Iwe kana mumwe munhu waunoziva mungave makaudzwa nachiremba nezvemushonga unonzi Olanzapine. Kana kuti mungave muri kutsvaga mushonga uyu. Mushonga uyu unoshandiswa kurapa zvirwere zvepfungwa. Saka, ngatitaurei nezvazvo nenzira iri nyore yamunonzwisisa.
Chii chinonzi jekiseni reOlanzapine iri?
Muchidimbu, OLANZAPINE mushonga unoshandiswa kurapa zvirwere zvepfungwa zvakaita seschizophrenia . Uropi hwedu hune makemikari maviri anonzi dopamine neserotonin. Aya anobatsira kudzora mafungiro edu, maitiro edu, uye pfungwa dzedu. Olanzapine inoshanda nekuenzanisa huwandu hwemakemikari aya. Iri muboka remishonga inonzi antipsychotics. Mhando idzi dzemishonga yekurwisa psychotic dzinoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa.
Dzimwe nguva mushonga uyu unogona kushandiswa kune zvimwe zvirwere, saka kana muine mibvunzo, zvakanaka kubvunza chiremba wenyu kana murapi wemishonga.
Zita (Mazita) emushonga uyu anozivikanwa: `Zyprexa Relprevv`
Ndezvipi zvinhu zvamunofanira kuudza timu yenyu yezvekurapa musati matanga mushonga uyu?
Usati watanga kutora mushonga uyu, zvakakosha kuti timu yako yehutano (vanachiremba nevakoti) vazive nezvezvinhu izvi kuitira kuti vakwanise kukurapa zvakachengeteka uye zvakakodzera. Ona kana zvinhu izvi zvichishanda kwauri:
- Une chirwere chakaita sekuti 'Blockage muura hwako ' here?
- Uri kusvuta fodya here ?
- Unowanzo tambura nedambudziko rekusagadzikana here?
- Une dambudziko repfungwa here (dementia )?
- Une chirwere cheshuga here?
- Une dambudziko rekumedza here?
- Une glaucoma here?
- Une dambudziko rekudzora tsandanyama dzako here?
- Une chirwere chemwoyo here?
- Une cholesterol yakakwira here?
- Mazinga ako eprolactin akakwira here?
- Wakambova nenhoroondo yekenza yemazamu here?
- Pane nhoroondo yekurova kwemoyo kusina kurongeka here?
- Wakambova nestroke here?
- Une chirwere chechiropa here?
- Une ropa shoma here ( semuenzaniso masero machena eropa, maplatelet, kana masero matsvuku eropa)?
- Une BP yakaderera here?
- Une chirwere cheParkinson here?
- Pane chirwere cheprostate here?
- Une pfari dzakadai sepfari here ?
- Wakambofunga, kuronga kana kuedza kuzviuraya here? Iwe kana mumwe munhu mumhuri mako akamboedza kuzviita here?
- Une dambudziko rekuita weti here ?
- Wakambova nedambudziko risingawanzoitika kana kuti rakaita sekuti une allergy here kana ukatora olanzapine, mimwe mishonga, chikafu, madhayi kana zvinochengetedza?
- Une pamuviri here kana kuti uri kuda kubata pamuviri ?
- Uri kuyamwisa here ?
Kwete zvinhu izvi chete, asi unofanirawo kuzivisa chiremba wako nezve mimwe mishonga, mavhitamini, kana mishonga yechivanhu yauri kutora.
Ndinofanira kushandisa mushonga uyu sei?
Uyu hausi mushonga waunogona kutora kumba. Unobayiwa jekiseni mutsandanyama nechikwata chako chehutano. Izvi zvinoreva kuti unopihwa nachiremba kana nesi akadzidziswa. Unopihwa nguva nenguva . Usarega kutora mushonga uyu kusvika chikwata chako chehutano chakuudza kuti udaro.
Usati watanga kurapwa, uchapihwa kapepa kemirayiridzo kakakosha (`MedGuide`) . Zvakakosha kuverenga nekunzwisisa zvirimo nokungwarira nguva dzese.
Kana uri kupa mushonga uyu kuvana, taura nechikwata chako chekurapa nezvazvo. Kutarisirwa kwakakosha kungadiwa.
