Dzimwe nguva, mapundu eganda anokwenya anogona kusashivirira, handiti? Kunyanya kana uine chirwere chakadai se eczema, kukwenya uku kunogona kuva chinhu chinonetsa zuva nezuva. Saka, kirimu yakakosha inonyorerwa navanachiremba yezviitiko zvakadaro iDoxepin. Muchinyorwa chino, tichataura zvakadzama nezvekuti ungaishandisa sei nemazvo, zvekungwarira, uye migumisiro inogona kuitika.
Chii chinoitika neDoxepin cream?
Zvakanaka, ngationei kuti izvi zvinoshanda sei. Zvichitaurwa zviri nyore, kana muviri wedu uine allergic reaction, kemikari inonzi 'histamine' inogadzirwa. Iyi histamine inowanzo kukonzera zvinhu zvakaita sekurumwa nekutsvuka. Doxepin cream inovhara kushanda kweiyi histamine pamusoro peganda. Zvadaro, mushure mechinguva, kukurumwa kwaunonzwa kunoderera uye uchawana zororo.
Zvinhu zvaunofanira kuudza chiremba wako usati washandisa mushonga uyu
Izvi zvakakosha zvikuru. Chiremba wako asati akupa kirimu yeDoxepin, unofanira kumuudza kana uine chimwe chezvirwere zviri pazasi.
- Kana uine chirwere chepfungwa chakadai sebipolar disorder kana schizophrenia .
- Kana uchinetseka kuita weti.
- Kana uine glaucoma.
- Kana uine chirwere chemwoyo.
- Kana uri munhu anonwa doro nguva dzose.
- Kana uine chirwere chechiropa.
- Kana uine zvirwere zvemapapu zvakaita seasthma kana sleep apnea.
- Kana uine matambudziko eprostate.
- Kana wakambova nechirwere cheDoxepin kana chero mimwe mishonga, chikafu, kana mishonga inochengetedza.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa.
Kupa chiremba wako ruzivo urwu kuchamubatsira kusarudza nzira yakachengeteka yekurapa.
Unoshandisa sei kirimu iyi chaizvo?
Rangarira pfungwa idzi paunenge uchishandisa mushonga uyu.
- Ingoiisa paganda: Uyu hausi mushonga wekunwa. Unongoiswa paganda chete.
- Isa chidimbu chakatetepa: Sezvakataurwa nachiremba, isa chidimbu chakatetepa panzvimbo yakakanganiswa chete. Usaise zvakanyanya.
- Usapfeke mabhandeji: Usafukidze nzvimbo yakaisirwa kirimu nebhandeji kana chimwe chinhu chinosunga.
- Usazvirega zvichipinda mumaziso ako: Izvi zvinokuvadza maziso ako zvikuru. Kana zvikaitika netsaona, sukurudza maziso ako nemvura yakachena nekukurumidza.
- Shandisa panguva yakakodzera: Shandisa panguva yakakodzera, zvisinei kuti chiremba wako anokuudza kuti ushandise kangani pazuva. Usashandise kupfuura zvaunoda.
- Kana uchipa vana: Vana vanoda kutarisirwa kwakakosha pavanenge vachishandisa izvi, saka iva nechokwadi chekubvunza chiremba nezvazvo.
Ko kana ukatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti wanyanya kushandisa mushonga uyu, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, siya mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Panofanira kuva nemusiyano wemaawa matatu kusvika mana pakati pemishonga miviri. Usambofa wakatora mishonga inopfuura miviri panguva imwe chete.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Kana ukashandisa Doxepin, inogona kukanganisa mishonga inotevera. Saka udza chiremba wako kana uri kushandisa mishonga iyi.
- Doro
- Mushonga upi zvawo unokonzeresa hope (semuenzaniso mapiritsi e allergy, mishonga inonyaradza marwadzo, mishonga inorwisa pfari , mishonga inozorodza tsandanyama)
- Cimetidine
- Dextromethorphan, inowanikwa mune mamwe manyuchi ekukosora
- Linezolid (mushonga unorwisa mabhakitiriya)
- Mishonga yekudzora kurova kwemoyo
- Mimwe mishonga yekurapa kuora mwoyo, kunyanya MAOIs (semuenzaniso, Carbex, Marplan, Nardil)
- Bhuruu reMethylene
Rondedzero iyi haina kukwana. Zvakanaka kuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yechivanhu yaunoshandisa.
Zvinhu zvekufunga nezvazvo pakushandisa Doxepin
- Usashandise kwemazuva anopfuura masere: Usashandise kirimu iyi kwemazuva anopfuura masere akatevedzana usina kubvunza chiremba.
