Tiyeni tiphunzire za katemera wa Olanzapine? Zonse zomwe muyenera kudziwa zokhudza mankhwalawa!

Dokotala akamalangiza jakisoni wa `Olanzapine` kwa inu kapena munthu wapafupi nanu, ndi zachilendo kukhala ndi mafunso ambiri okhudza jakisoniyo, sichoncho? "Ndi mankhwala amtundu wanji awa?", "N’chifukwa chiyani akuperekedwa?", "Kodi adzakhala ndi zotsatirapo zina?" Mwina mukudabwa zinthu ngati zimenezi. Ndipotu, ndikofunikira kwambiri kumvetsetsa bwino mankhwala aliwonse. Chifukwa chake lero, tiyeni tikambirane zonse zomwe muyenera kudziwa zokhudza jakisoni wa `Olanzapine`, mwachidule, m'njira yomwe mungamvetse.

Kodi Olanzapine ndi mankhwala amtundu wanji?

Mwachidule, Olanzapine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena amisala. Amathandiza kuwongolera zizindikiro za schizophrenia - mukudziwa, vuto lomwe anthu amawona, kumva, kapena kukhala ndi zikhulupiriro zachilendo zomwe si zenizeni - ndi matenda a bipolar - vuto lomwe malingaliro amatha kusintha mwadzidzidzi kuchoka pa chisangalalo chachikulu kupita pa chisoni chachikulu.

Taganizirani izi, pali mankhwala osiyanasiyana muubongo mwathu omwe amathandiza kulamulira maganizo athu, makhalidwe athu, ndi maganizo athu. Dopamine ndi Serotonin ndi mankhwala awiri ofunikira kwambiri. Mankhwala a Olanzapine amagwira ntchito poyesa kuchuluka kwa dopamine ndi serotonin muubongo. Umu ndi momwe amathandizira kukonza malingaliro athu ndi machitidwe athu.

Mankhwalawa ndi a gulu la mankhwala otchedwa ``Antipsychotics``. Mankhwala omwe ali mgululi amagwiritsidwa ntchito pochiza mavuto osiyanasiyana amisala. Mutha kupeza mankhwalawa pansi pa mayina a ``Zyprexa``` kapena ``Zyprexa Intramuscular```. Chifukwa chake, dokotala wanu adzakufotokozerani chifukwa chake mukupatsidwa jakisoni wa ``Olanzapine``. Nthawi zina, mankhwalawa angagwiritsidwenso ntchito pa matenda ena omwe sanatchulidwe m'nkhaniyi. Chifukwa chake, musaope kufunsa dokotala wanu kapena wamankhwala ngati muli ndi mafunso.

Kodi muyenera kuuza chiyani gulu lanu lachipatala musanalandire katemerayu?

Iyi ndi mfundo yofunika kwambiri . Musanayambe kumwa Olanzapine, ndikofunikira kudziwitsa gulu lanu lachipatala za matenda anu omwe muli nawo panopa. Chifukwa, ngati muli ndi matenda enaake, muyenera kusamala kwambiri mukamamwa mankhwalawa, kapena mwina mankhwalawa sakuyenererani. Tangoganizirani, ngati Nalini sanauze dokotala kuti ali ndi matenda a shuga, mankhwalawa akanatha kuwonjezera shuga m'magazi ake, sichoncho? Ndicho chifukwa chake ndikofunikira kunena izi.

Ngati muli ndi zinthu izi, nenani motsimikiza kuti:

• Kutsekeka kwa m'mimba: Kodi munayamba mwakhalapo ndi vuto lofanana ndi kutsekeka kwa m'mimba kale?
• Ngati ndinu wosuta fodya: Kodi mumasuta ndudu? (Izi zingakhudze momwe mankhwala amagwirira ntchito)
• Kudzimbidwa: Kodi mumamva kudzimbidwa nthawi zambiri?
• Matenda amisala: Matenda oiwala zinthu, makamaka kwa okalamba.
• Matenda a shuga: Kodi muli ndi matenda a shuga? Kodi akutha?
• Kumeza mavuto: Kodi n'kovuta kumeza chakudya ndi chakumwa?
• Glaucoma: Matenda omwe kuthamanga kwa magazi m'maso kumawonjezeka.
• Kuvuta kulamulira minofu: Kodi mumavutika kulamulira miyendo yanu, monga kunjenjemera?
• Matenda a mtima: Kodi muli ndi vuto la mtima? (monga, muli ndi vuto la mtima, mtima wanu ukuoneka wofooka)
• Kodi muli ndi cholesterol yambiri m'magazi?
• Kuchuluka kwa prolactin: Kodi mwayesedwa kuti muwone ngati hormone ya prolactin yakwera m'magazi mwanu?
• Mbiri ya khansa ya m'mawere: Kodi inuyo kapena wina aliyense m'banja mwanu adadwalapo khansa ya m'mawere?
• Mbiri ya kugunda kwa mtima kosasinthasintha: Kodi kugunda kwa mtima kwanu kwasintha? Kodi ECG yanu yasonyeza vuto lililonse?
• Ngati muli ndi ziwalo: Kodi mudadwalapo sitiroko kale?
• Matenda a chiwindi: Kodi pali matenda aliwonse a chiwindi? (monga cirrhosis, hepatitis)
• Kuchuluka kwa maselo a m'magazi: Kodi pali malipoti a kuchepa kwa maselo oyera a m'magazi, ma platelet, kapena maselo ofiira a m'magazi?
• Kutsika kwa kuthamanga kwa magazi: Kodi kuthamanga kwa magazi kumatsika pafupipafupi? Kodi mumamva chizungulire mukayimirira?
• Matenda a Parkinson: Kodi muli ndi matenda a Parkinson ?
• Matenda a prostate: Ngati ndinu mwamuna, kodi muli ndi vuto la prostate?
• Khunyu ('Kugwidwa'): Kodi pali vuto lomwe limapangitsa kuti ziwoneke ngati matenda akubwera?
• Maganizo, mapulani, kapena zoyesayesa zodzipha: Kodi muli ndi malingaliro odzipha, kodi munapangapo mapulani, kapena kuyesa? Kodi pali aliyense m'banja mwanu amene anachitapo zimenezo? Musaope kulankhula za izi, madokotala alipo kuti akuthandizeni.
• Mavuto a mkodzo: Kodi n'kovuta kukodza ? Kodi kuchuluka kwa mkodzo kwachepa?
• Kudwala Olanzapine kapena mankhwala ena, zakudya, utoto, ndi zosungira: Kodi munayamba mwakhalapo ndi vuto la chifuwa ndi mankhwala awa kapena china chilichonse, monga ziphuphu kapena kupuma movutikira?
• Ngati muli ndi pakati kapena mukufuna kutenga mimba:
• Ngati ndinu mayi woyamwitsa:

Mndandanda uwu ndi wautali pang'ono, koma zonsezi ndizofunikira kwambiri pa chitetezo chanu komanso kupambana kwa chithandizo chanu. Choncho musabise chilichonse, uzani dokotala wanu zonse, chabwino?

Kodi katemerayu amaperekedwa bwanji?

Mankhwala awa, Olanzapine, amaperekedwa ngati jakisoni m'minofu yanu.Katemerayu nthawi zambiri amaperekedwa ku minofu ya m'ntchafu kapena kumtunda kwa mkono. Si chinthu chomwe mungachite kunyumba. Amaperekedwa ndi gulu lachipatala kuchipatala kapena kuchipatala.

Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku kapadera kodziwitsa anthu za mankhwalawa (kotchedwa `MedGuide`). Onetsetsani kuti mwawerenga mosamala nthawi zonse . Kabukuka kakhoza kukhala ndi zambiri zofunika kwa inu, monga tsatanetsatane wa zotsatirapo zake ndi zinthu zomwe muyenera kudziwa.

Ngati mukupereka mankhwala awa kwa ana, lankhulani ndi gulu lanu lachipatala za izi. Nthawi zina chisamaliro chapadera chingafunike popereka mankhwalawa kwa ana.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Izi nthawi zambiri sizingachitike, chifukwa katemerayu amaperekedwa ndi katswiri wa zamankhwala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kapena ngati mukukumana ndi zizindikiro izi (monga kugona tulo kapena kusokonezeka maganizo), imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo . Musataye nthawi.

