Ukweqisa izidakamizwa kwePhenothiazine

Ama-phenothiazines yimithi esetshenziselwa ukwelapha ukuphazamiseka okukhulu kwengqondo nangokomzwelo, nokunciphisa isicanucanu. Lo mbhalo ukhuluma ngokudlula ngokweqile kwama-phenothiazines. Ukweqisa ngokweqile kwenzeka lapho othile ethatha okungaphezu kwenani elijwayelekile noma elinconywayo lezinto ezithile. Lokhu kungaba ngengozi noma ngenhloso.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukuphatha noma ukuphatha ukweqisa ngokweqile kwangempela. Uma wena noma umuntu onaye unokuchayeka, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.

Isithako esinoshevu yi-phenothiazine, engatholakala emithini eminingi.

Le mithi iqukethe i-phenothiazine:

• I-chlorpromazine
• I-Clozapine
• I-Fluphenazine
• I-Haloperidol
• I-Loxapine
• UMolindone
• I-Perphenazine
• I-Pimozide
• I-Prochlorperazine
• I-Thioridazine
• Thiothixene
• I-Trifluoperazine
• I-Promethazine

Eminye imithi ingaqukatha ne-phenothiazine.

Ngezansi kunezimpawu zokudlula ngokweqile kwe-phenothiazine ezingxenyeni ezihlukene zomzimba.

EMIHLAWINI nasemaphashini

• Akukho ukuphefumula
• Ukuphefumula ngokushesha
• Ukuphefumula okungatheni

I-BLADDER NEZINYO

• Ukuchama okunzima noma okuhamba kancane
• Ukwehluleka ukukhipha ngokuphelele isinye (ukugcinwa kwe-urinary)

AMEHLO, AMADLEBE, IKHALA, UMLOMO, NOMQOLO

• Ukubona okufiphele
• Kunzima ukugwinya
• Ukumunca amathe
• Umlomo owomile
• Ukuminyana emakhaleni
• Abafundi abancane noma abakhulu
• Izilonda emlonyeni, olimini noma emphinjeni
• Amehlo aphuzi (icterus)

INHLIZIYO NEGAZI

• Umfutho wegazi ophansi (onzima)
• Ukushaya kwenhliziyo okushaya ngamandla
• Ukushaya kwenhliziyo okusheshayo

IMISIMBA NEZIHLANGANO

• Ukudumba kwemisipha
• Ukuqina kwemisipha
• Ukunyakaza okusheshayo, okungazibandakanyi kobuso (ukuhlafuna, ukucwayiza, ama-grimace, nokunyakaza kolimi)

UHLELO LWE-NEERVOUS

• Ukuyaluzela, ukucasuka, ukudideka
• Ukudlikizela (ukuqubuka)
• Ukudideka, ikhoma (ukungabi nokuphendula)
• Ukozela
• Imfiva
• Izinga lokushisa lomzimba eliphansi
• Ukungahlaliseki okuxhunyaniswe nokushova unyawo okuphindaphindwayo, ukuzamazama, noma ukuhambahamba (akathisia)
• Ukudlidlizela, ukuqina kwezimoto umuntu angakwazi ukukulawula (i-dystonia)
• Ukuhamba okungahambisani, ukunyakaza okuhamba kancane, noma ukushova (ngokusetshenziswa kwesikhathi eside noma ngokweqile)
• Ubuthakathaka

UHLELO LOKUZALISA

• Izinguquko emaphethini wokuya esikhathini

ISIKHUMBA

• I-Rash
• Ukuzwela kwelanga, ukushiswa yilanga ngokushesha
• Izinguquko zombala wesikhumba

ISisu kanye namathumbu

• Ukuqunjelwa
• Ukuphelelwa isifiso sokudla
• Isicanucanu
  

Ezinye zalezi zimpawu kungenzeka, noma ngabe umuthi uphuzwe kahle.

Funa usizo lwezokwelapha ngokushesha.

UNGAKHONZI ukwenza umuntu alahle ngaphandle kokuthi ulawulwe ubuthi noma umnakekeli wezempilo ekutshela ukuthi wenze kanjalo.

Lungisa lolu lwazi:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomuthi, namandla, uma laziwa
• Inani ligwinyiwe
• Isikhathi lapho yagwinywa khona
• Uma umuthi wawubekelwe lowo muntu

Isikhungo sakho sendawo esinoshevu singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo kazwelonke izokuvumela ukuthi ukhulume nochwepheshe ekufakeleni ubuthi. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isiqukathi uhambe naso uye esibhedlela, uma kungenzeka.

Umhlinzeki uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi. Izimpawu zizolashwa. Umuntu angathola:

• Ukuhlolwa kwegazi nomchamo
• Ukwesekwa kokuphefumula, kufaka phakathi i-oxygen, ithubhu engena emlonyeni emaphashini, nomshini wokuphefumula (umshini wokuphefumula)
• I-x-ray yesifuba
• Ukuskena kwe-CT (ikhompiyutha ye-axial tomography noma ukucabanga kobuchopho obuthuthukile)
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi olufakwa ngaphakathi (IV) ngomthambo
• I-Laxative
• Umuthi wokubuyisa imiphumela yomuthi

Ukubuyiselwa emuva kuncike enanini lomonakalo. Ukusinda ezinsukwini ezimbili ezidlule kuyisibonakaliso esihle. Izimpawu zesistimu yezinzwa zingase zibe unomphela. Imiphumela emibi kakhulu ibangelwa ukulimala enhliziyweni. Uma ukulimala kwenhliziyo kungazinziswa, kungenzeka ukuthi alulame. Ukuphazamiseka kwesigqi senhliziyo okusongela impilo kungaba nzima ukuselapha, futhi kungaholela ekufeni.

U-Aronson JK. Izidakamizwa ze-Neuroleptic. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 53-119.

ISkolnik AB, iMonas J. Antipsychotic. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9.IPhiladelphia, PA: Elsevier; 2018: isahluko 155.