Chiremba wako akakunyorera mushonga unonzi Fluphenazine here? Kana kuti mumwe wemhuri yako kana shamwari ari kushandisa mushonga uyu here? Kunzwa zita iri kunogona kuita kuti utye kana kuda kuziva. Asi usazvidya mwoyo. Zvakakosha kuti uzive zvakawanda nezvemushonga upi zvawo usati waushandisa. Saka nhasi, ngatitaurei zviri nyore uye zvine hunhu nezvemushonga uyu unonzi Fluphenazine, migumisiro yawo pauropi, uye zvinhu zvekungwarira paunenge uchiushandisa.
Zvichitaurwa zviri nyore, chii chinonzi Fluphenazine iyi?
Fluphenazine mushonga unoshandiswa kurapa zvirwere zvepfungwa zvakaita seschizophrenia . Uri muboka remishonga inonzi 'antipsychotics'.
Uropi hwedu hune kemikari inonzi dopamine. Izvi zvinodzora zvinhu zvakawanda, kusanganisira manzwiro edu, maitiro edu, uye pfungwa dzedu. Mune mamwe mamiriro ehutano hwepfungwa, huwandu hwedopamine hunova husina kuenzana. Saka, zvinoitwa nemushonga uyu wefluphenazine kuyera huwandu hwedopamine uye kubatsira kudzora zviratidzo. Vanachiremba vanogonawo kunyora mushonga uyu kune mamwe mamiriro ehutano hwepfungwa kuwedzera kune schizophrenia .
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga kushandisa fluphenazine, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako. Iva nechokwadi chekuvaudza kana uine chimwe chezvirwere zvinotevera:
| Mamiriro/Kurwara | Tsananguro |
|---|---|
| Mamiriro ehutano aripo | Chirwere cheshuga, chirwere cheParkinson, pfari, glaucoma, bundu remuuropi, chirwere chemwoyo, chirwere chechiropa, chirwere cheprostate, uye zvirwere zvemapapu zvakaita seasthma. |
| Kusagadzikana kwemuviri | Kuoma kumedza chikafu, kuoma kuita weti, kuvharika kwemudumbu, kuoma kudzora tsandanyama. |
| Matambudziko ane chekuita neropa | Kuderera kweropa, nhoroondo yekurova kwemoyo kusina kurongeka, huwandu hwemasero eropa hushoma (masero machena eropa, masero matsvuku eropa, maplatelet). |
| Dzimwe pfungwa dzakakosha | Kana uine dambudziko repfungwa, kukuvara musoro, kana kuti wakambonwa doro zvakanyanya. |
| Kurwara | Kana uine allergy ye fluphenazine kana chero imwe mishonga, chikafu, kana dhayi. |
| Zviitiko zvakakosha | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Ndinofanira kushandisa mushonga uyu sei?
Izvi zvinowanzotorwa nemuromo sepiritsi. Inwa mushonga negirazi remvura. Iva nechokwadi chekutora mushonga wakanyorwa nachiremba wako, panguva yakakodzera . Chengeta nguva pakati pemishonga. Kunyangwe uchinzwa zviri nani, usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera matambudziko makuru.
Cherechedza: Kudarika mwero
Kana uchifunga kuti watora mushonga uyu unopfuura mwero wakatarwa, usauregeredza chero nguva . Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana, fonera National Poisons Information Centre paColombo National Hospital.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete kuti udzorere dosi rausina kutora.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Paunenge uchitora fluphenazine, unofanira kuudza chiremba wako nezve mimwe mishonga, mavhitamini, nezvimwe zvinovaka muviri zvauri kutora. Mimwe mishonga inogona kukanganisana nayo.
| Mishonga isingafanirwe kutorwa neFluphenazine | |
|---|---|
| Cisapride | Dronedarone |
| Metoclopramide | Pimozide |
| Saquinavir | Thioridazine |
| Zvinhu zvinogona kukanganisa Fluphenazine, saka chenjera | |
|---|---|
| Doro | Mishonga yekurwisa allergies, kukosora, uye dzihwa (Antihistamines) |
| Mimwe mishonga yekuderedza kushushikana, kuzvidya mwoyo, kana kurara | Mishonga yeBP |
| Mishonga yakaita seLevodopa yekurapa chirwere cheParkinson | Anesthesia yekuvhiyiwa |
| Mishonga inodhaka, yakadai semorphine, yekurwadziwa kwakanyanya | Lithium |
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese yaunotora, uye kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga .
Zvinhu zvekungwarira paunenge uchitora mushonga
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope, dzungu, kana kuti usaone zvakanaka. Saka, dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Unogona kunzwa dzungu kana kuwa paunomira kamwe kamwe, kunyanya kana wakwegura. Saka, chinja maitiro ako zvishoma nezvishoma. Kunwa doro kunogona kuwedzera hope idzi.
