Mlembi: Laura McKinney
Tsiku La Chilengedwe: 3 Epulo 2021
Sinthani Tsiku: 18 Novembala 2024
Anonim
Carbamazepine, Piritsi Yamlomo - Thanzi
Carbamazepine, Piritsi Yamlomo - Thanzi

Zamkati

Mfundo zazikulu za carbamazepine

  1. Piritsi yamlomo ya Carbamazepine imapezeka ngati mankhwala osokoneza bongo komanso ngati mankhwala wamba. Mayina a Brand: Tegretol, Tegretol XR, Epitol.
  2. Carbamazepine imabwera m'njira zisanu: piritsi lotulutsira pakamwa nthawi yomweyo, piritsi lotulutsa pakamwa, piritsi losasunthika pakamwa, kuyimitsidwa pakamwa, ndi kapisozi womasulidwa pakamwa.
  3. Piritsi lamlomo la Carbamazepine limagwiritsidwa ntchito pochiza khunyu ndi trigeminal neuralgia.

Machenjezo ofunikira

Machenjezo a FDA

  • Mankhwalawa ali ndi machenjezo a bokosi lakuda. Awa ndi machenjezo ovuta kwambiri ochokera ku Food and Drug Administration (FDA). Machenjezo akuda akuchenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
  • Chenjezo lakhungu pakhungu: Mankhwalawa amatha kuyambitsa matenda omwe amawopsa kwambiri otchedwa Stevens-Johnson syndrome (SJS) ndi poizoni wa epidermal necrolysis (TEN). Izi zimatha kuwononga khungu lanu komanso ziwalo zanu zamkati. Chiwopsezo chanu chitha kukhala chachikulu ngati muli ndi makolo aku Asia omwe ali ndi chiopsezo cha majini. Ngati ndinu wa ku Asia, dokotala wanu akhoza kukuyesani kuti mupeze chibadwa ichi. Mutha kukhalabe ndi izi popanda chiopsezo cha majini.Itanani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro izi mukamamwa mankhwalawa: zidzolo, ming'oma, kutupa kwa lilime lanu, milomo, kapena nkhope, zotupa pakhungu lanu kapena ziwalo zam'mimbazi mkamwa mwako, mphuno, maso, kapena maliseche.
  • Kuchenjeza kwama cell ochepa: Mankhwalawa amachepetsa maselo amwazi omwe thupi lanu limapanga. Nthawi zambiri, izi zimatha kuyambitsa mavuto akulu kapena owopsa. Uzani dokotala wanu ngati munakhalapo ndi magazi ochepa, makamaka ngati anayambitsidwa ndi mankhwala ena. Itanani dokotala wanu nthawi yomweyo ngati muli ndi zina mwazizindikiro mukamamwa mankhwalawa: zilonda zapakhosi, malungo, kapena matenda ena omwe amabwera ndikutha kapena osatha, kuvulaza mosavuta kuposa mabala ofiira kapena ofiirira mthupi lanu, Kutuluka magazi m'kamwa mwanu, magazi, kutopa kwambiri, kapena kufooka.

