Kodi inuyo kapena wina m'banja mwanu mwapatsidwa mankhwala otchedwa Quetiapine ndi dokotala? Zikatero, ndi zachilendo kuti mafunso abwere m'maganizo mwanu okhudza mankhwalawa. "Chidzachitika ndi chiyani ndi ichi?", "Kodi izi ndi zotetezeka?", "Kodi pali zotsatirapo zina?" Mwina mukudzifunsanso chimodzimodzi. Musadandaule. Munkhaniyi, tikambirana za mankhwala otchedwa Quetiapine mosavuta, monga momwe mungauzire mnzanu.
Kodi Quetiapine ndi chiyani kwenikweni?
Mwachidule, quetiapine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala. Nthawi zambiri amadziwika m'dziko lathu ndi dzina lodziwika bwino la Seroquel. Amagwiritsidwa ntchito makamaka pochiza matenda monga schizophrenia ndi bipolar disorder.
Taganizirani izi, ubongo wathu uli ndi ma neurotransmitters omwe amalamulira malingaliro athu, malingaliro athu, ndi machitidwe athu. Dopamine ndi serotonin ndi awiri mwa ma agents akuluakulu a mankhwala. Mu matenda ena amisala, mankhwala awa amatha kusokonekera. Pazochitikazi, mankhwala a quetiapine amagwira ntchito pobwezeretsa kuchuluka kwa dopamine ndi serotonin , kuthandiza kukhazikika kwa malingaliro anu, malingaliro anu, ndi machitidwe anu. Gulu la mankhwala awa limatchedwa antipsychotics. Koma musawope dzinalo, chifukwa gulu la mankhwala awa limagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yachipatala musanayambe kugwiritsa ntchito quetiapine. Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda kapena vuto | Kufotokozera |
|---|---|
| Matenda a mtima ndi kuthamanga kwa magazi | Matenda a mtima, matenda a mtima, kuthamanga kwa magazi. |
| Matenda a shuga | Inu kapena wina m'banja mwanu ali ndi matenda a shuga. |
| Mavuto a m'mimba | Kutsekeka kwa matumbo, kudzimbidwa, kuvutika kumeza. |
| Matenda a chiwindi | Mavuto aliwonse okhudzana ndi kugwira ntchito kwa chiwindi. |
| Mavuto a maso | Matenda a maso, glaucoma. |
| Mavuto a maselo a magazi | Kuchepa kwa maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet. |
| Matenda ena | Matenda a dementia, matenda a Parkinson, khunyu/ kugwidwa , matenda a chithokomiro, matenda a prostate, kusadziletsa kwa mkodzo. |
| Thanzi la maganizo | Kukhala ndi maganizo, mapulani, kapena kuyesa kudzivulaza (iwe kapena wachibale wako). |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la quetiapine kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito izi ndi yosavuta kwambiri.
- Mezani piritsi ndi kapu ya madzi.
- Imwani mlingo womwe dokotala wanu wakupatsani panthawi yoyenera. Musadumphe mlingo.
- Ngati mukumva kukhumudwa mutamwa mankhwalawo, mutha kumwa pamodzi ndi chakudya.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse kuti zizindikiro zibwererenso kwambiri. Ngati musiya, chitani izi motsogozedwa ndi dokotala, ndipo pang'onopang'ono chepetsani mlingo.
- Odwala azaka zopitirira 65 angafunike mlingo wocheperako. Komanso, nthawi zina, mankhwalawa amaperekedwa kwa ana azaka 10, koma pokhapokha ngati akusamalidwa mwapadera.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo (overdose)?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mukamamwa quetiapine, muyeneranso kudziwa mankhwala ena omwe mukumwa. Mankhwala ena amatha kusokonezana nawo ndikuyambitsa zotsatirapo zoyipa. Uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
Ndikoyenera kupewa kumwa quetiapine pamodzi ndi mankhwala otsatirawa.
- Cisapride
- Dronedarone
- Metoclopramide
- Pimozide
- Thioridazine
Kuphatikiza apo, mankhwala ena ambiri amatha kuyanjana ndi quetiapine. Mwachitsanzo:
- Mowa
- Mankhwala ena a ziwengo, chifuwa, ndi chimfine
- Mankhwala oletsa nkhawa kapena kugona
- Mankhwala ena ochizira kuvutika maganizo (monga fluoxetine, sertraline)
- Mankhwala ena a matenda a bowa (monga ketoconazole)
- Mankhwala a khunyu
- Mankhwala ochepetsa kuthamanga kwa magazi
- Mankhwala ochepetsa ululu (makamaka morphine)
- Mankhwala ena oletsa mavairasi a HIV kapena chiwindi
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Ndikofunikira kuganizira pang'ono za thupi lanu ndi malingaliro anu mukamamwa quetiapine.
