Ingabe udokotela wakho ukunike umuthi iThioridazine noma othile oseduze nawe? Uma kunjalo, ake sixoxe kafushane ngalo muthi, ukuthi wenzani, nokuthi yini okufanele uyiqaphele uma uwusebenzisa. Ngemva kokufunda lokhu, uzoba nokuqonda okungcono ngalo muthi.
Kalula nje, i-Thioridazine umuthi osetshenziselwa ukwelapha izifo zengqondo ezifana ne -schizophrenia . Odokotela bavame ukuwunikeza uma eminye imithi yehlulekile noma kunzima kakhulu ukuyibekezelela. Ingowesigaba semithi ebizwa ngokuthi ama-antipsychotics. Isebenza ngokulinganisela amazinga e-dopamine, ikhemikhali ebuchosheni bethu esiza ukulawula imizwa yethu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba uqale ukuthatha lo muthi, kufanele nakanjani wazise udokotela wakho uma unezinye zezimo zezokwelapha noma izinkinga ezilandelayo. Lolu lwazi lubaluleke kakhulu ekunqumeni ukwelashwa okufanele.
| Isimo/Inkinga | Incazelo |
|---|---|
| Ubuchopho kanye nesistimu yezinzwa | Isimila sobuchopho, i-dementia, ukulimala kwekhanda, ukuquleka, isifo sikaParkinson, izinkinga zokulawula imisipha. |
| Inhliziyo negazi | Isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, umfutho wegazi ophansi, ukwehla kwamangqamuzana egazi (amhlophe, abomvu, ama-platelet). |
| Ezinye izimo zezokwelapha | Isifo sikashukela, isifo sesibindi, i-glaucoma, isifo se-prostate, isifo samaphaphu noma sokuphefumula (isib. i-asthma), ukuvaleka kwamathumbu, ubunzima bokugwinya, ubunzima bokuchama. |
| Indlela yokuphila kanye nokungezwani komzimba | Uma uphuza utshwala njalo, ukhulelwe noma uzama ukukhulelwa, ungumama oncelisayo, noma uke waba nokusabela kokungezwani komzimba ne-Thioridazine noma eminye imithi, ukudla, noma udayi. |
Ngingawusebenzisa kanjani lo muthi?
Lo muthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi. Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kuyalelwe udokotela wakho noma iphakethe. Ungathathi ngaphezu kwenani elinqunyiwe nganoma yisiphi isizathu.
Into ebaluleke kakhulu ukuthi ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Uma uyeka ukuthatha umuthi, udokotela wakho uzochaza ukuthi ungakwenza kanjani.
Kudingeka ukunakekelwa okukhethekile lapho unikeza izingane lo muthi, ngakho khuluma nodokotela wakho ngawo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
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.
Sicela uqaphele: Lo muthi unikezwe wena kuphela. Ungawubelani nabanye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha 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.
Eminye imithi engase ihlangane nalo muthi
I-Thioridazine ingasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini nemikhiqizo yamakhambi.
| Imithi okungafanele isetshenziswe ne-Thioridazine | |
|---|---|
| Eminye imithi esetshenziswa ukwelapha izinkinga zesigqi senhliziyo (njenge-Amiodarone, i-Quinidine) | I-Cisapride, i-Fluoxetine, i-Paroxetine, ne-Pimozide |
| I-Propranolol, i-Pindolol, i-Saquinavir | Eminye imithi enweba isikhathi se-QT |
| Ezinye izinto ezingabangela izinkinga nge-Thioridazine | |
| Utshwala | Imithi yokungezwani komzimba kanye nokukhwehlela (ama-antihistamine) |
| Imithi yokukhathazeka noma yokulala | Eminye imithi yokucindezeleka |
| Imithi yokucindezeleka kwegazi | Imithi yokulwa nesifo sokuwa (njengePhenobarbital) |
| Izidakamizwa | Imithi enikezwa ukuze ibangele ukungazi lutho ngesikhathi sokuhlinzwa |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, imikhiqizo yamakhambi, namavithamini owaphuzayo. Tshela nodokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzikhumbule lapho uthatha umuthi
- Ukuhlolwa kwezokwelapha: Vakashela udokotela wakho ngezinsuku ezihleliwe ukuze uhlole isimo sakho. Mtshele uma izimpawu zakho ziqhubeka noma ziba zimbi kakhulu.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele, unesiyezi, noma ungaboni kahle. Ngakho-ke, gwema imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Isiyezi singase senzeke uma usukuma ngokuzumayo noma uvuka endaweni yokuhlala. Ngakho-ke, shintsha izikhundla kancane. Gwema ukuphuza utshwala njengoba lesi simo singenziwa sibe sibi kakhulu.
- Izinga lokushisa lomzimba: Lo muthi ungathinta indlela umzimba wakho olawula ngayo izinga lokushisa lawo. Ungase uzizwe ungabanda kangako uma kubanda, futhi umzimba wakho ungase ushise ngokushesha uma kushisa. Ngakho-ke, gqoka ngokufudumele uma kubanda. Ngezinsuku ezishisayo, qaphela ilanga, gqoka izingubo ezilula, futhi uphuze amanzi amaningi.
- Ukukhanya kwelanga:Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, uma uzoba selangeni, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa isivikelo selanga.
- Umlomo owomile: Umlomo owomile ungase ube khona. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela kanye namanzi okuphuza.
- Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungase wandise amazinga kashukela egazini lakho. Ngakho buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Thioridazine ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Neuroleptic Malignant Syndrome | Umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka ngokweqile, kanye nokudideka. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza okungalawulwa kwezingxenye zomzimba, ukuthuthumela, ukuqina kwemisipha, ukungaphumuli, nobunzima bokuhamba. |
| Ezinye izimpawu ezinkulu | Izinguquko embonweni, izimpawu zokutheleleka (umkhuhlane, ukukhwehlela, umphimbo obuhlungu), isiyezi esibangelwa umfutho wegazi ophansi, ukuxhuzula. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Ukuqunjelwa | Isiyezi |
| Ukozela | Umlomo owomile |
| Ukwanda kwesisindo | |
Kufanele uwugcine kanjani umuthi?
Gcina imithi kude nezingane nezilwane ezifuywayo . Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30), isivalo sivaliwe kahle. Ungayisebenzisi imithi ephelelwe yisikhathi futhi uyilahle ngendlela efanele.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi uyeke ukuthatha amaphilisi e-Thioridazine noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, imikhiqizo yamakhambi oyiphuzayo, kanye nanoma yiziphi izimo zezokwelapha onazo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane ophakeme, ukuqina kwemisipha, noma ushintsho ekushayeni kwenhliziyo, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukuphuza utshwala ngenkathi uthatha lo muthi. Qaphela kakhulu lapho wenza imisebenzi edinga ukuqaphela, njengokushayela.
- Uma uthatha umuthi omningi kakhulu, shayela iNational Poisons Information Centre ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Zisetshenziswa ngani amaphilisi e-Thioridazine (Thioridazine / Mellaril)?
Lona umuthi wesizukulwane esidala (ojwayelekile we-antipsychotic / Phenothiazine) osetshenziselwa ukwelapha isifo sengqondo esibi esibizwa ngokuthi 'i-Schizophrenia'! Lo muthi awunikezwa wonke umuntu kulezi zinsuku, uvame ukusetshenziswa kuphela ezigulini ezinzima kakhulu (ezingamelani nokwelashwa) ezibonakala zingakwazi ukuzwa amazwi angajwayelekile noma umzabalazo/ukukhala naphezu kokunikezwa yonke eminye imithi (okungenani imithi emibili).
💬 Kungani lo muthi (i-Thioridazine) usetshenziswa 'njengesixazululo sokugcina' kulezi zinsuku?
Isizathu esiyinhloko salokhu umphumela oyingozi kakhulu walo muthi! (Isexwayiso Sebhokisi Elimnyama). Lokhu kungashintsha kakhulu izimpawu zikagesi zenhliziyo yesiguli (i-QT prolongation / Arrhythmia / Torsades de pointes), okubangela ukushaya kwenhliziyo okusheshayo/ukuma kwenhliziyo kanye nokuhlaselwa yinhliziyo okubulalayo. Ngakho-ke, labo abathatha lo muthi kufanele nakanjani bahlolwe i-ECG kanye namazinga e-potassium egazini njalo.
💬 Ngaphandle kwenhliziyo, yimiphi eminye imiphumela emibi neyingozi engabangwa yila maphilisi (i-Thioridazine)?
Lokhu kungabangela umonakalo omkhulu nohlala njalo emehlweni. Uma umthamo ukhushulwa, i-pigmentary retinopathy ingakhula esweni elimnyama nangemuva kwe-retina, okuholela ekubeni yimpumputhe nokulahlekelwa umbono. Kukhona futhi nengozi enkulu yokuphuma kwegazi emuva, ubuthongo obungalawuleki, kanye nokunyakazisa umzimba/ulimi okungalawuleki (i-Tardive Dyskinesia).
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