Dzimwe nguva, chirwere chakadai sekuora mwoyo chingasarapwa nekushandisa mushonga mumwe chete. Kana wakambosangana neizvi, chiremba wako anogona kukurudzira kapisiyumu yakagadzirwa nekusanganisa mishonga miviri inonzi Olanzapine neFluoxetine. Uyu mushonga wakasimba. Saka, ngatitaurei nezvese zvakajeka uye zviri nyore.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, uyu mushonga unopiwa kurapa kuora mwoyo kwako. Vanachiremba vanowanzoupa kana mimwe mishonga yekudzora kuora mwoyo isina kushanda. Unoshandiswawo kurapa chirwere chinonzi bipolar depression.
Uku ndiko kusanganiswa kwemhando mbiri dzemishonga.
1. Olanzapine: Uyu mushonga uri muboka remishonga yekurapa pfungwa.
2. Fluoxetine: Uyu mushonga wekudzora marwadzo uri muboka reSSRI (Selective Serotonin Reuptake Inhibitor).
Mishonga iyi miviri inoshanda pamwe chete kuti ienzanise mashandiro ema neurotransmitters maviri muuropi hwedu, dopamine ne serotonin . Aya ndiwo makemikari anobatsira kudzora zvinhu zvakaita semanzwiro edu, mufaro, uye kurara. Saka kana izvi zvagadzikana, pfungwa dzako dzinovandudzika.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Izvi zvakakosha zvikuru. Chiremba wako anofanira kuziva nhoroondo yako yese yezvekurapa asati akupa mushonga uyu. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Chirwere kana mamiriro ezvinhu | Mashoko ekuzivisa |
|---|---|
| Hutano hwepfungwa | Kana iwe kana nhengo yemhuri yako ine chirwere chebipolar. Kana uchinzwa kuda kuzvikuvadza, wakaronga kuzviita, kana kuti wakamboedza kuzviita. |
| Chirwere chemwoyo neBP | Kana uine chirwere chemwoyo, kurova kwemoyo kusina kurongeka, sitiroko, cholesterol yakakwira, BP yakaderera, nezvimwewo. |
| Matambudziko ane chekuita neropa | Matambudziko ekubuda ropa, zvirwere zvakaita semasero machena asina kusimba, masero matsvuku eropa, kana maplatelet kana uri kutora mishonga inoderedza ropa. |
| Zvimwe zvirwere | Chirwere cheshuga, chirwere chechiropa, pfari, glaucoma, chirwere cheParkinson, matambudziko eprostate, dementia. |
| Basa remuviri | Kuoma kumedza chikafu, kuvimbiwa, kuvharika kweura, kuoma kuita weti, kuoma kudzora tsandanyama. |
| Tsika uye allergies | Kana uri munhu anoputa fodya, wakambosangana nedambudziko rekusawirirana nemishonga inonzi Olanzapine, Fluoxetine, kana mimwe mishonga kana chikafu kare. |
| Kubata pamuviri nekuyamwisa | Kana uine pamuviri, uchiedza kuva nepamuviri, kana kuti uchiyamwisa. |
Ndinofanira kushandisa mushonga uyu sei?
- Tora kapisiyu iyi negirazi remvura.
- Inwa mushonga wacho sezvawakarairwa nachiremba wako, nechiyero chakakodzera, panguva yakakodzera. Edza kuutora panguva imwe chete zuva nezuva.
- Izvi zvinogona kunwiwa uine chikafu kana usina. Zvisinei, kana uchinzwa kurwadziwa mudumbu, zvakanaka kunwa mushure mekudya.
- Ramba uchitora mushonga uyu kusvika chiremba wako akuudza kuti urege. Usarega kuutora kamwe kamwe, kunyangwe uchinzwa zviri nani. Kuita izvi kunogona kukonzera migumisiro yakaipa.
- Mushonga uyu dzimwe nguva unopiwa vana vane makore anopfuura gumi, asi chiremba chete ndiye anogona kusarudza.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti uwane mushonga wawakakanganwa.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara (ETU) nekukurumidza. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Chinonyanya kukosha: Mushonga uyu ndewako chete. Usaugovere kune mumwe munhu chero chikonzero chipi zvacho.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Paunenge uchitora mushonga uyu, unofanira kuzivisa chiremba wako nezvemimwe mishonga yese yauri kutora. Mimwe mishonga inogona kupindirana nemushonga uyu uye kukonzera zvirwere zvakakomba.
| Usatore mishonga iyi neizvi! | |
|---|---|
| MAOIs (semuenzaniso Carbex, Nardil) | Linezolid, Methylene bhuruu, Pimozide, Thioridazine |
| Mimwe mishonga ine Fluoxetine kana Olanzapine (semuenzaniso Prozac, Zyprexa) | Dronedarone, Metoclopramide |
| Udza chiremba wako kana uri kushandisa izvi. | |
| Doro | Mishonga inoderedza marwadzo yeAspirin neNSAID (semuenzaniso Ibuprofen, Naproxen) |
| Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin) | Mapiritsi ekurara, mimwe mishonga yezvirwere zvepfungwa |
| Mimwe mishonga inoshandiswa pakurapa migraines | Mishonga yeBP yakakwira |
| Mishonga yekuwedzera yakadai seSt. John's Wort | Mishonga inonyaradza marwadzo yakaita seTramadol neFentanyl |
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese, mavhitamini, kana mishonga yemiti yauri kutora.
