Kana iwe kana mumwe munhu wemumhuri mako aine pfari, inova chirwere chinokonzera pfari, chiremba wako anogona kunge akakupa mushonga unonzi Phenytoin. Mushonga uyu dzimwe nguva unoshandiswawo kudzivirira pfari mushure mekuvhiyiwa kweuropi. Ungave nemibvunzo yakawanda nezvemushonga uyu. Usazvidya moyo, tichataura nezvazvo zvese muchinyorwa chino nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi Phenytoin?
Zvichitaurwa zviri nyore, phenytoin mushonga unopiwa vanhu vane pfari kuti vadzore nekudzivirira pfari. Dzimwe nguva tsinga dziri muuropi hwedu dzinoshanda zvakanyanya. Mushonga uyu unoshanda nekudzikamisa pfari uye kudzora kutanga kwepfari. Mushonga uyu unowanikwawo pasi pemazita emhando yeDilantin nePhenytek.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana wakambopindwa muropa nedoro.
- Kana uri werudzi rwekuAsia (izvi zvakakosha nekuda kwenjodzi yemamwe matambudziko).
- Kana paine chirwere kana kushomeka kweropa.
- Kana uine chirwere cheshuga.
- Kana uine chirwere chemwoyo kana matambudziko emwoyo.
- Kana uine chirwere cheitsvo.
- Kana uine chirwere chechiropa.
- Kana uine chirwere chinonzi porphyria.
- Kana uri kugamuchira kurapwa nemwaranzi yegomarara.
- Kana iwe kana mumwe munhu mumhuri mako akambofunga, kuronga, kana kuedza kuzviuraya.
- Kana uine chirwere chethyroid.
- Kana uine allergy ne phenytoin kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa.
Ndingashandisa sei mushonga uyu chaizvo?
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuushandisa nemazvo.
- Maitiro ekutora: Inwa kapusule iyi negirazi remvura. Usambotyora, kupwanya, kana kutsenga kapusule. Medza kapusule yese.
- Nguva yekutora: Edza kutora mushonga panguva imwe chete zuva nezuva , sezvakarairwa nachiremba wako.
- Nechikafu: Unogona kunwa izvi usati wadya kana kuti wapedza kudya. Asi chinonyanya kukosha ndechekuti unonwa zvakafanana mazuva ese . Semuenzaniso, kana ukanwa mushure mekudya kwemangwanani mazuva ese, zviite zvakafanana mazuva ese.
- Kumira:Ramba uchitora mushonga uyu kusvika chiremba wako akuudza kuti "rega izvozvi." Usarega kutora mushonga kamwe kamwe , sezvo kuita izvozvo kunogona kuwedzera njodzi yekurwara nepfungwa.
Ndingaitei kana ndikarasikirwa nemushonga mumwe chete?
Kana ukarasikirwa nedosi, inwa nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore dosi rinotevera, svetuka dosi rawakarasikirwa naro wotora dosi rinotevera panguva yakatarwa. Usatore dosi mbiri panguva imwe chete nekuda kwechikonzero chipi zvacho.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu wakawandisa, kureva kuti, wakawandisa, idambudziko rekukurumidza. Fonera National Poisons Information Centre paColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mimwe mishonga inogona kupindirana nePhenytoin
Phenytoin mushonga unogona kushanda pamwe chete nemimwe mishonga yakawanda. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora. Matafura maviri ari pazasi ane ruzivo nezvemishonga yakadaro.
| Usatore pamwe chete nePhenytoin | |
|---|---|
| Artemether, Lumefantrine | Mimwe mishonga inorwisa utachiona yeHIV kana Hepatitis |
| Idelalisib, Isavuconazonium | Lonafarnib, Lorlatinib, Lurasidone |
| Pacritinib, Praziquantel, Ranolazine | |
| Mishonga iyi inogonawo kushanda pamwe chete nePhenytoin - udza chiremba wako | |
|---|---|
| Doro | Mishonga inonyaradza marwadzo yakaita seaspirin |
| Mishonga yekurwisa kenza (semuenzaniso Bleomycin, Capecitabine) | Mishonga yeBP yakakwira uye chirwere chemwoyo |
| Mishonga yezvirwere zvepfungwa zvakaita sekuora mwoyo nekuzvidya mwoyo | Mishonga inoderedza cholesterol (semuenzaniso Atorvastatin) |
| Mishonga yezvirwere zvefungus | Mimwe mishonga yekurwisa pfari (semuenzaniso Carbamazepine, Valproic acid) |
| Mishonga yekurwisa asidhi nemishonga yemudumbu (semuenzaniso Omeprazole) | Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin, Apixaban) |
| Mahormone echikadzi, semuenzaniso, mapiritsi ekudzora pamuviri | Folic acid uye vhitamini D |
| Mhando dzema steroid (semuenzaniso, Prednisone) | Mishonga yemishonga yakaita seSt. John's Wort |
Rondedzero iyi haina kukwana. Saka, zvakakosha kuti iwe pachako uzvidzivirire kuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yechivanhu yauri kutora.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nguva dzose: Ona chiremba wako nguva dzose kuti utarise mamiriro ako ezvinhu. Unofanira kugara uchitarisirwa nachiremba paunenge uchitora mushonga uyu. Ungangodawo kuongororwa ropa.
