Dzimwe nguva kana pfungwa dzedu dzikatadza kugadzikana, hupenyu hunogona kuoma zvishoma, handiti? Kana iwe kana mumwe munhu waunoziva ane chirwere chepfungwa chakadai se `( Schizophrenia )` kana `(Bipolar Disorder)`, chiremba wako anogona kukurudzira mushonga unonzi `(Risperidone)`. Nhasi tichataura nezvemhando yejekiseni remushonga uyu unonzi `(Risperidone)`, kureva `(Risperidone Long-acting Injection Suspension)`. Tichataura zviri nyore nezvezvaunoita, mashandisirwo awo, uye zvekungwarira.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, Risperidone inoshanda nekuenzanisa mashandiro emhando mbiri dze neurotransmitters muuropi hwako, dopamine ne serotonin. Makemikari aya anobatsira kudzora manzwiro ako, maitiro ako, uye pfungwa dzako. Ndeyeboka remishonga inonzi antipsychotics. Antipsychotics inoshandiswa kurapa zvirwere zvakasiyana-siyana zvepfungwa. Inopihwa sejekiseni, inova jekiseni. Chiremba wako anogona zvakare kushandisa mushonga uyu kune zvimwe zvirwere. Saka kana uine mibvunzo, zvakanaka kubvunza chiremba wako kana wemishonga.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakanaka, ikozvino ichi ndicho chikamu chakakosha. Usati watanga kutora jekiseni iri re`(Risperidone)`, pane zvimwe zvinhu zvaunofanira kuudza chiremba wako kana timu yezvekurapa iri kukutarisira. Nekuti ruzivo irworwo ruchavabatsira kusarudza kuti mushonga uyu wakakodzera sei kwauri uye kuti ungaupa sei. Ona kana zvinhu izvi zvichishanda kwauri:
- Kana uine dementia, chirwere chinoita kuti ndangariro dzikanganwe zvishoma nezvishoma.
- Kana uine chirwere cheshuga.
- Kana uchinetseka nekumedza.
- Kana uchiomerwa nekudzora tsandanyama dzemuviri wako.
- Kana uine chirwere chemwoyo.
- Kana uine cholesterol yakakwira (`(Cholesterol yakakwira)`) muropa rako.
- Kana wakamboonekwa uine hormone inonzi "Prolactin" yakawanda muropa rako.
- Kana wakambova nekenza yemazamu.
- Kana wakambova, kana kuti une nhoroondo yekurova kwemoyo kusina kurongeka.
- Kana paine nhoroondo yekurohwa nesitiroko.
- Kana uine chirwere cheitsvo.
- Kana uine chirwere chechiropa.
- Kana zvikamu zveropa zviri zvishoma(Semuenzaniso: kana paine masero machena eropa, maplatelet, kana masero matsvuku eropa asina kusimba).
- Kana uine BP yakaderera.
- Kana uine chirwere chakadai seParkinson's disease.
- Kana wakambosangana nematambudziko akadai sepfari.
- Kana uine allergy yeRisperidone, Paliperidone, chero mimwe mishonga, chikafu, madhayi, kana mishonga yekuchengetedza. Izvi zvakakosha zvikuru!
- Kana uine pamuviri, kana kuti uri kutarisira kubata pamuviri munguva pfupi iri kutevera.
- Kana uri amai vanoyamwisa.
Kana chimwe chezvinhu izvi chikaitika kwauri, unofanira kuudza chiremba usingavanzi chero chinhu, zvakanaka here?
Mushonga uyu munoshandiswa sei?
Mushonga uyu `(Risperidone)` unopihwa sejekiseni mutsandanyama dzako. Uyu unowanzopihwa nachiremba kana mukoti akadzidziswa muchipatara kana kiriniki. Uyu hausi jekiseni raunogona kuzvipa iwe pachako kumba.
Kungwarira kukuru kunofanira kutorwa pakupa mushonga uyu kuvana vadiki. Saka, kana uri kushandisa mushonga uyu kumwana wako, taura nechikwata chako chekurapa nezvazvo nokungwarira uye tsvaga ruzivo rwakadzama.
Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usagovane mushonga uyu nemumwe munhu chero chikonzero chipi zvacho. Unogona kuva nengozi.
Uyewo, kana ukatora mushonga uyu wakawandisa, kureva kuti, kana uine "overdose" yakawanda, izvozvo zvine njodziwo. Kana uchifunga kuti izvozvo zvakaitika kwauri, unofanira kuenda kuchipatara nekukurumidza kana kufonera nzvimbo inoona nezve chepfu.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Sezvo iyi iri nhomba yenguva refu, zvakakosha kuti utore mushonga unotevera pazuva rakarongwa. Usapotsa nguva yekusangana nachiremba wako. Kana nekuda kwechimwe chikonzero usingakwanise kuenda pazuva rakarongwa, fonera timu yako yezvekurapa nekukasika uvazivise. Vachakuudza zvekuita zvinotevera.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Iyi inyaya yakakoshawo zvikuru. Mimwe mishonga, chikafu, kana zvimwe zvinhu zvaunotora zvinogona kushanda pamwe chete neRisperidone. Kana zvakadaro, mushonga uyu unogona kuchinja mashandiro awo kana kukonzera migumisiro yakaipa.
Usatore Risperidone pamwe chete nemishonga inotevera:
- `(Cisapride)`
- `(Dextromethorphan); (quinidine)` (Iyi ndiyo mishonga inoshanda pamwe chete)
- `(Dronedarone)`
- `(Metoclopramide)`
- `(Pimozide)`
- `(Quinidine)`
- `(Thioridazine)`
Zvakare, zvinotevera zvinogona kushanda pamwe chete ne`(Risperidone)`. Saka, kana uri kushandisa izvi, unofanira kuudza chiremba wako:
- Doro: Unofanira kurega kunwa doro paunenge uchitora mushonga uyu.
- Mishonga inorwisa mabhakitiriya yekurwisa allergies, kukosora, uye dzihwa.
- Mimwe mishonga yekuderedza kuzvidya mwoyo kana mapiritsi ekurara.
- Mimwe mishonga yekuderedza kushungurudzika ( semuenzaniso amitriptyline, fluoxetine, paroxetine, sertraline).
- Mishonga inoshandiswa pakurapa nekurwadziwa (semuenzaniso, `(halothane)`, `(isoflurane)`, `(methoxyflurane)`, `(propofol)`).
- Levodopa kana mimwe mishonga yekurapa chirwere cheParkinson.
- Mishonga yeBP .
- Mushonga wepfari.
- Mishonga inopiwa yekuzorodza tsandanyama panguva yekuvhiyiwa.
- `(Methylphenidate)` (mushonga unopiwa kune mamwe matambudziko ekunyatsoteerera).
- Mishonga inodhaka mishonga inopihwa semushonga unoderedza marwadzo.
- Mimwe mishonga inogona kukonzera kurova kwemoyo kusina kurongeka (inorebesa nguva ye "QT interval").
- Mishonga iri muboka re`(Phenothiazines)` (semuenzaniso `(chlorpromazine)`, `(prochlorperazine)`).
- `(Rifampin)` (mushonga unoshandiswa kurapa TB).
Rondedzero iyi ingasave yakazara. Saka, udza chiremba wako nezvemishonga yese yaunotora (yakanyorerwa nachiremba, inotengeswa pasina kunyorerwa chiremba, yemishonga yemishonga, yemavhitamini, kana yekuwedzera zvekudya), uye kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga. Izvi zvichamubatsira kunyora mushonga uyu zvakachengeteka kwauri.
Ndezvipi matanho akakosha anofanira kutorwa pakutora mushonga uyu?
Paunenge uchitora mushonga uyu, timu yako yezvekurapa ichagara ichitarisa zviratidzo zvako. Kana zviratidzo zvako zvikasavandudzika kana kuti zvikaita sezviri kuwedzera kuipa, taurira chiremba wako nekukasika.
- Dzungu uye hope: Mushonga uyu unogona kuita kuti unzwe dzungu kana hope. Saka, dzivisa kutyaira, kushandisa michina, kana kuita chero chinhu chinoda kungwarira kusvika waziva kuti mushonga uyu unokukanganisa sei. Kunyanya kana wakwegura, usamira kana kubuda pamubhedha kamwe kamwe. Simuka zvishoma nezvishoma. Izvi zvinoderedza mukana wekuita dzungu uye kudonha.
