Pregabalin
Zamkati
- Musanatenge pregabalin,
- Pregabalin imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
Makapisozi a Pregabalin, yankho la m'kamwa (madzi), ndi mapiritsi otalikitsa (otenga nthawi yayitali) amagwiritsidwa ntchito kuti athetse ululu wamitsempha (kupweteka kwa mitsempha yowonongeka) yomwe imatha kupezeka m'manja mwanu, manja, zala, miyendo, mapazi, kapena zala zanu ngati khalani ndi matenda ashuga ndi postherpetic neuralgia (PHN; ululu woyaka, wobaya kapena zopweteka zomwe zimatha miyezi kapena zaka mutagwidwa ndi ma shingles). Makapisozi a Pregabalin ndi yankho la m'kamwa amagwiritsidwanso ntchito kuthana ndi matenda amitsempha omwe amatha kuchitika pambuyo povulala msana ndikuchiza fibromyalgia (vuto lokhalitsa lomwe lingayambitse kupweteka, kuuma kwa minofu ndi kufatsa, kutopa, komanso kuvutika kugona kapena kugona) . Makapisozi a Pregabalin ndi yankho la m'kamwa amagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse matenda ena achikulire mwa ana ndi akulu mwezi umodzi kapena kupitilira apo. Pregabalin ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa kuchuluka kwa zizindikilo zopweteka zomwe zimatumizidwa ndi mitsempha yowonongeka mthupi.
Pregabalin imabwera ngati kapisozi, yankho m'kamwa, komanso ngati piritsi lotulutsira pakamwa. Makapisozi a Pregabalin ndi yankho la m'kamwa nthawi zambiri amatengedwa popanda kapena kudya kawiri kapena katatu patsiku. Mapiritsi otulutsidwa a Pregabalin nthawi zambiri amatengedwa kamodzi tsiku lililonse pambuyo pa chakudya chamadzulo. Tengani pregabalin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.
Kumeza mapiritsi otulutsidwa otalikiratu; musadule, kutafuna, kapena kuwaphwanya.
Dokotala wanu angayambe ndi mlingo wochepa wa pregabalin ndipo mwina akhoza kuwonjezera mlingo wanu sabata yoyamba yamankhwala.
Tengani pregabalin chimodzimodzi monga momwe mwalamulira. Pregabalin atha kukhala chizolowezi chopanga. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala.
Pregabalin imatha kuthandizira kuwongolera zizindikilo zanu koma sichitha matenda anu. Zitha kutenga milungu ingapo kapena kupitilira apo musanapindule ndi pregabalin. Pitirizani kumwa pregabalin ngakhale mukumva bwino. Osasiya kumwa pregabalin osalankhula ndi dokotala, ngakhale mutakhala ndi zovuta zina monga kusintha kosasintha kwamakhalidwe kapena malingaliro. Ngati mwasiya mwadzidzidzi kumwa pregabalin, mutha kukhala ndi zizindikilo zobwerera m'mbuyo, kuphatikizapo kugona tulo kapena kugona, kusanza, kutsegula m'mimba, kupweteka mutu, kapena kugwidwa. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono osachepera sabata limodzi.
Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi pregabalin ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge pregabalin,
- Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la pregabalin, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu kukonzekera kwa pregabalin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril (Capoten, ku Capozide), enalapril (Vasotec, in Vaseretic, Lexxel), fosinopril (Monopril), lisinopril (Prinivil, Zestril, in Prinzide, Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, mu Accuretic, Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); mankhwala opatsirana pogonana; mankhwala; mankhwala a nkhawa kuphatikiza lorazepam (Ativan); mankhwala a matenda amisala kapena khunyu; mankhwala ena ashuga monga pioglitazone (Actos, mu Duetact) ndi rosiglitazone (Avandia, ku Avandaryl, Avandamet); mankhwala opioid (mankhwala osokoneza bongo) kuphatikizapo hydrocodone (mu Hydrocet, ku Vicodin, ena), morphine (Avinza, Kadian, MSIR, ena), kapena oxycodone (OxyContin, ku Percocet, ena); mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- auzeni adotolo ngati mumamwa kapena mumamwa mowa wambiri, kumwa mankhwala osokoneza bongo kapena kumwa mankhwala osokoneza bongo. Komanso muuzeni dokotala ngati mwakhalapo ndi kutupa, maso, nkhope, milomo, lilime, kapena pakhosi; mavuto a masomphenya; mtima kulephera; Kutaya magazi kapena kuchuluka kwamagazi (mtundu wa selo yamagazi yofunikira pakumitsa magazi) m'magazi anu, kapena m'mapapu, mumtima, kapena matenda a impso.
- Uzani dokotala wanu ngati muli ndi pakati kapena ngati inu kapena mnzanu mukufuna kukhala ndi pakati. Komanso muuzeni dokotala ngati mukuyamwitsa. Ngati inu kapena mnzanu mutenga mimba mukamamwa pregabalin, itanani dokotala wanu. Pregabalin yachepetsa kuchepa kwa nyama zamphongo ndi zolepheretsa kubadwa mwa ana amphongo ndi abambo omwe amathandizidwa ndi mankhwalawa. Palibe chidziwitso chokwanira choti mudziwe ngati pregabalin imayambitsa mavutowa mwa anthu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa pregabalin.
- muyenera kudziwa kuti pregabalin imatha kukupangitsani kukhala ozunguzika kapena kugona. Osayendetsa galimoto pogwiritsa ntchito makina, kapena kuchita zina zoopsa mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Funsani dokotala wanu ngati mungachite izi.
- osamwa mowa mukamamwa pregabalin. Mowa umatha kuwonjezera kugona komwe kumayambitsidwa ndi mankhwalawa.
- muyenera kudziwa kuti thanzi lanu lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzivulaza kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa pregabalin pochiza khunyu, matenda amisala, kapena mavuto ena. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants monga pregabalin kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amathandizidwa. Ena mwa anthuwa adayamba kudzipha pakangotha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga pregabalin, koma pakhoza kukhala pachiwopsezo kuti mungasinthe thanzi lanu lamankhwala ngati matenda anu sakuchiritsidwa. Inu ndi dokotala wanu muwona ngati kuopsa kokumwa mankhwala a anticonvulsant ndiokulirapo kuposa kuopsa kosamwa mankhwalawo. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: mantha; kusakhazikika kapena kusakhazikika; kukwiya kwatsopano kapena kukulira, nkhawa, kapena kukhumudwa; kuchita zofuna zawo; kuvuta kugona kapena kugona; aukali, aukali, kapena achiwawa; mania (kukwiya, kusangalala modabwitsa); kuyankhula kapena kuganiza zofuna kudzipweteka kapena kudzipha; kudzipatula kwa abwenzi ndi abale; kutanganidwa ndi imfa ndi kufa; kupereka zinthu zamtengo wapatali; kapena kusintha kwina kulikonse pamakhalidwe kapena malingaliro. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Ngati mukumwa makapisozi kapena yankho la pakamwa ndikuiwala kumwa mlingo ndikukumbukira patapita maola angapo, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Ngati mukumwa mapiritsi otulutsidwa ndikuyiwala kumwa mankhwala mukatha kudya madzulo, imwani mankhwala omwe munaphonya musanagone mutamwa. Ngati mwaphonya kumwa mankhwalawa musanagone, imwani mankhwala anu tsiku lotsatira mutadya kadzutsa. Ngati mwaphonya kumwa mankhwalawo mukadya chakudya cham'mawa, imwani mankhwala anu nthawi yoti mudye chakudya chamadzulo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Pregabalin imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kutopa
- chizungulire
- mutu
- pakamwa pouma
- nseru
- kusanza
- kudzimbidwa
- mpweya
- kuphulika
- '' Okwera '' kapena kukweza
- mavuto olankhula
- kuvuta kuyang'ana kapena kutchera khutu
- zovuta kukumbukira kapena kuyiwala
- nkhawa
- kusowa kwa mgwirizano
- kutayika bwino kapena kusakhazikika
- kugwedezeka kosalamulirika kapena kugwedezeka kwa gawo lina la thupi
- kugwedezeka kwa minofu
- kufooka
- kuchuluka kudya
- kunenepa
- kupweteka kwa msana
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kusawona bwino, kusawona bwino, kapena kusintha kwina kwamaso
- ming'oma
- zidzolo
- kuyabwa
- matuza
- kutupa kwa maso, nkhope, mmero, mkamwa, milomo, chingamu, lilime, mutu kapena khosi
- kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
- kupuma movutikira
- kupuma
- kupweteka kwa minofu, kufatsa, kupweteka, kapena kufooka, makamaka ngati kubwera ndi malungo
- kupweteka pachifuwa
- kuvuta kupuma; khungu lamiyala yabuluu, milomo, kapena zikhadabo; chisokonezo; kapena kugona kwambiri
Ngati muli ndi matenda ashuga, muyenera kudziwa kuti pregabalin wayambitsa zilonda pakhungu la nyama. Samalani kwambiri khungu lanu mukamamwa pregabalin, ndipo muuzeni dokotala ngati muli ndi zilonda, kufiira, kapena mavuto akhungu.
Pregabalin imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa 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).
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
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.
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.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku pregabalin.
Musalole kuti aliyense azimwa 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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