Dextroamphetamine uye Amphetamine

Zvemukati

• Usati watora dextroamphetamine uye amphetamine,
• Dextroamphetamine uye amphetamine zvinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Iko kusanganiswa kwe dextroamphetamine uye amphetamine kunogona kuve tsika-yekuumba. Usatore dosi yakakura, tora kakawanda, kana kuitora kwenguva yakareba kupfuura yakatemwa nachiremba wako. Kana iwe ukatora zvakawandisa dextroamphetamine uye amphetamine, unogona kuramba uchinzwa kudiwa kwekutora huwandu hwakawanda hwemishonga, uye ungangoona shanduko dzisina kujairika mumaitiro ako. Iwe kana iye anokuchengeta iwe unofanirwa kuudza chiremba wako nekukasira, kana iwe ukawana chero yeanotevera eanotevera zviratidzo: nekukurumidza, kurova, kana kusarongeka kwemwoyo; vangadikitira; vakawedzera vadzidzi; manzwiro asina kujairika; kusagadzikana; kutsamwa; kunetseka kurara kana kuramba wakarara; ruvengo; utsinye; kushushikana; kurasikirwa nenzara; kurasikirwa kwekubatana; kusadzora kufamba kwechikamu chemuviri; ganda rakatsetseka; kurutsa; kurwadziwa mudumbu; kana kufunga nezvekuzvikuvadza kana kuzviuraya kana vamwe kana kuronga kana kuyedza kuzviita. Kunyanyisa kushandisa dextroamphetamine uye amphetamine kunogona zvakare kukonzera matambudziko akakomba emoyo kana kufa kamwe kamwe.

Udza chiremba wako kana iwe kana chero munhu mumhuri yako achinwa kana akambonwa doro rakawanda, akashandisa kana akamboshandisa zvinodhaka zvemumugwagwa, kana kushandisa zvakanyanyisa mishonga yekunwa. Chiremba wako angangodaro asina kukuraira dextroamphetamine uye amphetamine kwauri.

Usarega kutora dextroamphetamine uye amphetamine usina kutaura nachiremba wako, kunyanya kana wakanyanyisa kushandisa mushonga. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma uye nekukutarisa nokungwarira panguva ino. Unogona kukura kushushikana kwakanyanya uye kuneta zvakanyanya kana ukangoerekana warega kutora dextroamphetamine uye amphetamine mushure mekuishandisa zvakanyanya.

Usatengesa, kupa, kana kurega chero mumwe munhu atore mushonga wako. Kutengesa kana kupa dextroamphetamine uye amphetamine kunogona kukuvadza vamwe uye zvinopesana nemutemo. Chengetedza dextroamphetamine uye amphetamine munzvimbo yakachengeteka kuitira kuti pasave neanogona kuitora netsaona kana nechinangwa. Ramba uchiona kuti mangani mapiritsi kana macapuleti akasara kuti iwe uzive kana paine asipo.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa ne dextroamphetamine uye amphetamine uye nguva yega yega yaunowana mishonga yakawanda. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Iko kusanganiswa kwe dextroamphetamine uye amphetamine (Adderall, Adderall XR, Mydayis) inoshandiswa sechikamu chechirongwa chekurapa kudzora zviratidzo zvekucherechedza kusagadzikana kwehutano (ADHD; kunetseka kwakanyanya kutarisa, kudzora zviito, uye kuramba wakanyarara kana kunyarara pane vamwe vanhu vari zera rimwe chete). Adderall inoshandiswa kurapa ADHD muvakuru uye vana vane makore matatu ekuberekwa nepamusoro. Adderall XR inoshandiswa kurapa ADHD muvakuru uye vana vane makore matanhatu ekuberekwa nepamusoro. Mydayis inoshandiswa kurapa ADHD muvakuru uye vana vane makore gumi nematanhatu ekuberekwa nepamusoro. Dextroamphetamine uye amphetamine (Adderall) inoshandiswawo kurapa narcolepsy (chirwere chehope chinokonzeresa kurara masikati uye kurwisa kwekukurumidza kwehope) muvakuru nevana vane makore gumi nemaviri zvichikwira. Iko kusanganiswa kwe dextroamphetamine uye amphetamine iri mukirasi yemishonga inonzi inonzi central nervous system zvinokurudzira. Inoshanda nekushandura huwandu hwezvimwe zvinhu zvakasikwa muuropi.

