Ngezinye izikhathi lapho udokotela wakho ekubhalela umuthi wezempilo yengqondo, kuvamile ukuba nemibuzo embalwa, ilukuluku lokwazi, ngisho nokwesaba okuncane. "Kuzokwenzekani ngalokhu?", "Ingabe lokhu kuphephile?", "Yini okufanele ngikhathazeke ngayo?" yimibuzo eminingi efika engqondweni. Namuhla sizokhuluma ngomuthi owodwa onjalo , i-Cariprazine . Ungase uwazi ngegama lomkhiqizo i-VRAYLAR. Lo muthi usetshenziselwa ukwelapha izimo ezifana ne -schizophrenia kanye ne-bipolar disorder. Ake sixoxe ngawo kalula nangokucacile.
Kwenzekani ngempela ngalo muthi?
Cabanga ukuthi kunenqwaba yezithunywa ezincane ngaphakathi kobuchopho bethu. Lezi zithunywa yizo ezilawula imizwa yethu, ukuziphatha kwethu, kanye nemicabango yethu. I-Dopamine ne-Serotonin ziyizithunywa ezimbili eziyinhloko. Ezifweni zengqondo ezifana ne -schizophrenia kanye ne-bipolar disorder, ukusebenza kwalezi zithunywa ngezinye izikhathi kungaba yinto engaguquki, okusho ukuthi zingalahlekelwa ibhalansi yazo.
Kalula nje, i-Cariprazine isebenza ngokulinganisela amazinga ala makhemikhali ebuchosheni abizwa ngokuthi i-dopamine ne-serotonin, okusiza ekuqiniseni ingqondo yakho. Lokhu kusiza ukulawula izimpawu futhi kukusize usebenze ngendlela evamile. Sibiza leli klasi lemithi ngokuthi 'Ama-Antipsychotics'.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuxoxa ngomlando wakho wezempilo ophelele nodokotela wakho ngaphambi kokuqala lo muthi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyabatshela. Ungafihli lutho, ngisho noma luncane kakhulu, ngoba lubaluleke kakhulu ekuphepheni kwakho.
- Isifo sokukhohlwa njenge-dementia.
- Isifo sikashukela noma ukuba nelungu lomndeni elinesifo sikashukela.
- Ubunzima bokugwinya ukudla noma uketshezi.
- Ubunzima bokulawula imisipha.
- Isifo senhliziyo noma i-cholesterol ephezulu.
- Uma uke waba nesifo sohlangothi ngaphambilini.
- Isifo sezinso noma sesibindi.
- Isimo lapho inani lamaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelet egazini lehla khona.
- Umfutho wegazi ophansi.
- Isifo sikaParkinson.
- Ukuquleka.
- Uma wake wacabanga ngokuzibulala, wazama, noma ilungu lomndeni lakwenza lokho.
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi we-Cariprazine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Uma ukhululekile kakhulu kudokotela wakho mayelana nolwazi lwakho lwezempilo, kulapho kungenzeka khona ukuthi akwazi ukukunikeza ukwelashwa okufanele nokuphephile kakhulu.
Ngingawusebenzisa kanjani lo muthi?
Into ebaluleke kakhulu ukuphuza umuthi njengoba nje udokotela emyalile, ngesilinganiso esiqondile.
- Gwinya leli philisi lonke ngengilazi yamanzi.
- Lokhu kungathathwa nokudla noma ngaphandle kokudla.
- Zijwayeze ukuphuza imithi yakho cishe ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ngeke ukhohlwe.
- Ungaphuzi kakhulu noma ngaphansi kwesilinganiso udokotela wakho akutshela sona.
- Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu. Uma uyeka, ikhona indlela yokukwenza, futhi udokotela wakho uzokutshela ukuthi kanjani.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Cabanga ukuthi uthathe umuthi ongaphezu komthamo onqunyiwe. Uma lokhu kwenzeka, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital. Ngaphandle kwalokho, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, kungakapheli amahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yendabuko, kanye nemikhiqizo yamakhambi), utshwala obuphuzayo, kanye uma ubhema. Ezinye izinto zingathintana nalo muthi futhi zibangele imiphumela engafuneki.
| Uhlobo lwesidakamizwa | Incazelo nezibonelo |
|---|---|
| Ungalokothi uthathe lezi zinto nanoma yini. | |
| I-Metoclopramide | Umuthi wokuhlanza nokucanuzela. |
| Sicela wazise udokotela wakho ngoba lokhu kungase kuthinteke. | |
| Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine) | Imithi efana nePiriton. |
| Eminye imithi yokucindezeleka, ukukhathazeka, noma ukulala | Isibonelo: i-Amitriptyline, i-Fluoxetine, ne-Sertraline |
| Eminye imithi yokwelapha izifo zesikhunta | Isibonelo: Itraconazole, Ketoconazole |
| Imithi yokwelapha ukuxhuzula | Isibonelo: i-Carbamazepine |
| Imithi yokucindezela kwegazi | Noma yimuphi umuthi owehlisa umfutho wegazi. |
| Imithi yesifo sikaParkinson | Imithi efana neLevodopa. |
| Izinzwa ezivamile | Umuthi onikezwa ukuze ubangele ubuthongo ngaphambi kokuhlinzwa. |
Imiphumela emibi engaba khona lapho uthatha umuthi
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophezulu egazini | Ukoma okungavamile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| I-Neuroleptic Malignant Syndrome (NMS) | Umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukudideka. |
| Isifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Ukulahlekelwa ukulawula imisipha (Izimpawu ze-Extrapyramidal - EPS) | Ukunyakaza okungalawulwa kwezingxenye zomzimba, ukuqina kwemisipha, ukuthuthumela, ukungaphumuli, ukuhudula izinyawo lapho uhamba. |
| Imicabango yokuthatha impilo yakho | Ukucindezeleka okwandayo, imicabango yokuzibulala. |
| Ngokuvamile akuyona into engathi sína, kodwa tshela udokotela wakho uma iqhubeka. | |
| Ukozela | Lokhu kungase kuqhubeke kuze kube yilapho umzimba usujwayele umuthi. |
| Ukuqunjelwa | Ukuphuza amanzi amaningi nokudla ukudla okucebile nge-fiber kungasiza. |
| Isicanucanu, ukuhlanza, isisu esibuhlungu | Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla. |
Ezinye izinto okufanele uziqaphele lapho uthatha imithi
Isiyezi kanye nokozela
Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke gwema ukushayela, ukusebenza ezindaweni eziphakeme, nokusebenzisa imishini edinga ukuqapha uze wazi kahle ukuthi kukuthinta kanjani. Sukuma kancane uma uvuka endaweni yokuhlala noma ulele. Ukuphuza utshwala kungenza lokhu kukozela kube kubi kakhulu, ngakho gwema ukuphuza utshwala ngokuphelele.
Ukulawula izinga lokushisa lomzimba
Ukuthatha lo muthi kunganciphisa ikhono lomzimba lokubekezelela ukushisa nokubanda. Ngakho-ke, gwema ukuphuma elangeni noma ukuvivinya umzimba ngokweqile ngezinsuku ezishisayo. Phuza amanzi amaningi futhi ugqoke izingubo ezilula. Kunjalo nangomkhuhlane omkhulu. Uma uphuma emakhazeni, gqoka izingubo ezifudumele.
Kufanele uwugcine kanjani umuthi wakho?
- Yigcine kude nezingane.
- Gcina ekamelweni lokushisa (phakathi kuka-15-30 Celsius), kude nokukhanya kwelanga okuqondile kanye nomswakama. Akufaneleki endlini yokugezela.
- Ungasebenzisi umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Cariprazine umuthi owelapha izimo ezifana ne -schizophrenia kanye nesifo se-bipolar futhi kufanele usetshenziswe kuphela njengoba kuyalelwe udokotela.
- Ungalokothi uqale, uyeke, noma ushintshe umthamo wemithi ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Ngesikhathi uthatha lo muthi, qaphela noma yiziphi izinguquko esimweni sakho sengqondo, imicabango yokuzibulala, ukozela ngokweqile, noma ezinye izimpawu ezingavamile. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Uma ukhulelwe, uncelisa, noma uhlela ukukhulelwa, yazisa udokotela wakho ngaphambi kokuqala umuthi.
- Gwema ukuphuza utshwala ngokuphelele.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ama-capsule e-Cariprazine (Vraylar) uhlobo olusha lomuthi olusetshenziselwa ukwelapha yisiphi isifo?
Leli akulona iphilisi elivamile lokugula ngengqondo! Leli iphilisi elisha neliphumelela kakhulu (i-Atypical Antipsychotic) elibizayo elitholakale eMelika lokwelapha i-schizophrenia (ukukhohliswa), izimo ezinzima ze-bipolar I disorder (intukuthelo enkulu nokucindezeleka okushintshana), kanye nesifo sengqondo esibulalayo esibizwa ngokuthi i-Major Depression Disorder (Major Depression Disorder) esingelapheki nganoma yimuphi omunye umuthi.
💬 Uma ubona izinto ezingavamile/unesifo sengqondo esibi kakhulu, ukuthatha la maphilisi (i-Vraylar) kuyawuphulukisa kanjani ubuchopho bakho?
Zonke lezi zifo zengqondo zibangelwa izinguquko zamakhemikhali ebuchosheni ezibizwa ngokuthi 'i-Dopamine' kanye ne-'Serotonin'. Eminye imithi ivimba yonke into, ngakho isiguli siyawa. Kodwa lo muthi unekhono elimangalisayo (i-Partial Agonist)! Uma kune-dopamine eningi kakhulu ebuchosheni, iyahamba ibophe kulawo ma-receptor (ama-D3/D2 Receptors) bese iyayinciphisa. Futhi uma i-dopamine ingekho eyanele, ingena ngaphakathi bese yandisa i-dopamine (ibhalansisa ubuchopho)! Ngakho-ke, lokhu kubuyisela isiguli esigula ngengqondo ekuqondeni ngokushesha.
💬 Yiziphi 'izingozi ezibulalayo' (Isexwayiso Sebhokisi Elimnyama) okufanele abantu abasebenzisa lesi sidakamizwa esisha esithinta ubuchopho (i-Cariprazine) baziqaphele?
Ingozi enkulu ukuthi ibangela 'ukungazinzi kwengqondo kanye nemicabango yokuzibulala', ikakhulukazi entsheni (engaphansi kweminyaka engama-24)! Enye ingozi ebulalayo ukuthi uma lokhu kunikezwa abantu asebekhulile abane-dementia (i-dementia-related psychosis), bangafa ngokuzumayo (Ukwanda kokufa)! Futhi, uma uqhubeka nokuphuza lokhu, ungathola isifo sezinzwa esibangela ukuthuthumela kwamalungu/ukungakwazi ukuhlala endaweni eyodwa (Akathisia / EPS).
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