Ngamanye amaxesha xa ugqirha wakho ekunike amayeza empilo yengqondo, kuyinto eqhelekileyo ukuba nemibuzo embalwa, umdla, kwanoloyiko oluncinci. "Kuza kwenzeka ntoni ngale nto?", "Ingaba oku kukhuselekile?", "Ndifanele ndixhalabele ntoni?" yimibuzo emininzi efika engqondweni. Namhlanje siza kuthetha ngelinye lamayeza anjalo , iCariprazine . Usenokuba uyazi ngegama lebhrendi iVRAYLAR. Eli yeza lisetyenziselwa ukunyanga iimeko ezifana ne -schizophrenia kunye ne-bipolar disorder. Masithethe ngalo ngokulula nangokucacileyo.
Kwenzeka ntoni ngokwenene ngale mithi?
Khawucinge ukuba kukho iqela lezithunywa ezincinci ngaphakathi kwengqondo yethu. Ezi zithunywa zezona zilawula iimvakalelo zethu, ukuziphatha kwethu, kunye neengcinga zethu. I-Dopamine kunye ne-Serotonin zezona zithunywa ziphambili. Kwizifo zengqondo ezifana ne -schizophrenia kunye nesifo se-bipolar, ukusebenza kwezi zithunywa ngamanye amaxesha kunokuba yinto engahambelaniyo, oko kuthetha ukuba zinokulahlekelwa yibhalansi yazo.
Ngamafutshane, iCariprazine isebenza ngokulinganisela amanqanaba ezi khemikhali engqondweni ezibizwa ngokuba yidopamine kunye ne-serotonin, enceda ukuzinzisa ingqondo yakho. Oku kunceda ukulawula iimpawu kwaye kukuncede usebenze ngokuqhelekileyo. Olu hlobo lwamayeza silubiza ngokuba yi-'Antipsychotics'.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubaluleke kakhulu ukuxoxa ngembali yakho epheleleyo yempilo nogqirha wakho ngaphambi kokuba uqale eli yeza. Ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi, qiniseka ukuba uyamxelela. Musa ukufihla nantoni na, nokuba yeyona incinci, kuba ibaluleke kakhulu kukhuseleko lwakho.
- Isifo sokulibala esifana ne-dementia.
- Isifo seswekile okanye ukuba nelungu losapho elinesifo seswekile.
- Ubunzima bokuginya ukutya okanye izinto ezilulwelo.
- Ubunzima bokulawula izihlunu.
- Isifo sentliziyo okanye i-cholesterol ephezulu.
- Ukuba ukhe waba nestroke ngaphambili.
- Isifo sezintso okanye sesibindi.
- Imeko apho inani leeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, okanye iiplatelets egazini liyehla.
- Uxinzelelo lwegazi oluphantsi.
- Isifo sikaParkinson.
- Ukuxhuzula.
- Ukuba wakha wacinga ngokuzibulala, wazama, okanye ilungu losapho lakho lacinga ngokuzibulala.
- Ukuba ukhe waba ne-allergy kule medicine yeCariprazine okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa.
Okukhona ukhululekile kugqirha wakho malunga nolwazi lwakho lwempilo, kokukhona kunokwenzeka ukuba akwazi ukukunika unyango olufanelekileyo nolukhuselekileyo.
Ndingayisebenzisa njani le yeza?
Eyona nto ibalulekileyo kukuthatha amayeza kanye njengoko ugqirha ewayalele, ngokwemilinganiselo echanekileyo.
- Ginya le pilisi yonke ngeglasi yamanzi.
- Oku kungenziwa nokuba kutyiwe okanye ngaphandle kokutya.
- Ziqhelise ukusela amayeza akho malunga nexesha elifanayo yonke imihla. Ngale ndlela, awuyi kuyilibala.
- Musa ukusela ngaphezulu okanye ngaphantsi komlinganiselo ochazwe ngugqirha wakho.
