Reka twige ku rukingo rwa Olanzapine? Ibyo ukeneye kumenya byose kuri uyu muti!

Iyo umuganga agusabye guterwa urushinge rwa 'Olanzapine' cyangwa undi muntu wa hafi yawe, ni ibisanzwe kugira ibibazo byinshi kuri rwo, sibyo? "Uyu ni umuti ki?", "Kuki utangwa?", "Ese hari ingaruka mbi zizaba zihari?" Ushobora kuba wibaza ibintu nk'ibyo. Mu by'ukuri, ni ngombwa cyane gusobanukirwa neza umuti uwo ari wo wose. None rero uyu munsi, reka tuganire ku byo ukeneye kumenya byose kuri uru rushinge rwa 'Olanzapine', mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Ni ubuhe bwoko bw'umuti Olanzapine?

Mu magambo make, Olanzapine ni umuti ukoreshwa mu kuvura indwara zimwe na zimwe zo mu mutwe. Ufasha mu kugenzura ibimenyetso bya schizophrenia - urabizi, indwara aho abantu babona, bumva, cyangwa bafite imyizerere idasanzwe itari iy'ukuri - hamwe n'indwara ya bipolar - indwara aho amarangamutima ashobora guhinduka mu buryo butunguranye akava mu byishimo cyane akagera mu gahinda gakomeye.

Tekereza nawe, hari imiti itandukanye mu bwonko bwacu ifasha mu kugenzura amarangamutima yacu, imyitwarire yacu, n'ibitekerezo byacu. Dopamine na Serotonin ni imiti ibiri y'ingenzi. Umuti Olanzapine ukora mu kuringaniza urugero rw'iyi dopamine na serotonin mu bwonko. Uku ni ko bifasha kunoza amarangamutima yacu n'imyitwarire yacu.

Uyu muti uri mu itsinda ry'imiti yitwa "Antipsychotics". Imiti iri muri iri tsinda ikoreshwa mu kuvura ibibazo bitandukanye by'ubuzima bwo mu mutwe. Ushobora kuwusanga munsi y'amazina y'ikirango "Zyprexa" cyangwa "Zyprexa Intramuscular". Bityo, muganga wawe azagusobanurira impamvu uterwa uru rushinge rwa "Olanzapine". Hari igihe uyu muti ushobora no gukoreshwa ku zindi ndwara zitavuzwe muri iyi nkuru. Rero, ntugatinye kubaza muganga wawe cyangwa umufarumasiye niba ufite ikibazo.

Ni iki wabwira itsinda ry'abaganga mbere yo kubona uru rukingo?

Iki ni ikintu cy'ingenzi cyane . Mbere yo gutangira gufata Olanzapine, ni ngombwa kumenyesha itsinda ry'abaganga bawe indwara ufite ubu. Kuko, niba ufite indwara zimwe na zimwe, ugomba kwitonda cyane mu gihe utanga uyu muti, cyangwa wenda uyu muti ntukubereye. Tekereza, iyo Nalini atabwira muganga ko arwaye diyabete, uyu muti washoboraga kongera urugero rw'isukari ye kurushaho, sibyo? Niyo mpamvu ari ngombwa kubivuga.

Niba ufite ibi bintu, vuga uti:

