Cishe utshelwe ngalo muthi obizwa ngokuthi i-Aripiprazole ngudokotela, noma othile emndenini wakho uwunikezwe. Kungenzeka ukuthi awukaze uzwe ngawo. Ngakho-ke, uyini ngempela lo muthi? Yiziphi izinkinga zempilo yengqondo osiza ngazo? Ake sixoxe ngawo ngokuningiliziwe, njengokuthi sikhuluma nomngane, kulungile?
Iyini i-Aripiprazole?
Kalula nje, i-Aripiprazole umuthi osetshenziselwa ukwelapha izimo ezithile zempilo yengqondo. Uza njengesixazululo. Lo muthi usetshenziswa kakhulu uku:
- Izimo ezifana ne -schizophrenia .
- Isifo sengqondo esibizwa ngokuthi i-bipolar I disorder .
- Ngezinkinga zabanye abantwana abane- autism spectrum disorder .
- Isimo esibizwa ngokuthi i-Tourette disorder .
Ngezinye izikhathi, lokhu kunikezwa kanye neminye imithi yokucindezeleka kubantu abanesifo sokucindezeleka .
Cabanga ngakho njengamakhemikhali ahlukene ebuchosheni bethu athwala imiyalezo emuva naphambili. Kunezinhlobo ezimbili zamakhemikhali abizwa ngokuthi i-dopamine ne -serotonin . Lawa yiwo asiza ukulawula imizwa yethu, ukuziphatha, kanye nemicabango yethu ngezinga elikhulu. I-Aripiprazole isebenza ngokulinganisela amazinga e-dopamine ne-serotonin ebuchosheni. Ingeyesigaba semithi ebizwa ngokuthi ama-antipsychotics . Lolu hlobo lomuthi lusetshenziselwa ukwelapha izimo ezahlukahlukene zempilo yengqondo. Ungase futhi uthole lo muthi ngaphansi kwegama lomkhiqizo elithi ``Abilify.''
Futhi, lo muthi unganikezwa udokotela kwezinye izimo zezokwelapha. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Ngaphambi kokuthi uqale ukuthatha i-Aripiprazole, kubalulekile ukutshela udokotela wakho noma ithimba lokunakekela ngezinto ezithile. Ake sibheke ukuthi ziyini:
- Uma unesifo esihlobene nenkumbulo njenge- dementia .
- Uma unesifo sikashukela (i-Diabetes Mellitus) .
- Uma unenkinga yokugwinya ukudla nokuphuza.
- Uma unenkinga yokulawula imisipha yakho .
- Uma unezifiso ongenakuzilawula (isibonelo, ukugembula njalo, ukuchitha imali ngokungadingekile, ukudla ngokungalawuleki, njll.).
- Uma unesifo senhliziyo .
- Uma uke waba nokushaya kwenhliziyo okungajwayelekile ngaphambilini.
- I-stroke yangaphambiliniUma kuvela isimo esinjalo.
- Uma unezibalo zegazi eziphansi (isib. amangqamuzana amhlophe egazi aphansi, ama-platelet, noma amangqamuzana abomvu egazi).
- Uma une -blood pressure ephansi .
- Uma unesifo sikaParkinson .
- Uma unezimo ezifana nokuquleka noma ukuquleka.
- Uma uke waba nemicabango yokuzibulala, amacebo, noma imizamo yokuzibulala , noma uma othile emndenini wakho eke wakwenza lokho.
- Uma uke waba nokusabela okungavamile noma okubangelwa yi-Aripiprazole, eminye imithi, ukudla, amadayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ukukhuluma nodokotela wakho ngalezi zinto kubaluleke kakhulu ukuze uphephe.
Ngingawusebenzisa kanjani lo muthi?
Lo muthi uyisisombululo sokusetshenziswa ngomlomo. Thatha lo muthi njengoba nje udokotela wakho ekuyalele, ulandela iziqondiso ezikulebula lomuthi. Sebenzisa isipuni noma isitsha esiphawulwe ngokukhethekile ukuze ulinganise umthamo ofanele . Uma ungenawo, cela usokhemisi wakho ukuthi akunike wona. Ukulinganisa ngamathisipuni avamile asekhaya ngeke kube okunembile.
Lo muthi ungathathwa nokudla noma ngaphandle kokudla. Kodwa-ke, kubaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele . Ungathathi okungaphezu kwalokho udokotela akutshele ukuthi ukuthathe, noma ukuthathe kaningi. Futhi, ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela okwelaphayo.
Uma uthola lo muthi ekhemisi, uzothola incwajana yolwazi ekhethekile (i-MedGuide) kanye nawo. Funda leli pheshana ngokucophelela isikhathi ngasinye lapho uthola umuthi wakho noma uma uthola ukugcwalisa kabusha. Liqukethe ulwazi olubalulekile.
Uma lo muthi unikezwa izingane: Lo muthi unganikezwa izingane ezineminyaka engu-6 ubudala ngenxa yezimo ezithile zezokwelapha ezikhethiwe. Kodwa-ke, kunezinye izinto ezikhethekile okufanele zicatshangelwe. Ngakho-ke, xoxa ngakho kahle nodokotela wakho bese uthola iseluleko.
Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.
Okubalulekile: Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma owengeziwe.
Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana)
Lena yingxenye ebaluleke kakhulu. Kunemithi ethile engabangela izinkinga uma ithathwa nge-Aripiprazole.
Ungathathi i-Aripiprazole kanye nemithi elandelayo:
- I-Brexpiprazole
- I-Cisapride
- I-Dextromethorphan; i-quinidine
- I-Dronedarone
- I-Metoclopramide
- I-Pimozide
- I-Quinidine
- I-Thioridazine
I-Aripiprazole ingase ihlangane nale mithi, ngakho-ke qaphela:
- Ama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane.
- I-Carbamazepine.
- Eminye imithi yokwelapha ukukhathazeka noma ukulala.
- Eminye imithi yokucindezeleka (isib. i-amitriptyline, i-fluoxetine, i-paroxetine, i-sertraline).
- Eminye imithi yokwelapha izifo zesikhunta (isib. i-fluconazole, i-itraconazole, i-ketoconazole).
- Amanye ama-antibiotic, njenge-Clarithromycin.
- Ezinye izidakamizwa ezibulala izinzwa ezijwayelekile (isib. i-halothane, i-isoflurane).
- I-Levodopa noma eminye imithi yesifo sikaParkinson.
- Imithi yokucindezela kwegazi.
- Imithi yokwelapha ukuxhuzula.
- Imithi enikezwa ukuphumuza imisipha ngesikhathi sokuhlinzwa.
- Imithi yokwelapha ubuhlungu.
- Eminye imithi enweba isikhathi se-QT (lokhu kungabangela ukungasebenzi kahle kwesigqi senhliziyo).
- Ama-phenothiazine (isib. i-chlorpromazine).
- I-Rifampin.
Lolu hlu alufaki konke ukuxhumana okungenzeka. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, yezitshalo, noma yezithako zokudla). Futhi, qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nalo muthi.
Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?
- Bona udokotela wakho njalo ukuze uqaphe inqubekela phambili yezimpawu zakho. Uma izimpawu zakho zingathuthuki, noma ziba zimbi kakhulu, tshela udokotela wakho.
- Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Udokotela wakho uzokutshela ukuthi kufanele uthathe umuthi ongakanani.
- Iziguli kanye nemindeni yazo, ikakhulukazi, kufanele ziqashwe ngokucophelela ukuze kutholakale ukucindezeleka okusha noma okubi kakhulu kanye nemicabango yokuzibulala.Futhi, qaphela izinguquko ezisheshayo zemizwa (isib. ukukhathazeka, ukucasuka, ukwesaba, ukucasuka, ubutha, ulaka, ukushesha, ukungahlaliseki okukhulu, ukujabula ngokweqile kanye nokusebenza ngokweqile, noma ukuqwasha). Uma lokhu kwenzeka, ikakhulukazi lapho uqala ukuthatha imithi yokucindezeleka noma ngemva kokushintsha umthamo wakho, khuluma nodokotela wakho ngokushesha.
- Ungase uzizwe unesiyezi noma ulele . Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa ingozi yokuba nesiyezi noma ukuquleka.
- Utshwala bungaphazamisa ukusebenza kahle kwalomuthi, ngakho gwema ukuphuza utshwala.
- Lo muthi ungabangela izinkinga ngokulawula izinga lokushisa lomzimba wakho . Umzimba wakho ungase ungakwazi ukusabela kahle esimweni sezulu esibandayo. Uma kungenzeka, hlala endlini ngezinsuku ezibandayo. Uma kufanele uphume, gqoka izingubo ezifudumele. Futhi, umzimba wakho ungase ungakwazi ukusabela kahle ekushiseni. Ngakho-ke, ungashisi umzimba wakho ngokweqile. Ungavivinyi umzimba kakhulu. Gwema ilanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezilula futhi uphuze amanzi amaningi. Uma ukuthola kunzima ukulawula izinga lokushisa lomzimba wakho, shayela udokotela wakho ngokushesha.
- Lo muthi ungabangela amehlo omile kanye nokungaboni kahle . Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Ukusebenzisa amaconsi okugcoba kungasiza. Uma le nkinga iqhubeka noma inzima, bheka uchwepheshe wamehlo.
- Lo muthi ungase wandise amazinga kashukela egazini . Uma unesifo sikashukela, khuluma nodokotela wakho mayelana nokuthi udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
- Kube nemibiko yokwanda kwezifiso zobulili noma ezinye izifiso ezinamandla, njengokugembula, ngenkathi uthatha lo muthi. Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha okukhulu.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njengayo yonke imithi, i-Aripiprazole ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile.
Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho noma ithimba lokwelapha ngokushesha okukhulu:
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ushukela ophezulu egazini (i-Hyperglycemia): Ukoma ngokweqile noma ukuchama njalo, ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile, ukubona okufiphele.
- I-Neuroleptic Malignant Syndrome (NMS) ingaba yisimo esibi kakhulu esingabangela umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka okukhulu, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka.
- Umfutho wegazi ophansi: isiyezi, ukuquleka, amehlo aluhlaza okwesibhakabhaka.
- Ubuhlungu noma ubunzima bokugwinya.
- Ukuma isikhathi eside noma ubuhlungu.
- Ukuquleka.
- Izimpawu zesifo sohlangothi: ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa ibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, izinguquko embonweni.
- Izimpawu ze-Extrapyramidal (EPS) zingase zihlanganise: ukunyakaza komzimba okungalawuleki nokuphindaphindwayo, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukulahlekelwa ibhalansi, ukungaphumuli, ukuhamba kancane.
- Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka.
- Ukuzizwa sengathi uziphatha ngokuphamazela ngendlela ongeke uzenze ngayo (isib. ukugembula, ukudla ngokweqile, ukwenza ucansi okungajwayelekile, noma ukuthenga izinto ngendlela engalawuleki).
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. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.
Ngingawugcina kanjani lo muthi?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86).
- Ibhodlela lingasetshenziswa kuze kube yizinyanga eziyi-6 ngemuva kokuvulwa kokuqala.
- Lahla noma yimuphi umuthi ongasetshenziswanga osele ngemuva kosuku lokuphelelwa yisikhathi noma ngemva kwesikhathi sezinyanga eziyi-6 esishiwo ngenhla (noma yikuphi okuza kuqala).
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
I-Aripiprazole umuthi obalulekile ongasiza kwezinye izimo zempilo yengqondo. Kodwa-ke, kunezinto ezimbalwa okufanele uziqaphele uma uyisebenzisa.
- Njalo thatha imithi yakho njengoba udokotela wakho ekutshelile. Landela umthamo nesikhathi ngqo.
- Ungakhohlwa ukutshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
- Qaphela imiphumela emibi. Uma ubona noma yini embi kakhulu, tshela udokotela wakho ngokushesha.
- Ungayeki ukuthatha umuthi ngokuzumayo. Xhumana nodokotela wakho.
- Lomuthi ungowakho wedwa. Ungawuniki omunye umuntu.
Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukukhuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo okwelaphayo. Bazokusiza. Impilo yakho yengqondo ibaluleke kakhulu!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe isixazululo/isiraphu i-Aripiprazole / Abilify iyimithi yezifo zengqondo engaphiwa nabantu abadala?
Yebo! Lesi sixazululo somlomo siwumuthi onamandla wesizukulwane esisha wokulwa nesifo sengqondo onikezwa abantu abadala kanye nezingane ezincane ezinenkinga yokugwinya amaphilisi! Sisetshenziselwa ukulawula i-schizophrenia, i-bipolar disorder, ukucindezeleka okukhulu, kanye nokucasuka ikakhulukazi ezinganeni ezine-autism.
💬 Lokhu (i-Aripiprazole) kuhluke kanjani emithini evamile yezifo zengqondo (i-Dopamine Blockers)?
Lona umlingo walo muthi! Eminye imithi yengqondo ivimba ngokuphelele i-dopamine ebuchosheni, okwenza isiguli siqine njengerobhothi. Kodwa le aripiprazole iyi-dopamine partial agonist. Lokho kusho ukuthi yehlisa i-dopamine ezindaweni lapho iphezulu khona, futhi iyandisa ezindaweni lapho iphansi khona! Ilinganisela amakhemikhali obuchopho njenge-'smart thermostat'.
💬 Yimiphi imiphumela engemihle engaba khona izingane/abantu abadala uma bephuza loluju?
Akubangeli ukukhuluphala kanye nokwanda kwe-prolactin njengeminye imithi! Lokho kuyinzuzo enkulu. Kodwa umphumela ocasulayo walo muthi 'i-Akathisia'. Lokho kusho ukuthi awukwazi ukugcina imilenze yakho ihlangene futhi uzizwa ungakhululekile (izingane aziqondi ukuthi ukusho kanjani lokhu). Futhi, abanye abantu bangase babe nezinkinga zokulawula imizwa ngokugembula/ukudla.
I- Aripiprazole, impilo yengqondo, imithi yokulwa nesifo sengqondo, isifo sokungazweli kwengqondo , isifo sokuphazamiseka kwengqondo, imiphumela emibi
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