Uma udokotela wakho ekubhalela umuthi omusha, kuvamile ukuzizwa unelukuluku, mhlawumbe novalo. Ikakhulukazi uma umuthi uhlobene nempilo yakho yengqondo, uzoba nemibuzo eminingi. "Ingabe lokhu kuzongisiza?", "Ingabe kuzoba nemiphumela emibi?" Kungokwemvelo ukuzibuza. Ngakho-ke, namuhla sizokhuluma ngomuthi okungenzeka ukuthi uwutshelwe, noma mhlawumbe oke wezwa ngawo. Lowo yiLurasidone. ESri Lanka, abantu abaningi bawazi ngegama lomkhiqizo iLatuda. Ake sibheke ukuthi lo muthi uyini, usebenza kanjani, nokuthi yini okudingeka siyiqaphele lapho siwusebenzisa.
Kalula nje, iyini i-Lurasidone?
I-Lurasidone umuthi osetshenziselwa ukwelapha izifo eziningana zempilo yengqondo. Isetshenziswa kakhulu ukwelapha i-schizophrenia kanye nokucindezeleka kwe-bipolar .
Cabanga ngobuchopho bethu njengomsakazo oyinkimbinkimbi. Ukuze umsakazo uzwakale kahle, izimpawu kumele zilinganiswe kahle. Izingqondo zethu nazo zinesimiso esifanayo sezimpawu zamakhemikhali ezilawula imicabango yethu, imizwa, kanye nokuziphatha. Lezi sizibiza ngokuthi ama-neurotransmitter . I-Dopamine ne -Serotonin ziyizimbili ze-neurotransmitter eziyinhloko.
Ezimweni ezifana ne-schizophrenia kanye nokucindezeleka kwe-bipolar, ibhalansi yala makhemikhali iyaphazamiseka. Kufana nokuthi umsakazo awulungiswanga kahle futhi kukhona 'umsindo'. I-Lurasidone isebenza ngokubuyisela amazinga angalingani e-dopamine kanye ne-serotonin. Ngokubuyisela izithunywa zamakhemikhali zobuchopho, izimpawu ziyalawulwa futhi ungacabanga, uzizwe, futhi usebenze ngendlela evamile.
Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-antipsychotics . Kodwa ungesabi ukuzwa igama lawo. Lolu hlobo lwemithi lusetshenziselwa ukwelapha izinkinga eziningi zempilo yengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala i-Lurasidone
Ngaphambi kokuqala noma yimuphi umuthi, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi lo muthi ungase uhlangane nezinye izimo zezokwelapha ongase ube nazo. Ngakho-ke, uma unanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala i-Lurasidone.
| Isimo sempilo noma inkinga | Imininingwane yokwazisa udokotela |
|---|---|
| Isifo sikashukela | Uma unesifo sikashukela noma othile emndenini wakho onesifo sikashukela. |
| Isifo senhliziyo | Umfutho wegazi ophakeme, ukungalingani kwesigqi senhliziyo, noma esinye isifo senhliziyo. |
| Isifo sesibindi noma sezinso | Uma unesifo sesibindi noma sezinso. |
| I-cholesterol ephezulu | Uma izinga le-cholesterol egazini liphezulu. |
| Isithuthwane/ Ukuquleka | Uma uke waba nokuxhuzula ( ukuxhuzula ) ngaphambili. |
| Isifo sikaParkinson | Uma unesifo sikaParkinson. |
| Isifo sokulahlekelwa yingqondo | Ukukhubazeka kwenkumbulo, ikakhulukazi kubantu asebekhulile. |
| Isifo sohlangothi | Uma uke waba nesifo sohlangothi ngaphambili. |
| Imicabango yokuzibulala | Uma wena noma othile emndenini wakho wake wacabanga noma wazama ukuzibulala ngaphambilini. |
| Ubunzima bokugwinya | Uma unenkinga yokugwinya ukudla noma uketshezi. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-lurasidone noma kunoma yimuphi omunye umuthi noma ukudla. |
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngomuthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
1. Yithathe kanye nokudla: Lena yinto ebaluleke kakhulu okufanele uyikhumbule nge-Lurasidone. Lo muthi awumuncwa kahle umzimba uma uthathwa esiswini esingenalutho. Ngakho-ke, kubalulekile ukuthatha leli philisi kanye nokudla noma ngokushesha ngemva kokudla . Kungcono ukuwuthatha kanye nokudla okuhle (okuqukethe okungenani amakhalori angu-350), hhayi nje ibhisikidi elincane.
