Mhlawumbi wena okanye umntu osapho lwakho unikwe iyeza elibizwa ngokuba yiChlorpromazine ngugqirha wakho. Xa usiva eli gama, usenokuziva usoyika okanye unomdla. Kuqhelekile ukuba kuvele imibuzo efana nale, 'Lithini eli yeza? Kutheni ndinikwa eli?' engqondweni. Ekubeni eli liyeza elihlala linikwa izifo zengqondo, kunokubakho iingcamango ezahlukeneyo eziphosakeleyo phakathi kwabantu. Ke namhlanje, masithethe ngeli yeza le-chlorpromazine ngendlela elula onokuyiqonda.
Yintoni kanye kanye iChlorpromazine?
Ngamafutshane, i-chlorpromazine liyeza elisetyenziselwa ukunyanga iingxaki ezahlukeneyo zempilo yengqondo. Likwiqela lamayeza abizwa ngokuba yi -antipsychotics . I-Dopamine yikhemikhali esebuchotsheni enceda ukulawula izinto ezifana neemvakalelo zethu kunye neemvakalelo zethu. Eli yeza lisebenza ngokulinganisela amanqanaba ale dopamine engqondweni.
Nangona kunjalo, eli yeza alinikwanga izifo zengqondo kuphela. Oogqirha balisebenzisa kwezinye iimeko ezininzi. Umzekelo:
- Izifo zengqondo ezifana ne -schizophrenia kunye ne-bipolar disorder.
- Lawula isicaphucaphu kunye nokuhlanza.
- Ngenxa yeengxaki ebeziqhubeka ixesha elide kwaye ezingenakuyekiswa.
- Kwezinye iimeko zesifo esibizwa ngokuba yi-porphyria.
- Khulula izihlunu ngexesha lokuhlaselwa yi-tetanus.
- Zolisa isigulane ngaphambi kokuba utyando okanye uvavanyo lwezonyango.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqalise eli yeza, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Kuba eli yeza kufuneka lisetyenziswe ngononophelo kubantu abaneengxaki ezithile zempilo. Ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelela ugqirha wakho ngalo.
| Imeko/isizathu esifanelekileyo | Inkcazo |
|---|---|
| Iimeko zonyango ezikhoyo | Ithumba lobuchopho, i-dementia, isifo seswekile, i-glaucoma, ukwenzakala entloko, isifo sentliziyo, imbali yokubetha kwentliziyo okungahambelaniyo, isifo sezintso okanye sesibindi, uxinzelelo lwegazi oluphantsi, isifo semiphunga esifana ne-asthma, isifo sikaParkinson, isifo se-prostate, ukuxhuzula. |
| Ukungonwabi komzimba | Ubunzima bokuginya ukutya, ubunzima bokulawula ukuhamba kwamathumbu, ubunzima bokuchama, kunye nokuvaleka kwamathumbu. |
| Iingxaki ezinxulumene negazi | Iimeko ezifana neeseli ezimhlophe ezisezantsi, iiseli ezibomvu zegazi, okanye iiplatelets. |
| Indlela yokuphila kunye nemikhwa | Ukuba usela rhoqo. |
| Ii-aleji | Ukuba une-aleji kwi-chlorpromazine, ii-sulfites, amanye amayeza, ukutya, iidayi okanye izithinteli. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Linikwa njani eli yeza?
Eli asiloyeza onokulithatha ekhaya. I-Chlorpromazine yinaliti enikwa yingcali yezonyango esibhedlele okanye eklinikhi . Inikwa emzimbeni ngokujova kwisihlunu okanye ngokujova emthanjeni.
Kufuneka kuthathwe ingqwalasela ekhethekileyo xa kunikwa abantwana eli yeza. Nangona kucetyiswa ukuba lisetyenziswe kwiimeko ezithile ezikhethekileyo kubantwana abangaphezu kweenyanga ezi-6 ubudala, kubalulekile ukulandela amanyathelo okhuseleko afanelekileyo.
