Chiremba wako akakunyorera mushonga wePhenytoin here kana kuti mumwe munhu wemumhuri mako ane chirwere chepfari/kubatwa nepfari? Uyu mushonga unokosha uye wagara kwenguva refu unoshandiswa kudzora pfari muSri Lanka nepasi rose. Saka zvakakosha kuti uzive zvizere nezvemushonga uyu paunenge uchiushandisa. Nhasi, tichataura nezvazvo zviri nyore uye nenzira yaunogona kunzwisisa.
Chii chinonzi Phenytoin chaizvo?
Zvichitaurwa zviri nyore, phenytoin mushonga unodzora kushanda zvakanyanya kwemasero etsinga muuropi hwako . Kubatwa nepfari kunokonzerwa nekuwedzera kamwe kamwe kwekushanda kwetsinga muuropi. Saka mushonga uyu unoshanda nekudzikamisa tsinga idzodzo nekudzivirira nekudzora pfari. Dzimwe nguva unogona kushandiswa kune zvimwe zvikonzero zvehutano. Chiremba wako achakutsanangurira izvi.
Ndezvipi zvinhu zvandinofanira kuudza chiremba ndisati ndatanga mushonga uyu?
Usati watanga kushandisa phenytoin, zvakakosha kuudza chiremba wako nezvenhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvinotevera:
- Kana wakambopindwa muropa nedoro .
- Kana uri werudzi rwekuAsia (zvimwe zvinhu zvinokonzerwa nemajini zvinogona kukanganisa maitiro ako pamushonga).
- Kana uine chirwere cheropa kana dambudziko rekugwamba kweropa.
- Kana uine chirwere cheshuga .
- Kana uine chirwere chemwoyo kana matambudziko emwoyo.
- Kana uine chirwere cheitsvo .
- Kana uine chirwere chechiropa .
- Kana uine chirwere chisingawanzoitiki chinonzi Porphyria .
- Kana uri kugamuchira kurapwa nemwaranzi yegomarara .
- Kana uri kufunga zvekuzviuraya , wakamboedza kuzviita kare, kana kuti une nhoroondo yemhuri yekuzviita.
- Kana uine chirwere chethyroid .
- Kana uine allergy kune phenytoin kana chero imwe mishonga, chikafu, kana mishonga inochengetedza.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uchiyamwisa mwana wako .
Kuvanza ruzivo urwu kunogona kukonzera matambudziko akakomba. Saka kurukurai zvese izvi zvakajeka nachiremba wenyu.
Nzira yekushandisa mushonga nemazvo sei?
Sezvo uyu uri mushonga wemvura, zvakakosha zvikuru kuyera mwero chaiwo wemushonga.
- Zunza zvakanaka: Usati washandisa bhodhoro remushonga.Zunza zvakanaka nguva dzose, sezvo zvidimbu zvemushonga zvinogona kunyura pasi pebhodhoro.
- Kuyera kwakarurama: Shandisa kapu yekuyera chaiyo, sirinji, kana sirinji/chipunu/dhirowa remuromo rakapihwa nachiremba wako kana chitoro chemishonga kuti upime mushonga wako. Usapime nezvipunu zvemumba kana zvipunu. Hazvina kururama.
- Nenguva: Edza kutora mushonga wako panguva imwe chete zuva nezuva. Izvi zvichabatsira kuchengetedza huwandu hwemushonga muropa rako hwakafanana.
- Kana muchidya kana musina: Izvi zvinogona kutorwa musati madya kana mushure mekudya. Zvisinei, kana muine dambudziko remudumbu, zvakanaka kunwa pamwe chete nechikafu .
- Usarega: Usarega kutora mushonga kamwe kamwe kunze kwekunge chiremba wako akuudza kuti udaro. Kuita izvi kunowedzera njodzi yekuti chirwere chemuviri chidzoke zvakare.
Kana uri kupa vana mushonga uyu, taura nachiremba wako nezve chero mirairo yakakosha.
Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti wakawana zvakawanda kupfuura zvawaifunga, usanonoka .
Enda kuchipatara chiri pedyo neEmergency Treatment Unit (ETU) nekukasika. Zvakare, kana zvichibvira, fonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano. Izvi zvakakosha zvikuru.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa . Usambofa watora mushonga kaviri .
Pane mimwe mishonga isingawirirane nemushonga uyu here? (Kudyidzana kweMishonga)
Ehe, zvechokwadi. Phenytoin mushonga unogona kushanda pamwe chete nemimwe mishonga yakawanda. Izvi zvinoreva kuti kana ukatorwa pamwe chete nemimwe mishonga, kushanda kwephenytoin kunogona kudzikira, kuwedzera, kana kuti migumisiro yacho inogona kuwedzera.
Udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini, mishonga yemishonga, uye zvinowedzera) . Pazasi pane mimwe mishonga inogona kukonzera matambudziko nephenytoin.
