Nthawi zina dokotala akakupatsani mankhwala atsopano, makamaka jakisoni, mwadzidzidzi timamva mantha komanso chidwi pang'ono, sichoncho? Ngati ndi mankhwala okhudza thanzi la maganizo, mafunso ambiri amabwera m'maganizo, monga, 'Ichi ndi chiyani? Kodi chidzandichitikire ndi chiyani kuchokera pamenepa?' Chifukwa chake ngati mukufunanso kudziwa za jakisoni wotulutsidwa nthawi yayitali wotchedwa paliperidone, nkhaniyi ndi yanu. Tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.
Kodi mankhwala amenewa ndi chiyani kwenikweni?
Chabwino, tiyeni choyamba tiwone zomwe mankhwalawa otchedwa Paliperidone amagwiritsidwa ntchito komanso momwe amagwirira ntchito. Mwachidule, ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga schizophrenia ndi schizoaffective disorder. Pali mankhwala awiri muubongo mwathu otchedwa Dopamine ndi Serotonin . Awa ndi omwe amathandiza kulamulira malingaliro athu, khalidwe lathu, ndi malingaliro athu. Mu matenda ena amisala, kulinganiza kwa mankhwala awa kumasintha. Pamenepo ndi pomwe mankhwala monga Paliperidone angathandize. Mankhwalawa ndi a gulu la mankhwala otchedwa Antipsychotics . Mankhwalawa amagwiritsidwa ntchito pa matenda angapo amisala. Chifukwa chake, dokotala wanu adalemba mankhwalawa kuti akonze bwino kulinganiza kwa mankhwala muubongo wanu ndikukupatsani mpumulo.
Mankhwalawa nthawi zina angagwiritsidwe ntchito pazinthu zina. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu kapena wamankhwala. Mankhwalawa angagulitsidwe pansi pa mayina akuti Invega Sustenna , Invega Trinza , kapena Invega HAFYERA . Awa ndi mayina a mankhwala awa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za thanzi lanu musanayambe kumwa Paliperidone. Izi zili choncho chifukwa anthu ena omwe ali ndi matenda ena amafunika chisamaliro chapadera akamamwa mankhwalawa. Yang'anani ngati muli ndi zotsatirazi:
- Matenda a dementia (makamaka kwa okalamba)
- Matenda a Shuga (Diabetes Mellitus)
- Kuvuta kumeza
- Mavuto olamulira minofu
- Matenda a mtima
- Cholesterol yambiri
- Ngati munakhalapo ndi khansa ya m'mawere kale
- Ngati mwakhala mukugunda kugunda kwa mtima kosasinthasintha kale
- Ngati mudadwalapo sitiroko kale
- Matenda a impso
- Matenda a chiwindi
- Kuchuluka kwa magazi m'magazi(Mwachitsanzo, kuchuluka kwa maselo oyera m'magazi, ma platelet, kapena maselo ofiira m'magazi komwe kumachepa )
- Kuthamanga kwa magazi kotsika
- Matenda a Parkinson
- Kugwidwa ndi khunyu
- Ngati mwakhala ndi vuto lachilendo kapena la ziwengo chifukwa cha mankhwala a paliperidone, risperidone, mankhwala ena, zakudya, utoto, kapena zotetezera.
- Kaya muli ndi pakati kapena mukufuna kutenga mimba .
- Kodi ndinu mayi woyamwitsa ?
Ndikofunikira kwambiri kuuza dokotala wanu za zinthuzi popanda kuzibisa. Kenako dokotalayo akhoza kukonza chithandizo chomwe chingakukomereni.
Kodi mungapeze bwanji katemera?
Mankhwala otchedwa Paliperidone awa ndi jakisoni mu minofu . Si chinthu chomwe nthawi zambiri mungapereke nokha kunyumba. Amaperekedwa kwa inu ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena kuchipatala.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense pazifukwa zilizonse. Thanzi la aliyense ndi losiyana, kotero zomwe zingakuthandizeni sizingagwire ntchito kwa wina.