• Kuziba amara: Ese wigeze ugira ikibazo nk'ikiziba amara mbere?
• Niba unywa itabi: Ese unywa itabi? (Ibi bishobora kugira ingaruka ku mikorere y'umuti)
• Impatwe: Ese ukunda kugira impatwe?
• Dementia: Indwara yo kwibagirwa cyane cyane ku bageze mu za bukuru.
• Diyabete Mellitus: Ese urwaye diyabete? Ese iri mu nzira yo kuyirwanya?
• Kumira nabi: Ese biragoye kumira ibiryo n'ibinyobwa?
• Glaucoma: Indwara aho umuvuduko mu maso wiyongera.
• Ingorane zo kugenzura imitsi: Ese uhura n'ingorane zo kugenzura amaguru n'amaboko yawe, nko gutigita?
• Indwara z'umutima: Ufite ikibazo cy'umutima? (urugero: ufite indwara y'umutima, umutima wawe usa n'aho ufite intege nke)
• Kolesteroli nyinshi: Ese ufite urugero rwa kolesteroli nyinshi mu maraso?
• Ubwiyongere bwa prolactine: Ese wigeze upimwa kugira ngo urebe niba imisemburo ya prolactine iri hejuru mu maraso yawe?
• Amateka ya kanseri y'ibere: Ese wowe cyangwa undi muntu wo mu muryango wawe yigeze arwara kanseri y'ibere?
• Amateka y'umutima utera nabi: Ese umuvuduko w'umutima wawe warahindutse udasanzwe? Ese ECG yawe yagaragaje ikibazo icyo ari cyo cyose?
• Niba ufite ubumuga: Ese wigeze ugira stroke mbere?
• Indwara y'umwijima: Ese hari indwara y'umwijima? (urugero: cirrhose, hepatite)
• Umubare muke w'uturemangingo tw'amaraso: Ese hari raporo z'uko uturemangingo tw'umweru, plaquettes, cyangwa uturemangingo dutukura twagabanutse?
• Umuvuduko w'amaraso uri hasi: Ese umuvuduko w'amaraso wawe ugabanuka kenshi? Ese wumva uzuzumwe iyo uhagaze?
• Indwara ya Parkinson: Ese urwaye indwara ya Parkinson ?
• Indwara za prostate: Niba uri umugabo, ufite ibibazo bya prostate?
• Igicuri (`Indwara zo mu mutwe`): Ese hari ikibazo gituma umuntu asa n'aho agiye gukubitwa n'igicuri?
• Ibitekerezo, imigambi, cyangwa kugerageza kwiyahura: Ese ufite ibitekerezo byo kwiyahura, wigeze utegura cyangwa ukagerageza? Ese hari umuntu wo mu muryango wawe wigeze abikora? Ntutinye kuvuga kuri ibi, abaganga barahari kugira ngo bagufashe.
• Ingorane zo mu nkari: Ese biragoye kunyara ? Ese ingano y'inkari yagabanutse?
• Kurwara Olanzapine cyangwa indi miti, ibiryo, amarangi, imiti irinda ubushyuhe: Ese wigeze ugira ikibazo cy'ubwivumbure kuri uyu muti cyangwa ikindi kintu icyo ari cyo cyose, nko kurwara uduheri cyangwa kugorwa no guhumeka?
• Niba utwite cyangwa ugerageza gutwita:
• Niba uri umubyeyi wonsa:

Uru rutonde ni rurerure gato, ariko ibi byose ni ingenzi cyane ku mutekano wawe no ku ntsinzi y'ubuvuzi bwawe. Ntugahishe ikintu icyo ari cyo cyose, bwira muganga wawe byose, sibyo?

Uru rukingo rutangwa rute?

Uyu muti, Olanzapine, utangwa nk'urushinge mu mitsi yawe.Uru rukingo akenshi rutangwa mu mitsi yo mu itako cyangwa mu kuboko ko hejuru. Ntabwo ari ikintu ushobora gukora mu rugo. Rutangwa n'itsinda ry'abaganga bo mu bitaro cyangwa ivuriro.

Mbere ya buri gahunda yo kuvurwa, uzahabwa agapapuro k'amakuru yihariye (kitwa `MedGuide`) kuri uyu muti. Menya neza ko usoma witonze buri gihe . Gashobora kuba karimo amakuru menshi y'ingenzi kuri wewe, nk'ibisobanuro birambuye ku ngaruka mbi n'ibintu ugomba kumenya.

Niba uha abana uyu muti, vugana n'itsinda ry'abaganga kuri wo. Hari igihe hashobora kuba ngombwa kwitabwaho byihariye mu gihe uha abana.

Wakora iki niba ufashe imiti myinshi?

Ibi akenshi ntibikunze kubaho, kuko uru rukingo rutangwa n'umuganga. Ariko, niba utekereza ko ushobora kuba warafashe uyu muti urenze urugero, cyangwa niba ubonye kimwe muri ibi bimenyetso (nk'ibitotsi bikabije cyangwa urujijo), hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cyihutirwa ako kanya . Ntugapfushe ubusa umwanya.

Kandi ibuka ko uyu muti ari uwawe gusa . Ntukigere uha undi muntu uwo ari we wese umuti wawe, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Bite ho nintakaza urukingo?

