Ngaba ugqirha wakho ukunike i-chlorpromazine? Okanye mhlawumbi ilungu losapho okanye umhlobo wakho usebenzisa eli yeza. Liyeza elinamandla kakhulu elidla ngokunikwa izifo ezahlukeneyo zempilo yengqondo. Yiyo loo nto kubaluleke kakhulu ukwazi ukuba lithini kanye kanye eli yeza kunye nendlela yokulisebenzisa ngokukhuselekileyo nangendlela echanekileyo. Ke namhlanje, masithethe ngeli yeza ngendlela elula onokuyiqonda.
Kutheni sinikwa eli yeza leChlorpromazine?
Ngamafutshane, eli liyeza elisetyenziswa kwizifo zengqondo. Oko kukuthi, liyeza elinikwa ukulawula iingxaki zengqondo. Ngokuchanekileyo, eli likwiqela lamayeza abizwa ngokuba yi-"Antipsychotics".
Oku kusebenza ngokulinganisela i-neurotransmitter dopamine engqondweni yethu. Cinga ngale ndlela, i-dopamine sisithunywa sekhemikhali esinceda ukulawula izinto ezifana neemvakalelo zethu, iimvakalelo, kunye neengcinga. Kwezinye izifo zengqondo, eli nqanaba le-dopamine alilingani. Kulapho eli yeza linikwa khona ukunceda ukubuyisela kwinqanaba elifanelekileyo.
Iimeko eziphambili ezimiselwe eli yeza zezi:
- I-Schizophrenia
- Ukuxhuzula
Kodwa kungekuphela nje oku, oogqirha basebenzisa eli yeza ngenxa yezizathu ezininzi.
- Lawula isicaphucaphu kunye nokuhlanza.
- Yeka iingxaki ezingapheliyo.
- Kwimeko yesifo esibizwa ngokuba yiPorphyria.
- Kwimeko ye-tetanus.
- Ngamanye amaxesha isetyenziselwa ukuzola isigulane ngaphambi kotyando.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Le yinxalenye ebaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubalulekile ukwazisa ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo. Kuba eli yeza lisenokudibana nezinye iimeko zempilo.
| Ukuba unayo nayiphi na kwezi meko, qiniseka ukuba uxelele ugqirha wakho. | |
|---|---|
| Imbali yesifo sentliziyo okanye ukubetha kwentliziyo okungaqhelekanga | Uxinzelelo lwegazi oluphantsi |
| Isifo sesibindi | Isifo sezintso |
| Isifo seswekile | Isifo sikaParkinson |
| Ukuxhuzula | Ithumba lobuchopho |
| I-Glaucoma | Isifo sengqondo esixhalabisayo |
| Ubunzima bokuphefumla okanye i-asthma | Ukuncipha kwenani leeseli zegazi (umz. iiseli zegazi ezimhlophe) |
| Ukuvaleka kwamathumbu | Iingxaki zeprostate |
| Ubunzima bokuginya | Ubunzima bokuchama |
| Ukuba usela rhoqo | Ukuba ukhulelwe okanye uzama ukukhulelwa |
| Ukuba ungumama oncancisayo | Ukuba une-allergy kule mithi okanye naliphi na elinye iyeza okanye ukutya |
Ndingayisebenzisa njani le yeza?
Eli yeza lithathwa ngomlomo njengepilisi. Lithathe neglasi yamanzi. Kubaluleke kakhulu ukuthatha idosi echanekileyo, ngexesha elifanelekileyo, njengoko ugqirha wakho ekuyalele. Musa ukunyusa okanye ukunciphisa idosi njengoko uziva ukhululekile, okanye ulithathe rhoqo kunokuba uceliwe.
Into ebaluleke kakhulu:Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho. Oku kunokubangela iimpawu zokurhoxa ezifana nesicaphucaphu, ukuhlanza, kunye nesiyezi. Ukuba kufuneka uyeke ukusebenzisa eli yeza, ugqirha wakho uza kukucebisa ngendlela yokwenza oko.
Ufanele wenze ntoni ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba usele kakhulu eli yeza, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso. Musa ukulibazisa.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye, kuquka nedosi oyiphosileyo.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (amayeza ezinye izifo, iivithamini, amayeza emveli), njengoko amanye amayeza anokuchasana neChlorpromazine.
| Ungaze uthathe iChlorpromazine kunye nale yeza. | |
|---|---|
| I-Cisapride | I-Pimozide |
| I-Dronedarone | I-Saquinavir |
| I-Metoclopramide | I-Thioridazine |
| Ezi zisenokudibana neChlorpromazine - xelela ugqirha wakho. | |
| Utywala | Amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane (ii-Antihistamines) |
| Amayeza okudakumba, ixhala, okanye ukulala | Iipilisi zokunciphisa iintlungu (ingakumbi ezo zibangela ukunxila) |
| Amayeza oxinzelelo lwegazi oluphezulu | Amayeza afana neLevodopa kwisifo sikaParkinson |
| Izinto zokunciphisa igazi ezifana neWarfarin | Amayeza okudambisa iintlungu ngexesha likaxakeka |
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele, unesiyezi, okanye ungaboni kakuhle. Ngoko ke , musa ukuqhuba, usebenzise oomatshini, okanye wenze nantoni na efuna ukuphaphama ude wazi ukuba eli yeza likuchaphazela njani.
- Ukuvuka ngequbuliso: Musa ukuvuka ngequbuliso xa uhleli okanye ulele phantsi. Ukwenza njalo kunokubangela isiyezi kunye nokuwa. Abantu abadala kufuneka balumke ngakumbi ngale nto.
- Utywala: Kuphephe ukusela utywala. Utywala bunokukwenza uzive ulele kwaye unesiyezi.
- Ubushushu bomzimba: Eli yeza linokuthi lichaphazele amandla omzimba okulawula ubushushu. Oku kuthetha ukuba amandla omzimba okunyamezela ukubanda kakhulu kunye nobushushu obugqithisileyo anokuncipha. Ngoko ke, zikhusele kubushushu obugqithisileyo kunye nokubanda kakhulu. Sela amanzi amaninzi.
- Uvakalelo elangeni: Eli yeza lingenza ulusu lwakho lube novakalelo elangeni. Ngoko ke, zikhusele elangeni. Ukuba uza kuba selangeni, nxiba impahla egquma umzimba wakho kwaye usebenzise isithambisi sokukhusela ilanga.
- Iswekile egazini: Ukuba unesifo seswekile, eli yeza lisenokunyusa amanqanaba eswekile egazini lakho. Ngoko ke jonga amanqanaba eswekile egazini lakho rhoqo. Ukuba kuyimfuneko, thetha nogqirha wakho malunga nokwenza utshintsho kwindlela otya ngayo okanye amayeza eswekile.
- Umlomo owomileyo: Umlomo owomileyo sisiphumo esiqhelekileyo sale mithi. Oku kunokulawulwa ngokuhlafuna itshungama engenaswekile, ukufunxa iilekese ezingenaswekile, nokusela amanzi amaninzi.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengazo zonke amayeza, le inokuba nemiphumo emibi. Asinguye wonke umntu oyifumanayo. Kodwa kubalulekile ukuba uzazi.
| Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko. | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Isifo se-Neuroleptic Malignant (NMS) | Umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okugqithisileyo, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukudideka. |
| Iimpawu ze-Extrapyramidal (EPS) | Iintshukumo zomzimba ezingalawulekiyo, ukuqina kwemisipha okanye ukushukuma, ukungcangcazela, ukungazinzi, ubunzima bokuhamba. |
| Umonakalo wesibindi | Intlungu yesisu engasentla ngasekunene, ukungabi namdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli omnyama, ukutyheli kolusu okanye amehlo. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu. |
| Iziphumo ebezingalindelekanga ezihlala zingeyongozi, kodwa kufuneka zixelwe kugqirha ukuba ziyakhathaza | |
| Ukuqhinwa | Umlomo owomileyo |
| Ukozela | Ukutyeba kwakho |
Umyalezo Wokuya Ekhaya
- I-Chlorpromazine liyeza elinamandla elifanele lithathwe kuphela phantsi kwengcebiso kagqirha.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na ezinye iingxaki zempilo onazo.
- Ungaze uyeke ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
- Kuphephe ukuqhuba imoto nokwenza imisebenzi efuna ukulumka ngelixa usebenzisa amayeza, kuba ubuthongo kunye nesiyezi zinokubakho.
- Kuphephe ngokupheleleyo utywala.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngomkhuhlane ophezulu, ukuqina kwemisipha, okanye iintshukumo zomzimba ezingalawulekiyo, bonana nogqirha ngokukhawuleza.
- Ukuba usela amayeza amaninzi kakhulu, yiya kwigumbi likaxakeka esibhedlele (ETU) ngoko nangoko okanye uqhagamshelane neZiko loLwazi lweePoisons leSizwe.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeChlorpromazine (Chlorpromazine / Thorazine) zezona ndlela zokugqibela zokuthintela isifo?
Eli liyeza elinamandla kakhulu elivela kwisizukulwana esidala (i-antipsychotic eqhelekileyo / i-Phenothiazine) eyenzelwe ukulawula isifo sengqondo esinzima esibizwa ngokuba yi-'Schizophrenia'! Eli chiza alinikwa wonke umntu, lidla ngokusetyenziswa kuphela kwizigulane ezinzima kakhulu (ezinganyangekiyo kunyango) eziziphazamiso zazo zingapheliyo ngokupheleleyo nangona kukho ezinye iindlela zonyango. Likwanikwa ukunqanda ukuxhuzula okukhulu kunye nokuxhuzula.
💬 Le pilisi (iChlorpromazine) ifikelela njani engqondweni ize isuse ukungaziqondi kakuhle komguli kunye nokungakhathali?
Eyona sizathu siphambili sokwanda kwezifo zengqondo ezinzima kukwanda kakhulu kwekhemikhali ethi 'Dopamine' engqondweni! Eli yeza livala/livala i-100% yee-dopamine receptors (ii-D2 receptors) kwangoko nje ukuba lingene engqondweni. Lisusa iingcinga eziphambeneyo engqondweni kwaye lizolise isigulana kude kube kwinqanaba apho singakwaziyo nokushukumisa umlenze/ingalo yaso (ukuthomalalisa).
💬 Zeziphi iziphumo eziphambili ekufuneka abantu abasebenzisa eli yeza lidala (iChlorpromazine) bazilumkele?
Zininzi iziphumo ebezingalindelekanga! Eyona ngozi inkulu 'kukuxinana kwemithambo-luvo nemisipha (EPS/Tardive Dyskinesia)'. Oko kuthetha ukuba xa usela oku, ngokuqinisekileyo uya kuba nokungcangcazela okungalawulekiyo kwemilenze/izandla, ulwimi luphume luze lujijeke, kwaye ngokuqinisekileyo uya kuba lukhuni njengerobhothi. Kwakhona, (i-Anticholinergic) umlomo uba mdaka ngendlela enganyamezelekiyo, umbono uba mfiliba, kwaye ukuba uphuma elangeni, kukho ithuba elikhulu lokutshiswa lilanga (i-Photosensitivity).
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