Trihexyphenidyl, Piritsi Yamlomo

Zamkati

• Machenjezo ofunikira
• Kodi trihexyphenidyl ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Trihexyphenidyl
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Trihexyphenidyl imatha kulumikizana ndi mankhwala ena
• Mankhwala omwe amagwiritsidwa ntchito pa matenda a Parkinson
• Mankhwala osokoneza bongo
• Machenjezo a Trihexyphenidyl
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Momwe mungatengere trihexyphenidyl
• Fomu ya mankhwala ndi mphamvu
• Mlingo wa parkinsonism
• Mlingo wa zovuta zoyenda zomwe zimayambitsa mankhwala
• Mlingo machenjezo
• Tengani monga mwalamulidwa
• Zofunikira pakumwa kwa trihexyphenidyl
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Kodi pali njira zina?

Mfundo zazikuluzikulu za trihexyphenidyl

1. Piritsi la m'kamwa la Trihexyphenidyl limapezeka ngati mankhwala achibadwa. Ilibe mtundu wazolemba.
2. Trihexyphenidyl imabwera m'njira ziwiri: yankho la m'kamwa komanso piritsi lokamwa.
3. Piritsi lamlomo la Trihexyphenidyl limagwiritsidwa ntchito pochiza mitundu yonse ya parkinsonism, kuphatikiza matenda a Parkinson. Amagwiritsidwanso ntchito pochiza zovuta zoyenda zoyambitsidwa ndi mankhwala a antipsychotic.

Machenjezo ofunikira

• Chenjezo la kutentha kwa kutentha: Kutenga trihexyphenidyl kumatha kukuikani pachiwopsezo cha kutentha kwa moto. Zimakupangitsani kutuluka thukuta pang'ono, zomwe zingapangitse thupi lanu kuti liziziziritsa lokha. Izi zimawonjezera chiopsezo cha hyperthermia (kutentha thupi kwambiri). Ngati thupi lanu limatentha kwambiri ndipo simungathe kuziziritsa, mutha kukhala ndi stroke.
• Chenjezo la Neuroleptic malignant syndrome: Kuyimitsa mwadzidzidzi kapena kuchepetsa mlingo wa trihexyphenidyl mofulumira kumawonjezera chiopsezo chanu chosowa koma chowopseza moyo. Ngati muli ndi zizindikiro zotsatirazi mukamamwa mankhwalawa, itanani dokotala wanu mwachangu: kutentha thupi, kuuma kwa minofu, kuchepa kwamaganizidwe, kusintha magazi, kuthamanga kwa mtima, kapena thukuta.
• Chenjezo la dementia: wanena kuti mankhwala amtunduwu, omwe amatchedwa anticholinergic, atha kukulitsa chiopsezo cha matenda amisala.

Kodi trihexyphenidyl ndi chiyani?

Trihexyphenidyl ndi mankhwala akuchipatala. Zimabwera ngati yankho lamlomo komanso piritsi lokamwa.

Piritsi la m'kamwa la Trihexyphenidyl limapezeka ngati mankhwala achibadwa. Ilibe mtundu wazolemba.

Trihexyphenidyl itha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Piritsi lamlomo la Trihexyphenidyl limagwiritsidwa ntchito pochiza mitundu yonse ya parkinsonism, kuphatikiza matenda a Parkinson. Amagwiritsidwanso ntchito pochiza zovuta zoyenda zoyambitsidwa ndi mankhwala a antipsychotic.

Momwe imagwirira ntchito

Trihexyphenidyl ndi ya gulu la mankhwala otchedwa anticholinergics. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Trihexyphenidyl imagwira ntchito poletsa kugwira ntchito kwa gawo lina lamanjenje anu omwe amayendetsa kayendedwe ka thupi. Zimathandiza kumasula minofu ina ndikupangitsa kuti ziziyenda mosavutikira.

Zotsatira za Trihexyphenidyl

Trihexyphenidyl piritsi yamlomo imatha kuyambitsa tulo. Zitha kupanganso zovuta zina.

Zotsatira zofala kwambiri

Zina mwa zovuta zoyipa zomwe zimatha kuchitika pogwiritsa ntchito trihexyphenidyl ndizo:

• pakamwa pouma
• kusawona bwino
• chizungulire
• nseru
• manjenje
• kudzimbidwa
• Kusinza
• kuvuta kukodza

Kuphatikiza pa zovuta zomwe zatchulidwa pamwambapa, zotsatirazi zanenedwa mwa ana omwe agwiritsa ntchito mankhwalawa:

• kuyiwala
• kuonda
• kusakhazikika
• kuvuta kugona
• kutuluka kwa minofu
• kusuntha kwa thupi

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:

• Kugunda kwamtima kosasintha
• Ziwerengero
• Paranoia
• Glaucoma. Zizindikiro zimatha kuphatikiza:
  • kupweteka kwa diso
  • kusawona bwino
  • kutaya mwadzidzidzi kapena pang'onopang'ono
  • masomphenya mumphangayo
  • mabwalo utawaleza mozungulira magetsi owala
• Matenda am'mimba. Zizindikiro zimatha kuphatikiza:
  • kuphulika
  • kupweteka m'mimba
  • kudzimbidwa kwakukulu
  • nseru
  • kusanza
  • kusowa chilakolako
• Kutentha kapena kutentha thukuta kapena zonse ziwiri. Zizindikiro zimatha kuphatikiza:
  • kulephera thukuta
  • kutopa
  • kukomoka
  • chizungulire
  • kupweteka kwa minofu kapena m'mimba
  • nseru
  • kusanza
  • kutsegula m'mimba
  • chisokonezo
  • malungo
• Matenda oopsa a Neuroleptic (NMS). Zizindikiro zake ndi izi:
  • malungo
  • minofu yolimba
  • kusuntha kosachita kufuna
  • kusintha kwa malingaliro
  • kuthamanga kwambiri
  • mofulumira komanso kupuma pang'ono
  • kuthamanga kwa magazi kapena kuthamanga kwa magazi

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.

Trihexyphenidyl imatha kulumikizana ndi mankhwala ena

Trihexyphenidyl piritsi yamlomo imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. 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 trihexyphenidyl alembedwa pansipa.

Mankhwala omwe amagwiritsidwa ntchito pa matenda a Parkinson

Kutenga levodopa ndipo trihexyphenidyl palimodzi imatha kuyambitsa kuwonjezeka kwa mayendedwe azinthu zosokoneza bongo. Pogwiritsidwa ntchito pamodzi, mlingo wa mankhwalawa ungafunike kuchepetsedwa.

Mankhwala osokoneza bongo

Mukamwedwa ndi trihexyphenidyl, mankhwala ena opsinjika amatha kuonjezera mavuto monga kukamwa kouma, kukodza, kukodza, kutuluka thukuta pang'ono, komanso kutentha kwa thupi. Zitsanzo za mankhwalawa ndi monga:

• isocarboxazid
• chithuvj
• alireza
• kutchfuneralhome
• clomipramine
• desipramine
• kutchfuneralhome

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.

Zizindikiro zanu zimatha kubwerera mwachangu ndipo mutha kukhala ndi vuto lowopsa lomwe limatchedwa neuroleptic malignant syndrome. Onetsetsani kuti mwalankhula ndi dokotala musanamwe mankhwalawa.

Machenjezo a Trihexyphenidyl

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Mukamwa mowa, lankhulani ndi dokotala wanu. Kumwa zakumwa zomwe zili ndi mowa kumatha kuwonjezera chiopsezo chochokera ku trihexyphenidyl.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi khungu lotseguka: Musagwiritse ntchito trihexyphenidyl ngati muli ndi khungu lotseguka khungu chifukwa limatha kuyambitsa khungu. Dokotala wanu ayenera kuyezetsa maso asanakuyambitseni mankhwalawa kuti muwonetsetse kuti maso anu ali bwino.

