Ngaba wena okanye umntu kusapho lwakho unikwe iyeza elibizwa ngokuba yiQuetiapine ngugqirha? Xa oko kusenzeka, kuyinto eqhelekileyo ukuba kuvele imibuzo engqondweni malunga neli yeza. "Kuza kwenzeka ntoni ngale nto?", "Ingaba oku kukhuselekile?", "Ngaba kukho iziphumo ebezingalindelekanga?" Usenokuba uzibuza into efanayo. Ungakhathazeki. Kweli nqaku, siza kuthetha ngale yeza elibizwa ngokuba yiQuetiapine ngokulula, njengokuba ubuya kuxelela umhlobo.
Yintoni kanye kanye iQuetiapine?
Ngamafutshane, i-quetiapine liyeza elisetyenziselwa ukunyanga iingxaki ezahlukeneyo zempilo yengqondo. Lidla ngokubizwa ngokuba yiSeroquel kwilizwe lethu. Lisetyenziswa kakhulu ukunyanga izifo ezifana ne -schizophrenia kunye ne-bipolar disorder.
Cinga nje, ubuchopho bethu buqulathe ii-chemical messengers (neurotransmitters) ezilawula iimvakalelo zethu, iingcinga zethu, kunye nokuziphatha kwethu. I-Dopamine kunye ne-serotonin zezona zithunywa ziphambili zeekhemikhali. Kwezinye izifo zengqondo, ezi khemikhali zinokungaphumeleli. Kwezo meko, ichiza i-quetiapine lisebenza ngokubuyisela loo manqanaba e-dopamine kunye ne-serotonin , linceda ekuzinziseni isimo sakho sengqondo, iingcinga zakho, kunye nokuziphatha kwakho. Olu didi lwamayeza lubizwa ngokuba yi-antipsychotics. Kodwa ungoyiki igama, kuba olu didi lwamayeza lusetyenziselwa ukunyanga uluhlu olubanzi lwezifo zengqondo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho yezonyango ngaphambi kokuba uqale i-quetiapine. Oku kungenxa yokuba ezinye iimeko zifuna unonophelo olukhethekileyo xa usebenzisa eli yeza. Ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi, qiniseka ukuba uxelela ugqirha wakho.
| Isifo okanye imeko | Inkcazo |
|---|---|
| Isifo sentliziyo kunye noxinzelelo lwegazi | Isifo sentliziyo, ukuphazamiseka kwesingqisho sentliziyo, uxinzelelo lwegazi oluphantsi. |
| Isifo seswekile | Wena okanye umntu ohlala kusapho lwakho unesifo seswekile. |
| Iingxaki zenkqubo yokugaya ukutya | Ukuvaleka kwamathumbu, ukuqhina, ubunzima bokuginya. |
| Isifo sesibindi | Naziphi na iingxaki ezinxulumene nokusebenza kwesibindi. |
| Iingxaki zamehlo | Iingxaki ze-cataract, i-glaucoma. |
| Iingxaki zeeseli zegazi | Ukuncipha kweeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, okanye iiplatelets. |
| Ezinye iimeko zonyango | I-Dementia, isifo sikaParkinson, isifo sokuwa/ ukuxhuzula , isifo se-thyroid, isifo se-prostate, ukungakwazi ukuzibamba komchamo. |
| Impilo Yengqondo | Ukuba neengcinga, izicwangciso, okanye iinzame zokuzilimaza (wena okanye ilungu losapho). |
| Ukukhulelwa kunye nokuncancisa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
| Ii-aleji | Ukuba une-aleji kwi-quetiapine okanye naliphi na elinye iyeza, ukutya, okanye idayi. |
Ndingayisebenzisa njani le yeza?
Indlela yokusebenzisa oku ilula kakhulu.
- Ginya ipilisi ngeglasi yamanzi.
- Sela idosi oyinikwe ngugqirha wakho ngexesha elifanelekileyo. Musa ukulibazisa idosi.
- Ukuba uziva ukhathazekile emva kokusela iyeza, ungalisela kunye nokutya.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokubangela ukuba iimpawu zibuye ngamandla. Ukuba uyeka, yenza njalo phantsi kweliso likagqirha, uze wehlise umthamo kancinci kancinci.
- Izigulana ezingaphezulu kweminyaka engama-65 ubudala zinokufuna idosi ephantsi. Kwakhona, kwezinye iimeko, eli yeza linikwa abantwana abaneminyaka eli-10 ubudala, kodwa kuphela phantsi kononophelo olukhethekileyo.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu (ukugqithisa)?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
Ezinye izinto ezinokusebenzisana nale mithi
Xa usebenzisa i-quetiapine, kufuneka uqaphele nezinye iziyobisi ozisebenzisayo. Amanye amayeza anokuchaphazelana nayo aze abangele iziphumo ezibi. Xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye namayeza esintu owasebenzisayo.
Kucetyiswa ukuba ungasebenzisi i-quetiapine ngokupheleleyo kunye namayeza alandelayo.
- I-Cisapride
- I-Dronedarone
- I-Metoclopramide
- I-Pimozide
- I-Thioridazine
Ukongeza, amanye amayeza amaninzi anokusebenzisana ne-quetiapine. Umzekelo:
- Utywala
- Amanye amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane
- Amayeza okunyanga ixhala okanye ukulala
- Amanye amayeza okudakumba (umz. i-fluoxetine, i-sertraline)
- Amanye amayeza osulelo lwefungus (umz. i-ketoconazole)
- Amayeza okunyanga isifo sokuwa
- Amayeza oxinzelelo lwegazi
- Izithomalalisi zentlungu (ingakumbi i-morphine)
- Amanye amayeza e-antiviral e-HIV okanye i-hepatitis
Olu luhlu aluphelelanga, ngoko ke kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kubalulekile ukuba uqaphele umzimba nengqondo yakho ngelixa usela i-quetiapine.
Utshintsho kwimeko yengqondo
Nika ingqalelo kwimeko yakho yengqondo, ingakumbi xa uqala ukuthatha amayeza okanye emva kokutshintsha umthamo wakho. Xelela ugqirha wakho ngoko nangoko ukuba wena okanye ilungu losapho lwakho nibona nayiphi na kwezi zilandelayo:
- Ukuba uziva ngathi ukudakumba kwakho kuya kusiba mandundu.
- Ukuba unengcinga zokuzilimaza.
- Ukuba uziva ungaphumli kwaye uxhalabile.
- Ukuba ukhawuleza ucaphuke uze ube ndlongondlongo.
- Ukuba uziva ulele.
Iziphumo ezivakalayo emzimbeni
- Ukudinwa kunye nokozela: Eli yeza linokukwenza ube nesiyezi okanye ulale. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani.
- Musa ukuvuka ngokukhawuleza: Ukuvuka ngequbuliso uhleli okanye ulele kunokubangela isiyezi nokuwa. Ngoko vuka kancinci.
- Utywala: Kuphephe ukusela utywala. Utywala bunokutshintsha imiphumo yamayeza kwaye bunyuse ukozela kunye nesiyezi.
- Ubushushu bomzimba: Eli yeza linokuthi lichaphazele amandla omzimba okulawula ubushushu. Zikhusele kubushushu obugqithisileyo nokubanda. Sela amanzi amaninzi.
Iziphumo ebezingalindelekanga ezinokubakho
Njengayo nayiphi na imithi, i-quetiapine inokubangela iziphumo ebezingalindelekanga. Ezinye zinzima, ngelixa ezinye zixhaphakile. Into ebalulekileyo kukwazi oku kwaye ufune iingcebiso zonyango ukuba kuyimfuneko.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza, ukubetha kwentliziyo okungahambelaniyo, isiyezi, iintlungu zesifuba. |
| Isifo se-Neuroleptic Malignant (NMS) | Umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okugqithisileyo, ukudideka. (Le yimeko engxamisekileyo) |
| Amanqanaba aphezulu eswekile egazini (i-Hyperglycemia) | Unxano olugqithisileyo, ukuchama rhoqo, ukudinwa kakhulu, ukubona izinto ezingaqhelekanga. |
| Iimpawu ze-Extrapyramidal (EPS) | Iintshukumo zomzimba ezingalawulekiyo, ukungcangcazela, uxinzelelo lwemisipha, ukungazinzi. |
| Istroke | Ukungaziva/ubuthathaka bobuso, ingalo okanye umlenze ngequbuliso, ubunzima bokuthetha, intloko ebuhlungu kakhulu. |
| Iziphumo ebezingalindelekanga eziqhelekileyo ekufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukozela kunye nesiyezi | Ukozela kunye nesiyezi |
| Umlomo owomileyo | Umlomo owomileyo |
| Ukuqhinwa | Ukuqhinwa |
| Ukutyeba kwakho | Ukutyeba kwakho |
Umyalezo Wokuya Ekhaya
- I-Quetiapine liyeza elibalulekileyo elinokukunceda ukuphucula impilo yakho yengqondo. Musa ukuloyika.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iindlela zonyango ozisebenzisayo kunye nezinye iingxaki zempilo onazo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu (umz. umkhuhlane ophezulu, ubunzima bokuphefumla, ukudideka), funa ingcebiso kagqirha ngoko nangoko.
- Kuphephe ngokupheleleyo utywala xa usebenzisa eli yeza.
- Kubaluleke kakhulu ukubona ugqirha wakho ngemihla emiselweyo uze uxoxe ngemeko yakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeQuetiapine (Quetiapine / Seroquel) ziyindlela yokwelapha isifo esinjani?
Esi sisizukulwana esitsha samayeza anamandla engqondo (atypical antipsychotic) anikwa i-'Schizophrenia' enzima, ukudakumba, ngakumbi i-Bipolar Disorder (isifo esitshintsha ngequbuliso ukusuka ekubeni nomsindo ukuya kulonwabo olukhulu)! Nangona isusa ubukrelekrele bomguli kunye nokungakhathali, oogqirha abaninzi bayisebenzisa ngeedosi eziphantsi njengepilisi yokulala esebenzayo 'yokungalali'.
💬 Eli yeza (iQuetiapine) liya njani engqondweni lize liphelise ngokupheleleyo umnqweno womguli wokuzila ukutya/ulonwabo olugqithisileyo?
Ukuzibona izinto ezingekhoyo kunye notshintsho lwesigulane luyanda ngenxa yamanqanaba aphezulu ngokungaqhelekanga eekhemikhali 'i-dopamine kunye ne-serotonin' engqondweni. Eli yeza liya ngqo engqondweni kwaye livala/lilinganise zombini ii-D2 kunye ne-5-HT2A Receptors. Likwavimba ne-histamine (H1), ngoko ke ukuziphatha kwesigulana kokukhwaza/ukuzabalaza kuyaphela ngokupheleleyo aze angene kwimeko yokulala/yokuzithoba ezolileyo.
💬 Zeziphi iziphumo eziphambili nezicaphukisayo zokusela ezi pilisi (Seroquel)? Ngaba zibangela ukwehla kobunzima?
Ukunciphisa umzimba akunakwenzeka! Eyona miphumo mibi neyicaphukisayo yoku kukuba emva kweenyanga ezimbalwa uyisela, umzimba uya kufumana 'ukwanda okukhulu kobunzima'. Kwakhona, kukho ithuba elikhulu lokuba zombini i-cholesterol kunye neswekile egazini (i-Metabolic syndrome/i-Diabetes) ziya kwanda kakhulu. Enye into kukuba ukusela oku ngokuqinisekileyo kuya kubangela ukozela okukhulu kunye nesiyezi (i-Sedation/i-Orthostatic hypotension) ukuya kwinqanaba apho ungakwazi ukuphuma ebhedini kusasa.
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