Wenda wowe cyangwa umuntu wo mu muryango wawe mwahawe umuti witwa Chlorpromazine na muganga wanyu. Iyo wumvise iri zina, ushobora kumva ufite ubwoba cyangwa ukagira amatsiko. Ni ibisanzwe ko ibibazo nka 'Uyu muti ni iki? Kuki mpabwa uyu muti?' biza mu mutwe. Kubera ko uyu ari umuti ukunze gutangwa ku ndwara zo mu mutwe, hashobora kubaho ibitekerezo bitandukanye bitari byo mu bantu. None rero uyu munsi, reka tuganire kuri uyu muti wa chlorpromazine mu buryo bworoshye ushobora kumva.
Chlorpromazine ni iki mu by'ukuri?
Muri make, chlorpromazine ni umuti ukoreshwa mu kuvura indwara zitandukanye zo mu mutwe. Uri mu bwoko bw'imiti yitwa antipsychotics . Dopamine ni ikinyabutabire kiri mu bwonko gifasha mu kugenzura ibintu nk'amarangamutima n'ibyiyumvo byacu. Uyu muti ukora mu kuringaniza urugero rw'iyi dopamine mu bwonko.
Ariko, uyu muti ntugenewe gusa indwara zo mu mutwe. Abaganga bawukoresha mu bindi bihe bitandukanye. Urugero:
- Indwara zo mu mutwe nka schizophrenia na bipolar disorder.
- Genzura isesemi no kuruka.
- Ku bw'ibibazo bimaze igihe kirekire kandi bidashobora guhagarara.
- Ku barwayi bamwe na bamwe barwaye indwara yitwa porphyria.
- Humura imitsi mu gihe cyo kurwara tetanasi.
- Humura umurwayi mbere yo kubagwa cyangwa gupimwa.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira uyu muti, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Kubera ko uyu muti ugomba gukoreshwa witonze ku bantu bafite indwara zimwe na zimwe. Niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
| Impamvu/ikibazo kijyanye n'ikibazo | Ibisobanuro |
|---|---|
| Indwara zisanzweho | Ikibyimba cyo mu bwonko, indwara yo kwibagirwa, diyabete, glaucoma, imvune yo mu mutwe, indwara y'umutima, amateka y'umutima utera nabi, indwara y'impyiko cyangwa umwijima, umuvuduko w'amaraso uri hasi, indwara z'ibihaha nka asima, indwara ya Parkinson, indwara ya prostate, igicuri. |
| Kubabara umubiri | Kugorwa no kumira ibiryo, kugorwa no kugenzura inzira z'amara, kugorwa no kunyara, no kuziba amara. |
| Ibibazo bifitanye isano n'amaraso | Indwara nk'uturemangingo tw'amaraso tw'umweru duke, uturemangingo dutukura tw'amaraso, cyangwa uduce duto tw'amaraso. |
| Ubuzima n'imyitwarire | Niba ukunda kunywa inzoga kenshi. |
| Allergie | Niba ufite ubwivumbure kuri chlorpromazine, sulfite, indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe. |
| Ibirori byihariye | Niba utwite, ugerageza gusama, cyangwa wonsa. |
Uyu muti utangwa ute?
Uyu si umuti ushobora kujyana mu rugo. Chlorpromazine ni urushinge rutangwa n'umuganga mu bitaro cyangwa mu ivuriro . Rushyirwa mu mubiri binyuze mu gutera imitsi cyangwa mu guterwa mu mitsi.
Mu gihe cyo guha abana uyu muti, hagomba kwitabwaho cyane. Nubwo mu bihe bimwe na bimwe by’umwihariko ari byiza ku bana barengeje amezi 6, ni ngombwa gukurikiza amabwiriza ajyanye n’uburyo bwo kwirinda.
Kunywa ibinini birenze urugero - Ni ingenzi cyane!