Machenjezo ena

  • Kuopsa kwa chenjezo lodzipha: Mankhwalawa amatha kuyambitsa malingaliro ofuna kudzipha mwa anthu ochepa. Itanani dokotala wanu nthawi yomweyo ngati muli ndi izi:
    • malingaliro okhudza kudzipha kapena kufa
    • akufuna kudzipha
    • kuvutika kwatsopano kapena kukulira
    • nkhawa yatsopano kapena yowonjezereka
    • kumva kukhumudwa kapena kusakhazikika
    • mantha
    • kuvuta kugona
    • kukwiya kwatsopano kapena kukulira
    • kuchita ndewu kapena nkhanza kapena kukwiya
    • kuchita zofuna zawo zowopsa
    • kuwonjezeka kwakukulu kwa ntchito kapena kuyankhula
    • machitidwe ena achilendo kapena zosintha
  • Chenjezo la mavuto amtima: Mankhwalawa amatha kuyambitsa kugunda kwamtima. Zizindikiro zimatha kuphatikiza:
    • kuthamanga, kuthamanga, kapena kugunda kwa mtima
    • kupuma movutikira
    • kumverera mopepuka
    • kukomoka
  • Chenjezo la mavuto a chiwindi: Mankhwalawa akhoza kubweretsa chiopsezo cha chiwindi. Zizindikiro zimatha kuphatikiza:
    • chikasu cha khungu lako kapena kuyera kwa maso ako
    • mkodzo wamtundu wakuda
    • kupweteka kumanja kwa mimba yako
    • kuvulaza mosavuta kuposa zachilendo
    • kusowa chilakolako
    • nseru kapena kusanza
  • Anaphylaxis ndi angioedema chenjezo: Nthawi zina, mankhwalawa amatha kuyambitsa zovuta zomwe zimatha kupha. Ngati izi zikuchitika, itanani dokotala wanu kapena 911 nthawi yomweyo. Muyenera kusiya kumwa mankhwalawa ndipo dokotala wanu sayenera kukupatsaninso mankhwalawa. Zizindikiro za izi zingaphatikizepo:
    • kutupa pakhosi, milomo, ndi zikope

Kodi carbamazepine ndi chiyani?

Carbamazepine ndi mankhwala omwe mumalandira. Zimabwera m'njira zisanu zam'kamwa: piritsi lotulutsira mwachangu, piritsi lotulutsa nthawi yayitali, kapisozi womasulira, piritsi losavuta, ndikuyimitsidwa. Imabweranso mu mawonekedwe amitsempha (IV).


Pulogalamu yamlomo ya Carbamazepine imapezeka ngati mankhwala omwe amadziwika ndi dzina loti Tegretol, Tegretol XR, ndi Epitol. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mankhwala omwe amadziwika ndi dzina.

Chifukwa chimagwiritsidwa ntchito

Carbamazepine ndi gulu la mankhwala otchedwa anticonvulsants. Gulu la mankhwala limatanthauza mankhwala omwe amagwira ntchito chimodzimodzi. Ali ndi mankhwala ofanana ndipo amagwiritsidwa ntchito pochiza zofananira.

Carbamazepine amagwiritsidwa ntchito pochiza zinthu ziwiri:

  • Mitundu ina ya khunyu yomwe imayamba chifukwa cha khunyu, monga:
    • khunyu pang'ono
    • kugwidwa kwama tonic-clonic (grand mal)
    • zochitika zosakanikirana, zomwe zimaphatikizapo mitundu yakulanda yomwe yatchulidwa pano kapena kugwidwa pang'ono pang'ono kapena kwakukulu
  • trigeminal neuralgia, vuto lomwe limayambitsa kupweteka kwa nkhope

Momwe imagwirira ntchito

Sizikudziwika bwino momwe mankhwalawa amathandizira khunyu kapena kupweteka kwaminyewa yama trigeminal. Amadziwika kuti amaletsa mafunde a sodium muubongo ndi thupi lanu. Izi zimathandizira kuchepetsa magwiridwe antchito amagetsi pakati pama cell anu amitsempha.


Zotsatira za Carbamazepine

Carbamazepine piritsi la pakamwa lingayambitse kugona. Zitha kupanganso zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimachitika ndi carbamazepine ndi monga:

  • nseru
  • kusanza
  • mavuto ndi kuyenda ndi kulumikizana
  • chizungulire
  • Kusinza

