Kana chiremba wako akakupa mushonga unonzi Nortriptyline, unganzwa kutya uye kuvhiringidzika. Zvakajairika kuti vazhinji vedu tifunge saizvozvo patinonzwa "mushonga wepfungwa," "mushonga wechirwere chepfungwa." Asi musazvidya mwoyo. Izvi zvakafanana nemimwe mishonga yemuviri wedu. Zvakanaka, ngatitsanangurei zvese nezvemushonga uyu zviri nyore, sekunge tiri kutaura neshamwari.
Mushonga uyu unonzi Nortriptyline chii?
Muchidimbu, Nortriptyline mushonga unoshandiswa kurapa kushungurudzika . Uri weboka remishonga inonzi tricyclic antidepressants (TCAs) .
Funga nezvazvo nenzira iyi: uropi hwedu hune makemikari anoshanda senhume diki. Tinodaidza kuti ma neurotransmitters . Nhume idzi dzinoita basa guru mukudzora manzwiro edu, manzwiro akadai semufaro nekusuwa. Serotonin ne norepinephrine ndidzo mbiri dzenhume huru. Vanhu vane kuora mwoyo vanogona kunge vaine kusawirirana kwemakemikoro aya muuropi hwavo. Nortriptyline inoshanda nekudzorera kuenzana ikoko uye kubatsira kuvandudza manzwiro ako.
Dzimwe nguva vanachiremba vanoshandisa mushonga uyu kune mamwe matambudziko ehutano, saka kana muine mibvunzo, bvunzai chiremba wenyu nezvazvo.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Izvi zvakakosha zvikuru. Kuti uvarapwe zvakachengeteka, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako usati watanga Nortriptyline.
| Chirwere kana mamiriro ezvinhu | Sei zvichikosha kuzivisa chiremba? |
|---|---|
| Mamiriro ezvinhu akadai sechirwere chemwoyo kana chirwere cheBrugada | Mushonga uyu dzimwe nguva unogona kukanganisa kurova kwemoyo. |
| Zvirwere zvepfungwa zvakaita sebipolar disorder kana schizophrenia | Migumisiro yemushonga inogona kusiyana, uye zviratidzo zvinogona kuwedzera. |
| Chirwere chechiropa | Kushanda kwechiropa kwakakosha nekuti chiropa chinobatsira kubvisa mishonga mumuviri. |
| Glaucoma kana kuoma kuita weti | Mushonga uyu unogona kuita kuti zvirwere izvozvo zviwedzere kuipa. |
| Kubatwa nepfari | Mushonga uyu unogona kuwedzera zvishoma njodzi yekubatwa nepfari. |
| Chirwere chethyroid | Panogona kunge paine kusawirirana pakati pemahormone ethyroid nemushonga uyu. |
| Tsika yekunwa doro | Kunwa doro nemushonga uyu pamwe chete kunogona kuwedzera hope nezvimwe zvinokonzeresa hope. |
| Pfungwa dzekuzviuraya kana kuedza kwakamboitwa | Izvi zvakakosha zvikuru. Chiremba anofanira kuziva izvi. |
| Kuva nepamuviri, kuedza kubata pamuviri, kana kuyamwisa | Unofanira kukurukura nachiremba wako nezvemigumisiro inogona kuitika pamwana. |
| Kurwara nemimwe mishonga, chikafu kana zvimwe zvinhu | Unofanira kuzivisa chiremba wako kana uine allergy kune nortriptyline kana mimwe mishonga yeTCA. |
Ndinofanira kushandisa mushonga uyu sei?
- Inwa mushonga uyu negirazi remvura. Unwe sezvawakarairwa nachiremba wako, panguva chaiyo.
- Ndakakuyeuchidza.Usatore mushonga wakapetwa kaviri.
- Chinonyanya kukosha: Usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kuita kuti mamiriro ako ezvinhu awedzere kuipa uye kukonzera migumisiro yakaipa yakadai semusoro uye kuda kurutsa. Kana ukarega kutora mushonga, ita zvishoma nezvishoma uye sezvakarairwa nachiremba wako chete.
Yambiro: Kupfuura mwero
Kana uchifunga kuti watora mushonga uyu wakawandisa, taura neNational Poisons Information Centre kuNational Hospital nekukasika. Kana kuti enda kuEmergency Department (ETU) kuchipatara chiri pedyo. Mushonga uyu ndewako chete. Usambougovana nemumwe munhu.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti utore dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
Zvimwe zvinhu zvinogona kukonzera matambudziko nemushonga uyu (Kudyidzana)
Nortriptyline mushonga unogona kukonzera matambudziko (kudyidzana) nemimwe mishonga. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yeSinhala, mishonga yeAyurvedic, mavhitamini, uye zvinowedzera zvaunotora kubva kuna chiremba wemhuri yako.
Usatore mushonga uyu pamwe chete nechimwe chinhu!
Kana uri kutora mishonga inotevera, kutora Nortriptyline hakubvumidzwe zvachose .
- Cisapride
- Dronedarone
- Linezolid
- Pimozide
- Thioridazine
- Mishonga iri muboka remishonga inonzi MAOIs (semuenzaniso Carbex, Marplan)
- Methylene bhuruu (inopinzwa mutsinga)
Panogona kuva nematambudziko nemishonga iyi zvakare.
