Jekeseni wa Dihydroergotamine ndi Spray ya Nasal

Zamkati

• Kuti mugwiritse ntchito yankho la jakisoni, tsatirani izi:
• Kuti mugwiritse ntchito mankhwala amphuno, tsatirani izi:
• Musanagwiritse ntchito dihydroergotamine,
• Dihydroergotamine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka. Zambiri mwazizindikirozi, makamaka zomwe zimakhudza mphuno, zimatha kuchitika mukamagwiritsa ntchito mankhwala amphuno:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Musamamwe dihydroergotamine ngati mukumwa mankhwala aliwonse awa: maantifungal monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); HIV protease inhibitors monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir); kapena ma macrolide maantibayotiki monga clarithromycin (Biaxin), erythromycin (EES, E-Mycin, Erythrocin), ndi troleandomycin (TAO).

Dihydroergotamine imagwiritsidwa ntchito pochiza mutu waching'alang'ala. Dihydroergotamine ali mgulu la mankhwala otchedwa ergot alkaloids. Zimagwira ndikumanga mitsempha yamagazi muubongo ndikuletsa kutulutsa zinthu zachilengedwe muubongo zomwe zimayambitsa kutupa.

Dihydroergotamine imabwera ngati yankho lobaya jakisoni (pansi pa khungu) komanso ngati utsi wogwiritsa ntchito mphuno. Amagwiritsidwa ntchito pakufunika kwa mutu waching'alang'ala. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito dihydroergotamine monga momwe mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Dihydroergotamine imatha kuwononga mtima ndi ziwalo zina ngati imagwiritsidwa ntchito pafupipafupi. Dihydroergotamine iyenera kugwiritsidwa ntchito kokha kuchiza mutu waching'alang'ala womwe ukupitilira. Musagwiritse ntchito dihydroergotamine popewa mutu waching'alang'ala kuyambira pachiyambi kapena kuchiza mutu womwe umamveka mosiyana ndi mutu waching'alang'ala. Dihydroergotamine sayenera kugwiritsidwa ntchito tsiku lililonse.Dokotala wanu angakuuzeni kangati komwe mungagwiritse ntchito dihydroergotamine sabata iliyonse.

Mutha kulandira mlingo wanu woyamba wa dihydroergotamine muofesi ya dokotala wanu kuti dokotala wanu athe kuwunika momwe mungachitire ndi mankhwalawa ndikuwonetsetsa kuti mukudziwa momwe mungagwiritsire ntchito mankhwala amphuno kapena kubayira jekeseni moyenera. Pambuyo pake, mutha kupopera kapena kubaya dihydroergotamine kunyumba. Onetsetsani kuti inu ndi aliyense amene angakuthandizeni kubaya mankhwalawo werengani zidziwitso za wopanga za wodwala yemwe amabwera ndi dihydroergotamine musanagwiritse ntchito koyamba kunyumba.

Ngati mukugwiritsa ntchito yankho la jakisoni, simuyenera kugwiritsanso ntchito jakisoni. Tayani masirinji mu chidebe chosamva bwino. Funsani dokotala wanu kapena wamankhwala momwe angatayire chidebe chosagwira.

Kuti mugwiritse ntchito yankho la jakisoni, tsatirani izi:

1. Onetsetsani ampule yanu kuti mutsimikizire kuti ndiyabwino kugwiritsa ntchito. Musagwiritse ntchito ampule ngati yasweka, yang'ambika, yolemba ndi tsiku lotha ntchito yomwe yadutsa, kapena ili ndi madzi achikuda, amtambo, kapena odzaza tinthu. Bweretsani ampuleyo ku pharmacy ndikugwiritsanso ntchito ampule ina.
2. Sambani m'manja bwino ndi sopo.
3. Onetsetsani kuti madzi onse ali pansi pa ampule. Ngati madzi aliwonse ali pamwamba pa ampule, pang'onopang'ono pukutani ndi chala chanu mpaka chigwere pansi.
4. Gwirani pansi pa ampule mu dzanja limodzi. Gwirani pamwamba pa ampule pakati pa chala chachikulu ndi cholozera cha dzanja lanu lina. Chala chanu chachikulu chiyenera kukhala pamwamba pa kadontho pamwamba pa ampule. Kankhirani pamwamba pa ampule cham'mbuyo ndi chala chanu chachikulu mpaka chimaduka.
5. Pendeketsani ampule pang'onopang'ono ya madigiri 45 ndikuyika singano mu ampule.
6. Bweretsani plunger pang'onopang'ono komanso mosalekeza mpaka pamwamba pa plunger mulibe mlingo womwe dokotala adakuwuzani kuti mubayire.
7. Gwirani sirinji yomwe singanoyo yakuloza m'mwamba ndikuyang'ana ngati ili ndi thovu la mpweya. Ngati syringeyi ili ndi thovu la mpweya, dinani ndi chala chanu mpaka thovu likukwera pamwamba. Kenako pewani pang'onopang'ono mpaka muone kadontho kamankhwala kumapeto kwa singano.
8. Onetsetsani syringe kuti mutsimikizire kuti ili ndi mlingo woyenera, makamaka ngati muyenera kuchotsa thovu la mpweya. Ngati syringe ilibe mlingo woyenera, bwerezani njira 5 mpaka 7.
9. Sankhani malo oti mulowetse mankhwalawo pa ntchafu iliyonse, pamwamba pa bondo. Pukutani malowa ndi swab ya mowa pogwiritsa ntchito mwamphamvu, mozungulira, ndikulola kuti iume.
10. Gwirani syringe ndi dzanja limodzi ndikugwira chikopa cha khungu mozungulira malo obayira ndi dzanja linalo. Sakanizani singano mpaka pakhungu pamtunda wa 45 mpaka 90-degree.
11. Sungani singano mkati mwa khungu, ndikubwezeretsanso pang'ono pa plunger.
12. Ngati magazi atuluka mu syringe, kokani singano pang'ono pakhungu ndikubwereza gawo 11.
13. Sakanizani plunger mpaka pansi kuti mulowe mankhwala.
14. Tulutsani singano mofulumira pakhungu pangodya yomwe mwayika.
15. Sindikizani piritsi yatsopano ya jekeseni pamalo opangira jekeseni ndi kuipaka.

Kuti mugwiritse ntchito mankhwala amphuno, tsatirani izi:

1. Onetsetsani ampule yanu kuti mutsimikizire kuti ndiyabwino kugwiritsa ntchito. Musagwiritse ntchito ampule ngati yasweka, yang'ambika, yolemba ndi tsiku lotha ntchito yomwe yadutsa, kapena ili ndi madzi akuda, amtambo, kapena tinthu tambiri. Bweretsani ampuleyo ku pharmacy ndikugwiritsanso ntchito ampule ina.
2. Onetsetsani kuti madzi onse ali pansi pa ampule. Ngati madzi aliwonse ali pamwamba pa ampule, pang'onopang'ono pukutani ndi chala chanu mpaka chigwere pansi.
3. Ikani ampule molunjika ndikuwima pachitsime cha chikwama cha msonkhano. Chophimba chovalacho chiyenera kukhalabe ndipo chikuyenera kuloza.
4. Ikani chivindikiro cha thumba la msonkhano pang'onopang'ono koma mwamphamvu mpaka mudzamve kutseguka kwa ampule.
5. Tsegulani chikwama cha msonkhano, koma musachotse ampule pachitsime.
6. Gwirani chopopera madzi m'mphuno ndi mphete yachitsulo ndi kapu yoloza mmwamba. Dinani pa ampule mpaka itadina. Onetsetsani pansi pa sprayer kuti mutsimikizire kuti ampule ndi wolunjika. Ngati sichili molunjika, kanikizani pang'ono ndi chala chanu.
7. Chotsani chopopera madzi m'mphuno ndikuchotsa kapu kuchokera ku sprayer. Samalani kuti musakhudze nsonga ya sprayer.
8. Kuti muyambe kutulutsa pampu, kulozetsani chopopera kuchokera pankhope panu ndikupopera kanayi. Mankhwala ena amapopera mlengalenga, koma mankhwala athunthu adzatsalira mu sprayer.
9. Ikani nsonga ya sprayer m'mphuno iliyonse ndikudina pansi kuti mutulutse utsi umodzi wathunthu. Osapendeketsa mutu wanu kapena kununkhiza pamene mukupopera mankhwala. Mankhwalawa adzagwira ntchito ngakhale mutakhala ndi mphuno, kuzizira, kapena chifuwa.
10. Dikirani mphindi 15 ndikutulutsa utsi umodzi wathunthu m'mphuno.
11. Chotsani chopopera ndi ampule. Ikani mankhwala opopera atsopano pamsonkhano wanu kuti mukonzekere kuukira kwanu. Chotsani chikwama cha msonkhano mutachigwiritsa ntchito kukonzekera opopera anayi.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito dihydroergotamine,

