Ingabe udokotela wakho ukunike i-chlorpromazine? Noma mhlawumbe ilungu lomndeni noma umngane wakho usebenzisa lo muthi. Umuthi onamandla impela ovame ukunikezwe izifo ezahlukene zengqondo. Yingakho kubaluleke kakhulu ukwazi ukuthi uyini lo muthi nokuthi ungawusebenzisa kanjani ngokuphephile nangendlela efanele. Ngakho-ke namuhla, ake sixoxe ngalo muthi ngendlela elula ongayiqonda.
Kungani sinikezwa lo muthi we-Chlorpromazine?
Kalula nje, lesi isidakamizwa esisetshenziswa kwezokwelapha izifo zengqondo. Okusho ukuthi, isidakamizwa esinikezwa ukulawula izifo zengqondo. Uma sikhuluma iqiniso, lesi singeseqembu lemithi ebizwa ngokuthi ``Antipsychotics``.
Lokhu kusebenza ngokulinganisela i-neurotransmitter dopamine ebuchosheni bethu. Cabanga ngale ndlela, i-dopamine iyisithunywa samakhemikhali esisiza ukulawula izinto ezifana nemizwa yethu, imizwa, kanye nemicabango. Kwezinye izifo zengqondo, leli zinga le-dopamine liyaba elingalingani. Yilapho-ke lo muthi unikezwa khona ukusiza ukuwubuyisela ezingeni elifanele.
Izimo eziyinhloko lapho lo muthi unikezwa khona yilezi:
- I-Schizophrenia
- Isifo se-Bipolar
Kodwa hhayi ngenxa yalokhu kuphela, odokotela basebenzisa lo muthi ngezizathu eziningana futhi.
- Lawula isicanucanu nokuhlanza.
- Yeka ukukhungatheka okungapheli.
- Uma kunesifo esibizwa ngokuthi i-Porphyria.
- Uma kwenzeka i-tetanus.
- Ngezinye izikhathi isetshenziselwa ukuthulisa isiguli ngaphambi kokuhlinzwa.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Lena yingxenye ebaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha lo muthi, kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo. Ngoba lo muthi ungase uhlangane nezinye izimo zezokwelapha.
| Uma unezinye zalezi zimo, qiniseka ukuthi utshela udokotela wakho. | |
|---|---|
| Umlando wesifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile | Umfutho wegazi ophansi |
| Isifo sesibindi | Isifo sezinso |
| Isifo sikashukela | Isifo sikaParkinson |
| Ukuquleka | Isimila sobuchopho |
| I-Glaucoma | Isifo sokulahlekelwa yingqondo |
| Ubunzima bokuphefumula noma i-asthma | Inani elinciphile lamaseli egazi (isib. amaseli amhlophe egazi) |
| Ukuvaleka kwamathumbu | Izinkinga ze-prostate |
| Ubunzima bokugwinya | Ubunzima bokuchama |
| Uma uphuza njalo | Uma ukhulelwe noma uzama ukukhulelwa |
| Uma ungumama oncelisayo | Uma une-allergy kulo muthi noma kunoma yimuphi omunye umuthi noma ukudla |
Ngingawusebenzisa kanjani lo muthi?
Lo muthi uthathwa ngomlomo njengephilisi. Uphuze nengilazi yamanzi. Kubaluleke kakhulu ukuthatha umthamo ofanele, ngesikhathi esifanele, njengoba kunqunywe udokotela wakho. Ungakhulisi noma wehlise umthamo njengoba uzizwa ukhululekile, noma uwuthathe kaningi kunalokho okunqunywe udokotela.
Into ebaluleke kakhulu:Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Lokhu kungabangela izimpawu zokuhoxa ezifana nesicanucanu, ukuhlanza, kanye nesiyezi. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho uzokweluleka ukuthi ungakwenza kanjani lokho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Ungalibali.
Kuthiwani uma ngiphuthelwa 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 imithamo emibili ngesikhathi esisodwa, kufaka phakathi umthamo ophuthelwe.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (imithi yezinye izifo, amavithamini, imithi yendabuko), njengoba eminye imithi ingase ihlangane ne-Chlorpromazine.
| Ungalokothi uthathe i-Chlorpromazine kanye nalomuthi. | |
|---|---|
| I-Cisapride | I-Pimozide |
| I-Dronedarone | I-Saquinavir |
| I-Metoclopramide | I-Thioridazine |
| Lokhu kungase kuhlangane ne-Chlorpromazine - tshela udokotela wakho. | |
| Utshwala | Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine) |
| Imithi yokucindezeleka, ukukhathazeka, noma ukulala | Ama-painkiller (ikakhulukazi lawo abangela ukudakwa) |
| Imithi yokwelapha umfutho wegazi ophakeme | Imithi efana neLevodopa yesifo sikaParkinson |
| Izinto zokunciphisa igazi ezifana ne-Warfarin | Imithi yokubulala izinzwa ephuthumayo |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele, unesiyezi, noma ungaboni kahle. Ngakho-ke , ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqaphela uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ukuvuka ngokuzumayo: Ungavuki ngokuzumayo lapho uhleli noma ulele phansi. Ukwenza kanjalo kungabangela isiyezi nokuwa. Abantu asebekhulile kufanele baqaphele kakhulu ngalokhu.
- Utshwala: Gwema ukuphuza utshwala. Utshwala bungakwenza uzizwe ulele kakhulu futhi unesiyezi.
- Izinga lokushisa lomzimba: Lo muthi ungathinta ikhono lomzimba lokulawula izinga lokushisa. Lokhu kusho ukuthi ikhono lomzimba lokubekezelela ukubanda okukhulu nokushisa okukhulu lingancipha. Ngakho-ke, zivikele ekushiseni okukhulu nasekubandeni okukhulu. Phuza amanzi amaningi.
- Ukuzwela elangeni: Lo muthi ungenza isikhumba sakho sizwele elangeni. Ngakho-ke, zivikele elangeni. Uma uzoba selangeni, gqoka izingubo ezimboza umzimba wakho bese usebenzisa isivikelo selanga.
- Ushukela egazini: Uma unesifo sikashukela, lo muthi ungase wandise amazinga kashukela egazini lakho. Ngakho hlola amazinga kashukela egazini lakho njalo. Uma kudingeka, khuluma nodokotela wakho mayelana nokwenza izinguquko ekudleni kwakho noma emithini yesifo sikashukela.
- Umlomo owomile: Umlomo owomile uwumphumela ovamile wecala walo muthi. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Akuwona wonke umuntu oyitholayo. Kodwa kubalulekile ukuyiqaphela.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Neuroleptic Malignant Syndrome (NMS) | Umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukudideka. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza komzimba okungalawulwa, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukungaphumuli, nobunzima bokuhamba. |
| Ukulimala kwesibindi | Ubuhlungu besisu esingenhla kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi omnyama, ukuphuzi kwesikhumba noma amehlo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela uma ikhathaza | |
| Ukuqunjelwa | Umlomo owomile |
| Ukozela | Ukwanda kwesisindo |
Umlayezo Wokuya Nawe Ekhaya
- I-Chlorpromazine umuthi onamandla okufanele uthathwe kuphela ngaphansi kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Gwema ukushayela nokwenza imisebenzi edinga ukuqaphela ngenkathi uthatha umuthi, njengoba kungase kube nobuthongo kanye nesiyezi.
- Gwema utshwala ngokuphelele.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane ophakeme, ukuqina kwemisipha, noma ukunyakaza komzimba okungalawuleki, bona udokotela ngokushesha.
- Uma uphuza umuthi omningi kakhulu, iya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha noma uxhumane neNational Poisons Information Center.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Chlorpromazine (Chlorpromazine / Thorazine) ayisisombululo sokugcina sasiphi isifo?
Lona umuthi onamandla kakhulu ovela esizukulwaneni esidala (i-antipsychotic ejwayelekile / i-Phenothiazine) owenzelwe ukulawula ukugula kwengqondo okubi kakhulu okubizwa ngokuthi 'i-Schizophrenia'! Lo muthi awunikezwa wonke umuntu, uvame ukusetshenziswa kuphela ezigulini ezinzima kakhulu (ezingamelani nokwelashwa) ezikhohliwe ukuthi azipheli ngokuphelele naphezu kwayo yonke eminye imithi. Uphinde unikezwe ukuvimba ukuquleka okukhulu kanye nokuxhuzula.
💬 Leli philisi (i-Chlorpromazine) lifinyelela kanjani ebuchosheni futhi liqede ukukhohliswa kwesiguli kanye nokungacabangi?
Isizathu esiyinhloko sokukhula kwezifo zengqondo ezinzima ukwanda ngokweqile kwe-'Dopamine' yamakhemikhali ebuchosheni! Lo muthi uvimba/uvala ama-receptor e-dopamine angu-100% (ama-receptor e-D2) ngokushesha nje lapho engena ebuchosheni. Ususa imicabango ephambene engqondweni futhi uthulisa isiguli kuze kube yilapho singakwazi ngisho nokunyakaza umlenze/ingalo yaso (ukupholisa).
💬 Yimiphi imiphumela emibi eyinhloko abantu abasebenzisa lo muthi omdala (i-Chlorpromazine) okufanele bayiqaphele?
Kunemiphumela eminingi emibi! Ingozi enkulu 'ukuphazamiseka kwemizwa nemisipha (EPS/Tardive Dyskinesia)'. Lokho kusho ukuthi uma uphuza lokhu, uzozwa ukuthuthumela okungalawuleki kwemilenze/izandla, ulimi luphume futhi lujijeke, futhi uzoqina njengerobhothi. Futhi, (i-Anticholinergic) umlomo uba owomile ngendlela engabekezeleleki, umbono uba lufifi, futhi uma uphuma elangeni, kunethuba elikhulu lokushiswa yilanga (i-Photosensitivity).
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