Chiremba wako akakunyorerera mushonga unonzi Haloperidol here? Zvakajairika kunzwa kutya uye kutya zvishoma paunonzwa zita remushonga wakadai. Nekuti iyi mishonga inopiwa kurapa zvirwere zvepfungwa, kune mafungiro akasiyana-siyana asina kururama munharaunda. Asi usazvidya mwoyo. Nhasi, tichataura nezvemushonga uyu nemashoko akareruka, zvaunoita, mashandisirwo awo, uye zvaunofanira kungwarira.
Zvichitaurwa zviri nyore, chii chinonzi Haloperidol?
Haloperidol mushonga uri muboka remishonga inoderedza kuzvidya mwoyo . Muchidimbu, mushonga uyu unobatsira kudzikamisa mashandiro emamwe makemikari muuropi hwedu. Kunyanya, kemikari inonzi dopamine . Iyi dopamine ineurotransmitter inobatsira kudzora manzwiro edu, maitiro edu, uye pfungwa dzedu.
Vanachiremba vanonyanya kunyora mushonga uyu kune zvimwe zvirwere:
- Schizophrenia: Chirwere chepfungwa chinoratidzwa nekuoma kusiyanisa pakati pechokwadi nechisiri chokwadi, uye kuona zvinhu zvisipo .
- Dambudziko reTourette: Chirwere chinoratidzwa nekufamba-famba kwenhengo dzemuviri kana tambo dzenzwi kusingatarisirwi.
- Matambudziko makuru ehunhu hwevana: Mushonga uyu unoshandiswawo kudzora hunhu hwakasimba uye hwehasha muvana kana mimwe mishonga isina kubudirira.
Chinhu chakakosha ndechekuti mushonga uyu unofanira kushandiswa chete pasi pechikumbiro chachiremba.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Kuti muve vakachengeteka uye kuti kurapwa kwenyu kubudirire, munofanira kuudza chiremba wenyu kana muine chimwe chezvirwere zvinotevera musati matanga mushonga uyu. Musavanza chero chinhu nekuti idambudziko diki.
- Kana uine allergy kuHaloperidol kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine dambudziko rekutadza kurangarira zvinhu zvakaita sedementia .
- Kana uine chirwere cheshuga .
- Kana uine nhoroondo yechirwere chemwoyo kana kurova kwemoyo kusina kurongeka.
- Kana uchinwa doro nguva dzose.
- Kana uine chirwere chechiropa .
- Kana uine chirwere cheParkinson .
- Kana uine pfari kana pfari.
- Kana uine dambudziko re thyroid (chirwere che thyroid) .
- Kana paine mishumo yekuti masero machena eropa, masero matsvuku eropa, kana maplatelet akaderera muropa.
- MuropaKana bvunzo dzakaratidza kuti huwandu hwe potassium kana magnesium hwakaderera.
- Kana uine chirwere chemapapu kana chekufema chakadai seasthma .
- Kana uchinetseka kumedza chikafu .
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Ndingashandisa sei mushonga uyu chaizvo?
Izvi zviri nyore kwazvo. Asi chinonyanya kukosha ndechekutevedzera zvinotaurwa nachiremba.
- Medza piritsi iri rose negirazi remvura.
- Unogona kuitora uine chikafu kana usina. Zvisinei, kana uchinzwa kurwadziwa mudumbu, zvakanaka kuitora pamwe nechikafu.
- Inwa mushonga wakanyorwa nachiremba panguva chaiyo. Usadarike mushonga wacho.
- Chinonyanya kukosha: Kunyangwe uchinzwa zviri nani, usamborega kutora mushonga usina kubvunza chiremba wako. Kana ukadaro, zviratidzo zvako zvinogona kudzoka uye kuwedzera kuipa. Kana ukamira, unofanira kuderedza zvishoma nezvishoma mushonga sezvakarairwa nachiremba wako.
Chii chekuita kana dose ikawedzera?
Kana uchifunga kuti watora mushonga wakawandisa, usavhunduka uye enda kuchipatara chiri pedyo neEmergency Department (ETU) . Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Ko kana ndikarasikirwa nedosi remushonga?
Inwa mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore mushonga unotevera (semuenzaniso, uri mukati memaawa mashoma), siya mushonga wawakarasikirwa nawo wotora mushonga unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Unofanirawo kungwarira nezvemimwe mishonga yauri kutora paunenge uchitora Haloperidol. Mimwe mishonga inogona kukanganisa mushonga uyu uye kukonzera migumisiro yakaipa.
| Zvinhu zvinogona kukonzera matambudziko | Mienzaniso |
|---|---|
| Mishonga yausingafaniri kutora | Mishonga yakaita seCisapride, Dronedarone, Pimozide, Thioridazine. |
| Doro | Kunwa doro kunogona kuwedzera hope nedzungu, saka dzivisa doro zvachose paunenge uchitora mushonga uyu. |
| Mamwe marudzi emishonga | Mishonga yekurwisa allergies, kukosora, uye dzihwa; Mishonga yekurara kana kuzvidya mwoyo; Mimwe mishonga yekudzora marwadzo; Mishonga yekurwadziwa kwemoyo; Mishonga yeBP nepfari; Mishonga yeParkinson's disease; Mishonga yakaita seWarfarin, inoshandiswa kudzivirira kuumbwa kweropa. |
| Zvimwe zvinhu | Udzawo chiremba wako nezvemishonga, mavhitamini, kana zvimwe zvinovaka muviri zvauri kutora. |
Zvinhu zvekurangarira kana uchitora mushonga
- Dzungu uye hope: Mushonga uyu unogona kuita kuti unzwe hope, dzungu, kana kuti usanyatsoona zvakanaka. Saka, dzivisa kutyaira, kushandisa michina, kana kuita zvimwe zvinhu zvinoda kungwarira kusvika waziva kuti mushonga uyu unokukanganisa sei. Simuka zvishoma nezvishoma paunomira kana kusimuka kubva panzvimbo yawakagara.