Iko kusanganiswa kwe dextroamphetamine uye amphetamine kunouya seyekukurumidza-relase piritsi (Adderall) uye sekuwedzera-kuburitsa (kureba-kuita) kapuru (Adderall XR, Mydayis) kutora nemuromo. Piritsi rinoburitswa nekukasira (Adderall) rinowanzo kutorwa ka2 kusvika katatu nguva zuva nezuva, maawa mana kusvika matanhatu pakaparadzana, uine kana usina chikafu. Iyo yakawedzeredzwa-kuburitswa capsule (Adderall XR) inowanzo kutorwa panomutswa pamwe kana pasina chikafu. Iyo yakawedzeredzwa-kuburitswa capsule (Mydayis) inowanzo kutorwa panomutswa uye inofanirwa kutorwa zvakaringana kungave kana kana pasina chikafu. Dextroamphetamine uye amphetamine musanganiswa haifanire kutorwa masikati kana manheru nekuti zvinogona kukonzeresa kurara kana kuramba wakarara. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora dextroamphetamine uye amphetamine chaizvo sezvakarairwa.

Medza macapuleti akasunungurwa-akazara; usatsvage kana kuapwanya. Kana iwe usingakwanise kumedza iyo yakawedzeredzwa-kuburitswa kapisi, iwe unogona kuvhura iyo capsule uye nekusasa izvo zvese zvirimo pane teaspoonful yeapurosiuce. Medza musanganiswa uyu ipapo pasina kutsenga. Usachengetera maapuraizi nemusanganiswa wemishonga kuitira kushandiswa mune ramangwana, uye usaparadzanise zvirimo mune imwe kapsule mumutero unopfuura mumwe.

Chiremba wako angangotanga iwe pane yakaderera dosi ye dextroamphetamine uye amphetamine uye wedzera yako dose zvishoma nezvishoma, kwete kakawanda kupfuura kamwe chete pasvondo.

Chiremba wako anogona kukuudza kuti rega kutora dextroamphetamine uye amphetamine nguva nenguva kuti uone kana mushonga uchiri kudiwa. Tevera mazano aya zvakanyatsonaka.

Mushonga muchigadzirwa chimwe nechimwe unosanganiswa zvakasiyana nemuviri, saka imwe dextroamphetamine uye amphetamine chigadzirwa hachigone kuchinjaniswa nechimwe chigadzirwa. Kana iwe uchichinja kubva kune chimwe chigadzirwa uchienda pane chimwe, chiremba wako anokupa dosi yakakunakira iwe.

Iko kusanganiswa kwe dextroamphetamine uye amphetamine hakufanirwe kushandiswa kurapa kuneta kwakanyanya uko kusiri kukonzerwa narcolepsy.

Mushonga uyu unogona kupihwa kune mamwe mamiriro; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora dextroamphetamine uye amphetamine,

• udza chiremba uye wemishonga kana uri weergoria kune amphetamine, dextroamphetamine, mimwe mishonga inokurudzira yakadai se benzphetamine, lisdexamfetamine (Vyvanse), kana methamphetamine (Desoxyn); chero mimwe mishonga, kana chero chemusanganiswa mu dextroamphetamine uye amphetamine kugadzirira. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora mishonga inotevera kana kuti warega kuinwa mumazuva gumi nemana apfuura: monoamine oxidase (MAO) inhibitors inosanganisira isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kana tranylcypromine (Parnate). Kana iwe ukarega kutora dextroamphetamine uye amphetamine, iwe unofanirwa kumirira mazuva gumi nemana usati watanga kutora MAO inhibitor.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvigadzirwa zvemakwenzi zvauri kutora. Ive neshuwa yekutaura chero yeanotevera: acetazolamide (Diamox); alpha blockers senge alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, muJalyn), uye terazosin; maantacid nemimwe mishonga yekurwadziwa nechirwere chemoyo kana ulcers senge cimetidine (Tagamet), esomeprazole (Nexium), omeprazole (Prilosec, muZegerid), uye pantoprazole (Protonix); mishonga inodzvinyirira ('mood elevators'); antihistamines (mishonga yechando uye allergies); ascorbic acid (Vitamin C); beta blockers senge atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), uye propranolol (Inderal, Innopran); buspirone; chlorpromazine; fentanyl (Actiq, Duragesic, Subsys, vamwe); guanethidine (haichawanikwi muU.S.); lithium (Lithobid); meperidine (Demerol); methenamine (Hiprex, Urex); mishonga yemigraine misoro yakadai sa almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig); quinidine (muNuedexta); reserpine; ritonavir (Norvir, muKaletra); mimwe mishonga yekubatwa kwakadai seethosuximide (Zarontin), phenobarbital, uye phenytoin (Dilantin, Phenytek); serotonin-reuptake inhibitors senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, muSymbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), uye sertraline (Zoloft); serotonin uye norepinephrine reuptake inhibitors senge desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), uye venlafaxine (Effexor); sodium bicarbonate (Arm uye Hammer Baking Soda, Soda Mint); yavaibvisa phosphate; zvimwe thiazide diuretics ('mapiritsi emvura'); tramadol (Conzip, mu Ultracet); kana tricyclic antidepressants ('mood elevators') senge desipramine (Norpramin) kana protriptyline (Vivactil). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort uye tryptophan kana zvinovaka muviri zvinowedzera zvinosanganisira glutamic acid (L-glutamine).
• udza chiremba wako kana iwe uine glaucoma (kuwedzerwa kumanikidza muziso kunogona kukonzera kurasikirwa kwemaonero), hyperthyroidism (mamiriro mune huwandu hwakawanda hwehomoni mumuviri), kana kunzwa kwekushushikana, kusagadzikana, kana kusagadzikana. Chiremba wako angangokuudza kuti usatora dextroamphetamine uye amphetamine.
• udza chiremba wako kana paine chero munhu mumhuri yako ane kana akambove nekushaya kurova kwemoyo zvisina kujairika kana akafa kamwe kamwe. Uyezve udza chiremba wako kana iwe uchangobva kuve nekurwadziwa kwemoyo uye kana iwe kana wakambove nehurema hwemwoyo, BP, kurova kwemoyo zvisina kujairika, kuomarara kwetsinga, moyo kana chirwere chemutsipa weropa, kana mamwe matambudziko emoyo. Chiremba wako achakuongorora kuti aone kana moyo wako nemidziyo yeropa zvine hutano. Chiremba wako angangokuudza kuti usatore dextroamphetamine uye amphetamine kana uine moyo mamiriro kana paine njodzi huru yekuti unogona kukura nemamiriro emoyo.
• udza chiremba wako kana iwe kana chero munhu mumhuri mako uine kana wakambove nekuora mwoyo, bipolar kusagadzikana (mafungire anochinja kubva pakuora mwoyo kuenda mukufara zvisina kujairika), kana mania (kupenga, kushushikana zvisina kujairika), mota tiki (kudzokororwa kusadzora kufamba), mazwi emazwi (kudzokororwa kwemanzwi kana mazwi akaoma kudzora), kana Tourette's syndrome (mamiriro anozivikanwa nekudiwa kwekudzokorora kudzokorora kana kudzokorora manzwi kana mazwi), kana kufunga nezve kana kuyedza kuzviuraya. Uyezve udza chiremba wako kana iwe kana wakambove nekurwara kwepfungwa, kufenda, isina kujairika electroencephalogram (EEG; bvunzo inoyera kuita kwemagetsi muuropi), kana chiropa kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora dextroamphetamine uye amphetamine, danaidza chiremba wako. Usamwisa mwana paunenge uchitora dextroamphetamine uye amphetamine.
• taura nachiremba wako nezvengozi uye zvakanakira kutora dextroamphetamine uye amphetamine kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakuru vakuru havafanirwe kutora dextroamphetamine uye amphetamine nekuti haina kuchengetedzeka semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
• iwe unofanirwa kuziva kuti mushonga uyu unogona kukuomesera iwe kuita zviitwa zvinoda kungwarira kana kubatana kwemuviri. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti dextroamphetamine uye amphetamine inofanira kushandiswa sechikamu chehurongwa hwese hwekurapa kweADHD, iyo inogona kusanganisira kuraira uye dzidzo yakakosha. Ita shuwa yekutevera ese ako echiremba uye uye / kana Therapist rairo.
• iwe unofanirwa kuziva kuti dextroamphetamine uye amphetamine zvinogona kukonzera kufa kamwe kamwe muvana nevechidiki, kunyanya vana nevachiri kuyaruka vane hurema hwemwoyo kana matambudziko akakomba emwoyo. Uyu mushonga zvakare unogona kukonzera kungoerekana kufa, kurwara kwemoyo, kana kurohwa nevanhu vakuru, kunyanya vakuru vane hurema hwemwoyo kana matambudziko akakomba emwoyo. Fonera chiremba wako kana wemwana wako ipapo uye uwane rubatsiro rwechimbichimbi, kana iwe kana mwana wako muine zviratidzo zvematambudziko emwoyo muchinwa mushonga uyu zvinosanganisira: kurwadziwa pachipfuva, kufema, kana kufenda.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Kana iwe ukarasikirwa neyako dosi yeakawedzeredzwa-kuburitswa kapuleti mangwanani, ruka iro rakarasika dosi uye tora yako inotevera dosi panguva yakajairwa zuva rinotevera. Usatora dose gare gare muzuva. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Dextroamphetamine uye amphetamine zvinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• huta
• musoro
• shanduko pabonde drive kana kugona
• kurwadza kwekuenda kumwedzi
• muromo wakaoma
• kuvimbiswa
• manyoka
• kusvotwa
• kuonda

