Dzimwe nguva pfungwa dzedu nemanzwiro edu zvinotinetsa uye zvinotiomera kudzora, handiti? Panguva dzakadaro, vanachiremba vanokurudzira mishonga yakasiyana-siyana kuti itibatsire. Olanzapine ndeimwe yemishonga yakadaro inobatsira mukudzorera kugadzikana kwepfungwa. Saka kana uchidawo kuziva chaizvo nezvemushonga uyu, tichataura nezvazvo zvakadzama munyaya ino. Usanetseke, zvese zvinotsanangurwa nenzira iri nyore yaunogona kunzwisisa.
Olanzapine mushonga werudzii?
Muchidimbu, Olanzapine mushonga unoshandiswa kurapa zvirwere zvepfungwa zvakaita seschizophrenia nebipolar disorder . Ungave uchishamisika kuti schizophrenia chii uye kuti bipolar disorder chii.
- Schizophrenia chirwere chepfungwa chinogona kukonzera shanduko mukufunga, manzwiro, uye maitiro ako. Dzimwe nguva unogona kuona nekunzwa zvinhu zvisiri zvechokwadi.
- Dambudziko reBipolar chirwere chinoita kuti manzwiro ako ashanduke nekukurumidza, kubva pakufara zvikuru uye kufara pane imwe nguva kusvika pakusuruvara zvikuru uye kuora mwoyo pane imwe nguva.
Saka, mushonga uyu unoita kuti pave nekuenzanisa huwandu hwemakemikari anonzi dopamine neserotonin muuropi. Makemikari aya anobatsira kudzora manzwiro edu, maitiro edu, uye pfungwa dzedu. Mushonga uyu uri muboka remishonga inonzi antipsychotics . Mhando idzi dzemishonga dzinoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa.
Unogona kuwana mushonga uyu uchishandisa zita rekuti Zyprexa . Zvisinei, zita remushonga uyu rinogona kusiyana kubva kunyika kuenda kune imwe uye kubva kukambani kuenda kune imwe. Zvisinei, chinhu chikuru chinoshanda iOlanzapine. Vanachiremba vanogonawo kunyora mushonga uyu kune zvimwe zvirwere. Kana uine mibvunzo nezvazvo, bvunza chiremba wako kana wemishonga.
Ndezvipi zvinhu zvandinofanira kuudza chiremba ndisati ndashandisa mushonga uyu?
Usati watanga kutora mushonga uyu, Olanzapine, pane zvimwe zvinhu zvaunofanira kuudza chiremba wako. Kana ukasavaudza, ungave nematambudziko. Saka udza chiremba wako chokwadi nezvezvinhu izvi, zvakanaka here?
Heano zvinhu izvozvo:
- Kana uine matambudziko akadai sekuvharika kwedumbu rako.
- Kana ukagara uchisangana nedambudziko rekuzvimba .
- Kana uine dementia (chirwere umo ndangariro dzinorasika zvishoma nezvishoma).
- Kana uine chirwere cheshuga .
- Kuoma kumedza chikafu(Kuomerwa nekumedza) kana zviripo.
- Kana uine glaucoma ( chirwere chinokonzera kumanikidzwa kwakanyanya mumaziso).
- Kana uchiomerwa nekudzora tsandanyama dzako .
- Kana uine chirwere chemwoyo .
- Kana uine cholesterol yakakwira muropa rako.
- Kana uine hormone inonzi prolactin yakawandisa mumuviri wako.
- Kana iwe kana mumwe munhu mumhuri yako akamborwara nekenza yemazamu .
- Kana uine nhoroondo yekurova kwemoyo kusina kurongeka .
- Kana wakambova nestroke kare.
- Kana uine chirwere chechiropa .
- Kana uine masero mashoma eropa (semuenzaniso, masero machena eropa, maplatelet, kana masero matsvuku eropa).
- Kana uine BP yakaderera .
- Kana uine chirwere cheParkinson .
- Kana uine chirwere cheprostate .
- Kana wakambobatwa nepfari kare.
- Kana wakambofunga, kuronga, kana kuedza kuzvikuvadza (iwe pachako kana mumwe munhu wemumhuri mako).
- Kana uri munhu anoshandisa fodya (sekusvuta fodya).