Niba ubona ko wafashe uyu muti urenze urugero, ntukirengagize. Jya mu bitaro byita ku barwayi ba ETU ako kanya. Niba bibaye ngombwa, ushobora guhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ngombwa cyane kubwira muganga wawe imiti yose ufata, kuko chlorpromazine ishobora kugira ingaruka ku yindi miti myinshi.
| Ntuzigere ufata chlorpromazine hamwe n'ibi. | |
|---|---|
| Cisapride | Pimozide |
| Dronedarone | Saquinavir |
| Metoclopramide | Thioridazine |
| Witondere cyane kuko ibibazo bishobora kuvuka kuri ibi. | |
| Inzoga | Lithiyumu |
| Antihistamines ku ndwara z'ubwivumbure, inkorora n'ibicurane | Imiti y'umuvuduko ukabije w'amaraso |
| Imiti ivura stress, guhangayika, cyangwa gusinzira | Imiti igabanya ububabare (Phenobarbital, Phenytoin) |
| Imiti ivura indwara ya Parkinson (Levodopa) | Imiti ikoreshwa mu biyobyabwenge |
| Imiti ikoreshwa mu gutera gusinzira mu gihe cyo kubagwa | Imiti igabanya amaraso nka Warfarin |
Uru rutonde ntirwuzuye, bityo rero menya neza ko wabwiye muganga wawe imiti iyo ari yo yose, vitamine, cyangwa imiti gakondo ufata.
Ibintu ugomba kuzirikana mu gihe ufata imiti
Itsinda ry'abaganga bawe rizakurikiranira hafi uko umeze mu gihe uhabwa uru rukingo, ariko ni ngombwa ko umenya ibi bintu.
Gusinzira no kuzungera
Uyu muti ushobora gutuma wumva usinziriye, uzungera cyangwa utabona neza . Rero irinde ibikorwa biteje akaga nko gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Witondere igihe uhagurutse cyangwa wicaye mu buryo butunguranye , cyane cyane niba ugeze mu zabukuru. Ibi bishobora kugabanya ibyago byo gucika intege no kugwa. Kunywa inzoga bishobora gutuma ibitotsi birushaho kwiyongera.
Kugenzura ubushyuhe bw'umubiri
Uyu muti ushobora kugira ingaruka ku bushobozi bw'umubiri wawe bwo kugenzura ubushyuhe. Ubushobozi bwawe bwo kwihanganira ubukonje bushobora kugabanuka, kandi ubushobozi bwawe bwo kwihanganira ubushyuhe bushobora kugabanuka. Kubwibyo, ambara imyenda ishyushye mu minsi ikonje. Mu minsi y'ubushyuhe, gabanya kwibasirwa n'izuba, kora imyitozo ngororamubiri, kandi unywe amazi menshi.
Uburyo bwo kuvura izuba
Uyu muti ushobora gutuma uruhu rwawe rugira ikibazo cy'izuba. Irinde rero izuba. Niba ugomba kujya ku zuba, ambara imyenda ipfuka umubiri wawe kandi wisiga amavuta akingira izuba .
Umunwa wumye
Kumva umunwa wumye ni ingaruka zikunze kugaragara z’uyu muti. Ibi bishobora gukemurwa no guhekenya ishinya ridafite isukari, kunywa bombo zitarimo isukari, no kunywa amazi menshi.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, chlorpromazine ishobora kugira ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Ni ngombwa kuzimenya.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe cyangwa ibitaro ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Indwara y'indwara y'imitsi itera indwara ya Neuroleptic Malignant Syndrome | Umuriro mwinshi utunguranye, imitsi ikomera, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, urujijo. |
| Ibimenyetso bya EPS (Ibimenyetso bya Extrapyramidal) | Ingendo z'ibice by'umubiri zitagenzuwe (cyane cyane mu maso, mu kanwa), imitsi ikomera, gutigita, gutakaza uburinganire, no kubura ituze. |
| Kwangirika k'umwijima | Kubabara mu nda yo hejuru y'iburyo, kubura ubushake bwo kurya, isesemi, uruhu cyangwa amaso bihinduka umuhondo, inkari z'umuhondo wijimye/umukara, n'imyanda y'amabara yoroheje. |
| Ibindi bimenyetso bikomeye | Ibimenyetso by'ubwandu (umuriro, ubukonje, inkorora, kubabara mu muhogo), umuvuduko w'amaraso uri hasi (kuzungera, gucika intege). |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Impatwe | Umunwa wumye |
| Gusinzira | Kongera ibiro |
| Kuzungera | |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, vugana na muganga wawe ku byerekeye ibyo bimenyetso.
