Ingabe kufanele siqaphele i-Olanzapine Extended-Release Injection?

Wena noma othile omaziyo kungenzeka ukuthi utshelwe udokotela ngomuthi obizwa ngokuthi i-Olanzapine. Noma kungenzeka ukuthi uyawuhlola. Lo muthi usetshenziselwa ukwelapha izifo zengqondo. Ngakho-ke, ake sixoxe ngawo ngendlela elula ongayiqonda.

Iyini le injection ye-Olanzapine?

Kalula nje, i-OLANZAPINE umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo ezifana ne -schizophrenia . Ubuchopho bethu buqukethe amakhemikhali amabili abizwa ngokuthi i-dopamine kanye ne-serotonin. Lawa asiza ukulawula imizwa yethu, ukuziphatha, kanye nemicabango. I-Olanzapine isebenza ngokulinganisela amazinga ala makhemikhali. Iyingxenye yemithi ebizwa ngokuthi ama-antipsychotics. Lezi zinhlobo zemithi yokulwa nesifo sengqondo zisetshenziselwa ukwelapha izimo ezahlukahlukene zempilo yengqondo.

Ngezinye izikhathi lo muthi ungasetshenziswa kwezinye izimo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

AMAGAMA OMKHWA OJWAYELEKILE walo muthi: `Zyprexa Relprevv`

Yiziphi izinto okudingeka uzitshele ithimba lakho lezokwelapha ngaphambi kokuqala lo muthi?

Ngaphambi kokuthi uqale ukuthatha lo muthi, kubalulekile ukuthi ithimba lakho lezokunakekelwa kwempilo (odokotela nabahlengikazi) lizazi lezi zinto ukuze bakwazi ukukwelapha ngokuphephile nangokufanele. Bheka ukuthi lezi zinto ziyasebenza yini kuwe:

• Ingabe unesifo esifana nokuthi 'ukuvaleka kwamathumbu akho '?
• Ingabe ubhema ugwayi ?
• Ingabe uvame ukuhlushwa ukuqunjelwa ?
• Ingabe unesifo sokuwohloka kwenkumbulo (dementia )?
• Ingabe unesifo soshukela ?
• Ingabe unenkinga yokugwinya ?
• Ingabe une -glaucoma ?
• Unenkinga yokulawula imisipha yakho ?
• Unesifo senhliziyo ?
• Ingabe une -cholesterol ephezulu ?
• Ingabe amazinga akho e-prolactin aphakeme ?
• Uke waba nomlando womdlavuza webele ?
• Ingabe kukhona umlando wokushaya kwenhliziyo okungajwayelekile ?
• Uke waba nesifo sohlangothi ngaphambilini?
• Unesifo sesibindi ?
• Ingabe unezibalo eziphansi zegazi ( isib. amangqamuzana amhlophe egazi aphansi, ama-platelet, noma amangqamuzana abomvu egazi)?
• Ingabe unawo umfutho wegazi ophansi?
• Unayo yini isifo sikaParkinson ?
• Ingabe kukhona isifo se-prostate ?
• Ingabe unesifo sokuwa okufana nesifo sokuwa ?
• Ingabe wake waba nemicabango, amacebo noma imizamo yokuzibulala ? Ingabe wena noma omunye emndenini wakho wake wazama ukwenza kanjalo?
• Ingabe unenkinga yokuchama ?
• Uke waba nokusabela okungavamile noma okungezwani komzimba ne-olanzapine, eminye imithi, ukudla, udayi noma izithasiselo?
• Ukhulelwe noma uzama ukukhulelwa ?
• Ingabe uyancelisa ?

Hhayi lezi zinto kuphela, kodwa kufanele futhi wazise udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma imithi yendabuko oyithathayo.

Ngingawusebenzisa kanjani lo muthi?

Lona akuwona umuthi ongawuthatha ekhaya. Unikezwa njengomjovo emsipheni yithimba lakho lezempilo. Lokhu kusho ukuthi unikezwa udokotela noma umhlengikazi oqeqeshiwe. Unikezwa ngezikhathi ezithile . Ungayeki ukuthatha lo muthi kuze kube yilapho ithimba lakho lezempilo likutshela ukuthi wenze kanjalo.

Ngaphambi kokwelashwa ngakunye, uzonikezwa incwajana yemiyalelo ekhethekile (`MedGuide`) . Kubaluleke kakhulu ukufunda nokuqonda imininingwane ekuyo ngokucophelela isikhathi ngasinye.

Uma unikeza izingane lo muthi, khuluma nethimba lakho lezokwelapha ngawo. Kungadingeka ukunakekelwa okukhethekile.