Kubera ko uru rukingo rutangwa mu bitaro cyangwa mu ivuriro, ntabwo ari ikibazo iyo ubuze dose. Itsinda ry'abaganga rizakorana nawe kugira ngo uhabwe urukingo ku munsi n'isaha byagenwe. Niba udashobora kubahiriza gahunda, tubwire mbere y'igihe.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki kandi ni ikintu cy'ingenzi cyane. Urukingo rwa 'Olanzapine' rushobora kugirana isano n'indi miti imwe n'imwe. Ni ukuvuga ko iyo iyo miti ifashwe hamwe, ingaruka zayo zishobora guhinduka, ingaruka mbi zishobora kwiyongera, cyangwa ingaruka z'umuti zishobora kugabanuka. Tekereza, niba Saman afashe 'Olanzapine' mu gihe afata undi muti wongera gusinzira, ashobora gusinzira cyane no kuzungera, si byo se? Ibintu nk'ibyo bishobora kubaho.

Ntugafate uru rukingo rwa Olanzapine hamwe n'imiti ikurikira:

• 'Dronedarone'
• `Cisapride`
• `Metoclopramide` (ishobora gutangwa iyobowe na muganga mu bihe bimwe na bimwe, ariko irinde kuyikoresha ubwawe)
• `Pimozide`
• `Thioridazine`

Byongeye kandi, uyu muti ushobora kugira ingaruka ku bikurikira:

• Inzoga: Ibi bishobora kongera gusinzira no kuzerera.
• Antihistamines zikoreshwa mu kuvura indwara z’ubwivumbure, inkorora, n’ibicurane (urugero: Chlorpheniramine, Promethazine) nazo zongerera gusinzira.
• 'Atropine'
• `Carbamazepine` (umuti uvura igicuri)
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi: (urugero: Diazepam, Lorazepam)
• 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 imwe n'imwe ivura indwara yo kurakara (urugero: Scopolamine)
• Fluvoxamine (umuti uvura indwara yo kwiheba)
• Imiti igabanya ububabare (urugero: Halothane, Isoflurane, Methoxyflurane, Propofol) : Bwira muganga wawe niba ufata iyi miti mbere yo kubagwa.
• Levodopa cyangwa indi miti ivura indwara ya Parkinson
• Imiti ivura umuvuduko w'amaraso: Ibi bishobora gutuma umuvuduko w'amaraso wawe ugabanuka cyane.
• Imiti ivura indwara zo mu mutwe
• Imiti iruhura imitsi yo kubagwa
• Imiti igabanya ububabare: (urugero: Morphine, Tramadol)
• Omeprazole (umuti uvura indwara y'igifu)
• Indi miti yongera igihe cya QT (ishobora gutera umutima utari mwiza) : Baza muganga wawe ibi.
• Phenothiazine (urugero: Chlorpromazine, Prochlorperazine)
• `Rifampin` (umuti uvura igituntu)

Uru rutonde ntirwuzuye. Hashobora kuba hari ibindi bintu bishobora gutera uburwayi. Kubwibyo, bwira muganga wawe imiti yose urimo gufata (imiti yandikiwe na muganga, imiti igurishwa ku giciro cya muganga, imiti y'ibimera, vitamine, inyongeramusaruro) . Nanone, menya neza ko wabibwiye muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Ibi bintu bishobora kugira ingaruka ku miti yawe.

Ni iki nkwiye kwitondera mu gihe nfata uyu muti?

Ikipe y'abaganga bawe izagukurikiranira hafi mu gihe uhabwa uru rukingo. Bwira itsinda ry'abaganga bawe niba ibimenyetso byawe bitaragabanuka, cyangwa niba birushaho kwiyongera.