Kwa anthu omwe ali ndi matenda a chiwindi: Ngati muli ndi matenda a chiwindi, thupi lanu silitha kugwiritsa ntchito mankhwalawa bwino. Izi zitha kuyambitsa kuchuluka kwa mankhwalawa mthupi lanu. Izi zitha kubweretsa chiopsezo chanu chazovuta.

Kwa anthu omwe ali ndi matenda amtima: Ngati muli ndi matenda amtima, mutha kukhala pachiwopsezo chachikulu cha angina (kupweteka pachifuwa) kapena tachycardia (kugunda kwamtima mwachangu). Dokotala wanu angafune kukuyang'anirani mosamala kwambiri pazotsatira zoyipa ndikukuyambitsani pamlingo wotsika kuti muwone momwe mungayankhire.

Kwa anthu omwe ali ndi matenda a impso: Ngati muli ndi mavuto a impso kapena mbiri ya matenda a impso, mwina simungathe kuchotsa mankhwalawa mthupi lanu. Izi zitha kukulitsa kuchuluka kwa mankhwalawa mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akhoza kukuyang'anirani kwambiri za zotsatirapo zake.

Kwa anthu omwe ali ndi kuthamanga kwa magazi: Mutha kukhala pachiwopsezo chachikulu cha angina (kupweteka pachifuwa), matenda amtima, kapena tachycardia (kugunda kwamtima mwachangu). Dokotala wanu akhoza kukuyang'anirani mosamala kwambiri pazotsatira zoyipa ndikukuyambitsani pamlingo wotsika kuti muwone momwe mungayankhire.

Kwa anthu omwe ali ndi arteriosclerosis: Ngati mukuumitsa makoma amitsempha yanu, chidwi chanu ndi mankhwalawa chitha kukulirakulira. Izi zitha kuyambitsa kusokonezeka kwamaganizidwe, kukwiya, kusintha kwamakhalidwe, nseru, ndi kusanza. Pofuna kupewa izi, dokotala akhoza kukuyambitsani pamlingo wotsika ndikuwonjezera pang'onopang'ono.

Momwe mungatengere trihexyphenidyl

Mlingo uliwonse wotheka ndi mitundu ya mankhwala sizingaphatikizidwe pano. Mlingo wanu, mawonekedwe a mankhwala, komanso kuchuluka kwa momwe mumamwa mankhwalawo zimadalira:

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

Fomu ya mankhwala ndi mphamvu

Zowonjezera: Mzere

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 2 mg, 5 mg

Mlingo wa parkinsonism

Mlingo wa akulu (zaka 18-59 zaka)

• Mlingo woyambira: 1 mg patsiku.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kuwonjezera mlingo wanu ndi 2 mg masiku aliwonse 3-5, mpaka mutenga 6-10 mg patsiku.
• Zindikirani: Ngati parkinsonism yanu idayambitsidwa ndi kachilombo ka HIV, mungafunike mlingo wa 12-15 mg patsiku.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikiziridwe kuti trihexyphenidyl ndiyotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Ngati ndinu wamkulu kuposa zaka 60, mutha kukhala okhudzidwa ndi zotsatira za trihexyphenidyl. Zawonetsedwa kuti zimayambitsa chisokonezo komanso kukumbukira kukumbukira anthu okalamba. Dokotala wanu akhoza kukuyambitsani pamlingo wochepa ndikuwonetsetsa zotsatirapo zake.

Mlingo wa zovuta zoyenda zomwe zimayambitsa mankhwala

Mlingo wa akulu (zaka 18-59 zaka)

