Kukusiza uzizwe ungcono: Ake sifunde ngamaphilisi e-Aripiprazole ancibilikayo.

Ngezinye izikhathi sizizwa sicindezelekile kakhulu futhi sicindezelekile ezingqondweni zethu, akunjalo? Noma kunezikhathi lapho kunzima khona ukwenza umsebenzi ojwayelekile ngenxa yezinguquko ezithile ezingqondweni zethu. Ungase futhi ucele udokotela ukuthi akunikeze umuthi obizwa ngokuthi i-Aripiprazole wesifo esithile sengqondo . Uphinde ufike ngesimo sephilisi elincibilikayo. Ngakho-ke, namuhla sizoxoxa ngalo muthi, impumuzo okunikeza yona, kanye nezinto okudingeka uziqaphele ngendlela elula ongayiqonda.

Uhlobo luni lomuthi i-Aripiprazole?

Kalula nje, i-Aripiprazole umuthi ongasetshenziswa ukwelapha izifo eziningi zempilo yengqondo . Isibonelo:

I-Schizophrenia , isimo esifana ne -schizophrenic
• Isifo se-Bipolar I (isifo se-bipolar) uhlobo lwesifo se -bipolar esibonakala ngokwanda kwenjabulo ngokuzumayo bese sincipha ngokudabuka.
• Lawula ezinye izimpawu ze-autism spectrum disorder ezinganeni
• Isifo se-Tourette, isimo sesimiso sezinzwa
• Ngezinye izikhathi, isetshenziswa kanye neminye imithi yokucindezeleka .

Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-antipsychotics. Cabanga ngale ndlela: ubuchopho bethu buqukethe amakhemikhali asiza ukulawula isimo sethu sengqondo, ukuziphatha, kanye nemicabango. I-Dopamine kanye ne-serotonin yizinto ezimbili eziyinhloko. I-Aripiprazole isebenza ngokulinganisela amazinga ala makhemikhali. Okusho ukuthi, iyawanciphisa uma ephezulu kakhulu, futhi iyawavuselela uma ephansi kakhulu, okusiza ukuthuthukisa isimo sakho sengqondo.

Odokotela bangasebenzisa lo muthi nakwezinye izimo. Uma unemibuzo ngawo, buza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Lokhu kubaluleke kakhulu. Ngaphambi kokuba uqale ukuthatha lo muthi, kubalulekile ukutshela udokotela wakho uma unezinye zezimo ezilandelayo. Lokhu kungenxa yokuthi yilapho kuphela lapho udokotela ezokwazi ukunquma ukuthi lo muthi ukufanele yini, ukuthi umuthi muni okufanele akunike wona, nokuthi yiziphi izinyathelo zokuphepha ezikhethekile okudingeka uzithathe.

• Uma unesifo esihlobene nenkumbulo njenge-dementia.
• Uma unesifo sikashukela.
• Uma unenkinga yokugwinya ukudla noma uketshezi.
• Uma unenkinga yokulawula imisipha yakho.
• Ingabe unezifiso ongakwazi ukuzilawula? Isibonelo, ungase ube nezifiso zokugembula, ukuchitha imali eningi kakhulu, noma ukudla ngokweqile.
• Uma unesifo senhliziyo.
• Uma uke waba nokushaya kwenhliziyo okungajwayelekile esikhathini esidlule.
• Uma uke waba nesifo sohlangothi ngaphambilini.
• Izimo ezifana nokubalwa kwegazi okuphansi (amangqamuzana amhlophe egazi aphansi, ama-platelet, noma amangqamuzana abomvu egazi).
• Uma une-blood pressure ephansi.
• Uma unesifo sikaParkinson.
• Uma unesifo sofuzo esibizwa ngokuthi i-Phenylketonuria (PKU) (la maphilisi akhipha uketshezi angase aqukethe i-phenylalanine).
• Uma uke waba nesifo sokuwa ngaphambili.
• Uma wena noma othile emndenini wakho eke waba nemicabango yokuzilimaza, imicabango yokuzibulala, amacebo noma imizamo esikhathini esidlule. Lokhu kubaluleke kakhulu.
• Uma une-allergy ku-Aripiprazole, eminye imithi, ukudla, amadayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Khumbula: Ukutshela udokotela wakho lonke lolu lwazi kungenxa yokuphepha kwakho.

Ungayisebenzisa kanjani le mithi ngendlela efanele?

Kulungile, manje ake sibone ukuthi singayithatha kanjani kahle le thebhulethi encibilikayo.

1. La maphilisi afika ephaketheni elikhethekile le-blister. Kufanele ulikhiphe ephaketheni ngaphambi nje kokulithatha. Ungalithathi kusenesikhathi.

