Iwe kana mumwe munhu wemumhuri mako akanyorerwa mushonga wePrimidone nachiremba wako here nekuda kwechirwere chinokonzera pfari, senge pfari? Kana zvakadaro, zvakakosha kuti uzive zvizere nezvemushonga uyu. Nekuti pane zvinhu zvakati wandei zvatinofanira kungwarira pakushandisa mushonga uyu. Saka nhasi, ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi Primidone?
Muchidimbu, Primidone mushonga unoshandiswa kudzora nekudzivirira pfari, kana kuti zvatinowanzoti 'kubatwa nepfari'. Dzimwe nguva masero etsinga muuropi hwedu anotanga kushanda zvakanyanya. Zvinoita sekufamba kwenguva pfupi. Ndipo panoitika pfari. Saka mushonga uyu unodzikamisa tsinga dzinoshanda zvakanyanya. Zvadaro pfari inodzorwa.
Mushonga uyu unogona zvakare kunyorerwa navanachiremba kune zvimwe zvirwere. Saka kana muine mibvunzo nezveizvi, bvunzai chiremba wenyu. MuSri Lanka, mushonga uyu unowanikwa nezita rekuti Mysoline.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Izvi zvakakosha zvikuru. Usati watanga kutora mushonga uyu, unofanira kuzivisa chiremba wako nezvezvimwe zvirwere zvaunazvo. Iva nechokwadi chekutaura zvinhu izvi zvakanyanya:
- Chirwere cheitsvo: Kana uine chirwere cheitsvo.
- Chirwere chechiropa: Kana uine chirwere chechiropa.
- Porphyria: Ichi chirwere chisingawanzoitiki. Kana uchiziva kuti une chirwere ichi, iva nechokwadi chekuudza chiremba wako.
- Matambudziko ehutano hwepfungwa: Kana iwe kana mumwe munhu mumhuri yako akambova nepfungwa dzekuora mwoyo, kufunga kuzviuraya, kana kuedza kuzviuraya kare, unofanira kutaura nezvazvo.
- Kurwara: Tiudzei kana muine allergies kuPrimidone, Phenobarbital, mimwe mishonga yepfari, mimwe mishonga, chikafu, kana madhayi.
- Kubata pamuviri: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchifungidzira kuti une pamuviri.
- Kana uri amai vanoyamwisa: Kana uri amai vanoyamwisa.
Zvichibva paruzivo urwu, chiremba achasarudza kana mushonga uyu wakakodzera iwe kana kwete uye kuti unofanira kupiwa mushonga upi.
Ndinofanira kushandisa mushonga uyu sei?
Zvakakosha kutevedzera mirairo iyi pakushandisa mushonga uyu.
- Medza piritsi iri negirazi remvura.
- Inwa mushonga wakanyorwa, panguva yakatarwa, sezvakarairwa nachiremba. Usadarike mushonga.
- Kunyangwe uchinzwa zviri nani, usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako.
Kana ukarega kutora mushonga kamwe kamwe, mamiriro ako ezvinhu anogona kuipa, zvichireva kuti unogona kuwedzera pfari. Saka, kana ukarega kutora mushonga, unofanira kuzviita zvishoma nezvishoma, uchitevera mirairo yachiremba wako.
Ko kana mushonga wacho ukawedzerwa? (Kudarika mwero)
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika . Kana kuti enda kuchipatara chiri pedyo cheEmergency Unit (ETU) nekukurumidza.
Ko kana ndikarasikirwa 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 wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakakanganwa.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Primidone inogona kushanda pamwe chete nemimwe mishonga, saka udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Rudzi rwemishonga | Mienzaniso nezvinyorwa |
|---|---|
| Mishonga yekurwisa fungus | Voriconazole |
| Mishonga yekurwisa kenza | Mishonga yakasiyana-siyana inorapa kenza |
| Mishonga inodzvinyirira masoja emuviri | Cyclosporine |
| Mishonga yemahormone | Mishonga ine mahormone eestrogen kana progestin (kusanganisira mapiritsi ekudzivirira pamuviri) |
| Mishonga yekurapa chirwere chepfungwa | Mishonga yekurapa zvirwere zvakaita sekuora mwoyo nekuzvidya mwoyo |
| Mishonga yeHIV/AIDS | Mishonga yakasiyana-siyana inorapa hutachiona hweHIV |
| Mimwe mishonga | Mishonga yakaita seDisopyramide, Doxycycline , Modafinil, Quinidine, Warfarin |
Zvinhu zvekurangarira kana uchitora mushonga
Chenjerera zvakanyanya nezvekudzivirira pamuviri.
Izvi zvakakosha zvikuru kana uri mukadzi ari kushandisa mapiritsi ekudzivirira pamuviri. Primidone inogona kuita kuti mapiritsi ako ekudzivirira pamuviri asashande zvakanaka. Izvi zvinoreva kuti uchiri panjodzi yekubata pamuviri kunyangwe uri kutora mapiritsi. Saka, iva nechokwadi chekutaura nachiremba wako nezvekushandisa imwe nzira yekudzivirira pamuviri (yakadai semakondomu).