- Kana uchinetseka nekubvisa weti .
- Kana wakambova neallergy isingawanzoitika ne olanzapine, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Zvakakosha zvikuru kuudza chiremba wako zvinhu izvi, nekuti ipapo anogona kusarudza kana mushonga uyu wakakunakira kana kuti kana uchida kuita chimwe chinhu.
Ndingashandisa sei mushonga uyu chaizvo?
Mushonga uyu ipiritsi rekunwa nemuromo . Medza piritsi negirazi remvura. Tevedzera mirairo yakanyorwa papepa remushonga sezvawakapihwa nachiremba wako. Zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo . Usatore wakawanda kana mudiki pane wawakaudzwa nachiremba wako. Zvakare, usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba wako.
Kana wawana mushonga uyu kubva ku pharmacy, uchapihwa kapepa kemirayiridzo kakakosha (`MedGuide`) kane mushonga mutsva kana kana wawana mushonga wekuwedzera. Gara uchiverenga nokungwarira. Une ruzivo rwakawanda rwakakosha kwauri.
Taura nechikwata chako chehutano nezvekupa mushonga uyu kuvana . Dzimwe nguva, pane zvimwe zvirwereMushonga uyu unogona kupihwa kuvana vane makore gumi nematatu ekuberekwa. Zvisinei, pane zvimwe zvinhu zvekungwarira paunenge uchiupa.
Zvakakosha: Kana uchifunga kuti watora mushonga uyu wakawandisa (overdose), fonera nzvimbo inodzora chepfu kana kamuri rekukurumidzira nekukurumidza.
Mushonga uyu ndewako chete . Usape vamwe, kunyangwe vaine zviratidzo zvakafanana nezvako.
Unoita sei kana ukarasikirwa nenguva yekurapwa nemishonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri kana wekuwedzera.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Iyi inyaya yakakoshawo zvikuru. Kune mimwe mishonga inogona kukonzera matambudziko kana ikashandiswa neOlanzapine, zvichireva kuti inogona kukanganisana.
Usatore Olanzapine pamwe chete nemishonga iyi:
- Dronedarone
- Cisapride
- Metoclopramide
- Pimozide
- Thioridazine
Olanzapine inogona kusangana nemishonga iyi, saka chenjerera:
- Doro
- Mhando dzeAntihistamines dzeAllergies, Kukosora, uye Dzihwa
- 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 dumbu rakakuvara, semuenzaniso, dicyclomine, hyoscyamine
- Mimwe mishonga inoshandiswa kurapa kurwara kwekufamba, semuenzaniso, scopolamine
- Fluvoxamine
- Mishonga inorwisa marwadzo, semuenzaniso, Halothane, Isoflurane, Methoxyflurane, Propofol
- Levodopa nemimwe mishonga yekurapa chirwere cheParkinson
- Mishonga yeBP
- Mushonga wepfari
- Mishonga inopiwa yekuzorodza tsandanyama usati wavhiyiwa
- Mishonga inodhaka
- Omeprazole
- Mimwe mishonga inowedzera nguva yeQT yemoyo (ndiko kuti, inokonzera maitiro asina kujairika ekurova kwemoyo)
- Mishonga yePhenothiazine , semuenzaniso, chlorpromazine, prochlorperazine
- Rifampin
Rondedzero iyi ingasasanganisira zvese zvinogona kuitika. Saka, udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini, mishonga yemishonga, mishonga inotengwa kunze kwemutemo, uye zvekudya zvinovaka muviri). Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Zvimwe zvinhu zvinogona kukanganisa mishonga yako.
Chii chatinofanira kungwarira patinenge tichitora mushonga uyu?
Paunenge uchitora mushonga uyu, enda kuna chiremba wako nguva nenguva kuti uongororwe nguva dzose . Kana zviratidzo zvako zvikasavandudzika kana kuipa, udza chiremba wako. Usarega kutora mushonga usina kurayirwa nachiremba wako. Kuita izvi kunogona kukonzera matambudziko makuru. Chiremba wako achakuudza kuti mushonga wakawanda sei waunofanira kutora.
