Kuora mwoyo, kana kuti sezvatinozviziva tose, hakusi kusasimba kwepfungwa, asi chirwere chinoda kurapwa. Muzviitiko zvakadaro, pamwe chete nekurapa kwepfungwa, dzimwe nguva mishonga inodiwawo. Rumwe rudzi rwemishonga inonyorerwa kurapa kuora mwoyo kwakadaro iTrimipramine. Kana chiremba wako akakunyorera mushonga uyu, zvakakosha kuti uzive zvizere nezvazvo. Ngatitaurei nezvazvo zviri nyore.
Chii chaizvo chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, Trimipramine iri muboka remishonga inonzi tricyclic antidepressants (TCAs). Mamwe makemikari ari muuropi anobatsira kudzora manzwiro edu. Zvikuru sei, anonzi serotonin ne norepinephrine. Kuenzana kwemakemikoro aya kunogona kuchinja kana munhu ashungurudzika.
Zvinoitwa nemushonga uyu kuwedzera huwandu hwemakemikari maviri aya muuropi, izvo zvinovandudza mafungiro ako. Zvakafanana nekubatidza maswichi maviri anodzora mufaro nerunyararo.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako usingavanzi chero chinhu. Izvi zvakakosha zvikuru kuti uzvichengetedze.
| Kurwara kana zvimwe zvinhu | Sei uchifanira kuudza chiremba ? |
|---|---|
| Kana wakapindwa muropa nedoro | Kusanganisa doro nemushonga uyu kunogona kuwedzera migumisiro yakaipa. |
| Zvirwere zvepfungwa zvakaita sebipolar kana schizophrenia | Mushonga uyu unogona kuchinja zviratidzo izvozvo. |
| Kuoma kwekuita weti, matambudziko eprostate | Mushonga uyu unogona kuwedzera kuchengetedza weti. |
| Chirwere chemwoyo, kusarongeka kwemoyo, kurwiswa kwemoyo munguva pfupi yapfuura | Mushonga uyu unogona kukanganisa mashandiro emoyo. |
| Chirwere cheGlaucoma | Pane mukana wekuwedzera kumanikidzwa kwemaziso. |
| Chirwere chechiropa kana cheitsvo | Maitiro ekubvisa mishonga mumuviri anogona kukanganiswa. |
| Zvirwere zvemapapu kana zvekufema zvakaita seasthma | Njodzi yemamwe matambudziko inogona kuwedzera. |
| Kubatwa nepfari kana sitiroko | Njodzi dzemamiriro ezvinhu aya dzinogona kusiyana. |
| Zvirwere zve thyroid | Panogona kunge paine hukama pakati pemazinga emahormone nekushanda kwemushonga. |
| Pfungwa dzekuzviuraya, kuedza kuzviuraya, kana nhoroondo yemhuri yenyaya dzakadaro | Pfungwa idzi dzinogona kuwedzera pakutanga kwemushonga, saka kutarisisa kwakakosha kunodiwa. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Unofanira kutaura nachiremba wako nezvemigumisiro inogona kuitika pamwana. |
| Kana mwana achiyamwiswa | Zvinofanira kutariswa kana mushonga wacho uchigona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu. |
| Kurwara nemimwe mishonga, chikafu, kana dhayi | Kuti muzive kana paine allergy yemushonga wacho kana zvinhu zvawo. |
Ndinofanira kushandisa mushonga uyu sei?
Inwa mushonga uyu negirazi remvura. Inwa mushonga wakanyorwa nachiremba wako, panguva yakatarwa. Usambofa wakatora mushonga unopfuura huwandu hwakanyorwa nachiremba wako.
Zvakakosha: Usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kuita kuti mamiriro ako ezvinhu awedzere kuipa kana kukonzera mimwe migumisiro yakaipa. Kana ukarega kutora mushonga uyu, ita sezvakarairwa nachiremba wako, uchideredza mushonga wacho zvishoma nezvishoma.
Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawandisa, idambudziko rekukurumidza. Fonera National Poisons Information Centre paColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo. Izvi hazvisi zvekutamba.
Yeuka kuti mushonga uyu wakanyorerwa iwe chete. Usape mumwe munhu mushonga uyu nekuti ane zviratidzo zvakafanana nezvako.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Izvi zvakakosha zvikuru. Paunotora mushonga uyu, unogona kusangana nemimwe mishonga. Izvi zvinogona kukonzera migumisiro yakaipa. Saka udza chiremba wako nezvemishonga yese, miriwo, uye mavhitamini aunotora.
| Usambofa watora Trimipramine nezvinhu izvi | |
|---|---|
| MAOIs (e.g. Marplan, Nardil, Parnate) | Linezolid |
| Methylene bhuruu (inopinzwa mutsinga) | Pimozide |
| Mishonga yePhenothiazine yakaita seThioridazine | Mimwe mishonga inodzora kurova kwemoyo |
| Cisapride | St. John's Wort (mushonga wemishonga) |
| Matambudziko anogonawo kuitika nemushonga uyu (udza chiremba wako). | |
| Mishonga yeBP yakakwira (semuenzaniso Clonidine) | Mishonga yekurapa pfari (semuenzaniso Carbamazepine) |
| MaBarbiturates (semuenzaniso Phenobarbital) | Cimetidine |
| Mahormone ethyroid | Mishonga yekurwadziwa inonyorerwa nachiremba |
Zvinhu zvekungwarira paunenge uchitora mushonga
Kuchinja kwemafungiro uye pfungwa dzekuzviuraya
Ichi ndicho chinhu chinonyanya kukosha. Dzimwe nguva, kunyanya mumavhiki mashoma ekutanga ekurapwa kana kana mushonga wacho wachinjwa, zviratidzo zvekuora mwoyo zvinogona kuwedzera kana kuti pfungwa itsva dzekuzviuraya dzingaonekwa. Kana iwe kana nhengo dzemhuri yako mukaona zvinhu izvi , taurai nachiremba wenyu nekukasika.
