Ngaba kufuneka siqaphele i-Olanzapine Extended-Release Injection?

Wena okanye umntu omaziyo usenokuba uxelelwe ngugqirha malunga neyeza elibizwa ngokuba yi-Olanzapine. Okanye usenokuba ujonge kulo. Eli yeza lisetyenziselwa ukunyanga iingxaki zempilo yengqondo. Ngoko ke, masithethe ngalo ngendlela elula onokuyiqonda.

Yintoni le injection ye-Olanzapine?

Ngamafutshane, i-OLANZAPINE liyeza elisetyenziselwa ukunyanga iimeko zempilo yengqondo ezifana ne -schizophrenia . Iingqondo zethu ziqulathe iikhemikhali ezimbini ezibizwa ngokuba yi-dopamine kunye ne-serotonin. Ezi zinceda ekulawuleni imo yethu, indlela esiziphatha ngayo, kunye neengcinga zethu. I-Olanzapine isebenza ngokulinganisela amanqanaba ezi khemikhali. Ikwiqela lamayeza abizwa ngokuba yi-antipsychotics. Ezi ntlobo zamayeza e-antipsychotic asetyenziselwa ukunyanga iimeko ezahlukeneyo zempilo yengqondo.

Ngamanye amaxesha eli yeza lingasetyenziselwa ezinye iimeko, ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.

IGAMA(AMA) LEBHANDU EQHELEKILEYO ELI YESI YEZA: `Zyprexa Relprevv`

Zeziphi izinto ekufuneka uzixelele iqela lakho lezonyango ngaphambi kokuba uqalise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubalulekile ukuba iqela lakho lezempilo (oogqirha kunye nabahlengikazi) bazi ngezi zinto ukuze bakwazi ukukunyanga ngokukhuselekileyo nangendlela efanelekileyo. Jonga ukuba ezi zinto ziyasebenza na kuwe:

• Ngaba unemeko efana `nokuvaleka kwamathumbu akho` ?
• Ngaba ungumntu otshaya icuba ?
• Ngaba uhlala unengxaki yokuqunjelwa ?
• Ngaba unesifo sengqondo esixhalabisayo ( ukulahlekelwa yinkumbulo)?
• Ingaba unaso isifo seswekile ?
• Ngaba unengxaki yokuginya ?
• Ngaba une -glaucoma ?
• Ngaba unengxaki yokulawula izihlunu zakho ?
• Ngaba unesifo sentliziyo ?
• Ngaba une -cholesterol ephezulu ?
• Ngaba amanqanaba akho eprolactin aphakanyisiwe ?
• Ngaba wakha waba nembali yomhlaza webele ?
• Ngaba kukho imbali yokubetha kwentliziyo okungahambelaniyo ?
• Ngaba wakha wahlaselwa sistroke ngaphambili?
• Ngaba unesifo sesibindi ?
• Ingaba igazi lakho liphantsi ( umz. iiseli ezimhlophe zegazi, iiplatelets, okanye iiseli ezibomvu zegazi)?
• Ingaba igazi eliphantsi?
• Ngaba unesifo sikaParkinson ?
• Ngaba kukho isifo se-prostate ?
• Ngaba unesifo sokuxhuzula esifana nesifo sokuwa ?
• Ngaba ukhe wacinga, waceba okanye wazama ukuzibulala ? Ngaba wena okanye nabani na kusapho lwakho wakha wazama ukuzibulala?
• Ngaba unengxaki yokuchama ?
• Ngaba ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwi-olanzapine, amanye amayeza, ukutya, iidayi okanye izithinteli?
• Ngaba ukhulelwe okanye uzama ukukhulelwa ?
• Ngaba uyancancisa ?

Akupheleli nje kwezi zinto, kodwa kufuneka wazise ugqirha wakho nangayiphi na eminye imithi, iivithamini, okanye amayeza esintu owasebenzisayo.

Ndingayisebenzisa njani le yeza?

Eli asiloyeza onokulithatha ekhaya. Linikwa njengenaliti kwisihlunu liqela lakho lezempilo. Oku kuthetha ukuba linikwa ngugqirha okanye umongikazi oqeqeshiweyo. Linikwa ngamaxesha athile . Musa ukuyeka ukuthatha olu nyango de iqela lakho lezempilo likuxelele ukuba wenze njalo.

Ngaphambi konyango ngalunye, uya kunikwa incwadana yemiyalelo ekhethekileyo (`MedGuide`) . Kubaluleke kakhulu ukufunda nokuqonda iinkcukacha ezikuyo ngononophelo ngalo lonke ixesha.

Ukuba unika abantwana eli yeza, thetha neqela lakho lezonyango ngalo. Kunokufuneka unonophelo olukhethekileyo.

Kubalulekile: Eli yeza lelakho wedwa. Ungaze ulinike omnye umntu.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba usele kakhulu, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko okanye utsalele umnxeba kwiziko lokulawula ityhefu.

Kuthekani ukuba ndiphoswa ngumhla wokugonywa ocwangcisiweyo?

Ukuba uphoswa lixesha okanye usuku olucwangcisiweyo lokugonywa kwakho, fowunela iqela lakho lezonyango ngokukhawuleza kwaye ubazise.

Zeziphi ezinye izinto ezinokusebenzisana nale mithi? (Ukusebenzisana kwamayeza)

Amanye amayeza anokubangela iingxaki xa esetyenziswa ngolu hlobo. Ngoko ke nika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo, kuquka amayeza esintu, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya. Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Musa ukuthatha le injection ye-Olanzapine kunye naliphi na kula mayeza alandelayo:

• I-Dronedarone
• I-Cisapride
• I-Metoclopramide
• I-Pimozide
• I-Thioridazine

Eli yeza linokunxibelelana nezi zinto zilandelayo:

• Utywala
• Amanye amayeza okunyanga i-allergies, ukukhwehlela, kunye nomkhuhlane (umz., ii-antihistamines)
• I-Atropine
• I-Carbamazepine
• Amanye amayeza okunyanga ixhala okanye ukulala
• Amanye amayeza eengxaki zesinyi (umz., i-oxybutynin, i-tolterodine)
• Amanye amayeza okudakumba (umz. i-amitriptyline, i-fluoxetine, i-sertraline)
• Amanye amayeza eengxaki zesisu (umz. i-dicyclomine, i-hyoscyamine)
• Amayeza okunyanga isicaphucaphu (umz., i-scopolamine)
• I-Fluvoxamine
• Ii-anesthetics (umz., i-halothane, i-isoflurane, i-methoxyflurane, i-propofol)
• I-Levodopa okanye amanye amayeza esifo sikaParkinson
• Amayeza oxinzelelo lwegazi
• Amayeza okunyanga isifo sokuwa
• Iziphumzi zemisipha zotyando
• Amayeza eentlungu ezibangelwa yiziyobisi
• I-Omeprazole
• Amanye amayeza anokubangela ukungasebenzi kakuhle kwesingqisho sentliziyo (`ixesha le-QT`)
• IiPhenothiazines (umz. i-chlorpromazine, i-prochlorperazine)
• I-Rifampin

Olu luhlu lusenokungaphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.

Ngawaphi amanyathelo akhethekileyo okhuseleko ekufuneka athathwe xa usebenzisa eli yeza?

Iqela lakho lezonyango liza kukujonga ngokusondeleyo ngelixa usela eli yeza. Xelela iqela lakho lezonyango ukuba iimpawu zakho aziphucuki okanye ukuba ziya zisiba mandundu.

Oku kubaluleke kakhulu: Emva kokuba ufakwe inaliti, kufuneka uhlale ekliniki apho ufakwe khona inaliti ubuncinane iiyure ezi-3 . Uyazi ukuba oko kuthetha ukuthini? Iqela lezonyango lifuna ukubona ukuba unazo na iimpawu zesifo esibizwa ngokuba yi-Post-injection Delirium Sedation Syndrome (PDSS). I-PDSS yimeko enzima kakhulu . Yenzeka xa iyeza lingena egazini lakho ngokukhawuleza. Ezinye zeempawu ze-PDSS zezi:

• Ukozela
• Isiyezi
• Ukudideka (ukungazi ukuba kwenzeka ntoni)
• Ubunzima bokuthetha okanye ukuhamba
• Ukuxhuzula
• Ukuqina kwemisipha okanye ukungcangcazela
• Ukuziva ubuthathaka
• Ukuziva uxhalabile okanye unomsindo
• Ukulahlekelwa yingqondo okanye ukuquleka
• Utshintsho kuxinzelelo lwegazi

Xa uphuma ekliniki, kufuneka kubekho umntu oza kuhamba nawe.Ukuba ubonakalisa iimpawu ze-PDSS emva kokuphuma ekliniki okanye esibhedlele, funa uncedo lwezonyango ngoko nangoko .

Musa ukuqhuba okanye ukusebenzisa oomatshini abanzima usuku lonke emva kokufakwa inaliti. Usenokuziva unesiyezi okanye ulele. Musa ukuma okanye uhlale ngequbuliso, ingakumbi ukuba sele ukhulile. Oku kunokunciphisa isiyezi kunye nokuquleka. Utywala bunokuphazamisa indlela eli yeza elisebenza ngayo. Ngoko ke kuphephe ukusela utywala.

Eli yeza linokubangela ukusabela okukhulu kwesikhumba kwabanye abantu. Oku kunokwenzeka nakwiiveki emva kokuba uqalile ukusela iyeza. Xelela iqela lakho lezempilo ngoko nangoko ukuba ufumana irhashalala enomkhuhlane kunye neempawu ezifana nomkhuhlane. Ezi rhashalala zinokubonakala zibomvu okanye zimfusa, emva koko zibe namadyungudyungu kwaye ziqhekeke. Kwakhona, xelela ugqirha wakho ukuba unerhashalala ebomvu enokudumba kobuso okanye imilebe, okanye ii-lymph nodes ezivuvukileyo entanyeni okanye emakhwapheni.

Eli yeza linokunyusa amanqanaba eswekile egazini . Ukuba unesifo seswekile, buza iqela lakho lezempilo ukuba ufuna ukwenza naluphi na utshintsho kwindlela otya ngayo okanye amayeza akho.

Usenokuba nomlomo owomileyo . Unokunceda ekulawuleni oku ngokuhlafuna itshungama engenaswekile, ukufunxa iqhekeza letshungama, nokusela amanzi amaninzi. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, xelela iqela lakho lezempilo.

Eli yeza lingenza kube nzima kuwe ukulawula ubushushu bomzimba wakho . Lingenza umzimba wakho ungaphenduli kakuhle kwimozulu ebandayo. Ukuba kunokwenzeka, hlala endlwini ngeentsuku ezibandayo. Ukuba kufuneka uphume ngaphandle, nxiba iimpahla ezifudumeleyo. Lingenza nomzimba wakho ungaphenduli kakuhle kubushushu. Ngoko ke musa ukuvumela umzimba wakho ushushu kakhulu. Musa ukuzilolonga kakhulu. Hlala kude nelanga kangangoko unako. Ukuba kufuneka ube selangeni, nxiba iimpahla eziphefumlayo. Sela amanzi amaninzi. Ukuba uziva ngathi unengxaki yokulawula ubushushu bomzimba wakho, fowunela iqela lakho lezonyango ngoko nangoko.

Ukuba utshaya , xelela iqela lakho lezonyango ukuba ucinga ukuba eli yeza alisebenzi kakuhle. Ukuba utshaya okanye ucinga ngokuyeka, thetha neqela lakho lezonyango ngalo mba.

Zeziphi iziphumo ebezingalindelekanga ezinokubangela eli yeza?

Njengazo zonke amayeza, le inokuba nemiphumo emibi, kodwa ayinguye wonke umntu oyifumanayo.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha okanye kwiqela lezonyango ngoko nangoko:

Ukuba ubona naziphi na ezi mpawu, kufuneka uzixele ngokukhawuleza :

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Iswekile ephezulu egazini (i-hyperglycemia): Ukoma okanye ukuchama kakhulu, ubuthathaka okanye ukudinwa okungaqhelekanga, ukubona izinto ezingacacanga.
• Umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okugqithisileyo, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, kunye nokudideka: Ezi zinokuba ziimpawu zesifo esibi esibizwa ngokuba yi-neuroleptic malignant syndrome.
• Amanqanaba aphezulu e-prolactin: Ukukhula okungalindelekanga kwezicubu zebele, ukuphuma kweengono, utshintsho kwiminqweno yesondo okanye ukusebenza, imijikelo yokuya exesheni engahambelaniyo.
• Usulelo: Umkhuhlane, ukubanda, ukukhohlela, okanye umphimbo obuhlungu.
• Uxinzelelo lwegazi oluphantsi: isiyezi, ukuquleka, amehlo aluhlaza okwesibhakabhaka.
• Intlungu okanye ingxaki yokuginya.
• Isifo sokuthomalalisa emva kokufakwa inaliti: Ukuba nesiyezi, ukozela, ukuthetha okungacacanga, ukudideka, ukuxhalaba, ukungazinzi, ubunzima bokuhamba, ukulahleka kolungelelwano, ubuthathaka okanye ukudinwa okungaqhelekanga.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Iingcinga zokuzibulala okanye zokuzilimaza, imeko-bume eba mandundu, iimvakalelo zokudakumba.
• Iintshukumo zomzimba ezingalawulwayo neziphindaphindayo, ukuqina kwemisipha okanye ukushukuma, ukungcangcazela, ukulahlekelwa yibhalansi, ukungazinzi, ukuhamba ngokushukuma: ezi zinokuba ziimpawu ze-'extrapyramidal symptoms (EPS)'.

Iimpawu ezidla ngokungadingi ngcebiso kagqirha (kodwa yazisa iqela lezonyango ukuba ziyaqhubeka okanye ziyakhathaza):

Ezi zifo zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho.

• Urhudo
• Isiyezi
• Ukozela
• Umlomo owomileyo
• Intloko ebuhlungu
• Isicaphucaphu
• Ukutyeba kwakho

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuze akunike iingcebiso malunga neziphumo ebezingalindelekanga.

Ndingaligcina phi eli yeza?

Awuyi kuvunyelwa ukuba uye nalo mayeza ekhaya. Eli liyeza elinikwa esibhedlele okanye ekliniki, ngoko ke akufuneki uligcine ekhaya.

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, ngoku unoluvo oluthile malunga nogonyo lwe-olanzapine olusebenza ixesha elide. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho okanye ilungu leqela lakho lezonyango malunga nayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Ngabo banokukunceda ngcono.

Khumbula, olu lwazi lolwakho kuphela. Alulo icebiso lezonyango. Soloko ulandela icebiso likagqirha wakho.

Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Olanzapine, i-schizophrenia, i-antipsychotic, impilo yengqondo, i-Zyprexa Relprevv, inaliti, iziphumo ebezingalindelekanga, i-PDSS, i-Olanzapine, i-schizophrenia-psychotic , impilo yengqondo, inaliti, iziphumo ebezingalindelekanga