- Kurara nedzungu: Unganzwa hope nedzungu kana uchishandisa kirimu iyi. Saka, usaite chero chinhu chinoda kutarisirwa, senge kutyaira kana kushandisa michina, paunenge uchishandisa kirimu iyi.
- Usamira kamwe kamwe: Chenjerera kana ukangoerekana wamira kubva paumire kana paugere, kunyanya kana wakwegura. Zvikasadaro, unogona kunzwa dzungu wodonha.
- Dzivisa doro: Dzivisa kunwa doro paunenge uchitora mushonga uyu. Doro rinogona kuita kuti unzwe hope.
Tinofanirawo kuziva nezvemigumisiro yakaipa here? (Migumisiro yakaipa)
Kufanana nemishonga yese, Doxepin inogona kukonzera mimwe migumisiro yakaipa. Ngationei kuti chii.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekuzivisa chiremba wako nekukasika | |
| Kurwara kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuzvimba kweganda | Kuzvimba, kuvaviwa kwakanyanya, ganda rinobuda, kana ganda rakaita ganda rakaita ganda rakaputirwa. |
| Kuchinja kwemaonero | Kurwadziwa kwemaziso kamwe kamwe, kuona zvisipo, kuona mhete dzakatenderedza mwenje, uye kurasikirwa nekuona. |
| Kuoma kwekuita weti | Kuomerwa nekuita weti kana kusaita weti zvachose. |
| Kazhinji hazvina kuipa, asi kana zvikaramba zviripo, udza chiremba wako. | |
| Kurara/dzungu | Izvi zvinhu zvakajairika kuona. Kana zvikaramba zviripo kana kuti zvichikunetsa, udza chiremba wako. |
| Muromo wakaoma | Unganzwa muromo wako waoma. Inwa mvura yakawanda. |
| Chinja mukuravira | Kuravira kwechikafu kungaita sekunge kwachinja. |
Mharidzo Yekuenda Nayo Kumba
- Kirimu iyi ndeyenyu chete. Ishandisei sezvakarairwa nachiremba wenyu, kwenguva yakatarwa.
- Iyi inongoshandiswa chete paganda. Usamboitora nemuromo.
- Sezvo mushonga wacho uchigona kukonzera hope, dzivisa zvinhu zvinoda kungwarira, zvakaita sekutyaira.
- Usashandise kwemazuva anopfuura masere akatevedzana usina kubvunza chiremba.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvekurwara zvakanyanya (kuzvimba kwechiso, kuoma kufema) kana kuchinja kwekuona.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Doxepin Cream / Zonalon, Prudoxin?
Doxepin chaizvoizvo ipiritsi re'depression/mental' rinopihwa nemuromo, asi kana ragadzirwa kuita kirimu, rinobva ravhara/rinomisa zvachose 'kuvaviwa nekuzvimba kusingatsungiririki (Severe Pruritus)' kunokonzerwa nezvirwere zveganda zvakakomba (Eczema / Atopic Dermatitis / Lichen Simplex).
💬 Kirimu iyi yakagadzirwa nemushonga wepfungwa (Doxepin) ingamisa sei kuvaviwa kwakanyanya kweganda ipapo ipapo?
Mune zvimwe zvirwere zvekukwenya zvakanyanya, ganda redu rinoburitsa kemikari yakawanda inonzi 'Histamine' (ndiyo chikonzero nei tichikwenya). Kana kirimu iyi ikaiswa paganda, inoshanda seimwe ye'Antihistamines dzakasimba' (H1 neH2 receptor blockers) pasi rose, ichivhara nekukiya maallergy receptors ese ari muganda 100%. Sezvo pasina nzira yekuti shoko ripfuure, kukwenya kunopera pakarepo.
💬 Kunyangwe iri kirimu, usaiise zvakanyanya (Systemic absorption) / Sei uchiti usatyaire mota?
Ndiyo njodzi huru! Kirimu iyi inonyudzwa nekukurumidza kuburikidza neganda uye zvakananga muropa redu. Kana kirimu iyi ikaiswa munzvimbo dzakakura/dzakakura, inogona kukonzera kuti murwere anzwe kusanzwa sedombo uye awire muhope dzisingatsungiririki 'dzakaita sedzekurara (Severe Hope)'! Saka, hazvibvumirwi kutyaira mota/michina mushure mekushandisa izvi. Zvakare, hazvina kunaka kushandisa kirimu iyi nguva dzose kwemazuva anopfuura masere.
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