Ndipo kumbukirani kuti, mankhwalawa ndi a inu nokha . Musapatse wina aliyense mankhwala anu, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Nanga bwanji ngati nditaphonya katemera?

Popeza katemera uyu amaperekedwa kuchipatala kapena ku chipatala, si vuto ngati mwaphonya mlingo. Gulu lachipatala lidzagwira ntchito nanu kuti mupeze katemerayu tsiku ndi nthawi yomwe mwakonza. Ngati simungathe kukwaniritsa nthawi yokumana ndi dokotala, chonde tidziwitseni pasadakhale.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Katemera wa `Olanzapine` amatha kuyanjana ndi mankhwala ena. Izi zikutanthauza kuti, mankhwalawo akamwedwa pamodzi, mphamvu ya imodzi ingasinthe, zotsatira zake zingachuluke, kapena mphamvu ya mankhwalawa ingachepe. Tangoganizirani, ngati Saman amwa `Olanzapine` pamene akumwa mankhwala ena omwe amawonjezera kugona, akhoza kugona kwambiri komanso chizungulire, sichoncho? Zinthu ngati zimenezo zingachitike.

Musamwe katemera wa Olanzapine uyu ndi mankhwala otsatirawa:

• `Dronedarone`
• `Cisapride`
• `Metoclopramide` (nthawi zina ingaperekedwe moyang'aniridwa ndi dokotala, koma pewani kuigwiritsa ntchito nokha)
• `Pimozide`
• `Thioridazine`

Kuphatikiza apo, mankhwalawa akhoza kuyanjana ndi izi:

• Mowa: Izi zitha kuwonjezera kugona ndi chizungulire.
• Mankhwala oletsa kugwidwa ndi ziwengo, chifuwa, ndi chimfine (monga Chlorpheniramine, Promethazine) amawonjezeranso kugona.
• 'Atropine'
• `Carbamazepine` (mankhwala a khunyu)
• Mankhwala ena oletsa nkhawa kapena tulo: (monga Diazepam, Lorazepam)
• 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 ena a matenda oyenda (monga Scopolamine)
• Fluvoxamine (mankhwala ochizira kuvutika maganizo)
• Mankhwala oletsa ululu (monga Halothane, Isoflurane, Methoxyflurane, Propofol) : Uzani dokotala wanu ngati mukumwa mankhwala awa musanachite opaleshoni.
• Levodopa kapena mankhwala ena a matenda a Parkinson
• Mankhwala ochizira kuthamanga kwa magazi: Izi zingayambitse kuthamanga kwa magazi anu kutsika kwambiri.
• Mankhwala a khunyu
• Mankhwala opumulitsa minofu pochita opaleshoni
• Mankhwala oletsa ululu: (monga Morphine, Tramadol)
• Omeprazole (mankhwala ochizira gastritis)
• Mankhwala ena omwe amatalikitsa nthawi ya QT (yomwe ingayambitse kugunda kwa mtima kosazolowereka) : Funsani dokotala wanu za izi.
• Phenothiazines (monga Chlorpromazine, Prochlorperazine)
• `Rifampin` (mankhwala a chifuwa chachikulu)

Mndandandawu sunathe. Pakhoza kukhala zinthu zina zomwe zingayambitse mavuto. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (olembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, zowonjezera) . Komanso, onetsetsani kuti mwauza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo. Zinthuzi zingakhudze mankhwala anu.

Ndiyenera kusamala ndi chiyani ndikamamwa mankhwalawa?

Gulu lanu la zachipatala lidzakuyang'anirani mosamala pamene mukulandira katemerayu. Uzani gulu lanu la zachipatala ngati zizindikiro zanu sizikusintha, kapena ngati zikuipiraipira.