2. Ungayisiki noma uyihlukanise ithebhulethi.

3. Uma usufake ithebhulethi emlonyeni wakho, yivumele incibilike emlonyeni wakho . Bese uyigwinya.

4. Ngokuvamile awudingi amanzi ukuze uphuze lo muthi. Kodwa-ke, thatha kuphela ngamanzi uma udokotela wakho ekutshela ukuthi uphuze.

5. Uma lo muthi ubonakala unzima ukuwugwinya, ungawuthatha kanye nokudla.

6. Kubaluleke kakhulu ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke, ngesikhathi esifanayo nsuku zonke . Ungathathi kaningi noma kaningi kunalokho udokotela wakho akutshele khona.

7. Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungadala izinkinga kuwe.

Njalo uma uthola lo muthi ekhemisi, kokubili ngesikhathi sokuqala uwuthola kanye nesikhathi ngasinye lapho uthola ukugcwalisa kabusha, uzonikezwa incwajana yolwazi ekhethekile (i-MedGuide) ngalo muthi. Lokhu kubaluleke kakhulu. Kufanele ufunde ulwazi olukuwo ngokucophelela njalo, kulungile?

Uma unikeza izingane lo muthi:

Odokotela banikeza lo muthi izingane ezineminyaka engu-6 ubudala ngenxa yezimo ezithile. Kodwa-ke, kunezinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo ngokucophelela bese uthola imininingwane.

Uma uthatha umuthi omningi kakhulu (Umthamo oweqile):

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi.

Okubalulekile: Lo muthi ungowakho kuphela. Ungalokothi wabelane ngomuthi wakho nanoma ubani omunye.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ngicela ungesabi ngezikhathi ezinjalo. Thatha umuthi wakho ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo ephindwe kabili noma eyengeziwe ngesikhathi esisodwa.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Uma uthatha i-Aripiprazole, ingase ihlangane neminye yemithi engezansi. Lokhu kusho ukuthi uma uyithatha kanye kanye, ungathola imiphumela emibi, noma imithi ingase ingasebenzi kahle.

Ungalokothi uthathe lo muthi kanye nemithi elandelayo:

• I-Brexpiprazole
• I-Cisapride
• I-Dextromethorphan; i-quinidine
• I-Dronedarone
• I-Metoclopramide
• I-Pimozide
• I-Quinidine
• I-Thioridazine

I-Aripiprazole ingasebenzisana nemithi elandelayo:

• Izinhlobo zama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane
• I-Carbamazepine
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yokucindezeleka, njenge-amitriptyline, i-fluoxetine, i-paroxetine, ne-sertraline
• Imithi yokutheleleka kwesikhunta njenge-fluconazole, i-itraconazole, ne-ketoconazole
• I-Clarithromycin
• Imithi yokubulala izinzwa evamile, njenge-halothane ne-isoflurane, esetshenziselwa ukuqeda ubuhlungu endaweni ngesikhathi sokuhlinzwa
• I-Levodopa noma eminye imithi yesifo sikaParkinson
• Imithi yokucindezela kwegazi
• Umuthi wokwelapha ukuxhuzula
• Imithi enikezwa ukukhulula imisipha ngesikhathi sokuhlinzwa
• Imithi yokwelapha ubuhlungu
• Eminye imithi ebangela ukushaya kwenhliziyo okungajwayelekile (elula isikhathi se-QT)
• Ama-phenothiazine, njenge-chlorpromazine ne-prochlorperazine
• I-Rifampin

Lolu hlu aluphelele.Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, oyithengele ekhemisi wena, imithi yamakhambi, amavithamini, izithasiselo zokudla, njll.). Tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nomuthi wakho.

Yini okufanele uyiqaphele lapho uthatha lo muthi?

Ngesikhathi uthatha i-Aripiprazole, udinga ukunakekela impilo yakho kancane.

• Bona udokotela wakho njalo: Udokotela wakho uzokuxilonga njalo ukuze abone ukuthi izimpawu zakho ziyathuthuka noma cha. Uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, tshela udokotela wakho. Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Udokotela wakho uzokutshela ukuthi udinga ukuthatha imithi engakanani.

• Qaphela ukucindezeleka noma imicabango yokuzibulala: Lena inkinga ebucayi kakhulu. Uma wena noma umuntu omkhathalelayo uzizwa sengathi ukucindezeleka kwakho kuya ngokuya kuba kubi, noma unemicabango yokuzilimaza, tshela udokotela wakho ngokushesha. Futhi, qaphela izinguquko ezisheshayo emizweni. Isibonelo, ukuzizwa ukhathazekile, ukhathazekile, ukhathazekile, ucasukile, unolaka, uthukuthele, ungenaso isineke, ungenaso isineke, ujabule kakhulu futhi usebenza ngokweqile, noma unenkinga yokulala. Uma lokhu kwenzeka, ikakhulukazi lapho uqala ukuthatha umuthi noma ngemva kokushintsha umthamo, khuluma nodokotela wakho ngokushesha.

• Ukuzungeza kanye nokozela: Lo muthi ungakwenza uzizwe uzungeza noma ulele. Ngakho-ke, uze wazi kahle ukuthi lo muthi ukuthinta kanjani, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo. Ungami noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kuzonciphisa ingozi yokuba nesiyezi nokuwa. Ukuphuza utshwala kungaphazamisa ukusebenza kwalo muthi. Ngakho-ke, gwema ukuphuza utshwala.

• Izinkinga zokulawula izinga lokushisa lomzimba: Lo muthi ungathinta ikhono lomzimba wakho lokulawula izinga lokushisa. Unganciphisa indlela umzimba wakho osabela ngayo esimweni sezulu esibandayo. Hlala endlini ngangokunokwenzeka ngezinsuku ezibandayo. Uma kufanele uphume, gqoka izingubo ezifudumele nezimbozwe kahle. Unganciphisa nendlela umzimba wakho osabela ngayo ekushiseni. Ngakho-ke, ungahlali ekushiseni kakhulu. Ungavivinyi umzimba kakhulu. Gwema ilanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezilula neziphefumulayo. Phuza amanzi amaningi.Uma uzizwa sengathi unenkinga yokulawula izinga lokushisa lomzimba wakho, tshela udokotela wakho ngokushesha.

• Amehlo omile kanye nokubona okufiphele: Lo muthi ungabangela amehlo omile kanye nokubona okufiphele. Uma ugqoka amalensi okuxhumana, ungase uzizwe ungakhululekile. Amaconsi amehlo agcobayo angasiza. Uma le nkinga iqhubeka noma inzima, bheka uchwepheshe wakho wokunakekelwa kwamehlo.

• Ukwanda kwamazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini lakho. Uma unesifo sikashukela, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.

• Ukwanda kwezifiso zocansi: Abanye abantu babike ukuthi banezifiso zocansi, noma ezinye izifiso ezinamandla okunzima ukuzilawula, njengokugembula, ukudla ngokweqile, noma ukuthenga, ngenkathi bethatha lo muthi. Uma uhlangabezana nanoma yikuphi kwalokhu, kufanele utshele udokotela wakho ngokushesha.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, i-Aripiprazole ingabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo.

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ushukela ophezulu egazini (i-Hyperglycemia): Ukuzizwa womile ngokweqile noma uchama njalo, uzizwa ubuthakathaka noma ukhathele ngendlela engavamile, umbono ofiphele.
• Izimpawu ezifana nomkhuhlane ophakeme, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokulahlekelwa ukwazi: Lokhu kungaba izimpawu zesimo esibi esibizwa ngokuthi i-Neuroleptic Malignant Syndrome (NMS).
• Umfutho wegazi ophansi: Isiyezi, ukuzizwa ubuthakathaka noma unesizungu, umbono ofiphele.
• Ubuhlungu noma ubunzima bokugwinya.
• Ukuma isikhathi eside noma ubuhlungu.
• Ukuquleka.
• Isifo sohlangothi: Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukulahlekelwa ukwazi, ubunzima bokuhamba, ukulahlekelwa ibhalansi noma ukuhlangana, isiyezi, ikhanda elibuhlungu kakhulu, ushintsho embonweni.
• Ukunyakaza komzimba okuphindaphindiwe okungalawulwa, ukuqina kwemisipha noma ukufinyela, ukuthuthumela, ukulahlekelwa ibhalansi noma ukuhlangana, ukungaphumuli, ukuhamba kancane: Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-Extrapyramidal Symptoms (EPS).
• Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka.
• Izifiso zokuzibandakanya ekuziphatheni okuphoqelekile, njengokugembula, ukudla ngokweqile, ukwenza ucansi, noma ukuthenga izinto obungeke uzenze ngokuvamile.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ukuqunjelwa
• Ukozela
• Ukwanda kwesisindo

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwale, khuluma nodokotela wakho ngakho.

Kufanele uwugcine kanjani umuthi wakho?

• Gcina lo muthi kude nezingane nezilwane ezifuywayo .
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit).
• Ungasebenzisi noma ulahle umuthi ophelelwe yisikhathi.

Okokugcina, izinto okufanele uzikhumbule

I-Aripiprazole umuthi ongasiza impilo yakho yengqondo. Kodwa-ke, kunezinto eziningi okudingeka uziqaphele uma usebenzisa.

Into ebaluleke kakhulu ukusebenzisa umuthi njengoba nje udokotela wakho ekutshelile futhi umtshele nganoma yiziphi izinguquko noma ukungakhululeki okuzwayo.

Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Awuwedwa, sonke silapha ukuzokusiza.

I- Aripiprazole, Impilo Yengqondo, Ukucindezeleka, I-Bipolar, I-Schizophrenia, Imiphumela Engemihle, I-Aripiprazole