Mishonga inotevera inogonawo kushanda pamwe chete neNortriptyline. Saka kana uri kutora chero ipi zvayo yeiyi, udza chiremba wako.
- Doro
- Mimwe mishonga yekurapa allergies, kukosora, uye dzihwa (Antihistamines)
- Mimwe mishonga yekuora mwoyo (semuenzaniso fluoxetine, sertraline)
- Mishonga inokanganisa kurova kwemoyo (mishonga inowedzera nguva yeQT)
- Mishonga inouraya marwadzo (semuenzaniso tramadol)
- Mishonga yakaita seCimetidine, Quinidine, Reserpine
- Mahormone ethyroid
Zvinhu zvekurangarira kana uchitora mushonga
Ziva kuchinja kwemanzwiro.
Izvi zvakakosha zvikuru. Kunyanya mumavhiki mashoma ekutanga ekushandisa mushonga kana mushure mekuchinja mushonga, zvakakosha kuti iwe nemhuri yako muzive nezvemanzwiro matsva kana ari kuwedzera ekuzvidya mwoyo, kusagadzikana, kushatirwa, kushaya hope, kana kufunga kuzviuraya.Unofanira kungwarira zvikuru. Kana ukaona shanduko dzakadaro, fonera chiremba wako nekukasika.
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope kana kuti dzungu. Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei. Kunyanya kana wakwegura, usamuka kamwe kamwe kubva panzvimbo yawakagara. Simuka zvishoma nezvishoma mushure mechinguva. Izvi zvinoderedza njodzi yekunzwa dzungu uye kudonha.
Mamwe matambudziko akajairika uye mhinduro dzawo
- Muromo wakaoma: Kutsenga chingamu isina shuga uye kunwa mvura yakawanda kunogona kubatsira.
- Maziso akaoma uye kuona zvisina kujeka: Magirazi ekuona anogona kusashanda zvakanaka. Madonhwe ekuzora anogona kushandiswa. Kana dambudziko iri rikaramba riripo, enda kuna chiremba wemaziso.
- Kuzvimba: Edza kuita zvekubvisa tsvina kamwe chete pamazuva maviri kusvika matatu ega ega. Idya zvekudya zvakawanda zvine fiber, miriwo, nemichero. Kana usina kuita zvekubvisa tsvina mushure memazuva matatu, udza chiremba wako.
- Kunzwa kwezuva: Ganda rako rinogona kupisa kana uchitora mushonga uyu. Saka, kana uchizove muzuva, pfeka mbatya dzinofukidza muviri wako uye shandisa sunscreen.
Migumisiro yemushonga
Kufanana nemishonga yese, Nortriptyline inogona kukonzera migumisiro yakaipa. Mimwe yacho ine njodzi, asi mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva, kunetseka kufema. |
| Serotonin chirwere | Kusagadzikana, kuvhiringidzika, kudikitira zvakanyanya, fivha, kuomarara kwetsandanyama kana kudedera, kurutsa, manyoka. |
| Kubatwa nepfari | Kuerekana kwatanga kubatwa nepfari. |
| Kurwadziwa kamwe kamwe kana kuchinja kwechitarisiko mumaziso | Kuona zvisina kujeka, kuona mhete dzakatenderedza mwenje, kurwadziwa kwemaziso. |
| Kuoma kwekuita weti | Kuoma kwekuita weti kana kusabuda weti. |
| Migumisiro isingawanzova nengozi, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kurara kana dzungu | Izvi zvinodzikira muviri paunojaira mushonga. |
| Muromo wakaoma | Zvinogona kudzorwa nekunwa mvura yakawanda. |
| Kuzvimba | Zvinogona kudzorwa nekudya chikafu chine fiber yakawanda uye kunwa mvura yakawanda. |
| Kuchinja kwechido chebonde kana mashandiro aro | Taura pachena nachiremba wako nezvenyaya iyi. |
Munochengetedza sei mishonga yenyu yakachengeteka?
Chengeta mushonga uyu kure nevana . Chengeta patembiricha yemumba, kure nezuva, mumudziyo wakavharwa zvakasimba. Rasa mushonga wapera basa.
Mharidzo Yekuenda Nayo Kumba
- Nortriptyline mushonga unoshandiswa kurapa kushungurudzika. Unobatsira kudzikamisa makemikari emuuropi uye kugadzirisa mafungiro.
- Dzivisai kurega mushonga kamwe kamwe musina kupiwa mazano nachiremba.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora (kusanganisira mishonga inotengeswa kunze kwemutero) uye chero matambudziko ehutano auri kusangana nawo.
- Munguva yekutanga yekurapwa, iwe nemhuri yako munofanira kuziva nezvepfungwa dzenyu (kunyanya pfungwa dzekuda kuzviuraya). Kana mukaona shanduko, zivisai chiremba wenyu nekukasika.
- Migumisiro inowanzoonekwa yakadai sehope uye muromo wakaoma inogona kuitika, uye kana ukasangana nemigumisiro yakaipa (kuchinja kwekurova kwemoyo, allergies), tsvaga rubatsiro rwechiremba nekukasika.
- Kana uine zvinokunetsa nezvemushonga uyu, usatya kukurukura nezvawo nachiremba wako.
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