Zvakakosha: Mushonga uyu ndewako chete. Usambougovana nemumwe munhu.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti wanyanya kushandisa zvinodhaka, enda kuchipatara chiri pedyo nekukurumidza kana kufonera nzvimbo inoona nezve chepfu.
Ko kana ndikasatora nguva yakatarwa yekubaiwa nhomba?
Kana ukarasikirwa nenguva kana zuva rakarongwa rekubaiwa nhomba, fonera timu yako yezvekurapa nekukurumidza uye uvazivise.
Ndezvipi zvimwe zvinhu zvinogona kupindirana nemushonga uyu? (Kudyidzana kweMishonga)
Mimwe mishonga inogona kukonzera matambudziko kana ikatorwa nemushonga uyu. Saka ipa chiremba wako runyoro rwakakwana rwemishonga yese yaunotora, kusanganisira mishonga yemiti, mishonga isingapihwe mushonga, uye zvekudya zvinovaka muviri. Udzawo chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Zvimwe zvinhu zvinogona kukanganisa mushonga wako.
Usatore jekiseni reOlanzapine pamwe chete nemumwe wemishonga inotevera:
- Dronedarone
- Cisapride
- Metoclopramide
- Pimozide
- Thioridazine
Mushonga uyu unogona zvakare kusangana nezvinotevera:
- Doro
- Mimwe mishonga yekurapa allergies, kukosora, uye dzihwa (semuenzaniso, antihistamines)
- Atropine
- Carbamazepine
- Mimwe mishonga yekuzvidya mwoyo kana kurara
- Mimwe mishonga yekurapa matambudziko edundira (semuenzaniso, oxybutynin, tolterodine)
- Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso amitriptyline, fluoxetine, sertraline)
- Mimwe mishonga yekurapa matambudziko emudumbu (semuenzaniso dicyclomine, hyoscyamine)
- Mishonga yekurapa kurwara nekufamba (semuenzaniso, scopolamine)
- Fluvoxamine
- Mishonga inopedza marwadzo (semuenzaniso, halothane, isoflurane, methoxyflurane, propofol)
- Levodopa kana mimwe mishonga yekurapa chirwere cheParkinson
- Mishonga yeBP
- Mushonga wepfari
- Zvinozorodza tsandanyama pakuvhiyiwa
- Mishonga inodhaka yekurwadziwa
- Omeprazole
- Mimwe mishonga inogona kukonzera kusagadzikana kwemoyo (`QT interval`)
- Mishonga yePhenothiazines (semuenzaniso chlorpromazine, prochlorperazine)
- Rifampin
Rondedzero iyi ingasave yakakwana, saka zvakachengeteka kuudza chiremba wako nezvese zvauri kutora.
Ndezvipi matanho akakosha anofanira kutorwa pakutora mushonga uyu?
Chikwata chako chezvekurapa chichakutarisa zvakanyanya paunenge uchitora mushonga uyu. Udza chikwata chako chezvekurapa kana zviratidzo zvako zvikasavandudzika kana zvikawedzera kuipa.
Izvi zvakakosha zvikuru: Mushure mekunge mabayiwa jekiseni, munofanira kugara mukiriniki yamakabirwa jekiseni kwemaawa matatu . Munoziva here kuti izvozvo zvinorevei? Chikwata chekurapa chinoda kuona kana muine zviratidzo zvechirwere chinonzi Post-injection Delirium Sedation Syndrome (PDSS). PDSS chirwere chakakomba . Chinoitika kana mushonga ukapinda muropa nekukurumidza. Zvimwe zvezviratidzo zvePDSS ndeizvi:
- Kurara
- Dzungu
- Kuvhiringidzika (kusaziva zviri kuitika)
- Kuoma kutaura kana kufamba
- Kuzvimba
- Kuomarara kwetsandanyama kana kudedera
- Kunzwa kushaya simba
- Kunzwa kunetseka kana kutsamwa
- Kurasikirwa nepfungwa kana kufenda
- Kuchinja kweBP
Paunobva kukiriniki, mumwe munhu anofanira kunge aripo newe.Kana ukaona zviratidzo zvePDSS mushure mekubuda mukiriniki kana kuchipatara, tsvaga rubatsiro rwechiremba nekukasika .
