Ake sifunde ngomuthi wokugomela i-Olanzapine? Konke okudingeka ukwazi ngalo muthi!

Uma udokotela encoma umjovo we-'Olanzapine' kuwe noma kothile oseduze nawe, kuvamile ukuba nemibuzo eminingi ngawo, akunjalo? "Uhlobo luni lomuthi?", "Kungani lokhu kunikezwa?", "Ingabe kuzoba nemiphumela emibi?" Cishe uyazibuza izinto ezinjalo. Eqinisweni, kubaluleke kakhulu ukuqonda kahle noma yimuphi umuthi. Ngakho-ke namuhla, ake sixoxe ngakho konke okudingeka ukwazi ngalo mjovo we-'Olanzapine', kalula, ngendlela ongayiqonda.

Uhlobo luni lomuthi i-Olanzapine?

Kalula nje, i-Olanzapine umuthi osetshenziselwa ukwelapha izimo ezithile zempilo yengqondo. Usiza ukulawula izimpawu ze- schizophrenia - uyazi, isimo lapho abantu bebona, bezwa, noma benezinkolelo ezingavamile ezingezona ezangempela - kanye nesifo sokuphazamiseka kwengqondo - isimo lapho imizwa ingashintsha khona ngokuzumayo kusukela ekujabuleni kakhulu kuya ekudabukeni kakhulu.

Cabanga ngakho, kunezinhlobo ezahlukene zamakhemikhali ebuchosheni bethu ezisiza ekulawuleni isimo sethu sengqondo, ukuziphatha, kanye nemicabango. I-Dopamine kanye ne-Serotonin yizinhlobo ezimbili zamakhemikhali abaluleke kangaka. Umuthi i-Olanzapine usebenza ngokulinganisela amazinga alawa ma-dopamine kanye ne-serotonin ebuchosheni. Yile ndlela osiza ngayo ukuthuthukisa isimo sethu sengqondo kanye nokuziphatha.

Lo muthi ungoweqembu lemithi ebizwa ngokuthi ``Antipsychotics``. Imithi kuleli qembu isetshenziselwa ukwelapha izinkinga ezahlukene zempilo yengqondo. Ungawuthola lo muthi ngaphansi kwamagama omkhiqizo athi ``Zyprexa`` noma ``Zyprexa Intramuscular``. Ngakho-ke, udokotela wakho uzokuchazela ukuthi kungani unikezwa lo mjovo we-``Olanzapine``. Ngezinye izikhathi, lo muthi ungasetshenziswa nakwezinye izimo ezingashiwongo kulesi sihloko. Ngakho-ke, ungesabi ukubuza udokotela wakho noma usokhemisi uma unemibuzo.

Yini okufanele uyitshele ithimba lakho lezokwelapha ngaphambi kokuthola lo muthi wokugomela?

Leli iphuzu elibaluleke kakhulu . Ngaphambi kokuthi uqale ukuthatha i-Olanzapine, kubalulekile ukwazisa ithimba lakho lezokwelapha ngezimo zakho zempilo zamanje. Ngoba, uma unezimo ezithile, udinga ukuqaphela kakhulu lapho unikeza lo muthi, noma mhlawumbe lo muthi awukufanele. Cabanga nje, ukube uNalini wayengatshelanga udokotela ukuthi unesifo sikashukela, lo muthi ngabe wandisa amazinga akhe kashukela nakakhulu, akunjalo? Yingakho kubalulekile ukusho lezi zinto.

Uma unalezi zinto, vele usho njalo:

• Ukuvaleka kwamathumbu: Wake waba nento efana nokuvaleka kwamathumbu ngaphambili?
• Uma ubhema: Uyabhema ugwayi? (Lokhu kungathinta indlela umuthi osebenza ngayo)
• Ukuqunjelwa: Ingabe uvame ukuqunjelwa?
• I-Dementia: Isifo sokulahlekelwa yinkumbulo, ikakhulukazi kubantu asebekhulile.
• Isifo sikashukela: Ingabe unesifo sikashukela? Ingabe siyalawuleka?
• Ubunzima bokugwinya: Ingabe kunzima ukugwinya ukudla nokuphuza?
• I-Glaucoma: Isifo lapho ingcindezi emehlweni ikhuphuka khona.
• Ubunzima bokulawula imisipha: Ingabe unenkinga yokulawula izitho zakho zomzimba, njengokuthuthumela?
• Isifo senhliziyo: Ingabe unesifo senhliziyo? (isib., unesifo senhliziyo, inhliziyo yakho ibonakala ibuthakathaka)
• I-cholesterol ephezulu: Ingabe unamazinga aphezulu e-cholesterol egazini?
• Ukwanda kwamazinga e-prolactin: Ingabe uke wahlolwa ukuze kubonakale ukuthi i-hormone prolactin iphakeme egazini lakho?
• Umlando womdlavuza webele: Ingabe wena noma omunye umuntu emndenini wakho wake waba nomdlavuza webele?
• Umlando wokushaya kwenhliziyo okungajwayelekile: Ingabe izinga lokushaya kwenhliziyo yakho selingajwayelekile? Ingabe i-ECG yakho ibonise noma yikuphi ukungahambi kahle?
• Uma ukhubazekile: Wake waba nesifo sohlangothi ngaphambilini?
• Isifo sesibindi: Ingabe kukhona isifo sesibindi? (isib. i-cirrhosis, i-hepatitis)
• Inani eliphansi lamaseli egazi: Ingabe kube nemibiko yokuthi amaseli amhlophe egazi, ama-platelet, noma amaseli abomvu egazi aphansi?
• Umfutho wegazi ophansi: Ingabe umfutho wegazi wakho wehla njalo? Ingabe uzizwa unesiyezi uma usukuma?
• Isifo sikaParkinson: Ingabe unesifo sikaParkinson ?
• Izifo ze-prostate: Uma uyindoda, ingabe unezinkinga ze-prostate?
• Isifo Sokuxhuzula (`Ukuxhuzula`): Ingabe kukhona isimo esenza kubonakale sengathi kukhona isifo sokuxhuzula?
• Imicabango, amacebo, noma imizamo yokuzibulala: Ingabe unemicabango yokuzibulala, wake wahlela, noma wazama? Ingabe ukhona emndenini wakho owake wakwenza lokho? Ungesabi ukukhuluma ngalokhu, odokotela bakhona ukukusiza.
• Ubunzima bomchamo: Ingabe kunzima ukuchama ? Ingabe inani lomchamo linciphile?
• Ukungezwani komzimba ne-Olanzapine noma eminye imithi, ukudla, udayi, izithasiselo: Wake waba nokusabela kokungezwani komzimba kulo muthi noma yini enye, njengokuqubuka kwesikhumba noma ubunzima bokuphefumula?
• Uma ukhulelwe noma uzama ukukhulelwa:
• Uma ungumama oncelisayo:

Lolu hlu lude kancane, kodwa zonke lezi zinto zibaluleke kakhulu ekuphepheni kwakho nasekuphumeleleni kokwelashwa kwakho. Ngakho ungafihli lutho, tshela udokotela wakho konke, kulungile?

Lo muthi wokugoma unikezwa kanjani?

Lo muthi, i-Olanzapine, unikezwa njengomjovo emisipheni yakho.Lo mjovo uvame ukunikezwa emsipheni okhalweni noma engalweni engenhla. Lokhu akuyona into ongayenza ekhaya. Unikezwa yithimba lezokwelapha esibhedlela noma emtholampilo.

Ngaphambi kweseshini ngayinye yokwelashwa, uzonikezwa incwajana yolwazi ekhethekile (ebizwa ngokuthi 'i-MedGuide') ngalo muthi. Qiniseka ukuthi uyawufunda ngokucophelela njalo . Ungaqukatha ulwazi oluningi olubalulekile kuwe, njengemininingwane mayelana nemiphumela emibi nezinto okufanele uziqaphele.

Uma unikeza izingane lo muthi, khuluma nethimba lakho lezokwelapha ngawo. Ngezinye izikhathi kungadingeka ukunakekelwa okukhethekile lapho uwunikeza izingane.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Lokhu ngokuvamile akunakwenzeka, ngoba lo muthi wokugomela unikezwa uchwepheshe wezokwelapha. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uphuze kakhulu lo muthi, noma uma uhlangabezana nanoma yiziphi zalezi zimpawu (njengokozela okukhulu noma ukudideka), shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha . Ungachithi isikhathi.

Futhi khumbula, lo muthi ungowakho wedwa . Ungalokothi unike omunye umuntu umuthi wakho, noma ngabe unezimpawu ezifanayo nezakho.

Kuthiwani uma ngiphuthelwa umuthi wokugoma?

Njengoba lo umuthi wokugomela onikezwa esibhedlela noma emtholampilo, akuyona inkinga uma uphuthelwa umthamo. Ithimba lezokwelapha lizosebenzisana nawe ukuthola umuthi wokugomela ngosuku nesikhathi esihleliwe. Uma ungakwazi ukugcina isikhathi, sicela usazise kusenesikhathi.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Leli futhi iphuzu elibaluleke kakhulu. Umuthi wokugomela i-'Olanzapine' ungasebenzisana neminye imithi. Okusho ukuthi, uma leyo mithi ithathwa ndawonye, ​​ukusebenza kahle kwayo kungashintsha, imiphumela emibi inganda, noma umphumela womuthi ungancipha. Cabanga nje, uma uSaman ethatha i-'Olanzapine' ngenkathi ethatha omunye umuthi owandisa ukozela, angase athole ukozela ngokweqile kanye nesiyezi, akunjalo? Izinto ezinjalo zingenzeka.

Ungawuthathi lo muthi wokugomela i-Olanzapine kanye nemithi elandelayo:

• `I-Dronedarone`
• `I-Cisapride`
• I-'Metoclopramide' (inganikezwa ngaphansi kokuqashwa ngudokotela kwezinye izimo, kodwa gwema ukuyisebenzisa wena ngokwakho)
• `I-Pimozide`
• `I-Thioridazine`

Ngaphezu kwalokho, lo muthi ungasebenzisana nalokhu okulandelayo:

• Utshwala: Lokhu kungandisa ukozela kanye nesiyezi.
• Ama-antihistamine asetshenziselwa ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (isib. i-Chlorpheniramine, i-Promethazine) nawo andisa ukozela.
• `I-Atropine`
• `I-Carbamazepine` (umuthi wesifo sokuwa)
• Imithi ethile yokukhathazeka noma yokulala: (isib., i-Diazepam, i-Lorazepam)
• Eminye imithi yezinkinga zesinyi (isib., i-Oxybutynin, i-Tolterodine)
• Eminye imithi yokucindezeleka (isib., i-Amitriptyline, i-Fluoxetine, ne-Sertraline)
• Eminye imithi yezinkinga zesisu (isib. i-Dicyclomine, i-Hyoscyamine)
• Eminye imithi yokwelapha ukugula okubangelwa ukuhamba (isb., i-Scopolamine)
• I-Fluvoxamine (umuthi wokucindezeleka)
• Ama-anesthetics (isib., i-Halothane, i-Isoflurane, i-Methoxyflurane, i-Propofol) : Tshela udokotela wakho uma uthatha le mithi ngaphambi kokuhlinzwa.
• I-Levodopa noma eminye imithi yesifo sikaParkinson
• Imithi yokwelapha umfutho wegazi: Lokhu kungabangela ukuthi umfutho wegazi wakho wehle kakhulu.
• Imithi yokwelapha ukuxhuzula
• Imithi ephumuza imisipha yokuhlinzwa
• Imithi yokwelapha ubuhlungu: (isib. iMorphine, iTramadol)
• I-Omeprazole (umuthi we-gastritis)
• Eminye imithi enweba isikhathi se-QT (engabangela ukushaya kwenhliziyo okungavamile) : Buza udokotela wakho ngalokhu.
• Ama-Phenothiazine (isib. i-Chlorpromazine, i-Prochlorperazine)
• `Rifampin` (umuthi wesifo sofuba)

Lolu hlu aluphelele. Kungase kube nezinye izinto ezingabangela ukusabela. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo njengamanje (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, izithasiselo) . Futhi, qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Lezi zinto zingase zihlangane nemithi yakho.

Yini okufanele ngiyiqaphele lapho ngithatha lo muthi?

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

• Ukuzungeza kanye nokozela: Ungase uzizwe uzungeza noma ulele. Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena.Ikakhulukazi uma usukhulile, ungasukumi noma uhlale phansi ngokuzumayo. Ukwenza kanjalo kunganciphisa ingozi yokuba nesiyezi nokuwa.
• Utshwala: Utshwala bungaphazamisa imiphumela yalo muthi futhi bungandisa ukozela. Ngakho-ke, gwema ukuphuza utshwala ngokuphelele .
• Ukusabela okukhulu kwesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba ('ukusabela okukhulu kwesikhumba'). Lokhu kungase kwenzeke emavikini noma ezinyangeni ngemuva kokuqala umuthi. Uma uthola ukuqubuka kwesikhumba okunezimpawu ezifana nomkhuhlane, tshela ithimba lakho lezempilo ngokushesha. Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala bese kukhishwa. Noma, ungase uthole ukuqubuka okubomvu okunokuvuvukala kobuso, izindebe, intamo noma amakhwapha, noma ama-lymph node avuvukele. Tshela udokotela wakho ngokushesha uma ubona into efana nale.
• Umlomo owomile: Umlomo wakho ungase wome. Lokhu kungaba yinto ecasulayo kancane. Ukuhlafuna itshungama engenashukela, ukumunca ucezu lwejinja (ushukela omncane), nokuphuza amanzi amancane usuku lonke kungasiza ekulawuleni lokhu.
• Izinkinga zokulawula izinga lokushisa lomzimba: Lo muthi ungabangela izinkinga ngekhono lomzimba wakho lokulawula izinga lokushisa lawo. Unganciphisa indlela umzimba wakho osabela ngayo esimweni sezulu esibandayo. Uma kungenzeka, hlala endlini ngezinsuku ezibandayo. Uma kufanele uphume, gqoka ngokufudumele. Unganciphisa nendlela umzimba wakho osabela ngayo ekushiseni. Ngakho gwema ukushisa kakhulu . Ungavivinyi kakhulu, ikakhulukazi esimweni sezulu esishisayo. Hlala kude nelanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezilula nezikhululekile. Phuza amanzi amaningi. Uma ukuthola kunzima ukulawula izinga lokushisa lomzimba wakho, uma ujuluka kakhulu, noma uma uzizwa ubanda kakhulu, tshela ithimba lakho lezokwelapha ngokushesha.
• Ushukela ophezulu egazini: Lo muthi ungase ukhuphule ushukela wegazi lakho. Uma unesifo sikashukela, buza ithimba lakho lezempilo uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini. Ngisho noma ungenaso isifo sikashukela, kufanele uhlole ushukela wegazi lakho uma unezimpawu ezifana nokoma ngokweqile, ukuchama njalo, noma ukukhathala.
• Ukubhema: Uma ubhema futhi uzizwa sengathi lo muthi awusebenzi kahle, tshela ithimba lakho lezempilo. Ukubhema kungenza eminye imithi iphume emzimbeni wakho ngokushesha, ngakho-ke umthamo wakho ungadinga ukulungiswa. Uma ubhema noma ucabanga ukuyeka, khuluma nethimba lakho lezempilo ngakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Olanzapine ingabangela eminye imiphumela emibi. Eminye yayo ayimibi kakhulu, kodwa eminye yayo idinga ukunakekelwa kwezokwelapha ngokushesha. Ungakhathazeki, akuwona wonke umuntu othola yonke le miphumela emibi.

Imiphumela emibi okufanele ibikwe eqenjini lezokwelapha ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo, ubunzima bokuphefumula. Lokhu kungaba yisimo esiphuthumayo.
• Ushukela ophezulu egazini (i-Hyperglycemia): Ukoma ngokweqile, umlomo owomile, ukuchama njalo (ikakhulukazi ebusuku), ukukhathala noma ukukhathala okungavamile, ukubona okufiphele, ukwehla kwesisindo.
• Umkhuhlane ophakeme, ukuqina kwemisipha, ukujuluka okukhulu, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka noma ukulahlekelwa yinkumbulo: Lokhu kungaba izimpawu zesimo esibi, esisongela ukuphila esibizwa ngokuthi i-Neuroleptic Malignant Syndrome (NMS). Funa usizo lwezokwelapha ngokushesha.
• Amazinga aphezulu e-prolactin: Ukukhula noma ubuhlungu obungalindelekile emadodeni, ukuphuma kwezingono, izinguquko esifisweni socansi noma ekusebenzeni (isib. izinkinga zokuqina), imijikelezo yokuya esikhathini engajwayelekile kwabesifazane, ukuyeka ukuya esikhathini, kanye nokukhiqizwa kobisi (ngaphandle kokuba ukhulelwe noma uncelisa).
• Ukutheleleka: Umkhuhlane, ukubanda, izinhlungu zomzimba, ukukhwehlela, noma umphimbo obuhlungu, amanxeba angapholi.
• Umfutho wegazi ophansi: Ukuba nesiyezi lapho umi, uquleka, ikhanda elikhanyayo, ukubona okufiphele, uzizwe sengathi uzowa.
• Ubuhlungu noma ubunzima bokugwinya: Ukuzwa sengathi ukudla kuyabhajwa.
• Ukuqubuka, umkhuhlane, kanye nokuvuvukala kwama-lymph node: Lokhu kungaba uphawu lwesimo esibi njenge-DRESS syndrome.
• Uma uhlangabezana nanoma yiziphi zalezi zimpawu, sicela utshele udokotela wakho noma umuntu omethembayo ngokushesha: imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, isimo sengqondo sokucindezeleka, intukuthelo eyeqile, ukucasuka.
• Ukunyakaza komzimba okungalawulwa, okuphindaphindayo, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukulahlekelwa ibhalansi, ukungaphumuli, ukungakwazi ukuhlala unganyakazi, kanye nokuhamba ngokuxhamazela: Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-Extrapyramidal Symptoms (EPS). Ngezinye izikhathi, imisipha ezindaweni ezifana nolimi, umhlathi, kanye nentamo ingaqina ngendlela engavamile.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa tshela ithimba lakho lezokwelapha uma iqhubeka noma ikhathaza):

• Uhudo
• Isiyezi
• Ukozela - Lokhu kungase kubonakale kakhulu ezigabeni zokuqala.
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu - Kungancishiswa ngokuthatha ukudla, kodwa lokhu akubalulekile ngoba kungumjovo. Ngitshele uma isicanucanu sibi kakhulu.
• Ukukhuluphala – Lona umphumela ovamile abanye abantu abangase bawuzwe ngenkathi bethatha lo muthi. Khuluma nodokotela wakho mayelana nokudla nokuzivocavoca.

Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile, khuluma nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Ngingawugcina kuphi lo muthi?

Lokhu akusebenzi kuwe. Ngoba, lo muthi wokugomela i-'Olanzapine' awunikezwanga ukuthi uwugcine ekhaya. Unikezwa wena futhi ugcinwe yithimba lezokwelapha esibhedlela noma emtholampilo. Ngakho-ke awunalutho okufanele ukhathazeke ngalo.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, umuthi wokugomela i-Olanzapine umuthi obalulekile osiza ekwelapheni izimo zempilo yengqondo njenge -schizophrenia kanye ne-bipolar disorder. Usebenza ngokulinganisa amakhemikhali ebuchosheni.

Into ebaluleke kakhulu ukutshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo ngaphambi kokuthatha lo muthi. Futhi, uma uhlangabezana nanoma yini engavamile, izimpawu ezintsha, noma imiphumela emibi kakhulu ngenkathi uthatha umuthi, mtshele ngokushesha. Ungagcini lutho kuwe.

Njengoba lo muthi wokugomela unikezwa esibhedlela noma emtholampilo, akudingeki ukhathazeke ngawo. Odokotela nabahlengikazi bazokunakekela kahle. Uma unemibuzo noma ukukhathazeka, ungangabazi ukukhuluma nabo. Bakhona ukukusiza.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Khumbula, awuwedwa, kunezindlela zokwelapha ezinhle zalezi zimo, futhi ukulandela iseluleko sezokwelapha kuyindlela engcono kakhulu yokululama ngokushesha.

I- Olanzapine, Umuthi Wokugoma, Ukugula Kwengqondo , I-Schizophrenia, Isifo Se-Bipolar, Imiphumela Engemihle, Imithi, Ukwelashwa, Ama-Antipsychotics, Impilo Yengqondo