukanganisa kushanda kwemimwe mishonga. |
| Mapiritsi ekurara | Kurara zvakanyanya kunogona kuitika. |
| Mimwe mishonga yekukosora nedzihwa | Mishonga yakawanda yakafanana inogona kupinda mumuviri. |
Rondedzero iyi ingasave yakakwana, saka iva nechokwadi chekuudza chiremba wako nezvemishonga yese yaunotora (kunyangwe mavhitamini, mishonga yemishonga, uye zvinowedzera).
Migumisiro inogona kuitika kana munhu atora mushonga
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Kana ukaona zviratidzo izvi, taurira chiremba wako nekukasika. | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, kana rurimi. |
| Kuoma kufema | Kufema zvishoma, kufema nekukurumidza. |
| Kuchinja kwemaonero | Kuona kusina kujeka. |
| Kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka. |
| Kuchinja kweropa | Kukwira kana kudzikira kweBP zvakanyanya. |
| Zvirwere zvepfungwa uye zvetsinga | Kusagadzikana, kusagadzikana, kudedera, pfari. |
| Matambudziko ekuita weti | Kuomerwa nekuita weti kana kuchinja huwandu hweweti yaunoburitsa. |
| Kuneta kusingawanzoitiki | Kunzwa kuneta zvakanyanya kana kushaya simba. |
| Kana zviratidzo izvi zvikaramba zviripo kana kuti zvikakunetsa, udza chiremba wako. | |
| Musoro | Kuomerwa nekurara |
| Kuda kudya | Kunzwa kweganda kuchiedza chezuva |
| Kusvotwa, kurutsa | Marwadzo emudumbu |
Nzira yekuchengetedza mushonga uyu sei?
- Chengeta zvakachengeteka uye kure nevana. Izvi zvakakosha zvikuru.
- Chengeta patembiricha yemumba (pakati pe20 ne25 degrees Celsius).
- Chengeta kure nezuva rakananga uye hunyoro.
- Chengeta chivharo chebhodhoro chakavharwa zvakasimba.
- Rasa mushonga wapera.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu musanganiswa wemishonga inopihwa kudzora zviratidzo zvechikosoro uye allergies, zvakaita sekukosora uye kuvharika kwemhino. Haurapi hutachiona.
- Usati watora mushonga, udza chiremba wako nezvezvirwere zvese zvaunazvo pamwe nemimwe mishonga yose yauri kutora.
- Shandisa chipunu kana kapu chaiyo chete ine chiyero chakakodzera kuyera mushonga. Usashandise zvipunu zvekicheni kumba.
- Mushonga uyu unogona kukukonzera hope, saka dzivisa kutyaira mota nekuita mabasa anoda kungwarira. Dzivisa kunwa doro zvachose.
- Kana uchifungidzira kuti watora mushonga wakawandisa, kurumidza kubata National Poisons Information Centre kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Kana ukasangana nematambudziko akakomba, akadai sekuoma kwekufema, kuzvimba kwakanyanya, kana mavanga, zivisa chiremba wako nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eAlosetron (Alosetron / Lotronex) ndiwo mushonga wekupedzisira wechirwere chipi?
Uyu hausi mushonga wakajairika! Uyu mushonga une simba kwazvo (5-HT3 receptor antagonist) wekupedzisira (Restricted/REMS) unopihwa zvakananga ku'Vakadzi chete' vane 'IBS-D' (Irritable Bowel Syndrome with Diarrhea), uye hapana mumwe mushonga unogona kurapa, uye unokubvumira kudzora manyoka akanyanya uye kurwadziwa kwemudumbu kwakakanganisa hupenyu hwako!
💬 Piritsi (Alosetron) rinopihwa vakadzi ava rinomisa sei kurwadziwa mudumbu/manyoka zvakanyanya kana mimwe mishonga yese ikatadza kushanda?
Tsinga zhinji dziri muura hwevakadzi dzinobatwa/dzinonzwa zvakanyanya nekemikari inonzi 'Serotonin (5-HT3)'! Mushonga uyu paunongopinda mudumbu, unovhara 100% yemaserotonin receptors (5-HT3) ari muura ihwohwo uye unoavhara. Sezvo pasina nzira yekuti shoko riende, hypersensitivity yetsinga (Visceral hypersensitivity) inonyangarika pakarepo uye kuda kubvisa tsvina uye kurwadziwa kwemudumbu kunonyangarika.
💬 Sei nyika dzakawanda pasi rose dzakarambidza piritsi iri? Ndedzipi njodzi dzinouraya (Black Box Warnings)?
Njodzi dzacho dzakakomba zvikuru! Njodzi huru ndeyekuti izvi zvinomisa kuyerera kweropa kuenda mudumbu uye ura hunoora 100% (Ischemic Colitis)! Kana murwere akangoerekana abuda ropa mudumbu, anofanira kuendeswa kuchipatara, uye vamwe vanotofa. Zvakare, izvi zvinogona kukonzera kuti kuvimbiwa kusvike padanho rekupedzisira rakakomba (Severe Complicated Constipation), uye ura hunogona kuvharika nekuputika, saka izvi zvinofanirwa kungotorwa chete pasi pekutarisirwa kwakakosha kwachiremba.
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