Chiremba wako akakunyorera mushonga weThioridazine here kana kuti mumwe munhu ari pedyo newe? Kana zvakadaro, ngatikurukurei muchidimbu nezvemushonga uyu, zvaunoita, uye zvaunofanira kungwarira paunenge uchiushandisa. Mushure mekuverenga izvi, uchava nekunzwisisa kuri nani kwemushonga uyu.
Muchidimbu, Thioridazine mushonga unoshandiswa kurapa zvirwere zvepfungwa zvakaita seschizophrenia . Vanachiremba vanowanzoupa kana mimwe mishonga yakundikana kana kuti yakaoma kutsungirira. Ndeweboka remishonga inonzi antipsychotics. Unoshanda nekuenzanisa huwandu hwedopamine, kemikari iri muuropi hwedu inobatsira kudzora manzwiro edu.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga kutora mushonga uyu, unofanira kuzivisa chiremba wako kana uine chimwe chezvirwere zvinotevera kana matambudziko. Ruzivo urwu rwakakosha zvikuru pakusarudza kurapwa kwakakodzera.
| Mamiriro/Dambudziko | Tsananguro |
|---|---|
| Uropi nehurongwa hwetsinga | Bundu reuropi, dementia, kukuvara kwemusoro, pfari, chirwere cheParkinson, matambudziko ekudzora tsandanyama. |
| Moyo neropa | Chirwere chemwoyo, kurova kwemoyo kusina kurongeka, BP yakaderera, masero eropa akaderera (machena, matsvuku, maplatelet). |
| Zvimwe zvirwere | Chirwere cheshuga, chirwere chechiropa, glaucoma, chirwere cheprostate, chirwere chemapapu kana chekufema (semuenzaniso asthma), kuvharika kwemudumbu, kuoma kumedza, kuoma weti. |
| Mararamiro uye allergies | Kana uchinwa doro nguva nenguva, uine pamuviri kana kuti uchiedza kuva nepamuviri, uri amai vanoyamwisa, kana kuti wakambova neallergies nekuda kweThioridazine kana mimwe mishonga, chikafu, kana madhayi. |
Ndinofanira kushandisa mushonga uyu sei?
Mushonga uyu unofanira kunwiwa nemuromo negirazi remvura. Inwa mushonga wakanyorwa, panguva yakatarwa, sezvakarairwa nachiremba wako kana kuti nepakeji. Usatore mushonga unopfuura huwandu hwakanyorwa chero chikonzero chipi zvacho.
Chinhu chinonyanya kukosha ndechekuti usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera matambudziko makuru. Kana ukarega kutora mushonga wacho, chiremba wako achakutsanangurira maitirwo awo.
Kungwarira kwakakosha kunodiwa pakupa mushonga uyu kuvana, saka taura nachiremba wako nezvazvo.
Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
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.
Ndapota cherechedzai: Mushonga uyu wakanyorerwa imi chete. Musaugovana nevamwe.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Thioridazine inogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini nezvimwe zvinogadzirwa nemiti.
| Mishonga isingafanirwe kutorwa neThioridazine | |
|---|---|
| Mimwe mishonga inoshandiswa kurapa zvirwere zvemoyo (zvakadai seAmiodarone, Quinidine) | Cisapride, Fluoxetine, Paroxetine, Pimozide |
| Propranolol, Pindolol, Saquinavir | Mimwe mishonga inowedzera nguva yeQT |
| Zvimwe zvinhu zvinogona kukonzera matambudziko neThioridazine | |
| Doro | Mishonga yeAllergy uye yekukosora (Antihistamines) |
| Mishonga yekuzvidya mwoyo kana kurara | Mimwe mishonga yekuderedza kushushikana |
| Mishonga yeBP | Mishonga yekurwisa pfari (yakadai sePhenobarbital) |
| Mishonga Inodhaka | Mishonga inopiwa kuti iite kuti munhu asazive panguva yekuvhiyiwa |
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese, mishonga yemiti, uye mavhitamini auri kutora. Udzawo chiremba wako kana uchisvuta kana kunwa doro.
Zvinhu zvekurangarira paunenge uchitora mushonga
- Kuongororwa nachiremba: Endai kuna chiremba wenyu pamazuva akarongwa kuti muone kana mamiriro enyu ezvinhu aripo. Muudzei kana zviratidzo zvenyu zvichiripo kana kuti zvichiwedzera kuipa.
- Hope nedzungu: Mushonga uyu unogona kuita kuti unzwe hope, dzungu, kana kuti unzwe usina kuona zvakanaka. Saka, dzivisa zvinhu zvine njodzi zvakaita sekutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Dzungu rinogona kuitika paunomira kamwe kamwe kana kusimuka kubva panzvimbo yawakagara. Saka, chinja nzvimbo zvishoma nezvishoma. Dzivisa kunwa doro sezvo dambudziko iri rinogona kutowedzera kuipa.
