Umjovo we-Ziprasidone: Uyazi ngalokhu?

Ngezinye izikhathi lapho ingqondo yethu ilahlekelwa yibhalansi yayo, kungavela izinkinga ezahlukene zengqondo. Ingabe udokotela wake wakubhalela umjovo obizwa ngokuthi i-Ziprasidone? Ngakho ake sixoxe kafushane ngalo muthi, ukuthi wenzani, nokuthi yini okudingeka siyiqaphele. Lokhu kuzobaluleka kakhulu kuwe.

Uhlobo luni lomuthi i-Ziprasidone?

Kalula nje, i-Ziprasidone umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo njenge -schizophrenia kanye ne-bipolar disorder . Kunamakhemikhali amabili ebuchosheni bethu abizwa ngokuthi i-Dopamine kanye ne-Serotonin. Lawa ngamakhemikhali asiza ukulawula imizwa yethu, ukuziphatha, kanye nemicabango. Ngakho-ke, lokho okwenziwa yi-Ziprasidone ukulinganisela amazinga alawo makhemikhali amabili. Khona-ke lokho kungalingani kwengqondo kulawulwa ngezinga elithile.

Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-antipsychotics . Le mithi isetshenziselwa ukwelapha izimo ezahlukahlukene zempilo yengqondo. Ngezinye izikhathi, udokotela wakho angase akunike lo muthi kwezinye izimo ezingabhalwanga kulesi sihloko. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi. Igama lomkhiqizo elidumile lalo muthi yiGeodon .

Yiziphi izinto ezibaluleke kakhulu okufanele uzitshele udokotela ngaphambi kokuthola lo mjovo?

Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha umjovo we-Ziprasidone, kubalulekile ukutshela udokotela wakho noma ithimba lezokwelapha elikwelaphayo uma unezinye zezimo ezibalwe ngezansi. Lo muthi ungase ungakulungeli, noma ungadinga ukunakekelwa okukhethekile.

Khumbula lezi zinto kahle bese uzisho:

• Uma une -dementia (isimo esibangela ukulahlekelwa yinkumbulo, ikakhulukazi njengoba ukhula).
• Uma unesifo sikashukela .
• Uma unenkinga yokugwinya ukudla nokuphuza.
• Uma unesifo senhliziyo .
• Uma unezinkinga zenhliziyo .
• Uma uke waba nomdlavuza webele ngaphambilini.
• Uma wake waba nokushaya kwenhliziyo okungajwayelekile ngaphambili.
• Uma kube nesifo sohlangothi .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma utholakale unezibalo zegazi eziphansi, njengezibalo zamaseli amhlophe aphansi, ama-platelet, noma amaseli abomvu aphansi .
• Unengcindezi yegazi ephansi.Uma kukhona.
• Uma unesifo sikaParkinson .
• Uma kwenzeka ukuxhuzula .
• Uma wena noma othile emndenini wakho eke waba nemicabango yokuzibulala, amacebo, noma wazama ukuzibulala .
• Uma une -allergy ku-ziprasidone noma yimuphi omunye umuthi, ukudla, umbala, noma isilondolozi.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma uncelisa .

Kubaluleke kakhulu ukuze uphephe ukusho lezi zinto obala.

Uyisebenzisa kanjani le mithi?

I-Ziprasidone iwumjovo ofakwa emisipheni . Akuyona into ovame ukuyinikeza wena ekhaya. Inikezwa ngabasebenzi bezokwelapha abaqeqeshiwe esibhedlela noma emtholampilo .

Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni ezincane, okungukuthi, ezinganeni ezincane. Ngakho-ke, uma lo muthi unikezwe ingane yakho, khuluma nethimba lakho lezokwelapha ngawo ngokucophelela bese uthola imininingwane.

Ukweqisa umthamo: Uma usola ukuthi uphuze kakhulu lo muthi, xhumana nesikhungo sokulawula ubuthi esiseduze nawe noma igumbi lezimo eziphuthumayo esibhedlela ngokushesha . Isinyathelo esisheshayo singavimbela ukulimala okukhulu.

Inothi elibalulekile: Lo muthi unikezwe wena kuphela. Ungawunikezi noma uwunike omunye umuntu nganoma yisiphi isizathu.

Yini okufanele uyenze uma uphuthelwa umthamo?

Njengoba lo muthi unikezwa esibhedlela noma emtholampilo, akuvamile ukuphuthelwa umthamo. Ngakho-ke, le nkinga ayisebenzi kuwe.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Lokhu futhi kuyinto okufanele uyiqaphele. I-Ziprasidone ingasebenzisana neminye imithi , okusho ukuthi ingabangela imiphumela emibi uma ithathwa ndawonye. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi, kanye nezithasiselo zokudla.

Ungayithathi i-Ziprasidone kanye nalomuthi!

Ungathathi i-Ziprasidone uma uthatha noma yimuphi wale mithi elandelayo:

• I-Arsenic trioxide
• Amanye ama-antibiotic, njenge-gatifloxacin, i-moxifloxacin, ne-sparfloxacin
• Eminye imithi esetshenziswa ukwelapha izinkinga zesigqi senhliziyo, njenge-amiodarone, i-dofetilide, i-flecainide, i-procainamide, i-quinidine, kanye ne-sotalol
• I-Chlorpromazine
• I-Cisapride
• I-Dextromethorphan; i-quinidine
• I-Dolasetron
• I-Dronedarone
• I-Droperidol
• I-Halofantrine
• I-Levomethadyl
• I-Ketoconazole
• I-Mefloquine
• I-Mesoridazine
• I-Metoclopramide
• Eminye imithi enweba isikhathi se-QT (ebangela isigqi senhliziyo esingavamile)
• I-Pentamidine
• I-Pimozide
• I-Probucol
• I-Tacrolimus
• I-Thioridazine

I-Ziprasidone ingasebenzisana futhi nalokhu okulandelayo:

• Utshwala
• Izinhlobo zama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane
• I-Carbamazepine
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yokwelapha ukucindezeleka, njenge-amitriptyline, i-fluoxetine, ne-sertraline
• Imithi yokubulala izinzwa ejwayelekile njenge-halothane, i-isoflurane, i-methoxyflurane, kanye ne-propofol
• I-Levodopa noma eminye imithi yesifo sikaParkinson
• Imithi yokucindezeleka kwegazi
• Umuthi wokwelapha ukuxhuzula
• Iziphumuli zemisipha ezisetshenziswa ngesikhathi sokuhlinzwa
• Imithi yokwelapha ubuhlungu
• Ama-phenothiazine, njenge-perphenazine, i-prochlorperazine, ne-trifluoperazine

Lolu hlu aluphelele. Kungase kube neminye imithi. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo, nokuthi uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.

Yini okufanele ngiyiqaphele lapho ngithatha lo muthi?

Ngesikhathi uphathwa nge-Ziprasidone, ithimba lakho lezokwelapha lizoqapha isimo sakho eduze. Kodwa-ke, kubalulekile ukuthi uqaphele okulandelayo:

• Izimpawu: Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, yazisa ithimba lakho lezokwelapha ngokushesha.
• Ukusabela okukhulu kwesikhumba: Abanye abantu bangase babe nokusabela okukhulu kwesikhumba lapho besebenzisa lo muthi. Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala umuthi.Uma uhlaselwa ukuvuvukala okunezimpawu ezifana nomkhuhlane, bheka udokotela ngokushesha. Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala futhi kuqhekeke. Noma, ungase ube nobuso obuvuvukile, izindebe, ama-lymph node avuvukile entanyeni noma emakhwapheni, kanye nokuqubuka okubomvu. Uma ubona into efana nale, ungalibali.
• Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesizungu . Kuwukuhlakanipha ukugwema ukushayela, ukusebenzisa imishini esindayo, noma ukwenza noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Gwema ukuvuka noma ukuhlala phansi ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kunganciphisa ingozi yokuba nesiyezi kanye nokuwa. Ukuphuza utshwala kungaphazamisa imiphumela yalo muthi futhi kungakwenza ulale kakhulu. Ngakho-ke gwema utshwala ngokuphelele.
• Ukuzwela kwelanga: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni kunokujwayelekile . Ngakho-ke, hlala kude nelanga ngangokunokwenzeka. Uma uphuma ngaphandle, gqoka izingubo ezimboza umzimba wakho kahle, gqoka isigqoko, futhi usebenzise umuthi omuhle wokuvikela ilanga. Ungalokothi usebenzise izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini kwabanye abantu. Uma usuvele unesifo sikashukela, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini yesifo sikashukela.
• Ukulawula izinga lokushisa lomzimba: Lo muthi ungabangela izinkinga ezithile ngokulawula izinga lokushisa lomzimba wakho . Isibonelo, umzimba wakho ungase ungasabeli kahle esimweni sezulu esibandayo. Ngakho-ke, zama ukuhlala endlini ngangokunokwenzeka ngezinsuku ezibandayo. Uma kufanele uphume, gqoka ngokufudumele. Ngokufanayo, umzimba wakho ungase ungasabeli kahle ekushiseni okukhulu. Ngakho-ke, gwema ukushisa ngokweqile. Ungavivinyi kakhulu, ikakhulukazi ngezinsuku ezishisayo. Hlala kude nelanga ngangokunokwenzeka. Uma kufanele ube selangeni, gqoka izingubo ezilula futhi uphuze amanzi amaningi. Uma uzizwa sengathi unenkinga yokulawula izinga lokushisa lomzimba wakho, khuluma nethimba lakho lezokwelapha ngokushesha.
• Umlomo owomile: Ungase uzizwe sengathi umlomo wakho womile . Uma lokhu kwenzeka, ungasiza ekunciphiseni lokhu ngokuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi. Uma le nkinga iqhubeka noma ikukhathaza, khuluma nodokotela wakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, umjovo we-Ziprasidone ungabangela imiphumela emibi.Kunezinkinga eziningana ezingaba khona. Ezinye zazo azizimbi kangako, kodwa ezinye zidinga usizo lwezokwelapha ngokushesha. Kubalulekile ukuthi uzazi lezi.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, kufanele wazise ithimba lakho lezokwelapha noma udokotela ngokushesha okukhulu :

• Ukusabela kokungezwani komzimba: Lokhu kufaka phakathi ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukushintsha kwesigqi senhliziyo: Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, ukushaya kwenhliziyo okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, nobunzima bokuphefumula.
• Ushukela ophezulu egazini (i-Hyperglycemia): Ukuzizwa womile kakhulu, udinga ukuchama njalo, uzizwa ukhathele ngendlela engajwayelekile noma ubuthakathaka, umbono ofiphele.
• Umkhuhlane omkhulu kakhulu, ukuqina kwemisipha, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka: Lokhu kungaba izimpawu zesimo esiyingozi esibizwa ngokuthi i-neuroleptic malignant syndrome .
• Izimpawu zamazinga aphezulu e-prolactin: Ukukhula okungavamile kwebele kwabesifazane nabesilisa, ukuphuma kwezingono, izinguquko zesifiso sobulili noma ukusebenza, kanye nokujikeleza kokuya esikhathini okungajwayelekile kwabesifazane.
• Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu.
• Izimpawu zomfutho wegazi ophansi: isiyezi, ukuquleka, ukubona okufiphele.
• Ubuhlungu noma ubunzima lapho ugwinya.
• Ukuma isikhathi eside noma okubuhlungu (kwabesilisa).
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ukubomvu, ukuqubuka, ukuxebuka, noma ukuxebuka kwesikhumba, okuhlanganisa nomlomo.
• Imicabango yokuzibulala, imicabango yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka eyanda.
• Ukunyakaza komzimba okungalawulwayo nokuphindaphindwayo, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukulahlekelwa yibhalansi, ukungaphumuli, kanye nokuhamba ngokuzulazula: Lokhu kungaba izimpawu zesimo esibizwa ngokuthi izimpawu ze-extrapyramidal (EPS) .

Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza:

Le miphumela emibi ngokuvamile ayibi mibi kakhulu. Kodwa uma iqhubeka, noma uma ikukhathaza kakhulu, kuwumqondo omuhle ukutshela udokotela wakho:

• Ukuqunjelwa
• Isiyezi
• Ukozela
• Ikhanda elibuhlungu
• Isicanucanu
• Isisu esibuhlungu
• Ukwanda kwesisindo

Khumbula, lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile ngaphezu kwale, funa iseluleko sezokwelapha.

Ngingawugcina kuphi lo muthi?

Njengoba lo mjovo we-Ziprasidone unikezwa esibhedlela noma emtholampilo, ngeke ukwazi ukuwuthatha uhambe nawo ekhaya. Ngakho akudingeki ukhathazeke ngalokho.

Okokugcina, into ebaluleke kakhulu okudingeka uyikhumbule!

Ngakho-ke, i-Ziprasidone, esikhuluma ngayo, iwumuthi obalulekile ongasiza ekunciphiseni ezinye izimo zempilo yengqondo. Kodwa, njengoba ubona, kunezinto eziningi okudingeka siziqaphele lapho siyisebenzisa.

Into ebaluleke kakhulu ukuvuleleka nokwethembeka kudokotela wakho. Kubalulekile ukubatshela nganoma yiziphi ezinye izimo zezokwelapha onazo, noma yimiphi eminye imithi oyithathayo njengamanje (kungakhathaliseki ukuthi uyinikezwe udokotela, uyithenge ekhemisi, noma ngisho nemithi yendabuko), noma yiziphi izimpawu ezintsha ozizwayo, kanye nanoma yimiphi imiphumela emibi oyitholayo. Kulapho-ke kuphela lapho uzokwazi ukuthola lokhu kwelashwa ngokuphephile nangempumelelo.

Uma kukhona ongakuqondi, uma unokungabaza noma ukwesaba, buza udokotela konke. Khona-ke ungabhekana nokwelashwa ngokuthula kwengqondo. Uyaqonda?

I- Ziprasidone, Umjovo, Impilo Yengqondo, I-Schizophrenia, I-Bipolar, Imiphumela Engemihle, Imithi, I-Geodon