Ngati mukupereka mankhwala awa kwa ana: Muyenera kusamala kwambiri popereka mankhwala awa kwa ana. Lankhulani ndi gulu lanu lazachipatala za izi.
Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo (mwachitsanzo, mwangozi), imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo. Chitani izi ngati zadzidzidzi.
Nanga bwanji ngati ndaphonya nthawi yokumana ndi munthu wina?
Katemerayu amaperekedwa pa nthawi yake. Choncho ndikofunikira kwambiri kuti musaphonye mlingo womwe mwakonza . Ngati pazifukwa zina simungathe kulandira katemera wanu pa tsiku lomwe mwakonza, imbani gulu lanu lazaumoyo nthawi yomweyo ndikuwadziwitsa . Adzakuuzani choti muchite kenako.
Mankhwala ena omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa, ndipo muyenera kusamala nawo
Izi ndizofunikira kwambiri. Mankhwala ena angayambitse mavuto aakulu akamwedwa pamodzi ndi paliperidone. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Mankhwala otsatirawa sayenera kumwedwa ndi Paliperidone:
- Cisapride
- Dronedarone
- Metoclopramide
- Pimozide
- Thioridazine
Komanso, mankhwala otsatirawa angagwirizane ndi Paliperidone. Izi zikutanthauza kuti angasokoneze wina ndi mnzake:
- Mowa (tidzakambirana zambiri za izi mtsogolo)
- Mitundu ina ya mankhwala oletsa chifuwa, chifuwa, ndi chimfine
- Carbamazepine
- Mankhwala ena oletsa nkhawa kapena tulo
- Mankhwala ena ochizira kuvutika maganizo, mwachitsanzo: amitriptyline , fluoxetine , paroxetine , sertraline
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a bowa, mwachitsanzo: fluconazole , posaconazole
- Mitundu ina ya mankhwala oletsa ululu omwe amagwiritsidwa ntchito panthawi ya opaleshoni, mwachitsanzo: halothane , isoflurane , methoxyflurane , propofol
- Levodopa kapena mankhwala ena a matenda a Parkinson
- Mankhwala ochizira kuthamanga kwa magazi
- Mankhwala a khunyu
- Mankhwala opumulira minofu omwe amagwiritsidwa ntchito panthawi ya opaleshoni
- Mankhwala osokoneza bongo ochepetsa ululu
- Mankhwala ena omwe amayambitsa matenda a mtima (amatalikitsa nthawi ya QT )
- Phenothiazines , mwachitsanzo: chlorpromazine , prochlorperazine
Si mankhwala onse omwe ali pamndandandawu omwe angatengedwe. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe mwapatsidwa ndi dokotala kapena omwe simunawagule ), mankhwala azitsamba, mavitamini (zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zina mwa izi zingakhudze mankhwala anu.
Ndiyenera kusamala kwambiri ndi chiyani ndikalandira katemera?
Pamene mukumwa jakisoni wa paliperidone, gulu lanu lazaumoyo lidzayang'anira matenda anu nthawi zonse. Ngati zizindikiro zanu sizikusintha kapena zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo .
Komanso, muyenera kulabadira zinthu izi:
- Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire pang'ono mukamamwa mankhwalawa. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke kapena kukhala pansi kapena kuyenda mwadzidzidzi . Kuchita zimenezi kungayambitse chizungulire ndi kugwa. Imirirani ndikukhala pansi pang'onopang'ono.
- Mowa: Mowa ungasokoneze mphamvu ya mankhwalawa. Choncho, pewani mowa mukamamwa mankhwalawa.Pewani kumwa mowa .
- Kuchuluka kwa shuga m'magazi: Mankhwalawa nthawi zina angayambitse kuchuluka kwa shuga m'magazi (hyperglycemia) . Ngati muli ndi matenda a shuga, funsani gulu lanu la zaumoyo ngati mukufuna kusintha zakudya zanu kapena mankhwala anu a shuga.