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

  • Khungu loyipa, zizindikilo zimatha kuphatikiza:
    • zotupa pakhungu
    • ming'oma
    • kutupa kwa lilime, milomo, kapena nkhope
    • matuza pakhungu lanu kapena mamina amkamwa, mphuno, maso, kapena maliseche
  • kuchuluka kwama cell ochepa, zizindikilo zimatha kuphatikiza:
    • zilonda zapakhosi, malungo, kapena matenda ena omwe amabwera ndi kutha kapena osatha
    • kuvulaza mosavuta kuposa zachilendo
    • wofiira kapena wofiirira mawanga pa thupi lanu
    • Kutuluka magazi m'kamwa mwanu kapena magazi a m'mphuno
    • kutopa kwambiri kapena kufooka
  • Mavuto amtima, zizindikilo zimatha kuphatikiza:
    • kuthamanga, kuthamanga, kapena kugunda kwa mtima
    • kupuma movutikira
    • kumverera mopepuka
    • kukomoka
  • mavuto a chiwindi, zizindikilo zimatha kuphatikiza:
    • chikasu cha khungu lako kapena kuyera kwa maso ako
    • mkodzo wamtundu wakuda
    • kupweteka kumanja kwa mimba yako
    • kuvulaza mosavuta kuposa zachilendo
    • kusowa chilakolako
    • nseru kapena kusanza
  • Malingaliro odzipha, zizindikilo zimatha kuphatikiza:
    • malingaliro okhudza kudzipha kapena kufa
    • akufuna kudzipha
    • kuvutika kwatsopano kapena kukulira
    • nkhawa yatsopano kapena yowonjezereka
    • kumva kukhumudwa kapena kusakhazikika
    • mantha
    • kuvuta kugona
    • kukwiya kwatsopano kapena kukulira
    • kuchita ndewu kapena nkhanza kapena kukwiya
    • kuchita zofuna zawo zowopsa
    • kuwonjezeka kwakukulu kwa ntchito kapena kuyankhula
    • machitidwe ena achilendo kapena zosintha
  • magulu otsika a sodium m'magazi anu, zizindikiro zimatha kuphatikiza:
    • kupweteka mutu
    • kugwidwa kwatsopano kapena kugwidwa pafupipafupi
    • mavuto
    • mavuto okumbukira
    • chisokonezo
    • kufooka
    • kusokoneza mavuto

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.


Carbamazepine amatha kulumikizana ndi mankhwala ena

Pulogalamu yamlomo ya Carbamazepine imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mumamwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi carbamazepine alembedwa pansipa.

Mankhwala amtima

Kutenga mankhwala ena amtima ndi carbamazepine kumakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • alireza
  • alireza

Mankhwala a fungal matenda

Kutenga imodzi mwa mankhwalawa ndi carbamazepine kumakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • ketoconazole
  • chithu
  • fluconazole
  • alireza

Mankhwala osokoneza bongo

Kutenga acetazolamide ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Mankhwala osokoneza bongo

Kutenga loratadine ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Maantibayotiki

Kutenga maantibayotiki ena ndi carbamazepine kumakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • chithuchithu
  • erythromycin
  • ciprofloxacin

Mankhwala a HIV

Kutenga mankhwala ena a HIV ndi carbamazepine kumakulitsa kuchuluka kwa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • mwambo
  • kutchfuneralhome
  • alireza
  • alireza

Mankhwala achifuwa

Kutenga rifampin ndi carbamazepine amachepetsa mulingo wa carbamazepine mthupi lanu. Izi zikutanthauza kuti sizigwiranso ntchito pochiza matenda anu. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Kutenga isoniazid ndi carbamazepine imatha kuwonjezera chiopsezo cha chiwindi.

Mankhwala oletsa kunyansidwa

Kutenga wokhalitsa ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Mankhwala amisala

Kutenga mankhwala ena azaumoyo ndi carbamazepine kumakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • fluoxetine
  • fluvoxamine
  • trazodone
  • olanzapine
  • alireza
  • quetiapine

Kutenga nefazodone ndi carbamazepine amachepetsa mulingo wa nefazodone mthupi lanu. Kutenga mankhwala awiriwa limodzi sikuvomerezeka.

Kutenga alireza ndi carbamazepine amachepetsa milingo ya aripiprazole mthupi lanu. Dokotala wanu akhoza kukulitsa mlingo wanu wa aripiprazole.

