Ese muganga wawe yaba yaragundikiye cyangwa yagundikiye undi muntu wa hafi yawe umuti wa Thioridazine? Niba ari byo, reka tuganire muri make kuri uyu muti, icyo ukora, n'icyo ugomba kwitondera mu gihe uwukoresha. Nyuma yo gusoma ibi, uzasobanukirwa neza uyu muti.
Muri make, Thioridazine ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nka schizophrenia . Abaganga bakunze kuwutanga iyo indi miti yananiwe cyangwa bigoye kwihanganira. Uri mu bwoko bw'imiti yitwa antipsychotics. Ukora mu kuringaniza urugero rwa dopamine, ikinyabutabire kiri mu bwonko bwacu kidufasha kugenzura uko twumva tumeze.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira gufata uyu muti, ugomba kumenyesha muganga wawe niba ufite imwe muri izi ndwara cyangwa ibibazo bikurikira. Aya makuru ni ingenzi cyane mu kugena uburyo bwiza bwo kuvura.
| Ikibazo/Ikibazo | Ibisobanuro |
|---|---|
| Ubwonko n'imitsi | Ikibyimba cyo mu bwonko, indwara yo kwibagirwa, imvune mu mutwe, ibisebe, indwara ya Parkinson, ibibazo byo kugenzura imitsi. |
| Umutima n'amaraso | Indwara z'umutima, umutima utera nabi, umuvuduko w'amaraso uri hasi, kugabanuka k'uturemangingo tw'amaraso (umweru, umutuku, plaquettes). |
| Izindi ndwara | Diyabete, indwara y'umwijima, glaucoma, indwara ya prostate, indwara y'ibihaha cyangwa iz'ubuhumekero (urugero: asima), kuziba amara, kugorwa no kumira, kugorwa no kunyara. |
| Ubuzima n'ubwivumbure | Niba unywa inzoga kenshi, utwite cyangwa ugerageza gutwita, uri umubyeyi wonsa, cyangwa wagize ikibazo cyo kugira ubwivumbure kuri Thioridazine cyangwa indi miti, ibiryo, cyangwa amarangi. |
Uyu muti nkwiye kuwukoresha nte?
Uyu muti ugomba kunyobwa ukoresheje ikirahure cy'amazi. Fata urugero rwatanzwe, ku gihe cyagenwe, nk'uko byategetswe na muganga wawe cyangwa agapapuro gashyirwamo. Ntugafate ibirenze urugero rwatanzwe ku mpamvu iyo ari yo yose.
Igikuru ni uko utareka gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutera ingaruka zikomeye. Nureka gufata umuti, muganga azagusobanurira uko wabikora.
Hakenewe ubwitonzi bwihariye mu gihe uha abana uyu muti, bityo vugana na muganga wawe kuri byo.
Bite ho iyo mfashe imiti myinshi? (Kuba narengeje urugero rw'umuti)
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Icyitonderwa: Uyu muti wanditswe kuri wowe gusa. Ntuwusangire n'abandi.
Wakora iki niba wabuze dose y'umuti?
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.
Indi miti ishobora kugira ingaruka kuri uyu muti
Thioridazine ishobora kugira ingaruka ku yindi miti, bityo rero ni ngombwa kubwira muganga wawe imiti yose ufata, harimo na vitamine n'ibikomoka ku bimera.
| Imiti idakwiye gufatwa na Thioridazine | |
|---|---|
| Imiti imwe ikoreshwa mu kuvura indwara z'umutima (nka Amiodarone, Quinidine) | Cisapride, Fluoxetine, Paroxetine, Pimozide |
| Propranolol, Pindolol, Saquinavir | Indi miti yongera igihe cyo kuruhuka (QT) |
| Ibindi bintu bishobora gutera ibibazo kuri Thioridazine | |
| Inzoga | Imiti igabanya ubwivumbure n'inkorora (Antihistamines) |
| Umuti uvura guhangayika cyangwa gusinzira | Imiti imwe n'imwe ivura indwara yo kwiheba |
| Umuti w'umuvuduko w'amaraso | Imiti igabanya igicuri (nk'iya Phenobarbital) |
| Ibiyobyabwenge | Imiti itangwa kugira ngo itere umuntu guta ubwenge mu gihe cyo kubagwa |
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose, ibikomoka ku bimera, na vitamine ufata. Bwira kandi muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kuzirikana mu gihe ufata umuti
- Gusuzumwa kwa muganga: Sura muganga wawe ku minsi yagenwe kugira ngo urebe uko umerewe. Mubwire niba ibimenyetso byawe bikomeje cyangwa birushaho kwiyongera.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma wumva usinziriye, uzungera cyangwa utabona neza. Kubwibyo, irinde ibikorwa biteje akaga nko gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Kuzungera bishobora kubaho iyo uhagurutse giturumbuka cyangwa uhagurutse wicaye. Kubwibyo, hindura imiterere buhoro buhoro. Irinde kunywa inzoga kuko iyi ndwara ishobora kwiyongera.