- Kuwongolera kutentha kwa thupi: Mankhwalawa angakhudze mphamvu yanu yowongolera kutentha kwa thupi lanu.
- Kuchepa kwa kupirira kuzizira: Mu nyengo yozizira, khalani m'nyumba momwe mungathere. Ngati mukuyenera kutuluka panja, valani zovala zofunda .
- Kuchepa kwa kupirira kutentha: Komanso, mankhwalawa angayambitse kutentha thupi kwambiri. Chifukwa chake, musamachite masewera olimbitsa thupi mopitirira muyeso. Musakhale padzuwa kwa nthawi yayitali. Khalani pamthunzi momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zopepuka, imwani madzi ambiri . Ngati mukuona kuti mukuvutika kuchepetsa kutentha kwa thupi lanu, lankhulani ndi dokotala nthawi yomweyo.
Kodi ndi zotsatirapo zotani zomwe ndingakhale nazo chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, jakisoni wa paliperidone angayambitse mavuto ena mwa anthu ena. Komabe, si aliyense amene amawapeza. Mavuto ena ndi aakulu ndipo muyenera kuuza dokotala wanu nthawi yomweyo ngati muwazindikira. Ena si aakulu kwambiri, koma ngati apitirira, ndi bwino kuuza dokotala wanu .
### Ngati muwona zizindikiro izi, uzani dokotala wanu nthawi yomweyo!
Ngati mukukumana ndi zotsatirapo zilizonsezi, muyenera kudziwitsa gulu lanu lazachipatala nthawi yomweyo :
- Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
- Kusintha kwa kayimbidwe ka mtima: Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
- Shuga wambiri m'magazi (Hyperglycemia): Ludzu lochuluka kapena kukodza pafupipafupi, kutopa kapena kufooka kosazolowereka, kusawona bwino.
- Malungo okwera kwambiri, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosasinthasintha, komanso kusokonezeka: Izi zitha kukhala zizindikiro za matenda oopsa otchedwa Neuroleptic Malignant Syndrome (NMS) .
- Kuchuluka kwa prolactin m'thupi: Kukula kosayembekezereka kwa mawere mwa amuna, kutuluka kwa madzi m'mabere mwa akazi, kusintha kwa chilakolako chogonana kapena ntchito yogonana, kusakhazikika kwa nthawi ya msambo mwa akazi.
- Matenda: Malungo, kuzizira, chifuwa, kapena kupweteka pakhosi.
- Kuthamanga kwa magazi pang'ono: Chizungulire, kukomoka, kusawona bwino.
- Kupweteka kapena kuvutika kumeza.
- Kukhazikika kwa nthawi yayitali kapena kupweteka kwa umuna mwa amuna.
- Kugwidwa ndi khunyu.
- Zizindikiro za sitiroko: dzanzi mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, kulephera kukhazikika bwino kapena kugwedezeka, chizungulire, mutu waukulu, kusintha kwa masomphenya.
- Kusuntha thupi mobwerezabwereza kosalamulirika, kuuma kwa minofu kapena kupindika, kunjenjemera, kutayika kwa mphamvu, kusakhazikika, kuyenda mosinthasintha: Izi zitha kukhala zizindikiro za Zizindikiro za Extrapyramidal (EPS) .
### Zotsatira zoyipa izi nthawi zambiri sizikhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu.
Ngakhale kuti zinthuzi nthawi zambiri sizimakhala zazikulu kwambiri, ngati zikupitirira ndipo zikukuvutitsani, ndi bwino kuuza dokotala wanu kuti:
- Chizungulire
- Kugona tulo
- Ululu, kufiira, kapena kukwiya pamalo omwe jakisoni waperekedwa
- Kusakhazikika
- Kulemera
Kumbukirani, si zotsatirapo zonse zomwe zalembedwa apa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho.
Kodi katemera angasungidwe bwanji?