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• kutaura kunonoka kana kuoma
• dzungu
• kushaya simba kana kushama ruoko kana gumbo
• pfari
• mota kana mazwi ekutuka
• kukuya mazino
• kuora mwoyo
• kutenda zvinhu zvisiri zvechokwadi
• kunzwa kusava nechokwadi nevamwe
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kushungurudzika, kuona zvisizvo (kuona zvinhu kana kunzwa manzwi zvisipo), fivha, kudikitira, kuvhiringidzika, kurova kwehana nekukurumidza, kudedera, kuomarara kwemhasuru kana kupunzika, kurasikirwa nekubatana, kuda kurutsa, kurutsa, kana manyoka.
• mania (frenzied kana zvisina kujairika manzwiro)
• shanduko pane zvakaratidzwa kana kuona kwakashata
• kuchena kana bhuruu ruvara rweminwe kana zvigunwe
• kurwadziwa, chiveve, kutsva, kana kugwinha maoko kana tsoka
• maronda asina kutsanangurwa anoonekwa paminwe kana zvigunwe
• kuputika kana kubvisa ganda
• mapundu
• mikoko
• kuvava
• kuzvimba kwemaziso, kumeso, rurimi kana pahuro
• kunetseka kufema kana kumedza
• hoarseness

Dextroamphetamine uye amphetamine zvinogona kukonzera kufa kamwe kamwe muvana nevechidiki, kunyanya vana kana vechidiki vane hurema hwemwoyo kana matambudziko akakomba emwoyo. Uyu mushonga zvakare unogona kukonzera kungoerekana kufa, kurwara kwemoyo kana kurohwa nevanhu vakuru, kunyanya vakuru vane hurema hwemwoyo kana matambudziko akakomba emwoyo. Fonera chiremba wako ipapo ipapo kana iwe kana mwana wako paine chero zviratidzo zvematambudziko emwoyo paunenge uchitora mushonga uyu unosanganisira: kurwadziwa pachipfuva, kufema kwekufema, kana kupera simba. Taura nachiremba wako nezve njodzi dzekutora mushonga uyu.

Dextroamphetamine uye amphetamine zvinogona kunonoka kukura kwevana kana kuwedzera huremu. Chiremba wemwana wako anozotarisa kukura kwake zvakanaka. Taura nachiremba wemwana wako kana iwe uine zvinetsekana nezve kukura kwemwana wako kana huremu paanenge achitora mushonga uyu. Taura nachiremba wemwana wako nezve njodzi dzekupa dextroamphetamine uye amphetamine kumwana wako.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati, kure nechiedza uye kupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kusagadzikana
• kuvhiringidzika
• hunhu hwehasha
• manzwiro ekutya
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kufema nekukurumidza
• kuzunza kusingadzoreki nhengo yemuviri
• kupindwa nechando
• mutsvuku wakasviba kana kara-yakaita weti
• mhasuru kushaya simba kana kurwadziwa
• kuneta kana kushaya simba
• kuora mwoyo
• nekukurumidza kana zvisina kujairika kurova kwemoyo
• kufenda
• dzungu
• kusaona zvakanaka
• kugumbuka mudumbu
• kurutsa
• manyoka
• pfari
• coma (kurasikirwa kwekuziva kwenguva yakati)

Chengeta zvese zvako zvawakasangana nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira zvimwe zviyero zvelebhu kuti utarise mhinduro yemuviri wako kune dextroamphetamine uye amphetamine.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi ve murabhoritari kuti uri kutora dextroamphetamine uye amphetamine.

Iyi mishonga haina kuzadzikiswa. Ive neshuwa yekuronga nguva dzekugadzwa nachiremba wako nguva nenguva kuitira kuti usazopera mushonga.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Mydayis^® (semubatanidzwa chigadzirwa chine Amphetamine, Dextroamphetamine)

• Adderall^® (iine Amphetamine, Dextroamphetamine)
• Adderall^® XR (iine Amphetamine, Dextroamphetamine)
• Biphetamine^® (iine Amphetamine, Dextroamphetamine)^¶

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.