Kusintha kwa mkhalidwe wamaganizo
Samalani ndi momwe maganizo anu alili, makamaka mukayamba kumwa mankhwala kapena mutasintha mlingo wanu. Uzani dokotala wanu nthawi yomweyo ngati inu kapena wachibale wanu awona chilichonse mwa izi:
- Ngati mukumva kuti kuvutika maganizo kwanu kukukulirakulira.
- Ngati muli ndi maganizo odzivulaza.
- Ngati mukumva kusakhazikika komanso kuda nkhawa kwambiri.
- Ngati mukwiya msanga ndikukhala waukali.
- Ngati mukumva tulo.
Zotsatirapo zake zimamveka pa thupi
- Chizungulire ndi kugona tulo: Mankhwalawa angakupangitseni chizungulire kapena kugona. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Musadzuke mofulumira: Kudzuka mwadzidzidzi kuchokera pamene mutakhala kapena kugona kungayambitse chizungulire ndikugwa. Choncho dzukani pang'onopang'ono.
- Mowa: Pewani kumwa mowa. Mowa ungasinthe mphamvu ya mankhwala ndikuwonjezera kugona ndi chizungulire.
- Kutentha kwa thupi: Mankhwalawa angakhudze mphamvu ya thupi yolamulira kutentha. Dzitetezeni ku kutentha kwambiri ndi kuzizira. Imwani madzi ambiri.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, quetiapine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Chofunika kwambiri ndikudziwa izi ndikupempha upangiri wa dokotala ngati pakufunika kutero.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira, kugunda kwa mtima kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Matenda a Neuroleptic Malignant (NMS) | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, kusokonezeka. (Izi ndi zadzidzidzi) |
| Kuchuluka kwa shuga m'magazi (hyperglycemia) | Ludzu lochuluka, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha kwa thupi kosalamulirika, kunjenjemera, kupsinjika kwa minofu, ndi kusakhazikika. |
| Stroke | Kufooka kwadzidzidzi kwa nkhope, mkono kapena mwendo, kuvutika kulankhula, mutu waukulu. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kugona ndi chizungulire | Kugona ndi Chizungulire |
| Pakamwa pouma | Pakamwa pouma |
| Kudzimbidwa | Kudzimbidwa |
| Kulemera | Kulemera |
Uthenga Wopita Nawo Kunyumba
- Quetiapine ndi mankhwala ofunikira omwe angathandize kukonza thanzi lanu la maganizo. Musachite mantha.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Ngati mukukumana ndi zotsatirapo zoyipa (monga kutentha thupi kwambiri, kupuma movutikira, kusokonezeka), funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
- Ndikofunikira kwambiri kuonana ndi dokotala wanu pa masiku omwe akonzedwa ndikukambirana za vuto lanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Quetiapine (Quetiapine / Seroquel) ndi mankhwala a matenda ati?
Iyi ndi mbadwo watsopano wa mankhwala amphamvu amisala (antisypical antipsychotic) omwe amaperekedwa pa 'Schizophrenia' yoopsa, kuvutika maganizo, makamaka Bipolar Disorder (matenda omwe amasintha mwadzidzidzi kuchoka pa mkwiyo kupita ku chisangalalo chachikulu)! Ngakhale kuti amachotsa misala ndi kusaganiza bwino kwa wodwalayo, madokotala ambiri amagwiritsanso ntchito mankhwalawa pamlingo wochepa ngati piritsi lothandiza la 'Insomnia'.
💬 Kodi mankhwala awa (Quetiapine) amalowa bwanji muubongo ndikuchotsa kwathunthu chilakolako cha wodwalayo/chisangalalo chopitirira muyeso?
Kuganiza molakwika ndi kusintha kwa wodwalayo kumawonjezeka chifukwa cha kuchuluka kwa mankhwala a 'dopamine ndi serotonin' muubongo. Mankhwalawa amapita mwachindunji ku ubongo ndipo amatseka/kulinganiza ma D2 ndi 5-HT2A Receptors. Amaletsanso histamine (H1), kotero khalidwe la wodwalayo lolira/lovutikira limatheratu ndipo amalowa mu mkhalidwe wodekha/wogonjera.
💬 Kodi zotsatirapo zazikulu komanso zokhumudwitsa kwambiri za kumwa mapiritsi awa (Seroquel) ndi ziti? Kodi zimapangitsa kuti thupi lichepe?
Kuchepetsa thupi sikungatheke! Chotsatira chachikulu komanso chokhumudwitsa kwambiri cha izi ndichakuti patatha miyezi ingapo mukumwa, thupi lidzakhala ndi 'kulemera kwakukulu'. Komanso, pali mwayi waukulu kuti cholesterol ndi shuga m'magazi (Metabolic syndrome/Diabetes) zichuluke kwambiri. Chinanso n'chakuti kumwa izi kungayambitse kugona kwambiri komanso chizungulire (Sedation/Orthostatic hypotension) mpaka kufika poti simungathe kudzuka pabedi m'mawa.
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