Izi n'zosavuta. Paliperidone si chinthu chomwe mungapite nacho kunyumba ndikuchisunga. Chimasungidwa kuchipatala kapena kuchipatala ndipo chimaperekedwa kwa inu kumeneko. Choncho simuyenera kuda nkhawa ndi momwe mungasungire mankhwalawa.
Kotero, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe tidakambirana:
Chabwino, takambirana zambiri za jakisoni wa Paliperidone womwe wakhala ukugwira ntchito kwa nthawi yayitali, sichoncho? Ndikuganiza kuti tsopano mwamvetsa bwino mankhwalawa. Pomaliza, ndibwino kukumbukiranso mfundo izi:
- Paliperidone ndi mankhwala ofunikira omwe amagwiritsidwa ntchito pochiza matenda amisala monga schizophrenia .
- Izi zimaperekedwa ngati katemera ndi katswiri wa zachipatala.
- Muyenera kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
- Dziwani zinthu monga kugona, chizungulire, kuchuluka kwa shuga m'magazi, ndi kutentha kwa thupi mukamamwa mankhwala.
- Pewani kumwa mowa.
- Ngati muwona zotsatirapo zachilendo , makamaka zizindikiro zoopsa zomwe takambirana kale, dziwitsani dokotala wanu nthawi yomweyo. Musachite mantha, komanso musazengereze.
- Musaphonye katemera wanu. Ngati simungathe, imbani dokotala wanu .
- Mankhwalawa ndi a inu nokha. Musawapatse ena.
Nkhaniyi yangopereka chidule. Ngati muli ndi mafunso ena, chonde funsani dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Iwo ndi omwe angakupatseni upangiri wabwino kwambiri pa vuto lanu.
Ndikukufunirani kuchira mwachangu!
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Paliperidone LAI / Invega amagwiritsidwa ntchito bwanji?
Iyi ndi njira yatsopano yogwiritsira ntchito mankhwala amphamvu kwambiri oletsa matenda amisala omwe amaperekedwa kwa odwala omwe ali ndi matenda a schizophrenia ndi schizoaffective disorder! Kwa odwala omwe amaiwala/sakufuna kumwa mapiritsi awo tsiku lililonse, dokotala amawabaya m'minofu kamodzi pamwezi (kapena miyezi itatu iliyonse/miyezi isanu ndi umodzi). Kenako amatulutsidwa m'magazi kwa mwezi umodzi, zomwe zimapangitsa wodwalayo kukhala chete.
💬 Kodi katemera uyu (Paliperidone) amalimbitsa bwanji mankhwala a muubongo?
Mwanjira yachilendo kwambiri! Mankhwalawa amapita mwachindunji ku ubongo ndipo amatseka/kulinganiza ma receptor onse a mankhwala otchedwa 'Dopamine - D2', omwe amachititsa wodwalayo kumva mawu achilendo, ndi 'Serotonin - 5HT2A', omwe amachititsa mkwiyo/chisoni chochuluka. Izi zimachotsa kukwiya kwa wodwalayo ndikumulola kuti abwererenso kudziko lachibadwa.
💬 Kodi zotsatirapo zazikulu za katemera wa mwezi uliwonse ndi ziti?
Popeza mankhwalawa amakhala m'thupi kwa mwezi umodzi, zotsatirapo zake zimatha kupitirira. Zoopsa kwambiri ndi kupumitsa thupi ndi kunenepa kwambiri (kuwonjezeka kwa chilakolako). Kuphatikiza apo, pali mwayi waukulu kuti izi ziwonjezera mahomoni otchedwa 'Prolactin', zomwe zimayambitsa kusintha monga kukula kwa mawere mwa amuna kapena kusiya kusamba kwa akazi.
Paliperidone , Jakisoni wa Paliperidone, Paliperidone, Thanzi la Maganizo, Schizophrenia , Mankhwala Oletsa Kusokonezeka Maganizo, Mankhwala Oletsa Kusokonezeka Maganizo, Zotsatirapo Zake


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