Chiremba wako akakunyorera chlorpromazine here? Kana kuti pamwe mumwe wemhuri yako kana shamwari yako ari kushandisa mushonga uyu. Mushonga uyu une simba uye unowanzo kunyorerwa zvirwere zvakasiyana-siyana zvepfungwa. Ndosaka zvichikosha kuziva kuti mushonga uyu chii uye kuti ungaushandisa sei zvakachengeteka uye nemazvo. Saka nhasi, ngatitaurei nezvemushonga uyu nenzira iri nyore yaunogona kunzwisisa.
Sei tichipiwa mushonga uyu weChlorpromazine?
Muchidimbu, uyu mushonga unoshandiswa mukurapa kwepfungwa. Kureva kuti, mushonga unopiwa kudzora matambudziko epfungwa. Kutaura chokwadi, uyu uri muboka remishonga inonzi ``Antipsychotics``.
Izvi zvinoshanda nekuenzanisa neurotransmitter dopamine muuropi hwedu. Funga nezvazvo nenzira iyi, dopamine imutumwa wemakemikari anobatsira kudzora zvinhu zvakaita semanzwiro edu, manzwiro, uye pfungwa. Mune zvimwe zvirwere zvepfungwa, huwandu uhu hwedopamine hunova husina kuenzana. Ndipo panopiwa mushonga uyu kuti ubatsire kuudzosera padanho rakakodzera.
Mamiriro makuru ekushandiswa kwemushonga uyu ndeaya:
- Schizophrenia
- Dambudziko reBipolar
Asi kwete nekuda kweizvi chete, vanachiremba vanoshandisa mushonga uyu nekuda kwezvimwe zvikonzero zvakawanda zvakare.
- Dzora kuda kurutsa nekurutsa.
- Rega kuvhiringika kusingaperi.
- Kana paine chirwere chinonzi Porphyria.
- Kana uine tetanus.
- Dzimwe nguva inoshandiswa kudzikamisa murwere asati avhiyiwa.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Ichi chikamu chakakosha zvikuru. Usati watanga kutora mushonga uyu, zvakakosha kuzivisa chiremba wako nezvezvimwe zvirwere zvaunazvo. Nekuti mushonga uyu unogona kukanganisa zvimwe zvirwere.
| Kana uine chimwe chezvirwere izvi, iva nechokwadi chekuudza chiremba wako. | |
|---|---|
| Nhoroondo yechirwere chemwoyo kana kurova kwemoyo kusina kurongeka | Kuderera kweropa |
| Chirwere chechiropa | Chirwere cheitsvo |
| Chirwere cheshuga | Chirwere cheParkinson |
| Kubatwa nepfari | Bundu reuropi |
| Glaucoma | Dementia |
| Kuoma kufema kana asthma | Kuderera kwehuwandu hwemasero eropa (semuenzaniso masero machena eropa) |
| Kuvharika kwematumbu | Matambudziko eprostate |
| Kuoma kumedza | Kuoma kwekuita weti |
| Kana uchinwa doro kakawanda | Kana uine pamuviri kana kuti uri kuedza kubata pamuviri |
| Kana uri amai vanoyamwisa | Kana uine allergy yemushonga uyu kana chero mumwe mushonga kana chikafu |
Ndinofanira kushandisa mushonga uyu sei?
Mushonga uyu unotorwa nemuromo sepiritsi. Unwe negirazi remvura. Zvakakosha kutora mushonga wakakodzera, panguva chaiyo, sezvakarairwa nachiremba wako. Usawedzera kana kuderedza mushonga sezvaunonzwa wakasununguka, kana kuutora kakawanda kupfuura zvawakarairwa.
Chinhu chakakosha zvikuru:Usambofa wakarega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako. Izvi zvinogona kukonzera zviratidzo zvekurega kushandisa mushonga zvakaita sekusvotwa, kurutsa, uye dzungu. Kana uchida kurega kutora mushonga, chiremba wako achakupa mazano ekuti ungazviita sei.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa? (Kunyanya kushandisa mushonga)
Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano. Usanonoka.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete, kusanganisira mushonga wawakarasikirwa nawo.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha zvikuru kuudza chiremba wako nezvemishonga yese yauri kutora (mishonga yezvimwe zvirwere, mavhitamini, mishonga yechivanhu), sezvo mimwe mishonga inogona kukanganisa Chlorpromazine.
| Usambofa wakatora Chlorpromazine pamwe chete nemushonga uyu. | |
|---|---|
| Cisapride | Pimozide |
| Dronedarone | Saquinavir |
| Metoclopramide | Thioridazine |
| Izvi zvinogonawo kushanda pamwe chete neChlorpromazine - udza chiremba wako. | |
| Doro | Mishonga yekurwisa allergies, kukosora, uye dzihwa (Antihistamines) |
| Mishonga yekuora mwoyo, kuzvidya mwoyo, kana kurara | Mishonga inonyaradza marwadzo (kunyanya iyo inokonzera kudhakwa) |
| Mishonga yeBP yakakwira | Mishonga yakaita seLevodopa yekurapa chirwere cheParkinson |
| Mishonga inobvisa ropa rakanyanya senge Warfarin | Mushonga weanesthesia wekukurumidzira |
Zvinhu zvekungwarira paunenge uchitora mushonga
- Hope nedzungu: Mushonga uyu unogona kuita kuti unzwe hope, dzungu, kana kuti usaone zvakanaka. Saka , usatyaira motokari, kushandisa michina, kana kuita chero chinhu chinoda kungwarira kusvika waziva kuti mushonga uyu unokukanganisa sei.
