Ingabe udokotela wakho ukunike umyalelo wokusebenzisa umuthi i-Olanzapine ne-Samidorphan? Noma ingabe ukhona emndenini wakho oke wanikezwa lo muthi? Kuvamile ukuba nemibuzo kanye nelukuluku mayelana nomuthi omusha lapho uwuqala. Ngakho-ke namuhla sizoxoxa nawe kalula nangomusa ngalo muthi, ukuthi usebenza kanjani, kanye nezinto okudingeka siziqaphele.
Uyini ngempela lo muthi?
Kalula nje, iyinhlanganisela yemithi emibili. Okusho ukuthi, iyiphilisi elenziwe ngokuhlanganisa imithi emibili ebizwa ngokuthi i-Olanzapine ne -Samidorphan . Ngokuvamile isetshenziselwa ukwelapha izimo zempilo yengqondo njenge -schizophrenia kanye ne-bipolar disorder .
Cabanga ngakho, kukhona amakhemikhali ebuchosheni bethu alawula imizwa yethu, ukuziphatha kwethu, kanye nemicabango yethu. I-Dopamine kanye ne -Serotonin kungenye yalawo makhemikhali abalulekile. I-Olanzapine isebenza ngokulinganisela amazinga ala makhemikhali. Isiza ekuqiniseni isimo sakho sengqondo, ukuziphatha kwakho, kanye nemicabango yakho.
Manje ungase uzibuze, kwenzekani ngomuthi i-Samidorphan? Ngezinye izikhathi, izidakamizwa ezifana ne-Olanzapine zingabangela imiphumela emibi njengokukhuluphala. Umuthi i-Samidorphan wengezwa kulokhu ukunciphisa ingozi yemiphumela emibi enjalo. Okusho ukuthi, uyinhlanganisela yomuthi wokulwa nesifo sengqondo kanye nokuvimbela i-opioid .
Lo muthi utholakala ngaphansi kwegama lomkhiqizo i-LYBALVI. Kodwa-ke, udokotela wakho angase akunike lo muthi nakwezinye izimo zezokwelapha.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lo muthi, kufanele utshele udokotela wakho uma unezinye zezimo zezokwelapha ezilandelayo. Lokhu kubaluleke kakhulu, ngoba lolo lwazi luzonquma ukuthi lo muthi ukulungele yini noma cha.
| Ukugula noma isimo | Okudingayo ukukwazisa |
|---|---|
| Izinkinga zesistimu yokugaya ukudla | Ukuvaleka kwamathumbu, ukuqunjelwa njalo, ubunzima bokugwinya ukudla. |
| Izifo ezikhona | Isifo sikashukela, isifo senhliziyo, isifo sesibindi, i-glaucoma, isifo se-prostate, ukuxhuzula. |
| Izinto ezihlobene negazi | I-cholesterol ephezulu, umfutho wegazi ophansi, amaseli amhlophe egazi aphansi, amazinga aphezulu e-prolactin. |
| Umlando wangaphambilini | Umlando wesifo sohlangothi, umlando womdlavuza webele, umlando wokusebenzisa izidakamizwa. |
| Isistimu yengqondo neyezinzwa | Ukuwohloka komqondo, ubunzima bokulawula imisipha, ukushaya kwenhliziyo okungajwayelekile, imicabango yokuzibulala (yakho noma yelungu lomndeni). |
| Amanye amaphuzu | Ubunzima bokuchama, ukuzama ukukhulelwa noma ukukhulelwa, ukuncelisa, ukungezwani neminye imithi, ukudla noma izinto. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu kulula kakhulu.
- Gwinya leli philisi ngengilazi yamanzi. Ungalichobozi noma uligwinye leli philisi. Gwinya lonke iphilisi.
- Zama ukuphuza umuthi ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina ukusebenza kahle komuthi emzimbeni kusezingeni elifanayo.
- Lokhu kungathathwa ngaphambi noma ngemva kokudla, kodwa uma uzwa ubuhlungu besisu, kungcono ukukuthatha kanye nokudla.
- Okubaluleke kakhulu: Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ukuwuthatha ngokuzumayo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma esibhedlela esiseduze.Yiya eMnyangweni Wezimo Eziphuthumayo (ETU). Ungakuthathi kalula lokhu.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi ingabangela izinkinga uma isetshenziswa ngalo muthi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
Isexwayiso: Ungayithathi le mithi elandelayo kanye nalo muthi.
I-Cisapride, i-Dronedarone, ama-Opioid (izibulali-zinhlungu), i-Pimozide, i-Thioridazine.
Ngaphezu kwalokho, eminye imithi nezinto zingase zihlangane nalo muthi.
| Izinto/imithi engabangela izinkinga | Okufanele ukunake ngokukhethekile |
|---|---|
| Utshwala | Ukuphuza utshwala kungandisa imiphumela emibi yemithi (ukozela, isiyezi). Ngakho yeka ukuphuza utshwala ngokuphelele. |
| Umuthi wokulala | Imithi yokungezwani komzimba (ama-antihistamine), eminye imithi yokucindezeleka, amaphilisi okulala, kanye neziphumuli zemisipha. |
| Imithi ethathwa kwezinye izifo | Imithi yokucindezeleka kwegazi, imithi yokuxhuzula (isib. iCarbamazepine), imithi yesifo sikaParkinson, kanye neminye imithi yokutheleleka kwesikhunta (isib. iKetoconazole). |
| Ukubhema | Tshela udokotela wakho uma ubhema noma unqume ukuyeka ukubhema. Ukubhema kungathinta indlela umuthi osebenza ngayo. |
Izinto okufanele uziqaphele lapho uthatha umuthi
Kungumqondo omuhle ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
- Bona udokotela wakho njalo: Xhumana nodokotela wakho njalo ukuze ubone ukuthi izimpawu zakho ziyathuthuka yini.
- Ungayeki ukuthatha umuthi ngokuzumayo: Lokhu kubaluleke kakhulu. Ukuyeka umuthi ngaphandle kweseluleko sikadokotela wakho kungabangela ukusabela okubi kakhulu. Uma uyeka ukuthatha umuthi, yenza kanjalo ngokunciphisa kancane kancane umthamo ngaphansi kokuqondisa kukadokotela wakho.
- Ukusabela kwesikhumba: Ngezinye izikhathi, ukusabela okukhulu kwesikhumba kungenzeka emavikini ngemva kokuqala umuthi. Tshela udokotela wakho ngokushesha uma unomkhuhlane, izinhlungu zomzimba, amabhamuza esikhumba abomvu noma onsomi, noma amaqhubu, noma ukuvuvukala kobuso, izindebe, noma ukuqubuka entanyeni noma emakhwapheni .
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo uhleli. Lokhu kungakwenza uzizwe unesiyezi.
- Umlomo owomile: Uma uzizwa sengathi umlomo wakho womile, ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka, tshela udokotela wakho.
- Izinga lokushisa lomzimba: Lo muthi ungathinta ikhono lakho lokulawula izinga lokushisa lomzimba wakho. Qaphela ukushisa okukhulu nokubanda okukhulu. Phuza amanzi amaningi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi kwabanye abantu, kodwa akuwona wonke umuntu ozobhekana nayo.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungazweli/ubuthakathaka obungazelelwe kolunye uhlangothi lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Ukwanda koshukela egazini (i-Hyperglycemia) | Ukoma okwenyuka ngendlela engavamile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izinkinga zesimiso sezinzwa (i-EPS) | Ukunyakaza okungalawulwa kwezingxenye zomzimba, ukucindezeleka kwemisipha, ukuthuthumela, nokungaphumuli. |
| Ezinye izimpawu ezinkulu | Umkhuhlane omkhulu, ukuqina kwemisipha nokujuluka (izimpawu ze-neuroleptic malignant syndrome), ukuxhuzula, izifo (umkhuhlane, ukukhwehlela), ubunzima bokuchama. |
| Uma le miphumela emibi iqhubeka noma iba yinkinga, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Isicanucanu, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, ukungakhululeki esiswini, ukukhuluphala. |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi ungowakho kuphela. Unganiki omunye umuntu umuthi wakho , noma ngabe izimpawu zakhe zifana nezakho.
- Ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Kungaba yingozi.
- Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha imithi.
- Uma uzizwa ulele noma unesiyezi, gwema ukushayela imoto neminye imisebenzi edinga ukunakekelwa.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuqubuka kwesikhumba okukhulu, umkhuhlane, noma ukuvuvukala kobuso , funa iseluleko sezokwelapha ngokushesha.
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