Amitriptyline ndi mankhwala osokoneza maganizo ochokera ku gulu la tricyclic mankhwala. Zili ndi kuchepetsa, analgesic, antihistamine, hypnotic, antiulcer effect. Kawirikawiri mankhwalawa amalembedwa kuvutika maganizo kwa mitundu yosiyanasiyana ya majeremusi, ubongo, maganizo, ndi zina.
Ma mapiritsi a Amitriptyline ali amphamvu okwanira kuti apange machitidwe a thupi. Kuphatikiza pa chithandizo chabwino cha mankhwalawa, chomwe chimapezeka mofulumira, odwala ambiri amawona kuoneka kwa zotsatira zosiyanasiyana pamene ntchitoyi ikugwiritsidwa ntchito. Kawirikawiri, zotsatira zake zimachitika patangopita masiku 1 mpaka 2 mutangoyamba kumene mankhwalawa. Ganizirani zomwe zimayambitsa zotsatira za Amitriptyline, chifukwa chake zimachitika, ndipo omwe amachiza mankhwalawa ndiletsedwa.
Zotsatira Zotsatira za Amitriptyline
Kawirikawiri, kuoneka kwa zotsatira za Amitriptyline kumagwirizanitsa ndi kupitirira malire (chiwerengero cha mankhwalawa ndi munthu aliyense). Komanso, akhoza kugwirizana ndi mfundo yakuti pakagwiritsa ntchito mankhwalawa munthu amasinthasintha maonekedwe a kukhala ndi kuyima (kayendetsedwe kake kamakhala kosalala). Ntchito yolakwika imasonyezedwanso ndi kugwirizana kwa Amitriptyline ndi mankhwala ena. Zina mwa izo ndi:
- monoamine oxidase inhibitors;
- antipsychotics;
- anticoagulants;
- glucocorticoids, ndi zina zotero.
Zina mwa zotsatira za Amitriptyline timadziwa zotsatirazi:
1. Kuchokera kumbali ya chimbudzi:
- ululu wamimba;
- kupweteka ;
- chisokonezo;
- kusanza;
- jaundice chifukwa cha zochitika zowonongeka mu tsamba la biliary;
- zovuta;
- kusintha kwa kuzindikira kwa kukoma;
- odwala chiwindi ntchito.
2. Kuchokera kumbali ya mtima ndi dongosolo la hematopoiesis:
- mtima;
- kuchepetsa kuthamanga kwa magazi;
- chizungulire;
- kusokonezeka kwa kayendedwe ka mtima;
- kusintha kwa chiwerengero cha erythrocyte, leukocyte ndi mapiritsi;
- kusintha mu electrocardiogram.
3. Kuchokera kumbali ya dongosolo lamanjenje:
- chiwonetsero;
- chiwonetsero;
- kukomoka;
- kugona kapena kugona;
- kuchitika kwa kuyenda kosalamulirika kwa manja ndi mapazi;
- kusokonezeka kwa chidziwitso;
- kunjenjemera kwa mutu ndi miyendo;
- mutu;
- phokoso;
- yayim;
- matenda a khunyu;
- kuchepa ndi kuwonjezeka kwa mantha osokonezeka.
4. Pa mbali ya dongosolo la endocrine:
- kusintha kwa chilakolako chogonana;
- kusintha mu shuga;
- kuchepetsa zomwe zili ndi sodium ions;
- Kukulitsa kwa mazira a mammary.
5. Zotsatira zina, kuphatikizapo zomwe zikugwirizana ndi zotsatira zothandizira mankhwala:
- mawonedwe osiyanasiyana osiyanasiyana (angioedema, mng'oma, kuyabwa, etc.);
- kuwonjezereka kwa intraocular;
- kuwonetsa;
- mkamwa wouma;
- phokoso m'makutu ;
- kusowa tsitsi;
- malungo;
- kukodza nthawi zambiri, ndi zina zotero.
Amitriptyline ndi mowa
Mulimonsemo palibe zakumwa zoledzeretsa zomwe zingawonongeke pochiza mankhwalawa. Kuyanjana kwa amitriptyline ndi mowa kumakhudza kwambiri vuto la mitsempha, ndipo ndi kupsinjika maganizo pakati pa kupuma, kungachititse kuti munthu asatope komanso afe.
Zotsutsana za kutenga Amitriptyline:
- mimba ndi lactation;
- Kulephera kwa mtima mu siteji ya malipiro;
- myocardial infarction (acute ndi recovery);
- kuthamanga kwa magazi;
- Kuphwanya kasitomala kameneka;
- gawo lalikulu la chilonda cham'mimba;
- matenda a chiwindi ndi impso nthawi yovuta;
- kufooketsa kamvekedwe ka makoma a chikhodzodzo;
- kutsekula m'matumbo.