- Kana uchinzwa kunetseka kana kunetseka
- Kana uchinzwa kusagadzikana uye hasha,
- Kana ukangoerekana wava kuita zvinhu zvakawandisa
- Kana usingakwanise kurara
- Kana uchinzwa sekunge kuora mwoyo kwako kuri kuwedzera
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope kana kuti dzungu. Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei. Usangoerekana wasimuka kubva panzvimbo yawakagara, kunyanya kana wakwegura. Izvi zvinogona kuita kuti unzwe dzungu wodonha. Dzivisa kunwa doro. Izvi zvinogona kuita kuti unzwe hope dzakanyanya.
Muromo wakaoma, kuzvimba kwemuviri nezvimwe zvinhu
- Muromo wakaoma:Izvi zvinogona kudzorwa nezvinhu zvakaita sekutsenga chingamu isina shuga uye kunwa mvura yakawanda.
- Kuzvimba: Kana usina kubuda tsvina kwemazuva maviri kusvika matatu, taura nachiremba wako. Kudya chikafu chine fiber yakawanda uye kunwa mvura yakawanda kunogona kubatsira.
- Kunzwa kwezuva: Ganda rako rinogona kunzwa chiedza chezuva paunenge uchitora mushonga uyu. Saka, pfeka mbatya dzinodzivirira uye shandisa mafuta ekudzivirira zuva paunenge uchibuda muzuva.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa. Ngationei kuti chii.
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kurwara nepfungwa (mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi) | Pfungwa dzekuzviuraya , kuchinja-chinja kwemanzwiro |
| Kuchinja kwekurova kwemoyo (kurova kwemoyo nekukurumidza kana kusina kurongeka, kurwadziwa pachipfuva, kunetseka kufema) | Kurwadziwa kwemaziso kamwe kamwe , kuona zvisipo, kuona mhete dzakatenderedza mwenje |
| Serotonin Syndrome: Zviratidzo zvinogona kuitika zvinosanganisira: kusagadzikana, kuvhiringidzika, kurova kwemoyo nekukurumidza, kuomarara kwetsandanyama kana kugwinha, kudikitira zvakanyanya, fivha, kurutsa, uye manyoka. | |
| Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. | |
| Muromo wakaoma | Kurara |
| Dzungu | Kuvharirwa |
| Kuchinja kwechido chebonde kana mashandiro aro | Kudedera kudiki (Kudedera) |
Mharidzo Yekuenda Nayo Kumba
- Usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, nezvimwe zvinogadzirwa nemiti zvauri kutora. Zvimwe zvacho zvinogona kukanganisa mushonga uyu.
- Udza chiremba wako nekukasika kana ukaona shanduko dzakangoerekana dzaitika mumanzwiro ako kana maitiro ako, kana kuti pfungwa dzekuzviuraya, kunyanya pakutanga kwekurapwa.
- Dzivisa kunwa doro paunenge uchitora mushonga uyu.
- Dzivisa kutyaira kana kuita zvinhu zvinoda kungwarira kusvika waziva kuti mushonga wacho unokubatsira sei.
- Kunwa mushonga wakawandisa idambudziko. Kana izvi zvikaitika, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Makapisiri eTrimipramine / Surmontil anoshandiswa pai?
Uyu mumwe wemishonga yekare uye ine simba kwazvo yepfungwa mukurapa (TCA - Tricyclic Antidepressant class) inogona kushandiswa kudzora 'Depression' yakanyanya! Inoshandiswa kune varwere vasingarapike vasina kuona kuvandudzika/kuchinja pasinei nemimwe mishonga mitsva yepfungwa (SSRI/SNRI) uye kunyanya kune avo vane 'kushaya hope kwakanyanya nekuora mwoyo kukuru'.
💬 Mushonga uyu (Trimipramine) unoderedza sei kuora mwoyo kana wapinda muuropi?
Kuora mwoyo kunokonzerwa nekudzikira kwemakemikari anobatsira muuropi (Serotonin, Norepinephrine). Mushonga uyu unovhara zvachose kudzivirira kudzokororwa kwemakemikari anobatsira muuropi. Ipapo uropi hunenge hwazara nemakemikari iwayo, uye kuora mwoyo kwemurwere kunorapwa zvachose. Uyewo, nekuti inovhara histamine, inopa 'mushonga unonyaradza'.
💬 Ndezvipi zvinokonzeresa marwadzo zvakanyanya zvinogona kuitika kana ukaramba uchinwa mapiritsi aya (TCA)?
Uyu mushonga wekare (TCA) saka une migumisiro yakawanda! Une simba re'anticholinergic', rinokonzera muromo wakaoma, kuvimbiwa, kuona zvisizvo, uye kuoma kuita weti. Zvakare, pane njodzi huru yekuti kurova kwemoyo wemurwere kuchinje uye kurova zvisina kujairika (Arrhythmia/QT Prolongation), inova chirwere chinouraya, saka chiremba anofanira kutarisa ECG nguva dzose.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga