Kunezinye izimo zezokwelapha ngezinye izikhathi ezingalawulwa kahle yimithi evamile. Isifo sikaTourette singenye yezimo ezinjalo. Ngakho-ke, ezimweni ezinjalo, lapho ezinye izindlela zokwelapha zingavezanga imiphumela elindelekile, umuthi okhethekile osetshenziswa odokotela ubizwa ngokuthi iPimozide. Uphinde ube ngaphansi kwegama lomkhiqizo i-Orap. Namuhla, sizokhuluma ngokuningiliziwe ngalo muthi, ukuthi wenzani, nokuthi yiziphi izinto okufanele uziqaphele.
Uhlobo luni lomuthi i-Pimozide?
Kalula nje, i-Pimozide umuthi osetshenziselwa ukuphatha izimpawu zesimo esibizwa ngokuthi i-Tourette's disorder. Umuntu onalesi simo angase abe nokudlidliza kwezwi okungalawuleki kanye nokunyakaza komzimba. Cabanga ukuthi lokhu kungaphazamisa kanjani imisebenzi yansuku zonke.
Ngakho-ke lokho okwenziwa yi-Pimozide ukuthi ithinta indlela ubuchopho obusebenza ngayo futhi yehlisa leyo misindo nokunyakaza okungalawuleki. Ingokwesigaba semithi ebizwa ngokuthi ama-antipsychotics. Ungesabi igama, lesi sigaba semithi sisetshenziselwa ukwelapha izifo eziningi zempilo yengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho anqume ukukunikeza i-Pimozide, kubaluleke kakhulu ukwazi umlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo sakho sempilo | Incazelo |
|---|---|
| Isifo senhliziyo | Noma yiluphi uhlobo lwesifo senhliziyo noma umlando wokushaya kwenhliziyo okungajwayelekile. |
| Umfutho wegazi kanye nenani legazi | Uma une-blood pressure ephansi, amaseli amhlophe egazi aphansi, ama-platelet, noma amaseli abomvu egazi (inani legazi eliphansi). |
| Amaminerali egazini | Uma izinga le-potassium noma i-magnesium egazini liphansi. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, isifo sezinso noma sesibindi, isifo sikaParkinson, ukuxhuzula, izinkinga ze-prostate, ukuvaleka kwamathumbu, ubunzima bokugwinya, izinkinga zokulawula imisipha, noma i-dementia. |
| Imikhuba kanye nokungezwani komzimba | Uma uphuza njalo, unesifo sokungezwani komzimba ne-Pimozide noma eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani lo muthi?
Lo muthi kufanele uphuzwe ngomlomo nengilazi yamanzi. Thatha umthamo owunikezwe udokotela wakho ngesikhathi osinqunyiwe. Landela imiyalelo eselebula lomuthi ngqo.
Kubaluleke kakhulu: Ungawuthathi lo muthi kanye nejusi likaphaphuphu nganoma yisiphi isizathu. Kungathinta kakhulu ukusebenza kahle komuthi.
Kubalulekile ukuthatha umuthi ngesikhathi. Futhi, ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungabangela ezinye izinkinga.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Pimozide umuthi onamandla amakhulu okuxhumana neminye imithi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
| Ungayithathi i-Pimozide kanye nalomuthi. | |
|---|---|
| Amanye ama-antibiotic | Njenge-Azithromycin, i-Clarithromycin, ne-Erythromycin |
| Eminye imithi yokucindezeleka (Ama-antidepressant) | Imithi ye-SSRI efana ne-Citalopram, i-Fluoxetine, i-Sertraline, ne-Nefazodone |
| Imithi yokulwa nesikhunta | Njenge-Fluconazole, i-Ketoconazole, ne-Itraconazole |
| Imithi yokwelapha izinkinga zesigqi senhliziyo | Njenge-Amiodarone, i-Sotalol, ne-Quinidine |
| Eminye imithi | I-Metoclopramide, i-Droperidol, i-Thioridazine, i-Ziprasidone, eminye imithi ye-HIV/Hepatitis, kanye neminye imithi enweba isikhathi se-QT sokushaya kwenhliziyo |
| Lezi zinto zingadala nezinkinga (qaphela) | |
| Utshwala | Ukuyithatha notshwala kungandisa ukozela kanye nesiyezi. |
| Ijusi le-Grapefruit | Lokhu kuthinta ngqo ukusebenza kahle komuthi. |
| Ezinye izinhlobo zezidakamizwa | Imithi efana nokukhwehlela, umkhuhlane, imithi yokungezwani komzimba (ama-antihistamine), imithi yobuhlungu, amaphilisi okulala, imithi yomfutho wegazi, imithi yokuwa, kanye neLevodopa yesifo sikaParkinson. |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Uma usebenzisa lo muthi, kubaluleke kakhulu ukubona udokotela wakho njalo ukuze uhlole ukuthi unjani. Mtshele uma izimpawu zakho ziba zimbi kakhulu noma azibi ngcono.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka endaweni yokuhlala noma uhlala phansi ngokuzumayo, ikakhulukazi uma ungumuntu osekhulile.
- Utshwala: Ukuphuza utshwala kungenza ukozela kanye nesiyezi kube kubi nakakhulu. Ngakho-ke, kungcono ukugwema utshwala ngenkathi uthatha lo muthi.
- Ushukela egazini: Uma unesifo sikashukela, lo muthi ungase wandise amazinga kashukela egazini lakho. Ngakho-ke, khuluma nodokotela wakho mayelana nokuthi udinga ukwenza izinguquko ekudleni kwakho noma emithini yesifo sikashukela.
- Izinga lokushisa lomzimba: Lo muthi ungathinta indlela umzimba wakho olawula ngayo izinga lokushisa lawo. Lokhu kusho ukuthi umzimba wakho ungase ungakwazi ukusabela ekubandeni okukhulu noma ekushiseni okukhulu. Ngakho-ke, gqoka izingubo ezifudumele uma kubanda kakhulu. Futhi, qaphela ukushisa okukhulu nelanga. Phuza amanzi amaningi. Uma uzizwa sengathi unenkinga yokulawula izinga lokushisa lomzimba wakho, khuluma nodokotela wakho ngokushesha.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-Pimozide ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela/esibhedlela ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Neuroleptic Malignant Syndrome (NMS) | Umkhuhlane omkhulu kakhulu, ukuqina kwemisipha, ukujuluka ngokweqile, kanye nokudideka. Lesi yisimo esiyingozi kakhulu. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza komzimba okungalawuleki, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukungaphumuli, nobunzima bokuhamba. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, njll. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukuqunjelwa | Umlomo owomile |
| Isiyezi | Ukozela |
Umlayezo Wokuya Nawe Ekhaya
- I-Pimozide umuthi othize wesifo sikaTourette. Isetshenziswa uma eminye imithi ingasebenzi.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo.
- Ungalokothi uthathe lo muthi kanye nejusi yamagilebhisi.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane ophakeme, ukuqina kwemisipha, noma ukushaya kwenhliziyo okungajwayelekile, funa iseluleko sezokwelapha ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
- Kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo ukuze uqaphe intuthuko yakho.
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