Usatyaira motokari kana kushandisa michina inorema kwezuva rose mushure mekubaiwa jekiseni. Unganzwa dzungu kana hope. Usamira kana kugara pasi kamwe kamwe, kunyanya kana wakwegura. Izvi zvinogona kuderedza dzungu uye kupera simba. Doro rinogona kukanganisa mashandiro emushonga uyu. Saka dzivisa kunwa doro.
Mushonga uyu unogona kukonzera matambudziko makuru paganda kune vamwe vanhu. Izvi zvinogona kuitika kunyangwe mushure memavhiki mashoma watanga kutora mushonga. Udza timu yako yehutano nekukasika kana ukawana mapundu ane fivha uye zviratidzo zvakaita sedzihwa. Mapundu aya anogona kuoneka matsvuku kana epepuru, obva aita maronda uye obva abuda. Zvakare, udza chiremba wako kana uine mapundu matsvuku ane kuzvimba kwechiso kana miromo, kana ma lymph nodes akazvimba mumutsipa kana muhapwa.
Mushonga uyu unogona kuwedzera huwandu hweshuga muropa . Kana uine chirwere cheshuga, bvunza timu yako yehutano kana uchida kuchinja kudya kwako kana mishonga yako.
Ungave uine mukanwa wakaoma . Unogona kubatsira kugadzirisa izvi nekutsenga chingamu isina shuga, kusveta chingamu, uye kunwa mvura yakawanda. Kana dambudziko iri rikaramba riripo kana kuti rikanyanya, taurira timu yako yehutano.
Mushonga uyu unogona kukuomera kudzora tembiricha yemuviri wako . Unogona kuita kuti muviri wako usanyanya kugadzikana kana kuchitonhora. Kana zvichibvira, gara mumba mazuva anotonhora. Kana uchifanira kubuda panze, pfeka mbatya dzinodziya. Unogonawo kuita kuti muviri wako usanyanya kugadzikana kana kuchipisa. Saka usarega muviri wako uchipisa zvakanyanya. Usaite maekisesaizi akawandisa. Gara kure nezuva zvakanyanya sezvinobvira. Kana uchifanira kuva muzuva, pfeka mbatya dzinofema zvakanaka. Inwa mvura yakawanda. Kana uchinzwa sekunge uri kunetseka kudzora tembiricha yemuviri wako, fonera timu yako yezvekurapa nekukasika.
Kana uri munhu anoputa fodya , udza timu yako yehutano kana uchifunga kuti mushonga uyu hausi kushanda zvakanaka. Kana uri munhu anoputa fodya kana kuti uri kufunga kurega, taura nechikwata chako chehutano nezvazvo.
Mushonga uyu ungakonzera migumisiro ipi?
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro, asi havasi vese vanoiwana.
Migumisiro inofanira kuziviswa kuna chiremba kana timu yezvekurapa nekukasika:
Kana ukaona chimwe chezviratidzo izvi, unofanira kuzvitaura nekukurumidza :
- Kurwara nepfungwa: Mapundu paganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Shuga yakakwira muropa (hyperglycemia): Nyota yakawandisa kana kuita weti, kushaya simba kana kuneta kusingawanzoitiki, kuona zvisizvo.
- Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, uye kuvhiringidzika: Izvi zvinogona kuva zviratidzo zvechirwere chakakomba chinonzi neuroleptic malignant syndrome.
- Kuwanda kweprolactin: Kukura kwenyama yezamu zvisingatarisirwi, kubuda kwemuzamu, kuchinja kwechido chebonde kana mashandiro aro, kutenderera kwemwedzi zvisina kurongeka.
- Utachiona: Fivha, dzihwa, kukosora, kana kurwadziwa pahuro.
- Kuderera kweropa: dzungu, kupera simba, maziso ebhuruu.
- Kurwadziwa kana kunetseka kumedza.
- Chirwere chekunyaradza mushure mekubaiwa jekiseni: Dzungu, hope, kutaura zvisina kujeka, kuvhiringidzika, kusagadzikana, kushaya zororo, kunetseka kufamba, kurasikirwa nepfungwa dzakanaka, kushaya simba kana kuneta kusingawanzoitiki.
- Mapundu, fivha, uye kuzvimba kwema lymph nodes.
- Pfungwa dzekuzviuraya kana kuzvikuvadza, kuwedzera kwemanzwiro, kunzwa kwekuora mwoyo.