• Mlingo woyambira: 1 mg patsiku ngati mlingo umodzi.
• Mlingo ukuwonjezeka: Ngati kusunthaku sikulamuliridwa m'maola ochepa, dokotala wanu akhoza kukulitsa kuchuluka kwanu komwe kumatsatira mpaka zizindikilo zanu zitatha.
• Miyezo yosamalira bwino: Izi zitha kukhala pakati pa 5 mg ndi 15 mg patsiku. Zidzatsimikiziridwa ndi momwe matenda anu amayendetsedwera.
• Zindikirani: Dokotala wanu amatha kuthana ndi matenda anu bwino mukamamwa trihexyphenidyl ngati mulingo wanu wamankhwala omwe amachititsa kuti zizindikilozo muchepetse.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikiziridwe kuti trihexyphenidyl ndiyotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Ngati ndinu wamkulu kuposa zaka 60, mutha kukhala okhudzidwa ndi zotsatira za trihexyphenidyl. Zasonyezedwa kuti zimapangitsa chisokonezo ndi kukumbukira kukumbukira anthu okalamba. Dokotala wanu akhoza kukuyambitsani pamlingo wochepa ndikuwonetsetsa zotsatirapo zake.

Mlingo machenjezo

• Dokotala wanu nthawi zonse ayenera kukuyambitsani pamlingo wochepa wa trihexyphenidyl ndikuwonjezera pang'onopang'ono mlingo wanu pakufunika, makamaka ngati muli ndi zaka 60 kapena kupitilira apo. Kuchulukitsa mlingo pang'onopang'ono kumachepetsa chiopsezo chanu chazovuta.
• Osasiya kumwa trihexyphenidyl mwadzidzidzi. Mutha kubwereranso mwachangu zidziwitso zanu ndipo mwina mumakhala ndi chiwopsezo chowopsa chotchedwa neuroleptic malignant syndrome.

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.

Tengani monga mwalamulidwa

Piritsi la m'kamwa la Trihexyphenidyl limagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali komanso kwakanthawi. Amagwiritsidwa ntchito pochiza matenda a Parkinson kwa nthawi yayitali. Itha kugwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali komanso kwakanthawi kochepa mitundu ina ya parkinsonism kapena zovuta zoyenda zomwe zimayambitsa mankhwala.

Mankhwalawa amabwera ndi zoopsa ngati simutenga monga mwauzidwa.

Mukasiya kumwa mankhwalawa kapena osamwa konse: Osasiya kumwa trihexyphenidyl mwadzidzidzi. Mutha kubwereranso mwachangu zidziwitso zanu ndipo mwina mutha kukhala ndi moyo wowopsa. Matendawa amatchedwa neuroleptic malignant syndrome. Ngati simutenga mankhwalawa konse, zizindikilo zanu zipitilira kapena kukulirakulira.

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Ngati mwaphonya Mlingo wambiri kapena osamwa mankhwalawa panthawi yomwe adokotala akukulangizani, zidziwitso zanu zimatha kubwerera mwachangu.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• ana otayirira
• khungu lowuma
• malungo
• kuthamanga kwa mtima
• kuvuta kukodza
• kuphulika
• kununkha m'kamwa
• chisokonezo
• kuyerekezera zinthu m'maganizo

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Tengani mlingo wanu mukangokumbukira. Koma ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani mlingo umodzi wokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Zizindikiro zanu ziyenera kusintha.

Zofunikira pakumwa kwa trihexyphenidyl

Kumbukirani izi ngati dokotala wanu atakupatsani mankhwala a trihexyphenidyl.

Zonse

• Mutha kudula kapena kuphwanya phale.
• Kutenga mankhwalawa ndi chakudya kungathandize kuchepetsa kupwetekedwa m'mimba. Mungafune kugawa mlingo wanu wa tsiku ndi tsiku magawo atatu ndikutenga gawo limodzi mwa magawo atatu ndi chakudya. Ngati mlingo wanu uli woposa 10 mg patsiku, mutha kuwagawa m'magawo anayi. Mutha kutenga zitatu mwazinayi ndi chakudya chanu, ndipo chachinayi chomaliza musanagone.

Yosungirako

• Sungani trihexyphenidyl kutentha kwapakati pakati pa 68 ° F ndi 77 ° F (20 ° C ndi 25 ° C).
• 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

Mukamalandira mankhwalawa, dokotala wanu adzawona kuti zisonyezo zanu sizibwerera ndipo masomphenya anu sasintha. Dokotala wanu amathanso kuyesa mayeso kuti aone momwe chiwindi ndi impso zanu zimagwirira ntchito.

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.