Iwe kana mumwe munhu wemumhuri mako akanyorerwa mushonga unonzi Quetiapine nachiremba here? Kana izvozvo zvikaitika, zvakajairika kuti mibvunzo iuye mupfungwa nezvemushonga uyu. "Chii chichaitika neuyu?", "Uyu wakachengeteka here?", "Pane migumisiro yakaipa here?" Ungave uchishamisika chinhu chimwe chete. Usazvidya mwoyo. Muchinyorwa chino, tichataura nezvemushonga uyu unonzi Quetiapine zviri nyore, sezvaungaudza shamwari.
Chii chinonzi Quetiapine?
Muchidimbu, quetiapine mushonga unoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa. Unozivikanwa munyika medu nezita rekuti Seroquel. Unonyanya kushandiswa kurapa zvirwere zvakaita seschizophrenia nebipolar disorder.
Funga nezvazvo, uropi hwedu hune mishonga inotumira makemikari (neurotransmitters) inodzora manzwiro edu, pfungwa dzedu, uye maitiro edu. Dopamine ne serotonin ndiwo maviri emishonga mikuru inotumira makemikari. Mune zvimwe zvirwere zvepfungwa, makemikari aya anogona kusashanda zvakanaka. Muzviitiko izvozvo, mushonga we quetiapine unoshanda nekudzorera huwandu hwe dopamine ne serotonin , zvichibatsira kudzikamisa mafungiro ako, pfungwa dzako, uye maitiro ako. Iyi mhando yemishonga inonzi antipsychotics. Asi usatya zita racho, nekuti iyi mhando yemishonga inoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Zvakakosha kuudza chiremba wako nezvenhoroondo yako yezvekurapa usati watanga quetiapine. Izvi zvinodaro nekuti mamwe mamiriro ezvinhu anoda kutarisirwa zvakanyanya paunenge uchishandisa mushonga uyu. Kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako.
| Kurwara kana mamiriro ezvinhu | Tsananguro |
|---|---|
| Chirwere chemwoyo neBP | Chirwere chemwoyo, matambudziko emwoyo, BP yakaderera. |
| Chirwere cheshuga | Iwe kana mumwe munhu mumhuri mako ane chirwere cheshuga. |
| Matambudziko ekugaya chikafu | Kuvharika kwematumbu, kuvimbiwa, kuoma kumedza. |
| Chirwere chechiropa | Chero matambudziko ane chekuita nekushanda kwechiropa. |
| Matambudziko emaziso | Matumbu, glaucoma. |
| Matambudziko emasero eropa | Kuderera kwemasero machena eropa, masero matsvuku eropa, kana maplatelet. |
| Zvimwe zvirwere | Dementia, chirwere cheParkinson, pfari/ pfari , chirwere chethyroid, chirwere cheprostate, kusagona kudzora weti. |
| Hutano hwepfungwa | Kuva nepfungwa, zvirongwa, kana kuedza kuzvikuvadza (iwe pachako kana nhengo yemhuri). |
| Kubata pamuviri nekuyamwisa | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
| Kurwara | Kana uine allergy kune quetiapine kana chero imwe mishonga, chikafu, kana dhayi. |
Ndinofanira kushandisa mushonga uyu sei?
Nzira yekushandisa izvi iri nyore kwazvo.
- Medza piritsi negirazi remvura.
- Inwa mushonga wawakanyorerwa nachiremba wako panguva chaiyo. Usadarike mushonga wacho.
- Kana uchinzwa kusagadzikana mushure mekutora mushonga, unogona kuutora pamwe chete nekudya.
- Usarega kutora mushonga kamwe kamwe usina kupiwa zano nachiremba. Kuita izvi kunogona kukonzera kuti zviratidzo zvidzoke zvakanyanya. Kana ukarega, ita izvozvo uchitarisirwa nachiremba, uye deredza zvishoma nezvishoma mushonga wacho.
- Varwere vane makore anopfuura 65 vangada mushonga wakaderera. Uyewo, mune dzimwe nguva, mushonga uyu unonyorerwa vana vane makore gumi chete, asi chete kana uri pasi pekutarisirwa kwakakosha.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa (overdose)?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Paunenge uchitora quetiapine, unofanirawo kuziva mimwe mishonga yauri kutora. Mimwe mishonga inogona kukanganisana nayo uye kukonzera migumisiro yakaipa. Udza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
Zvinokurudzirwa kuti usatore quetiapine zvachose pamwe chete nemishonga inotevera.
- Cisapride
- Dronedarone
- Metoclopramide
- Pimozide
- Thioridazine
Pamusoro pezvo, mimwe mishonga yakawanda inogona kushanda pamwe chete nequetiapine. Semuenzaniso:
- Doro
- Mimwe mishonga yekurapa allergies, kukosora, uye dzihwa
- Mishonga yekuzvidya mwoyo kana kurara
- Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso fluoxetine, sertraline)
- Mimwe mishonga yekurapa fungus (semuenzaniso ketoconazole)
- Mishonga yekurapa pfari
- Mishonga yeBP
- Mishonga inouraya marwadzo (kunyanya morphine)
- Mimwe mishonga inorwisa utachiona yeHIV kana hepatitis
Rondedzero iyi haina kukwana, saka zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora.
Zvinhu zvekungwarira paunenge uchitora mushonga
Zvakakosha kuti unyatsocherechedza muviri wako nepfungwa dzako paunenge uchitora quetiapine.
Kuchinja kwepfungwa
Ngwarira mamiriro ako epfungwa, kunyanya paunotanga kutora mushonga kana mushure mekuchinja mushonga wako. Udza chiremba wako nekukasika kana iwe kana nhengo yemhuri yako ikaona chimwe chezvinotevera:
- Kana uchinzwa sekunge kuora mwoyo kwako kuri kuwedzera.
- Kana uine pfungwa dzekuzvikuvadza.
- Kana uchinzwa kusagadzikana uye kunetseka zvakanyanya.
- Kana ukakurumidza kugumbuka wobva wava nehasha.
- Kana uchinzwa hope.
Mhedzisiro inonzwika pamuviri
- Dzungu uye hope: Mushonga uyu unogona kuita kuti unzwe dzungu kana hope. Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei.
- Usamuka nekukurumidza: Kumuka kamwe kamwe kubva panzvimbo yawakagara kana kuti wakarara kunogona kukonzera dzungu uye kudonha. Saka simuka zvishoma nezvishoma.
- Doro: Dzivisa kunwa doro. Doro rinogona kuchinja mhedzisiro yemushonga uye kuwedzera hope nedzungu.
- Kupisa kwemuviri: Mushonga uyu unogona kukanganisa kugona kwemuviri kudzora kupisa. Zvidzivirire kubva pakupisa kwakanyanya uye kutonhora. Inwa mvura yakawanda.
Migumisiro inogona kuitika
Kufanana nemishonga yese, quetiapine inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, nepo mimwe inowanzoitika. Chinhu chakakosha kuziva izvi uye kutsvaga mazano echiremba kana zvichidikanwa.
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
|---|---|
| Kurwara | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza, kurova kwemoyo kusina kurongeka, dzungu, kurwadziwa pachipfuva. |
| Chirwere Chekurwara Kwepfungwa Neropa (NMS) | Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, kuvhiringidzika. (Izvi zvinokonzeresa emergency) |
| Kuwanda kweshuga muropa (Hyperglycemia) | Nyota zvakanyanya, kuita weti nguva nenguva, kuneta zvakanyanya, kuona zvisizvo. |
| Zviratidzo zveExtrapyramidal (EPS) | Kufamba-famba kwemuviri kusingadzoreki, kudedera, kushushikana kwemhasuru, uye kushaya zororo. |
| Kurohwa | Kushaya simba kwechiso, ruoko kana gumbo kamwe kamwe, kuoma kutaura, musoro wakanyanya. |
| Migumisiro inowanzo fanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kurara nedzungu | Kurara & Dzungu |
| Muromo wakaoma | Muromo wakaoma |
| Kuzvimba | Kuzvimba |
| Kuwedzera huremu | Kuwedzera huremu |
Mharidzo Yekuenda Nayo Kumba
- Quetiapine mushonga unokosha unogona kubatsira kuvandudza hutano hwepfungwa dzako. Usazvitya.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kurairwa nachiremba wako.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yose yauri kutora uye chero zvimwe zvirwere zvaunazvo.
- Kana ukasangana nematambudziko akakomba (semuenzaniso fivha yakanyanya, kufema zvakaoma, kuvhiringidzika), tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa doro zvachose paunenge uchitora mushonga uyu.
- Zvakakosha kuona chiremba wako pamazuva akarongwa uye kukurukura nezvemamiriro ako ezvinhu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eQuetiapine (Quetiapine / Seroquel) mushonga wechirwere chipi?
Ichi chizvarwa chitsva chemishonga ine simba yepfungwa (Atypical antipsychotic) inopihwa ye'Schizophrenia' yakakomba, kuora mwoyo, uye kunyanya Bipolar Disorder (chirwere chinongoerekana chachinja kubva pakutsamwa kuenda pakufara kwakanyanya)! Kunyange zvazvo ichibvisa kushaya njere uye kushaya chido chekushanda, vanachiremba vazhinji vanoishandisawo muzvikamu zvishoma sepiritsi rekurara rinoshanda re'Insomnia'.
💬 Mushonga uyu (Quetiapine) unoenda sei kuuropi wobvisa zvachose murwere kushaya simba rekuita zvinhu/mufaro wakawandisa?
Kufungidzira nekuchinja kwemurwere kunowedzera nekuda kwehuwandu hwakawanda hwemakemikari e'dopamine neserotonin' muuropi. Mushonga uyu unoenda zvakananga kuuropi uye unovhara/kuenzana D2 ne5-HT2A Receptors. Unovharawo histamine (H1), saka maitiro emurwere ekuchema/kunetseka anodzikira zvachose uye anopinda mumamiriro ekurara akadzikama/kuzviisa pasi.
💬 Ndezvipi zvinonyanya kukonzera migumisiro yakaipa uye inonetsa yekutora mapiritsi aya (Seroquel)? Zvinokonzera kudzikira kwehuremu here?
Kudzikisa huremu hazvigoneki! Mhedzisiro huru uye inonetsa yeizvi ndeyekuti mushure memwedzi mishoma yekuinwa, muviri unowana 'kuwedzera huremu zvakanyanya'. Zvakare, pane mukana mukuru wekuti cholesterol neshuga muropa (Metabolic syndrome/Diabetes) zvichawedzera zvakanyanya. Chimwe chinhu ndechekuti kunwa izvi kuchaita kuti munhu anzwe hope nedzungu zvakanyanya (Sedation/Orthostatic hypotension) kusvika pakusagona kubuda pamubhedha mangwanani.
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