- Kumuka kamwe kamwe: Usamuka kamwe kamwe kubva pakugara kana kurara pasi. Kuita izvi kunogona kukonzera dzungu uye kudonha. Vanhu vakwegura vanofanira kungwarira zvikuru nezveizvi.
- Doro: Dzivisa kunwa doro. Doro rinogona kuita kuti unzwe hope uye dzungu.
- Kupisa kwemuviri: Mushonga uyu unogona kukanganisa kugona kwemuviri kudzora kupisa. Izvi zvinoreva kuti kugona kwemuviri kutsungirira kutonhora kwakanyanya uye kupisa kwakanyanya kunogona kuderedzwa. Saka, zvidzivirire kubva pakupisa kwakanyanya uye kutonhora kwakanyanya. Inwa mvura yakawanda.
- Kunzwa kwezuva: Mushonga uyu unogona kuita kuti ganda rako rinzwe kudziya kwezuva. Saka, zvidzivirire kubva kuzuva. Kana uchizove muzuva, pfeka mbatya dzinofukidza muviri wako uye shandisa mafuta ekudzivirira zuva.
- Shuga muropa: Kana une chirwere cheshuga, mushonga uyu unogona kuwedzera huwandu hweshuga muropa rako. Saka tarisa huwandu hweshuga muropa rako nguva nenguva. Kana zvichidikanwa, taura nachiremba wako nezvekuchinja kudya kwako kana mishonga yeshuga.
- 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 nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Haasi munhu wese anowana. Zvisinei, zvakakosha kuti uizive.
| Kana ukaona zviratidzo izvi, taurira chiremba wako nekukasika. | |
|---|---|
| Kurwara | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Chirwere Chekurwara Kwepfungwa Neropa (NMS) | Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuvhiringidzika. |
| Zviratidzo zveExtrapyramidal (EPS) | Kufamba kwemuviri kusingadzoreki, kuomarara kwetsandanyama kana kugwinha, kudedera, kushaya zororo, kunetseka kufamba. |
| Kukuvara kwechiropa | Kurwadziwa kwemudumbu kumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, tsvina ine ruvara rwakachenuruka, weti yero yakasviba, kutsvuka kweganda kana maziso. |
| Kuderera kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, pahuro panorwadza. |
| Migumisiro isingawanzova nengozi, asi inofanira kutaurwa kuna chiremba kana ichinetsa | |
| Kuzvimba | Muromo wakaoma |
| Kurara | Kuwedzera huremu |
Mharidzo Yekuenda Nayo Kumba
- Chlorpromazine mushonga une simba unofanira kungotorwa chete kana wapihwa mazano nachiremba.
- Udza chiremba wako nezvemishonga yese yaunotora uye chero zvimwe zvirwere zvaunazvo.
- Usamborega kutora mishonga kamwe kamwe usina kupiwa mazano nachiremba.
- Dzivisa kutyaira mota uye kuita mabasa anoda kungwarira paunenge uchitora mushonga, sezvo hope nedzungu zvinogona kuitika.
- Dzivisa doro zvachose.
- Kana ukasangana nematambudziko akakomba akadai sefivha yakanyanya, kuomarara kwetsandanyama, kana kufamba-famba kwemuviri kusingadzoreki, enda kuna chiremba nekukasika.
- Kana ukanwa mushonga wakawandisa, enda kuchipatara (ETU) nekukasika kana kuti bata National Poisons Information Center.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eChlorpromazine (Chlorpromazine / Thorazine) ndiwo mushonga wekupedzisira wechirwere chipi?
Uyu mushonga une simba guru kubva kuchizvarwa chekare (Typical antipsychotic / Phenothiazine) wakagadzirirwa kudzora chirwere chepfungwa chakakomba chinonzi 'Schizophrenia'! Uyu haupiwi kune wese munhu, unowanzo shandiswa chete kune varwere vakaoma (vasingarapike) vane pfungwa dzisinganyanyi kudzika pasinei nemimwe mishonga yese. Unopihwawo kumisa kubatwa nepfungwa kwakanyanya uye pfari.
💬 Piritsi iri (Chlorpromazine) rinosvika sei kuuropi uye rinobvisa sei kufungidzira kwemurwere uye kusaita zvinhu nekukurumidza?
Chikonzero chikuru chekukura kwezvirwere zvepfungwa zvakakomba ndiko kuwedzera kwakanyanya kwe 'Dopamine' muuropi! Mushonga uyu unovhara/kuvhara 100% yema dopamine receptors (D2 receptors) kana wangopinda muuropi. Unobvisa pfungwa dzisina musoro mupfungwa uye unonyaradza murwere kusvika paasingakwanise kunyange kufambisa gumbo/ruoko rwake (kunyaradza).
💬 Ndezvipi migumisiro mikuru iyo vanhu vanotora mushonga uyu wekare (Chlorpromazine) vanofanira kungwarira?
Pane zvakawanda zvinokanganisa! Njodzi huru ndeye 'kugwinha kwetsinga netsandanyama (EPS/Tardive Dyskinesia)'. Izvi zvinoreva kuti paunonwa izvi, unonzwa kudedera kusingadzoreki kwemakumbo/maoko, rurimi rwuchibuda uye rwuchimonereka, uye zvechokwadi uchava wakaoma serobhoti. Zvakare, (Anticholinergic) muromo unova wakaoma zvisingatsungiririki, kuona kunova kusina kujeka, uye kana ukabuda muzuva, pane mukana mukuru wekupiswa nezuva (Photosensitivity).
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