- Zvine njodzi paganda:
- Kurara nedzungu: Unganzwa hope nedzungu. Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei. Dzivisa kunwa doro.
- Kudzivirira pamuviri: Kana ukatora mapiritsi ekudzivirira pamuviri, mushonga uyu unogona kuita kuti asashande zvakanaka. Saka taura nachiremba wako nezvekushandisa imwe nzira yekudzivirira pamuviri.
- Kuzvimba kwemazino: Izvi zvinogona kukonzera kuwedzera kwemazino. Saka shanyira chiremba wemazino nguva nenguva. Chenjerera paunenge uchikwesha mazino uye uchiapukuta neshinda.
- Mishonga Inorwisa Asidhi: Usatore mishonga inorwisa asidhi panguva imwe chete nemushonga uyu. Siya nguva yemaawa maviri kusvika matatu.
- Hutano hwepfungwa: Ziva mamiriro ako epfungwa paunenge uchitora mushonga uyu. Kana uchinzwa kunetseka kupfuura zvakajairika kana kuti uine pfungwa dzekuzviuraya, taurira chiremba wako nekukasika.
- Nguva dzose tora Phenytoin sezvawaudzwa nachiremba wako, uye panguva yakakodzera. Dzivisa kuimisa kamwe kamwe.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Kana maronda eganda akakomba, maronda, kana zvimwe zviratidzo zvisingawanzoitika pamwe chete nefivha, tsvaga rubatsiro rwechiremba nekukasika.
- Usachinje rudzi rwemushonga usina kubvunza chiremba wako.
- Zvakakosha zvikuru kugara uchiongororwa nachiremba uye uchiongororwa ropa.
- Kana uchifungidzira kuti washandisa zvinodhaka zvakadarika mwero, enda kuNational Poisons Information Centre kana kuchipatara chiri pedyo neEmergency Department (ETU).
Izvi zvakakosha zvikuru:Mushonga uyu dzimwe nguva unogona kukonzera matambudziko makuru paganda. Udza chiremba wako nekukasika kana uine fivha, kurwadziwa kwemuviri, maronda matsvuku/pepuru, kana maronda paganda rako, ganda riri kubvunda, maronda mumuromo mako, kana kuzvimba kwechiso chako, miromo, mutsipa, kana mahapwa .
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Phenytoin inogona kukonzera migumisiro yakaipa. Mimwe yakakomba, mimwe yakajairika.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Zvinhu zvekutaurira chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, nerurimi. |
| Kukanganiswa kwakakomba kweganda | Fivha, inoperekedzwa nemaronda matsvuku/pepuru paganda, ganda riri kusvuuka, uye maronda emuromo. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kutsvuka kweganda kana maziso (sekunge jaundice), uye weti yakasviba. |
| chepfu yePhenytoin | Kufamba-famba kwemaziso kusingadzoreki, kurasikirwa nepfungwa dzakanaka panguva yekufamba, kuoma kutaura, kuneta zvakanyanya, kuda kurutsa, uye kurutsa. |
| Zvimwe zviratidzo zvakakomba | Kurova kwemoyo zvishoma nezvishoma, dzungu, kufema zvakaoma, kuzvimba kwemakumbo, kugara uchitsvukirira kana kubuda ropa, kufunga kuzviuraya. |
| Kana zvikaramba zvichiitika kana kuti zvichikunetsa, udza chiremba wako. | |
| Migumisiro yakajairika | Musoro, hope, dzungu, kunetseka kuisa pfungwa pachinhu chimwe kana kuyeuka. |
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