Ngezinye izikhathi imicabango nemizwa yethu iyadida kancane futhi kube nzima ukuyilawula, akunjalo? Ngezikhathi ezinjalo, odokotela batusa imithi ehlukahlukene ukuze isisize. I-Olanzapine ingenye yemithi enjalo esiza ekubuyiseleni ibhalansi engqondweni. Ngakho-ke uma ufuna ukwazi kahle ngalo muthi, sizoxoxa ngawo ngokuningiliziwe kulesi sihloko. Ungakhathazeki, konke kuchazwa ngendlela elula ongayiqonda.
Uhlobo luni lomuthi i-Olanzapine?
Kalula nje, i-Olanzapine umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo ezifana ne -schizophrenia kanye ne-bipolar disorder . Ungase uzibuze ukuthi iyini i-schizophrenia nokuthi iyini i-bipolar disorder.
- I-Schizophrenia yisimo sengqondo esingabangela ushintsho endleleni ocabanga ngayo, ozizwa ngayo, futhi oziphatha ngayo. Ngezinye izikhathi ungase ubone futhi uzwe izinto ezingezona ezangempela.
- Isifo se-bipolar yisimo lapho isimo sakho sengqondo sishintsha ngokushesha sisuka ekubeni nenjabulo enkulu nenjabulo ngesikhathi esisodwa siye ekubeni nokudabuka kakhulu nokucindezeleka kwesinye isikhathi.
Ngakho-ke, okwenziwa yilo muthi ukulinganisela amazinga amakhemikhali abizwa ngokuthi i-dopamine kanye ne-serotonin ebuchosheni. La makhemikhali asiza ukulawula imizwa yethu, ukuziphatha, kanye nemicabango. Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-antipsychotics . Lolu hlobo lwemithi lusetshenziselwa ukwelapha izimo ezahlukene zempilo yengqondo.
Ungawuthola lo muthi ngaphansi kwegama lomkhiqizo i-Zyprexa . Kodwa-ke, igama lomkhiqizo lingahluka kuye ngezwe kanye nenkampani. Kodwa-ke, isithako esisebenzayo esiyinhloko yi-Olanzapine. Odokotela bangase bakunike lo muthi kwezinye izimo. Uma unemibuzo ngawo, buza udokotela wakho noma usokhemisi.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokusebenzisa lo muthi?
Ngaphambi kokuba uqale ukuthatha lo muthi, Olanzapine, kunezinto okufanele nakanjani uzitshele udokotela wakho. Uma ungabatsheli, ungase ube nezinkinga. Ngakho tshela udokotela wakho ngobuqotho ngalezi zinto, kulungile?
Nazi lezo zinto:
- Uma unezinkinga ezifana nokuvaleka kwamathumbu akho.
- Uma uhlangabezana nokuqunjelwa njalo.
- Uma unesifo sengqondo (isifo lapho inkumbulo ilahleka khona kancane kancane).
- Uma unesifo sikashukela .
- Ubunzima bokugwinya ukudla(Ubunzima bokugwinya) uma kukhona.
- Uma une -glaucoma ( isifo esibangela ukucindezeleka okukhulu emehlweni).
- Uma unenkinga yokulawula imisipha yakho .
- Uma unesifo senhliziyo .
- Uma unezinga eliphezulu le-cholesterol egazini lakho.
- Uma une-hormone prolactin eningi kakhulu emzimbeni wakho.
- Uma wena noma othile emndenini wakho eke waba nomdlavuza webele .
- Uma unomlando wokushaya kwenhliziyo okungajwayelekile .
- Uma uke waba nesifo sohlangothi ngaphambilini.
- Uma unesifo sesibindi .
- Uma unenani eliphansi lamaseli egazi (isibonelo, amaseli amhlophe egazi aphansi, ama-platelet, noma amaseli abomvu egazi).
- Uma une -blood pressure ephansi .
- Uma unesifo sikaParkinson .
- Uma unesifo se-prostate .
- Uma uke waba nesifo sokuwa ngaphambili.
- Uma uke waba nemicabango, amacebo, noma imizamo yokuzilimaza (wena noma othile emndenini wakho).
- Uma usebenzisa ugwayi (njengokubhema ugwayi).
- Uma unenkinga yokuchama .
- Uma uke waba nokusabela okungavamile kokungezwani komzimba ne-olanzapine, eminye imithi, ukudla, amadayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ukutshela udokotela wakho lezi zinto, ngoba anganquma ukuthi lo muthi ukulungele yini noma udinga ukwenza okunye.
Ngiyisebenzisa kanjani ngempela le mithi?
Lo muthi uyiphilisi okufanele uliphuze ngomlomo . Gwinya iphilisi ngengilazi yamanzi. Landela iziqondiso ezikulebula likadokotela njengoba nje udokotela wakho ekunikezile. Kubaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele . Ungathathi okungaphezu noma okungaphansi kwalokho udokotela wakho akutshele kona. Futhi, ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile (i-`MedGuide`) enomuthi omusha kadokotela noma uma uthola ukugcwalisa kabusha. Yifunde ngokucophelela njalo. Iqukethe ulwazi oluningi olubalulekile kuwe.
Khuluma nethimba lakho lezempilo mayelana nokunikeza izingane lo muthi . Ngezinye izikhathi, izimo ezithileLo muthi unganikezwa izingane ezineminyaka engu-13 ubudala. Kodwa-ke, kunezinto okufanele uziqaphele lapho uwunikeza.
Okubalulekile: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu (ukudlula umthamo), shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.
Lo muthi ungowakho kuphela . Ungabaniki abanye, noma ngabe banezimpawu ezifanayo nezakho.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawutholanga bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma umthamo owengeziwe.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Leli futhi liphuzu elibaluleke kakhulu. Kuneminye imithi engabangela izinkinga uma isetshenziswa ne-Olanzapine, okusho ukuthi ingasebenzisana.
Ungayithathi i-Olanzapine kanye nale mithi:
- I-Dronedarone
- I-Cisapride
- I-Metoclopramide
- I-Pimozide
- I-Thioridazine
I-Olanzapine ingase ihlangane nale mithi, ngakho-ke qaphela:
- Utshwala
- Izinhlobo ze -Antihistamines ze-Allergies, Ukukhwehlela, kanye neMikhuhlane
- I-Atropine
- I-Carbamazepine
- Eminye imithi yokwelapha ukukhathazeka noma ukulala
- Eminye imithi yezinkinga zesinyi, isibonelo, i-Oxybutynin, i-Tolterodine
- Eminye imithi yokucindezeleka, isibonelo, i-Amitriptyline, i-Fluoxetine, ne-Sertraline
- Eminye imithi yokwelapha ukucasuka kwesisu, isibonelo, i-dicyclomine, i-hyoscyamine
- Eminye imithi esetshenziselwa ukwelapha isicanucanu, isibonelo, i-scopolamine
- I-Fluvoxamine
- Izibulala-zinhlungu ezijwayelekile, isibonelo, i-Halothane, i-Isoflurane, i-Methoxyflurane, i-Propofol
- I-Levodopa kanye neminye imithi yesifo sikaParkinson
- Imithi yokucindezela kwegazi
- Umuthi wokwelapha ukuxhuzula
- Imithi enikezwa ukukhulula imisipha ngaphambi kokuhlinzwa
- Imithi yokulutha
- I-Omeprazole
- Eminye imithi enweba isikhathi se-QT senhliziyo (okungukuthi, ibangela iphethini yokushaya kwenhliziyo engavamile)
- Ama-phenothiazine , isibonelo, i-chlorpromazine, i-prochlorperazine
- I-Rifampin
Lolu hlu lungase lungahlanganisi konke ukuxhumana okungenzeka. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, imithi ethengwa ngaphandle kwemithi kadokotela, kanye nezithasiselo zokudla). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.
Yini okufanele siyiqaphele lapho sithatha lo muthi?
Ngesikhathi uthatha lo muthi, bona udokotela wakho njalo ukuze ahlolwe njalo . Uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu, tshela udokotela wakho. Ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Udokotela wakho uzokutshela ukuthi umuthi ongakanani okufanele uwuthathe.
Ngezinye izikhathi , ukusabela okukhulu kwesikhumba kungenzeka emavikini noma ezinyangeni ngemuva kokuqala lo muthi. Uma unesikhumba esibomvu kanye nomkhuhlane nezimpawu ezifana nomkhuhlane, tshela udokotela wakho ngokushesha. Lokhu kubomvu kungaba bomvu noma kube nsomi, bese kuba amabala futhi kuqhekeke. Noma, ungase ube nobuso noma izindebe ezibomvu, ezivuvukele, ama-lymph node avuvukele entanyeni noma emakhwapheni.
Ungase uzizwe unesiyezi noma ulele ngenkathi uthatha lo muthi. Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kunganciphisa ingozi yokuba nesiyezi nokuwa. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Ngakho-ke, gwema ukuphuza utshwala.
Umlomo wakho ungase wome . Ukuhlafuna itshungama engenashukela, ukumunca uswidi, nokuphuza amanzi amaningi kungasiza ekunciphiseni lokhu.
Lo muthi ungathinta ukulawula izinga lokushisa lomzimba wakho. Unganciphisa ukubekezelela kwakho ukubanda. Ngakho-ke, hlala endlini ngangokunokwenzeka ngesikhathi sezulu esibandayo. Uma kufanele uphume, gqoka izingubo ezimboza umzimba wakho kahle. Ngokufanayo, unganciphisa ukubekezelela kwakho ukushisa. Ngakho-ke, ungavumeli umzimba wakho ushise kakhulu. Ungavivinyi umzimba kakhulu. Gwema ilanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezilula neziphefumulayo. Phuza amanzi amaningi. Uma ukuthola kunzima ukulawula izinga lokushisa lomzimba wakho, khuluma nodokotela wakho ngokushesha.
Lo muthi ungase wandise amazinga kashukela egazini . Uma unesifo sikashukela, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
Uma ubhemaUma unomuzwa wokuthi lo muthi awusebenzi kahle, tshela udokotela wakho. Uma ubhema noma ucabanga ukuyeka, khuluma nodokotela wakho ngakho futhi.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, i-Olanzapine ingabangela eminye imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye imiphumela emibi iyingozi kakhulu futhi kufanele utshele udokotela wakho ngokushesha uma uyiqaphela. Eminye ivamile bese iyanyamalala ngemva kwezinsuku ezimbalwa.
Uma ubona le miphumela emibi, kufanele utshele udokotela wakho ngokushesha:
- Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ushukela ophezulu egazini (i-Hyperglycemia) — Ukoma njalo, ukuchama kakhulu, ukukhathala okungavamile, ukubona okufiphele.
- Umkhuhlane ophakeme, ukuqina kwemisipha, ukujuluka okukhulu, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka — lokhu kungaba izimpawu zesimo esiyingozi esibizwa ngokuthi i-Neuroleptic Malignant Syndrome .
- Amazinga aphezulu e-prolactin — Ukukhula kwebele okungalindelekile, ukuphuma kwesisu esiswini, izinguquko esifisweni socansi noma ekusebenzeni, kanye nokujikeleza kokuya esikhathini okungajwayelekile kwabesifazane.
- Ukutheleleka — umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
- Umfutho wegazi ophansi — isiyezi, ukuquleka, ukubona okufiphele.
- Ubuhlungu noma ubunzima bokugwinya .
- Ukuquleka .
- Isifo sohlangothi — Ukungezwani komzimba noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa ibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, kanye nokushintsha kombono.
- Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka .
- Unenkinga yokuchama .
- Ukunyakaza komzimba okungalawulwayo nokuphindaphindwayo, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukulahlekelwa yibhalansi, ukungaphumuli, kanye nokuhamba kancane kancane — lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-Extrapyramidal Symptoms (EPS) .
Imiphumela emibi evame ukungadingi iseluleko sezokwelapha, kodwa okufanele ibikwe kudokotela uma iqhubeka:
- Ukuqunjelwa
- Isiyezi
- Ukozela
- Umlomo owomile
- Ikhanda elibuhlungu
- Isisu esibuhlungu
- Ukwanda kwesisindo
Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile ngaphezu kwale, shayela udokotela wakho ukuze akunike iseluleko.
Ugcina kanjani imithi ngendlela efanele?
Gcina lo muthi kude nezingane .
Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86). Vikela ekukhanyeni nasemswakama. Ungayisebenzisi imithi ephelelwe yisikhathi ; yilahle.
Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Ngakho-ke, i-Olanzapine umuthi ongaba usizo kakhulu empilweni yakho yengqondo uma usetshenziswa kahle . Into ebaluleke kakhulu ukuwuthatha ngesikhathi esifanele, ngomthamo ofanele, njengoba udokotela wakho ekutshela. Uma unemibuzo mayelana nalo muthi, noma uma uhlangabezana nanoma yimiphi imiphumela emibi, ungesabi noma wesabe, kodwa khuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo .
Khumbula, lesi sihloko simane nje siyisifinyezo. Singase singahlanganisi konke. Ngakho-ke, kungcono ukukhuluma nodokotela wakho. Awuwedwa, futhi odokotela bakulungele ukukusiza kulolu hambo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kungani amaphilisi e-Olanzapine esewumuthi wezifo zengqondo odumile kangaka?
Lesi yisizukulwane esisha semithi yengqondo (engajwayelekile yokulwa nesifo sengqondo), futhi kuyindlela yokwelapha enamandla kakhulu futhi ephumelelayo! Odokotela bayisebenzisela ukwelapha i-Schizophrenia (Schizophrenia - ukuzwa/ukubona izinto ezesabekayo), i-Bipolar Disorder (isifo esishintshashintsha phakathi kwentukuthelo/injabulo enkulu), kanye nokucindezeleka okukhulu okungamelani nokwelashwa. Lo muthi ulinganisela ngokushesha amakhemikhali i-Dopamine ne-Serotonin ebuchosheni, ubuyisele isiguli esimweni esijwayelekile ngokuphelele ezinsukwini ezimbalwa.
💬 Kungani ngizizwa ngivuvukele futhi ngikhuluphala ngemva kokuthatha amaphilisi e-Olanzapine?
Lona umphumela omubi omkhulu nodumile kakhulu walo muthi! Empeleni awukwenzi ukhuluphale, kodwa uma lo muthi ufika ebuchosheni, uphazamisa ngokuphelele 'isikhungo sethu sokusutha'. Ngenxa yalokho, isiguli sizizwa silambile kakhulu (ikakhulukazi ngokudla okunamafutha/ama-carbohydrate). Njengoba isiguli sidla kakhulu ngokulandelana, ngokuqinisekile kuzoba nokwanda kwesisindo ezinyangeni ezimbalwa.
💬 Ingabe kuyiqiniso ukuthi lo muthi ubanga isifo sikashukela/i-cholesterol?
Ngeshwa, kuyiqiniso! Lokhu kubizwa ngokuthi i-Metabolic Syndrome. Lo muthi uthinta ngqo indlela umzimba osebenzisa ngayo ushukela namafutha. Ngakho-ke, kanye nokukhuluphala, i-cholesterol yegazi (i-Triglycerides) iyanda, futhi ingozi yokuthola isifo sikashukela sohlobo lwesibili iphakeme kakhulu. Yingakho odokotela behlola ukuhlolwa kwegazi futhi bekala iziguli ezithatha i-Olanzapine njalo ezinyangeni ezine.
I- Olanzapine, i-Zyprexa, ama-antipsychotics,Isifo sokungezwani komzimba, isifo sokuphazamiseka kwengqondo, impilo yengqondo, imiphumela emibi
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