Ungave uri munhu ari kutambura nekusuwa, kana kuti kungozvidya mwoyo chete. Dzimwe nguva zvinhu izvi zvinotonyanya kuoma, uye zvinova zvakaoma kuita mabasa ako ezuva nezuva, handiti? Nhasi tichataura nezvemushonga unowanzo kurudzirwa navanachiremba unogona kukubatsira. Uyu musanganiswa wemishonga miviri inonzi perphenazine neamitriptyline.
Mushonga uyu chii? (Perphenazine; Amitriptyline) Unoitei?
Zvichitaurwa zviri nyore, rudzi urwu rwepiritsi rinonzi Perphenazine; Amitriptyline inoshandiswa kurapa zvirwere zvepfungwa zvakaita sekuora mwoyo nekuzvidya mwoyo . Dzimwe nguva, inogona kushandiswawo kune zvirwere zvakaita seschizophrenia .
Funga nezvazvo, pfungwa dzedu dzine makemikari anobatsira kudzora manzwiro edu, maitiro edu, uye pfungwa dzedu. Zvakafanana neinjini yemotokari. Makemikari aya anonzi Dopamine, Norepinephrine, uye Serotonin . Mushonga uyu unobatsira kudzoreredza huwandu hwemakemikari iwayo muuropi kusvika pamwero wakati, zvichibatsira kuvandudza manzwiro ako. Chaizvoizvo musanganiswa wemishonga miviri: mumwe mushonga wekurwisa psychotic , uye mumwe mushonga we tricyclic antidepressant (TCA) . Mishonga iyi yekurwisa psychotic inoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa.
Mushonga uyu unogona zvakare kunyorerwa nachiremba wako kune zvimwe zvirwere. Saka kana uine mibvunzo, zvakanaka kubvunza chiremba wako kana murapi wemishonga.
Mushonga uyu unowanikwa pamusika uchishandisa mazita akadai seEtrafon , Etrafon-A, uye Triavil .
Chii chandinofanira kuudza chiremba wangu ndisati ndashandisa mushonga uyu?
Iyi inyaya inokosha zvikuru. Usati watanga kutora mushonga uyu, pane zvinhu zvishoma zvaunofanira kuudza chiremba wako kana timu yekurapa. Ruzivo urwu ruchavabatsira kusarudza kana mushonga uyu wakakunakira kana kuti uchida kutarisirwa zvakanyanya.
Heano zvinhu izvozvo:
- Une chirwere chepfungwa chakadai sebipolar disorder here?
- Wakambova nedambudziko remudumbu here, kana kuti pari zvino, rakavharwa here?
- Une chirwere chekukanganwa here , chirwere chekusaziva zvinhu?
- Une chirwere cheshuga here? Kana zvakadaro, uri kuramba uchichidzora here?
- Une dambudziko rekumedza chikafu here?
- Une glaucoma here?
- Une dambudziko rekudzora tsandanyama dzako here?
- Wakambokuvara musoro zvakanyanya here?
- Une chirwere chemwoyo here? (Izvi zvakakosha zvikuru, nekuti mushonga uyu unogona kukanganisa kurova kwemoyo)
- Unogara uchinwa doro here?
- Une chirwere cheitsvo here?
- Une chirwere chechiropa here?
- Une masero eropa mashoma here, semuenzaniso, masero machena eropa, maplatelet, kana masero matsvuku eropa?
- Une BP yakaderera here?
- Une chirwere chemapapu here kana dambudziko rekufema, senge asthma ?
- Une chirwere cheParkinson here?
- Pane chirwere chinonzi pheochromocytoma here?
- Wakambobatwa nepfari here?
- Iwe kana mumwe munhu mumhuri mako akambofunga, kuronga kana kuedza kuzviuraya here?
- Une chirwere chethyroid here?
- Une dambudziko rekuita weti here?
- Une allergy here kana ukashandisa amitriptyline, perphenazine, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza?
- Une pamuviri here kana kuti uri kuda kubata pamuviri?
- Muri amai vanoyamwisa here?
Kana chimwe chezvinhu izvi chikaitika kwauri, udza chiremba wako usingavanzi chero chinhu .
Mushonga uyu unoshandiswa sei chaizvo?
Mushonga uyu unofanira kunwiwa nemuromo, negirazi remvura. Unwe sezvakarairwa papepa remushonga, panguva uye nehuwandu hwakanyorerwa. Unogona kuutora usati wadya kana kuti wapedza kudya. Zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo. Usatore zvinopfuura zvataurwa nachiremba kuti unwe, kana kuutora kakawanda.