- Kupisa kwemuviri: Mushonga uyu unogona kukanganisa maitiro emuviri wako ekudzora tembiricha yawo. Unganzwa kutonhora kushoma kana kuchitonhora, uye muviri wako unogona kupisa nekukurumidza kana kuchipisa. Saka, pfeka zvinodziya kana kuchitonhora. Pazuva rinopisa, chenjerera zuva, pfeka mbatya dzakareruka, uye inwa mvura yakawanda.
- Chiedza chezuva:Mushonga uyu unogona kuita kuti ganda rako rinzwe zviri nani kuvhenekwa nezuva. Saka, kana uchizove muzuva, pfeka mbatya dzinofukidza ganda rako uye shandisa mafuta ekudzivirira zuva.
- Muromo wakaoma: Muromo wakaoma unogona kuitika. Izvi zvinogona kudzorwa nekutsenga chingamu isina shuga uye kunwa mvura.
- Chirwere cheshuga: Kana uine chirwere cheshuga, mushonga uyu unogona kuwedzera huwandu hweshuga muropa rako. Saka bvunza chiremba wako kana uchida kuchinja kudya kwako kana mishonga yako.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Thioridazine inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kurwara | 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 | Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira zvakanyanya, uye kuvhiringidzika. |
| Zviratidzo zveExtrapyramidal (EPS) | Kufamba-famba kwenhengo dzemuviri kusingadzoreki, kudedera, kuomarara kwetsandanyama, kushaya zororo, kunetseka kufamba. |
| Zvimwe zviratidzo zvakakomba | Kuchinja kwekuona, zviratidzo zvehutachiona (fivha, kukosora, pahuro), dzungu rinokonzerwa nekushomeka kweropa, pfari. |
| Migumisiro isingawanzova yakanyanya (asi inofanira kutaurwa kuna chiremba kana ikaramba iripo) | |
| Kuzvimba | Dzungu |
| Kurara | Muromo wakaoma |
| Kuwedzera huremu | |
Unofanira kuchengeta mushonga sei?
Chengeta mishonga kure nevana nezvipfuyo . Chengeta patembiricha yemumba (pasi pe30 degrees Celsius), chivharo chakavharwa zvakasimba. Usashandise mishonga yapera basa uye irase zvakanaka.
Mharidzo Yekuenda Nayo Kumba
- Usamborega kutora mapiritsi eThioridazine kana kuchinja mushonga usina kurairwa nachiremba wako.
- Udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemiti yauri kutora, uye chero matambudziko ehutano auri kusangana nawo.
- Kana ukasangana nematambudziko akakomba akadai sefivha yakanyanya, kuomarara kwetsandanyama, kana kuchinja kwekurova kwemoyo, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa kunwa doro paunenge uchitora mushonga uyu. Chenjerera zvakanyanya paunenge uchiita mabasa anoda kungwarira, akadai sekutyaira.
- Kana ukatora mushonga wakawandisa, fonera National Poisons Information Centre nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eThioridazine (Thioridazine / Mellaril) anoshandiswa pai?
Uyu mushonga wekare (wakajairika wekurwisa pfungwa / Phenothiazine) unoshandiswa kurapa chirwere chepfungwa chakakomba chinonzi 'Schizophrenia'! Uyu haupiwi kune wese munhu mazuva ano, unowanzo shandiswa chete kune varwere vakaoma (vasingarapike) vanoita sevasingakwanise kunzwa manzwi asinganzwisisike kana kurwa/kuchema kunyangwe vakapihwa mimwe mishonga yese (inenge miviri).
💬 Sei mushonga uyu (Thioridazine) uchishandiswa senzira yekupedzisira mazuva ano?
Chikonzero chikuru cheizvi mhedzisiro ine njodzi huru yemushonga uyu! (Nyevero yeBlack Box). Izvi zvinogona kuchinja zvakanyanya masaini emagetsi emwoyo wemurwere (QT prolongation / Arrhythmia / Torsades de pointes), zvichikonzera kurova kwemoyo nekukurumidza/kumira kwemoyo uye kurwara kwemoyo kunouraya. Saka, avo vanotora mushonga uyu vanofanira kuongororwa ECG uye kuongororwa kwemazinga epotassium muropa nguva nenguva.
💬 Kunze kwemoyo, ndedzipi dzimwe migumisiro ine njodzi inogona kukonzerwa nemapiritsi aya (Thioridazine)?
Izvi zvinogona kukonzera kukuvara kukuru uye kusingaperi kumaziso. Kana dose ikawedzerwa, pigmentary retinopathy inogona kukura muziso dema nekumashure kwe retina, zvichikonzera upofu uye kurasikirwa nekuona. Kunewo njodzi huru yekubuda kwemvura kumashure, kurara kusina kugadzikana, uye kudhonzwa kwemuviri/rurimi kusingadzoreki (Tardive Dyskinesia).
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