Penicillamine

Zamkati

• Musanatenge penicillamine,
• Penicillamine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:

Penicillamine amagwiritsidwa ntchito pochiza matenda a Wilson (mkhalidwe wobadwa nawo womwe umapangitsa mkuwa kumangika mthupi ndipo ukhoza kubweretsa zisonyezo zazikulu) ndi cystinuria (mkhalidwe wobadwa nawo womwe ungayambitse miyala ya impso). Amagwiritsidwanso ntchito limodzi ndi njira zina zochizira matenda a nyamakazi (vuto lomwe chitetezo chamthupi chimagwetsa malo ake omwe, ndikupangitsa kuwawa, kutupa, komanso kutayika kwa ntchito) zomwe sizinakhale bwino atalandira chithandizo ndi mankhwala ena. Penicillamine ali mgulu la mankhwala otchedwa heavy metal antagonists. Zimagwira ntchito yothana ndi matenda a Wilson pomangiriza mkuwa wowonjezera m'thupi ndikupangitsa kuti izituluka mthupi kudzera mumkodzo. Zimagwira ntchito pochizira cystinuria pomangiriza kuzinthu zomwe zimapanga miyala ya impso ndikulepheretsa kuti ipangike ndikupanga miyala. Zimagwira ntchito kuchiza nyamakazi pochepetsa zochita zina za chitetezo cha mthupi.

Penicillamine amabwera ngati kapisozi komanso ngati piritsi loti atenge pakamwa. Nthawi zambiri amatengedwa osadya kanthu ola limodzi ola limodzi asanadutse kapena maola awiri mutadya, osachepera ola limodzi musanadye kapena mutatha mkaka. Pofuna kuchiza matenda a Wilson ndi cystinuria, penicillamine nthawi zambiri amatengedwa kanayi patsiku. Pofuna kuchiza nyamakazi ya mafupa nthawi zambiri imatenga kamodzi patsiku, koma pakuchulukitsa kwa mankhwala, imatha kumwa kangapo patsiku. Dokotala wanu akulangizani kuti muyenera kulandira chithandizo kwa nthawi yayitali bwanji malinga ndi momwe muliri, momwe thupi lanu limayankhira ndi mankhwalawo, ndi zovuta zina zilizonse zomwe mungakumane nazo. Tengani penicillamine nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani penicillamine monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa penicillamine ndipo pang'onopang'ono muwonjezere mlingo wanu.

Pofuna kuchiza matenda a Wilson ndi nyamakazi imatha kutenga mwezi umodzi kapena itatu kapena kupitilira apo musanalandire penicillamine. Ntchito zonse pitirizani kumwa penicillamine ngakhale mukumva bwino. Osasiya kumwa penicillamine osalankhula ndi dokotala, ngakhale matenda anu akukulirakulira. Mukasiya kumwa penicillamine muli pachiwopsezo chowonjezeka mukayamba kuyambiranso kumwa mankhwalawo.

Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira penicillamine. Dokotala wanu akhoza kukuthandizani ndi mankhwala ena, kapena kuchedwetsa chithandizo chanu, kuchepetsa mlingo wanu, kapena kuyimitsa chithandizo chanu kutengera zovuta zomwe mumakumana nazo.

Penicillamine amagwiritsidwanso ntchito ngati chithandizo chotsatira cha poyizoni wothandizira atalandira mankhwala ena. Nthawi zina amagwiritsidwa ntchito pochiza mitundu ina ya matenda a chiwindi. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Musanatenge penicillamine,

• auzeni dokotala kapena wamankhwala ngati muli ndi vuto la penicillamine, penicillin, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi kapena mapiritsi a penicillamine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala agolide monga auranofin (Ridaura) ndi aurothioglucose (Solganol); mankhwala olimbana ndi malungo monga chloroquine, hydroxychloroquine (Plaquenil); ndi ma immunosuppressants ena monga azathioprine (Azasan, Imuran), ndi methotrexate (Otrexup, Rasuvo, Trexall, Xatmep). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kuthandizana ndi penicillamine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• ngati mukumwa chitsulo chomwe chili ndi mankhwala, tengani maola 2 musanadye kapena mutamwa ngati mutamwa penicillamine. Ngati mukumwa mankhwala ena aliwonse, antacid, kapena zinc okhala ndi mankhwala, amwe ola limodzi musanamwe kapena mutamwa penicillamine.
• auzeni adotolo ngati mudapatsidwapo mankhwala a penicillamine m'mbuyomu ndipo mwayamba kudwala kwambiri. Dokotala wanu angakuuzeni kuti musatengenso penicillamine.
• uzani dokotala wanu ngati munakhalapo ndi vuto lalikulu ndi mankhwala agolide, kapena ngati mwakhalapo ndi matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, kapena ngati mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga penicillamine, itanani dokotala wanu mwachangu.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukalandira chithandizo cha penicillamine.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa penicillamine.
• adokotala angakuuzeni kuti mutenge pyridoxine (vitamini B₆) kuwonjezera pa chithandizo chanu ndi penicillamine.

Ngati mukuchiritsidwa matenda a Wilson dokotala wanu mwina angakupatseni chakudya chapadera kwa inu chomwe chili ndi mkuwa wochepa. Zakudyazi zimapewa chimanga ndi zakudya zowonjezera zakudya zomwe zimakometsedwa ndi mkuwa, chokoleti, mtedza, nkhono, bowa, chiwindi, molasses, broccoli, ndi zina zamkuwa zam'madzi zambiri zomwe zimakhala ndi zakudya. Dokotala wanu angakulimbikitseninso kuti muzimwa madzi osungunuka kapena operewera, m'malo mwa madzi apampopi wamba. Onetsetsani kuti mwatsatira malangizo onse azakudya omwe dokotala wanu wapereka.

Ngati mukuchiritsidwa ndi cystinuria dokotala angakulimbikitseni zakudya zapadera zomwe zili ndi methionine (mtundu wa mapuloteni). Komabe ngati muli mwana kapena ngati muli ndi pakati dokotala wanu sangakulimbikitseni kudya izi. Dokotala wanu angakulimbikitseninso kuti muzimwa zakumwa zokwanira.

Ngati mukuchiritsidwa nyamakazi, pitirizani kudya zakudya zabwino pokhapokha dokotala atakuuzani.

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.

Penicillamine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusowa chilakolako
• sintha momwe zinthu zimamvekera
• nseru
• kusanza
• kutsegula m'mimba
• kupweteka m'mimba
• makwinya akhungu
• msomali umasintha

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:

• zidzolo, kuyabwa, ming'oma, kukhetsa khungu, malungo, kupweteka kwa mafupa, kapena ma lymph node otupa
• zotupa zopweteka kapena zoyabwa pakhungu, mkamwa, ndi kumaliseche
• malungo, zilonda zapakhosi, kuzizira, magazi osazolowereka kapena mabala
• kupuma movutikira, chifuwa chosadziwika kapena kupuma
• thovu kapena pinki, ofiira, abulauni, kapena mkodzo wamagazi
• kufooka kwa minofu, zikope zothothoka, kapena masomphenya awiri

Penicillamine angayambitse mavuto ena. 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 amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira penicillamine.

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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