Matambudziko ekudzora tembiricha yemuviri
Mushonga uyu unogona kuderedza kugona kwemuviri wako kupindura kutonhora nekupisa. Izvi zvinoreva kuti unogona kunzwa kutonhora nekukurumidza kana kuchitonhora zvikuru uye kupisa zvakanyanya kana kuchipisa zvikuru.
- Gara mumba zvakanyanya sezvinobvira kana kuchitonhora . Kana ukabuda, pfeka zvinodziya.
- Munguva yekupisa , deredza kupiswa nezuva uye kurovedza muviri zvakanyanya. Pfeka mbatya dzinofema uye inwa mvura yakawanda.
Kunzwa kwezuva
Mushonga uyu unogona kuita kuti ganda rako rinzwe zviri nani pazuva. Saka, kana uchizoenda kuzuva, pfeka mbatya dzinofukidza ganda rako uye shandisa mafuta ekudzivirira zuva.
Migumisiro inogona kuitika
Kufanana nemishonga yese, Fluphenazine inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa. Zvakakosha kuziva izvi.
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kurwara | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Chirwere cheNeuroleptic Malignant | Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuvhiringidzika. |
| Zviratidzo zveExtrapyramidal (EPS) | Kufamba-famba kwenhengo dzemuviri kusingadzoreki (kunyanya kumeso, rurimi), kuomarara kwetsandanyama kana kudedera, kusagadzikana, kunetseka kufamba. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yakasviba. |
| Zvimwe zvinhu | Kuchinja kwekuona, zviratidzo zvehutachiona (fivha, dzihwa, kukosora), dzungu rinokonzerwa neBP yakaderera, kuchinja kwemahormone (kubuda kwemuzamu, kuchinja kwechido chebonde). |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Muromo wakaoma | Kuzvimba |
| Kurara | Musoro, kuda kurutsa |
Kana ukaona chimwe chinhu chisingawanzoitiki chisiri pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Fluphenazine mushonga unokosha unofanirwa kushandiswa chete kana wapihwa mazano nachiremba uye unobatsira pakurapa matambudziko epfungwa.
- Usambofa watanga, uchichinja mwero wemushonga, kana kurega kutora mushonga usina kurairwa nachiremba wako.
- Ipa chiremba wako tsananguro yakazara yemimwe mishonga yauri kutora pamwe chete nematambudziko ako ese ehutano.
- Zivai migumisiro yakadai sehope nedzungu. Dzivisai kutyaira mota kusvika maziva kuti mushonga wacho unokubatsirai sei.
- Kana ukasangana nematambudziko akakomba akadai sefivha yakanyanya, kuomarara kwetsandanyama, kana kufamba-famba kusingadzoreki, tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu wakanyorerwa iwe chete. Usaugovane nevamwe.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eSotalol (Sotalol / Betapace) mushonga une simba zvikuru unoshandiswa pakurapa chirwere chipi?
Izvi hazvina kufanana nemamwe mapiritsi eBP anowanzo shandiswa (Beta-blockers - semuenzaniso Propranolol)! Uyu mushonga une simba (weClass II neIII Antiarrhythmic) unoshandiswa navanachiremba kugadzirisa rhythm yemoyo kana makamuri epamusoro kana epasi emwoyo akangoerekana arova zvisina kujairika/nekukurumidza (Atrial Fibrillation / Ventricular Arrhythmias), chirwere chinouraya!
💬 Kana moyo uchirova zvisina musoro, piritsi iri (Sotalol) ringaita sei kuti kurova kwemoyo kuve kwakajairika?
Izvi zvinoita zvinhu zviviri mupiritsi rimwe chete! Chekutanga (semushonga weBeta-blocker), inovhara 100% yemashoko e'adrenaline' anobva muuropi anoita kuti mwoyo urove nekukurumidza, zvichideredza kumhanya kwemoyo. Zvadaro (semushonga wePotassium channel blocker), inowedzera nguva inotora kuti masero emagetsi emwoyo atange kuchaja uye adzoke (QT interval)! Ipapo moyo haugone kurova nekukurumidza zvakakwana, uye kurova kuchadzoka pakare (kunonoka).
💬 Sei zvichinzi 'Unofanira kugara muchipatara kwemazuva matatu (Black Box Warning)' paunotanga kutora mushonga uyu (Sotalol)?
Ndiyo njodzi huru uye rufu! Izvi zvakafanana nekugadzira mutinhimira wemwoyo, uye kana wangonwa mapiritsi maviri, 'mutinhimira mutsva wemwoyo unouraya (Torsades de pointes / Proarrhythmia)' unogona kuitika uye mwoyo wemurwere unogona kumira zvachose wofa! Saka, kwemazuva matatu ekutanga, vanachiremba vanoisa murwere paECG uye vanoongorora itsvo vasati vagadzirisa mushonga.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga