Ngaba wakha watyandwa? Okanye ngaba umhlobo wakho wayenalo? Xa oko kusenzeka, uloyiko olukhulu kubantu abaninzi kukuba nesicaphucaphu nokuhlanza okwenzeka emva kotyando. Yinto engathandekiyo ngokwenene. Ngoko ke namhlanje siza kuthetha ngenaliti ekhethekileyo enikwa ukulawula, oko kukuthi, ukuthintela, imeko enjalo. Igama leli yeza yiDroperidol.
Ngamafutshane, yintoni iDroperidol?
I-Droperidol liyeza elinikwa wena ukuthintela isicaphucaphu nokuhlanza okunokwenzeka emva kotyando okanye ezinye iinkqubo zonyango. Linikwa njengenaliti. Ngokukodwa, lithintela ukusebenza kweekhemikhali ezithile engqondweni yethu ezibangela isicaphucaphu nokuhlanza. Olu hlobo lwamayeza lubizwa ngokuba yi-antiemetics. Igama eliqhelekileyo lale nto yi-Inapsine.
Eyona nto ibalulekileyo kukuba eli ayiloyeza onokulithenga kwikhemesti. Linikwa kuphela phantsi kweliso likagqirha esibhedlele okanye eklinikhi.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba ukunike eli yeza
Njengakweminye imithi, kubalulekile ukuba ugqirha wakho azi kakuhle imeko yakho yempilo ngaphambi kokuba akunike inaliti yeDroperidol. Oku kungenxa yokuba abantu abaneengxaki ezithile zempilo kufuneka balumke kakhulu xa benika eli yeza. Ke ngoko, ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
- Ukusela: Ukuba usela rhoqo, sixelele ngako.
- Isifo sentliziyo: Ukuba unesifo sentliziyo, umzekelo, ukungasebenzi kakuhle kwentliziyo, ukubetha kwentliziyo okungahambelaniyo, okanye ukubetha kwentliziyo okucothayo.
- Isifo sezintso: Ukuba unesifo sezintso.
- Isifo sesibindi: Ukuba unesifo sesibindi.
- Ii-Allergy: Ukuba une-allergy kwi-Droperidol okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukukhulelwa: Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuncancisa: Ukuba ungumama oncancisa umntwana wakho.
Ukubonelela iqela lezonyango ngolu lwazi kubaluleke kakhulu kukhuseleko lwakho.
Indlela yokusebenzisa eli yeza kunye nento omawuyenze xa kukho imeko engxamisekileyo
Eli yeza alikho into onokuya nayo ekhaya. I-Droperidol yinaliti enikwa esibhedlele okanye eklinikhi kuphela ngugqirha okanye umongikazi. Ifakwa ngqo emthanjeni okanye kwisihlunu.
Ingaba ninika abantwana abancinci oku?
Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linikwa nabantwana abangaphezu kweminyaka emi-2 ubudala. Kodwa lenziwa phantsi kononophelo olukhethekileyo kwaye kuphela ngokubona kukagqirha.
Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu (ukusebenzisa amayeza agqithisileyo)?
Ekubeni oku kubonelelwa esibhedlele, amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba usele eli yeza kakhulu nangayiphi na indlela, kubaluleke kakhulu ukwazisa okanye uye kwiYunithi yoNyango oluNgxamisekileyo yesibhedlele (ETU) . Kwakhona, kukho indawo kwilizwe lethu ekhethekileyo kwizinto ezinjalo. Leyo yiZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo . Ungabafowunela kwaye ufumane ingcebiso.
Amanye amayeza anokusebenzisana neDroperidol (i-Drug Interactions)
Le yinxalenye ebaluleke kakhulu. I-Droperidol liyeza elinokusebenzisana namanye amayeza amaninzi. Ke ngoko, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza emifuno, kunye nezongezo. Kufuneka uxelele ugqirha wakho ukuba utshaya okanye usela utywala.
Apha ngezantsi kukho amanye amayeza anokusebenzisana neDroperidol. Olu aluloluhlu olupheleleyo, kodwa lolona luphambili ekufuneka ululumkele.
| Udidi lweziyobisi | Imizekelo kunye neenkcazo |
|---|---|
| Ungaze uthathe iDroperidol kunye nale yeza. | |
| Amayeza achaphazela izinga lentliziyo | Amayeza afana neDronedarone, iCisapride, iPimozide, neThioridazine. |
| Amanye amayeza okubulala iintsholongwane | Njenge-Erythromycin, iClarithromycin, iMoxifloxacin. |
| Ezinye izinto ezilwa nentsholongwane | Ezifana neKetoconazole, iFluconazole. |
| Amanye amayeza okulwa nesicaphucaphu | NjengeDolasetron, iPalonosetron. |
| Amanye amayeza okudakumba | Ii-tricyclic antidepressants ezifana ne-Amitriptyline, i-Nortriptyline. |
| Iimpendulo zinokwenzeka nakule yeza. | |
| Izibulali-ntlungu (ii-opioids) | Iipilisi zokunciphisa iintlungu ezinamandla ezifana neMorphine kunye neTramadol. |
| Iziyobisi zomchamo | Amayeza anciphisa ubungakanani bamanzi netyuwa emzimbeni. |
| IiBarbiturates | Amanye amayeza okulala kunye nesifo sokuwa. |
Izinto onokuzilindela kunye nemiphumo emibi emva kokuthatha iyeza
Emva kokuthatha eli yeza, imeko yakho iya kuhlolwa ngokusondeleyo liqela lezonyango.
Usenokuziva ulele okanye unesizungu . Oku kuqhelekile. Ngoko ke, phepha imisebenzi efuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, de imiphumo yale mithi iphele ngokupheleleyo. Ingakumbi ukuba umdala, musa ukuvuka ngequbuliso uhleli. Linda imizuzu embalwa ngaphambi kokuba uvuke. Oku kuya kunciphisa umngcipheko wokuba nesizungu nokuwa. Kwakhona, kuphephe ukusela utywala ngokupheleleyo .
Imiphumela
Njengazo zonke amayeza, le inokuba nemiphumo emibi. Eminye yayo iyingozi, eminye yayo ixhaphakile.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lakho lezonyango ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukuba nesiyezi, ukuba nentloko ekhaphukhaphu, ukubona okufipheleyo. |
| Isifo se-Neuroleptic Malignant (NMS) | Le yimeko engaqhelekanga kodwa imbi kakhulu. Iimpawu ziquka umkhuhlane ophezulu, ukuqina kwemisipha, ukubila kakhulu, ukubetha kwentliziyo ngokukhawuleza, kunye nokudideka. |
| Iimpawu ze-Extrapyramidal (EPS) | Ukungakwazi ukulawula iintshukumo zomzimba, ukuqina kwemisipha okanye ukungcangcazela, ukungazinzi, kunye nendlela engaqhelekanga yokuhamba. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukozela kakhulu, ukudideka. |
| Izinto ekufuneka zixelelwe iqela lezonyango ukuba ziyaqhubeka okanye ziyakhathaza | |
| Ixhala, uvalo | Ukuziva usoyika kwaye ungakhululekanga ngaphandle kwesizathu. |
| Ukozela | Yinto elindelekileyo ngokubanzi, kodwa ukuba igqithisile, yitsho. |
| Ukungaboni | Ukubona okanye ukuva izinto ezingekhoyo. |
Umyalezo Wokuya Ekhaya
- I-Droperidol yinaliti enamandla enikwa ukuthintela isicaphucaphu nokuhlanza okwenzeka emva kotyando nezinye iinkqubo zonyango.
- Eli yeza linikwa kuphela phantsi kweliso likagqirha esibhedlele okanye ekliniki.
- Kubalulekile ukwazisa ugqirha wakho ngazo naziphi na ezinye izifo onazo (ingakumbi isifo sentliziyo, sesibindi, nesintso) kunye nawo onke amayeza owasebenzisayo.
- Ziphephe izinto ezifuna ukuphaphama kuba zinokubangela ukozela kunye nesiyezi emva kokuthatha iyeza. Ziphephe ngokupheleleyo utywala.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngokutshintsha kwesantya sentliziyo, umkhuhlane ophezulu, okanye ukuqina kwemisipha, yazisa iqela lezonyango ngoko nangoko.
- Ukuba unemibuzo engaphezulu malunga nale mithi, ungoyiki ukuthetha nogqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni inaliti yeDroperidol / Inapsine esetyenziselwa esibhedlele?
Oku akufani neDomperidone, esetyenziswa ekuhlanzeni okuqhelekileyo! Eli lelona yeza linamandla (eliqhelekileyo le-Antipsychotic / Antiemetic) emhlabeni eliyekisa ngoko nangoko ukuhlanza nokucasuka kwaye lizolise isigulane! Eli linikwa ngokukodwa emva 'kotyando olukhulu (Utyando / I-Anesthesia)' ukuvala/ukuvala nokutshixa isicaphucaphu esinzima isigulane esingenakukwazi ukusithwala ukuya kuthi ga kwinqanaba apho amathumbu/amathumbu aphuma khona.
💬 Le naliti inamandla (iDroperidol) ifikelela njani engqondweni yethu ize iyeke ukuhlanza kakhulu?
Ii-anesthetics (Anesthesia/Opioids) ezinikwa ngexesha lotyando zibangela ukuba kukhutshwe inani elikhulu leekhemikhali ezibizwa ngokuba yi-'Serotonin/Dopamine' engqondweni, eziya kwiziko lokuhlanza (CTZ) kwaye zibangele ukuhlanza ngokungathi iqhosha licinezelwe. Kwangoko nje olu tyando lungena egazini, ii-'Dopamine Receptors' ezikwingqondo zivalekile ngokupheleleyo (i-Dopamine blockade). Ekubeni kungekho ndlela yokuba umyalezo udluliselwe, isigulane asihlanzi kwaye nesigulane siyalala (i-Sedation).
💬 Zeziphi izilumkiso zeBlack Box ekufuneka abantu abafaka eli chiza lokuthomalalisa ukugabha (iDroperidol) baziqaphele?
Eyona ngozi inkulu kukulahlekelwa bubomi kunokuyeka ukuhlanza! Oku 'kunokutshintsha kakhulu isigqi sombane sentliziyo, kubangele intliziyo ibethe ngendlela engaqhelekanga, kubangele ukuhlaselwa yintliziyo okuyingozi kunye nokuma kwentliziyo (QT Prolongation / Torsades de pointes / Cardiac Arrest)'. Ke ngoko, abo bane-injection kufuneka babe nomatshini we-ECG/EKG ovulwa rhoqo iiyure ezi-2-3! Enye into kukuba oku kunokubangela ukuba isigulana sibe nesifo sokuwa (EPS).
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