Dzimwe nguva , ganda rinogona kuita maperembudziko akakomba mushure memavhiki kana mwedzi watanga mushonga uyu. Kana uine mapundu paganda rako pamwe chete nefivha nezviratidzo zvakaita sefuruu, taurira chiremba wako nekukasika. Mapundu aya anogona kutsvuka kana kutsvukuruka, obva aita maronda obva abuda. Kana, unogona kunge uine kumeso kana miromo yakatsvuka, yakazvimba, lymph nodes dzakazvimba mumutsipa kana muhapwa.
Unganzwa dzungu kana hope paunenge uchitora mushonga uyu. Saka, usatyaira motokari, kushandisa michina, kana kuita chero chinhu chinoda kutarisisa kusvika waziva kuti mushonga uyu unokukanganisa sei. Usamira kana kugara wakamuka kamwe kamwe, kunyanya kana wakwegura. Kuita izvi kunogona kuderedza njodzi yedzungu nekudonha. Doro rinogona kukanganisa mashandiro emushonga uyu. Saka, dzivisa kunwa doro.
Muromo wako ungave wakaoma . Kutsenga chingamu isina shuga, kusveta siwiti, uye kunwa mvura yakawanda zvinogona kubatsira kuderedza dambudziko iri.
Mushonga uyu unogona kukanganisa kudzora tembiricha yemuviri wako. Unogona kuderedza kushivirira kwako kutonhora. Saka, gara mumba zvakanyanya sezvinobvira munguva yechando. Kana uchifanira kubuda panze, pfeka mbatya dzinofukidza muviri wako zvakanaka. Saizvozvowo, zvinogona kuderedza kushivirira kwako kukupisa. Saka, usarega muviri wako uchipisa zvakanyanya. Usaite maekisesaizi akawandisa. Dzivisa zuva zvakanyanya sezvinobvira. Kana uchifanira kubuda panze muzuva, pfeka mbatya dzakareruka, dzinofema. Inwa mvura yakawanda. Kana zvichikuomera kudzora tembiricha yemuviri wako, taura nachiremba wako nekukasika.
Mushonga uyu unogona kuwedzera huwandu hweshuga muropa . Kana uine chirwere cheshuga, bvunza chiremba wako kana uchida kuchinja kudya kwako kana mishonga yako.
Kana uri munhu anoputa fodyaKana uchifunga kuti mushonga uyu hausi kushanda zvakanaka, udza chiremba wako. Kana uchisvuta kana kuti uri kufunga kurega, taurawo nachiremba wako nezvazvo.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemushonga upi zvawo, Olanzapine inogona kukonzera mimwe migumisiro. Zvisinei, havasi vese vanoiwana. Mimwe migumisiro yakaipa uye unofanira kuudza chiremba wako nekukurumidza kana ukaiona. Mimwe yacho yakajairika uye inonyangarika mushure memazuva mashoma.
Kana ukaona migumisiro iyi, unofanira kuudza chiremba wako nekukasika:
- Kurwara nepfungwa — mapundu eganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Shuga yakakwira muropa (Hyperglycemia) — Nyota inogara ichiwanda, weti yakawedzera, kuneta kusingawanzoitiki, kuona zvisizvo.
- Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira kwakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, uye kuvhiringidzika - izvi zvinogona kuva zviratidzo zvechirwere chine njodzi chinonzi Neuroleptic Malignant Syndrome .
- Kuwanda kweprolactin muzamu — Kukura kwezamu kusingatarisirwi, kubuda kwemuzamu, kuchinja kwechido chebonde kana mashandiro aro, uye kutenderera kwemwedzi kusingaenderane nevakadzi.
- Utachiona — fivha, dzihwa, kukosora, kana kurwadziwa pahuro.
- Kuderera kweropa - dzungu, kupera simba, kuona zvisipo.
- Kurwadziwa kana kunetseka kumedza .
- Kubatwa nepfungwa dzakaipa .
- Kurohwa — Kunzwa kusanzwa kana kushaya simba kamwe kamwe pachiso, ruoko, kana gumbo, kuoma kutaura, kuvhiringidzika, kuoma kufamba, kurasikirwa nepfungwa dzakanaka, dzungu, musoro wakanyanya, uye kuchinja kwemaonero.
- Pfungwa dzekuzviuraya kana kuzvikuvadza, kuwedzera kwemanzwiro, kunzwa kwekuora mwoyo .