• Kuzunguzika ndi kugona: Mungamve chizungulire kapena kugona. Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani.Makamaka ngati ndinu okalamba, musamaime kapena kukhala pansi mwadzidzidzi. Kuchita zimenezi kungathandize kuchepetsa chizungulire ndi kugwa.
• Mowa: Mowa ungasokoneze zotsatira za mankhwalawa ndipo ungawonjezere kugona. Choncho, pewani kumwa mowa kotheratu .
• Matenda aakulu pakhungu: Mankhwalawa nthawi zina angayambitse matenda aakulu pakhungu ('matenda oopsa pakhungu'). Izi zitha kuchitika milungu kapena miyezi mutayamba kumwa mankhwala. Ngati mukumva kutupa pakhungu ndi zizindikiro monga kutentha thupi, uzani gulu lanu lachipatala nthawi yomweyo. Matendawa amatha kukhala ofiira kapena ofiirira, kenako matuza ndi khungu. Kapena, mutha kukhala ndi kutupa kofiira pankhope, milomo, khosi kapena m'khwapa, kapena kutupa kwa ma lymph nodes. Uzani dokotala wanu nthawi yomweyo ngati muwona chilichonse chonga ichi.
• Pakamwa pouma: Pakamwa panu pakhoza kukhala pouma. Izi zitha kukhala zokhumudwitsa pang'ono. Kutafuna chingamu chopanda shuga, kuyamwa ginger pang'ono (shuga wochepa), ndi kumwa madzi pang'ono tsiku lonse kungathandize kuchepetsa vutoli.
• Mavuto oletsa kutentha kwa thupi: Mankhwalawa angayambitse mavuto pa mphamvu ya thupi lanu yowongolera kutentha kwake. Angachepetse momwe thupi lanu limayankhira kuzizira. Ngati n'kotheka, khalani m'nyumba masiku ozizira. Ngati muyenera kutuluka panja, valani zovala zofunda. Angachepetsenso momwe thupi lanu limayankhira kutentha. Choncho pewani kutentha kwambiri . Musachite masewera olimbitsa thupi kwambiri, makamaka nyengo yotentha. Khalani kutali ndi dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zopepuka komanso zotayirira. Imwani madzi ambiri. Ngati zikukuvutani kulamulira kutentha kwa thupi lanu, ngati mukutuluka thukuta kwambiri, kapena ngati mukumva kuzizira kwambiri, uzani gulu lanu lachipatala nthawi yomweyo.
• Shuga wambiri m'magazi: Mankhwalawa angawonjezere shuga m'magazi mwanu. Ngati muli ndi matenda a shuga, funsani gulu lanu la zaumoyo ngati mukufuna kusintha zakudya zanu kapena mankhwala anu. Ngakhale mutakhala kuti mulibe matenda a shuga, muyenera kuyang'ana shuga m'magazi mwanu ngati muli ndi zizindikiro monga ludzu lochuluka, kukodza pafupipafupi, kapena kutopa.
• Kusuta: Ngati mukusuta ndipo mukuona kuti mankhwalawa sakugwira ntchito bwino, uzani gulu lanu lachipatala. Kusuta kungapangitse kuti mankhwala ena achoke m'thupi lanu mwachangu, kotero mlingo wanu ungafunike kusinthidwa. Ngati mukusuta kapena mukuganiza zosiya, lankhulani ndi gulu lanu lachipatala za vutoli.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Olanzapine ingayambitse zotsatira zina zoyipa. Zina mwa izo sizowopsa, koma zina zimafunika chithandizo chamankhwala mwachangu. Musadandaule, si aliyense amene amalandira zotsatirapo zonsezi.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lachipatala mwachangu momwe zingathere:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi, kuvutika kupuma. Izi zitha kukhala zadzidzidzi.
• Shuga wambiri m'magazi (Hyperglycemia): Ludzu lochuluka, pakamwa pouma, kukodza pafupipafupi (makamaka usiku), kutopa kapena kutopa kosazolowereka, kusawona bwino, kuchepetsa thupi.
• Malungo aakulu, kuuma kwa minofu, kutuluka thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosasinthasintha, komanso kusokonezeka maganizo kapena kuiwalaiwala: Izi zitha kukhala zizindikiro za matenda oopsa komanso oopsa omwe amapha munthu otchedwa Neuroleptic Malignant Syndrome (NMS). Pitani kuchipatala mwamsanga.
• Kuchuluka kwa prolactin m'thupi: Kukulitsa kapena kupweteka kwa mawere mwa amuna mosayembekezereka, kutuluka kwa machubu a m'mawere, kusintha kwa chilakolako chogonana kapena ntchito (monga mavuto okhudzana ndi kukhwima), kusakhazikika kwa msambo mwa akazi, kutha kwa msambo, ndi kupanga mkaka (pokhapokha ngati ali ndi pakati kapena akuyamwitsa).
• Matenda: Malungo, kuzizira, kupweteka kwa thupi, chifuwa, kapena pakhosi, mabala osachiritsa.
• Kuthamanga kwa magazi kotsika: Kuzunguzika mutu ukayimirira, kukomoka, mutu wopepuka, kusawona bwino, kumva ngati ukugwa.
• Kupweteka kapena kuvutika kumeza: Kumva ngati chakudya chikukakamira.
• Ziphuphu, malungo, ndi kutupa kwa ma lymph nodes: Izi zitha kukhala chizindikiro cha matenda oopsa monga DRESS syndrome.
• Ngati mukukumana ndi zizindikiro izi, chonde uzani dokotala wanu kapena munthu amene mumamudalira nthawi yomweyo: malingaliro odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kupsinjika maganizo, mkwiyo wopitirira muyeso, kusokonezeka maganizo.
• Kusuntha thupi kosalamulirika, mobwerezabwereza, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kutayika kwa mphamvu, kusakhazikika, kulephera kukhala chete, ndi kuyenda mopupuluma: Izi zitha kukhala zizindikiro za matenda otchedwa Extrapyramidal Symptoms (EPS). Nthawi zina, minofu m'malo monga lilime, nsagwada, ndi khosi imatha kulimba modabwitsa.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma uzani gulu lanu lachipatala ngati zikupitirira kapena zikukuvutitsani):

