Phenobarbital

Zamkati

• Musanatenge phenobarbital,
• Phenobarbital ikhoza kuyambitsa zovuta. Itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena sichitha:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Phenobarbital imagwiritsidwa ntchito poletsa kugwidwa. Phenobarbital imagwiritsidwanso ntchito kuthetsa nkhawa. Amagwiritsidwanso ntchito popewa kudzipatula kwa anthu omwe amadalira ('osokoneza bongo'; akumva kufunika kopitiliza kumwa mankhwalawo) pa mankhwala ena a barbiturate ndipo asiya kumwa mankhwalawo. Phenobarbital ali mgulu la mankhwala otchedwa barbiturates. Zimagwira pochepetsa zochitika muubongo.

Phenobarbital imabwera ngati piritsi komanso mankhwala (madzi) oti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena katatu patsiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani phenobarbital ndendende momwe mwalangizira.

Ngati mutenga phenobarbital kwa nthawi yayitali, mwina singawongolere zizindikiro zanu monga momwe zimakhalira koyambirira kwa chithandizo chanu. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo.

Phenobarbital imatha kukhala chizolowezi. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala.

Osasiya kumwa phenobarbital osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kutenga phenobarbital, mutha kukhala ndi zisonyezo zakusiya monga nkhawa, kugwedezeka kwa minofu, kugwedezeka kosalamulirika kwa gawo limodzi la thupi, kufooka, chizungulire, kusintha kwa masomphenya, nseru, kusanza, kugwidwa, kusokonezeka, kuvutika kugona kapena kugona , kapena chizungulire kapena kukomoka podzuka pamalo abodza. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Musanatenge phenobarbital,

• auzeni dokotala ndi wazamankhwala ngati mukugwirizana ndi phenobarbital; ma barbiturates ena monga amobarbital (Amytal), butabarbital (Butisol), pentobarbital, ndi secobarbital (Seconal); mankhwala ena aliwonse, kapena chilichonse chophatikizira m'mapiritsi a phenobarbital kapena madzi. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• 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: maanticoagulants ('ochepetsa magazi') monga warfarin (Coumadin); disulfiram (Antabuse); doxycycline (Vibramycin); griseofulvin (Fulvicin); mankhwala othandizira mahomoni (HRT); monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), phenelzine (Nardil), seligiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate); mankhwala a nkhawa, kukhumudwa, kupweteka, mphumu, chimfine, kapena chifuwa; mankhwala ena okomoka monga phenytoin (Dilantin) ndi valproate (Depakene); oral steroids monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• auzeni adotolo ngati mudakhalapo ndi porphyria (momwe zinthu zina zachilengedwe zimakhalira mthupi ndipo zimatha kupweteka m'mimba, kusintha malingaliro ndi machitidwe, ndi zizindikilo zina); chikhalidwe chilichonse chomwe chimayambitsa kupuma movutikira kapena kupuma movutikira; kapena matenda a chiwindi. Dokotala wanu angakuuzeni kuti musatenge phenobarbital.
• auzeni adotolo ngati mumamwa kapena mumamwa mowa wambiri, kugwiritsa ntchito mankhwala osokoneza bongo, kapena kumwa mankhwala osokoneza bongo; ngati mukumva kuwawa tsopano kapena muli ndi vuto lililonse lomwe limakupweteketsani inu; ngati munaganizapo zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero; ndipo ngati mwakhalapo ndi vuto lakukhumudwa, vuto lililonse lomwe limakhudza adrenal gland (kanyama kakang'ono pafupi ndi impso kamene kamatulutsa zinthu zofunikira zachilengedwe), kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga phenobarbital, itanani dokotala wanu. Phenobarbital itha kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa. Ngati mukuyamwitsa mukamamwa mankhwala, mwana wanu atha kulandira phenobarbital mkaka wa m'mawere. Yang'anirani mwana wanu mozama kuti asowe tulo kapena kuti achepetse kunenepa.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga phenobarbital ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa phenobarbital chifukwa siotetezeka kapena yothandiza monga mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• muyenera kudziwa kuti phenobarbital imatha kuchepetsa mphamvu yolera yolerera (mapiritsi oletsa kubala, zigamba, mphete, jakisoni, zopangira, kapena zida za intrauterine). Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni mukamamwa phenobarbital. Uzani dokotala wanu ngati mwakhala mukusowa nthawi kapena mukuganiza kuti mutha kukhala ndi pakati mukamamwa phenobarbital.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa phenobarbital.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Pewani kumwa mowa mukamachiza phenobarbital. Mowa umatha kukulitsa mavuto obwera chifukwa cha phenobarbital.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Phenobarbital ikhoza kuyambitsa zovuta. Itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena sichitha:

• Kusinza
• mutu
• chizungulire
• chisangalalo kapena zochulukirapo (makamaka mwa ana)
• nseru
• kusanza

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

• kupuma pang'ono kapena kupuma movutikira
• kutupa kwa maso, milomo, kapena masaya
• zidzolo
• khungu kapena khungu
• malungo
• chisokonezo

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.

Zizindikiro za bongo zingaphatikizepo izi:

• mayendedwe osalamulirika amaso
• kutayika kwa mgwirizano
• Kusinza
• kupuma pang'ono
• kutsika kwa kutentha kwa thupi
• matuza

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuyankha kwanu ku phenobarbital.

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.