Chiremba wako akakunyorera iwe kana mumwe munhu waunoda mushonga unonzi Clozapine here? Kana zvakadaro, zvakakosha kutaura nezvemushonga uyu zvakadzama. Nekuti uyu hauna kufanana nemushonga wenguva dzose, unoda kutarisirwa kwakakosha, uye mushonga unoshanda zvikuru. Ngatitaurei nezvese zviri nyore uye zvakajeka.
Mushonga werudzii uyu weClozapine?
Muchidimbu, Clozapine mushonga unoshandiswa kurapa zvirwere zvepfungwa zvakaita seschizophrenia . Zvisinei, haisiyo sarudzo yekutanga kune wese munhu. Vanachiremba vanowanzo nyora mushonga uyu kana mimwe mishonga isina kushanda zvakanaka sezvaitarisirwa, kana kana migumisiro yemimwe mishonga isingatsungiririki.
Uyu uri muboka remishonga inonzi 'Antipsychotic' . Mushonga uyu unonyanya kushanda nekuenzanisa mashandiro emakemikoro akaita seDopamine neSerotonin, ayo anobatsira mukutaurirana kwetsinga muuropi hwedu. Kuburikidza neizvi, unodzikamisa pfungwa uye unodzora zviratidzo.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana wakambova nechirwere cheallergy kana Clozapine kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine chirwere cheshuga kana kuti mumwe munhu mumhuri mako ane chirwere ichi.
- Kana uine zvirwere zvakaita sechirwere chemwoyo , cholesterol yakakwira, BP yakakwira/yakaderera, kana kurova kwemoyo kusina kurongeka.
- Kana wakambova nestroke .
- Kana uine chirwere chechiropa kana cheitsvo .
- Kana uine chirwere chakadai sekuwanda kweropa , masero machena mashoma, masero matsvuku mashoma, kana kuti maplatelet mashoma.
- Kana uchigara uchisangana nedambudziko rekuzvimba kana kuti ura hwako huchivharika.
- Kana uine pfari kana pfari.
- Kana uine chirwere cheParkinson .
- Kana uine dambudziko rekurangarira rakadai sedementia.
- Kana uine dambudziko reprostate kana kuti uchinetseka kuita weti.
- Kana uine chirwere chemaziso chinonzi glaucoma.
- Kana uchinetseka kumedza chimwe chinhu.
- Kana uri munhu anoputa fodya. (Izvi zvakakosha zvikuru, tichazotaura nezvazvo gare gare).
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa.
Kana paine chimwe chinhu chiri pane urongwa uhwu chinoshanda kwauri, usachivanza kuna chiremba wako. Zvakakosha zvikuru kuti uchengetedzeke.
Ndingashandisa sei mushonga uyu chaizvo?
- Inwa mushonga wawakanyorerwa nachiremba wako, sezvawakanyorerwa, uye panguva yakakodzera. Medza piritsi negirazi remvura.
- Hazvina basa kuti unoitora usati wadya kana kuti wapedza kudya.
- Usatore zvinopfuura zvawaudzwa nachiremba, kana kunwa usati wasvika nguva yakatarwa.
- Chinonyanya kukosha: Usarega kutora mushonga uyu kamwe kamwe pasina chikonzero chipi zvacho usina kupiwa mazano nachiremba. Kuita izvi kunogona kukonzera migumisiro yakaipa. Kana uchida kurega kutora mushonga, ita izvozvo zvishoma nezvishoma, uchideredza dosage, uye uchitarisirwa nachiremba chete.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga unopfuura wakatarwa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa wotora dosi yako inotevera panguva yakatarwa. Usambofa wakatora dosi mbiri kuti udzorere dosi yawakarasikirwa nayo.
Yambiro Yakakosha: Kana usingakwanise kutora mushonga wako kwemazuva anopfuura maviri (maawa makumi mana nemasere), usatange zvakare nedosi imwe chete. Iva nechokwadi chekufonera chiremba wako kuti akupe mazano.