- Dambudziko rekuita weti .
- Kufamba-famba kwemuviri kusingadzoreki, kuomesa tsandanyama kana kugwinha-gwinha, kudedera, kurasikirwa nepfungwa dzakadzikama, kusagadzikana, uye kufamba-famba-famba — izvi zvinogona kuva zviratidzo zvechirwere chinonzi Extrapyramidal Symptoms (EPS) .
Migumisiro isingawanzodi mazano echiremba, asi inofanira kuziviswa kuna chiremba kana ikaramba iripo:
- Kuzvimba
- Dzungu
- Kurara
- Muromo wakaoma
- Musoro
- Dumbu rakagumbuka
- Kuwedzera huremu
Rondedzero iyi ingasave nemhedzisiro yese. Kana ukaona chimwe chinhu chisina kujairika pamusoro peizvi, fonera chiremba wako kuti akupe mazano.
Unochengeta sei mushonga zvakanaka?
Chengeta mushonga uyu kure nevana .
Chengeta patembiricha yemumba (pakati pe15 ne30 degrees Celsius, pakati pe59 ne86 degrees Fahrenheit). Dzivirira kubva kuchiedza nehunyoro. Usashandise mishonga yapera ; irase.
Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)
Saka, Olanzapine mushonga unogona kubatsira zvikuru pahutano hwepfungwa dzako kana ukashandiswa nemazvo . Chinhu chakakosha ndechekuutora panguva yakakodzera, nechiyero chakakodzera, sezvawakaudzwa nachiremba wako. Kana uine mibvunzo nezvemushonga uyu, kana ukasangana nemigumisiro, usatya kana kutya, asi taura nachiremba wako, wemishonga, kana mupi wehutano .
Yeuka, chinyorwa chino ingori pfupiso. Chingasave chichitaura zvese. Saka, zvakanaka kutaura nachiremba wako. Hausi wega, uye vanachiremba vakagadzirira kukubatsira parwendo urwu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Sei mapiritsi eOlanzapine ave mushonga wepfungwa wakakurumbira kudaro?
Iyi imishonga yepfungwa yechizvarwa chitsva (Atypical antipsychotic), uye ndiyo nzira yekurapa ine simba uye inoshanda! Vanachiremba vanoishandisa kurapa Schizophrenia (Schizophrenia - kunzwa/kuona zvinhu zvinotyisa), Bipolar Disorder (chirwere chinochinjana pakati pehasha/mufaro wakawandisa), uye kuora mwoyo kwakanyanya kusingarapike. Mushonga uyu unokurumidza kuenzanisa makemikari eDopamine neSerotonin muuropi, uchidzorera murwere kumamiriro ake ezvinhu akajairika mukati memazuva mashoma.
💬 Sei ndichinzwa kuzvimba uye kuwedzera uremu mushure mekunwa mapiritsi eOlanzapine?
Uyu ndiwo mhedzisiro huru uye inozivikanwa zvikuru yemushonga uyu! Hauiti kuti uwedzere uremu, asi kana mushonga uyu wasvika muuropi, unovhiringidza zvachose 'nzvimbo yedu yekuguta'. Nekuda kweizvozvo, murwere anonzwa nzara inotyisa (kunyanya chikafu chine mafuta/makabhohaidhiretsi). Sezvo murwere achidya zvakawanda zvakatevedzana, zvechokwadi pachava nekuwedzera uremu kwakawanda mumwedzi mishomanana.
💬 Ichokwadi here kuti mushonga uyu unokonzera chirwere cheshuga/cholesterol?
Zvinosuwisa kuti ichokwadi! Izvi zvinonzi Metabolic Syndrome. Mushonga uyu unokanganisa zvakananga mashandiro anoita muviri shuga nemafuta. Saka, pamwe chete nekuwedzera uremu, cholesterol muropa (Triglycerides) inowedzera, uye njodzi yekubatwa nechirwere cheshuga cheType 2 yakakwira zvikuru. Ndosaka vanachiremba vachiongorora ropa uye vachiyera varwere vari kutora Olanzapine mwedzi mina yega yega.
Olanzapine , Zyprexa, mishonga yekurapa pfungwa,Schizophrenia-affective disorder, bipolar disorder, hutano hwepfungwa, migumisiro yakaipa
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