Anti-kuphipha mankhwala

Kutenga alireza ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Mankhwala a chikhodzodzo

Kutenga oxybutynin ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Opaka magazi

Kutenga carbamazepine ndi mankhwala ena otchedwa anticoagulants kumatha kuchepetsa zovuta za mankhwalawa. Izi zikutanthauza kuti sizigwiranso ntchito popewa magazi. Zitsanzo za mankhwalawa ndi monga:

  • mankhwala a Rivaroxaban
  • alireza
  • alireza
  • edoxaban

Kutenga ticlopidine ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Mankhwala osokoneza bongo

Kutenga mankhwala osokoneza bongo ndi carbamazepine kumakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • cimetidine
  • omeprazole

Mankhwala oletsa kulanda

Kutenga mankhwala ena oletsa kulanda ndi carbamazepine kumachepetsa mulingo wa carbamazepine mthupi lanu. Izi zikutanthauza kuti sizigwiranso ntchito pochiza matenda anu. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • felbamate
  • alireza
  • muthoni
  • fosphenytoin
  • anayankha
  • Primidone

Kutenga mankhwala ena oletsa kulanda ndi carbamazepine ndi imodzi mwa mankhwalawa kungakhudze momwe timadzi ta chithokomiro chanu chimagwirira ntchito. Mankhwalawa ndi awa:

  • muthoni
  • anayankha

Kutenga asidi wa valproic ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Zitsamba

Kutenga ndiwopinamide ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Mankhwala a khansa

Kutenga mankhwala ena a khansa ndi carbamazepine kumachepetsa mulingo wa carbamazepine mthupi lanu. Izi zikutanthauza kuti sizigwiranso ntchito pochiza matenda anu. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • cisplatin
  • kutuloji

Kutenga mankhwala ena a khansa ndi carbamazepine kumasintha kuchuluka kwa mankhwala a khansa mthupi lanu. Dokotala wanu ayenera kupewa kugwiritsa ntchito mankhwalawa limodzi. Komabe, ngati ayenera kugwiritsidwa ntchito limodzi, inu adokotala mutha kusintha mlingo wa mankhwala anu a khansa. Zitsanzo za mankhwalawa ndi monga:

  • adadakhalid
  • lapatinib

Kutenga cyclophosphamide ndi carbamazepine idzawonjezera kuchuluka kwa mankhwala a khansa mthupi lanu. Dokotala wanu akhoza kusintha mlingo wanu wa mankhwala a khansa ngati mutamwa ndi carbamazepine.

Mankhwala opweteka

Kutenga ibuprofen ndi carbamazepine imakulitsa mulingo wa carbamazepine mthupi lanu. Izi zitha kuyambitsa zovuta. Dokotala wanu amatha kuwunika kuchuluka kwa magazi a carbamazepine ngati mukumwa mankhwalawa.

Mankhwala oletsa kukana

Kutenga tacrolimus ndi carbamazepine isintha kuchuluka kwa tacrolimus mthupi lanu. Dokotala wanu amatha kuwona kuchuluka kwa magazi anu a tacrolimus ndikusintha mulingo wanu.

Bipolar matenda osokoneza bongo

Kutenga lifiyamu ndi carbamazepine imatha kuwonjezera ngozi yanu yoyipa.

Mankhwala oteteza ku mahomoni

Kutenga carbamazepine yokhala ndi mahomoni, monga mapiritsi oletsa kubereka, kumatha kuchititsa kuti njira zolerera zisamayende bwino. Mungafunike kugwiritsa ntchito njira zina zakulera.

Mankhwala osokoneza bongo

Kutenga mankhwala ena opuma ndi carbamazepine kumachepetsa kuchuluka kwa carbamazepine mthupi lanu. Izi zikutanthauza kuti sizigwiranso ntchito pochiza matenda anu. Dokotala wanu amatha kuyang'anira kuchuluka kwa magazi a carbamazepine ngati mukumwa ndi imodzi mwa mankhwalawa:

  • alireza
  • chinthaka

Opumitsa minofu

Kutenga imodzi mwa mankhwalawa ndi carbamazepine kumatha kuchepetsa mphamvu za mankhwalawa. Dokotala wanu amatha kusintha mlingo wa mankhwalawa ngati muwatenga ndi carbamazepine. Mankhwalawa ndi awa:

  • kapamba
  • malo osungira
  • rocuronium
  • cisatracurium

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Carbamazepine

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Mankhwalawa amatha kuyambitsa mavuto ena. Zizindikiro zake ndi izi:

  • kuvuta kupuma
  • kutupa pakhosi kapena lilime
  • ming'oma kapena zidzolo
  • khungu kapena khungu

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo lothandizira chakudya

Madzi amphesa amatseka ma enzyme omwe amawononga carbamazepine. Kumwa madzi amphesa mukamamwa mankhwalawa kumatha kubweretsa kuchuluka kwa mankhwalawa mthupi lanu. Izi zimawonjezera chiopsezo chanu chazovuta.