- Mimwe mishonga inorwisa mavhairasi (iyo inopihwa yeHIV kana Hepatitis)
- Mishonga inorwisa fungus (semuenzaniso `(fluconazole)`, `(ketoconazole)`)
- Mimwe mishonga yepfari (semuenzaniso, carbamazepine, valproic acid)
- Mishonga inodzivirira kuumbwa kweropa (semuenzaniso warfarin, aspirin)
- Mishonga inoderedza cholesterol (semuenzaniso, atorvastatin, simvastatin)
- Mishonga yekuderedza kushungurudzika kana kuzvidya mwoyo
- Mishonga inorwisa mabhakitiriya (semuenzaniso `(doxycycline)`, `(chloramphenicol)`)
- Mishonga yekurwadziwa kwemudumbu/gastritis (semuenzaniso mishonga inorwisa asidhi, omeprazole)
- Mapiritsi ekudzivirira pamuviri ane mahormone
- Mhando dzemasteroid (semuenzaniso `(prednisone)`)
- Doro
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvemishonga yaunotora.
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
- Kuongororwa nguva dzose: Chiremba wako achakukumbira kuti uongororwe ropa nguva dzose. Izvi zvichaongorora huwandu hwephenytoin muropa rako uye zvichaona kana mushonga wacho uchida kuwedzerwa kana kudzikiswa. Usapotsa bvunzo idzi.
- Kurwara kwakakomba paganda: Vamwe vanhu vanogona kutanga kurwara kwakakomba paganda mavhiki mashoma kana mwedzi mushure mekutanga mushonga uyu. Udza chiremba wako nekukasika kana uine fivha, kurwadziwa kwemuviri, mapundu eganda matsvuku kana epepuru, maronda mumuromo mako, kuzvimba kwechiso chako kana miromo, kana mapundu pamutsipa wako kana muhapwa .
- Kurara nedzungu: Mushonga uyu unogona kukonzera hope nedzungu. Saka , usatyaira kana kushandisa michina kusvika muviri wako wajaira mushonga wacho. Chenjerera paunomuka kamwe kamwe kubva panzvimbo yawakagara, kunyanya kana wakwegura.
- Mapiritsi ekudzivirira pamuviri: Kutora phenytoin kunogona kuderedza kushanda kwemapiritsi ekudzivirira pamuviri. Saka kana usiri kuronga kuva nemwana, taura nachiremba wako nezvekushandisa imwe nzira yekudzivirira pamuviri (semuenzaniso, makondomu).
- Kuzvimba kwemazino: Izvi zvinowanzokonzerwa ne phenytoin. Mazino anogona kukura zvisina kujairika. Saka geza mazino ako zvakanaka zuva nezuva uye gara uchiona chiremba wemazino .
- Kushaikwa kwemavhitamini: Kushandisa mushonga uyu kwenguva refu kunogona kukonzera mazinga mashoma evhitamini D nefolic acid. Saka, taura nachiremba wako nezvekudya chikafu chinovaka muviri uye kutora mavhitamini ekuwedzera kana zvichidikanwa.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemishonga yese, phenytoin inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Zvinhu zvekutaurira chiremba kana ETU nekukasika | |
| Kurwara kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso/miromo/rurimi, kuoma kufema. |
| Zviratidzo zvekukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kwemaziso/ganda, weti yakasviba. |
| Zvirwere zveganda zvakakomba | Fivha, inoperekedzwa nemaronda matsvuku/pepuru paganda, ganda riri kusvuuka, uye maronda emuromo. |
| Zviratidzo zvePhenytoin Poisoning (Toxicity) | Kufamba kwemaziso zvisina kudzorwa, kunetseka kufamba (kutadza kugadzikana), kuoma kutaura, hope dzakanyanya, kuda kurutsa/kurutsa. |
| Kuchinja kwepfungwa | Pfungwa dzekuzviuraya, kuwedzera kuora mwoyo. |
| Kubuda ropa kusingajairika | Kukuvara kana kubuda ropa paganda pasina chikonzero. |
| Zvinhu zvekuudza chiremba wako kana zvikaramba zviripo kana kuti zvichikunetsa | |
| Migumisiro yakajairika | Kurara, dzungu, musoro, kuoma kuisa pfungwa pane chimwe chinhu. |
Mharidzo Yekuenda Nayo Kumba
- Phenytoin mushonga unokosha zvikuru unodzora kukodzera kwemushonga. Inwa sezvawaudzwa nachiremba wako, nechiyero chakakodzera, panguva chaiyo.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvako zvese pamwe chete nemimwe mishonga yauri kutora.
- Dzivisa zvinhu zvine njodzi paunenge uchitora mushonga nekuti zvinogona kukonzera hope nedzungu. Dzivisa doro zvachose.
- Kana ukasangana nematambudziko akakomba akadai semaronda eganda akanyanya, maronda emuromo, kutsvuka kwemaziso, kana hope dzakanyanya, tsvaga rubatsiro rwechiremba nekukasika.
- Usarega kutora mushonga kamwe kamwe kana kuchinja mwero wemushonga usina kurairwa nachiremba.
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