Ingabe wena noma othile emndenini wakho uke wanikezwa umuthi obizwa ngokuthi i-Quetiapine ngudokotela? Uma lokho kwenzeka, kuvamile ukuba kuvele imibuzo engqondweni ngalo muthi. "Kuzokwenzekani ngalokhu?", "Ingabe lokhu kuphephile?", "Ingabe kukhona imiphumela emibi?" Ungase uzibuze into efanayo. Ungakhathazeki. Kulesi sihloko, sizokhuluma ngalo muthi obizwa ngokuthi i-Quetiapine kalula, njengoba nje ubungatshela umngane.
Iyini ngempela i-Quetiapine?
Kalula nje, i-quetiapine umuthi osetshenziselwa ukwelapha izifo eziningana zempilo yengqondo. Uvame ukwaziwa ezweni lethu ngegama lomkhiqizo iSeroquel. Usetshenziswa kakhulu ukwelapha izimo ezifana ne -schizophrenia kanye ne-bipolar disorder.
Cabanga ngakho, ubuchopho bethu buqukethe izithunywa zamakhemikhali (ama-neurotransmitter) ezilawula imizwa yethu, imicabango, kanye nokuziphatha. I-Dopamine kanye ne-serotonin ziyizithunywa ezimbili eziyinhloko zamakhemikhali. Kwezinye izifo zengqondo, la makhemikhali angaphambana nesilinganiso. Kulezo zimo, umuthi i-quetiapine usebenza ngokubuyisela lawo mazinga e-dopamine kanye ne-serotonin , okusiza ekuqiniseni isimo sakho sengqondo, imicabango, kanye nokuziphatha. Lolu hlobo lwemithi lubizwa ngokuthi ama-antipsychotics. Kodwa ungesabi igama, ngoba lolu hlobo lwemithi lusetshenziselwa ukwelapha izifo eziningi zengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha ngaphambi kokuqala i-quetiapine. Lokhu kungenxa yokuthi ezinye izimo zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho.
| Ukugula noma isimo | Incazelo |
|---|---|
| Isifo senhliziyo kanye nomfutho wegazi | Isifo senhliziyo, ukuphazamiseka kwesigqi senhliziyo, umfutho wegazi ophansi. |
| Isifo sikashukela | Wena noma othile emndenini wakho unesifo sikashukela. |
| Izinkinga zesistimu yokugaya ukudla | Ukuvaleka kwamathumbu, ukuqunjelwa, ubunzima bokugwinya. |
| Isifo sesibindi | Noma yiziphi izinkinga ezihlobene nokusebenza kwesibindi. |
| Izinkinga zamehlo | Ama-cataract, i-glaucoma. |
| Izinkinga zamaseli egazi | Ukwehla kwamaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelet. |
| Ezinye izimo zezokwelapha | Isifo sokulahlekelwa yingqondo, isifo sikaParkinson, isifo sokuwa/ ukuquleka , isifo se-thyroid, isifo se-prostate, ukungakwazi ukuzibamba komchamo. |
| Impilo yengqondo | Ukuba nemicabango, amacebo, noma imizamo yokuzilimaza (wena noma ilungu lomndeni). |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-quetiapine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
Ngingawusebenzisa kanjani lo muthi?
Indlela yokusebenzisa lokhu ilula kakhulu.
- Gwinya iphilisi ngengilazi yamanzi.
- Thatha umthamo obekwe udokotela wakho ngesikhathi esifanele. Ungaweqi umthamo.
- Uma uzizwa uphatheke kabi ngemva kokuthatha umuthi, ungawuthatha kanye nokudla.
- Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungabangela ukuthi izimpawu zibuye kakhulu. Uma uyeka, yenza kanjalo ngaphansi kokuqondisa kukadokotela, bese wehlisa kancane kancane umthamo.
- Iziguli ezingaphezu kweminyaka engama-65 zingadinga umthamo ophansi. Futhi, kwezinye izimo, lo muthi unikezwa izingane ezineminyaka eyi-10 ubudala, kodwa kuphela ngaphansi kokunakekelwa okukhethekile.
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 umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu (umthamo oweqile)?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Ezinye izinto ezingase zihlangane nalo muthi
Uma uthatha i-quetiapine, kufanele futhi uqaphele eminye imithi oyithathayo. Eminye imithi ingathintana nayo futhi ibangele imiphumela emibi. Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo.
Kuyelulekwa ukuthi ugweme ngokuphelele ukuthatha i-quetiapine kanye nemithi elandelayo.
- I-Cisapride
- I-Dronedarone
- I-Metoclopramide
- I-Pimozide
- I-Thioridazine
Ngaphezu kwalokho, eminye imithi eminingi ingasebenzisana ne-quetiapine. Isibonelo:
- Utshwala
- Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane
- Imithi yokukhathazeka noma yokulala
- Eminye imithi yokucindezeleka (isib. i-fluoxetine, i-sertraline)
- Eminye imithi yokwelapha izifo zesikhunta (isb. i-ketoconazole)
- Imithi yokwelapha isithuthwane
- Imithi yokucindezela kwegazi
- Izibulali-zinhlungu (ikakhulukazi i-morphine)
- Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis
Lolu hlu aluphelele, ngakho-ke kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kubalulekile ukuqaphela umzimba nengqondo yakho kancane ngenkathi uthatha i-quetiapine.
Izinguquko esimweni sengqondo
Naka isimo sakho sengqondo, ikakhulukazi uma uqala ukuthatha umuthi noma ngemva kokushintsha umthamo wakho. Tshela udokotela wakho ngokushesha uma wena noma ilungu lomndeni wakho nibona noma yikuphi kwalokhu okulandelayo:
- Uma uzizwa sengathi ukucindezeleka kwakho kuya ngokuya kuba kubi.
- Uma unemicabango yokuzilimaza.
- Uma uzizwa ungakhululekile futhi ukhathazekile.
- Uma uthukuthela ngokushesha futhi ube nolaka.
- Uma uzizwa ulele.
Imiphumela ezwakala emzimbeni
- Ukuzungeza kanye nokozela: Lo muthi ungakwenza ube nesiyezi noma ulale. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ungavuki ngokushesha: Ukuvuka ngokuzumayo uhleli noma ulele phansi kungabangela isiyezi nokuwa. Ngakho vuka kancane.
- Utshwala: Gwema ukuphuza utshwala. Utshwala bungashintsha imiphumela yemithi futhi bukhulise ukozela kanye nesiyezi.
- Izinga lokushisa lomzimba: Lo muthi ungathinta ikhono lomzimba lokulawula izinga lokushisa. Zivikele ekushiseni okukhulu nasemakhazeni. Phuza amanzi amaningi.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-quetiapine ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Into ebalulekile ukuqaphela lokhu nokufuna iseluleko sezokwelapha uma kudingeka.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okungajwayelekile, isiyezi, ubuhlungu besifuba. |
| I-Neuroleptic Malignant Syndrome (NMS) | Umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka ngokweqile, ukudideka. (Lokhu kuyisimo esiphuthumayo) |
| Amazinga aphezulu kashukela egazini (i-Hyperglycemia) | Ukoma ngokweqile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza komzimba okungalawuleki, ukuthuthumela, ukucindezeleka kwemisipha, nokungaphumuli. |
| Isifo sohlangothi | Ukungabi namandla/ubuthakathaka obungazelelwe bobuso, ingalo noma umlenze, ubunzima bokukhuluma, ikhanda elibuhlungu kakhulu. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka | |
| Ukozela kanye nesiyezi | Ukozela kanye nesiyezi |
| Umlomo owomile | Umlomo owomile |
| Ukuqunjelwa | Ukuqunjelwa |
| Ukwanda kwesisindo | Ukwanda kwesisindo |
Umlayezo Wokuya Nawe Ekhaya
- I-Quetiapine umuthi obalulekile ongasiza ekuthuthukiseni impilo yakho yengqondo. Ungesabi.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu (isib. umkhuhlane ophakeme, ubunzima bokuphefumula, ukudideka), funa iseluleko sezokwelapha ngokushesha.
- Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
- Kubaluleke kakhulu ukubona udokotela wakho ngezinsuku ezihleliwe bese uxoxa ngesimo sakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Quetiapine (Quetiapine / Seroquel) ayimithi yasiphi isifo?
Lesi yisizukulwane esisha semithi enamandla yengqondo (i-Atypical antipsychotic) enikezwa i-'Schizophrenia' enzima, ukucindezeleka, futhi ikakhulukazi i-Bipolar Disorder (isifo esishintsha ngokuzumayo sisuka entukuthelweni siye enjabulweni enkulu)! Nakuba isusa ubuwula kanye nokungacabangi kwesiguli, odokotela abaningi bayisebenzisa ngemithamo ephansi njengephilisi lokulala eliphumelelayo 'le-Insomnia'.
💬 Lo muthi (i-Quetiapine) uya kanjani ebuchosheni futhi ususe ngokuphelele ukungakwazi ukulawula imizwa/injabulo enkulu yesiguli?
Ukubona izinto ezingekho kanye nezinguquko zesiguli kuyanda ngenxa yamazinga aphezulu kakhulu amakhemikhali 'i-dopamine kanye ne-serotonin' ebuchosheni. Lo muthi uya ngqo ebuchosheni futhi uvimba/ulinganisela kokubili ama-D2 kanye nama-5-HT2A Receptors. Uvimba ne-histamine (H1), ngakho-ke ukuziphatha kwesiguli kokuklabalasa/ukuzabalaza kuyawa ngokuphelele bese engena esimweni sokulala/sokuzithoba okuzolile.
💬 Yimiphi imiphumela emibi eyinhloko necasulayo kakhulu yokuphuza la maphilisi (i-Seroquel)? Ingabe ibangela ukwehla kwesisindo?
Ukwehlisa isisindo akunakwenzeka! Umphumela omubi kakhulu nocasulayo kakhulu walokhu ukuthi ngemva kwezinyanga ezimbalwa uwuphuza, umzimba uzobhekana 'nokukhuluphala okukhulu'. Futhi, kunethuba elikhulu lokuthi kokubili i-cholesterol kanye noshukela egazini (i-Metabolic syndrome/i-Diabetes) kuzokwanda kakhulu. Enye into ukuthi ukuphuza lokhu ngokuqinisekile kuzobangela ukozela okukhulu kanye nesiyezi (i-Sedation/Orthostatic hypotension) kuze kube yilapho ungakwazi ukuvuka embhedeni ekuseni.
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