Masifunde ngesitofu sokugonya i-Olanzapine? Yonke into ekufuneka uyazi malunga nesi sitofu!

Xa ugqirha ecebisa inaliti ye-'Olanzapine' kuwe okanye kumntu osondeleyo kuwe, kuyinto eqhelekileyo ukuba nemibuzo emininzi ngayo, akunjalo? "Luhlobo luni lonyango olu?", "Kutheni lunikwa olu?", "Ngaba luza kuba nemiphumo emibi?" Mhlawumbi uyazibuza izinto ezinjalo. Enyanisweni, kubaluleke kakhulu ukuba nokuqonda kakuhle naliphi na iyeza. Ke namhlanje, masithethe ngayo yonke into ekufuneka uyazi malunga nale naliti ye-'Olanzapine', ngokulula, ngendlela onokuyiqonda.

Luhlobo luni lonyango i-Olanzapine?

Ngamafutshane, i-Olanzapine liyeza elisetyenziselwa ukunyanga ezinye iimeko zempilo yengqondo. Linceda ukulawula iimpawu ze- schizophrenia - uyazi, imeko apho abantu bebona, beva, okanye beneenkolelo ezingaqhelekanga ezingezizo zokwenyani - kunye nesifo se-bipolar - imeko apho iimvakalelo zinokutshintsha ngequbuliso ukusuka ekubeni mnandi kakhulu ukuya ekubeni lusizi kakhulu.

Cinga ngako, kukho iikhemikhali ezahlukeneyo engqondweni yethu ezinceda ekulawuleni iimvakalelo zethu, ukuziphatha kwethu, kunye neengcinga zethu. I-Dopamine kunye ne-Serotonin ziikhemikhali ezimbini ezibalulekileyo. Iyeza i-Olanzapine lisebenza ngokulinganisela amanqanaba ezi dopamine kunye ne-serotonin engqondweni. Le yindlela enceda ngayo ukuphucula iimvakalelo zethu kunye nokuziphatha kwethu.

Eli yeza likwiqela lamayeza abizwa ngokuba yi-"Antipsychotics". Amayeza akweli qela asetyenziselwa ukunyanga iingxaki ezahlukeneyo zempilo yengqondo. Ungalifumana eli yeza phantsi kwamagama ebhrendi athi ``Zyprexa`` okanye ``Zyprexa Intramuscular``. Ngoko ke, ugqirha wakho uza kukuchazela ukuba kutheni unikwa eli yeza elithi ``Olanzapine``. Ngamanye amaxesha, eli yeza lingasetyenziselwa nezinye iimeko ezingakhankanywanga kweli nqaku. Ngoko ke, ungaze woyike ukubuza ugqirha wakho okanye ikhemisti ukuba unemibuzo.

Yintoni omele uyixelele iqela lakho lezonyango ngaphambi kokuba ufumane olu gonyo?

Eli linqaku elibaluleke kakhulu . Ngaphambi kokuba uqale ukusebenzisa i-Olanzapine, kubalulekile ukwazisa iqela lakho lezonyango ngeemeko zakho zempilo zangoku. Kuba, ukuba uneemeko ezithile, kufuneka ulumke ngakumbi xa unika eli yeza, okanye mhlawumbi eli yeza alifanelekanga kuwe. Khawucinge nje, ukuba uNalini ebengamxelelanga ugqirha ukuba unesifo seswekile, eli yeza belinokunyusa amanqanaba eswekile yakhe nangakumbi, akunjalo? Yiyo loo nto kubalulekile ukuzixela ezi zinto.

Ukuba unazo ezi zinto, ngokuqinisekileyo yitsho:

• Ukuvaleka kwamathumbu: Ngaba wakha waba nento efana nokuvaleka kwamathumbu ngaphambili?
• Ukuba utshaya: Ngaba uyatshaya icuba? (Oku kunokuchaphazela indlela amayeza asebenza ngayo)
• Ukuqhinwa: Ngaba uhlala uqhinwa?
• I-Dementia: Isifo sokulahlekelwa yinkumbulo, ingakumbi kubantu abadala.
• Isifo seswekile: Ngaba unesifo seswekile? Ngaba siyalawuleka?
• Ubunzima bokuginya: Ngaba kunzima ukuginya ukutya nokusela?
• I-Glaucoma: Isifo apho uxinzelelo emehlweni lunyuka khona.
• Ubunzima bokulawula izihlunu: Ngaba unengxaki yokulawula amalungu akho omzimba, njengokungcangcazela?
• Isifo sentliziyo: Ngaba unesifo sentliziyo? (umz., unesifo sentliziyo, intliziyo yakho ibonakala ibuthathaka)
• I-cholesterol ephezulu: Ngaba unamanqanaba aphezulu e-cholesterol egazini lakho?
• Ukwanda kwamanqanaba eprolactin: Ngaba ukhe wavavanywa ukuze kubonwe ukuba i-hormone prolactin iphakanyisiwe na egazini lakho?
• Imbali yomhlaza webele: Ngaba wena okanye nabani na kusapho lwakho wakha waba nomhlaza webele?
• Imbali yokubetha kwentliziyo ngendlela engacwangciswanga: Ngaba izinga lokubetha kwentliziyo yakho liye latshintshatshintsha? Ngaba i-ECG yakho ibonakalise ukungacwangciswanga?
• Ukuba unesifo sokukhubazeka: Ngaba wakha wanesifo sohlangothi ngaphambili?
• Isifo sesibindi: Ngaba kukho isifo sesibindi? (umz. isifo sesibindi, i-hepatitis)
• Inani eliphantsi leeseli zegazi: Ngaba kukho iingxelo zokuba iiseli zegazi ezimhlophe, iiplatelets, okanye iiseli ezibomvu zegazi ziphantsi?
• Uxinzelelo lwegazi oluphantsi: Ngaba uxinzelelo lwakho lwegazi luyehla rhoqo? Ngaba uziva unesiyezi xa usukuma?
• Isifo sikaParkinson: Ngaba unesifo sikaParkinson ?
• Izifo zeprostate: Ukuba uyindoda, ngaba unengxaki yeprostate?
• Isifo sokuwa ('Ukuxhuzula'): Ngaba kukho imeko ekwenza kubonakale ngathi kuza ukuxhuzula?
• Iingcinga, izicwangciso, okanye imizamo yokuzibulala: Ngaba uneengcinga zokuzibulala, ngaba wakha wazenza izicwangciso, okanye wazama ukuzenza? Ngaba kukho umntu kusapho lwakho owakha wazenza? Ungoyiki ukuthetha ngale nto, oogqirha bakhona ukukunceda.
• Ubunzima bomchamo: Ngaba kunzima ukuchama ? Ngaba ubungakanani bomchamo bunciphile?
• Ukunganyamezelani ne-Olanzapine okanye amanye amayeza, ukutya, iidayi, izithinteli: Ngaba wakha waba ne-allergy kule yeza okanye nantoni na, efana nokudumba okanye ubunzima bokuphefumla?
• Ukuba ukhulelwe okanye uzama ukukhulelwa:
• Ukuba ungumama oncancisayo:

Olu luhlu lude kancinci, kodwa zonke ezi zinto zibaluleke kakhulu kukhuseleko lwakho nakwimpumelelo yonyango lwakho. Ngoko ke musa ukufihla nto, xelela ugqirha wakho yonke into, kulungile?

Inikwa njani le gonyo?

Eli yeza, i-Olanzapine, linikwa njengenaliti kwimisipha yakho.Olu gonyo ludla ngokunikezelwa kwisihlunu esisesinqeni okanye engalweni engasentla. Oku akuyonto onokuyenza ekhaya. Lunikwa liqela lezonyango esibhedlele okanye eklinikhi.

Ngaphambi kweseshoni nganye yonyango, uya kunikwa incwadana yolwazi ekhethekileyo (ebizwa ngokuba yi-'MedGuide') malunga nale yeza. Qiniseka ukuba uyifunda ngononophelo ngalo lonke ixesha . Isenokuba nolwazi oluninzi olubalulekileyo kuwe, olufana neenkcukacha malunga nemiphumo emibi kunye nezinto ekufuneka uzazi.

Ukuba unika abantwana eli yeza, thetha neqela lakho lezonyango ngalo. Ngamanye amaxesha kufuneka ukhathalelo olukhethekileyo xa ulinika abantwana.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Oku akunakwenzeka ukuba kwenzeke, kuba olu gonyo lunikwa yingcali yezonyango. Nangona kunjalo, ukuba ucinga ukuba usenokuba usele kakhulu eli yeza, okanye ukuba ufumana naziphi na ezi mpawu (ezifana nokozela kakhulu okanye ukudideka), fowunela iziko lolawulo lwetyhefu okanye igumbi likaxakeka ngoko nangoko . Musa ukuchitha ixesha.

Kwaye khumbula, eli yeza lelakho wedwa . Ungaze unike omnye umntu iyeza lakho, nokuba uneempawu ezifanayo nezakho.

Kuthekani ukuba ndiphoswa yi-vaccine?

Ekubeni olu lugonyo olunikwa esibhedlele okanye eklinikhi, akukho ngxaki ukuba uphoswe yidosi. Iqela lezonyango liza kusebenzisana nawe ukuze ufumane ugonyo ngosuku olucwangcisiweyo kunye nexesha. Ukuba awukwazi ukugcina idinga, nceda usazise kwangaphambili.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Le yingongoma ebaluleke kakhulu. Isitofu sokugonya se-'Olanzapine' sinokusebenzisana namanye amayeza. Oko kukuthi, xa loo mayeza esetyenziswa kunye, ukusebenza kwelinye kunokutshintsha, iziphumo ebezingalindelekanga zinokwanda, okanye isiphumo seli chiza sinokwehla. Khawucinge nje, ukuba uSaman uthatha i-'Olanzapine' ngelixa ethatha elinye iyeza elonyusa ukozela, unokufumana ukozela okugqithisileyo kunye nesiyezi, akunjalo? Izinto ezinjalo zinokwenzeka.

Musa ukuthatha olu gonyo lwe-Olanzapine kunye namayeza alandelayo:

• `I-Dronedarone`
• `I-Cisapride`
• `Metoclopramide` (ingasetyenziswa phantsi kweliso likagqirha kwezinye iimeko, kodwa kuphephe ukuyisebenzisa ngokwakho)
• `I-Pimozide`
• `I-Thioridazine`

Ukongeza, eli yeza linokunxibelelana nezi zinto zilandelayo:

• Utywala: Oku kunokunyusa ukozela kunye nesiyezi.
• Ii-antihistamines ezisetyenziselwa i-allergies, ukukhwehlela, kunye nomkhuhlane (umz., i-Chlorpheniramine, i-Promethazine) nazo zonyusa ukozela.
• `I-Atropine`
• `Carbamazepine` (iyeza lokuxhuzula)
• Amayeza athile okunyanga ixhala okanye ubuthongo: (umz., iDiazepam, iLorazepam)
• Amanye amayeza eengxaki zesinyi (umz., i-Oxybutynin, iTolterodine)
• Amanye amayeza okudakumba (umz., i-Amitriptyline, i-Fluoxetine, i-Sertraline)
• Amanye amayeza eengxaki zesisu (umz. iDicyclomine, iHyoscyamine)
• Amanye amayeza okunyanga isicaphucaphu (umz., iScopolamine)
• I-Fluvoxamine (iyeza lokudakumba)
• Ii-Anesthetics (umz., iHalothane, i-Isoflurane, iMethoxyflurane, iPropofol) : Xelela ugqirha wakho ukuba usebenzisa la mayeza ngaphambi kotyando.
• I-Levodopa okanye amanye amayeza esifo sikaParkinson
• Amayeza oxinzelelo lwegazi: Oku kunokubangela ukuba uxinzelelo lwegazi lwakho lwehle kakhulu.
• Amayeza okuxhuzula
• Amayeza aphumza izihlunu zotyando
• Amayeza eentlungu anjenge-narcotic: (umz. iMorphine, iTramadol)
• I-Omeprazole (iyeza le-gastritis)
• Amanye amayeza andisa ixesha le-QT (elinokubangela ukubetha kwentliziyo okungaqhelekanga) : Buza ugqirha wakho ngale nto.
• IiPhenothiazines (umz. iChlorpromazine, iProchlorperazine)
• `Rifampin` (iyeza lesifo sephepha)

Olu luhlu aluphelelanga. Kusenokubakho ezinye izinto ezinokubangela ukusabela. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo ngoku (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, iivithamini, izongezo) . Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezi zinto zinokudibana namayeza akho.

Yintoni endifanele ndiyilumkele xa ndisebenzisa eli yeza?

Iqela lakho lezonyango liza kukujonga ngokusondeleyo ngelixa ufumana olu gonyo. Xelela iqela lakho lezonyango ukuba iimpawu zakho aziphucuki, okanye ukuba ziya zisiba mandundu.

• Ukudinwa kunye nokozela: Usenokuziva unesizungu okanye ulele. Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani.Ingakumbi ukuba ungumntu omdala, musa ukuma okanye uhlale phantsi ngequbuliso. Ukwenza njalo kunokunciphisa umngcipheko wokuba nesiyezi kunye nokuwa.
• Utywala: Utywala bunokuphazamisana nemiphumo yale mithi kwaye bunokunyusa ukozela. Ngoko ke, kuphephe ukusela utywala ngokupheleleyo .
• Iimpendulo ezinzulu zesikhumba: Eli yeza ngamanye amaxesha linokubangela iimpendulo ezinzulu zesikhumba ('iimpendulo ezinzulu zesikhumba'). Ezi zinokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqalise iyeza. Ukuba ufumana irhashalala yesikhumba eneempawu ezifana nomkhuhlane, xelela iqela lakho lezempilo ngoko nangoko. Olu rhashalala lunokuba bomvu okanye bumfusa, emva koko lube namadyungudyungu kwaye luqhekeke. Okanye, unokufumana irhashalala ebomvu enokuvuvukala kobuso, imilebe, intamo okanye amakhwapha, okanye ii-lymph nodes ezivuvukileyo. Xelela ugqirha wakho ngoko nangoko ukuba ubona into efana nale.
• Umlomo owomileyo: Umlomo wakho usenokuba womile. Oku kunokuba yinto ecaphukisayo kancinci. Ukuhlafuna itshungama engenaswekile, ukufunxa iqhekeza lejinja (iswekile encinci), kunye nokusela amanzi amancinci imini yonke kunokunceda ekulawuleni oku.
• Iingxaki zokulawula ubushushu bomzimba: Eli yeza linokubangela iingxaki kumandla omzimba wakho okulawula ubushushu bawo. Linokunciphisa indlela umzimba wakho osabela ngayo kwimozulu ebandayo. Ukuba kunokwenzeka, hlala endlwini ngeentsuku ezibandayo. Ukuba kufuneka uphume, nxiba shushu. Linokunciphisa nendlela umzimba wakho osabela ngayo kubushushu. Ngoko ke kuphephe ukuba shushu kakhulu . Musa ukuzilolonga kakhulu, ingakumbi xa kushushu. Hlala kude nelanga kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla ekhululekileyo nekhaphukhaphu. Sela amanzi amaninzi. Ukuba kunzima ukulawula ubushushu bomzimba wakho, ukuba ubila kakhulu, okanye ukuba uziva ubanda kakhulu, xelela iqela lakho lezonyango ngoko nangoko.
• Iswekile ephezulu egazini: Eli yeza lisenokunyusa iswekile yakho egazini. Ukuba unesifo seswekile, buza iqela lakho lezempilo ukuba ufuna ukwenza naluphi na utshintsho kwindlela otya ngayo okanye amayeza akho. Nokuba awunaso isifo seswekile, kufuneka ujonge iswekile yakho egazini ukuba uneempawu ezifana nokunxanwa kakhulu, ukuchama rhoqo, okanye ukudinwa.
• Ukutshaya: Ukuba utshaya kwaye uvakalelwa kukuba eli yeza alisebenzi kakuhle, xelela iqela lakho lezempilo. Ukutshaya kunokwenza amanye amayeza aphume emzimbeni wakho ngokukhawuleza, ngoko ke umthamo wakho unokufuneka ulungiswe. Ukuba utshaya okanye ucinga ngokuyeka, thetha neqela lakho lezempilo ngaloo nto.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-Olanzapine inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zazo azibi kakhulu, kodwa ezinye zifuna unyango olukhawulezileyo. Ungakhathazeki, ayinguye wonke umntu ofumana zonke ezi ziphumo ebezingalindelekanga.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lezonyango ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala, ubunzima bokuphefumla. Oku kungaba yingxamiseko.
• Iswekile ephezulu egazini (iHyperglycemia): Unxano olugqithisileyo, umlomo owomileyo, ukuchama rhoqo (ingakumbi ebusuku), ukudinwa okanye ukudinwa okungaqhelekanga, ukubona okufipheleyo, ukwehla kobunzima.
• Umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okukhulu, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, kunye nokudideka okanye ukulahlekelwa yinkumbulo: Ezi zisenokuba ziimpawu zesimo esibi nesisongela ubomi esibizwa ngokuba yiNeuroleptic Malignant Syndrome (NMS). Funa uncedo lwezonyango ngokukhawuleza.
• Amanqanaba aphezulu e-prolactin: Ukukhula okanye iintlungu zebele ezingalindelekanga kumadoda, ukuphuma kweengono, utshintsho kwiminqweno yesondo okanye ukusebenza (umz., iingxaki zokuma), imijikelo yokuya exesheni engacwangciswanga kubafazi, ukuyeka ukuya exesheni, kunye nokuveliswa kobisi (ngaphandle kokuba ukhulelwe okanye uncancisa).
• Usulelo: Umkhuhlane, ukubanda, iintlungu zomzimba, ukukhwehlela, okanye umphimbo obuhlungu, amanxeba angapholiyo.
• Uxinzelelo lwegazi oluphantsi: Ukuba nesiyezi xa umi, uphelelwa ngamandla, ukuba nentloko ekhaphukhaphu, ukubona izinto zingahambi kakuhle, uzive ngathi uza kuwa.
• Intlungu okanye ingxaki yokuginya: Ukuziva ngathi ukutya kuyabambeka.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwee-lymph nodes: Oku kungaba luphawu lwemeko enzima efana ne-DRESS syndrome.
• Ukuba ufumana naziphi na kwezi mpawu, nceda uxelele ugqirha wakho okanye umntu omthembayo ngokukhawuleza: iingcinga zokuzibulala okanye zokuzilimaza, imeko yeemvakalelo esiya isiba mandundu, imeko yeemvakalelo ezidandathekileyo, umsindo ogqithisileyo, ukuphazamiseka.
• Iintshukumo zomzimba ezingalawulwayo neziphindaphindayo, ukuqina kwemisipha okanye ukushukuma, ukungcangcazela, ukulahlekelwa kukulinganisela, ukungazinzi, ukungakwazi ukuhlala phantsi, kunye nokuhamba ngokuxhamazela: Ezi zisenokuba ziimpawu zemeko ebizwa ngokuba yi-Extrapyramidal Symptoms (EPS). Ngamanye amaxesha, izihlunu kwiindawo ezifana nolwimi, umhlathi, kunye nentamo zinokuqina ngendlela engaqhelekanga.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa xelela iqela lakho lezonyango ukuba ziyaqhubeka okanye ziyakhathaza):

• Urhudo
• Isiyezi
• Ukozela – Oku kunokubonakala ngakumbi kwizigaba zokuqala.
• Umlomo owomileyo
• Intloko ebuhlungu
• Isicaphucaphu – Ingancitshiswa ngokuyithatha kunye nokutya, kodwa oku akubalulekanga kuba sisitofu sokugonya. Ndixelele ukuba isicaphucaphu sibi kakhulu.
• Ukutyeba – Esi sisiphumo esiqhelekileyo abanye abantu abanokuba naso ngelixa besebenzisa eli yeza. Thetha nogqirha wakho malunga nokutya kunye nokuzilolonga.

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho. Ungaxela iziphumo ebezingalindelekanga kwi-FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Ndingaligcina phi eli yeza?

Oku akusebenzi kuwe. Kuba, olu gonyo lwe-'Olanzapine' alunikwanga ukuba ulugcine ekhaya. Lunikwa wena kwaye lugcinwe liqela lezonyango esibhedlele okanye eklinikhi. Ngoko ke akukho nto unokukhathazeka ngayo.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, isitofu se-Olanzapine sisiyobisi esibalulekileyo esinceda ekunyangeni izifo zengqondo ezifana ne -schizophrenia kunye ne-bipolar disorder. Sisebenza ngokulinganisela iikhemikhali engqondweni.

Eyona nto ibalulekileyo kukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amanye amayeza owasebenzisayo ngaphambi kokuba uwasebenzise la mayeza. Kwakhona, ukuba ufumana nantoni na engaqhelekanga, iimpawu ezintsha, okanye iziphumo ebezingalindelekanga ezibi ngelixa usebenzisa la mayeza, mxelele ngoko nangoko. Musa ukugcina nantoni na kuwe.

Ekubeni olu gonyo lunikwa esibhedlele okanye ekliniki, akufuneki ukhathazeke ngalo. Oogqirha kunye nabongikazi baza kukunyamekela kakuhle. Ukuba unemibuzo okanye iinkxalabo, ungathandabuzi ukuthetha nabo. Bakulungele ukukunceda.

Ndiyathemba ukuba olu lwazi luza kukunceda. Khumbula, awuwedwa, kukho unyango olufanelekileyo kwezi meko, kwaye ukulandela icebiso lezonyango yeyona ndlela ilungileyo yokuchacha ngokukhawuleza.

I- Olanzapine, Isitofu sokugonya, Isifo sengqondo , i-Schizophrenia, i-Bipolar Disorder, Iziphumo ebezingalindelekanga, Amayeza, Unyango, ii-Antipsychotics, Impilo yengqondo