Inuyo kapena munthu amene mumamudziwa mwina dokotala anakuuzani za mankhwala otchedwa Olanzapine. Kapena mwina mukuyang'ana mankhwalawo. Mankhwalawa amagwiritsidwa ntchito pochiza matenda amisala. Chifukwa chake, tiyeni tikambirane za mankhwalawa m'njira yosavuta yomwe mungamvetse.
Kodi jakisoni wa Olanzapine uyu ndi chiyani?
Mwachidule, OLANZAPINE ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga schizophrenia . Ubongo wathu uli ndi mankhwala awiri otchedwa dopamine ndi serotonin. Izi zimathandiza kulamulira malingaliro athu, khalidwe lathu, ndi malingaliro athu. Olanzapine imagwira ntchito poyesa kuchuluka kwa mankhwala awa. Ili m'gulu la mankhwala otchedwa antipsychotics. Mitundu iyi ya mankhwala oletsa matenda amisala amagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala.
Nthawi zina mankhwalawa angagwiritsidwe ntchito pa matenda ena, kotero ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.
DZINA LA DZINA LOFUNIKA LA mankhwala awa: `Zyprexa Relprevv`
Kodi ndi zinthu ziti zomwe muyenera kuuza gulu lanu lachipatala musanayambe kumwa mankhwalawa?
Musanayambe kumwa mankhwalawa, ndikofunikira kuti gulu lanu lazachipatala (madokotala ndi anamwino) lidziwe zinthu izi kuti athe kukuthandizani mosamala komanso moyenera. Onani ngati zinthuzi zikukukhudzani:
- Kodi muli ndi vuto ngati `Blockage in your inbow` ?
- Kodi mumasuta fodya ?
- Kodi nthawi zambiri mumavutika ndi kudzimbidwa ?
- Kodi muli ndi vuto la kulephera kukumbukira (dementia )?
- Kodi muli ndi matenda ashuga ?
- Kodi mumavutika kumeza ?
- Kodi muli ndi glaucoma ?
- Kodi mukuvutika kulamulira minofu yanu ?
- Kodi muli ndi matenda a mtima ?
- Kodi muli ndi cholesterol yambiri ?
- Kodi kuchuluka kwa prolactin m'magazi anu kumakwera ?
- Kodi mudadwalapo khansa ya m'mawere ?
- Kodi pali mbiri ya kugunda kwa mtima kosasinthasintha ?
- Kodi mudadwalapo sitiroko kale?
- Kodi muli ndi matenda a chiwindi ?
- Kodi muli ndi magazi ochepa ( monga maselo oyera a magazi, ma platelet, kapena maselo ofiira a magazi)?
- Kodi magazi anu amayenda mochedwerako?
- Kodi muli ndi matenda a Parkinson ?
- Kodi pali matenda a prostate ?
- Kodi muli ndi khunyu monga khunyu ?
- Kodi munayamba mwaganizapo zodzipha, kukonza mapulani kapena kuyesa kudzipha ? Kodi inuyo kapena wina aliyense m'banja mwanu anayesapo kutero?
- Kodi mukuvutika kukodza ?
- Kodi mwakhalapo ndi vuto lachilendo kapena la ziwengo chifukwa cha olanzapine, mankhwala ena, zakudya, utoto kapena zosungira?
- Kodi muli ndi pakati kapena mukufuna kutenga mimba ?
- Kodi mukuyamwitsa ?
Sikuti zinthu izi zokha, komanso muyenera kuuza dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala achikhalidwe omwe mukumwa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungamwe kunyumba. Amaperekedwa ngati jakisoni mu minofu ndi gulu lanu lachipatala. Izi zikutanthauza kuti amaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino. Amaperekedwa nthawi ndi nthawi . Musasiye kumwa mankhwalawa mpaka gulu lanu lachipatala litakuuzani kutero.
Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku ka malangizo apadera (`MedGuide`) . Ndikofunikira kwambiri kuwerenga ndi kumvetsetsa tsatanetsatane wake mosamala nthawi iliyonse.
Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi gulu lanu lachipatala za izi. Chisamaliro chapadera chingafunike.
Chofunika: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, pitani kuchipatala chapafupi nthawi yomweyo kapena imbani malo owongolera poizoni.
Nanga bwanji ngati nditaphonya tsiku lokonzekera katemera?
Ngati mwaphonya nthawi kapena tsiku lomwe mwakonza katemera wanu, imbani gulu lanu lachipatala mwachangu momwe mungathere ndikuwadziwitsa.
Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa? (Kuyanjana kwa Mankhwala)
Mankhwala ena angayambitse mavuto akamwedwa ndi mankhwalawa. Choncho perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya. Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala anu.
Musamwe jakisoni wa Olanzapine pamodzi ndi mankhwala awa:
- Dronedarone
- Cisapride
- Metoclopramide
- Pimozide
- Thioridazine
Mankhwalawa angagwirizanenso ndi zotsatirazi:
- Mowa
- Mankhwala ena a ziwengo, chifuwa, ndi chimfine (monga antihistamines)
- Atropine
- Carbamazepine
- Mankhwala ena oletsa nkhawa kapena tulo
- Mankhwala ena a matenda a chikhodzodzo (monga oxybutynin, tolterodine)
- Mankhwala ena ochizira kuvutika maganizo (monga amitriptyline, fluoxetine, sertraline)
- Mankhwala ena a matenda am'mimba (monga dicyclomine, hyoscyamine)
- Mankhwala ochizira matenda oyenda (monga scopolamine)
- Fluvoxamine
- Mankhwala oletsa ululu (monga halothane, isoflurane, methoxyflurane, propofol)
- Levodopa kapena mankhwala ena a matenda a Parkinson
- Mankhwala ochepetsa kuthamanga kwa magazi
- Mankhwala a khunyu
- Mankhwala opumulira minofu ochitidwa opaleshoni
- Mankhwala osokoneza bongo ochepetsa ululu
- Omeprazole
- Mankhwala ena omwe angayambitse matenda a mtima (`QT interval`)
- Phenothiazines (monga chlorpromazine, prochlorperazine)
- Rifampin
Mndandanda uwu sungakhale wokwanira, kotero ndibwino kuuza dokotala wanu zonse zomwe mukumwa.
Ndi njira ziti zapadera zodzitetezera zomwe ziyenera kutengedwa mukamamwa mankhwalawa?
Gulu lanu la zachipatala lidzakuyang'anirani mosamala pamene mukumwa mankhwala awa. Uzani gulu lanu la zachipatala ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira.
Izi ndizofunikira kwambiri: Mukalandira jakisoni, muyenera kukhala ku chipatala komwe mudalandira jakisoni kwa maola osachepera atatu . Kodi mukudziwa tanthauzo lake? Gulu lachipatala likufuna kuona ngati muli ndi zizindikiro zilizonse za vuto lotchedwa Post-injection Delirium Sedation Syndrome (PDSS). PDSS ndi vuto lalikulu . Limachitika pamene mankhwala alowa m'magazi mwachangu kwambiri. Zina mwa zizindikiro za PDSS ndi izi:
- Kugona tulo
- Chizungulire
- Kusokonezeka (kusadziwa zomwe zikuchitika)
- Kuvuta kulankhula kapena kuyenda
- Kugwedezeka
- Kuuma kwa minofu kapena kunjenjemera
- Kumva kufooka
- Kumva nkhawa kapena kukwiya
- Kutaya chidziwitso kapena kukomoka
- Kusintha kwa kuthamanga kwa magazi
Mukachoka kuchipatala, wina ayenera kukhala nanu.Ngati mukumva zizindikiro za PDSS mutatuluka kuchipatala kapena kuchipatala, funani thandizo lachipatala nthawi yomweyo .
Musayendetse galimoto kapena kugwiritsa ntchito makina olemera tsiku lonse mutalandira jakisoni. Mungamve chizungulire kapena kugona. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zingathandize kuchepetsa chizungulire ndi kukomoka. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho pewani kumwa mowa.
