Ese muganga yaguhaye ibinini bya Olanzapine? Reka tubiganireho birambuye!

Hari igihe ibitekerezo byacu n'ibyiyumvo byacu birushaho kugorana kandi bikagorana kubigenzura, si byo se? Muri ibyo bihe, abaganga badusaba imiti itandukanye kugira ngo idufashe. Olanzapine ni umwe mu miti ifasha mu kugarura uburinganire mu mutwe. Niba rero ushaka kumenya neza iby'uyu muti, tuzabivugaho birambuye muri iyi nkuru. Ntugahangayike, byose bisobanurwa mu buryo bworoshye ushobora gusobanukirwa.

Ni ubuhe bwoko bw'umuti Olanzapine?

Muri make, Olanzapine ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nka schizophrenia na bipolar disorder . Ushobora kuba wibaza icyo schizophrenia ari cyo n'icyo bipolar disorder ari cyo.

• Schizophrenia ni indwara yo mu mutwe ishobora gutera impinduka mu buryo utekereza, wumva, n'uko witwara. Hari igihe ushobora kubona cyangwa kumva ibintu bitari ukuri.
• Indwara ya Bipolar ni indwara ituma amarangamutima yawe ahinduka vuba, kuva ku kwishima cyane no kwishima rimwe kugeza ku kubabara cyane no kwiheba mu rindi.

Rero, icyo uyu muti ukora ni ukurinda urugero rw'ibinyabutabire byitwa dopamine na serotonin mu bwonko. Ibi binyabutabire bifasha mu kugenzura amarangamutima yacu, imyitwarire yacu, n'ibitekerezo byacu. Uyu muti uri mu bwoko bw'imiti yitwa antipsychotics . Ubwo bwoko bw'imiti bukoreshwa mu kuvura indwara zitandukanye zo mu mutwe.

Ushobora kubona uyu muti munsi y'izina rya Zyprexa . Ariko, izina ry'ikirango rishobora gutandukana bitewe n'igihugu ndetse n'ikigo. Ariko, ikintu nyamukuru gikora ni Olanzapine. Abaganga bashobora kandi kuguha uyu muti ku zindi ndwara. Niba ufite ikibazo kuri wo, baza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ngomba kubwira muganga mbere yo gukoresha uyu muti?

Mbere yo gutangira gufata uyu muti, Olanzapine, hari ibintu bimwe na bimwe ugomba kubwira muganga wawe. Nutabimubwiye, ushobora kugira ibibazo. None rero bwira muganga wawe ukuri kuri ibi bintu, sibyo?

Dore ibyo bintu:

• Niba ufite ibibazo nko kuziba amara .
• Niba ukunze kugira ikibazo cyo kutagira impatwe .
• Niba ufite indwara yo kwibagirwa (indwara aho kwibuka bigenda bigabanuka buhoro buhoro).
• Niba urwaye diyabete .
• Kugorwa no kumira ibiryo(Kugorwa no kumira) niba bihari.
• Niba urwaye glaucoma ( indwara itera umuvuduko mwinshi mu maso).
• Niba ufite ikibazo cyo kugenzura imitsi yawe .
• Niba ufite indwara y'umutima .
• Niba ufite cholesterol nyinshi mu maraso yawe.
• Niba ufite imisemburo ya prolactine irenze urugero mu mubiri wawe.
• Niba wowe cyangwa umuntu wo mu muryango wawe yarwaye kanseri y'ibere .
• Niba ufite amateka yo kugira umutima utari umeze neza .
• Niba warigeze kugira stroke mbere.
• Niba ufite indwara y'umwijima .
• Niba ufite umubare muto w’uturemangingo tw’amaraso (urugero, uturemangingo tw’umweru, uduce duto tw’amaraso, cyangwa uturemangingo dutukura).
• Niba ufite umuvuduko w'amaraso uri hasi .
• Niba urwaye indwara ya Parkinson .
• Niba ufite indwara ya prostate .
• Niba warigeze kugira ibisebe mbere.
• Niba warigeze kugira ibitekerezo, imigambi, cyangwa kugerageza kwigirira nabi (waba wowe ubwawe cyangwa undi muntu wo mu muryango wawe).
• Niba unywa itabi (nk'itabi).
• Niba ufite ikibazo cyo kunyara .
• Niba warigeze kugira ikibazo kidasanzwe cya allergie kuri olanzapine, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Ni ingenzi cyane kubwira muganga wawe ibi bintu, kuko ari bwo ashobora guhitamo neza niba uyu muti ukubereye cyangwa niba hari ikindi ukeneye gukora.

Ni gute neza neza nkoresha uyu muti?

