Wena noma othile omaziyo kungenzeka ukuthi unikezwe i-Clozapine ngudokotela wakho ngenxa yesimo sempilo yengqondo obekunzima ukusilawula ngeminye imithi. Igama lingase lizwakale lithusa kancane kuwe. Kodwa ungakhathazeki. Namuhla, sizokhuluma ngamagama alula mayelana nendlela yokusebenzisa lo muthi, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele.
Kalula nje, iyini i-Clozapine?
I-Clozapine uhlobo lomuthi osetshenziselwa ukwelapha izifo zengqondo ezifana ne -schizophrenia . Ngokuvamile inikezwa uma eminye imithi ingasebenzi noma lapho umzimba ungakwazi ukuyibekezelela. Kalula nje, umuthi onamandla okufanele usetshenziswe ngokuqapha.
Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-antipsychotics. Usebenza ngokulinganisela amazinga ama-neurotransmitter abizwa ngokuthi i-dopamine kanye ne-serotonin ebuchosheni bethu. Lokhu kusiza ukulawula imizwa yethu, imizwa kanye nemicabango.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala i-Clozapine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba lo muthi kufanele usetshenziswe ngokuqapha ezimweni ezithile zezokwelapha. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo sempilo | Incazelo |
|---|---|
| Izinkinga zesistimu yokugaya ukudla | Ukuvaleka kwamathumbu, ukuqunjelwa njalo |
| Izinkinga ezihlobene negazi | Amazinga aphansi amangqamuzana egazi (amangqamuzana amhlophe egazi, amangqamuzana abomvu egazi, ama-platelet) |
| Isifo senhliziyo | Noma yisiphi isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, i-cholesterol ephezulu, umfutho wegazi ophakeme, umlando wesifo sohlangothi |
| Ezinye izimo zezokwelapha | Isifo Sikashukela, Ukuquleka, Isifo Sesibindi noma Sezinso, I-Glaucoma, Isifo SikaParkinson, I-Dementia, Izinkinga Ze-Prostate |
| Imikhuba nezinye izindaba | Ukusebenzisa ugwayi (ukubhema), ubunzima bokugwinya, ubunzima bokuchama, ubunzima bokulawula imisipha |
| Ukungezwani komzimba | Uma une-allergy ku-Clozapine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
| Imicimbi ekhethekile | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa |
Ngiyisebenzisa kanjani ngempela le mithi?
Njengoba lo umuthi owuketshezi (ukumiswa), udinga ukuqaphela kancane uma uwusebenzisa.
- Shukumisa kahle: Ngaphambi kokusebenzisa ngakunye, shukumisa ibhodlela kahle cishe imizuzwana eyi-10 .
- Ukulinganisa okunembile: Sebenzisa kuphela isirinji esikhethekile somlomo esiza nomuthi bese ulinganisa inani eliqondile udokotela wakho akutshele ukuthi ulithathe. Ungalokothi usebenzise izipuni zasekhaya noma izipuni zesobho. Azinembile.
- Phuza ngokushesha: Phuza umuthi ngokushesha ngemva kokuwudonsela esirinji. Ungawugcini ukuze uwusebenzise kamuva.
- Ukudla: Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Akukho mthetho okhethekile ngawo.
- Yithathe ngesikhathi: Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke. Thatha umuthi wakho ngezikhathi ezibekiwe, njengoba uqondiswe udokotela wakho. Ungathathi ngaphezu kwesilinganiso esibekiwe.
- Ungayeki: Gwema ukuyeka umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu.
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 esijwayelekile. Ungathathi umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe. Uma uphuthelwe umuthi izinsuku ezingaphezu kwezimbili, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nomthamo ofanele ngaphambi kokuqala futhi.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ngakho-ke, ungalokothi uwuhlanganyele nanoma ubani omunye.
Eminye imithi okufanele uyiqaphele uma isetshenziswa ne-Clozapine
I-Clozapine umuthi ongasebenzisana neminye imithi eminingi. Lokhu kusho ukuthi ukuwuthatha neminye imithi kungashintsha indlela i-Clozapine esebenza kahle ngayo noma kwandise imiphumela yayo emibi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Ungalokothi uthathe i-Clozapine nalezi. | |
|---|---|
| I-Dronedarone | I-Pimozide |
| I-Metoclopramide | I-Thioridazine |
| Qaphela kakhulu uma uthatha i-Clozapine nalezi. | |
| Utshwala | Iziphuzo eziqukethe i-caffeine (ikhofi, itiye) |
| Ezinye izinhlobo zama-antibiotic | Imithi yokucindezeleka |
| Imithi yokulala noma yokukhathazeka | Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane |
| Imithi yokucindezela kwegazi | Umuthi wokwelapha ukuxhuzula |
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi imithi oyithathayo.
Izinto okufanele uzinake kakhulu lapho uthatha umuthi
- Ukuhlolwa kwegazi kwamasonto onke: Uma uqala i-Clozapine , kuzodingeka uhlolwe igazi kanye ngesonto ezinyangeni ezimbalwa zokuqala. Lokhu kuzohlola ukuthi inani lamaseli akho amhlophe egazi liyehla ngendlela eyingozi yini. Uma inani legazi lakho lihle ezinyangeni zokuqala eziyisithupha, udokotela wakho angase anqume ukunciphisa imvamisa yokuhlolwa kwegazi. Lokhu kuyinto okufanele uyenze nakanjani.
- Ukusabela kwesikhumba: Ngezinye izikhathi ukusabela kwesikhumba okukhulu kungenzeka emavikini ngemva kokuqala umuthi. Funa usizo lwezokwelapha ngokushesha uma uvela amabhamuza abomvu noma onsomi esikhumbeni sakho kanye nezimpawu ezifana nomkhuhlane noma ukubanda, isikhumba esiqhekekayo, noma ama-lymph node avuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni.
- Ukuqunjelwa: Kukhona ingozi yokuqunjelwa ngalo muthi. Tshela udokotela wakho uma ungakwazi ukuya endlini yokugezela njengenjwayelo, uma unesisu esingaphansi kwezintathu ngesonto, noma uma unezimpawu ezifana nobuhlungu besisu, ukuqunjelwa, isicanucanu, noma ukuhlanza. Phuza amanzi amaningi.
- Ukozela kanye nesiyezi: Lo muthi ungabangela ukozela kanye nesiyezi. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lokhu kukuthinta kanjani. Ukuze ugweme isiyezi, vuka kancane lapho uvuka endaweni yokuhlala noma uphuma embhedeni.
- Ukubhema: Tshela udokotela wakho uma ubhema, njengoba ukubhema kungathinta indlela lo muthi osebenza ngayo. Tshela nodokotela wakho uma uhlela ukuyeka ukubhema.
- Izinga lokushisa lomzimba: Lo muthi ungathinta ikhono lakho lokulawula izinga lokushisa lomzimba wakho. Zivikele ekubandeni okukhulu nasekushiseni. Phuza amanzi amaningi.
Imiphumela emibi engase ivele ngalo muthi
Njenganoma yimuphi umuthi, i-Clozapine ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Amaqhubu esikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo |
| Izinkinga zenhliziyo | Ukushaya kwenhliziyo okungajwayelekile, ubuhlungu besifuba, ubunzima bokuphefumula, ukuvuvukala kwemilenze/amaqakala, ukukhathala okukhulu |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu (kungaba uphawu lokubala okuphansi kwamangqamuzana amhlophe egazi) |
| Izimpawu zesifo sohlangothi | Ukungabi namandla/ubuthakathaka bobuso, ingalo, noma umlenze ngokuzumayo, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu |
| Ezinye izimpawu ezinkulu | Ukuquleka, umkhuhlane omkhulu kanye nokuqina kwemisipha (i-Neuroleptic Malignant Syndrome), ukunyakaza komzimba okungalawuleki (i-EPS), ukuqunjelwa okukhulu, izimpawu zokulimala kwesibindi (ukuphuzi kwesikhumba/amehlo, umchamo omnyama) |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Isiyezi/ukozela | Ukuthelwa amathe ngokweqile |
| Ikhanda elibuhlungu | Ukwanda kwesisindo |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, khuluma nodokotela wakho ngokushesha.
Ungawugcina kanjani umuthi?
- Gcina kude nezingane.
- Gcina ekamelweni lokushisa (phakathi kuka-20-25 Celsius). Ungafaki efrijini noma uqandisise.
- Vikela ekukhanyeni.
- Lahla noma yimuphi umuthi osele ezinsukwini eziyi-100 ngemuva kokuvula ibhodlela.
- Ungasebenzisi umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Clozapine umuthi okufanele usetshenziswe ngokunakekelwa okukhethekile. Landela imiyalelo kadokotela wakho ngqo.
- Qiniseka ukuthi utshela udokotela wakho ngezinye izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Ungayeki ukuhlolwa kwegazi okuhleliwe. Lokhu kubaluleke kakhulu ukuze uphephe.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Uma uhlangabezana nemiphumela emibi kakhulu njengomkhuhlane, amabhamuza esikhumba, ubuhlungu besifuba, noma ubunzima bokuphefumula, bonana nodokotela ngokushesha.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho.
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