Chinonyanya kukosha: Usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera migumisiro yakaipa kana kuti kuita kuti mamiriro ako ezvinhu awedzere kuipa.
Kana wawana mushonga uyu kubva ku pharmacy, uchagamuchira kapepa kemirayiridzo kakakosha (MedGuide) pamwe chete nawo. Unofanira kuverenga izvi nokungwarira pese paunowana mushonga kana paunowana mushonga wekuwedzera, zvakanaka here? Une ruzivo rwakawanda rwakakosha kwauri.
Kungwarira kukuru kunofanira kutorwa pakupa mushonga uyu kuvana, saka taura nechikwata chako chekurapa nezvazvo.
Kunwa mushonga wakawandisa: Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera nzvimbo inodzora chepfu kana chipatara nekukurumidza.
Chimwe chinhu: Mushonga uyu ndewako chete. Usaugovane nevamwe.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete kuti udzorere dosi rausina kutora. Kuita izvi kunogona kukonzera migumisiro yakaipa.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Iyi inyaya yakakoshawo zvikuru. Mimwe mishonga, yakaita se perphenazine, inogona kukonzera matambudziko kana ikatorwa pamwe chete ne amitriptyline.
Usambofa watora mushonga uyu nemishonga inotevera:
- Linezolid
- Mishonga yeMAOI (semuenzaniso, Carbex, Marplan, Nardil, Parnate, uye Xadago)
- Bhuruu reMethylene
- Metoclopramide
Mushonga uyu unogona zvakare kusangana nezvinotevera:
- Doro
- Mimwe mishonga yekurapa allergies, kukosora, uye dzihwa (Antihistamines)
- Atropine
- Mimwe mishonga yekurapa matambudziko edundira (semuenzaniso, oxybutynin, tolterodine)
- Mimwe mishonga yekurapa kuora mwoyo, kuzvidya mwoyo, kana mamiriro ezvinhu epfungwa
- Mimwe mishonga inoshandiswa kurapa kurova kwemoyo kusina kurongeka (semuenzaniso amiodarone, dofetilide, encainide, flecainide, propafenone, quinidine)
- Mamwe mapiritsi ekurara
- Mimwe mishonga yekurapa matambudziko emudumbu (semuenzaniso dicyclomine, hyoscyamine)
- Mimwe mishonga yekurapa kurwara nekufamba (semuenzaniso, scopolamine)
- Cimetidine
- Epinephrine
- Ethchlorvynol
- Mishonga inouraya marwadzo (semuenzaniso halothane, isoflurane, methoxyflurane, propofol)
- Ipratropium
- Levodopa kana mimwe mishonga yekurapa chirwere cheParkinson
- Lithium
- Mishonga yeBP
- Mishonga inorwisa pfari (semuenzaniso phenobarbital, primidone, phenytoin)
- Zvinozorodza tsandanyama pakuvhiyiwa
- Mishonga inodhaka yekurwadziwa
- Topiramate
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese, miriwo, mishonga isingapihwe mushonga, uye zvekudya zvauri kutora. Udzawo chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Zvimwe zvinhu zvinogona kukanganisa mishonga yako.
Chii chaunofanira kungwarira paunenge uchitora mushonga uyu?
Ona chiremba wako nguva nenguva kuti ugare uchiongororwa paunenge uchitora mushonga uyu. Udza chiremba wako kana zviratidzo zvako zvikasavandudzika kana kuti zvikawedzera kuipa. Sezvambotaurwa, usarega kutora mushonga usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera matambudziko makuru. Chiremba wako achakuudza kuti mushonga wakawanda sei waunofanira kutora.
Kunyatsotarisirwa: Varwere nemhuri dzavo vanofanira kungwarira pfungwa itsva kana dziri kuwedzera dzekuzviuraya kana kuora mwoyo. Uyewo, chenjererai kuchinja kwemanzwiro kamwe kamwe, kwakadai sekushushikana, kushaya zororo, kutya, kushatirwa, hasha, kutsamwa, kusagadzikana zvakanyanya, kufara zvakanyanya uye kushanda zvakanyanya, kana kushaya hope. Kana izvi zvikaitika, taurai nechikwata chenyu chehutano nekukasika, kunyanya pakutanga kwekurapwa kana mushure mekuchinja mushonga wenyu.