Uyu muti ni ikinini cyo kunywa ukoresheje umunwa . Mirira ikinini n'ikirahure cy'amazi. Kurikiza amabwiriza ari ku rupapuro rwa muganga nk'uko muganga wawe yabiguhaye. Ni ngombwa cyane gufata igipimo gikwiye ku gihe gikwiye . Ntugafate ibirenze cyangwa bike kurusha ibyo muganga wawe yagutegetse. Nanone, ntugahagarike gufata umuti mu buryo butunguranye utabanje kugisha inama muganga wawe.

Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye (`MedGuide`) hamwe n'umuti mushya cyangwa iyo ubonye umuti wongeraho. Buri gihe ujye uwusoma witonze. Urimo amakuru menshi y'ingenzi kuri wewe.

Vugana n'itsinda ry'abaganga bawe ku bijyanye no guha abana uyu muti . Hari igihe habaho indwara runakaUyu muti ushobora guhabwa abana bafite imyaka 13. Ariko, hari ibintu bimwe na bimwe ugomba kwitondera mu gihe uwutanga.

Icy'ingenzi: Niba utekereza ko wafashe uyu muti urenze urugero (urengeje urugero), hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse.

Uyu muti ni uwawe gusa . Ntuwuhe abandi, kabone n'iyo baba bafite ibimenyetso nk'ibyo ufite.

Wakora iki iyo usibye gahunda yo gufata imiti?

Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri cyangwa dose y'inyongera.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki nacyo ni ingenzi cyane. Hari indi miti ishobora guteza ibibazo iyo ikoreshejwe na Olanzapine, bivuze ko ishobora gukorana.

Ntugafate Olanzapine hamwe n'iyi miti:

• Dronedarone
• Cisapride
• Metoclopramide
• Pimozide
• Thioridazine

Olanzapine ishobora kugira ingaruka kuri iyi miti, bityo rero witondere:

• Inzoga
• Ubwoko bw'imiti igabanya ububabare ku ndwara ya Allergie, Inkorora, n'Ibicurane
• 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 indwara zo mu gifu, urugero nka dicyclomine, hyoscyamine
• Imiti imwe ikoreshwa mu kuvura indwara yo mu mutwe, urugero nka scopolamine
• Fluvoxamine
• Imiti igabanya ububabare rusange, urugero nka Halothane, Isoflurane, Methoxyflurane, Propofol
• Levodopa n'indi miti ivura indwara ya Parkinson
• Umuti w'umuvuduko w'amaraso
• Umuti uvura ibisebe
• Imiti itangwa kugira ngo imitsi iruhure mbere yo kubagwa
• Imiti ikoreshwa mu biyobyabwenge
• Omeprazole
• Indi miti yongera igihe cya QT cy'umutima (ni ukuvuga, itera imiterere idasanzwe y'umutima)
• Urugero , chlorpromazine, prochlorperazine
• Rifampine

Uru rutonde rushobora kuba rudakubiyemo imiti yose ishoboka. Rero, bwira muganga wawe imiti yose ufata (harimo vitamine, imiti y'ibimera, imiti igurishwa mu kigo cya leta, n'inyongeramusaruro). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni iki twagombye kwitondera mu gihe dufata uyu muti?

Mu gihe ufata uyu muti, jya kwa muganga wawe buri gihe kugira ngo agusuzumishe buri gihe . Niba ibimenyetso byawe bitarushijeho kuba bibi cyangwa ngo birusheho kwiyongera, bwira muganga wawe. Ntugahagarike gufata umuti utabanje kugirwa inama na muganga wawe. Kubikora bishobora gutera ingaruka zikomeye. Muganga wawe azakubwira umubare w'imiti ugomba gufata.

Hari igihe ingaruka zikomeye ku ruhu zishobora kubaho nyuma y'ibyumweru cyangwa amezi utangiye uyu muti. Niba ufite uduheri ku ruhu rwawe hamwe n'umuriro n'ibimenyetso bisa n'ibicurane, bwira muganga wawe ako kanya. Utwo duheri dushobora guhinduka umutuku cyangwa umuhengeri, hanyuma tugahinduka uduheri hanyuma tugakura. Cyangwa, ushobora kugira umutuku, kubyimba mu maso cyangwa ku minwa, kubyimba imitsi mu ijosi cyangwa mu kwaha.

Ushobora kumva urwaye isereri cyangwa usinziriye mu gihe ufata uyu muti. Kubwibyo, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu zabukuru. Kubikora bishobora kugabanya ibyago byo kurwara isereri no kugwa. Inzoga zishobora kubangamira uburyo uyu muti ukora. Kubwibyo, irinde kunywa inzoga.

Mu kanwa kawe hashobora kuba hari umunutse . Guhekenya ishinya ridafite isukari, kunywa bombo, no kunywa amazi menshi bishobora kugufasha kugabanya ibi bibazo.