• Kuzungera no gusinzira: Ushobora kumva uzungera cyangwa usinziriye. Ntugatware imodoka, ntukoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka.Cyane cyane niba ugeze mu za bukuru, ntugahaguruke cyangwa ngo wicare giturumbuka. Kubikora bishobora kugabanya ibyago byo kurwara isereri no kugwa.
• Inzoga: Inzoga zishobora kubangamira ingaruka z'uyu muti kandi zishobora kongera gusinzira. Kubwibyo, irinde kunywa inzoga burundu .
• Indwara zikomeye z'uruhu: Uyu muti rimwe na rimwe ushobora gutera ingaruka zikomeye z'uruhu ('ingaruka zikomeye z'uruhu'). Ibi bishobora kubaho ibyumweru cyangwa amezi nyuma yo gutangira umuti. Niba ugize uduheri ku ruhu dufite ibimenyetso nk'umuriro, bwira itsinda ry'abaganga ako kanya. Ibi biheri bishobora guhinduka umutuku cyangwa umuhengeri, hanyuma bigahinduka uduheri. Cyangwa, ushobora kugira uduheri dutukura hamwe no kubyimba mu maso, ku minwa, mu ijosi cyangwa mu kwaha, cyangwa kubyimba imitsi. Bibwire muganga wawe ako kanya niba ubonye ikintu nk'iki.
• Umunwa wumye: Umunwa wawe ushobora kuma. Ibi bishobora kugorana gato. Guhekenya shimmon idafite isukari, kunywa agace ka tangawizi (isukari nke), no kunywa amazi make umunsi wose bishobora gufasha kubigenzura.
• Ibibazo byo kugenzura ubushyuhe bw'umubiri: Uyu muti ushobora guteza ibibazo ku bushobozi bw'umubiri wawe bwo kugenzura ubushyuhe bwawo. Ushobora kugabanya uburyo umubiri wawe witwara mu gihe cy'ubukonje. Niba bishoboka, guma mu nzu mu minsi y'ubukonje. Niba ugomba gusohoka, mbara imyambaro ishyushye. Ushobora kandi kugabanya uburyo umubiri wawe witwara mu gihe cy'ubushyuhe. Rero irinde ubushyuhe bwinshi . Ntugakore siporo cyane, cyane cyane mu gihe cy'ubushyuhe. Irinde izuba cyane uko bishoboka kose. Niba ugomba gusohoka ku zuba, wambare imyenda yoroheje kandi yoroheje. Nywa amazi menshi. Niba bigoye kugenzura ubushyuhe bw'umubiri wawe, niba ubyiye ibyuya byinshi, cyangwa niba wumva ukonje cyane, bwira itsinda ry'abaganga ako kanya.
• Isukari nyinshi mu maraso: Uyu muti ushobora kongera isukari mu maraso yawe. Niba urwaye diyabete, baza itsinda ry’abaganga niba ukeneye guhindura imirire yawe cyangwa imiti. Nubwo udafite diyabete, ugomba gusuzuma isukari mu maraso yawe niba ufite ibimenyetso nko kugira inyota nyinshi, kwihagarika kenshi, cyangwa umunaniro.
• Kunywa itabi: Niba unywa itabi kandi ukumva ko uyu muti udakora neza, bwira itsinda ry’abaganga. Kunywa itabi bishobora gutuma imiti imwe n’imwe iva mu mubiri wawe vuba, bityo ingano yawe ishobora kuba ngombwa ko ihindurwa. Niba unywa itabi cyangwa utekereza kurireka, ganira n’itsinda ry’abaganga ku bijyanye naryo.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Nk’uko bimeze ku muti uwo ari wo wose, Olanzapine ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ntabwo ari zikomeye, ariko zimwe muri zo zikenera ubuvuzi bwihuse. Ntugahangayike, si buri wese ubona izi ngaruka zose.

Ingaruka mbi zigomba kumenyeshwa itsinda ry’abaganga vuba bishoboka:

• Ubwivumbure bw'uruhu: Gushyuha, kuribwa, ibibyimba mu maso, iminwa, ururimi, cyangwa umuhogo, kugorwa no guhumeka. Ibi bishobora kuba ikibazo cyihutirwa.
• Isukari nyinshi mu maraso (Hyperglycemia): Inyota ikabije, umunwa wumye, kwihagarika kenshi (cyane cyane nijoro), umunaniro udasanzwe cyangwa umunaniro, kutabona neza, kugabanya ibiro.
• Umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, no kujijinganya cyangwa kwibagirwa: Ibi bishobora kuba ibimenyetso by'indwara ikomeye kandi ishobora gushyira ubuzima mu kaga yitwa Neuroleptic Malignant Syndrome (NMS). Shaka ubuvuzi bwihuse.
• Ingano ya prolactine iri hejuru: Kubyimba cyangwa kubabara amabere mu buryo butunguranye ku bagabo, kuva amaraso mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina (urugero: ibibazo byo guhagarara), imihango idahoraho ku bagore, guhagarika imihango, no gutanga amashereka (keretse utwite cyangwa wonsa).
• Kwandura: Umuriro, ubukonje, kubabara umubiri, inkorora, cyangwa kubabara mu muhogo, ibikomere bidakira.
• Umuvuduko w'amaraso uri hasi: Kuzungera iyo uhagaze, gucika intege, kubabara umutwe, kutabona neza, kumva nk'aho ugiye kugwa.
• Kubabara cyangwa kugorwa no kumira: Kumva nk'aho ibiryo birimo kubura.
• Ibisebe, umuriro, n'uturemangingo tw'imitsi tubyimba: Ibi bishobora kuba ikimenyetso cy'indwara ikomeye nka DRESS syndrome.
• Niba ubonye kimwe muri ibi bimenyetso, nyamuneka bwira muganga wawe cyangwa undi muntu wizeye ako kanya: ibitekerezo byo kwiyahura cyangwa kwigirira nabi, imitekerereze irushaho kuba mibi, ihungabana, uburakari bukabije, guhungabana.
• Ingendo z'umubiri zidacunzwe neza, zisubiramo, imitsi igoramye cyangwa ihindaguritse, gutitira, gutakaza uburinganire, kubura ituze, kunanirwa kwicara neza, no kugenda buhoro buhoro: Ibi bishobora kuba ibimenyetso by'indwara yitwa Extrapyramidal Symptoms (EPS). Hari igihe imitsi yo mu gace nk'ururimi, urwasaya, n'ijosi ishobora kwihagararaho mu buryo budasanzwe.

Ingaruka mbi akenshi zidasaba inama kwa muganga (ariko bwira itsinda ry'abaganga niba zikomeje cyangwa zibangamiye):

• Impiswi
• Kuzungera
• Gusinzira - Ibi bishobora kugaragara cyane mu ntangiriro.
• Umunwa wumye
• Umutwe
• Isesemi - Ishobora kugabanuka iyo uyifashe ukoresheje ibiryo, ariko ibi ntabwo ari ngombwa kuko ari urukingo. Mbwira niba isesemi ikomeye.
• Kongera ibiro - Iyi ni ingaruka zikunze kugaragara ku bantu bamwe bashobora kugira mu gihe bafata uyu muti. Vugana na muganga wawe ku bijyanye n'imirire n'imyitozo ngororamubiri.

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe. Ushobora kandi gutanga raporo ku bisubizo bya FDA (Ikigo gishinzwe ibiribwa n'imiti) kuri 1-800-FDA-1088.

Uyu muti nawubika he?

Ibi ntibikureba. Kuko, uru rukingo rwa 'Olanzapine' ntabwo uruhabwa ngo urugume mu rugo. Uruhabwa kandi rukabikwa n'itsinda ry'abaganga bo mu bitaro cyangwa ku ivuriro. Bityo rero nta mpungenge ufite.

Amaherezo, ibintu byo kwibuka

Rero, urukingo rwa Olanzapine ni umuti w'ingenzi ufasha kuvura indwara zo mu mutwe nka schizophrenia na bipolar disorder. Ukora mu kuringaniza imiti mu bwonko.

Igikuru ni ukubwira muganga wawe ibibazo byose by'ubuzima bwawe n'indi miti yose ufata mbere yo gufata uyu muti. Nanone, niba ugize ikintu kidasanzwe, ibimenyetso bishya, cyangwa ingaruka zikomeye mu gihe ufata uyu muti, hita umumenyesha. Ntugire ikintu na kimwe uhisha.

Kubera ko uru rukingo rutangwa mu bitaro cyangwa mu ivuriro, ntugomba kugira impungenge. Abaganga n'abaforomo bazakwitaho neza. Niba ufite ikibazo cyangwa impungenge, ntutindiganye kubavugisha. Barahari kugira ngo bagufashe.

Ndizera ko aya makuru azagufasha. Wibuke ko utari wenyine, hari uburyo bwiza bwo kuvura izi ndwara, kandi gukurikiza inama za muganga ni bwo buryo bwiza bwo gukira vuba.

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