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Kumwa mowa mukamamwa carbamazepine kumatha kuwonjezera chiopsezo chanu chogona.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi matenda a chiwindi: Mankhwalawa sakuvomerezeka kuti agwiritsidwe ntchito ndi matenda owopsa a chiwindi chifukwa atha kukulitsa vutoli. Ngati muli ndi matenda osakhazikika a chiwindi, dokotala wanu adzawunika ndikusintha kuchuluka kwa mankhwalawa. Ngati matenda anu a chiwindi akuchulukirachulukira, itanani dokotala wanu kuti akambirane kuchuluka kwanu komanso momwe mungagwiritsire ntchito mankhwalawa.

Kwa anthu omwe ali ndi matenda amtima: Ngati muli ndi vuto lililonse pamtima panu kapena pamtima, mankhwalawa akhoza kukulitsa.

Machenjezo kwa magulu ena

Kwa amayi apakati: Mankhwalawa ndi m'gulu la mimba ya D. Izi zikutanthauza zinthu ziwiri:

  1. Kafukufuku akuwonetsa chiopsezo chotsatirapo cha mwana wosabadwa pamene mayi amamwa mankhwalawo.
  2. Ubwino wakumwa mankhwalawa mukakhala ndi pakati ungapitirire zoopsa zomwe zingakhalepo nthawi zina.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito panthawi yapakati pokhapokha phindu lomwe lingakhalepo likutsimikizira kuwopsa kwake.

Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo.

Kwa amayi omwe akuyamwitsa: Izi zimadutsa mkaka wa m'mawere. Zitha kuyambitsa zovuta kwa mwana yemwe akuyamwitsa. Inu ndi dokotala mungafunike kusankha ngati mungamwe mankhwalawa kapena kuyamwitsa.

Kwa okalamba: Okalamba amatha kugwiritsa ntchito mankhwalawa pang'onopang'ono. Chifukwa cha izi, dokotala wanu ayenera kukuyang'anirani kwambiri mukamamwa mankhwalawa.

Kwa ana: Chitetezo ndi mphamvu ya mankhwalawa ya trigeminal neuralgia sichinakhazikitsidwe mwa anthu ochepera zaka 18.

Momwe mungatengere carbamazepine

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe anu, komanso kuti mumatenga kangati zimadalira:

  • zaka zanu
  • matenda omwe akuchiritsidwa
  • momwe matenda anu alili
  • Matenda ena omwe muli nawo
  • momwe mumachitira ndi mankhwala oyamba

Mitundu ya mankhwala ndi mphamvu

Zowonjezera: Carbamazepine

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 100 mg, 200 mg, 300 mg, 400 mg
  • Mawonekedwe: piritsi yamlomo, yosavuta
  • Mphamvu: 100 mg, 200 mg
  • Mawonekedwe: piritsi yamlomo, kutulutsa kwina
  • Mphamvu: 100 mg, 200 mg, 400 mg

Mtundu: Epitol

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 200 mg
  • Mawonekedwe: piritsi yamlomo, yosavuta
  • Mphamvu: 100 mg

Mtundu: Tegretol / Tegretol XR

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 200 mg
  • Mawonekedwe: piritsi yamlomo, yosavuta
  • Mphamvu: 100 mg
  • Mawonekedwe: piritsi yamlomo (kutulutsa kwina)
  • Mphamvu: 100 mg, 200 mg, 400 mg

Mlingo wa khunyu

Mlingo wachikulire (wazaka 18 kapena kupitirira)

  • Mlingo woyamba: 200 mg anatengedwa kawiri pa tsiku.
  • Mlingo wodziwika: 800-1,200 mg pa tsiku.
  • Mlingo wosintha: Mlungu uliwonse, dokotala wanu akhoza kuwonjezera mlingo wanu wa tsiku ndi 200 mg.
  • Zolemba malire mlingo: 1,600 mg patsiku.