Zvimwe zvinhu zvinogona kukonzera matambudziko nemushonga uyu
Clozapine mushonga unogona kusangana nemimwe mishonga, chikafu, nezvimwe zvinhu. Saka unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Rudzi rwezvinodhaka/zvinodhaka | Mienzaniso netsananguro dziri nyore |
|---|---|
| Zvinhu zvausingafaniri kutora | |
| Mimwe mishonga | Mishonga yakaita seCisapride, Pimozide, Thioridazine. Chiremba wako achakuudza nezveizvi. |
| Zvinhu zvinogona kukonzera matambudziko uye zvinofanirwa kutorwa pasi pemazano echiremba | |
| Doro | Usanwa doro paunenge uchitora mushonga uyu. Unogona kuwedzera hope nedzungu. |
| Kafeini | Caffeine, inowanikwa mukofi, tii, nezvimwe zvinwiwa zvisina doro, inogona kukanganisa huwandu hwe clozapine. Udza chiremba wako nezvehuwandu hwauri kutora. |
| Kusvuta | Kusvuta kunogona kuderedza huwandu hweclozapine muropa rako. Kana uchisvuta kana kuti uri kufunga kurega, iva nechokwadi chekuudza chiremba wako. Dose yako ingangoda kugadziriswa. |
| Mimwe mishonga | Mimwe mishonga yedzihwa, allergies, kuora mwoyo, kushaya hope, pfari, hutachiona hwefungus, uye BP zvinogona kukanganisa izvi. |
Zvinhu zvekungwarira zvakanyanya paunenge uchitora mushonga
Ziva zvinhu izvi kuti uve nechokwadi chekuti wakachengeteka paunenge uchitora clozapine.
Kuongororwa Kweropa Kwekumanikidzwa
Ichi ndicho chinhu chinonyanya kukosha. Paunotanga kutora clozapine, unofanirwa kuongororwa ropa kamwe chete pasvondo kwemavhiki mashoma ekutanga. Izvi ndezvekutarisa huwandu hwemasero machena eropa muropa rako. Dzimwe nguva mushonga uyu unogona kukonzera kudzikira kwehuwandu hwemasero machena eropa rako. Izvi zvinogona kukuomera kurwisa hutachiona. Kana huwandu hweropa rako hwakanaka mushure memwedzi mitanhatu, chiremba wako angangokukurudzira kuti uite bvunzo iyi mavhiki maviri ega ega.
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope uye dzungu. Saka, dzivisa zvinhu zvinoda kungwarira, zvakaita sekutyaira kana kushandisa michina, kusvika waziva kuti mushonga uyu unokubatsira sei. Usamira kana kugara pasi kamwe kamwe.
Kuzvimba
Kuzvimba kwedumbu kunowanzoitika pamushonga uyu, asi kunogona kuva kwakakomba. Kana usina kubuda tsvina mushure memazuva maviri kusvika matatu, kana ukaona zviratidzo zvakaita sekuzvimba, kurwadziwa mudumbu, kana kuda kurutsa, fonera chiremba wako nekukasika. Inwa mvura yakawanda.
Kudzora tembiricha yemuviri
Mushonga uyu unogona kuderedza kugona kwako kutsungirira kutonhora kwakanyanya uye kupisa. Saka, pfeka zvakakodzera kana kuchitonhora. Deredza kupiswa nezuva uye kushanda nesimba kana kuchipisa. Inwa mvura yakawanda.
Migumisiro inogona kuitika yemushonga
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho inowanzoonekwa.