Ukugqithisa - Kubaluleke kakhulu!
Ukuba ucinga ukuba usele kakhulu eli yeza, ungaze ulityeshele. Yiya kwiCandelo loNgxamiseko lwesibhedlele (i-ETU) ngoko nangoko. Ukuba kuyimfuneko, ungatsalela umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, njengoko i-chlorpromazine inokunxibelelana namanye amayeza amaninzi.
| Ungaze uthathe i-chlorpromazine kunye nezi. | |
|---|---|
| I-Cisapride | I-Pimozide |
| I-Dronedarone | I-Saquinavir |
| I-Metoclopramide | I-Thioridazine |
| Lumka ngakumbi kuba iingxaki zinokuvela nakwezi. | |
| Utywala | I-Lithium |
| Ii-antihistamines ze-allergies, ukukhwehlela, kunye nokubanda | Amayeza oxinzelelo lwegazi oluphezulu |
| Amayeza oxinzelelo, ixhala, okanye ukulala | Ii-Anticonvulsants (iPhenobarbital, iPhenytoin) |
| Amayeza esifo sikaParkinson (iLevodopa) | Amayeza eziyobisi |
| Amayeza asetyenziselwa ukubangela ubuthongo ngexesha lotyando | Izinto zokunciphisa igazi ezifana neWarfarin |
Olu luhlu aluphelelanga, ngoko qiniseka ukuba uxelela ugqirha wakho malunga namayeza, iivithamini, okanye amayeza esintu owasebenzisayo.
Izinto ekufuneka ziqwalaselwe xa usebenzisa amayeza
Iqela lakho lezonyango liza kuyijonga ngokusondeleyo imeko yakho ngelixa ufumana olu gonyo, kodwa kubalulekile ukuba uzazi ezi nyaniso.
Ukozela kunye nesiyezi
Eli yeza lingakwenza uzive ulele, unesiyezi, okanye ungaboni kakuhle . Ngoko ke phepha imisebenzi eyingozi efana nokuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Lumka xa uvuka okanye uhlala phantsi ngequbuliso , ingakumbi ukuba sele ukhulile. Oku kunokunciphisa amathuba okuquleka nokuwa. Ukusela utywala kunokwenza obu buthongo bube mandundu.
Ulawulo lobushushu bomzimba
Eli yeza linokuchaphazela amandla omzimba wakho okulawula ubushushu. Ukunyamezela kwakho imozulu ebandayo kunokuncipha, kwaye ukunyamezela kwakho ubushushu kunokuncipha. Ngoko ke, nxiba iimpahla ezifudumeleyo ngeentsuku ezibandayo. Ngeentsuku ezishushu, nciphisa ukuvezwa elangeni, qhelisela umzimba, kwaye usele amanzi amaninzi.
Uvakalelo lwelanga
Eli yeza lingenza ulusu lwakho lube buthathaka elangeni. Ngoko ke zikhusele elangeni. Ukuba kufuneka uphume elangeni, nxiba impahla egquma umzimba wakho kwaye usebenzise isithambisi selanga .
Umlomo owomileyo
Umlomo owomileyo sisiphumo esiqhelekileyo esibangelwa yile mithi. Oku kunokulawulwa ngokuhlafuna itshungama engenaswekile, ukufunxa iilekese ezingenaswekile, nokusela amanzi amaninzi.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, i-chlorpromazine inokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile. Kubalulekile ukuzazi ezi zinto.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho okanye esibhedlele ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Isifo se-Neuroleptic Malignant | Umkhuhlane ophezulu ngequbuliso, ukuqina kwemisipha, ukubila okugqithisileyo, ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, ukudideka. |
| Iimpawu ze-EPS (Iimpawu ze-Extrapyramidal) | Iintshukumo zomzimba ezingalawulekiyo (ingakumbi ubuso, umlomo), ukuqina kwemisipha, ukungcangcazela, ukulahlekelwa yibhalansi, ukungazinzi. |
| Umonakalo wesibindi | Intlungu esiswini esingaphezulu ngasekunene, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo otyheli/omdaka omnyama, kunye nendle enombala okhanyayo. |
| Ezinye iimpawu ezinzulu | Iimpawu zosulelo (umkhuhlane, ukugodola, ukukhohlela, umphimbo obuhlungu), uxinzelelo lwegazi oluphantsi (isiyezi, ukuquleka). |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuqhinwa | Umlomo owomileyo |
| Ukozela | Ukutyeba kwakho |
| Isiyezi | |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-Chlorpromazine sisitofu sokugonya esinikwa esibhedlele okanye eklinikhi kuphela phantsi kweliso likagqirha.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo, naziphi na ezinye iimeko zempilo onazo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla emzimbeni.
- Lumka xa usenza imisebenzi efuna ukulumka, efana nokuqhuba, njengoko ubuthongo kunye nesiyezi zinokwenzeka ngelixa usebenzisa amayeza. Kuphephe ukusela utywala.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngomkhuhlane ophezulu, ukuqina kwemisipha, iintshukumo zomzimba ezingalawulekiyo, okanye ukutyheli kolusu, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba unenkxalabo okanye uloyiko malunga nale mithi, thetha nogqirha wakho ngayo ngokukhululekileyo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Inaliti yeChlorpromazine / iThorazine liyeza elinamandla kakhulu elisetyenziselwa ukunyanga isifo esinjani?
Eli asiloyeza eliqhelekileyo! Eli liyeza elidala nelinamandla kakhulu (i-First-Generation Antipsychotic) elisetyenziselwa ukuzola ngoko nangoko isigulane nokusenza silale ubuthongo obunzulu (isithomalalisi) kwiimeko 'zokuphambana kwengqondo' (Severe Psychosis/Agitation) okubangelwa yi-schizophrenia, i-bipolar disorder, kunye neziyobisi, xa isigulane siphazamisekile ngendlela engalawulekiyo, kwaye sisengozini enkulu yokwenzakalisa abanye okanye sona/naso.
💬 Xa ukhwaza/ukhala ngokungathi uphambene, le injection (Chlorpromazine) inceda njani ingqondo yakho ukuba iphile/ilale?
Izinto ezingaqhelekanga kangaka ziyabonakala/ziyaphazamisa kakhulu xa ikhemikhali ethi 'Dopamine (Dopamine / D2)' engqondweni iphuphuma! Olu gonyo luvala/luvala kwaye luvale zonke 'ii-Dopamine receptors' engqondweni (i-Dopamine antagonist). Ukongeza, lucima noomatshini abakwizigaba ze-'Histamine (H1)' kunye ne-'Adrenaline (Alpha-1)', ngoko ke isigulane siyathula size sihlale/silale kwimizuzu embalwa.
💬 Zithini iziphumo ebezingalindelekanga ezinokuba yingozi (Isilumkiso seBlack Box) zale gonyo inobungozi kakhulu (iThorazine)?
Eyona ngozi inkulu kukuba ukuba oku kunikwa abantu abadala abane-dementia (i-Dementia-related psychosis), banokuyeka ukuphefumla ngequbuliso baze bafe (Ukwanda kokufa)! Enye into eyingozi kakhulu kukuba oku kunokubangela ukuba isigulana siwele kwi-coma ngenxa ye-'Fatal Hypotension / Orthostatic'. Kwakhona, isifo esibi se-neurological esenza kube nzima ukuhlala sizinzile, okubangela ukuba amalungu ashukume ngokungathi aphambene kwaye intamo/amehlo ashukume (i-Extrapyramidal Symptoms / EPS / Tardive Dyskinesia) ngokuqinisekileyo inokwenzeka.
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