Waliwo embeera z’obujjanjabi ezimu oluusi ezitafugibwa bulungi ddagala erya bulijjo. Obuzibu bwa Tourette y’emu ku mbeera ng’ezo. Kale, mu mbeera ng’ezo, obujjanjabi obulala bwe buba tebuvuddemu bisuubirwa, eddagala ery’enjawulo abasawo lye bakozesa liyitibwa Pimozide. Era ejja wansi w’erinnya lya Orap. Leero tugenda kwogera mu bujjuvu ku ddagala lino, bye likola, n’ebintu by’olina okwegendereza.
Pimozide ddagala lya ngeri ki?
Mu ngeri ennyangu, Pimozide ddagala erikozesebwa okuddukanya obubonero bw’embeera eyitibwa Tourette’s disorder. Omuntu alina embeera eno ayinza okufuna okuwuuma kw’amaloboozi okutafugibwa n’okuwuuma kw’enkola y’emirimu. Teebereza engeri kino gye kiyinza okutaataaganya emirimu gya buli lunaku.
Kale Pimozide eno ky’ekola ekosa engeri obwongo gye bukolamu n’ekendeeza ku maloboozi n’entambula ezo ezitafugibwa. Kibeera mu kibinja ky’eddagala eriyitibwa antipsychotics. Totya linnya, kiraasi eno ey'eddagala ekozesebwa okujjanjaba embeera ez'enjawulo ez'obulamu bw'obwongo.
Ebintu by’olina okubuulira omusawo nga tonnatandika ddagala lino
Omusawo wo nga tannasalawo kukuwandiikira Pimozide, kikulu nnyo okumanya ebyafaayo by’obulamu bwo mu bujjuvu. Kakasa nti otegeeza omusawo wo bw’oba olina emu ku mbeera zino wammanga:
| Embeera y’obulamu bwo | Okunnyonnyola |
|---|---|
| Obulwadde bw’omutima | Ekika kyonna eky’obulwadde bw’omutima oba ebyafaayo by’okukuba omutima mu ngeri etategeerekeka. |
| Puleesa n’omuwendo gw’omusaayi | Bw’oba olina puleesa entono, obutoffaali obweru obutono, platelets oba obutoffaali obumyufu (omusaayi omutono). |
| Eby’obuggagga bw’omu ttaka mu musaayi | Singa ekirungo kya potassium oba magnesium mu musaayi kiba kitono. |
| Embeera endala ez’obujjanjabi | Ssukaali, obulwadde bw’ekibumba oba ekibumba, obulwadde bwa Parkinson, okukonziba, obuzibu mu nseke, okuzibikira ekyenda, okukaluubirirwa okumira, obuzibu mu kufuga ebinywa, oba okubulwa amagezi. |
| Emize ne alergy | Bw’oba onywa ennyo omwenge, obadde olina allergy ku Pimozide oba eddagala eddala, emmere oba langi. |
| Okufuna olubuto | Bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oyonsa. |
Eddagala lino nkozese ntya?
Eddagala lino olina okulimira mu kamwa n’egiraasi y’amazzi. Ddira ddoozi omusawo gy’akulagidde mu kiseera ekiragiddwa. Goberera ddala ebiragiro ebiri ku lupapula lw’eddagala.
Kikulu nnyo: Eddagala lino tolimira na mubisi gwa grapefruit olw’ensonga yonna. Kiyinza okukosa ennyo obulungi bw’eddagala.
Kikulu okumira eddagala mu budde. Ekirala tolekera awo kumira ddagala mu bwangu nga tewebuuzizza ku musawo. Okukola ekyo kiyinza okuleeta ebizibu ebirala.
Watya singa nsubwa ddoozi y’eddagala?
Bw’oba osubiddwa ddoozi, gimira amangu ddala ng’ojjukira. Wabula bwe kiba nti kumpi ekiseera kya ddoozi yo eddako, buuka ddoozi gy’osubiddwa era onywe ddoozi yo eddako mu kiseera ky’otegese. Tomirangako ddoozi bbiri mu kiseera kye kimu.
Kiki ky’olina okukola singa omira eddagala erisukkiridde?
Bw’oba olowooza nti omira eddagala lingi tolwawo. Amangu ago kuba ku ssimu ya National Poisons Information Center ku Colombo National Hospital , oba genda mu Emergency Treatment Unit (ETU) mu ddwaaliro erikuli okumpi.
Ebintu ebirala ebiyinza okukwatagana n’eddagala lino (Drug Interactions) .
Pimozide ddagala eririna obusobozi obw’amaanyi okukwatagana n’eddagala eddala. N’olwekyo kyetaagisa okutegeeza omusawo wo ku ddagala lyonna ly’omira omuli vitamiini n’eddagala ly’ebimera.
| Tomira Pimozide n’eddagala lino. | |
|---|---|
| Eddagala erimu eritta obuwuka | Okufaananako ne Azithromycin, Clarithromycin, Erythromycin |
| Eddagala erimu eriwonya okwennyamira (Antidepressants) . | Eddagala lya SSRI nga Citalopram, Fluoxetine, Sertraline, Nefazodone |
| Eddagala eritta obuwuka obuleeta endwadde | Okufaananako n’eddagala lya Fluconazole, Ketoconazole, Itraconazole |
| Eddagala eriweweeza ku buzibu bw’okukuba kw’omutima | Okufaananako ne Amiodarone, Sotalol, Quinidine |
| Eddagala eddala | Metoclopramide, Droperidol, Thioridazine, Ziprasidone, eddagala erimu eriwonya akawuka ka siriimu/Hepatitis, n’eddagala eddala eriwangaaza QT interval y’okukuba kw’omutima |
| Ebintu bino nabyo bisobola okuleeta obuzibu (be careful) . | |
| Omwenge | Okugumira n’omwenge kiyinza okwongera okwebaka n’okuziyira. |
| Omubisi gwa grapefruit | Kino kikwata butereevu ku bulungibwansi bw’eddagala. |
| Ebika by’eddagala ebirala | Eddagala nga okusesema, omusujja, eddagala lya alergy (antihistamines), eddagala eriweweeza ku bulumi, empeke z’okwebaka, eddagala lya puleesa, eddagala ly’okusannyalala, ne Levodopa eriwonya obulwadde bwa Parkinson. |
Ebintu by’olina okwegendereza ng’omira eddagala
- Okwekebejja buli kiseera: Bw’oba okozesa eddagala lino, kikulu nnyo okulaba omusawo buli kiseera okukebera engeri gy’okola. Mubuulire oba obubonero bwo bweyongera oba tebutereera.
- Otulo n’okuziyira: Eddagala lino liyinza okukuleetera okuwulira otulo n’okuziyira. N’olwekyo tovuga wadde okukozesa ebyuma okutuusa ng’omanyi eddagala lino bwe likukwatako. Weegendereze ng’osituka ng’otudde oba ng’otuula mu bwangu naddala ng’oli mukadde.
- Omwenge: Okunywa omwenge kiyinza okwongera okwebaka n’okuziyira. N’olwekyo kirungi okwewala omwenge ng’omira eddagala lino.
- Ssukaali mu musaayi: Bw’oba olina obulwadde bwa sukaali, eddagala lino liyinza okwongera ku ssukaali mu musaayi. Kale, yogerako n’omusawo wo oba olina okukola enkyukakyuka mu mmere yo oba eddagala lya sukaali.
- Ebbugumu ly’omubiri: Eddagala lino liyinza okukosa engeri omubiri gwo gye gufugamu ebbugumu. Kino kitegeeza nti omubiri gwo guyinza obutasobola kukola kunnyogoga oba ebbugumu erisukkiridde. N’olwekyo, yambala engoye ezibuguma ng’ennyogoga nnyo. Ate era weegendereze ebbugumu erisukkiridde n’omusana. Nywa amazzi mangi. Bw’owulira ng’olina obuzibu okufuga ebbugumu ly’omubiri gwo, yogerako n’omusawo mu bwangu.
Ebiyinza okuvaamu ebizibu
Okufaananako n’eddagala lyonna, Pimozide asobola okuleeta ebizibu. Ebimu biba bya maanyi, ate ebirala bya bulijjo. Kikulu okumanya bino.
| Ebizibu eby’amaanyi ebirina okuloopebwa eri omusawo/eddwaaliro mu bwangu | |
|---|---|
| Enkola y’okukwatibwa allergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa, olulimi oba emimiro. |
| Enkyukakyuka mu kukuba kw’omutima | Omutima okukuba amangu oba mu ngeri etategeerekeka, okuziyira, okuzirika, okulumwa mu kifuba, okukaluubirirwa okussa. |
| Obulwadde bwa Neuroleptic malignant Syndrome (NMS) . | Omusujja ogw’amaanyi ennyo, okukaluba kw’ebinywa, okutuuyana ennyo, n’okutabulwa. Eno embeera ya bulabe nnyo. |
| Obubonero obw’ebweru wa pyramidal (EPS) . | Entambula y’omubiri etafugibwa, ebinywa okukaluba oba okunyiganyiga, okukankana, obutawummulamu, okukaluubirirwa okutambula. |
| Obubonero obulaga nti omuntu alina obulwadde | Omusujja, okuwunya, okusesema, okulumwa emimiro n’ebirala. |
| Ebintu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bisigala | |
| Obuteeyabya | Akamwa akalu |
| Okuziyira | Okwebaka |
Obubaka Obutwala Awaka
- Pimozide ddagala lya njawulo eriwonya obulwadde bwa Tourette. Kikozesebwa ng’eddagala eddala terikoze.
- Nga tonnatandika ddagala lino, buulira omusawo wo embeera z’obulamu bwo zonna n’eddagala eddala lyonna ly’omira.
- Eddagala lino tomirangako na mubisi gwa grapefruit.
- Bw’ofuna ebizibu byonna eby’amaanyi ng’omusujja ogw’amaanyi, okukaluba kw’ebinywa, oba omutima okukuba obutasalako, genda mangu omusawo amagezi oba genda mu kitongole ky’eddwaaliro eky’amangu (ETU).
- Tolekera awo kumira ddagala nga tolina magezi ga musawo.
- Kikulu nnyo okubeera ng’okwatagana n’omusawo buli kiseera okulondoola enkulaakulana yo.
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