Wowe cyangwa undi muntu uzi ushobora kuba warabwiwe na muganga ibijyanye n'umuti witwa Olanzapine. Cyangwa ushobora kuba urimo kuwushakisha. Uyu muti ukoreshwa mu kuvura indwara zo mu mutwe. Reka tubiganireho mu buryo bworoshye ushobora gusobanukirwa.
Uru rushinge rwa Olanzapine ni iki?
Muri make, OLANZAPINE ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nka schizophrenia . Ubwonko bwacu bugizwe n'ibinyabutabire bibiri byitwa dopamine na serotonin. Ibi bifasha mu kugenzura amarangamutima yacu, imyitwarire yacu, n'ibitekerezo byacu. Olanzapine ikora mu kuringaniza urugero rw'ibi binyabutabire. Ni mu bwoko bw'imiti yitwa antipsychotics. Ubwo bwoko bw'imiti irwanya indwara zo mu mutwe ikoreshwa mu kuvura indwara zitandukanye zo mu mutwe.
Hari igihe uyu muti ushobora gukoreshwa ku zindi ndwara, bityo niba ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.
IZINA RUSANGE RY'UMUTI: `Zyprexa Relprevv`
Ni ibihe bintu ugomba kubwira itsinda ry'abaganga mbere yo gutangira uyu muti?
Mbere yo gutangira gufata uyu muti, ni ngombwa ko itsinda ry’abaganga (abaganga n’abaforomo) bamenya ibi bintu kugira ngo babashe kukuvura mu buryo bwizewe kandi bukwiye. Reba niba ibi bintu bikureba:
- Ese ufite ikibazo nk'iki cyo kubura amaraso mu mara yawe ?
- Uri umunywi w'itabi ?
- Ese ukunze kurwara impatwe ?
- Ese ufite ikibazo cyo kwibagirwa (dementia )?
- Urwaye diyabete ?
- Ufite ikibazo cyo kumira ?
- Urwaye glaucoma ?
- Ese ufite ikibazo cyo kugenzura imitsi yawe ?
- Urwaye indwara y'umutima ?
- Ufite cholesterol nyinshi ?
- Ese urugero rwa prolactine yawe ruri hejuru ?
- Ese wigeze ugira amateka yo kurwara kanseri y'ibere ?
- Ese hari amateka y'umutima utera utari umeze neza ?
- Ese wigeze ugira ikibazo cyo gucika intege mu bwonko (stroke) mbere yaho?
- Urwaye umwijima ?
- Ese ufite umubare muto w'amaraso ( urugero: uturemangingo tw'umweru, uduce duto tw'amaraso, cyangwa uturemangingo dutukura)?
- Ese ufite umuvuduko w'amaraso uri hasi?
- Urwaye indwara ya Parkinson ?
- Ese hari indwara ya prostate ?
- Ese ufite indwara zo mu mutwe nk'igicuri ?
- Ese wigeze ugira ibitekerezo byo kwiyahura, imigambi cyangwa kugerageza kwiyahura ? Ese wowe cyangwa undi muntu wo mu muryango wawe yigeze agerageza kubikora?
- Ufite ikibazo cyo gusohora inkari ?
- Ese wigeze ugira ikibazo kidasanzwe cyangwa kidasanzwe kuri olanzapine, indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe?
- Uratwite cyangwa urimo gushaka gutwita ?
- Urimo konsa ?
Si ibi bintu gusa, ahubwo ugomba no kumenyesha muganga wawe indi miti, vitamine, cyangwa imiti gakondo ufata.
Uyu muti nkwiye kuwukoresha nte?
Uyu si umuti ushobora gufata mu rugo. Uterwa urushinge mu mitsi n'itsinda ry'abaganga. Ibi bivuze ko utangwa na muganga cyangwa umuforomo wabyigiye. Utangwa buri gihe . Ntugahagarike gufata uyu muti kugeza igihe itsinda ry'abaganga ribikubwiriye.
Mbere ya buri buryo bwo kuvurwa, uzahabwa agatabo k'amabwiriza yihariye (`MedGuide`) . Ni ingenzi cyane gusoma no gusobanukirwa neza ibikubiye muri ako gatabo buri gihe.
