Wena okanye umntu omaziyo kusenokwenzeka ukuba ugqirha wakho unike iClozapine ngenxa yengxaki yengqondo ebekunzima ukuyilawula ngamanye amayeza. Eli gama lisenokuvakala lisoyikisa kancinci kuwe. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngendlela elula yokusebenzisa eli yeza, into eliyenzayo, kunye nento ekufuneka uyiqaphele.
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Ngamafutshane, yintoni iClozapine?
I-Clozapine luhlobo lwamayeza asetyenziselwa ukunyanga izifo zengqondo ezifana ne -schizophrenia . Idla ngokunikwa xa amanye amayeza engasebenzi okanye xa umzimba ungakwazi ukuwanyamezela. Ngamafutshane, liyeza elinamandla kakhulu ekufuneka lisetyenziswe ngononophelo.
Eli yeza likwiqela lamayeza abizwa ngokuba yi-antipsychotics. Lisebenza ngokulinganisela amanqanaba ee-neurotransmitters ezibizwa ngokuba yi-dopamine kunye ne-serotonin ebuchosheni bethu. Ezi zinceda ekulawuleni imo yethu, iimvakalelo kunye neengcinga zethu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale iClozapine, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Kuba eli yeza kufuneka lisetyenziswe ngononophelo kwiimeko ezithile zonyango. Qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
| Imeko yempilo | Inkcazo |
|---|---|
| Iingxaki zenkqubo yokugaya ukutya | Ukuvaleka kwamathumbu, ukuqhina rhoqo |
| Iingxaki ezinxulumene negazi | Ukwehla kwamanqanaba eeseli zegazi (iiseli ezimhlophe zegazi, iiseli ezibomvu zegazi, iiplatelets) |
| Isifo sentliziyo | Nasiphi na isifo sentliziyo, ukubetha kwentliziyo okungahambelaniyo, i-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, imbali yestroke |
| Ezinye iimeko zonyango | Isifo seswekile, Ukuxhuzula, Isifo sesibindi okanye sezintso, iGlaucoma, Isifo sikaParkinson, iDementia, Iingxaki zeProstate |
| Imikhwa kunye neminye imiba | Ukusebenzisa icuba (ukutshaya), ubunzima bokuginya, ubunzima bokuchama, ubunzima bokulawula izihlunu |
| Ii-aleji | Ukuba une-allergy kwiClozapine okanye naliphi na elinye iyeza, ukutya, okanye idayi. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa |
Ndingayisebenzisa njani kanye kanye le yeza?
Ekubeni eli liyeza elilulwelo (i-suspension), kufuneka ulumke kancinci xa ulisebenzisa.
- Shukumisa kakuhle: Ngaphambi kokusebenzisa ngakunye, shukumisa ibhotile kakuhle malunga nemizuzwana eli-10 .
- Umlinganiselo ochanekileyo: Sebenzisa kuphela isirinji ekhethekileyo yomlomo eza neyeza kwaye ulinganise umlinganiselo ochanekileyo ugqirha wakho akuxelele ukuba uwuthathe. Ungaze usebenzise iitisipuni zasekhaya okanye iisuphu. Azichanekanga.
- Sela ngoko nangoko: Sela iyeza ngoko nangoko emva kokuba ulitsalele kwisirinji. Musa ukuligcina ukuze ulisebenzise kamva.
- Ukutya: Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Akukho mthetho ukhethekileyo ngalo.
- Yithathe ngexesha: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla. Thatha amayeza akho ngamaxesha amiselweyo, njengoko kuyalelwe ngugqirha wakho. Musa ukuthatha ngaphezu komlinganiselo omiselweyo.
- Musa ukuyeka: Kuphephe ukuyeka amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela iimpendulo ezinzulu.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha eliqhelekileyo. Musa ukuthatha idosi ephindwe kabini ukuze ubuyisele idosi oyiphosileyo. Ukuba uphoswe ziimini ezingaphezu kwezimbini zamayeza, qiniseka ukuba uthetha nogqirha wakho malunga nedosi echanekileyo ngaphambi kokuba uqale kwakhona.
Kuthekani ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lwePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Eli yeza limiselwe wena wedwa. Ngoko ke, ungaze ulinike omnye umntu.
Amanye amayeza ekufuneka uwalumkele xa esetyenziswa neClozapine
I-Clozapine liyeza elinokunxibelelana namanye amayeza amaninzi. Oku kuthetha ukuba ukulisebenzisa kunye namanye amayeza kunokutshintsha indlela esebenza ngayo iClozapine okanye konyuse iziphumo zayo ezingalindelekanga. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
| Ungaze uthathe iClozapine kunye nezi. | |
|---|---|
| I-Dronedarone | I-Pimozide |
| I-Metoclopramide | I-Thioridazine |
| Lumka ngakumbi xa usebenzisa iClozapine kunye nezi. | |
| Utywala | Iziselo ezine-caffeine (ikofu, iti) |
| Ezinye iintlobo zee-antibiotics | Amayeza okudakumba |
| Amayeza okulala okanye ukuxhalaba | Amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane |
| Amayeza oxinzelelo lwegazi | Amayeza okunyanga isifo sokuwa |
Olu luhlu aluphelelanga, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho malunga namayeza owasebenzisayo.
Izinto ekufuneka ziqwalaselwe ngokukodwa xa uthatha amayeza
- Uvavanyo lwegazi lweveki nganye: Xa uqala iClozapine , kuya kufuneka uvavanywe igazi kube kanye ngeveki kwiinyanga ezimbalwa zokuqala. Oku kuya kujonga ukuba inani leeseli zakho ezimhlophe zegazi liyehla ngokuyingozi na. Ukuba inani legazi lakho lilungile kwiinyanga ezi-6 zokuqala, ugqirha wakho unokugqiba ekubeni anciphise ukuphindaphinda kovavanyo lwegazi. Le yinto ekufuneka uyenze ngokuqinisekileyo.
- Iimpendulo zesikhumba: Ngamanye amaxesha iimpembelelo zesikhumba ezinzima zinokwenzeka kwiiveki emva kokuba uqalise amayeza. Funa uncedo lwezonyango ngokukhawuleza ukuba uvela amadyungudyungu abomvu okanye amfusa eluswini lwakho kunye neempawu ezinje ngomkhuhlane okanye ukubanda, ulusu oluqhekekayo, okanye ii-lymph nodes ezidumbileyo ebusweni bakho, emilebeni, entanyeni, okanye emakhwapheni.
- Ukuqhina: Kukho umngcipheko wokuqhina xa usebenzisa eli yeza. Xelela ugqirha wakho ukuba awukwazi ukuya kwigumbi lokuhlambela njengesiqhelo, ukuba unesisu esingaphantsi kwesithathu ngeveki, okanye ukuba uneempawu ezifana nentlungu yesisu, ukuqunjelwa, isicaphucaphu, okanye ukuhlanza. Sela amanzi amaninzi.
- Ukozela kunye nesiyezi: Eli yeza linokubangela ukozela kunye nesiyezi. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba oku kukuchaphazela njani. Ukuze uphephe isiyezi, vuka kancinci xa uvuka kwindawo ohleli kuyo okanye uphuma ebhedini.
- Ukutshaya: Xelela ugqirha wakho ukuba uyatshaya, kuba ukutshaya kungayichaphazela indlela eli yeza elisebenza ngayo. Xelela ugqirha wakho ukuba uceba ukuyeka ukutshaya.
- Ubushushu bomzimba: Eli yeza linokukuchaphazela amandla akho okulawula ubushushu bomzimba wakho. Zikhusele ekubandeni okukhulu nasebushushwini. Sela amanzi amaninzi.
Iziphumo ebezingalindelekanga ezinokwenzeka ngeli yeza
Njengayo nayiphi na imithi, iClozapine inokubangela iziphumo ebezingalindelekanga. Ezinye ziyingozi, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Ii-aleji | Amadyungudyungu eluswini, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala |
| Iingxaki zentliziyo | Ukubetha kwentliziyo okungaqhelekanga, iintlungu zesifuba, ubunzima bokuphefumla, ukudumba kwemilenze/amaqatha, ukudinwa kakhulu |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu (kusenokuba luphawu lokuba inani leeseli ezimhlophe zegazi liphantsi) |
| Iimpawu zestroke | Ukuba ndindisholo/ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, intloko ebuhlungu kakhulu |
| Ezinye iimpawu ezinzulu | Ukuxhuzula, umkhuhlane ophezulu kunye nokuqina kwemisipha (i-Neuroleptic Malignant Syndrome), iintshukumo zomzimba ezingalawulekiyo (i-EPS), ukuqhina okukhulu, iimpawu zomonakalo wesibindi (ukutyheli kolusu/amehlo, umchamo omnyama) |
| Ngokwesiqhelo ayisiyongxaki inzulu (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| Ukudinwa/ukozela | Ukutyiwa kakhulu ngamathe |
| Intloko ebuhlungu | Ukutyeba kwakho |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga, thetha nogqirha wakho ngoko nangoko.
Ungayigcina njani iyeza?
- Gcina kude nokufikelela kwabantwana.
- Gcina kubushushu begumbi (phakathi kwama-20-25 Celsius). Musa ukuyibeka efrijini okanye ukuyiqandisa.
- Zikhusele ekukhanyeni.
- Lahla naliphi na iyeza eliseleyo emva kweentsuku ezili-100 emva kokuvula ibhotile.
- Musa ukusebenzisa amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Clozapine liyeza elifanele lisetyenziswe ngononophelo olukhethekileyo. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Qiniseka ukuba uxelela ugqirha wakho ngezinye izifo zakho kunye nawo onke amayeza owasebenzisayo.
- Musa ukulibazisa naluphi na uvavanyo lwegazi olucwangcisiweyo. Oku kubaluleke kakhulu ukuze ukhuseleke.
- Kuphephe ukuyeka amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
- Ukuba ufumana isiphumo esibi kakhulu esifana nomkhuhlane, amadyungudyungu eluswini, iintlungu zesifuba, okanye ubunzima bokuphefumla, bonana nogqirha ngokukhawuleza.
- Ukuba unemibuzo malunga nale yeza, ungoyiki ukubuza ugqirha wakho.
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