Mankhwalawa angayambitse mavuto aakulu pakhungu mwa anthu ena. Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwalawo. Uzani gulu lanu lachipatala nthawi yomweyo ngati mukumva ziphuphu zokhala ndi malungo komanso zizindikiro zofanana ndi chimfine. Ziphuphu zimenezi zingawoneke zofiira kapena zofiirira, kenako ziphuphu ndi kutuluka. Komanso, uzani dokotala wanu ngati muli ndi ziphuphu zofiira komanso kutupa kwa nkhope kapena milomo, kapena kutupa kwa ma lymph nodes m'khosi kapena m'khwapa.
Mankhwalawa angawonjezere shuga m'magazi . Ngati muli ndi matenda a shuga, funsani gulu lanu la zaumoyo ngati mukufuna kusintha zakudya zanu kapena mankhwala anu.
Mwina muli ndi pakamwa pouma . Mungathandize kuthetsa vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa chingamu, ndi kumwa madzi ambiri. Ngati vutoli likupitirira kapena litakula kwambiri, uzani gulu lanu lazaumoyo.
Mankhwalawa angapangitse kuti zikhale zovuta kuti muzitha kulamulira kutentha kwa thupi lanu . Angapangitse thupi lanu kusalabadira kutentha kwa thupi lanu. Ngati n'kotheka, khalani m'nyumba masiku ozizira. Ngati mukuyenera kutuluka panja, valani zovala zofunda. Angapangitsenso thupi lanu kusalabadira kutentha kwa thupi lanu. Choncho musalole thupi lanu kutentha kwambiri. Musachite masewera olimbitsa thupi kwambiri. Khalani kutali ndi dzuwa momwe mungathere. Ngati mukuyenera kukhala padzuwa, valani zovala zopumira bwino. Imwani madzi ambiri. Ngati mukuona kuti mukuvutika kulamulira kutentha kwa thupi lanu, imbani gulu lanu lachipatala nthawi yomweyo.
Ngati ndinu wosuta fodya , uzani gulu lanu lachipatala ngati mukuona kuti mankhwalawa sakugwira ntchito bwino. Ngati ndinu wosuta fodya kapena mukuganiza zosiya, lankhulani ndi gulu lanu lachipatala za vutoli.
Kodi mankhwala awa angayambitse mavuto otani?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zina, koma si aliyense amene amalandira.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena gulu lachipatala nthawi yomweyo:
Ngati muwona zizindikiro izi, muyenera kuzinena nthawi yomweyo :
- Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kuchuluka kwa shuga m'magazi (hyperglycemia): Ludzu lochuluka kapena kukodza, kufooka kapena kutopa kosazolowereka, kusawona bwino.
- Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosasinthasintha, komanso kusokonezeka maganizo: Izi zitha kukhala zizindikiro za matenda oopsa otchedwa neuroleptic malignant syndrome.
- Kuchuluka kwa prolactin: Kukula kosayembekezereka kwa minofu ya m'mawere, kutuluka kwa madzi m'mabere, kusintha kwa chilakolako chogonana kapena ntchito yake, kusakhazikika kwa nthawi ya msambo.
- Matenda: Malungo, kuzizira, chifuwa, kapena kupweteka pakhosi.
- Kuthamanga kwa magazi kotsika: chizungulire, kukomoka, maso abuluu.
- Kupweteka kapena kuvutika kumeza.
- Matenda oletsa kupweteka pambuyo pobayidwa jakisoni: Chizungulire, kugona, kulankhula movutikira, kusokonezeka, kusakhazikika, kusakhazikika, kuvutika kuyenda, kulephera kulinganiza bwino zinthu, kufooka kapena kutopa kosazolowereka.
- Ziphuphu, malungo, ndi kutupa kwa ma lymph nodes.
- Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo.