• auzeni adotolo ndi asayansi yanu ngati mukugwirizana ndi dihydroergotamine, ma alkaloid ena monga bromocriptine (Parlodel), ergonovine (Ergotrate), ergotamine (Cafergot, Ercaf, ena), methylergonovine (Methergine), ndi methysergide (Sansert), kapena ina mankhwala.
• musamwe dihydroergotamine mkati mwa maola 24 mutatenga ma alkaloid ergot monga bromocriptine (Parlodel), ergonovine (Ergotrate), ergotamine (Cafergot, Ercaf, ena), methylergonovine (Methergine), ndi methysergide (Sansert); kapena mankhwala ena a migraine monga frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), ndi zolmitriptan (Zomig).
• uzani dokotala ndi wamankhwala mankhwala ena akuchipatala ndi osapereka, mavitamini, zowonjezera zakudya, ndi mankhwala omwe mumamwa. Onetsetsani kuti mwatchulapo izi: beta blockers monga propranolol (Inderal); cimetidine (Tagamet); clotrimazole (Lotrimin); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Wolemba) diltiazem (Cardizem, Dilacor, Tiazac); epinephrine (Epipen); fluconazole (Diflucan); isoniazid (INH, Nydrazid); mankhwala a chimfine ndi mphumu; metronidazole (Flagyl); nefazodone (Serzone); njira zakulera zam'kamwa (mapiritsi olera); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), ndi sertraline (Zoloft); saquinavir (Fortovase, Invirase); verapamil (Calan, Covera, Isoptin, Verelan); zafirlukast (Zolondola); ndi zileuton (Zyflo). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati muli ndi mbiri yakubadwa ndi matenda amtima komanso ngati mwakhalapo ndi kuthamanga kwa magazi; cholesterol; matenda ashuga; Matenda a Raynaud (vuto lomwe limakhudza zala ndi zala); matenda aliwonse omwe amakhudza kuyenda kwanu kapena mitsempha; sepsis (matenda owopsa amwazi); opaleshoni pamtima kapena pamitsempha yamagazi; matenda a mtima; kapena impso, chiwindi, mapapo, kapena matenda amtima.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito dihydroergotamine, itanani dokotala wanu mwachangu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito dihydroergotamine.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu mukamagwiritsa ntchito mankhwalawa kumawonjezera ngozi.

Lankhulani ndi dokotala wanu za kumwa zakumwa zamadzimadzi mukamamwa mankhwalawa.

Dihydroergotamine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka. Zambiri mwazizindikirozi, makamaka zomwe zimakhudza mphuno, zimatha kuchitika mukamagwiritsa ntchito mankhwala amphuno:

• mphuno yodzaza
• kumva kulira kapena kupweteka m'mphuno kapena pakhosi
• kuuma m'mphuno
• m'mphuno
• kusintha kwa kukoma
• kukhumudwa m'mimba
• kusanza
• chizungulire
• kutopa kwambiri
• kufooka

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kusintha kwa utoto, dzanzi kapena kumva kulasalasa zala ndi zala zakumiyendo
• minofu kupweteka m'manja ndi miyendo
• kufooka m'manja ndi miyendo
• kupweteka pachifuwa
• kuthamanga kapena kuchepa kwa kugunda kwa mtima
• kutupa
• kuyabwa
• kozizira, khungu lotumbululuka
• mawu odekha kapena ovuta
• chizungulire
• kukomoka

Dihydroergotamine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Osazizira kapena kuzizira. Kutaya mankhwala osagwiritsidwa ntchito jekeseni ola limodzi mutatsegula ampule. Tulutsani mankhwala amphuno osagwiritsidwa ntchito patatha maola 8 mutatsegula ampule.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• dzanzi, kumva kulasalasa, ndi kupweteka zala ndi zala zakumapazi
• Mtundu wabuluu m'zala zakumapazi
• kupuma pang'ono
• kukhumudwa m'mimba
• kusanza
• kukomoka
• kusawona bwino
• chizungulire
• chisokonezo
• kugwidwa
• chikomokere
• kupweteka m'mimba

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amatha kuyitanitsa mayeso ena kuti aone momwe thupi lanu limayankhira dihydroergotamine.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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