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako kana ETU nekukasika | |
|---|---|
| Zviratidzo zvehutachiona | Fivha, dzihwa, pahuro panorwadza, maronda mumuromo (izvi zvinogona kuva zviratidzo zvehuwandu hushoma hwemasero machena eropa). |
| Zviratidzo zvemwoyo | Kurwadziwa pachipfuva, kunetseka kufema, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuzvimba kwemakumbo. |
| Kuzvimba kwakanyanya | Kurwadziwa kwakanyanya mudumbu, kuzvimba, kurutsa. |
| Kubatwa nepfari | Kana muviri uchidedera zvisingadzoreki. |
| Hunhu hweNMS | Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, uye kuvhiringidzika. (Neuroleptic Malignant Syndrome) |
| Kurwara | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kazhinji hazvisi zvakakomba, asi udza chiremba wako kana zvikaramba zviripo. | |
| Kupisa mate zvakanyanya | Izvi zvinogona kuitika kunyanya husiku. |
| Kurara, dzungu | Izvi zvinogona kudzikira sezvo muviri uchijaira mushonga. |
| Kuwedzera huremu | Taura nachiremba wako nezvekudya kwaunoda uye kurovedza muviri. |
| Musoro | Zvinogona kuitika zvishoma. |
Mharidzo Yekuenda Nayo Kumba
- Clozapine mushonga unoshanda zvikuru wezvirwere zvepfungwa zvisina kupindura mimwe mishonga, asi unofanirwa kutorwa pasi pekutarisirwa kwakasimba kwechiremba.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba.
- Kuongororwa ropa kwevhiki nevhiki kana kaviri pavhiki kwakakosha kuti uchengetedzeke. Usazvisiya.
- Udza chiremba wako nezvemimwe mishonga yose yaunotora, ungave uchiputa fodya kana kuti kwete, pamwe chete nematambudziko ako ese ehutano.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvekunyevera zvakaita sefivha nekurwadziwa pahuro, kurwadziwa kwakanyanya pachipfuva, kana kuvimbiwa kwakanyanya.
- Kana ukarasikirwa nekushandisa mushonga kwemazuva anopfuura maviri, taura nachiremba wako usati watanga zvakare.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eClozapine (Clozaril) ndiwo mushonga wekupedzisira wechirwere chipi?
Uyu ndiwo mushonga wekutanga wechizvarwa chitsva (Atypical) une simba guru wakagadzirwa kudzora chirwere chepfungwa chakakomba chinonzi 'Schizophrenia'! Uyu haupiwi kune wese munhu, unoshandiswa chete kune varwere vakaoma (vasingarapike) uye varwere vanozviuraya/vanotsamwisa, avo vanoita sevasingakwanise kunzwa manzwi asinganzwisisike emurwere pasinei nemimwe mishonga yese.
💬 Chii chakakosha nezveiyi (Clozapine) chinoita kuti ishande kupfuura mimwe mishonga yese?
Mimwe mishonga yepfungwa inovhara mareceptor edopamine (D2) muuropi. Ipapo murwere anova akaomarara serobhoti. Asi iyi Clozapine inovhara mareceptor edopamine D2 zvishoma, panzvimbo pezvo inovhara serotonin (5HT2A) nemamwe mareceptor eD4 muuropi zvakanyanya. Ndosaka chirwere ichi chichivandudzika, chisina mhedzisiro iyoyo yakaoma (EPS) zvachose!
💬 Sei zvichikosha kutarisa masero machena eropa evanhu vari kutora piritsi iri (Clozapine)?
Iyi ndiyo njodzi ine njodzi uye inouraya yemushonga uyu! (Nyevero yeBlack Box). Pakutora uyu, 'masero machena eropa (Neutrophils)' evamwe varwere anorwisa zvirwere mumiviri yavo anogona kuparadzwa 100% uye kuderedzwa zvachose kusvika pazero (Agranulocytosis)! Ipapo kunyange hutachiona hudiki hwechikosoro hunogona kuuraya murwere. Saka, 'kuongororwa kweropa kwevhiki nevhiki (ANC)' kunofanirwa kuitwa kwemwedzi mitanhatu yese yekutora mushonga uyu!
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