Zvinhu zvekufunga nezvazvo kana uchitora mushonga
- Ona chiremba wako nguva dzose: Enda kukiriniki pamazuva akarongwa kuti utarise kuti uri sei. Kana zviratidzo zvako zvikasavandudzika kana kuti zvikanyanya kuipa, tizivise.
- Kukanganiswa kwakakomba kweganda: Vamwe vanhu vanogona kutanga kusangana nezviratidzo zvakakomba zveganda mushure memavhiki akati wandei vatanga mushonga uyu. Tsvaga rubatsiro rwechiremba nekukasika kana ukaita mavara matsvuku kana epepuru paganda rako, pamwe nefivha nekurwadziwa kwemuviri, izvo zvinozopedzisira zvaita maronda uye zvotanga kubvuruka.
- Pfungwa dzekuzviuraya: Izvi zvakakosha zvikuru. Vamwe vanhu vanogona kuwedzera kuora mwoyo uye kufunga nezvekuzvikuvadza pavanotanga kutora mushonga kana mushure mekuchinja dose.
Murwere nemhuri vanofanira kungwarira izvi. Kana ukaona kuchinja kwemanzwiro kamwe kamwe, sekushushikana, kunetseka, kutsamwa nekukurumidza, kana kunetseka kurara, taura nachiremba wako nekukasika.
- Mazinga eshuga muropa: Mushonga uyu unogona kuwedzera huwandu hweshuga muropa. Kana uine chirwere cheshuga, gara uchitarisa huwandu hweshuga muropa rako.
- Kurara nedzungu: Unganzwa hope kana dzungu. Saka , usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei. Chenjerera paunosimuka kubva panzvimbo yawakagara, kunyanya kana wakwegura.
- Doro: Usanwe doro zvachose paunenge uchitora mushonga uyu. Zvinogona kukanganisa kushanda kwemushonga uye kuwedzera hope.
- Muromo wakaoma: Muromo wakaoma wakajairika . Izvi zvinogona kudzorwa nezvinhu zvakaita sekutsenga chingamu isina shuga uye kunwa mvura yakawanda.
- Kupisa kwemuviri:Mushonga uyu unogona kukanganisa kugona kwemuviri kudzora tembiricha. Izvi zvinoreva kuti kugona kwemuviri kutsungirira kutonhora kwakanyanya kana kupisa kwakanyanya kunogona kudzikira. Saka, dzivisa kurovedza muviri munzvimbo dzinopisa uye kugara muzuva. Kana mamiriro ekunze achitonhora, pfeka mbatya dzinodziya.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemishonga yese, izvi zvinogona kukonzera migumisiro yakaipa. Ziva zviratidzo zviri pazasi.
| Kana uine zviratidzo izvi, taura nachiremba wako nekukasika. | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Kubuda ropa | Tsvina nhema kana kuti dzine ropa, kurutsa kunoratidzika kunge kofi yakakuyiwa, uye madonhwe eropa paganda. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza, kurwadziwa pachipfuva, dzungu, kunzwa kupera simba. |
| Chirwere cheNeuroleptic Malignant | Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, uye kuvhiringidzika. |
| Chirwere cheSerotonin | Kunetseka, kuvhiringidzika, kurova kwemoyo nekukurumidza, kugwinha kwetsandanyama, fivha yakanyanya, kurutsa, manyoka. |
| Zviratidzo zve sitiroko | Kushaya simba kana kushaya simba kune rumwe rutivi rwechiso, ruoko, kana gumbo, kuoma kutaura, kuoma kufamba. |
| Zviratidzo zveExtrapyramidal (EPS) | Kufamba-famba kwenhengo dzemuviri kusingadzoreki, kudedera, uye kufamba kusingawanzoitiki. |
| Izvi hazviwanzo kuva zvakakomba, asi kana zvikaramba zviripo, udza chiremba wako. | |
| Kurara | Muromo wakaoma |
| Kuwedzera kwechido chekudya | Kuwedzera huremu |
| Kuchinja kwechido chebonde kana mashandiro aro | Kunzwa kuneta |
Nzira yekuchengetedza nekurasira mushonga sei?
- Chengeta mushonga uyu kure nevana nezvipfuyo .
- Chengeta patembiricha yemumba (pakati pe15-30 Celsius), kure nehunyoro nezuva, uye chengeta bhodhoro rakavharwa zvakanaka.
- Kana uchirasa mishonga yapera kana kuti isingachadiwi, isa pamwe chete nezvimwe zvakaita semarara ekatsi kana kofi usati waisa mumarara, isa mubhegi, ivhare zvakanaka, woirasa.
Mharidzo Yekuenda Nayo Kumba
- Uyu mushonga une simba, saka gara uchitora mushonga wakanyorwa nachiremba wako.
- Kunyangwe uchinzwa zviri nani, usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Tarisa zviratidzo zvakaita sekusangana neganda zvakanyanya, kufunga kuzviuraya, uye kurova kwemoyo zvisina kujairika. Kana ukaona chimwe cheizvi, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa kunwa doro paunenge uchitora mushonga. Chenjerera zvikuru paunenge uchityaira uye uchiita mabasa anoda kutarisirwa.
- Mushonga uyu unogona kubatsira zvikuru pakugara zvakanaka kwepfungwa dzako. Saka, zvakakosha kutaura pachena nachiremba wako uye kutevedzera mazano ake.
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