Kodi inunso mudzapatsidwa katemera uyu (Risperidone Long-acting Injection Suspension)? Tiyeni tikambirane za izi mwatsatanetsatane!

Nthawi zina pamene maganizo athu atayika, moyo ungakhale wovuta pang'ono, eti? Ngati inu kapena munthu amene mumamudziwa ali ndi matenda amisala monga `( Schizophrenia )` kapena `(Bipolar Disorder)`, dokotala wanu angakulangizeni mankhwala otchedwa `(Risperidone)`. Lero tikambirana za mtundu wa jakisoni wa mankhwalawa otchedwa `(Risperidone)`, omwe ndi `(Risperidone Long-acting Injection Suspension)`. Tikambirana mwachidule za zomwe amachita, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.

Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?

Mwachidule, Risperidone imagwira ntchito poyesa magwiridwe antchito a mitundu iwiri ya ma neurotransmitters muubongo wanu, dopamine ndi serotonin. Mankhwalawa amathandiza kulamulira momwe mukumvera, khalidwe lanu, ndi malingaliro anu. Ndi a gulu la mankhwala otchedwa antipsychotics. Antipsychotics amagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala. Amaperekedwa ngati jakisoni, womwe ndi jakisoni. Dokotala wanu angagwiritsenso ntchito mankhwalawa pamavuto ena. Chifukwa chake ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa

Chabwino, tsopano iyi ndiyo gawo lofunika kwambiri. Musanayambe jakisoni wa `(Risperidone)`, pali zinthu zina zomwe muyenera kuuza dokotala wanu kapena gulu lachipatala lomwe likusamalirani. Chifukwa chidziwitso chimenecho chidzawathandiza kusankha momwe mankhwalawa alili oyenera kwa inu komanso momwe angawaperekere. Onani ngati zinthuzi zikukukhudzani:

• Ngati muli ndi matenda a dementia, matenda omwe kukumbukira kumatayika pang'onopang'ono.
• Ngati muli ndi matenda a shuga.
• Ngati mukuvutika kumeza.
• Ngati mukuvutika kulamulira minofu ya thupi lanu.
• Ngati muli ndi matenda a mtima.
• Ngati muli ndi cholesterol yambiri (`(Cholesterol yambiri)`) m'magazi mwanu.
• Ngati mwapezeka kuti muli ndi hormone ya ``Prolactin`` yambiri m'magazi mwanu.
• Ngati munakhalapo ndi khansa ya m'mawere.
• Ngati mwakhalapo, kapena muli ndi mbiri ya kugunda kwa mtima kosasinthasintha.
• Ngati pali mbiri ya sitiroko.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati zigawo za magazi zili zochepa(Mwachitsanzo: ngati pali maselo oyera a magazi, ma platelet, kapena maselo ofiira a magazi ochepa).
• Ngati muli ndi kuthamanga kwa magazi kotsika.
• Ngati muli ndi matenda monga matenda a Parkinson.
• Ngati mudakumanapo ndi matenda monga khunyu kale.
• Ngati muli ndi vuto la ziwengo chifukwa cha Risperidone, Paliperidone, mankhwala ena aliwonse, chakudya, utoto, kapena zosungira. Izi ndizofunikira kwambiri!
• Ngati muli ndi pakati, kapena mukuyembekeza kutenga pakati posachedwa.
• Ngati ndinu mayi woyamwitsa.

Ngati chilichonse mwa izi chikukukhudzani, muyenera kuuza dokotalayo popanda kubisa chilichonse, chabwino?

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Mankhwala awa `(Risperidone)` amaperekedwa ngati jakisoni m'minofu yanu. Nthawi zambiri amaperekedwa kwa inu ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena kuchipatala. Si jakisoni amene mungadzipatse nokha kunyumba.

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana aang'ono. Chifukwa chake, ngati mukugwiritsa ntchito mankhwalawa kwa mwana wanu, lankhulani ndi gulu lanu lachipatala mosamala za izi ndipo fufuzani tsatanetsatane.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwalawa ndi wina aliyense pazifukwa zilizonse. Akhoza kukhala oopsa.