- Ubushyuhe bw'umubiri: Uyu muti ushobora kugira ingaruka ku buryo umubiri wawe ugenzura ubushyuhe bwawo. Ushobora kumva ubukonje buke mu gihe cy'ubukonje, kandi umubiri wawe ushobora gushyuha vuba mu gihe cy'ubushyuhe. Kubwibyo, mbara imyambaro ishyushye mu minsi y'ubukonje. Mu minsi y'ubushyuhe, itondere izuba, wambare imyenda yoroheje, kandi unywe amazi menshi.
- Umucyo w'izuba:Uyu muti ushobora gutuma uruhu rwawe rworohera cyane uruhu ku zuba. Kubwibyo, niba ugiye ku zuba, ambara imyenda ipfuka uruhu rwawe kandi wifashishe amavuta akingira izuba.
- Mu kanwa wumye: Umunwa wumye ushobora kubaho. Ibi bishobora kugenzurwa no guhekenya shinya idafite isukari no kunywa amazi.
- Diyabete: Niba urwaye diyabete, uyu muti ushobora kongera urugero rw'isukari mu maraso yawe. Baza muganga wawe niba ukeneye guhindura indyo yawe cyangwa imiti.
Ni izihe ngaruka mbi nshobora kugira?
Nk'uko bimeze ku muti uwo ari wo wose, Thioridazine ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi zikaba zisanzwe.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari mwiza, isereri, ububabare mu gituza, guhumeka bigoranye. |
| Indwara y'indwara y'imitsi itera indwara ya Neuroleptic Malignant Syndrome | Umuriro mwinshi, imitsi ikomera, ibyuya byinshi, no kumva utazi icyo ukora. |
| Ibimenyetso byo mu mubiri utari mu gifu (EPS) | Ingendo z'ibice by'umubiri zidagenzuwe, gutigita, imitsi ikomeye, kuruhuka, no kugorwa no kugenda. |
| Ibindi bimenyetso bikomeye | Impinduka mu kureba, ibimenyetso by'ubwandu (umuriro, inkorora, kubabara mu muhogo), isereri bitewe n'umuvuduko w'amaraso uri hasi, ibicurane. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) | |
| Impatwe | Kuzungera |
| Gusinzira | Umunwa wumye |
| Kongera ibiro | |
Ukwiye kubika umuti gute?
Bika imiti ahantu abana n'amatungo batagera . Bika ahantu hari ubushyuhe bw'icyumba (munsi ya dogere selisiyusi 30), umupfundikizo ufunze neza. Ntugakoreshe imiti yarengeje igihe kandi uyijugunye neza.
Ubutumwa bwo kujyana mu rugo
- Ntukareke gufata ibinini bya Thioridazine cyangwa ngo uhindure ingano y'umuti utabanje kugisha inama muganga.
- Bwira muganga wawe indi miti yose, vitamine, ibikomoka ku bimera ufata, n'indwara iyo ari yo yose ufite.
- Niba ugize ingaruka mbi zikomeye nko kugira umuriro mwinshi, gukomera kw'imitsi, cyangwa impinduka mu gutera k'umutima, shaka ubufasha bwa muganga byihutirwa.
- Irinde kunywa inzoga mu gihe ufata uyu muti. Witondere cyane mu gihe ukora imirimo isaba kwitonda, nko gutwara imodoka.
- Niba ufashe imiti myinshi cyane, hamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku byerekeye uburozi ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ibinini bya Thioridazine (Thioridazine / Mellaril) bikoreshwa mu ki?
Uyu ni umuti wa kera (usanzwe uvura indwara zo mu mutwe / Phenothiazine) ukoreshwa mu kuvura indwara zo mu mutwe zikomeye witwa 'Schizophrenia'! Uyu muti ntabwo uhabwa abantu bose muri iki gihe, ubusanzwe ukoreshwa gusa ku barwayi bagorwa cyane (badakira kuvurwa) basa n'aho badashobora kumva amajwi adasanzwe cyangwa guhangana/gutaka nubwo bahawe indi miti yose (nibura imiti 2).
💬 Kuki uyu muti (Thioridazine) ukoreshwa nk' 'igisubizo cya nyuma' muri iki gihe?
Impamvu nyamukuru ibi ni ingaruka mbi cyane z'uyu muti! (Umuburo w'agasanduku k'umukara). Ibi bishobora guhindura cyane ibimenyetso by'amashanyarazi by'umutima w'umurwayi (QT prolongation / Arrhythmia / Torsades de pointes), bigatera umutima guhagarara vuba mu buryo butunguranye ndetse n'indwara y'umutima igahitana. Kubwibyo, abafata uyu muti bagomba gupimwa ECG no gupimwa buri gihe urugero rwa potasiyumu mu maraso.
💬 Uretse umutima, ni izihe ngaruka mbi kandi ziteje akaga izi miti (Thioridazine) zishobora gutera?
Ibi bishobora kwangiza amaso cyane kandi burundu. Iyo dose yiyongereye, indwara ya retinopathy ishobora kugaragara mu jisho ry'umukara no inyuma ya retina, bigatera ubuhumyi no kutabona neza. Hari kandi ibyago byinshi byo gusohora amaso inyuma, gusinzira nabi, no kuzunguruka k'umubiri/ururimi (Tardive Dyskinesia).
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