Pamwe iwe kana mumwe munhu wemumhuri mako makanyorerwa mushonga unonzi Chlorpromazine nachiremba wenyu. Paunonzwa zita iri, unganzwa kutya kana kuda kuziva. Zvakajairika kuti mibvunzo yakaita sekuti, 'Mushonga uyu chii? Sei ndiri kuupihwa?' iuye mupfungwa. Sezvo uyu uri mushonga unowanzopihwa wezvirwere zvepfungwa, panogona kuva nemafungiro akasiyana-siyana asina kunaka pakati pevanhu. Saka nhasi, ngatitaurei nezvemushonga uyu wechlorpromazine nenzira iri nyore yaunogona kunzwisisa.
Chii chaizvo chinonzi Chlorpromazine?
Muchidimbu, chlorpromazine mushonga unoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa. Uri weboka remishonga inonzi antipsychotics . Dopamine ikemikari iri muuropi inobatsira kudzora zvinhu zvakaita semanzwiro edu nemanzwiro. Mushonga uyu unoshanda nekuenzanisa huwandu hwedopamine iyi muuropi.
Zvisinei, mushonga uyu haungonyorerwi zvirwere zvepfungwa chete. Vanachiremba vanoushandisa mune dzimwe mamiriro ezvinhu akati wandei. Semuenzaniso:
- Zvirwere zvepfungwa zvakaita seschizophrenia nebipolar disorder.
- Dzora kuda kurutsa nekurutsa.
- Kune matambudziko anga achiitika kwenguva yakareba uye asingagone kumiswa.
- Kune dzimwe nyaya dzechirwere chinonzi porphyria.
- Zorora tsandanyama panguva ye tetanus.
- Dzikama murwere usati wavhiyiwa kana kuongororwa nachiremba.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Nekuti mushonga uyu unofanira kushandiswa nekungwarira kune vanhu vane mamwe matambudziko ehutano. Kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Mamiriro ezvinhu/chikonzero chakakodzera | Tsananguro |
|---|---|
| Mamiriro ehutano aripo | Bundu remuuropi, dementia, chirwere cheshuga, glaucoma, kukuvara kwemusoro, chirwere chemwoyo, nhoroondo yekurova kwemoyo kusina kurongeka, chirwere cheitsvo kana chechiropa, BP yakaderera, chirwere chemapapu chakadai seasthma, chirwere cheParkinson, chirwere cheprostate, pfari. |
| Kusagadzikana kwemuviri | Kuoma kwekumedza chikafu, kuoma kudzora kufamba kwetsvina, kuoma kuita weti, uye kuvharika kwemudumbu. |
| Matambudziko ane chekuita neropa | Zvirwere zvakaita semasero machena asina kusimba, masero matsvuku eropa, kana maplatelet. |
| Mararamiro netsika | Kana uchinwa doro nguva dzose. |
| Kurwara | Kana uine allergy ku chlorpromazine, sulfites, mimwe mishonga, chikafu, madhayi kana zvinochengetedza. |
| Zviitiko zvakakosha | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Mushonga uyu unopihwa sei?
Uyu hausi mushonga waunogona kutora kumba. Chlorpromazine ijekiseni rinopihwa nenyanzvi yezvekurapa muchipatara kana kukiriniki . Rinopihwa mumuviri nekubaya tsandanyama kana kuisirwa mutsinga.
Kungwarira kwakakosha kunofanira kutorwa pakupa mushonga uyu kuvana. Kunyangwe zvichikurudzirwa mune dzimwe nguva kune vana vane mwedzi mitanhatu yekuberekwa, zvakakosha kutevedzera matanho akakodzera ekudzivirira.
Kupfuura mwero - Zvakakosha zvikuru!
Kana uchifunga kuti watora mushonga uyu wakawandisa, usambouregeredza. Enda kuchipatara Emergency Unit (ETU) nekukasika. Kana zvichidikanwa, unogona kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, sezvo chlorpromazine inogona kushanda pamwe chete nemimwe mishonga yakawanda.
| Usambofa watora chlorpromazine pamwe chete neizvi. | |
|---|---|
| Cisapride | Pimozide |
| Dronedarone | Saquinavir |
| Metoclopramide | Thioridazine |
| Chenjererai zvikuru sezvo matambudziko anogona kumuka neizvi zvakare. | |
| Doro | Lithium |
| Mishonga inorwisa mabhakitiriya yekurwisa allergies, kukosora, uye dzihwa | Mishonga yeBP yakakwira |
| Mishonga yekushushikana, kuzvidya mwoyo, kana kurara | Mishonga Inorwisa Kubata Chipfukuto (Phenobarbital, Phenytoin) |
| Mishonga yekurapa chirwere cheParkinson (Levodopa) | Mishonga inodhaka |
| Mishonga inoshandiswa kukonzera hope panguva yekuvhiyiwa | Mishonga inobvisa ropa yakaita seWarfarin |
Rondedzero iyi haina kukwana, saka iva nechokwadi chekuudza chiremba wako nezvemishonga, mavhitamini, kana mishonga yechivanhu yauri kutora.
Zvinhu zvekufunga nezvazvo kana uchitora mushonga
Chikwata chako chezvekurapa chichanyatsoongorora mamiriro ako ezvinhu paunenge uchitora mushonga uyu, asi zvakakosha kuti uzive izvi.