Kurara uye kutarisisa
Unogona kunzwa hope uye dzungu paunotanga kutora mushonga uyu. Saka , dzivisa kutyaira, kushanda panzvimbo dzakakwirira, kana kushandisa michina inoda kungwarira kusvika wajaira mushonga uyu. Kana uri munhu mukuru, chenjerera paunosimuka kubva panzvimbo yawakagara. Zvikasadaro, unogona kunzwa dzungu wodonha.
Kunwa doro
Mushonga uyu hauenderane nedoro. Doro rinogona kukanganisa kushanda kwemushonga uye kuwedzera migumisiro yakaipa (kunyanya hope).
Ngwarira hutano hwepfungwa
Iyi inyaya inonetsa, asi tinofanira kutaura nezvayo. Vamwe vanhu vanogona kusangana nekuchinja-chinja kwemafungiro, kuzvidya mwoyo, kuora mwoyo, kana kufunga kuzviuraya pavanenge vachitora mushonga uyu. Kana uchinzwa seizvi, ndapota usazvidya mwoyo uri wega. Udza chiremba wako kana mumwe munhu waunovimba naye (nhengo yemhuri, shamwari) nekukasika. Zvakakosha kuwana rubatsiro nekukurumidza.
Chengetedza mavitamini
Kushandisa mushonga uyu kwenguva refu kunogona kukonzera kudzikira kwehuwandu hwevhitamini D nefolic acid mumuviri. Saka, bvunza chiremba wako nezvekudya chikafu chinovaka muviri uye kutora mamwe mavitamini kana zvichidikanwa.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Primidone inogona kuva nemigumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kuoma kufema, hope dzakanyanya, kuvhiringidzika, uye kuoma kumuka. |
| Kuchinja kwepfungwa | Pfungwa dzekuzviuraya, kuora mwoyo, kuchinja kukuru kwepfungwa. |
| Migumisiro inofanira kuudzwa chiremba kana ikaramba iripo kana kuti ichinetsa | |
| Migumisiro yakajairika | Dzungu, hope, kurasikirwa nepfungwa dzakanaka, kuda kurutsa. |
Munodzivirira sei mushonga wenyu?
- Chengeta kure nevana nezvipfuyo. Mushonga uyu unogona kuuraya kana ukadyiwa netsaona nemumwe munhu, kunyanya mwana.
- Chengeta patembiricha yemumba (pakati pe15-30 degrees Celsius).
- Usangorasa mapiritsi asina kushandiswa mumarara. Zvakanaka kuasanganisa nekofi yakakuyiwa kana tsvina yekatsi, woisa mumudziyo wakavharwa zvakanaka, woarasa.
- Usashandise mishonga yapera nguva.
Mharidzo Yekuenda Nayo Kumba
- Primidone mushonga unoshandiswa kudzora pfari (fits).
- Usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako.
- Udza chiremba wako nezvemishonga yese yaunotora uye chero zvimwe zvirwere zvaunazvo.
- Ngwarira hope, dzungu, nezvimwewo. Chenjerera paunenge uchityaira uye uchiita mabasa ane njodzi.
- Kana ukaona shanduko mupfungwa dzako kana kuti pfungwa dzekuzviuraya, tsvaga rubatsiro rwechiremba nekukasika.
- Kana uri mukadzi anotarisira kubata pamuviri kana kushandisa mapiritsi ekudzivirira pamuviri, taura nachiremba wako nezvazvo zvakananga.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi ePrimidone (Mysoline) mushonga une simba zvikuru unopiwa chirwere chipi?
Uyu mumwe wemishonga inoshanda uye ine simba pasi rose, mushonga wekare (Barbiturate) unoshandiswa kudzora 'Grand Mal Seizures / Epilepsy', chirwere chinokonzerwa neuropi, uye Essential Tremor, chirwere chakakomba chinodedera chinoitika mukweguru! Vanachiremba vanokurudzira izvi kune avo vasina kupindura mimwe mishonga yedenda.
💬 Mushonga uyu wekare (Primidone) unoenda sei kuuropi womisa pfari/kudedera?
Mushure mekunge watora mushonga uyu, chiropa chinoupwanya kuita zvidimbu zviviri uye chinoushandura kuita 'Phenobarbital' ine simba guru. Kana pfari ikaitika, zviratidzo zvemagetsi zvetsinga zvinoburitswa pasina kudzora. Kana piritsi iri (GABA-A receptors) rasvika kuuropi, magedhi anodzora magetsi europi anovhurwa zvachose uye kemikari inonyaradza 'GABA' inotumirwa muuropi hwese. Ipapo 'short circuits/electrical shocks' muuropi inomira pakarepo uye uropi hunodzikama.
💬 Ndezvipi njodzi nemigumisiro iyo vanhu vanotora mapiritsi ePrimidone vanofanira kuziva?
Njodzi huru nematambudziko (oh my God!) 'hope dzisingatsungiririki uye kusanzwa muviri (Severe Sedation/Ataxia/Dzungu)' zvinouya neizvi. Mumavhiki mashoma ekutanga ekutora izvi, zvechokwadi uchaomerwa nekufamba uye kudonha/kunzwa dzungu. Chimwe chinhu chine njodzi ndechekuti izvi (Suicidal thoughts) zvinowedzera kushushikana kwepfungwa uye zvinokonzera pfungwa 'dzekuzviuraya'. Zvakare, kana ukangoerekana warega kutora piritsi iri, unogona kuva nepfari yakanyanya (Status Epilepticus) isingarapike wofa!
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