Inu kapena munthu amene muli naye pafupi akapatsidwa chithandizo cha matenda amisala, ndi zachilendo kukhala ndi mafunso ambiri okhudza vutoli. Makamaka ngati ndi katemera, likhoza kukhala gwero la chidwi komanso mantha pang'ono. Lero tikambirana za katemera wina wotere, Risperidone, yemwe wakhala akugwira ntchito kwa nthawi yayitali. Tikambirana za katemerayu m'njira yosavuta kumva.
Mwachidule, kodi jakisoni wa Risperidone uyu ndi chiyani?
Risperidone ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga schizophrenia . Ndi a gulu la mankhwala otchedwa 'antipsychotics'. Koma musalole dzinalo kukuopsezani. Mtundu uwu wa mankhwala umagwiritsidwa ntchito pochiza matenda osiyanasiyana amisala.
Taganizirani ubongo wathu ngati wailesi yovuta. Nthawi zina njira zina pa wailesiyi sizimveka bwino, ndipo zimamveka ngati phokoso lililonse lasokonezeka. Risperidone imagwira ntchito poyesa kuchuluka kwa mankhwala otchedwa dopamine ndi serotonin muubongo wathu. Zili ngati 'kusintha' wailesi. Mankhwalawa ndi ofunikira kwambiri polamulira malingaliro athu, khalidwe lathu, ndi malingaliro athu. Izi zikayenda bwino, zizindikiro zimawongoleredwa, ndipo malingaliro amakhala omasuka komanso odekha.
Popeza imaperekedwa ngati jakisoni, ndi yabwino kwambiri kwa iwo omwe amaiwala kumwa mapiritsi awo tsiku lililonse. Akapatsidwa jakisoni, zimatenga milungu ingapo kapena miyezi ingapo kuti igwire ntchito m'thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Musanayambe kulandira mankhwala a Risperidone, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi.
| Matenda anu kapena vuto lanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a dementia kapena kulephera kukumbukira | Odwala matenda amisala okalamba angakhale pachiwopsezo chachikulu chifukwa cha mankhwalawa. |
| Matenda a shuga | Mankhwalawa amatha kuwonjezera shuga m'magazi. |
| Kuvuta kumeza | Vutoli nthawi zina likhoza kukulirakulira chifukwa cha mankhwala. |
| Matenda a mtima, cholesterol yambiri, kuthamanga kwa magazi, kapena kugunda kwa mtima kosasinthasintha | Mankhwalawa angakhudze ntchito ya mtima. |
| Kukhala ndi sitiroko | Chisamaliro chapadera chikufunika chifukwa chiopsezo cha kufooka kwa ziwalo chingachuluke. |
| Matenda a impso kapena chiwindi | Njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Kuchepa kwa maselo amagazi (oyera, ofiira, ma platelet) | Mankhwalawa angakhudze kuchuluka kwa maselo m'magazi. |
| Matenda a Parkinson kapena mavuto olamulira minofu | Zizindikiro zimatha kukulirakulira. |
| Kugwidwa ndi khunyu | Chiwopsezo cha khunyu chimasintha ndi mankhwala. |
| Mbiri ya khansa ya m'mawere kapena kuchuluka kwa mahomoni a prolactin | Ndikofunikira kudziwa kuti mankhwalawa amakhudza hormone ya Prolactin. |
| Kusamvana ndi Risperidone, Paliperidone kapena mankhwala ena kapena zakudya zina | Izi ndizofunikira kwambiri kuti tipewe ziwengo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Ndikofunikira kulankhula ndi dokotala za zotsatira zomwe zingachitike pa mwana. |
Kodi katemerayu amagwiritsidwa ntchito bwanji?
Iyi ndi jakisoni wopangidwa pansi pa khungu. Si chinthu chomwe mungagwiritse ntchito kunyumba. Chimaperekedwa kwa inu ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala.
Chofunika kwambiri ndichakuti musaphonye masiku omwe aperekedwa kuti mupeze katemera pa tsiku lomwe lakonzedwa. Ngati pazifukwa zina simungathe kupita pa tsiku lomwe lakonzedwa, imbani dokotala wanu kapena chipatala nthawi yomweyo ndipo muwadziwitse.