- Kufamba-famba kwemuviri kusingadzoreki uye kunodzokororwa, kuomarara kwemhasuru kana kugwinha, kudedera, kurasikirwa nekudzikama, kusagadzikana, kufamba-famba: izvi zvinogona kuva zviratidzo zve 'zviratidzo zvekunze kwepiramidhi (EPS)'.
Zviratidzo zvisingawanzodi kubatsirwa nachiremba (asi zivisai timu yezvekurapa kana zvikaramba zviripo kana kuti zvichinetsa):
Izvi zvinowanzopera mukati memazuva mashoma, asi kana zvikaramba zvichikunetsa, udza chiremba wako.
- Manyoka
- Dzungu
- Kurara
- Muromo wakaoma
- Musoro
- Kusvotwa
- Kuwedzera huremu
Rondedzero iyi haina zvese zvinogona kukonzera migumisiro yakaipa. Taura nachiremba wako kuti akupe mazano ekurapa nezvemigumisiro yakaipa.
Mushonga uyu ndingauchengetere kupi?
Hamubvumidzwe kutora mushonga uyu kuenda kumba. Uyu mushonga unopihwa kuchipatara kana kukiriniki, saka hamufanirwe kuuchengeta kumba.
Pakupedzisira, zvinhu zvekurangarira
Zvakanaka, saka ikozvino wava neruzivo nezve mushonga wekudzivirira chirwere we olanzapine unoshanda kwenguva refu. Chinhu chakakosha ndechekutaura pachena nachiremba wako kana nhengo yechikwata chako chekurapa nezvemibvunzo kana zvinokunetsa. Ndivo vanogona kukubatsira zvakanyanya.
Rangarirai kuti ruzivo urwu nderwenyu chete. Harusi zano rezvekurapa. Gara uchitevera zano rachiremba wako.
Ndinokushuvirai kupora nekukurumidza!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Olanzapine Extended-Release Injection (Zyprexa Relprevv) mushonga unoramba uchishandiswa wevarwere vepfungwa here?
Ehe! Uyu mushonga une simba unoshandiswa kurapa zvirwere zvepfungwa zvakakomba zvakaita seschizophrenia. Kune varwere vasingade kutora mapiritsi eOlanzapine zuva nezuva, jekiseni iri rinopihwa mutsandanyama dzegumbo mavhiki maviri kana mana ega ega. Rinobva raoma mukati moburitsa huwandu hunodiwa hwemushonga muropa kwemazuva makumi matatu, zvichiita kuti murwere agare akadzikama.
💬 Sei mushonga uyu (Olanzapine LAI) usingawanikwe/usiri nyore kuuwana mumakiriniki enguva dzose?
Pane dambudziko rine njodzi rinogona kuitika neizvi: 'Post-Injection Delirium/Sedation Syndrome (PDSS).' Izvi zvinoreva kuti kana mushonga wakawanda ukapinzwa mutsinga netsaona panguva yekubaiwa jekiseni, murwere anogona kuwira pakoma kana kufa nekufemerwa. Saka, izvi zvinongoitwa mumakiriniki ega kana paine mvumo yakakosha, uye murwere anochengetwa muchipatara kwemaawa matatu mushure mekubaiwa jekiseni (REMS Program).
💬 Ndezvipi zvingakonzera njodzi yemushonga uyu mushure mekunge wave mumuviri kwemwedzi wese?
Sezvo mushonga uyu wave uri mumuviri kwemwedzi wese, migumisiro yacho inoramba ichichinja! Chinhu chikuru ndechekuti chido chemurwere chinowedzera zvakanyanya uye huremu hwemuviri hunowedzera zvisina kujairika (Kuwedzera uremu). Panguva imwe chete, pane mukana mukuru wekuwedzera huwandu hweshuga muropa necholesterol (Metabolic syndrome & Diabetes risk). Chimwe chinhu ndechekuti murwere anogona kugara achinzwa hope (Sedation) uye muromo wakaoma.
Olanzapine , schizophrenia, mushonga wekurapa psychotic, hutano hwepfungwa, Zyprexa Relprevv, jekiseni, migumisiro, PDSS, Olanzapine, schizophrenia-psychotic , hutano hwepfungwa, jekiseni, migumisiro yakaipa
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