Imithi Yekhanda equkethe i-ergot-derivative (indlela yomlomo, indlela ye-parenteral, indlela yecala rectal)

Cafergot

I-dihydroergotamine ne-ergotamine ziyinxalenxa yezidakamizwa ezibizwa ngokuthi yi-ergot alkaloids. Zisetshenziswa ekwelapheni izinhlungu ezinzima, ezibetha njengoba kubonakala, njenge-migraine nezinhlungu zeqembu. I-dihydroergotamine ne-ergotamine azilona ukunciphisa ubuhlungu obuqhelekileyo. Azingeke zinciphisa noma iyiphi inhlobo yobuhlungu ngaphandle kwezinhlungu ezibetha. Ngenxa yokuthi lezi zidakamizwa zingabangela imiphumela emibi emibi, ngokuvamile zisetshenziswa kubantu abanezinhlungu ezingaphulukiswanga yi-acetaminophen, i-aspirin, noma ezinye izidakamizwa zokunciphisa ubuhlungu. I-dihydroergotamine ne-ergotamine zingabangela ukuba imithambo yegazi emzimbeni icindezeleke (ibe mncinci). Lolu phawu lungabangela imiphumela emibi emibi ebangelwa ukuncipha kokugeleza kwegazi (ukujikeleza kwegazi) ezingxenyeni eziningi zomzimba. I-caffeine ekhona eziningi zezidakamizwa eziqukethe i-ergotamine iyasiza i-ergotamine ukuba isebenze kangcono futhi ngokushesha ngokubangela ukuba ingene ngokushesha emzimbeni. I-belladonna alkaloids, i-dimenhydrinate, ne-diphenhydramine kwezinye izidakamizwa zisiza ekuqedeni isicanucanu nokugabha, okuvamile kwenzeka kanye nezinhlungu. I-Dimenhydrinate, i-diphenhydrinate, ne-pentobarbital ziyasiza nesiguli ukuba siphumule ngisho nokulala. Lokhu kusiza ekunciphiseni izinhlungu. I-Dihydroergotamine isetshenziswa nakwezinye izimo, njengoba kunqunywe ngudokotela wakho. Lezi zidakamizwa zitholakala kuphela ngomyalelo wodokotela. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:

Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engavamile noma ebangelwa uketshezi kwemithi kuleli qembu noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma uneminye imihlobo yoketshezi, njengokudla imibala, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Nge-dihydroergotamine ne-ergotamine: Le mithi isebenza ekuqedeni izikhathi zokukhathazeka ezinzima, ezibuhlungu kubantwana abaneminyaka emi-6 ubudala noma ngaphezulu. Akuzange kubonakale ukuthi kubangela imiphumela emibi noma izinkinga ezingafani kubantwana kunalokho abakwenza kubantu abadala. Noma kunjalo, le mithi ingabangela imiphumela emibi emkhulu kunoma yimuphi umguli. Ngakho-ke, kubalulekile kakhulu ukuthi uxoxe nodokotela womntwana okuhle lokhu kwelapha okungakwenza kanye nezingozi zokusebenzisa. Nge-belladonna alkaloids: Abantwana abancinyane, ikakhulukazi abantwana abane-spastic paralysis noma ukonakala kobuchopho, bangase babe nomuzwa kakhulu ngemiphumela ye-belladonna alkaloids. Lokhu kungase kukhulise amathuba emiphumela emibi ngesikhathi sokwelashwa. Nge-dimenhydrinate, diphenhydramine, ne-pentobarbital: Nakuba le mithi ivame ukubangela ukulala, abanye abantwana bayajabula ngemva kokuyithatha. Nge-dihydroergotamine ne-ergotamine: Amathuba emiphumela emibi emkhulu abangelwa ukwehla kwe-blood flow ayanda kubantu abadala abamukela le mithi. Nge-belladonna alkaloids, dimenhydrinate, diphenhydramine, ne-pentobarbital: Abantu abadala banomuzwa kakhulu kunabantu abadala abancane ngemiphumela yale mithi. Lokhu kungase kukhulise amathuba emiphumela emibi efana nokuthokoza, ukucindezeleka, ukukhathazeka, ukulala, nokudideka. Nakuba eminye imithi kufanele ingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zibe yizona ezidingekayo. Imithi eminingi inganezela noma inciphise imiphumela ye-belladonna alkaloids, caffeine, dimenhydrinate, diphenhydramine, noma i-pentobarbital ekhona kweminye yale mithi yekhanda. Ngakho-ke, kufanele utshele ochwepheshe bakho bezempilo uma uthatha noma iyiphi enye imithi yokuqaphela noma engayona iresiphi (over-the-counter [OTC]). Lokhu kubaluleke kakhulu uma noma iyiphi imithi oyithatha ibangela ukuthokoza, inkinga yokulala, ukumomotheka komlomo, ukukhathazeka, noma ukulala. Ukusetshenziswa kwe-dihydroergotamine noma i-ergotamine ngabesifazane abakhulelwe kungabangela ukulimala okukhulu, kufaka phakathi ukufa kombungu nokulahlekelwa umbungu. Ngakho-ke, le mithi akufanele isetshenziswe ngesikhathi sokukhulelwa. Nge-dihydroergotamine ne-ergotamine: Le mithi idlula ubisi lwesibeletho futhi ingabangela imiphumela engathandeki, njengokugabha, isifo sohudo, i-pulse ebuthakathaka, ukushintsha kwezinga lokucindezela kwegazi, noma ukubamba (ukubamba) kubantwana abanyuswa. Inani elikhulu lale mithi lingase liphinde linciphise ukusabela kobisi lwesibeletho. Nge-caffeine: I-caffeine idlula ubisi lwesibeletho. Inani elikhulu lalo lingabangela umntwana ukuba abonakale ephazamisekile noma abe nenkinga yokulala. Nge-belladonna alkaloids, dimenhydrinate, ne-diphenhydramine: Le mithi inomphumela wokomisa. Ngakho-ke, kungenzeka ukuthi inganciphisa inani lobisi lwesibeletho kwabanye abantu. I-Dimenhydrinate idlula ubisi lwesibeletho. Nge-pentobarbital: I-Pentobarbital idlula ubisi lwesibeletho. Inani elikhulu lalo lingabangela imiphumela engathandeki efana nokulala kubantwana abanyuswa. Qiniseka ukuthi uxoxa ngalezi zinkinga ezingase zenzeke nodokotela wakho ngaphambi kokuthatha noma iyiphi yale mithi. Nakuba eminye imithi kufanele ingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zibe yizona ezidingekayo. Uma uthatha noma iyiphi yale mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa imithi kuleli qembu nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngemithi kuleli qembu noma ashintshe eminye imithi oyithathayo. Ukusebenzisa imithi kuleli qembu nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki enye noma kokubili imithi. Eminye imithi akufanele isetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshako nanoma iyiphi imithi kungase futhi kubangele ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshako. Ukusebenzisa imithi kuleli qembu nanoma yikuphi okulandelayo ngokuvamile ayikhuthazwa, kodwa kungase kungakhuphuki kwezinye izimo. Uma isetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki imithi yakho, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshako. Ukuba khona kwezinye izinkinga zezokwelapha kungase kuchaphazele ukusetshenziswa kwemithi kuleli qembu. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi: Futhi, tshela udokotela wakho uma udinga, noma uma uke waba no-angioplasty (inkqubo eyenziwe ukuthuthukisa ukusabela kwegazi esithombeni segazi esivalekile) noma ukucutshungulwa esithombeni segazi. Amathuba emiphumela emibi emkhulu abangelwa yi-dihydroergotamine noma i-ergotamine angase akhuphuke.