Simuyenera kuda nkhawa ndi kumwa mankhwala mopitirira muyeso. Izi sizikutanthauza kuti mukuyenera kugwiritsa ntchito nokha. Komabe, ngati mukukumana ndi vuto lililonse lachilendo mutalandira katemera, pitani ku Emergency Unit (ETU) ya chipatala nthawi yomweyo. Ngati kuli kofunikira, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Mankhwala ena amatha kusokonezana ndi Risperidone. Izi zitha kuchepetsa kapena kuwonjezera mphamvu ya mankhwalawo, kapena kuyambitsa zotsatirapo zoopsa.
| Musagwiritse ntchito Risperidone pamodzi ndi mankhwalawa. | |
|---|---|
| Mankhwala monga Cisapride, Dronedarone, Metoclopramide, Pimozide, Quinidine, Thioridazine. | |
| Samalani kwambiri mukamagwiritsa ntchito Risperidone ndi zinthu izi: | |
| Mowa | Kuchulukitsa kwambiri kugona ndi chizungulire. |
| Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) | Zingawonjezere kugona. |
| Mankhwala ena oletsa nkhawa kapena tulo | Kugona tulo tochuluka kungachitike. |
| Mankhwala ena ochizira kuvutika maganizo (monga Amitriptyline, Fluoxetine, Paroxetine) | Zotsatira za mankhwala onsewa zimatha kusiyana. |
| Mankhwala ochepetsa kuthamanga kwa magazi | Kuthamanga kwa magazi kumatha kutsika kwambiri ndikupangitsa chizungulire. |
| Mankhwala monga Levodopa a matenda a Parkinson | Kugwira ntchito kwa wina ndi mnzake kungasokonezeke. |
| Mankhwala osokoneza bongo, mankhwala oletsa ululu, mankhwala oletsa khunyu | Izi zitha kuwonjezera zotsatira zake ndikupangitsa kugona kwambiri. |
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kuzunguzika ndi kugona: Mankhwalawa angakupangitseni kumva chizungulire kapena kugona. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Mungamve chizungulire ndikugwa mukayimirira kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba. Choncho sinthani malo pang'onopang'ono.
- Mowa: Pewani kumwa mowa kwathunthu mukamamwa risperidone. Mowa ukhoza kuonjezera kwambiri zotsatirapo zoyipa za mankhwalawa, makamaka kugona.
- Kutentha kwa thupi: Mankhwalawa angakhudze momwe thupi lathu limalamulira kutentha. Izi zikutanthauza kuti kupirira kwathu kuzizira kwambiri kapena kutentha kwambiri kungachepe. Chifukwa chake, ngati mutuluka masiku ozizira, valani zovala zofunda. Komanso, chepetsani kutentha kwambiri padzuwa komanso kuchita masewera olimbitsa thupi kwambiri masiku otentha. Imwani madzi ambiri. Uzani dokotala wanu ngati simukumva bwino.
- Shuga m'magazi:Mankhwalawa angapangitse kuti shuga m'magazi mwanu achuluke. Ngati muli ndi matenda a shuga, yang'anani shuga m'magazi mwanu nthawi zonse. Uzani dokotala wanu ngati muli ndi zizindikiro zatsopano monga ludzu lochuluka, kukodza pafupipafupi, kapena kutopa kosazolowereka .
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Risperidone ingayambitse zotsatirapo zake. Komabe, si aliyense amene amakumana nazo. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu ngati muli ndi vuto lililonse.
| Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a Malignant a Neuroleptic | Malungo aakulu kwambiri, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosakhazikika, kusokonezeka maganizo. |
| Zizindikiro za Extrapyramidal (EPS) | Kusuntha kosalamulirika kwa ziwalo za thupi (makamaka nkhope, pakamwa, miyendo), kuuma kwa minofu, kunjenjemera, kusakhazikika, komanso kuvutika kuyenda. |
| Zizindikiro za sitiroko | Kufooka mwadzidzidzi kapena kufooka mbali imodzi ya nkhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, mutu waukulu. |
| Shuga wambiri m'magazi (hyperglycemia) | Kumva ludzu lochuluka, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zizindikiro za kuchuluka kwa prolactin hormone | Kukula kwa mawere mwa amuna, kutuluka kwa mabele m'mabele, kuchepa kwa chilakolako chogonana, komanso kusakhazikika kwa msambo mwa akazi. |
| Zizindikiro zina zazikulu | Kukomoka, kutopa kwa nthawi yayitali, zizindikiro za matenda (malungo, kuzizira). |
| Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kudzimbidwa, kugona tulo, kupweteka kwa minofu kapena kuuma, kunenepa kwambiri. | |
Uthenga Wopita Nawo Kunyumba
- Risperidone ndi mankhwala obayidwa jakisoni kwa nthawi yayitali omwe amaperekedwa kuchipatala kapena kuchipatala cha matenda amisala monga schizophrenia .
- Musanayambe chithandizo, onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Mukamamwa mankhwalawa, dziwani chizungulire, kugona tulo, kusintha kwa kutentha kwa thupi, ndi zina zotero. Pewani mowa kotheratu.
- Ngati mukukumana ndi mavuto aakulu monga kutentha thupi kwambiri, kuuma kwa minofu, kapena kuyenda kosalamulirika kwa thupi, funsani upangiri wa dokotala nthawi yomweyo.
- Musaphonye tsiku lomwe mwakonza katemera. Ngati simungathe kupezekapo pazifukwa zilizonse, dziwitsani chipatala chanu kapena dokotala wanu nthawi yomweyo.
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