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope, dzungu, kana kuti usaone zvakanaka . Saka dzivisa zvinhu zvine njodzi zvakaita sekutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Chenjerera paunomuka kana kugara pasi kamwe kamwe , kunyanya kana wakwegura. Izvi zvinogona kuderedza mukana wekupera simba nekudonha. Kunwa doro kunogona kuwedzera hope idzi.
Kudzora tembiricha yemuviri
Mushonga uyu unogona kukanganisa kugona kwemuviri wako kudzora tembiricha. Kutsungirira kwako kutonhora kunogona kuderera, uye kushivirira kwako kupisa kunogona kuderera. Saka, pfeka mbatya dzinodziya mumazuva anotonhora. Mumazuva anopisa, deredza kupiswa nezuva, kurovedza muviri, uye inwa mvura yakawanda.
Kunzwa kwezuva
Mushonga uyu unogona kuita kuti ganda rako rinzwe kupiswa nezuva. Saka zvidzivirire kubva kuzuva. Kana uchifanira kubuda muzuva, pfeka mbatya dzinofukidza muviri wako uye shandisa mafuta ekudzivirira zuva .
Muromo wakaoma
Muromo wakaoma ndiwo mhedzisiro inowanzo konzerwa nemushonga uyu. Izvi zvinogona kugadziriswa nekutsenga chingamu isina shuga, kusvuta masiwiti asina shuga, uye kunwa mvura yakawanda.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, chlorpromazine inogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa. Zvakakosha kuziva izvi.
| Migumisiro inofanira kuziviswa kuna chiremba wako kana kuchipatara nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Chirwere cheNeuroleptic Malignant | Fivha yakakwira kamwe kamwe, kuomarara kwetsandanyama, kudikitira zvakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuvhiringidzika. |
| Zviratidzo zveEPS (Zviratidzo zveExtrapyramidal) | Kufamba-famba kwenhengo dzemuviri kusingadzoreki (kunyanya kumeso, muromo), kuomarara kwetsandanyama, kudedera, kurasikirwa nepfungwa dzakadzikama, kushaya zororo. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yero/brown yakasviba, uye tsvina ine ruvara rwakajeka. |
| Zvimwe zviratidzo zvakakomba | Zviratidzo zvehutachiona (fivha, dzihwa, kukosora, pahuro), BP yakaderera (dzungu, kupera simba). |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Kuzvimba | Muromo wakaoma |
| Kurara | Kuwedzera huremu |
| Dzungu | |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Chlorpromazine ijekiseni inongopihwa muchipatara kana kiriniki chete pasi pekutarisirwa nachiremba.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yauri kutora, chero zvimwe zvirwere zvaunazvo, uye chero allergies yaunayo.
- Chenjerera paunenge uchiita mabasa anoda kungwarira, akadai sekutyaira, sezvo hope nedzungu zvinogona kuitika paunenge uchitora mushonga. Dzivisa kunwa doro.
- Kana ukasangana nematambudziko akakomba akadai sefivha yakanyanya, kuomarara kwetsandanyama, kufamba-famba kwemuviri kusingadzoreki, kana kuti ganda richitsvuka, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muine zvinokunetsai kana kuti zvamunotya nezvemushonga uyu, taurai nachiremba wenyu nezvazvo pachena.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chlorpromazine Injection / Thorazine mushonga une simba zvikuru unoshandiswa kurapa chirwere chipi?
Uyu hausi mushonga wakajairika! Uyu mushonga wekare uye une simba kwazvo (First-Generation Antipsychotic) unoshandiswa kudzikamisa murwere nekumuisa muhope huru (sedation) kana paine 'pfungwa dzakakomba' (Severe Psychosis/Agitation) dzinokonzerwa neschizophrenia, bipolar disorder, nemishonga, apo murwere anenge akatsamwa zvisingadzoreki, uye ari munjodzi huru yekukuvadza vamwe kana iye/iye pachake.
💬 Kana uchishevedzera/kuridza mhere sekunge unopenga, jekiseni iri (Chlorpromazine) rinobatsira sei uropi hwako kupora/kurara?
Zvinhu zvisinganzwisisike zvakadaro zvinoonekwa/zvinonetsa zvikuru kana kemikari inonzi 'Dopamine (Dopamine / D2)' iri muuropi yakawandisa! Mushonga uyu unovhara/kuvhara zvachose uye unovhara 'Dopamine receptors' dzese dziri muuropi (Dopamine antagonist). Pamusoro pezvo, unodzimawo michina iri muzvikamu zve'Histamine (H1)' uye 'Adrenaline (Alpha-1)', saka murwere anonyarara ogara/kurara mumaminitsi mashoma.
💬 Ndezvipi zvinogona kukonzera migumisiro yakaipa (Black Box Warnings) yemushonga uyu unokuvadza uropi zvakanyanya (Thorazine)?
Njodzi huru ndeyekuti kana izvi zvikapihwa kune vakwegura vane dementia (dementia-related psychosis), vanogona kungoerekana vamira kufema vofa (Increased mortality)! Chimwe chinhu chine njodzi ndechekuti izvi zvinogona kukonzera kuti murwere awire mucoma nekuda kwe 'Fatal Hypotension / Orthostatic'. Zvakare, chirwere chakakomba chetsinga chinoita kuti zvisakwanise kuramba wakamira, zvichiita kuti nhengo dzemuviri dzidededeke uye mutsipa/maziso afambe (Extrapyramidal Symptoms / EPS / Tardive Dyskinesia) zvinogona kuitika zvechokwadi.
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