Tasimelteon
Zamkati
- Ngati inu kapena mwana wanu mukuyimitsidwa, tsatirani izi kuti mukonzekere ndikuyeza mlingo:
- Musanatenge tasimelteon,
- Tasimelteon amatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
Tasimelteon amagwiritsidwa ntchito pochiza matenda osagona kwa maola 24 (osakhala 24; vuto lomwe limachitika makamaka mwa anthu omwe ali akhungu pomwe nthawi yachilengedwe ya thupi silingagwirizane ndi kuzungulira kwa usana ndi usiku ndipo imayambitsa kusokonezeka ndandanda wa kugona) mwa akulu. Amagwiritsidwanso ntchito kuthana ndi mavuto ogona usiku kwa akulu ndi ana azaka zitatu kapena kupitilira apo ndi Smith-Magenis Syndrome (SMS; matenda otukuka). Tasimelteon ali mgulu la mankhwala otchedwa melatonin receptor agonists. Imagwira chimodzimodzi ndi melatonin, chinthu chachilengedwe muubongo chomwe chimafunikira kugona.
Tasimelteon amabwera ngati kapisozi komanso ngati kuyimitsidwa kuti atenge pakamwa. Nthawi zambiri amatengedwa opanda chakudya kamodzi patsiku, ola limodzi asanagone. Tengani tasimelteon nthawi yomweyo usiku uliwonse. Ngati inu kapena mwana wanu simukutha kutenga tasimelteon mozungulira nthawi yomweyo usiku womwewo, dutsani mlingowo ndikumwa mlingo wotsatira monga momwe munakonzera. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tasimelteon ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Kumeza makapisozi lonse; osatsegula, kuphwanya, kapena kutafuna.
Ngati inu kapena mwana wanu mukuyimitsidwa, tsatirani izi kuti mukonzekere ndikuyeza mlingo:
- Chotsani botolo la tasimelteon, chosinthira botolo, ndi sirinji ya pakamwa yochokera pakatoni.
- Sulani botolo mmwamba ndi pansi kwa masekondi osachepera 30 kuti musakanize mankhwalawo mofananamo nthawi iliyonse yoyang'anira.
- Kanikizani kapu yosagwira mwana ndikuipotoza motsutsana ndi wotchi kuti mutsegule botolo; osataya kapu.
- Musanatsegule botolo la tasimelteon kwa nthawi yoyamba, chotsani chidindo mu botolo ndikuyika adapter yosungunulira botolo mu botolo. Onetsetsani pa adaputala ya botolo mpaka itafikira pamwamba pa botolo; botolo la adapter likakhala, musachotse. Kenako, sinthanitsani kapuyo potembenukira mmbuyo ndikugwedezanso bwino kwa masekondi 30.
- Sakanizani plunger ya jakisoni wamlomo wapakamwa pansi. Ikani sirinji ya m'kamwa kuti mutsegule makina opangira botolo momwe mungathere.
- Ndi syringe yokometsera pakamwa mu adapter ya botolo, mosamala mosunthira botolo mozondoka. Bweretsani plunger kuti muchotse kuyimitsidwa komwe dokotala adakupatsani. Ngati simukudziwa momwe mungayezerere moyenera, funsani dokotala kapena wamankhwala. Mukawona thovu lochepa pang'ono mu syringe ya pakamwa, kanikizani mu plunger kuti madziwo abwererenso mubotolo mpaka mpweya utatha.
- Siyani syringe ya pakamwa pakamwa mu botolo la botolo ndikutembenuzira botolo moyimirira. Chotsani mosamala syringe ya pakamwa kuchokera pa adapter ya botolo. Sinthanitsani kapu zosagwira mwana mosamala.
- Chotsani choperekera dosing ndikuchepetsa pang'onopang'ono kuyimitsa kwanu pakamwa panu kapena pakamwa pa mwana wanu ndikulowera mkati mwa tsaya lawo. Pepani pang'onopang'ono kuti mupereke mlingo wonse. Onetsetsani kuti mwanayo ali ndi nthawi yomeza mankhwalawo.
- Chotsani chojambulira mu mbiya ya syringe ya m'kamwa. Muzimutsuka mbiya yaing'onoting'ono ndi diso ndi madzi ndipo mukauma, ikani kachilomboko m'jekeseni wamlomo. Osasamba m'jekeseni wa m'kamwa.
- Musataye syringe ya m'kamwa. Nthawi zonse mugwiritse ntchito sirinji ya pakamwa yomwe imabwera ndi tasimelteon kuyeza mlingo wa mwana wanu.
- Refrigerate kuyimitsidwa mutagwiritsa ntchito.
Mutha kuyamba kugona mukangotenga tasimelteon. Mukatenga tasimelteon, muyenera kumaliza kukonzekera nthawi yogona ndikukagona. Osakonzekera zochitika zina panthawiyi.
Tasimelteon amawongolera zovuta zina zakugona, koma sawachiritsa. Zitha kutenga milungu ingapo kapena miyezi musanapindule ndi tasimelteon. Pitilizani kutenga tasimelteon ngakhale mukumva bwino. Osasiya kumwa tasimelteon osalankhula ndi dokotala.
Tasimelteon sikupezeka m'masitolo. Mutha kungopeza tasimelteon kudzera pamakalata kuchokera ku pharmacy yapadera. Funsani dokotala wanu ngati muli ndi mafunso okhudza kulandira mankhwala anu.
Makapisozi a Tasimelteon ndi kuyimitsidwa sizingasinthane wina ndi mnzake. Funsani wamankhwala wanu ngati muli ndi mafunso aliwonse okhudza mtundu wa tasimelteon zomwe dokotala wakupatsani.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge tasimelteon,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi tasimelteon, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a tasimelteon ndi kuyimitsidwa. 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: beta blockers monga acebutolol, atenolol (Tenormin), bisoprolol (Zebeta, ku Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard) , nebivolol (Bystolic), ndi propranolol (Inderal); fluvoxamine (Luvox); ketoconazole (Nizoral); ndi rifampin (Rifadin, Rifamate). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi tasimelteon, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga tasimelteon, itanani dokotala wanu.
- muyenera kudziwa kuti tasimelteon amatha kukupangitsani kuti muziwodzera. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Funsani adotolo za zakumwa zoledzeretsa pamene mukumwa tasimelteon. Mowa umatha kukulitsa mavuto obwera chifukwa cha tasimelteon.
- uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Tasimelteon amatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- mutu
- maloto olota kapena maloto achilendo
- malungo kapena zopweteka, zovuta, kapena kukodza pafupipafupi
- malungo, chifuwa, kupuma movutikira, kapena zizindikilo zina za matenda
Tasimelteon amatha kuyambitsa 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. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri ndi chinyezi (osati kubafa). Refrigerate kuyimitsidwa. Mukatsegula botolo loyimitsidwa, siyani mankhwala aliwonse osagwiritsidwa ntchito patatha milungu isanu (kwa botolo la 48 mL) komanso pakatha masabata asanu ndi atatu (kwa botolo la 158 mL).
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.
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.
- Hetlioz®