Mlingo wa ana (zaka 12 mpaka 17 zaka)

  • Mlingo woyamba: 200 mg anatengedwa kawiri pa tsiku.
  • Mlingo wodziwika: 800-1,200 mg pa tsiku.
  • Mlingo wosintha: Mlungu uliwonse, dokotala wa mwana wanu akhoza kuwonjezera mlingo wawo wa tsiku ndi 200 mg.
  • Zolemba malire mlingo:
    • zaka 12 mpaka 15 zaka: 1,000 mg patsiku.
    • Zaka 15 kapena kupitirira: 1,200 mg patsiku.

Mlingo wa ana (zaka 6 mpaka 12 zaka)

  • Mlingo woyamba: 100 mg amatengedwa kawiri patsiku.
  • Mlingo wodziwika: 400-800 mg patsiku.
  • Mlingo wosintha: Mlungu uliwonse, dokotala wa mwana wanu akhoza kuwonjezera mlingo wawo wa tsiku ndi tsiku ndi 100 mg.
  • Zolemba malire mlingo: 1,000 mg patsiku.

Mlingo wa ana (zaka 0 mpaka 5)

  • Mlingo woyamba: 10-20 mg / kg pa tsiku. Mlingowo uyenera kugawidwa ndikumwa katatu tsiku lililonse.
  • Mlingo wosintha: Dokotala wa mwana wanu akhoza kuwonjezera mlingo wake mlungu uliwonse.
  • Zolemba malire mlingo: 35 mg / kg pa tsiku.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Okalamba amatha kugwiritsa ntchito mankhwala pang'onopang'ono. Mlingo wachikulire wabwinobwino ungapangitse kuchuluka kwa mankhwalawa kukhala okwera kuposa thupi lanu. Ngati ndinu wamkulu, mungafunike mlingo wocheperako kapena njira ina yothandizira.

Mlingo wa ululu wam'mitsempha yamagulu atatu

Mlingo wachikulire (wazaka 18 kapena kupitirira)

  • Mlingo woyamba: 100 mg amatengedwa kawiri patsiku.
  • Mlingo wodziwika: 400-800 mg patsiku.
  • Mlingo wosintha: Dokotala wanu akhoza kukulitsa mlingo wanu ndi 100 mg maola 12 aliwonse.
  • Zolemba malire mlingo: 1,200 mg patsiku.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Palibe wopatsidwa. Chitetezo ndi magwiridwe antchito a carbamazepine sizinakhazikitsidwe kwa ana ochepera zaka 18 kuti athe kuchiza ululu wamitsempha yama trigeminal.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Okalamba amatha kugwiritsa ntchito mankhwala pang'onopang'ono. Mlingo wachikulire wabwinobwino ungapangitse kuchuluka kwa mankhwalawa kukhala okwera kuposa thupi lanu. Ngati ndinu wamkulu, mungafunike mlingo wocheperako kapena njira ina yothandizira.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.


  • Osasiya kumwa mankhwalawa popanda malangizo a dokotala. Kuyimitsa mankhwalawa mwadzidzidzi kumadzetsa chiopsezo cha khunyu. Ngati mukufuna kusiya kumwa mankhwalawa, lankhulani ndi dokotala wanu za njira yabwino yochitira izi.

Tengani monga mwalamulidwa

Pulogalamu yamlomo ya Carbamazepine imagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Mukadumpha kapena kuphonya Mlingo: Simungathe kuwona phindu lonse la mankhwalawa pochiza matenda anu.

Ngati mutenga zochuluka kwambiri: Mutha kuwona chiopsezo chowonjezeka cha zotsatirapo zokhudzana ndi mankhwalawa. Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Mukaiwala kumwa mankhwala anu, tengani mwamsanga mukamakumbukira. Ngati kwangotsala maola ochepa kufikira nthawi yoti mudzalandire mlingo wotsatira, tengani mlingo umodzi panthawi yanu.

Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kuyambitsa zovuta zina.

Ngati simutenga konse: Matenda anu sangachiritsidwe ndipo zizindikilo zanu zitha kukulirakulira.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Ngati mukumwa mankhwalawa khunyu: Muyenera kugwidwa kochepa.

Ngati mukumwa mankhwalawa kwa trigeminal neuralgia: Kupweteka kwanu kumaso kumayenera kukhala bwino.

Zofunikira pakumwa carbamazepine

Kumbukirani izi ngati dokotala akukupatsani carbamazepine.

Zonse

  • Muyenera kumwa mapiritsi a carbamazepine ndi chakudya.
  • Tsatirani malangizo awa pakumwa piritsi:
    • Mapiritsi otulutsidwa otalikitsa sayenera kuphwanyidwa kapena kutafuna.
    • Mapiritsi otafuna amatha kuwaphwanya kapena kuwatafuna.
    • Pulogalamu yotulutsa 100-mg yomwe imatulutsidwa mwachangu imatha kutafunidwa.
    • Piritsi lotulutsira 200-mg limatha kuphwanyidwa, koma siliyenera kutafunidwa.
    • Dokotala wanu angakuuzeni ngati mapiritsi otulutsidwa mwachangu a 300-mg ndi 400-mg atha kuphwanyidwa kapena kutafunidwa.

Yosungirako

Mankhwalawa ayenera kusungidwa kutentha koyenera.

  • Mapiritsi otulutsa nthawi yomweyo:
    • Musasunge mankhwalawa pamwamba pa 86 ° F (30 ° C).
    • Sungani mankhwalawa kutali ndi kuwala.
    • Sungani kutali ndi kutentha kwakukulu.
    • Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.
  • Mapiritsi omasulidwa:
    • Sungani mapiritsiwa pa 77 ° F (25 ° C). Mutha kuzisunga mwachidule kutentha pakati pa 59 ° F mpaka 86 ° F (15 ° C mpaka 30 ° C).
    • Sungani mankhwalawa kutali ndi kuwala.
    • Sungani kutali ndi kutentha kwakukulu.
    • Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

  • Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
  • Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
  • Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
  • Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kuwunika kuchipatala

Musanayambe kumwa mankhwalawa, dokotala wanu akhoza kuyesa izi:

  • kuyesa magazi, monga:
    • mayesero a chibadwa
    • kuchuluka kwa maselo amwazi
    • kuyesa kwa chiwindi
    • magazi a carbamazepine
    • kuyesa kwa impso
    • mayesero a electrolyte
  • mayeso a maso
  • mayesero a chithokomiro
  • kuyang'anira kugunda kwa mtima
  • kuwunika kusintha kwamakhalidwe anu

Kupezeka

Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa patsogolo kuti mutsimikizire kuti mankhwala omwe muli nawo ali nawo.

Ndalama zobisika

Mukamalandira mankhwalawa, mungafunikire kukhala ndi mayeso owunika monga:

  • kuyesa magazi
  • mayeso a maso
  • mayesero a chithokomiro
  • kuyang'anira kugunda kwa mtima

Mtengo wa mayeserowa udalira kutengera kwanu inshuwaransi.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.

Zolemba Zosangalatsa

Mayeso a shuga-madzi a hemolysis
Mankhwala

Mayeso a shuga-madzi a hemolysis

Maye o a huga-water hemoly i ndi kuye a magazi kuti mupeze ma elo ofiira ofooka. Imachita izi poye a momwe amapirira kutupa kwa huga ( ucro e) yankho.Muyenera kuye a magazi.Palibe kukonzekera kwapader...
Kumwa mankhwala ochizira TB
Mankhwala

Kumwa mankhwala ochizira TB

TB (TB) ndi matenda opat irana a bakiteriya omwe amakhudza mapapo, koma amatha kufalikira ku ziwalo zina. Cholinga cha mankhwalawa ndikuchiza matendawa ndi mankhwala omwe amalimbana ndi mabakiteriya a...