• Kutsegula m'mimba
• Chizungulire
• Kugona tulo - Izi zitha kuonekera kwambiri kumayambiriro.
• Pakamwa pouma
• Mutu
• Nseru - Ingachepetsedwe ngati itengedwa ndi chakudya, koma izi sizofunikira chifukwa ndi katemera. Mundiuze ngati nseru ndi yoopsa.
• Kunenepa - Ichi ndi zotsatira zoyipa zomwe anthu ena angakumane nazo akamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya ndi masewera olimbitsa thupi.

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo zoyipa ku FDA (Food and Drug Administration) pa 1-800-FDA-1088.

Kodi ndiyenera kusunga kuti mankhwalawa?

Izi sizikugwira ntchito kwa inu. Chifukwa, katemera wa `Olanzapine` uyu sakuperekedwa kwa inu kuti musunge kunyumba. Amaperekedwa kwa inu ndikusungidwa ndi gulu lachipatala kuchipatala kapena ku chipatala. Chifukwa chake mulibe chodetsa nkhawa nacho.

Pomaliza, zinthu zoti muzikumbukira

Choncho, katemera wa Olanzapine ndi mankhwala ofunikira omwe amathandiza kuchiza matenda amisala monga schizophrenia ndi bipolar disorder. Amagwira ntchito pokonza mankhwala muubongo.

Chofunika kwambiri ndi kuuza dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa musanamwe mankhwalawa. Komanso, ngati mukukumana ndi vuto lililonse lachilendo, zizindikiro zatsopano, kapena zotsatirapo zoyipa mukumwa mankhwala, muuzeni nthawi yomweyo. Musabise chilichonse kwa inu nokha.

Popeza katemerayu amaperekedwa kuchipatala kapena ku chipatala, simuyenera kuda nkhawa nazo. Madokotala ndi anamwino adzakusamalirani bwino. Ngati muli ndi mafunso kapena nkhawa, musazengereze kulankhula nawo. Alipo kuti akuthandizeni.

Ndikukhulupirira kuti izi zikuthandizani. Kumbukirani kuti simuli nokha, pali mankhwala abwino a matenda awa, ndipo kutsatira upangiri wa dokotala ndiyo njira yabwino kwambiri yochiritsira mwachangu.

Olanzapine , Katemera, Matenda a Maganizo , Schizophrenia, Matenda a Bipolar, Zotsatirapo Zake, Mankhwala, Chithandizo, Mankhwala Oletsa Matenda a Maganizo, Thanzi la Maganizo