- Kusuntha thupi kosalamulirika komanso kobwerezabwereza, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kutayika kwa mphamvu, kusakhazikika, kuyenda mosinthasintha: izi zitha kukhala zizindikiro za `zizindikiro za extrapyramidal (EPS)`.
Zizindikiro zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma dziwitsani gulu lachipatala ngati zikupitirira kapena zikukuvutitsani):
Izi nthawi zambiri zimatha patatha masiku ochepa, koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu.
- Kutsegula m'mimba
- Chizungulire
- Kugona tulo
- Pakamwa pouma
- Mutu
- Kusanza
- Kulemera
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.
Kodi ndiyenera kusunga kuti mankhwalawa?
Simudzaloledwa kutenga mankhwala awa kunyumba. Mankhwalawa amaperekedwa kuchipatala kapena ku chipatala, kotero simukuyenera kuwasunga kunyumba.
Pomaliza, zinthu zoti muzikumbukira
Chabwino, tsopano muli ndi lingaliro lina la katemera wa olanzapine wogwira ntchito nthawi yayitali. Chofunika kwambiri ndikulankhula momasuka ndi dokotala wanu kapena membala wa gulu lanu lachipatala za mafunso kapena nkhawa zomwe mungakhale nazo. Iwo ndi omwe angakuthandizeni bwino kwambiri.
Kumbukirani, izi ndi za inu nokha. Si uphungu wa zachipatala. Nthawi zonse tsatirani uphungu wa dokotala wanu.
Ndikukufunirani kuchira mwachangu!
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Olanzapine Extended-Release Injection (Zyprexa Relprevv) ndi mankhwala osalekeza kwa odwala matenda amisala?
Inde! Iyi ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza matenda oopsa amisala monga schizophrenia. Kwa odwala omwe safuna kumwa mapiritsi a Olanzapine tsiku lililonse, jakisoni wapaderayu amaperekedwa mu minofu ya gluteal milungu iwiri kapena inayi iliyonse. Kenako imalimba mkati ndikutulutsa mankhwala ofunikira m'magazi kwa masiku 30, zomwe zimapangitsa wodwalayo kukhala chete.
💬 N’chifukwa chiyani katemera uyu (Olanzapine LAI) sapezeka/n’kovuta kupeza m’zipatala zanthawi zonse?
Pali vuto loopsa lomwe lingachitike ndi izi: 'Post-Injection Delirium/Sedation Syndrome (PDSS).' Izi zikutanthauza kuti ngati mankhwala ambiri alowetsedwa mwangozi mumtsempha panthawi yolandira jakisoni, wodwalayo akhoza kugwa nthawi yomweyo kukomoka kapena kufa chifukwa cha kupuma movutikira. Chifukwa chake, izi zitha kuchitika m'zipatala zachinsinsi pokhapokha ngati pali chilolezo chapadera, ndipo wodwalayo amakhala m'chipatala kwa maola atatu atatha kulandira jakisoni (REMS Program).
💬 Kodi zotsatirapo zake zingakhale zotani pambuyo poti katemerayu wakhala m'thupi kwa mwezi umodzi?
Popeza mankhwalawa akhala m'thupi kwa mwezi umodzi, zotsatira zake zimapitirirabe kukhudza! Chofunika kwambiri n'chakuti chilakolako cha wodwalayo chimawonjezeka kwambiri ndipo kulemera kwa thupi kumawonjezeka modabwitsa (Kulemera kumawonjezeka). Nthawi yomweyo, pali mwayi waukulu wowonjezera shuga m'magazi ndi cholesterol (Metabolic syndrome & Diabetes risk). Chinthu chinanso n'chakuti wodwalayo nthawi zonse amatha kumva tulo (Sedation) komanso pakamwa pouma.
Olanzapine , schizophrenia, mankhwala oletsa matenda amisala, thanzi la maganizo, Zyprexa Relprevv, jekeseni, zotsatira zoyipa, PDSS, Olanzapine, schizophrenia-psychotic , thanzi la maganizo, jekeseni, zotsatira zoyipa
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