Okubalulekile: Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nanoma ubani omunye.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi uphuze ngokweqile, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha noma ushayele isikhungo sokulawula ubuthi.

Kuthiwani uma ngiphuthelwa usuku lokugoma oluhleliwe?

Uma uphuthelwa isikhathi noma usuku oluhleliwe lokugonywa kwakho, shayela ithimba lakho lezokwelapha ngokushesha okukhulu bese ubazisa.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana Nemithi)

Eminye imithi ingabangela izinkinga uma ithathwa ngalo muthi. Ngakho-ke nikeza udokotela wakho uhlu oluphelele lwazo zonke imithi oyithathayo, okuhlanganisa imithi yamakhambi, imithi engagunyaziwe ngudokotela, kanye nezithasiselo zokudla. Tshela nodokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nomuthi wakho.

Ungayithathi le mithi elandelayo ngomjovo we-Olanzapine:

• I-Dronedarone
• I-Cisapride
• I-Metoclopramide
• I-Pimozide
• I-Thioridazine

Lo muthi ungase futhi uhlangane nalokhu okulandelayo:

• Utshwala
• Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (isb., ama-antihistamine)
• I-Atropine
• I-Carbamazepine
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine)
• Eminye imithi yokucindezeleka (isib. i-amitriptyline, i-fluoxetine, i-sertraline)
• Eminye imithi yezinkinga zesisu (isib. i-dicyclomine, i-hyoscyamine)
• Imithi yokugula kokunyakaza (isb., i-scopolamine)
• I-Fluvoxamine
• Izibulala-zinhlungu (isib. i-halothane, i-isoflurane, i-methoxyflurane, i-propofol)
• I-Levodopa noma eminye imithi yesifo sikaParkinson
• Imithi yokucindezela kwegazi
• Umuthi wokwelapha ukuxhuzula
• Iziphumuli zemisipha zokuhlinzwa
• Imithi yokwelapha ubuhlungu
• I-Omeprazole
• Eminye imithi engabangela ukungasebenzi kahle kwesigqi senhliziyo (`isikhathi se-QT`)
• Ama-phenothiazine (isib. i-chlorpromazine, i-prochlorperazine)
• I-Rifampin

Lolu hlu lungase lungaphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.

Yiziphi izinyathelo ezikhethekile okufanele zithathwe lapho uthatha lo muthi?

Ithimba lakho lezokwelapha lizokuqapha eduze ngenkathi uthatha lo muthi. Tshela ithimba lakho lezokwelapha uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.

Lokhu kubaluleke kakhulu: Ngemva kokujova, udinga ukuhlala emtholampilo lapho ujove khona okungenani amahora amathathu . Uyazi ukuthi kusho ukuthini lokho? Ithimba lezokwelapha lifuna ukubona ukuthi unazo yini izimpawu zesimo esibizwa ngokuthi i-Post-injection Delirium Sedation Syndrome (PDSS). I-PDSS yisimo esibi kakhulu . Kwenzeka lapho umuthi ungena egazini lakho ngokushesha okukhulu. Ezinye zezimpawu ze-PDSS yilezi:

• Ukozela
• Isiyezi
• Ukudideka (ukungazi ukuthi kwenzekani)
• Ubunzima bokukhuluma noma ukuhamba
• Ukudlikizela
• Ukuqina kwemisipha noma ukuthuthumela
• Ukuzizwa ubuthakathaka
• Ukuzizwa ukhathazekile noma uthukuthele
• Ukulahlekelwa ukwazi noma ukuquleka
• Izinguquko ekucindezelweni kwegazi

Uma uphuma emtholampilo, kumelwe kube khona othile ohambisana nawe.Uma uba nezimpawu ze-PDSS ngemuva kokuphuma emtholampilo noma esibhedlela, funa usizo lwezokwelapha ngokushesha .

Ungashayeli noma usebenzise imishini esindayo usuku lonke ngemva komjovo. Ungase uzizwe unesiyezi noma ulele. Ungami noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa isiyezi nokuquleka. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Ngakho gwema ukuphuza utshwala.

Lo muthi ungabangela ukusabela okukhulu kwesikhumba kwabanye abantu. Lokhu kungenzeka ngisho namasonto ambalwa ngemuva kokuqala ukuthatha umuthi. Tshela ithimba lakho lezempilo ngokushesha uma uthola ukuqubuka okunomkhuhlane nezimpawu ezifana nomkhuhlane. Lokhu kuqubuka kungase kubonakale kubomvu noma kunsomi, bese kuba amabala futhi kuqhekeke. Futhi, tshela udokotela wakho uma unesifo sokuqubuka okubomvu okunokuvuvukala kobuso noma izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni.

Lo muthi ungase wandise amazinga kashukela egazini . Uma unesifo sikashukela, buza ithimba lakho lezempilo uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.

Ungase ube nomlomo owomile . Ungasiza ekulawuleni lokhu ngokuhlafuna itshungama engenashukela, ukumunca ucezu lwetshungama, nokuphuza amanzi amaningi. Uma le nkinga iqhubeka noma iba nkulu, tshela ithimba lakho lezempilo.

Lo muthi ungenza kube nzima ngawe ukulawula izinga lokushisa lomzimba wakho . Ungenza umzimba wakho ungasabeli kahle esimweni sezulu esibandayo. Uma kungenzeka, hlala endlini ngezinsuku ezibandayo. Uma kufanele uphume ngaphandle, gqoka izingubo ezifudumele. Ungenza nomzimba wakho ungasabeli kahle ekushiseni. Ngakho ungavumeli umzimba wakho ushise kakhulu. Ungavivinyi kakhulu. Hlala kude nelanga ngangokunokwenzeka. Uma kufanele ube selangeni, gqoka izingubo eziphefumulayo. Phuza amanzi amaningi. Uma uzizwa sengathi unenkinga yokulawula izinga lokushisa lomzimba wakho, shayela ithimba lakho lezokwelapha ngokushesha.

Uma ubhema , tshela ithimba lakho lezempilo uma unomuzwa wokuthi lo muthi awusebenzi kahle. Uma ubhema noma ucabanga ukuyeka, khuluma nethimba lakho lezempilo ngakho.

Yimiphi imiphumela emibi engabangwa yilo muthi?

Njengayo yonke imithi, lena ingaba nemiphumela emibi, kodwa akuwona wonke umuntu oyitholayo.

Imiphumela emibi okufanele ibikwe kudokotela noma eqenjini lezokwelapha ngokushesha:

Uma ubona noma yiziphi zalezi zimpawu, kufanele uzibike ngokushesha :

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ushukela ophezulu egazini (i-hyperglycemia): Ukoma noma ukuchama ngokweqile, ubuthakathaka noma ukukhathala okungavamile, ukubona okufiphele.
• Umkhuhlane ophakeme, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka: Lokhu kungaba izimpawu zesimo esibi esibizwa ngokuthi i-neuroleptic malignant syndrome.
• Amazinga aphezulu e-prolactin: Ukukhula okungalindelekile kwezicubu zebele, ukuphuma kwesisu esiswini, ushintsho esifisweni socansi noma ekusebenzeni, imijikelezo yokuya esikhathini engajwayelekile.
• Ukutheleleka: Umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
• Umfutho wegazi ophansi: isiyezi, ukuquleka, amehlo aluhlaza okwesibhakabhaka.
• Ubuhlungu noma ubunzima bokugwinya.
• Isifo sokudambisa ikhanda ngemva kokufakwa umjovo: Ukuzungeza, ukozela, ukukhuluma okungacacile, ukudideka, ukucasuka, ukungaphumuli, ubunzima bokuhamba, ukulahlekelwa ibhalansi, ubuthakathaka obungavamile noma ukukhathala.
• Ukuqubuka, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka.
• Ukunyakaza komzimba okungalawulwayo nokuphindaphindwayo, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukulahlekelwa ibhalansi, ukungaphumuli, ukuhamba kancane: lokhu kungaba izimpawu ze-'extrapyramidal symptoms (EPS)'.

Izimpawu ezivame ukungadingi iseluleko sezokwelapha (kodwa yazisa ithimba lezokwelapha uma ziqhubeka noma zikhathaza):

Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka noma kukukhathaza, tshela udokotela wakho.

• Uhudo
• Isiyezi
• Ukozela
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu
• Ukwanda kwesisindo

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.

Ngingawugcina kuphi lo muthi?

Ngeke uvunyelwe ukuthatha lo muthi uye nawo ekhaya. Lona umuthi onikezwa esibhedlela noma emtholampilo, ngakho akudingeki uwugcine ekhaya.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, manje usunomqondo othile ngomuthi wokugomela i-olanzapine osebenza isikhathi eside. Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho noma ilungu lethimba lakho lezokwelapha nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Yibo abangakusiza kangcono.

Khumbula, lolu lwazi lungolwakho kuphela. Akulona iseluleko sezokwelapha. Landela njalo iseluleko sikadokotela wakho.

Ngikufisela ukululama okusheshayo!

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