- Muromo wakaoma: Muromo wakaoma wakajairika. Unogona kugadzirisa izvi nekutsenga chingamu isina shuga, kusvuta masiwiti asina shuga, uye kunwa mvura yakawanda zuva rese.
- Kupisa kwemuviri: Mushonga uyu unogona kukanganisa kugona kwemuviri kudzora tembiricha. Izvi zvinoreva kuti unogona kuderedza kugona kwako kutsungirira kutonhora kwakanyanya uye kupisa kwakanyanya. Saka, pfeka zvakakodzera pamazuva anotonhora. Dzivisa kupiswa nezuva pamazuva anopisa, inwa mvura yakawanda, uye dzivisa kurovedza muviri zvakanyanya.
- Kunzwa kwezuva: Mushonga uyu unogona kuita kuti ganda rako rinzwe zvakanyanya nezuva. Saka kana uchizoenda kuzuva, shandisa mafuta ekudzivirira zuva uye pfeka mbatya dzinofukidza muviri wako.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Haloperidol inogona kukonzera migumisiro yakaipa. Haasi munhu wese anowana, asi zvakakosha kuti uzive nezvayo.
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva, kunetseka kufema. |
| Chirwere cheNeuroleptic Malignant | Izvi zvakakomba zvikuru. Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, uye kuvhiringidzika. |
| Zviratidzo zveExtrapyramidal (EPS) | Kufamba-famba kwenhengo dzemuviri kusingadzoreki (kunyanya kumeso, muromo, maoko), kuomarara kwetsandanyama kana kugwinha, kudedera, kurasikirwa nemwero pakufamba, kushaya zororo. |
| Zvimwe zviratidzo zvakakomba | Kupfava, kuoma kuita weti, zviratidzo zvehutachiona (fivha, dzihwa, pahuro), BP yakaderera (dzungu, kuona zvisizvo). |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Migumisiro midiki | Kurara, kuzvimba, muromo wakaoma, musoro, kuwedzera uremu, kuchinja kwechido chebonde kana kuita zvakanaka. |
Mharidzo Yekuenda Nayo Kumba
- Haloperidol mushonga unobatsira zvikuru unofanirwa kutorwa uchitarisirwa nachiremba.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora uye chero matambudziko ehutano auri kusangana nawo.
- Kunyangwe ukanzwa zviri nani mushure mekutanga mushonga, usambomira kamwe kamwe usina kubvunza chiremba wako.
- Kana ukasangana nematambudziko akakomba, akadai sefivha yakanyanya kana kuomarara kwetsandanyama, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa doro zvachose paunenge uchitora mushonga uyu.
- Kana muine mibvunzo, zvinokunetsai, kana zvinokunetsai nezvemushonga uyu, taurai nachiremba wenyu nezvazvo pachena. Hapana chikonzero chekutya kana kunyara.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi/majekiseni eHaloperidol (Haloperidol / Haldol) ndiwo mushonga wekupedzisira wekurapa chirwere chipi?
Uyu mushonga une simba guru uye unoshandiswa zvakanyanya wechizvarwa chekare (Typical antipsychotic) wakagadzirirwa kudzora 'Schizophrenia' uye severe psychosis! Unowanzo shandiswa muzvipatara (sejekiseni) kudzikamisa murwere mumaminitsi mashoma (Chemical Restraint) apo murwere anenge ava kupenga opinda muchipatara/pfuma orwisa/kuuraya vamwe (Acute Agutation/Violence).
💬 Mushonga uyu une simba (Haloperidol) unosvika sei kuuropi woita kuti murwere anzwe kusanzwa zvakanaka sedombo?
Chimwe chezvikonzero zvikuru zvinoita kuti pave nechirwere chepfungwa/mhirizhonga yakanyanya kuwedzera kwakanyanya kwe'Dopamine' muuropi! Mushonga uyu unovhara/kuvhara ma dopamine receptors (Strong D2 blockade) 100% kana wangopinda muuropi. Unobvisa pfungwa dzisina musoro mupfungwa uye unonyaradza murwere kusvika paasingakwanise kana kufambisa gumbo/ruoko rwake.
💬 Ndezvipi migumisiro yakaipa zvikuru yekushandisa haloperidol?
Migumisiro yemushonga uyu wekare yakakomba zvikuru! Njodzi huru ndeye 'Tardive Dyskinesia (EPS).' Izvi zvinoreva kuti kana ukanwa mushonga uyu, unogona kunzwa kusagadzikana kwakanyanya sekuzunza makumbo/maoko zvisingadzoreki, kutenderedza maziso, uye kuburitsa rurimi. Chimwe chinhu chine njodzi zvikuru chirwere chinouraya chinonzi Neuroleptic Malignant Syndrome (NMS)! Chinokonzera kuti muviri wemurwere uome 100% sehuni, unzwe fivha yakanyanya, uye zvinogona kukonzera kutadza kushanda kweitsvo nerufu!
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