Niba uha abana uyu muti, vugana n'ikipe y'abaganga bawe kuri byo. Hashobora kuba hakenewe ubwitonzi bwihariye.
Icy'ingenzi: Uyu muti ni uwawe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese.
Wakora iki niba ufashe imiti myinshi?
Niba utekereza ko warengeje urugero rw'umuti, jya mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi.
Bite ho nintakaza itariki yo gukingirwa?
Niba usibye igihe cyangwa umunsi wagenwe wo gukingirwa kwawe, hamagara itsinda ry’abaganga bawe vuba bishoboka ubamenyeshe.
Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoreshereze y'imiti)
Imiti imwe ishobora guteza ibibazo iyo ifashwe n'uyu muti. Bityo rero, ha muganga wawe urutonde rwuzuye rw'imiti yose ufata, harimo imiti y'ibimera, imiti idasaba muganga, n'inyongeramusaruro. Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.
Ntugafate uru rushinge rwa Olanzapine hamwe n'indi miti ikurikira:
- Dronedarone
- Cisapride
- Metoclopramide
- Pimozide
- Thioridazine
Uyu muti ushobora kandi kugira ingaruka ku bikurikira:
- Inzoga
- Imiti imwe n'imwe ivura allergie, inkorora, n'ibicurane (urugero: imiti igabanya ubukana bw'indwara)
- Atropine
- Karubamazepine
- Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
- Imiti imwe n'imwe ivura ibibazo by'inkari (urugero: oxybutynin, tolterodine)
- Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: amitriptyline, fluoxetine, sertraline)
- Imiti imwe n'imwe ivura ibibazo byo mu gifu (urugero: dicyclomine, hyoscyamine)
- Imiti ivura indwara yo kugenda (urugero: scopolamine)
- Fluvoxamine
- Imiti igabanya ububabare (urugero: halothane, isoflurane, methoxyflurane, propofol)
- Levodopa cyangwa indi miti ivura indwara ya Parkinson
- Umuti w'umuvuduko w'amaraso
- Umuti uvura ibisebe
- Imiti iruhura imitsi yo kubagwa
- Imiti igabanya ububabare
- Omeprazole
- Indi miti ishobora gutera ubusumbane mu mikorere y'umutima (`intera ya QT`)
- Phenothiazine (urugero: chlorpromazine, prochlorperazine)
- Rifampine
Uru rutonde rushobora kuba rutuzuye, bityo ni byiza kubwira muganga wawe ibyo urimo gufata byose.
Ni izihe ngamba zihariye zigomba gufatwa mu gihe ufata uyu muti?
Ikipe y'abaganga bawe izagukurikiranira hafi mu gihe ufata uyu muti. Bwira itsinda ry'abaganga bawe niba ibimenyetso byawe bitaragabanuka cyangwa niba birushaho kwiyongera.
Ibi ni ingenzi cyane: Umaze guterwa urushinge, ugomba kuguma mu ivuriro watewemo urushinge nibura amasaha 3. Uzi icyo bivuze? Itsinda ry'abaganga rirashaka kureba niba ufite ibimenyetso by'indwara yitwa Post-injection Delirium Sedation Syndrome (PDSS). PDSS ni indwara ikomeye . Ibaho iyo umuti winjiye mu maraso yawe vuba cyane. Bimwe mu bimenyetso bya PDSS ni:
- Gusinzira
- Kuzungera
- Urujijo (kutamenya ibiri kuba)
- Kugorwa no kuvuga cyangwa kugenda
- Gutitira
- Gukomera kw'imitsi cyangwa gutigita
- Kumva ufite intege nke
- Kumva ufite impungenge cyangwa uburakari
- Gutakaza ubwenge cyangwa gucika intege
- Impinduka mu muvuduko w'amaraso
Iyo uvuye kwa muganga, ugomba kuba uri kumwe na we.Niba ugaragaje ibimenyetso bya PDSS nyuma yo kuva mu ivuriro cyangwa mu bitaro, shaka ubufasha bwa muganga byihutirwa .
Ntugatware imodoka cyangwa ngo ukoreshe imashini ziremereye umunsi wose nyuma yo guterwa inshinge. Ushobora kumva umeze nk'ufite isereri cyangwa usinziriye. Ntugahagarare cyangwa ngo wicare utunguranye, cyane cyane niba ugeze mu za bukuru. Ibi bishobora kugabanya isereri no gucika intege. Inzoga zishobora kubangamira uburyo uyu muti ukora. Rero irinde kunywa inzoga.
Uyu muti ushobora gutera ingaruka zikomeye ku ruhu ku bantu bamwe. Ibi bishobora kubaho ndetse n'ibyumweru nyuma yuko utangiye gufata umuti. Bibwire itsinda ry'abaganga ako kanya niba ugize ibisebe birimo umuriro n'ibimenyetso bisa n'ibicurane. Ibi bisebe bishobora kugaragara nk'umutuku cyangwa umuhengeri, hanyuma bigahinduka udusebe. Nanone, bwira muganga wawe niba ufite ibisebe bitukura birimo kubyimba mu maso cyangwa ku minwa, cyangwa utunyangingo tw'imitsi mu ijosi cyangwa mu kwaha.
Uyu muti ushobora kongera urugero rw'isukari mu maraso . Niba urwaye diyabete, baza itsinda ry'abaganga niba ukeneye guhindura indyo yawe cyangwa imiti.
Ushobora kuba ufite umunwa wumye . Ushobora gufasha mu kuvura ibi uhekenya ishinya ridafite isukari, unyoye agace k'ishinya, kandi ukanywa amazi menshi. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira itsinda ry'abaganga.
Uyu muti ushobora kugorana kugena ubushyuhe bw'umubiri wawe . Ushobora gutuma umubiri wawe utitabira ubukonje. Niba bishoboka, guma mu nzu mu minsi y'ubukonje. Niba ugomba kujya hanze, ambara imyenda ishyushye. Ushobora kandi gutuma umubiri wawe utitabira ubushyuhe. Rero ntureke umubiri wawe ushyuhe cyane. Ntugakore siporo nyinshi. Irinde izuba cyane uko bishoboka kose. Niba ugomba kuba uri ku zuba, ambara imyenda ihumeka neza. Nywa amazi menshi. Niba wumva ufite ikibazo cyo kugenzura ubushyuhe bw'umubiri wawe, hamagara itsinda ry'abaganga ako kanya.
Niba unywa itabi , bwira itsinda ry’abaganga niba ubona ko uyu muti utakora neza. Niba unywa itabi cyangwa urimo gutekereza kurireka, ganira n’itsinda ry’abaganga ku bijyanye naryo.
Ni izihe ngaruka mbi uyu muti ushobora gutera?
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi, ariko si buri wese uzibona.
Ingaruka mbi zigomba kumenyeshwa muganga cyangwa itsinda ry’abaganga ako kanya:
Ubonye kimwe muri ibi bimenyetso, ugomba kubitangaza vuba :
- Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
- Isukari nyinshi mu maraso (hyperglycemia): Kugira inyota nyinshi cyangwa kwihagarika, intege nke cyangwa umunaniro udasanzwe, kutabona neza.
- Umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, no kwitiranya ibintu: Ibi bishobora kuba ibimenyetso by'indwara ikomeye yitwa neuroleptic malignant syndrome.
- Prolactine nyinshi: Kumera nabi mu buryo butunguranye kw'imitsi y'ibere, kuva amaraso mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, imihango idahoraho.
- Kwandura: Umuriro, inkorora, inkorora, cyangwa kubabara mu muhogo.
- Umuvuduko w'amaraso uri hasi: isereri, gucika intege, amaso y'ubururu.
- Kubabara cyangwa kugorwa no kumira.
- Indwara yo kuruhuka nyuma yo guterwa urushinge: Kuzunguruka, gusinzira, kuvuga nabi, urujijo, guhindagurika, kubura amahoro, kugenda bigoranye, gutakaza uburinganire, intege nke cyangwa umunaniro udasanzwe.
- Ibisebe, umuriro, n'uturemangingo tw'imitsi tubyimba.
- Ibitekerezo byo kwiyahura cyangwa kwibabaza, imitekerereze irushaho kuba mibi, kumva wihebye.
- Ingendo z'umubiri zidagenzuwe kandi zisubiramo, gukomera kw'imitsi cyangwa guhindagura, gutigita, gutakaza uburinganire, kuruhuka, kugenda buhoro buhoro: ibi bishobora kuba ibimenyetso by' 'ibimenyetso bya extrapyramidal (EPS)'.
Ibimenyetso akenshi bidasaba inama kwa muganga (ariko menyesha itsinda ry’abaganga niba bikomeje cyangwa bikubangamiye):
Ibi bikunze kugabanuka mu minsi mike, ariko niba bikomeje cyangwa bikakubangamira, bwira muganga wawe.
- Impiswi
- Kuzungera
- Gusinzira
- Umunwa wumye
- Umutwe
- Isesemi
- Kongera ibiro
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi zishobora kubaho.
Uyu muti nawubika he?
Ntabwo uzemererwa kujyana uyu muti mu rugo. Uyu ni umuti utangwa mu bitaro cyangwa ku ivuriro, bityo ntugomba kuwubika mu rugo.
Amaherezo, ibintu byo kwibuka
Noneho rero ufite igitekerezo ku rukingo rwa olanzapine rukora igihe kirekire. Ikintu cy'ingenzi ni ukuganira na muganga wawe cyangwa umwe mu bagize itsinda ry'abaganga bawe ku bibazo cyangwa impungenge ushobora kuba ufite. Nibo bashobora kugufasha neza.
Wibuke ko aya makuru ari ay'amakuru yawe gusa. Si inama z'abaganga. Buri gihe kurikiza inama z'umuganga wawe.
Ndakwifurije gukira vuba!
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ese Olanzapine Extended-Release Injection (Zyprexa Relprevv) ni umuti uhoraho ku barwayi bo mu mutwe?
Yego! Uyu ni umuti ukomeye ukoreshwa mu kuvura indwara zikomeye zo mu mutwe nka schizophrenia. Ku barwayi badashaka gufata ibinini bya Olanzapine buri munsi, uru rushinge rwihariye rushyirwa mu mitsi yo mu bwoko bwa gluteal buri byumweru 2 cyangwa 4. Hanyuma rukomera imbere hanyuma rukarekura umuti ukenewe mu maraso mu gihe cy'iminsi 30, bigatuma umurwayi atuza.
💬 Kuki uru rukingo (Olanzapine LAI) rutaboneka/rugoye kuboneka mu mavuriro asanzwe?
Hari ingorane zikomeye zishobora kubaho muri ibi: 'Post-Injection Delirium/Sedation Syndrome (PDSS).' Ibi bivuze ko iyo umuti mwinshi utewe mu mitsi mu buryo butunguranye mu gihe cyo guterwa, umurwayi ashobora guhita agwa muri koma cyangwa agapfa azize kubura umwuka. Kubwibyo, ibi bishobora gukorwa gusa mu mavuriro yigenga afite uruhushya rwihariye, kandi umurwayi aguma mu bitaro amasaha 3 nyuma yo guterwa inshinge (REMS Program).
💬 Ni izihe ngaruka mbi zishobora guterwa n'uru rukingo nyuma yo kumara ukwezi mu mubiri?
Kubera ko uyu muti umaze ukwezi mu mubiri, ingaruka mbi zikomeje kugira ingaruka! Ikintu cy'ingenzi ni uko ubushake bw'umurwayi bwo kurya bwiyongera cyane kandi ibiro by'umubiri bikiyongera mu buryo budasanzwe (Kwongera ibiro). Muri icyo gihe, hari amahirwe menshi yo kongera isukari mu maraso na cholesterol (Metabolic syndrome & Diyabete risk). Ikindi kintu ni uko umurwayi ashobora guhora yumva afite ibitotsi (Sedation) kandi akanuma mu kanwa.
Olanzapine , schizophrenia, imiti igabanya ubukana bw'indwara zo mu mutwe, ubuzima bwo mu mutwe, Zyprexa Relprevv, inshinge, ingaruka mbi, PDSS, Olanzapine, schizophrenia-psychotic , ubuzima bwo mu mutwe, inshinge, ingaruka mbi
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.