Komanso, ngati mwamwa mankhwala ochulukirapo, kutanthauza kuti ngati mwamwa "overdose", zimenezonso n’zoopsa. Ngati mukuganiza kuti zimenezo zakuchitikirani, muyenera kupita kuchipatala mwamsanga kapena kuyimbira foni malo owongolera poizoni.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Popeza katemerayu ndi wa nthawi yayitali, ndikofunikira kwambiri kupita ku mlingo wotsatira pa tsiku lomwe mwakonza. Musaphonye nthawi yokumana ndi dokotala wanu. Ngati pazifukwa zina simungathe kupita ku tsiku lomwe mwakonza, imbani gulu lanu lachipatala nthawi yomweyo ndikuwadziwitsa. Adzakuuzani choti muchite kenako.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Iyi ndi mfundo yofunika kwambiri. Mankhwala ena, zakudya, kapena zinthu zina zomwe mumamwa zimatha kusokonezana ndi Risperidone. Ngati ndi choncho, mankhwalawa angasinthe momwe amagwirira ntchito kapena kuyambitsa zotsatira zoyipa.

Musamwe Risperidone pamodzi ndi mankhwala otsatirawa:

• `(Cisapride)`
• `(Dextromethorphan); (quinidine)` (Awa ndi mankhwala omwe amaphatikizidwa)
• `(Dronedarone)`
• `(Metoclopramide)`
• `(Pimozide)`
• `(Quinidine)`
• `(Thioridazine)`

Komanso, zotsatirazi zingagwirizane ndi `(Risperidone)`. Chifukwa chake, ngati mukugwiritsa ntchito izi, muyenera kuuza dokotala wanu:

• Mowa: Muyenera kupewa kumwa mowa mukamamwa mankhwalawa.
• Mankhwala oletsa kugwidwa ndi ziwengo, chifuwa, ndi chimfine.
• Mankhwala ena oletsa nkhawa kapena mapiritsi ogonetsa.
• Mankhwala ena ochizira kuvutika maganizo ( monga amitriptyline, fluoxetine, paroxetine, sertraline).
• Mankhwala ogwiritsidwa ntchito pochiza ululu (monga, `(halothane)`, `(isoflurane)`, `(methoxyflurane)`, `(propofol)`).
• Levodopa kapena mankhwala ena a matenda a Parkinson.
• Mankhwala ochepetsa kuthamanga kwa magazi .
• Mankhwala a khunyu.
• Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni.
• `(Methylphenidate)` (mankhwala operekedwa pa mavuto ena osamalira).
• Mankhwala osokoneza bongo ndi mankhwala omwe amaperekedwa ngati mankhwala ochepetsa ululu.
• Mankhwala ena omwe angayambitse kugunda kwa mtima kosakhazikika (amatalikitsa nthawi ya ``QT interval'').
• Mankhwala omwe ali m'gulu la `(Phenothiazines)` (monga `(chlorpromazine)`, `(prochlorperazine)`).
• `(Rifampin)` (mankhwala ogwiritsidwa ntchito pochiza chifuwa chachikulu).

Mndandanda uwu sungakhale wokwanira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, omwe amagulitsidwa ndi mankhwala ochokera ku zitsamba, mavitamini, kapena zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Izi zidzawathandiza kuti akupatseni mankhwala awa mosamala.

Ndi njira ziti zapadera zodzitetezera zomwe ziyenera kutengedwa mukamamwa mankhwalawa?

Pamene mukumwa mankhwala awa, gulu lanu lachipatala lidzayang'anira zizindikiro zanu nthawi zonse. Ngati zizindikiro zanu sizikusintha kapena zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.

• Kuzunguzika ndi kugona: Mankhwalawa angakupangitseni kumva chizungulire kapena kugona. Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musamaime kapena kudzuka mwadzidzidzi pabedi. Dzukani pang'onopang'ono. Izi zichepetsa mwayi wokhala ndi chizungulire ndi kugwa.
• Mowa: Monga tanenera kale, mowa ungasokoneze ntchito ya mankhwalawa. Choncho, pewani mowa kotheratu.
• Mavuto oletsa kutentha kwa thupi: Mankhwalawa angakhudze mphamvu ya thupi lanu yolamulira kutentha. Izi zikutanthauza kuti thupi lanu silingayankhe bwino kuzizira. Khalani m'nyumba masiku ozizira momwe mungathere. Ngati muyenera kutuluka panja, valani zovala zofunda. Zingapangitsenso thupi lanu kusayankhira kutentha. Chifukwa chake,Musatenthe thupi lanu mopitirira muyeso. Musachite masewera olimbitsa thupi kwambiri. Pewani kudzuwa kwambiri momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zopepuka komanso zopumira. Imwani madzi ambiri. Ngati mukumva kuti mukuvutika kulamulira kutentha kwa thupi lanu, imbani dokotala wanu nthawi yomweyo.
• Shuga wambiri m'magazi: Mankhwalawa angawonjezere shuga m'magazi mwanu. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala anu a shuga.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, jakisoni wa `(Risperidone)` uwu ukhoza kuyambitsa zotsatirapo zina. Ngakhale kuti si aliyense amene amalandira. Zotsatirapo zina zingakhale zoopsa, choncho ndikofunikira kuzidziwa.

