Mhlawumbe wena noma othile emndenini wakho unikezwe umuthi obizwa ngokuthi i-Chlorpromazine ngudokotela wakho. Uma uzwa leli gama, ungase uzizwe wesaba noma unelukuluku. Kuyinto evamile ukuba kuvele imibuzo efana nokuthi, 'Uyini lo muthi? Kungani nginikwa lo muthi?' engqondweni. Njengoba lo umuthi uvame ukunikezwa ngenxa yezinkinga zempilo yengqondo, kungaba nemibono ehlukahlukene eyiphutha phakathi kwabantu. Ngakho-ke namuhla, ake sixoxe ngalo muthi we-chlorpromazine ngendlela elula ongayiqonda.
Iyini ngempela i-Chlorpromazine?
Kalula nje, i-chlorpromazine umuthi osetshenziselwa ukwelapha izimo eziningana zempilo yengqondo. Ungowesigaba semithi ebizwa ngokuthi ama-antipsychotics . I-Dopamine iyikhemikhali ebuchosheni esiza ukulawula izinto ezifana nemizwa yethu nemizwelo. Lo muthi usebenza ngokulinganisela amazinga ale dopamine ebuchosheni.
Kodwa-ke, lo muthi awunqunyelwe izifo zengqondo kuphela. Odokotela bawusebenzisa kwezinye izimo eziningana. Isibonelo:
- Izifo zengqondo ezifana ne -schizophrenia kanye ne-bipolar disorder.
- Lawula isicanucanu nokuhlanza.
- Ngenxa yezinkinga ebezilokhu zenzeka isikhathi eside futhi ezingenakuyekiswa.
- Kwezinye izimo zesifo esibizwa ngokuthi i-porphyria.
- Khulula imisipha ngesikhathi sokuqina kwemisipha.
- Thulisa isiguli ngaphambi kokuhlinzwa noma ukuhlolwa kwezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba lo muthi kufanele usetshenziswe ngokuqapha kubantu abanezimo ezithile zezokwelapha. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo/isizathu esifanele | Incazelo |
|---|---|
| Izimo zezokwelapha ezikhona | Isimila sobuchopho, i-dementia, isifo sikashukela, i-glaucoma, ukulimala kwekhanda, isifo senhliziyo, umlando wokushaya kwenhliziyo okungajwayelekile, isifo sezinso noma sesibindi, umfutho wegazi ophansi, isifo samaphaphu njenge-asthma, isifo sikaParkinson, isifo se-prostate, ukuxhuzula. |
| Ukungakhululeki komzimba | Ubunzima bokugwinya ukudla, ubunzima bokulawula ukuhamba kwamathumbu, ubunzima bokuchama, kanye nokuvaleka kwamathumbu. |
| Izinkinga ezihlobene negazi | Izimo ezifana namaseli amhlophe aphansi egazi, amaseli abomvu egazi, noma ama-platelet. |
| Indlela yokuphila nemikhuba | Uma uphuza njalo. |
| Ukungezwani komzimba | Uma une-allergy ku-chlorpromazine, ama-sulfite, eminye imithi, ukudla, amadayi noma izithasiselo. |
| Imicimbi ekhethekile | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Lomuthi unikezwa kanjani?
Lona akuwona umuthi ongawuthatha ekhaya. I-Chlorpromazine iwumjovo onikezwa uchwepheshe wezokwelapha esibhedlela noma emtholampilo . Ufakwa emzimbeni ngokujova emisipheni noma ngokufaka umjovo emthanjeni.
Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni. Nakuba kunconywa kwezinye izimo ezikhethekile ezinganeni ezingaphezu kwezinyanga eziyisithupha ubudala, kubalulekile ukulandela izinyathelo zokuphepha ezifanele.
Ukweqisa umthamo - Kubaluleke kakhulu!
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalokothi uwushaye indiva. Yiya esibhedlela i-Emergency Unit (ETU) ngokushesha. Uma kudingeka, ungashayela i-National Poison Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, njengoba i-chlorpromazine ingasebenzisana neminye imithi eminingi.
| Ungalokothi uthathe i-chlorpromazine nalezi. | |
|---|---|
| I-Cisapride | I-Pimozide |
| I-Dronedarone | I-Saquinavir |
| I-Metoclopramide | I-Thioridazine |
| Qaphela kakhulu ngoba kungavela izinkinga nalezi. | |
| Utshwala | I-Lithium |
| Ama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane | Imithi yomfutho wegazi ophezulu |
| Imithi yokucindezeleka, ukukhathazeka, noma ukulala | Imithi Yokulwa Nokuxhuzula (iPhenobarbital, iPhenytoin) |
| Imithi yesifo sikaParkinson (i-Levodopa) | Imithi yokulutha |
| Imithi esetshenziswa ukuvusa ubuthongo ngesikhathi sokuhlinzwa | Izinto zokunciphisa igazi ezifana ne-Warfarin |
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma amakhambi endabuko owasebenzisayo.
Izinto okufanele uzicabangele lapho uthatha imithi
Ithimba lakho lezokwelapha lizoqapha isimo sakho eduze ngenkathi uthola lo muthi wokugomela, kodwa kubalulekile ukuthi wazi la maqiniso.
Ukozela kanye nesiyezi
Lomuthi ungakwenza uzizwe ulele, unesizungu, noma ube nombono ofiphele . Ngakho-ke gwema imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Qaphela lapho uvuka noma uhlala phansi ngokuzumayo , ikakhulukazi uma usukhulile. Lokhu kunganciphisa amathuba okuquleka nokuwa. Ukuphuza utshwala kungenza lokhu kulala kube kubi nakakhulu.
Ukulawula izinga lokushisa lomzimba
Lo muthi ungathinta ikhono lomzimba wakho lokulawula izinga lokushisa. Ukubekezelela kwakho isimo sezulu esibandayo kungancipha, futhi ukubekezelela kwakho ukushisa kungancipha. Ngakho-ke, gqoka izingubo ezifudumele ngezinsuku ezibandayo. Ngezinsuku ezishisayo, nciphisa ukuchayeka elangeni, uvivinye umzimba, futhi uphuze amanzi amaningi.
Ukuzwela kwelanga
Lo muthi ungenza isikhumba sakho sizwele elangeni. Ngakho-ke zivikele elangeni. Uma kufanele uphume elangeni, gqoka izingubo ezimboza umzimba wakho bese usebenzisa isithako sokuvikela ilanga .
Umlomo owomile
Umlomo owomile uwumphumela ovamile wecala walo muthi. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela, ukumunca amaswidi angafakwanga ushukela, nokuphuza amanzi amaningi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-chlorpromazine ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi okufanele ibikwe kudokotela wakho noma esibhedlela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Neuroleptic Malignant Syndrome | Ukushisa okukhulu okungazelelwe, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukudideka. |
| Izimpawu ze-EPS (Izimpawu ze-Extrapyramidal) | Ukunyakaza okungalawulwa kwezingxenye zomzimba (ikakhulukazi ubuso, umlomo), ukuqina kwemisipha, ukuthuthumela, ukulahlekelwa yibhalansi, nokungaphumuli. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama, kanye nendle enombala okhanyayo. |
| Ezinye izimpawu ezinkulu | Izimpawu zokutheleleka (umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu), umfutho wegazi ophansi (isiyezi, ukuquleka). |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukuqunjelwa | Umlomo owomile |
| Ukozela | Ukwanda kwesisindo |
| Isiyezi | |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Chlorpromazine iwumuthi wokugoma onikezwa esibhedlela noma emtholampilo kuphela ngaphansi kokuqondisa kukadokotela.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo, noma yiziphi ezinye izimo zezokwelapha onazo, kanye nanoma yikuphi ukungezwani komzimba onakho.
- Qaphela lapho wenza imisebenzi edinga ukuqapha, njengokushayela, njengoba ukozela kanye nesiyezi kungase kwenzeke ngesikhathi uthatha umuthi. Gwema ukuphuza utshwala.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane ophakeme, ukuqina kwemisipha, ukunyakaza komzimba okungalawuleki, noma ukuphuzi kwesikhumba, funa iseluleko sezokwelapha ngokushesha.
- Uma unenkinga noma ukwesaba ngalo muthi, khuluma nodokotela wakho ngakho ngokukhululekile.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 I-Chlorpromazine Injection / i-Thorazine umuthi onamandla kakhulu osetshenziselwa ukwelapha yisiphi isifo?
Lona akuwona umuthi ojwayelekile! Lona umuthi ophuthumayo omdala kunayo yonke (i-First-Generation Antipsychotic) osetshenziselwa ukuzola isiguli ngokushesha nokusilalisa ubuthongo obujulile (i-sedation) ezimweni 'zobuhlanya bengqondo' obukhulu (i-Severe Psychosis/Agitation) obubangelwa yi-schizophrenia, i-bipolar disorder, kanye nezidakamizwa, lapho isiguli siphazamiseke kakhulu, futhi sisengozini enkulu yokulimaza abanye noma sona/sona.
💬 Uma ukhala/umemeza kakhulu, lo mjovo (i-Chlorpromazine) usiza kanjani ubuchopho bakho ukuthi buphole/bulale?
Izinto ezingavamile kangaka ziyabonakala/ziyaphazamisa kakhulu lapho ikhemikhali ethi 'Dopamine (Dopamine / D2)' ebuchosheni igcwala kakhulu! Lo muthi wokugoma uvimba/uvala ngokuphelele futhi uvale wonke 'ama-Dopamine receptors' ebuchosheni (i-Dopamine antagonist). Ngaphezu kwalokho, ucima nemishini ezigabeni ze-'Histamine (H1)' kanye ne-'Adrenaline (Alpha-1)', ngakho isiguli sithule futhi sihlale sithule/silale ngemizuzu embalwa.
💬 Yimiphi imiphumela emibi engaba yingozi (Izixwayiso Zebhokisi Elimnyama) zalo muthi wokugomela olimaza ubuchopho (iThorazine)?
Ingozi enkulu ukuthi uma lokhu kunikezwa abantu asebekhulile abane-dementia (i-dementia-related psychosis), bangayeka ukuphefumula ngokuzumayo bafe (Ukwanda kokufa)! Enye into eyingozi kakhulu ukuthi lokhu kungabangela isiguli ukuba siwele kwi-coma ngenxa ye-'Fatal Hypotension / Orthostatic'. Futhi, isifo esibi sezinzwa esenza kube nzima ukuhlala sithule, okubangela ukuba izitho zithuthumele njengokuhlanya kanye nentamo/amehlo anyakaze (i-Extrapyramidal Symptoms / EPS / Tardive Dyskinesia) kungenzeka nakanjani.
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