Uyu muti ushobora kugira ingaruka ku bushyuhe bw'umubiri wawe. Ushobora kugabanya kwihanganira ubukonje. Kubwibyo, guma mu nzu uko bishoboka kose mu gihe cy'ubukonje. Niba ugomba gusohoka, ambara imyenda itwikiriye umubiri wawe neza. Mu buryo nk'ubwo, ushobora kugabanya kwihanganira ubushyuhe. Kubwibyo, ntureke umubiri wawe ushyuhe cyane. Ntugakore siporo cyane. Irinde izuba cyane uko bishoboka kose. Niba ugomba gusohoka ku zuba, ambara imyenda yoroheje kandi ihumeka. Nywa amazi menshi. Niba bigoye kugenzura ubushyuhe bw'umubiri wawe, vugana na muganga wawe vuba.

Uyu muti ushobora kongera urugero rw'isukari mu maraso . Niba urwaye diyabete, baza muganga wawe niba ukeneye guhindura indyo yawe cyangwa imiti.

Niba uri umunywi w'itabiNiba wumva ko uyu muti udakora neza, bwira muganga wawe. Niba unywa itabi cyangwa urimo gutekereza kurireka, ganira na muganga wawe kuri ibyo.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Olanzapine ishobora gutera ingaruka zimwe na zimwe. Ariko, si buri wese uzibona. Ingaruka zimwe na zimwe ni mbi cyane kandi ugomba kubimenyesha muganga wawe vuba ubibonye. Zimwe ni ibisanzwe hanyuma zikagenda nyuma y'iminsi mike.

Ubonye izi ngaruka mbi, ugomba guhita ubibwira muganga wawe:

• Indwara zo kugira ubwivumbure bw'uruhu - uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Isukari nyinshi mu maraso (Hyperglycemia) — Inyota ihoraho, kongera kwihagarika, umunaniro udasanzwe, kutabona neza.
• Umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, ndetse no kujijinganya - ibi bishobora kuba ibimenyetso by'indwara ikomeye yitwa Neuroleptic Malignant Syndrome .
• Ingano ya prolactine iri hejuru — Gukura mu buryo butunguranye kw'amabere, kuva amaraso mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, hamwe n'ukwezi kudasanzwe kw'abagore.
• Kwandura - umuriro, ubukonje, inkorora, cyangwa kubabara mu muhogo.
• Umuvuduko w'amaraso uri hasi — isereri, gucika intege, kutabona neza.
• Kubabara cyangwa kugorwa no kumira .
• Indwara zo mu mutwe .
• Gucika intege mu maso — Gucika intege cyangwa intege nke mu maso, mu kuboko, cyangwa mu kuguru, kugorwa no kuvuga, kujijinganya, kugorwa no kugenda, kubura uburinganire, kuzungera umutwe, kuribwa umutwe cyane, no guhinduka mu maso.
• Ibitekerezo byo kwiyahura cyangwa kwibabaza, imitekerereze irushaho kuba mibi, kumva wihebye .
• Ikibazo cyo gusohora inkari .
• Ingendo z'umubiri zidagenzurwa, zisubiramo, imitsi ikomera cyangwa ihindagura, gutigita, gutakaza uburinganire, kuruhuka, no kugenda buhoro buhoro - ibi bishobora kuba ibimenyetso by'indwara yitwa Extrapyramidal Symptoms (EPS) .

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga, ariko zigomba kumenyeshwa muganga mu gihe zikomeje:

• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Umutwe
• Inda ibabaye
• Kongera ibiro

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba ubonye ikintu kidasanzwe uretse izi, hamagara muganga wawe kugira ngo akugire inama.

Ni gute wabika imiti neza?

Bika uyu muti ahantu abana batagera .

Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86). Birinde urumuri n'ubushuhe. Ntugakoreshe imiti yarengeje igihe ; uyijugunye.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, Olanzapine ni umuti ushobora kugufasha cyane mu buzima bwo mu mutwe wawe uramutse ukoreshejwe neza . Icy'ingenzi ni ukuwufata mu gihe gikwiye, ku gipimo gikwiye, nk'uko muganga wawe abikubwira. Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, cyangwa niba ugize ingaruka mbi, ntugatinye cyangwa ngo ugire ubwoba, ahubwo vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi w'ubuzima .

Wibuke ko iyi nkuru ari incamake gusa. Ishobora kuba idakubiyemo byose. Kubwibyo, ni byiza kuvugana na muganga wawe. Ntabwo uri wenyine, kandi abaganga biteguye kugufasha muri uru rugendo.

Olanzapine , Zyprexa, imiti igabanya ubukana bw'indwara zo mu mutwe,Indwara ya Schizophrenia-affective, indwara ya bipolar, ubuzima bwo mu mutwe, ingaruka mbi