- Okubaluleke kakhulu: Ungaze uyeke ukuthatha amayeza akho ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu. Ukuba uyeka, ikho indlela yokukwenza oko, kwaye ugqirha wakho uya kukuxelela ukuba ukwenze njani.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Khawucinge ukuba uthathe amayeza angaphezu kwedosi emiselweyo. Ukuba oku kuyenzeka, ungoyiki kwaye utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndilibele ukusela amayeza am?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo (umzekelo, ikwiiyure ezimbalwa), yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngexesha elinye.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo (kuquka iivithamini, amayeza esintu, kunye neemveliso zezityalo), utywala obuselayo, kunye nokuba uyatshaya. Ezinye izinto zinokudibana nale mithi kwaye zibangele iziphumo ezingafunekiyo.
| Uhlobo lweziyobisi | Inkcazo kunye nemizekelo |
|---|---|
| Ungaze uzithathe ezi zinto kunye nantoni na. | |
| I-Metoclopramide | Iyeza lokugabha kunye nokucaphuka. |
| Nceda wazise ugqirha wakho kuba ezi zinto zisenokudibana. | |
| Amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane (ii-Antihistamines) | Amayeza afana nePiriton. |
| Amanye amayeza okudakumba, ixhala, okanye ukulala | Umzekelo: i-Amitriptyline, i-Fluoxetine, i-Sertraline |
| Amanye amayeza osulelo lwefungus | Umzekelo: Itraconazole, Ketoconazole |
| Amayeza okuxhuzula | Umzekelo: iCarbamazepine |
| Amayeza oxinzelelo lwegazi | Naliphi na iyeza elinciphisa uxinzelelo lwegazi. |
| Amayeza esifo sikaParkinson | Amayeza afana neLevodopa. |
| Ii-anesthetics eziqhelekileyo | Iyeza elinikwa umntu ukuze alale ngaphambi kotyando. |
Iziphumo ebezingalindelekanga ezinokubakho xa uthatha iyeza
Njengayo nayiphi na iyeza, oku kunokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Lumka kwiimpawu ezingezantsi.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iswekile ephezulu egazini | Ukoma okungaqhelekanga, ukuchama rhoqo, ukudinwa kakhulu, ukubona izinto ezingaqhelekanga. |
| Isifo se-Neuroleptic Malignant (NMS) | Umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okugqithisileyo, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukudideka. |
| Istroke | Ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ubunzima bokuhamba, intloko ebuhlungu kakhulu. |
| Ukulahlekelwa kulawulo lwemisipha (Iimpawu ze-Extrapyramidal - EPS) | Iintshukumo zomzimba ezingalawulekiyo, ukuqina kwemisipha, ukungcangcazela, ukungazinzi, ukurhuqa iinyawo xa uhamba. |
| Iingcinga zokuthatha ubomi bakho | Ukwanda koxinzelelo, iingcinga zokuzibulala. |
| Ngokwesiqhelo ayisiyonto imbi kangako, kodwa xelela ugqirha wakho ukuba iyaqhubeka. | |
| Ukozela | Oku kusenokuqhubeka de umzimba uqhele amayeza. |
| Ukuqhinwa | Ukusela amanzi amaninzi nokutya ukutya okutyebileyo kwi-fiber kunokunceda. |
| Isicaphucaphu, ukuhlanza, isisu esibuhlungu | Oku kungancitshiswa ngokuthatha amayeza kunye nokutya. |
Ezinye izinto ekufuneka uzilumkele xa usebenzisa amayeza
Ukudinwa kunye nokozela
Eli yeza lingakwenza uzive ulele kwaye unesiyezi. Ngoko ke kuphephe ukuqhuba, ukusebenza kwiindawo eziphakamileyo, nokusebenzisa oomatshini abafuna ukuphaphama ude wazi kakuhle ukuba likuchaphazela njani. Yima kancinci xa uvuka kwindawo yokuhlala okanye ulele. Ukusela utywala kunokukwenza kube nzima ngakumbi oku kukozela, ngoko kuphephe ukusela utywala ngokupheleleyo.
Ulawulo lobushushu bomzimba
Ukusela eli yeza kunokunciphisa amandla omzimba okunyamezela ubushushu nokubanda. Ngoko ke, kuphephe ukuphuma elangeni okanye ukwenza umthambo ogqithisileyo ngeentsuku ezishushu. Sela amanzi amaninzi kwaye unxibe impahla ekhaphukhaphu. Kunjalo ke nangomkhuhlane ogqithisileyo. Ukuba uphuma ebanda, nxiba impahla efudumeleyo.
Ufanele uwagcine njani amayeza akho?
- Yigcine kude nabantwana.
- Gcina kubushushu begumbi (phakathi kwe-15-30 Celsius), kude nelanga elithe ngqo kunye nokufuma. Ayifanelekanga kwigumbi lokuhlambela.
- Musa ukusebenzisa amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Cariprazine liyeza elinyanga izifo ezifana ne -schizophrenia kunye ne-bipolar disorder kwaye kufuneka lisetyenziswe kuphela njengoko ugqirha eyalela.
- Ungaze uqale, uyeke, okanye utshintshe umthamo wamayeza ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela zonyango, iivithamini, kunye namayeza esintu owasebenzisayo.
- Ngelixa usebenzisa eli yeza, qaphela naluphi na utshintsho kwimeko yakho yengqondo, iingcinga zokuzibulala, ukozela kakhulu, okanye ezinye iimpawu ezingaqhelekanga. Ukuba ubona nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
- Ukuba ukhulelwe, uncancisa, okanye uceba ukukhulelwa, yazisa ugqirha wakho ngaphambi kokuba uqale amayeza.
- Kuphephe ukusela utywala ngokupheleleyo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iikhaphu zeCariprazine (Vraylar) luhlobo olutsha lonyango olusetyenziselwa ukunyanga isifo esinjani?
Le ayisiyopilisi eqhelekileyo yesifo sengqondo! Le yipilisi entsha nephumelele kakhulu (Atypical Antipsychotic) ebiza kakhulu efunyenwe eMelika ukunyanga i-schizophrenia (delusions), iimeko ezinzima ze-bipolar I disorder (umsindo ogqithisileyo kunye nokudakumba okutshintshatshintshayo), kunye nesifo sengqondo esibulalayo esibizwa ngokuba yiMajor Depression Disorder (Major Depression Disorder) esingenakunyangwa nangaliphi na elinye iyeza.
💬 Xa ubona izinto ezingaqhelekanga/unesifo sengqondo esinzima, ukuthatha ezi pilisi (Vraylar) kuyayiphilisa njani ingqondo yakho?
Zonke ezi zifo zengqondo zibangelwa lutshintsho lweekhemikhali engqondweni olubizwa ngokuba yi-'Dopamine' kunye ne-'Serotonin'. Amanye amayeza athintela yonke into, ngoko ke isigulane siyatyeba. Kodwa eli yeza linamandla amangalisayo (Partial Agonist)! Ukuba kukho i-dopamine eninzi engqondweni, iyahamba ize ibophelele kwezo receptors (D3/D2 Receptors) ize iyinciphise. Kwaye ukuba akukho dopamine yaneleyo, ingena ngaphakathi ize yonyuse i-dopamine (ilinganisela ingqondo)! Ke ngoko, oku kubuyisela isigulane esigula ngengqondo engqondweni ngoko nangoko.
💬 Zeziphi 'iingozi ezibulalayo' (Isilumkiso seBlack Box) ekufuneka abantu abasebenzisa eli yeza litsha elichaphazela ingqondo (iCariprazine) baziqaphele?
Eyona ngozi inkulu kukuba ibangela 'ukungazinzi kwengqondo kunye neengcinga zokuzibulala', ingakumbi kubantu abancinci (abangaphantsi kweminyaka engama-24 ubudala)! Enye ingozi ebulalayo kukuba ukuba oku kunikwa abantu abadala abane-dementia (i-Dementia-related psychosis), banokufa ngequbuliso (Ukwanda kokufa)! Kwakhona, ukuba uqhubeka nokusela oku, ngokuqinisekileyo unokufumana isifo semithambo-luvo esibangela ukungcangcazela kwamalungu/ukungakwazi ukuhlala kwindawo enye (Akathisia / EPS).
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