Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Fluphenazine? Noma ingabe ilungu lomndeni noma umngane usebenzisa lo muthi? Ukuzwa leli gama kungakwenza wesabe noma ube nelukuluku. Kodwa ungakhathazeki. Kubaluleke kakhulu ukuba nolwazi oluphelele nganoma yimuphi umuthi ngaphambi kokuwusebenzisa. Ngakho-ke namuhla, ake sixoxe kalula nangendlela enomusa ngalo muthi obizwa ngokuthi i-Fluphenazine, imiphumela yawo ebuchosheni, kanye nezinto okufanele uziqaphele ngenkathi uwusebenzisa.
Kalula nje, iyini le Fluphenazine?
I-Fluphenazine umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo njenge- schizophrenia . Iyingxenye yemithi ebizwa ngokuthi 'ama-antipsychotics'.
Ubuchopho bethu buqukethe ikhemikhali ebizwa ngokuthi i-dopamine. Lokhu kulawula izinto eziningi, okuhlanganisa isimo sethu sengqondo, ukuziphatha, kanye nemicabango. Kwezinye izimo zempilo yengqondo, leli zinga le-dopamine liyaphazamiseka. Ngakho-ke, lokho okwenziwa yilesi sidakamizwa se-fluphenazine ukulinganisela lelo zinga le-dopamine futhi kusize ukulawula izimpawu. Odokotela bangase futhi banikeze lesi sidakamizwa kwezinye izimo zempilo yengqondo ngaphezu kwe -schizophrenia .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-fluphenazine, kubalulekile ukunikeza udokotela wakho isithombe esiphelele sempilo yakho. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
| Isimo/Ukugula | Incazelo |
|---|---|
| Izimo zezokwelapha ezikhona | Isifo sikashukela, isifo sikaParkinson, ukuxhuzula, i-glaucoma, izimila zobuchopho, isifo senhliziyo, isifo sesibindi, isifo se-prostate, kanye nezifo zamaphaphu ezifana ne-asthma. |
| Ukungakhululeki komzimba | Ubunzima bokugwinya ukudla, ubunzima bokuchama, ukuvaleka kwamathumbu, ubunzima bokulawula imisipha. |
| Izinkinga ezihlobene negazi | Umfutho wegazi ophansi, umlando wokushaya kwenhliziyo okungajwayelekile, inani eliphansi lamaseli egazi (amaseli amhlophe egazi, amaseli abomvu egazi, ama-platelet). |
| Amanye amaphuzu abalulekile | Uma unesifo sengqondo esibi, ukulimala ekhanda, noma umlando wokuphuza kakhulu. |
| Ukungezwani komzimba | Uma une-allergy ku-fluphenazine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
| Imicimbi ekhethekile | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu kuvame ukuthathwa ngomlomo njengephilisi. Phuza umuthi nengilazi yamanzi. Qiniseka ukuthi uthatha umthamo obekwe udokotela wakho, ngesikhathi esifanele . Gcina igebe lesikhathi phakathi kwemithamo. Ngisho noma uzizwa ungcono, ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okukhulu.
Ukunakwa: Ukweqisa ngokweqile
Uma ucabanga ukuthi uthathe umthamo ongaphezu konqunyiwe walo muthi, ungawushayi indiva nganoma yisiphi isikhathi . Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma, shayela i-National Poisons Information Centre e-Colombo National Hospital.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa 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 ukuze ubuyisele umthamo ophuthelwe.
Ezinye izinto ezingase zihlangane nalo muthi
Uma uthatha i-fluphenazine, kufanele utshele udokotela wakho nganoma yimiphi eminye imithi, amavithamini, kanye nezithasiselo ozithathayo. Eminye imithi ingase ihlangane nayo.
| Imithi okungafanele ithathwe ne-Fluphenazine | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Metoclopramide | I-Pimozide |
| I-Saquinavir | I-Thioridazine |
| Izinto ezingase zithinteke nge-Fluphenazine, ngakho-ke qaphela | |
|---|---|
| Utshwala | Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine) |
| Eminye imithi yokucindezeleka, ukukhathazeka, noma ukulala | Imithi yokucindezela kwegazi |
| Imithi efana neLevodopa yesifo sikaParkinson | I-anesthesia yokuhlinzwa |
| Izidakamizwa, njenge-morphine, zobuhlungu obukhulu | I-Lithium |
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, nokuthi ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa .
Izinto okufanele uziqaphele lapho uthatha umuthi
Ukozela kanye nesiyezi
Lomuthi ungakwenza uzizwe ulele, unesizungu, noma ube nombono ofiphele. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Ungase uzizwe unesiyezi noma uwe lapho usukuma ngokuzumayo, ikakhulukazi uma usukhulile. Ngakho-ke, shintsha izikhundla kancane. Ukuphuza utshwala kungenza lokhu kukozela kube kubi nakakhulu.
Izinkinga zokulawula izinga lokushisa lomzimba
Lo muthi unganciphisa ikhono lomzimba wakho lokusabela emakhazeni nasekushiseni. Lokhu kusho ukuthi ungase uzizwe ubanda ngokushesha esimweni sezulu esibanda kakhulu futhi ushise kakhulu ngokushesha esimweni sezulu esishisayo kakhulu.
- Hlala endlini ngangokunokwenzeka uma kubanda . Uma uphuma, gqoka ngokufudumele.
- Ngesikhathi sezulu esishisayo , nciphisa ukuchayeka elangeni kanye nokuzivocavoca ngokweqile. Gqoka izingubo ezivumela umoya ukuba uphefumule futhi uphuze amanzi amaningi.
Ukuzwela kwelanga
Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, uma uzoba selangeni, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa isithako sokuvikela ilanga.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-Fluphenazine ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Neuroleptic Malignant Syndrome | Umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukudideka. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza okungalawuleki kwezingxenye zomzimba (ikakhulukazi ubuso, ulimi), ukuqina kwemisipha noma ukuthuthumela, ukungaphumuli, ubunzima bokuhamba. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Ezinye izici | Ukushintsha kombono, izimpawu zokutheleleka (umkhuhlane, ukubanda, ukukhwehlela), isiyezi esibangelwa umfutho wegazi ophansi, izinguquko zamahomoni (ukuphuma kwesisu emabeleni, izinguquko zesifiso sobulili). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Umlomo owomile | Ukuqunjelwa |
| Ukozela | Ikhanda elibuhlungu, isicanucanu |
Uma ubona noma yini engavamile engekho kulolu hlu, khuluma nodokotela wakho ngayo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Fluphenazine umuthi obalulekile osiza ekuphatheni izimo zempilo yengqondo futhi kufanele usetshenziswe kuphela ngaphansi kweseluleko sikadokotela.
- Ungalokothi uqale, ushintshe umthamo, noma uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
- Nikeza udokotela wakho incazelo ephelele yayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zakho zezokwelapha.
- Qaphela imiphumela emibi efana nokozela kanye nesiyezi. Gwema ukushayela uze wazi ukuthi umuthi uthinta kanjani wena.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane ophakeme, ukuqina kwemisipha, noma ukunyakaza okungalawuleki, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi unikezwe wena kuphela. Ungawunikeli nabanye.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi eSotalol (Sotalol / Betapace) ayimithi enamandla kakhulu esetshenziselwa siphi isifo?
Lokhu akufani namanye amaphilisi avamile omfutho wegazi (ama-Beta-blockers - isibonelo i-Propranolol)! Lona umuthi onamandla (we-Class II and III Antiarrhythmic) odokotela abawusebenzisayo ukuze balungise isigqi senhliziyo lapho amakamelo aphezulu noma aphansi enhliziyo eshaya ngokuzumayo ngendlela engavamile/ngokushesha (i-Atrial Fibrillation / Ventricular Arrhythmias), isimo esibulalayo!
💬 Uma inhliziyo ishaya ngendlela exakile, leli philisi (iSotalol) lingayilungisa kanjani indlela inhliziyo eshaya ngayo?
Lokhu kwenza izinto ezimbili ephilisini elilodwa! Okokuqala (njenge-Beta-blocker), kuvimbela u-100% womyalezo 'we-adrenaline' ovela ebuchosheni owenza inhliziyo ishaye ngokushesha, wehlise ijubane lenhliziyo. Bese (njenge-Potassium channel blocker), kwandisa isikhathi esithathwa amaseli kagesi enhliziyo ukuthi ashaje futhi aphinde aqale kabusha/aphumule (isikhawu se-QT)! Bese inhliziyo ayikwazi ukushaya ngokushesha ngokwanele, futhi ukushaya kuzobuyela esimweni esijwayelekile (kancane).
💬 Kungani kuthiwa 'Kumelwe uhlale esibhedlela izinsuku ezi-3 (Isexwayiso Sebhokisi Elimnyama)' uma uqala ukuthatha lo muthi (iSotalol)?
Leyo ingozi enkulu kanye nokufa! Lokhu kufana nokudala isigqi senhliziyo, futhi ngokushesha nje lapho uthatha amaphilisi ambalwa, 'isigqi senhliziyo esisha esibulalayo (i-Torsades de pointes / Proarrhythmia)' singavela futhi inhliziyo yesiguli ingayeka ngokuphelele futhi ife! Ngakho-ke, ezinsukwini ezintathu zokuqala, odokotela nakanjani bagcina isiguli ku-ECG futhi bahlole izinso ngaphambi kokulungisa umthamo.
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