Ubutumwa bwo kujyana mu rugo
- Chlorpromazine ni urukingo rutangwa gusa mu bitaro cyangwa mu ivuriro riyobowe na muganga.
- Menya neza ko wabwiye muganga wawe indi miti yose ufata, izindi ndwara zose ufite, ndetse n'ibindi byose ufite ubwivumbure.
- Witondere mu gihe ukora imirimo isaba kwitonda, nko gutwara imodoka, kuko gusinzira no kuzungera bishobora kubaho mu gihe ufata imiti. Irinde kunywa inzoga.
- Niba ugize ingaruka mbi zikomeye nko kugira umuriro mwinshi, imitsi igoramye, gukora ingendo z'umubiri zidasobanutse, cyangwa guhinduka umuhondo w'uruhu, shaka ubufasha kwa muganga byihutirwa.
- Niba ufite impungenge cyangwa ubwoba kuri uyu muti, vugana na muganga wawe ku mugaragaro.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Chlorpromazine Inshinge / Thorazine ni umuti ukomeye cyane ukoreshwa mu kuvura indwara iyihe?
Uyu si umuti usanzwe! Uyu ni umuti uterwa n'ubutabazi bwihuse kandi bukomeye (Antipsychotic y'ikinyejana cya mbere) ukoreshwa mu guhita uhumuriza umurwayi no kumusinziriza cyane (agahinda) mu gihe afite 'ubusazi bwo mu mutwe' bukomeye (Severe Psychosis / Agitation) buterwa na schizophrenia, indwara ya bipolar, n'ibiyobyabwenge, iyo umurwayi afite umujinya ukabije, kandi akaba ari mu kaga gakomeye ko kugirira nabi abandi cyangwa we ubwe.
💬 Iyo urimo gutaka/gutaka cyane, ni gute uru rushinge (Chlorpromazine) rufasha ubwonko bwawe gukira/gusinzira?
Ibintu nk'ibi bidasanzwe biboneka/birababaza cyane iyo 'Dopamine (Dopamine / D2)' mu bwonko yuzuye! Uru rukingo rufunga burundu 'receptors za Dopamine' zose mu bwonko (Dopamine antagonist). Byongeye kandi, runazimya imashini ziri mu byiciro bya 'Histamine (H1)' na 'Adrenaline (Alpha-1)', bityo umurwayi agaceceka akicara/agasinzira mu minota mike.
💬 Ni izihe ngaruka zishobora kwica (Imiburo y'Akasanduku k'Umukara) z'uru rukingo rukomeye rwangiza ubwonko (Thorazine)?
Akaga gakomeye ni uko iyo ibi bihawe abantu bageze mu za bukuru bafite indwara yo kwiheba (dementia-related psychosis), bashobora guhagarika guhumeka mu buryo butunguranye bagapfa (Increased mortality)! Ikindi kintu giteje akaga cyane ni uko ibi bishobora gutuma umurwayi agwa muri koma bitewe na 'Fatal Hypotension / Orthostatic'. Nanone, indwara ikomeye y'imitsi ituma bidashoboka kuguma aho ari, bigatuma amaguru n'amaboko binyeganyega nk'ibisazi kandi ijosi/amaso bikagenda (Extrapyramidal Symptoms / EPS / Tardive Dyskinesia) ishobora kubaho rwose.
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