2. Phuza nengilazi yamanzi: Gwinya ithebhulethi lonke nengilazi yamanzi.
3. Yithathe ngesikhathi: Zama ukuphuza umthamo wakho owunikeziwe ngesikhathi esifanayo nsuku zonke, njengoba uyalelwe udokotela wakho. Ukwenza lokhu kube umkhuba kuzokusiza ugweme ukuphuthelwa yimithi yakho.
4. Ungayeki ukuthatha umuthi wedwa: Ngisho noma uzizwa ungcono, ungalokothi uyeke ukuthatha umuthi ngaphandle kokubonisana nodokotela wakho . Uma wenza kanjalo, izimpawu zakho zingase zibuye. Uma uyeka ukuthatha umuthi, yenza lokho njengoba udokotela wakho ekuyalile, wehlise kancane kancane umthamo.
Okubalulekile: Lo muthi unikezwe wena kuphela. Unganiki omunye umuntu lo muthi, noma ngabe izimpawu zakhe zifana nezakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Sonke siyakhohlwa ukuphuza imithi yethu ngezikhathi ezithile. Uma lokho kwenzeka, ungakhathazeki.
- Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
- Kodwa-ke, uma sekuseduze ukuthi kufike umthamo wakho olandelayo (isibonelo, kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe.
- Ungathathi umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ukuthi uthathe okungaphezu kwalokho okucabangayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Ezinye izinto ezingase zihlangane ne-Lurasidone
Eminye imithi, ukudla, neziphuzo kungasebenzisana ne-Lurasidone, kushintshe indlela esebenza ngayo noma kwandise imiphumela emibi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, kanye nemithi yamakhambi).
| Ungayithathi i-Lurasidone nalezi zidakamizwa. | |
|---|---|
| Imithi yokulwa nesikhunta | Ezinye izidakamizwa zokulwa ne-fungus ezifana ne-Ketoconazole, i-Voriconazole |
| Ama-antibiotic | Amanye ama-antibiotic afana ne-Clarithromycin, i-Rifampin |
| Imithi yesifo sokuwa | Izidakamizwa ezifana neCarbamazepine, iPhenytoin |
| Imithi ye-HIV | Eminye imithi, njenge-ritonavir |
| Imikhiqizo yezitshalo | I-wort kaSt. John |
| Kufanele kuqashelwe uma usebenzisa i-Lurasidone nalezi zidakamizwa ezilandelayo: | |
| Isithelo segilebhisi | Gwema ukuphuza ijusi le-grapefruit noma le-grapefruit, ngoba kungakhuphula izinga le-Lurasidone emzimbeni ngezinga elingadingekile. |
| Eminye imithi yezifo zengqondo | Eminye imithi yokucindezeleka, ukukhathazeka, noma ukulala. |
| Imithi yokucindezeleka kwegazi | Imithi yokwehlisa umfutho wegazi. |
| Ama-Painkiller | Amanye ama-painkiller anamandla (ama-opioid). |
Yiziphi izinto okufanele uziqaphele lapho uthatha imithi?
Ngesikhathi uthatha i-Lurasidone, kuwumqondo omuhle ukunaka umzimba nengqondo yakho kakhudlwana.
Qaphela izinguquko zemizwa.
Lokhu kubaluleke kakhulu. Abanye abantu bangase bacindezeleke kakhulu noma babe nemicabango yokuzilimaza, ikakhulukazi ekuqaleni kokwelashwa noma lapho umthamo ushintshwa. Uma wena noma umndeni wakho nibona noma yiluphi ushintsho olulandelayo , khuluma nodokotela wakho ngokushesha :
- Uma uzizwa ukhathazekile noma ungaphumuli
- Uma uthukuthela ngokushesha, uma ubonisa ukuziphatha okunolaka
- Uma wenza ngokunganaki futhi ungacabangi,
- Uma unesifo sokungalali noma ukhungathekile
Qaphela eminye imiphumela emzimbeni
- Ukuzungeza kanye nokozela: Lo muthi ungakwenza uzizwe ulele noma uzungeza. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi kahle ukuthi lo muthi ukuthinta kanjani. Ungase uzizwe uzungeza uma usukuma ngokuzumayo uhleli noma uvuka embhedeni. Ukuze unciphise lokhu, vuka kancane.
- Utshwala: Gwema ukuphuza utshwala ngenkathi uphuza i-lurasidone. Utshwala bungandisa imiphumela emibi yomuthi, ikakhulukazi ukozela.
- Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini. Uma unesifo sikashukela, khuluma nodokotela wakho ngalokhu bese uhlola amazinga kashukela egazini lakho njalo.
- Ukulawula izinga lokushisa lomzimba: Lo muthi ungathinta ikhono lomzimba lokulawula izinga lokushisa. Okusho ukuthi, unganciphisa ikhono lomzimba lokubekezelela ukubanda okukhulu noma ukushisa okukhulu. Ezweni elishisayo njengelethu, gwema ukuhlala elangeni kakhulu, phuza amanzi amaningi, futhi ugqoke izingubo ezilula .
Imiphumela emibi engase ivele ngenxa yemithi
Njengayo yonke imithi, i-Lurasidone ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye imnene. Kubalulekile ukwazi ukuthi iyini le miphumela emibi nokuthi yini okufanele uyenze uma ivela.
| Uma kuvela lezi zimpawu, yazisa udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| I-Neuroleptic Malignant Syndrome (NMS) | Umkhuhlane omkhulu kakhulu, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka. Lesi yisimo esibi kakhulu. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza okungalawuleki kwezingxenye zomzimba (ikakhulukazi ubuso, ulimi), ukuqina kwemisipha, ukuthuthumela, ukuhamba okungazinzile, ubunzima bokuhamba. |
| Izimpawu zesifo sohlangothi | Ukungazweli noma ubuthakathaka obungazelelwe ohlangothini olulodwa lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ikhanda elibuhlungu kakhulu. |
| Ushukela ophezulu egazini (i-Hyperglycemia) | Ukoma ngokweqile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukozela | Kungenzeka kubantu abaningi ezigabeni zokuqala. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
| Ukungahlaliseki | Ukuzizwa ungakwazi ukuhlala endaweni eyodwa. |
| Ukuminyana kwamakhala noma i-mucus | Ukuzizwa njengomkhuhlane. |
| Ukwanda kwesisindo | Kungenzeka kwabanye abantu. |
Ungawugcina kanjani umuthi ngokuphephile?
- Gcina kude nezingane.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15-30), kude nomswakama kanye nokukhanya kwelanga okuqondile. Ungagcini imithi ezindaweni ezinomswakama ophezulu, njengasendlini yokugezela.
- Ungasebenzisi umuthi ophelelwe yisikhathi bese uwulahla ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Lurasidone (i-Latuda) iwumuthi osebenzayo owelapha izimo ezifana nesifo sokuqaqamba kwamalunga kanye nokucindezeleka kwe-bipolar.
- Lo muthi kufanele uthathwe kanye nokudla okumnandi . Gwema ukuwuthatha esiswini esingenalutho.
- Ngisho noma uzizwa ungcono, gwema ukuyeka imithi ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo. Gwema i-grapefruit .
- Ngesikhathi sokuqala kokuthatha lo muthi, qaphela kakhulu izinguquko esimweni sakho sengqondo, ikakhulukazi imicabango yokuzibulala. Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Uma uhlangabezana nemiphumela emibi kakhulu njengomkhuhlane ophakeme, ukuqina kwemisipha, noma ukunyakaza komzimba okungalawuleki, funa iseluleko sezokwelapha ngokushesha.
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