- Hope/Dzungu: Mushonga uyu unogona kuita kuti unzwe hope kana kuti dzungu. Saka, usatyaira motokari, kushandisa michina, kana kuita chero chimwe chinhu chinoda kutarisisa pfungwa kusvika waziva kuti mushonga uyu unokubatsira sei. Usamira kana kugara pasi kamwe kamwe, kunyanya kana wakwegura. Izvi zvinogona kuderedza mukana wekuita dzungu kana kupera simba.
- Doro: Doro rinogona kukanganisa kushanda kwemushonga uyu. Saka, dzivisa kunwa doro.
- Mimwe mishonga: Usatore mishonga yekukosora, dzihwa, kana yekurwara usina kutanga wabvunza chiremba wako. Zvimwe zvezvinhu zviri mumishonga iyi zvinogona kuwedzera migumisiro yakaipa.
- Huwandu hweshuga muropa: Mushonga uyu unogona kuwedzera huwandu hweshuga muropa. Kana uine chirwere cheshuga, bvunza timu yako yehutano kana uchida kuchinja kudya kwako kana mishonga.
- Muromo wakaoma: Muromo wako unganzwa wakaoma. Kutsenga chingamu isina shuga, kusvuta masiwiti akaoma asina shuga, uye kunwa mvura yakawanda zvinogona kubatsira kuderedza dambudziko iri. Udza timu yako yehutano kana dambudziko iri rikaramba riripo kana kuti rikanyanya.
- Maziso akaoma uye kuona kusina kujeka: Mushonga uyu unogona kukonzera maziso akaoma uye kuona kusina kujeka. Kana ukapfeka ma contact lenses, unogona kunzwa kusagadzikana. Madonhwe emaziso anozorwa anogona kubatsira. Kana dambudziko iri rikaramba riripo kana kuti rakakomba, ona chiremba wemaziso ako.
- Kuzvimba: Mushonga uyu unogona kukonzera kuvimbiwa. Edza kuita zvemukati kamwe chete pamazuva maviri kusvika matatu ega ega. Kana usina kuita zvemukati mushure memazuva matatu, fonera timu yako yehutano.
- Kunzwa kwezuva:Mushonga uyu unogona kuita kuti unzwe kurwara nechiedza chezuva. Saka, dzivisa chiedza chezuva. Kana uchifanira kubuda muzuva, pfeka mbatya dzinokudzivirira uye zora mafuta ekudzivirira zuva. Usashandise marambi ezuva kana mibhedha yeganda/matende.
- Matambudziko ekudzora tembiricha yemuviri: Mushonga uyu unogona kukonzera matambudziko nekudzora tembiricha yemuviri wako. Unogona kuderedza maitiro emuviri wako kumamiriro ekunze anotonhora. Dzivisa kubuda kunze kumamiriro ekunze anotonhora zvakanyanya sezvinobvira. Kana uchifanira kubuda, pfeka mbatya dzinodziya. Unogonawo kuderedza maitiro emuviri wako kumamiriro ekunze anotonhora. Saka dzivisa kupisa zvakanyanya. Usaite maekisesaizi akawandisa. Dzivisa chiedza chezuva zvakanyanya sezvinobvira. Kana uchifanira kubuda muzuva, pfeka mbatya dzakareruka, dzinotonhorera. Inwa mvura yakawanda. Kana uchinetseka kudzora tembiricha yemuviri wako, taura nechikwata chako chehutano nekukasika.
- Kuvhiyiwa: Kana muchizovhiyiwa, udzai timu yenyu yezvekurapa kuti muri kutora mushonga uyu.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemishonga yese, iyi inogona kukonzera mimwe migumisiro yakaipa. Mimwe haisi yakakura, asi mimwe inofanira kutaurwa kuna chiremba wako nekukasika.
Migumisiro inofanira kuziviswa kuna chiremba/chikwata chekurapa nekukasika:
- Kurwara nepfungwa: mapundu eganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Kuchinja kwemoyo: kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kufenda, kurwadziwa pachipfuva, kuoma kufema.
- Neuroleptic Malignant Syndrome (NMS) inogona kusanganisira: fivha yakanyanya, kuomarara kwetsandanyama, kudikitira kwakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, uye kuvhiringidzika.
- Kukura kweprolactin yakawanda: Kukura kwezamu risingatarisirwi, kubuda kwemuzamu, kuchinja kwechido chebonde kana mashandiro aro, kutenderera kwemwedzi zvisina kurongeka.
- Utachiona: Fivha, dzihwa, kukosora, kana kurwadziwa pahuro.
- Kuderera kweropa: dzungu, kupera simba, kuona zvisipo.