Ngati mukukumana ndi zotsatirapo zilizonsezi, muyenera kuuza dokotala wanu kapena gulu lanu lachipatala mwamsanga:

• Matenda a ziwengo : Matuza pakhungu, kuyabwa, mawanga ofiira pakhungu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Shuga wambiri m'magazi (Hyperglycemia) : Ludzu lochuluka, kukodza pafupipafupi, kutopa kapena kufooka kosazolowereka, kusawona bwino.
• Zizindikiro za matenda oopsa otchedwa ``Neuroleptic Malignant Syndrome'' ndi monga : kutentha thupi kwambiri, kuuma kwa minofu, kutuluka thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosakhazikika, komanso kusokonezeka. Izi ndi zadzidzidzi, kotero ngati mukukumana ndi zizindikirozi, muyenera kupita kuchipatala nthawi yomweyo.
• Kuchuluka kwa mahomoni otchedwa `(Prolactin)` m'magazi : (kwa amuna ndi akazi) Kukula kosayembekezereka kwa minofu ya m'mawere, kutuluka kwa madzi m'mabere, kusintha kwa chilakolako chogonana kapena ntchito yogonana, kusakhazikika kwa msambo mwa akazi.
• Matenda : Malungo, kuzizira, chifuwa, kapena kupweteka pakhosi.
• Kuthamanga kwa magazi kotsika : Chizungulire, kukomoka, maso abuluu.
• Kupweteka kapena kuvutika kumeza.
• Chilakolako chogonana chopweteka komanso chokhalitsa (kwa amuna - `(Kumangirira kwa nthawi yayitali kapena kupweteka)`) .
• Kugwidwa ndi khunyu (`(Kugwidwa ndi khunyu)`) .
• Zizindikiro za sitiroko ndi izi : dzanzi mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, kulephera kulinganiza bwino zinthu, chizungulire, mutu waukulu, ndi kusintha kwa masomphenya.
• Zizindikiro za Extrapyramidal (EPS) zikuphatikizapo : kusuntha thupi kosalamulirika, mobwerezabwereza, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kutayika kwa mphamvu, kusakhazikika, ndi kukoka mapazi poyenda.

Zotsatirapo zomwe zili pansipa nthawi zambiri sizowopsa. Koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Kudzimbidwa
• Chizungulire (`(Chizungulire)`)
• Kugona (`(Kugona)`)
• Pakamwa pouma (`(Pakamwa pouma)`)
• Mutu (`(Mutu)`)
• M'mimba movutikira, mofanana ndi kusagaya bwino chakudya (`(M'mimba movutikira)`)
• Kulemera (`(Kulemera)`)

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chilichonse chachilendo, lankhulani ndi dokotala wanu za izi.

Kodi mankhwala awa mumasunga kuti?

Popeza mankhwalawa amaperekedwa ngati jakisoni, simudzaloledwa kusunga mankhwalawa kunyumba. Dokotala adzakupatsani mankhwalawa kuchipatala kapena ku chipatala, ndipo iwo ndi omwe adzawasunge bwino.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, takambirana zambiri za `(Risperidone Long-acting Injection)`, sichoncho? Mwachidule, iyi ndi jakisoni wofunikira womwe umaperekedwa pochiza matenda amisala `(Schizophrenia)` ndi `(Bipolar Disorder)`.

Kumbukirani, mukamagwiritsa ntchito mankhwalawa, muyenera kutsatira malangizo a dokotala wanu. Ndikofunikira kwambiri kupeza katemera wanu pa nthawi yake, kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo, mankhwala ena aliwonse omwe mukumwa, ndikufotokozera zotsatirapo zilizonse mwachangu.

Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu, namwino, kapena wamankhwala. Adzakuthandizani. Kusamalira thanzi lanu la maganizo n'kofunika kwambiri!

'Risperidone, Risperdal Consta, Matenda amisala, Schizophrenia , Matenda a Bipolar, Katemera, Antipsychotic, Zotsatirapo Zake