- Doro: Sezvambotaurwa, doro rinogona kukanganisa mashandiro emushonga uyu. Saka, dzivisa doro zvachose.
- Matambudziko ekudzora tembiricha yemuviri: Mushonga uyu unogona kukanganisa kugona kwemuviri wako kudzora tembiricha. Izvi zvinoreva kuti muviri wako ungasanyanya kugadzikana kana kuchitonhora. Gara mumba mazuva anotonhora zvakanyanya sezvinobvira. Kana uchifanira kubuda panze, pfeka mbatya dzinodziya. Zvinogonawo kuita kuti muviri wako usanyanya kugadzikana kana kuchipisa. Saka,Usapisa muviri wako zvakanyanya. Usaite maekisesaizi akawandisa. Dzivisa zuva zvakanyanya sezvinobvira. Kana uchifanira kubuda muzuva, pfeka mbatya dzakareruka, dzinofema zvakanaka. Inwa mvura yakawanda. Kana uchinzwa sekunge uri kunetseka kudzora tembiricha yemuviri wako, fonera chiremba wako nekukasika.
- Shuga yakakwira muropa: Mushonga uyu unogona kuwedzera shuga muropa rako. Kana uine chirwere cheshuga, bvunza chiremba wako kana uchida kuchinja kudya kwako kana mishonga yako yechirwere cheshuga.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemushonga upi zvawo, jekiseni iri re`(Risperidone)` rinogona kukonzera mimwe migumisiro yakaipa. Kunyange hazvo vasiri munhu wese anowana. Mimwe migumisiro yakaipa inogona kuva yakakomba, saka zvakakosha kuti uizive.
Kana ukasangana nemhedzisiro iyi, unofanira kuudza chiremba wako kana timu yezvekurapa nekukurumidza sezvinobvira:
- Kurwara nepfungwa : Mapundu paganda, kuvaviwa, mavanga matsvuku paganda, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Shuga yakakwira muropa (Hyperglycemia) : Nyota yakawandisa, kuita weti kakawanda, kuneta kana kushaya simba, kuona zvisizvo.
- Zviratidzo zvechirwere chine njodzi chinonzi ``Neuroleptic Malignant Syndrome'' zvinosanganisira : fivha yakanyanya, kuomarara kwetsandanyama, kudikitira kwakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, uye kuvhiringidzika. Izvi zvinokonzeresa emergency, saka kana ukaona zviratidzo izvi, unofanira kuenda kuchipatara nekukasika.
- Kuwedzera kwemazinga ehormone `(Prolactin)` muropa : (kuvarume nevakadzi) Kukura kwenyama yemazamu kusingatarisirwi, kubuda kwemvura muzamu, kuchinja kwechido chebonde kana mashandiro aro, kutenderera kwemwedzi kusingaenderane nevakadzi.
- Utachiona : Fivha, dzihwa, kukosora, kana kurwadziwa pahuro.
- Kuderera kweropa : Kunzwa dzungu, kupera simba, maziso ebhuruu.
- Kurwadziwa kana kuoma kumedza.
- Kunzwa kuda pabonde kwenguva refu uye kunorwadza (kuvarume - `(Kumira kwenguva refu kana kunorwadza)`) .
- Kubatwa nepfari (`(Kubatwa nepfari)`) .
- Zviratidzo zvestroke zvinosanganisira : kusanzwa kana kushaya simba kwechiso, ruoko, kana gumbo, kuoma kutaura, kuvhiringidzika, kuoma kufamba, kurasikirwa nepfungwa dzakanaka, dzungu, musoro wakakomba, uye kuchinja kwemaonero.
- Zviratidzo zveExtrapyramidal (EPS) zvinosanganisira : mafambiro emuviri asingadzoreki, anodzokororwa, kuomarara kwemhasuru kana kugwinha, kudedera, kurasikirwa nemwero, kusagadzikana, uye kudhonza tsoka paunenge uchifamba.
Migumisiro iri pazasi kazhinji haisi ine njodzi. Asi kana ikaramba iripo kana kukunetsa, udza chiremba wako:
- Kuzvimba
- Dzungu (`(Dzungu)`)
- Kurara (`(Kurara)`)
- Muromo wakaoma (`(Muromo wakaoma)`)
- Musoro (`(Musoro)`)
- Dumbu rakagumbuka, rakafanana nekusagaya zvakanaka (`(Dumbu rakagumbuka)`)
- Kuwedzera huremu (`(Kuwedzera huremu)`)
Rondedzero iyi ingasave nemhedzisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisina kujairika, taura nachiremba wako nezvazvo.
Mushonga uyu unouchengetera kupi?
Nekuti inopihwa sejekiseni, hauzobvumidzwe kuchengeta mushonga uyu kumba. Uchapihwa kwauri nenyanzvi yezvekurapa muchipatara kana kiriniki, uye ndivo vachauchengetedza.
Pakupedzisira, zvinhu zvekurangarira
Zvakanaka, saka tataura zvakawanda nezve `(Risperidone Long-acting Injection)`, handiti? Muchidimbu, iyi ijekiseni rinokosha rinopihwa kurapa zvirwere zvepfungwa `(Schizophrenia)` uye `(Bipolar Disorder)`.
Yeuka, kana uchishandisa mushonga uyu, unofanira kutevedzera mirairo yachiremba wako. Zvakakosha kuti uwane majekiseni ako nenguva, kuudza chiremba wako nezvezvimwe zvirwere zvaunazvo, mimwe mishonga yauri kutora, uye kuudza chero migumisiro yakaipa nekukurumidza.
Kana muine mimwe mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu, nesi, kana murapi wemishonga. Vachakwanisa kukubatsirai. Kutarisira hutano hwepfungwa dzenyu kwakakosha zvikuru!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Risperidone Long-acting Injection / Risperdal Consta inoshandiswa pai?
Ichi chizvarwa chitsva chemishonga ine simba yepfungwa (Atypical antipsychotic) inopihwa ye'Schizophrenia' neBipolar Disorder (chirwere chinochinjana pakati pehasha/mufaro wakawandisa)! Kune varwere vanokanganwa kunwa mapiritsi avo zuva nezuva, jekiseni iri rinokosha rinopinzwa mutsandanyama kamwe chete pamavhiki maviri. Zvadaro rinoburitswa muropa nguva dzose kwemavhiki maviri, zvichiita kuti murwere agare akadzikama.
💬 Mushonga uyu (Risperidone LAI) unoenzanisa sei makemikari emuuropi?
Nenzira inoshamisa zvikuru! Mushonga uyu unoenda zvakananga kuuropi uye unovhara/kuenzana ma chemical receptors anonzi 'Dopamine - D2', ayo anoita kuti murwere anzwe manzwi asinganzwisisike, uye 'Serotonin - 5HT2A', ayo anokonzera hasha/kusuruvara zvakanyanya. Izvi zvinobvisa murwere kusada kuita zvinhu uye zvinomubvumira kudzokera kuhupenyu hwemazuva ese.
💬 Sei vanhu vakawanda vachida kushandisa Paliperidone? Ndezvipi zvinokonzeresa migumisiro yacho?
Jekiseni iri (Risperdal Consta) rinotora anenge 'mavhiki matatu' kuti ritange kushanda mumuviri (icho chikanganiso chikuru / unofanira kunwa mamwe mapiritsi panguva iyoyo). Asi Paliperidone inoshanda ipapo ipapo. Mhedzisiro huru yejekiseni iri ndeyekuti inokonzera kuwedzera kwakanyanya kwehomoni inonzi 'Prolactin', zvichiita kuti mukaka wezamu ubudike/ukure muvarume uye shanduko dzakadai sehyperprolactinemia muvakadzi hadzidzivisike! (Uye kuwedzera uremu zvakare).
'Risperidone, Risperdal Consta, Kurwara Nepfungwa, Schizophrenia , Bipolar Disorder, Jekiseni, Antipsychotic, Migumisiro Yemudumbu
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