Iwe kana mumwe munhu waunoziva mungave makanyorerwa Clozapine nachiremba wenyu nekuda kwedambudziko repfungwa rave rakaoma kudzora nemimwe mishonga. Zita racho rinogona kunzwika richikutyisai. Asi musazvidya mwoyo. Nhasi, tichataura zviri nyore nezve mashandisirwo emushonga uyu, zvaunoita, uye zvaunofanira kuziva.
Zvichitaurwa zviri nyore, chii chinonzi Clozapine?
Clozapine imhando yemushonga unoshandiswa kurapa zvirwere zvepfungwa zvakaita seschizophrenia . Inowanzo nyorerwa kana mimwe mishonga isingashande kana muviri usingakwanise kuishivirira. Muchidimbu, mushonga une simba rakawanda unofanira kushandiswa nekungwarira.
Mushonga uyu uri muboka remishonga inonzi antipsychotics. Unoshanda nekuenzanisa huwandu hwe neurotransmitters inonzi dopamine ne serotonin muuropi hwedu. Izvi zvinobatsira kudzora manzwiro edu, manzwiro edu, uye pfungwa dzedu.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga Clozapine, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Nekuti mushonga uyu unofanirwa kushandiswa nekungwarira mune mamwe mamiriro ehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvinotevera:
| Hutano | Tsananguro |
|---|---|
| Matambudziko ekugaya chikafu | Kuvharika kwedumbu, kuvimbiwa nguva nenguva |
| Matambudziko ane chekuita neropa | Kuderera kwehuwandu hwemasero eropa (masero machena eropa, masero matsvuku eropa, maplatelet) |
| Chirwere chemwoyo | Chero chirwere chemwoyo, kurova kwemoyo kusina kurongeka, cholesterol yakakwira, BP yakakwira, nhoroondo yekurohwa nesitiroko |
| Zvimwe zvirwere | Chirwere cheshuga, Kufa nepfungwa, Chirwere chechiropa kana cheitsvo, Glaucoma, Chirwere cheParkinson, Dementia, Matambudziko eprostate |
| Tsika nedzimwe nyaya | Kusvuta fodya (kusvuta), matambudziko ekumedza, matambudziko ekuita weti, matambudziko ekudzora tsandanyama |
| Kurwara | Kana uine allergy neClozapine kana chero imwe mishonga, chikafu, kana dhayi. |
| Zviitiko zvakakosha | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa |
Ndingashandisa sei mushonga uyu chaizvo?
Sezvo mushonga uyu uri wemvura (suspension), unofanira kungwarira zvishoma paunenge uchiushandisa.
- Zunza zvakanaka: Usati washandisa, zunza bhodhoro zvakanaka kwemasekondi gumi .
- Kuyera nemazvo: Shandisa sirinji chaiyo inonwiwa chete inouya nemushonga uye yera huwandu chaihwo hwaunoudzwa nachiremba kuti utore. Usamboshandisa zvipunu zvemumba kana zvipunu zvemuto. Hazvina kururama.
- Inwa mushonga ipapo ipapo: Inwa mushonga wacho pakarepo mushure mekunge waudhonza musirinji. Usauchengete kuti uzoushandisa gare gare.
- Chikafu: Mushonga uyu unogona kutorwa usati wadya kana kuti wapedza kudya. Hapana mutemo chaiwo pamusoro pawo.
- Inwa mushonga panguva yakatarwa: Edza kutora mushonga wako panguva imwe chete zuva nezuva. Inwa mushonga wako panguva yakatarwa, sezvakarairwa nachiremba wako. Usatore mushonga unopfuura huwandu hwakanyorwa.
- Usarega: Dzivisa kurega mushonga kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera matambudziko makuru.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera utore mushonga, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa. Usatore mushonga wakapetwa kaviri kuti udzorere mushonga wawakarasikirwa nawo. Kana ukarasikirwa nemishonga kwemazuva anopfuura maviri, iva nechokwadi chekutaura nachiremba wako nezvemushonga wakakodzera usati watanga zvakare.
Ko kana ukatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa iwe chete. Saka, usambougovana nemumwe munhu.
Mimwe mishonga yekuchenjerera kana uchiishandisa neClozapine
Clozapine mushonga unogona kushanda pamwe chete nemimwe mishonga yakawanda. Izvi zvinoreva kuti kuutora pamwe chete nemimwe mishonga kunogona kuchinja mashandiro anoita Clozapine kana kuwedzera migumisiro yayo. Saka udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Usambofa watora Clozapine pamwe chete neizvi. | |
|---|---|
| Dronedarone | Pimozide |
| Metoclopramide | Thioridazine |
| Chenjerera zvikuru kana uchitora Clozapine pamwe chete neizvi. | |
| Doro | Zvinwiwa zvine caffeine (kofi, tii) |
| Mamwe marudzi emishonga inorwisa mabhakitiriya | Mishonga yekuderedza kushushikana |
| Mishonga yekurara kana kuzvidya mwoyo | Mishonga yekurapa allergies, kukosora, uye dzihwa |
| Mishonga yeBP | Mushonga wepfari |
Rondedzero iyi haina kukwana, saka zvakakosha kuudza chiremba wako nezvemishonga yauri kutora.
Zvinhu zvekunyatsoteerera paunenge uchitora mushonga
- Kuongororwa ropa kwevhiki nevhiki: Paunotanga Clozapine , uchafanirwa kuongororwa ropa kamwe chete pavhiki kwemwedzi mishoma yekutanga. Izvi zvichaongorora kana huwandu hwemasero machena eropa rako huri kudzikira zvine njodzi. Kana huwandu hweropa rako hwakanaka kwemwedzi mitanhatu yekutanga, chiremba wako angasarudza kuderedza kuwanda kwekuongororwa ropa. Ichi chinhu chaunofanira kuita zvechokwadi.
- Kusangana neganda: Dzimwe nguva kusangana neganda kwakanyanya kunogona kuitika mavhiki mushure mekutanga mushonga. Tsvaga rubatsiro rwechiremba nekukasika kana ukaita maronda matsvuku kana epepuru paganda rako pamwe chete nezviratidzo zvakaita sefivha kana kutonhora, ganda riri kusvuuka, kana kuzvimba kwema lymph nodes pachiso chako, pamiromo, pamutsipa, kana muhapwa.
- Kuzvimba: Pane njodzi yekuzvimba kana mushonga uyu uchitora mushonga uyu. Udza chiremba wako kana usingakwanise kuenda kuchimbuzi sezvawagara uchiita, kana uchibuda tsvina katatu pasvondo, kana uine zviratidzo zvakaita sekurwadziwa mudumbu, kuzvimba, kuda kurutsa, kana kurutsa. Inwa mvura yakawanda.
- Kurara nedzungu: Mushonga uyu unogona kukonzera hope nedzungu. Saka, dzivisa kutyaira kana kushandisa michina kusvika waziva kuti izvi zvinokukanganisa sei. Kuti udzivise dzungu, simuka zvishoma nezvishoma paunenge wakagara kana kubva pamubhedha.
- Kusvuta: Udza chiremba wako kana uchisvuta, sezvo kusvuta kunogona kukanganisa mashandiro emushonga uyu. Udzawo chiremba wako kana uchironga kurega kusvuta.
- Tembiricha yemuviri: Mushonga uyu unogona kukanganisa kugona kwako kudzora tembiricha yemuviri wako. Zvidzivirire kubva kuchando chakanyanya uye kupisa. Inwa mvura yakawanda.
Migumisiro inogona kuitika nemushonga uyu
Kufanana nemishonga yese, Clozapine inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzo itika.
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kurwara | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kana pahuro |
| Matambudziko emwoyo | Kurova kwemoyo kusina kujairika, kurwadziwa pachipfuva, kuoma kufema, kuzvimba kwemakumbo/zvitsitsinho, kuneta kwakanyanya |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, pahuro (zvingave chiratidzo chekuderera kwehuwandu hwemasero machena eropa) |
| Zviratidzo zve sitiroko | Kushaya simba kwechiso, ruoko, kana gumbo kamwe kamwe, kuoma kutaura, kuvhiringidzika, kuoma kufamba, musoro wakakomba |
| Zvimwe zviratidzo zvakakomba | Kubatwa nepfari, fivha yakakura pamwe nekuomarara kwetsandanyama (Neuroleptic Malignant Syndrome), mafambiro emuviri asingadzoreki (EPS), kuvimbiwa kwakanyanya, zviratidzo zvekukuvadzwa kwechiropa (kutsvuka kweganda/maziso, weti yakasviba) |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Dzungu/hope | Kupisa mate zvakanyanya |
| Musoro | Kuwedzera huremu |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika, taura nachiremba wako nekukasika.
Nzira yekuchengetedza mushonga uyu sei?
- Chengeta kure nevana.
- Chengeta patembiricha yemumba (pakati pe20-25 Celsius). Usaise mufiriji kana kuisa mufiriji.
- Dzivirirai kubva kuchiedza.
- Rasa mushonga wasara mazuva zana mushure mekuvhura bhodhoro.
- Usashandise mushonga wapera basa.
Mharidzo Yekuenda Nayo Kumba
- Clozapine mushonga unofanirwa kushandiswa nekungwarira kwakanyanya. Tevedzera mirairo yachiremba wako nemazvo.
- Iva nechokwadi chekuudza chiremba wako nezvemamwe matambudziko ako ehutano pamwe nemishonga yese yauri kutora.
- Usapotsa kuongororwa ropa kwakarongwa. Izvi zvakakosha zvikuru kuti uchengetedzeke.
- Dzivisai kurega mushonga kamwe kamwe musina kupiwa mazano nachiremba.
- Kana ukasangana nemigumisiro yakakomba yakadai sefivha, maronda eganda, kurwadziwa muchipfuva, kana kuoma kufema, enda kuna chiremba nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, musatya kubvunza chiremba wenyu.
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