- Kurwadziwa kwemaziso kamwe kamwe kana kuchinja kwekuona: semuenzaniso, kuona zvisipo, kuona mativi echiedza, kana kurasikirwa nekuona.
- Pfungwa dzekuzviuraya kana kuzvikuvadza, kuwedzera kwemanzwiro, kunzwa kwekuora mwoyo.
- Zviratidzo zveExtrapyramidal (EPS) zvinogona kusanganisira: mafambiro emuviri asingadzoreki uye anodzokororwa, kuomarara kwemhasuru kana kugwinha, kudedera, kurasikirwa nepfungwa dzakagadzikana kana matambudziko ekubatana, kusagadzikana, kufamba-famba.
Migumisiro isingawanzodi kurapwa (asi kana ikaramba iripo kana kuti ichikunetsa, zivisa chiremba wako/chikwata chekurapa):
- Kuchinja kwechido chepabonde kana mashandiro azvo
- Kuzvimba
- Dzungu
- Kurara
- Muromo wakaoma
- Kuwedzera huremu
Rondedzero iyi haina zvese zvinogona kukonzera migumisiro yakaipa. Taura nachiremba wako kuti akupe mazano ekurapa nezvemigumisiro yakaipa.
Munochengetedza sei mushonga uyu zvakachengeteka?
Chengeta mushonga uyu kure nevana .
Chengeta patembiricha yemumba (20 kusvika 25 degrees Celsius, 68 kusvika 77 degrees Fahrenheit). Dzivirira kubva kuchiedza. Chengeta bhodhoro/paketi rakavharwa zvakasimba. Rasa chero mushonga wapfuura zuva rawo rekupera.
Rangarira chinhu chakakosha kupfuura zvose! (Mharidzo Yekuenda Kumba)
Zvakanaka, tataura zvakawanda nezvemushonga uyu unonzi Perphenazine; Amitriptyline, handiti? Yeuka, uyu mushonga unokosha unogona kubatsira hutano hwepfungwa dzako. Asi, chinhu chakakosha ndechekuutora sezvawaudzwa nachiremba wako, nehuwandu hwaunokuudza, uye panguva yaunokuudza.
Kana muine mibvunzo kana zvinokunetsai, iva nechokwadi chekubvunza chiremba wenyu, murapi wemishonga, kana mupi wehutano. Musambofa makafungidzira chero chinhu.
Kapepa aka kangopfupikisa. Kangasave neruzivo rwese. Saka, taura nachiremba wako uye tevera kurapwa uku nepaunogona napo. Tinokushuvira kuti upore nekukurumidza!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Perphenazine neAmitriptyline (Perphenazine; Amitriptyline / Etrafon/Triavil) mushonga une miviri yekurapa zvirwere zvepfungwa here?
Ehe! Iri ipiritsi rakasanganiswa rakagadzirwa nemusanganiswa wemishonga miviri. Vanachiremba vanoripa kuvarwere vane kuzvidya mwoyo kwakanyanya/schizophrenia uye kuora mwoyo kwakanyanya panguva imwe chete. Iri piritsi rinodzivirira zvirwere izvi zvese panguva imwe chete.
💬 Mishonga iyi miviri (Perphenazine naAmitriptyline) inoenzanisa sei makemikari europi?
Iyi mishonga miviri inoita zvinhu zviviri! Perphenazine mushonga wekurapa pfungwa; unovhara dopamine muuropi, uye unodzikamisa 100% yevarwere vanogara vachifungira, vakatsamwa, uye vachiita sevapenga. Imwe yacho iAmitriptyline, mushonga wekuderedza kushungurudzika; inowedzera serotonin, ichibvisa kusuruvara/kuora mwoyo kwakaita kuti murwere acheme uye anzwe seanoda kufa, uye ichimuita kuti afare.
💬 Ndezvipi migumisiro mikuru yekunwa mapiritsi aya epfungwa?
Kune mimwe migumisiro mishoma nekuti kune mishonga miviri! Mimwe mikuru muromo wakaoma, kuona zvisizvo, uye kuzvimba kunokonzerwa neAmitriptyline. Zvakare, dzungu paunomuka mangwanani. Imwe ndeyekuti Perphenazine inokonzera 'kunyaradza', uye pane mukana wezviratidzo zvekunze kwepiramidhi (EPS - zviratidzo zvekunze kwepiramidhi) (mapiritsi akasiyana anonyorerwa izvozvo).
Perphenazine , amitriptyline, kuora mwoyo, kuzvidya mwoyo, hutano hwepfungwa, migumisiro yemishonga, chirwere chepfungwa
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga