I-chlorpromazine

-Delile

• Ngaphambi kokuthatha i-chlorpromazine,
• I-chlorpromazine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ucwaningo lukhombisile ukuthi abantu abadala asebekhulile abanenkinga yokuwohloka komqondo (ukuphazamiseka kobuchopho okuthinta ikhono lokukhumbula, ukucabanga kahle, ukuxhumana, nokwenza imisebenzi yansuku zonke futhi lokho kungadala ushintsho esimweni sengqondo nobuntu) abathatha ama-antipsychotic (imithi yokugula kwengqondo) njenge-chlorpromazine babe nethuba elandayo lokufa ngesikhathi sokwelashwa.

I-Chlorpromazine ayivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni izinkinga zokuziphatha kubantu abadala asebekhulile abanenkinga yokuwohloka komqondo. Khuluma nodokotela onikeze lo muthi uma wena, ilungu lomndeni, noma omunye umuntu omnakekelayo enesifo sengqondo sokuphazamiseka ngokomqondo futhi ethatha i-chlorpromazine. Ngeminye imininingwane, vakashela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm

I-Chlorpromazine isetshenziselwa ukwelapha izimpawu ze-schizophrenia (ukugula kwengqondo okubangela ukuphazamiseka noma ukucabanga okungajwayelekile, ukuphelelwa yintshisekelo empilweni, kanye nemizwelo enamandla noma engafanele) nezinye izifo zengqondo (izimo ezibanga ubunzima bokutshela umehluko phakathi kwezinto noma imibono okwangempela nezinto noma imibono engeyona engokoqobo nokwelapha izimpawu ze-mania (ukuthukuthela, imizwa ejabule ngokungajwayelekile) kubantu abane-bipolar disorder (i-manic depress disorder; isimo esidala iziqephu ze-mania, iziqephu zokudangala, nokunye okungavamile imizwa). IChlorpromazine nayo isetshenziselwa ukwelapha izinkinga zokuziphatha okunzima njengokuqhuma, isimilo esinolaka nokungasebenzi kakhulu ezinganeni ezineminyaka eyi-1 kuye kwengu-12. I-Chlorpromazine nayo isetshenziselwa ukulawula isicanucanu nokuhlanza, ukudambisa izinhlungu esezihlale isikhathi esingangenyanga eyodwa noma ngaphezulu, nokuqeda ukungahlaliseki nokwethuka okungenzeka ngaphambi nje kokuhlinzwa. IChlorpromazine isetshenziselwa ukwelapha i-porphyria (ngezikhathi ezithile lapho izinto ezithile zemvelo zakha khona emzimbeni futhi zidale ubuhlungu besisu, izinguquko ekucabangeni nasekuziphatheni, nakwezinye izimpawu). I-Chlorpromazine nayo iyasetshenziswa kanye neminye imithi yokwelapha i-tetanus (ukutheleleka okungathi sína okungadala ukuqina kwemisipha, ikakhulukazi imisipha yomhlathi). IChlorpromazine isekilasini lemithi ebizwa ngama-antipsychotic ajwayelekile. Isebenza ngokushintsha ukusebenza kwezinto ezithile zemvelo ebuchosheni nakwezinye izingxenye zomzimba.

IChlorpromazine iza njengethebhulethi ezothathwa ngomlomo. I-chlorpromazine ivame ukuthathwa izikhathi ezimbili noma ezine ngosuku. Lapho i-chlorpromazine isetshenziselwa ukulawula isicanucanu nokuhlanza, imvamisa kuthathwa njalo emahoreni angu-4-6 njengoba kudingeka. Lapho i-chlorpromazine isetshenziselwa ukuqeda uvalo ngaphambi kokuhlinzwa, imvamisa kuthathwa amahora angama-2-3 ngaphambi kokuhlinzwa. Lapho i-chlorpromazine isetshenziselwa ukukhulula ama-hiccups, imvamisa ithathwa izikhathi ezingama-3-4 ngosuku kuze kube yizinsuku ezi-3 noma ize ime ama-hiccups. Uma ama-hiccups engayeki ngemuva kwezinsuku ezintathu zokwelashwa, kufanele kusetshenziswe umuthi ohlukile. Uma uthatha i-chlorpromazine esimisweni esijwayelekile, yithathe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-chlorpromazine njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-chlorpromazine futhi akhuphule kancane umthamo wakho. Udokotela wakho anganciphisa umthamo wakho uma isimo sakho silawulwa. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ngenkathi welashwa nge-chlorpromazine.

Uma uthatha i-chlorpromazine ukwelapha i-schizophrenia noma esinye isifo se-psychotic, i-chlorpromazine ingalawula izimpawu zakho kepha ngeke iselaphe isimo sakho. Qhubeka uphuze i-chlorpromazine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-chlorpromazine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-chlorpromazine, ungahle uhlangabezane nezimpawu zokuhoxa, ezifana nesicanucanu, ukuhlanza, ubuhlungu besisu, isiyezi, nokuthuthumela.

Lo muthi ungabekelwa okunye ukusetshenziswa; khuluma nodokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-chlorpromazine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-chlorpromazine; amanye ama-phenothiazines afana ne-fluphenazine, i-perphenazine, i-prochlorperazine (i-Compazine), i-promethazine (i-Phenergan), i-thioridazine, ne-trifluoperazine; noma yimuphi omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-anticoagulants (ama-thinner egazi) njenge-warfarin (i-Coumadin); imishanguzo; ama-antihistamine; i-atropine (eMotofen, eLomotil, eLonox); ama-barbiturates afana ne-pentobarbital (Nembutal), phenobarbital (Luminal), ne-secobarbital (Seconal); i-chemotherapy yomdlavuza; isisu (amaphilisi amanzi); i-epinephrine (i-Epipen); i-guanethidine (ayitholakali e-US); ipratropium (Atrovent); lithium (Eskalith, Lithobid); imishanguzo yokukhathazeka, isifo samathumbu esicasulayo, ukugula kwengqondo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; imishanguzo yokuquleka efana ne-phenytoin (Dilantin); imithi ye-narcotic yezinhlungu; i-propranolol (Inderal); isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma uke waba nesifo somoya noma wake waba naso? i- emphysema (isifo samaphaphu esibangela ukuphefumula okuncane); ukutheleleka emaphashini akho noma amashubhu e-bronchial (amashubhu aletha umoya emaphashini); unenkinga yokugcina ibhalansi yakho; i-glaucoma (isimo lapho ukucindezela okwandisiwe esweni kungaholela ekulahlekelweni kancane kombono); umdlavuza webele; i-pheochromocytoma (isimila endlaleni encane eduze kwezinso); ukuquleka; i-electroencephalogram engajwayelekile (i-EEG; ukuhlolwa okurekhoda umsebenzi kagesi ebuchosheni); noma isiphi isimo esithinta ukukhiqizwa kwamangqamuzana egazi ngomnkantsha wakho; noma isifo senhliziyo, isibindi noma sezinso. Phinda utshele udokotela wakho uma ngabe uke wayeka ukuthatha umuthi wokugula ngengqondo ngenxa yemiphumela emibi kakhulu noma uma uhlela ukusebenza nezibulala-zinambuzane ze-organophosphorus (uhlobo lwamakhemikhali asetshenziselwa ukubulala izinambuzane).
• uma uzosebenzisa i-chlorpromazine ukwelapha isicanucanu nokuhlanza, kubalulekile ukutshela udokotela wakho nganoma yiziphi ezinye izimpawu ohlangabezana nazo, ikakhulukazi ukungabi nalutho; ukozela; ukudideka; ulaka; ukuquleka; ikhanda; izinkinga ngombono, ukuzwa, ukukhuluma, noma ukulinganisela; ubuhlungu besisu noma amajaqamba; noma ukuqunjelwa. I-nausea nokuhlanza okutholakala kanye nalezi zimpawu kungaba uphawu lwesimo esibi kakhulu okungafanele siphathwe nge-chlorpromazine.
• Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-chlorpromazine, shayela udokotela wakho. IChlorpromazine ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha uma zithathwa ezinyangeni zokugcina zokukhulelwa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-chlorpromazine.
• uma une-myelogram (ukuhlolwa kwe-x-ray yomgogodla), tshela udokotela wakho ne-radiographer ukuthi uthatha i-chlorpromazine. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-chlorpromazine izinsuku ezimbili ngaphambi kwe-myelogram nangosuku olulodwa ngemuva kwe-myelogram.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele futhi ungathinta ukucabanga kwakho nokunyakaza kwakho. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho ngokusetshenziswa okuphephile kotshwala ngenkathi welashwa nge-chlorpromazine. Utshwala bungenza imiphumela emibi ye-chlorpromazine ibe yimbi kakhulu.
• hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. I-chlorpromazine ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
• kufanele wazi ukuthi i-chlorpromazine ingadala isiyezi, ikhanda elikhanyayo, ukushaya kwenhliziyo okusheshayo, nokuquleka, ikakhulukazi lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu ekuqaleni kokwelashwa nge-chlorpromazine, ikakhulukazi ngemuva komthamo wokuqala. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-chlorpromazine ingenza kube nzima ukuthi umzimba wakho uphole lapho kushisa kakhulu. Tshela udokotela wakho uma uhlela ukuzivocavoca ngamandla noma uvezwe ukushisa okukhulu.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma uthatha i-chlorpromazine esimisweni esijwayelekile futhi uphuthelwa umthamo, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-chlorpromazine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isiyezi, ukuzizwa ungagxilile, noma unenkinga yokugcina ibhalansi yakho
• ubuso obungenalutho
• ukuhamba ngokushova
• ukungahlaliseki
• ukuyaluza
• uvalo
• ukunyakaza okungajwayelekile, okuhamba kancane, noma okungalawuleki kwanoma iyiphi ingxenye yomzimba
• ubunzima bokulala noma ukulala
• ukwanda kwesifiso sokudla
• ukuzuza kwesisindo
• ukukhiqizwa ubisi lwebele
• ukukhuliswa kwebele
• uphuthelwe yizikhathi zokuya esikhathini
• kwehle ikhono lezocansi
• izinguquko kumbala wesikhumba
• umlomo owomile
• ikhala eligxishiwe
• ubunzima bokuchama
• ukunweba noma ukunciphisa abafundi (imibuthano emnyama phakathi kwamehlo)

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• imfiva
• ukuqina kwemisipha
• ukuwa
• ukudideka
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ukujuluka
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane
• umphimbo obuhlungu, amakhaza nezinye izimpawu zokutheleleka
• ukopha okungajwayelekile noma ukulinyazwa
• amajaqamba entamo
• ulimi oluphuma emlonyeni
• ukuqina emphinjeni
• ukuphefumula kanzima noma ukugwinya
• kuhle, ukunyakaza okufana nezikelemu
• ukungalawuleki, ubuso besigqi, umlomo, noma ukunyakaza komhlathi
• isithuthwane
• amabhamuza
• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukungaboni kahle, ikakhulukazi ebusuku
• ukubona yonke into enombala onsundu

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

I-chloropomazine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ubuthongo
• ukulahlekelwa ukwazi
• ukunyakaza okungajwayelekile, okuhamba kancane, noma okungalawuleki kwanoma iyiphi ingxenye yomzimba
• ukuyaluza
• ukungahlaliseki
• imfiva
• isithuthwane
• umlomo owomile
• ukushaya kwenhliziyo okungajwayelekile

Gcina wonke ama-aphoyintimenti nodokotela wakho nodokotela wamehlo. Kufanele ube nezivivinyo zamehlo ezihleliwe ngesikhathi sokwelashwa kwakho nge-chlorpromazine ngoba i-chlorpromazine ingadala isifo samehlo.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-chlorpromazine.

I-chlorpromazine ingaphazamisa imiphumela yokuhlolwa kokukhulelwa ekhaya. Khuluma nodokotela wakho uma ucabanga ukuthi ungakhulelwa ngesikhathi sokwelashwa kwakho nge-chlorpromazine.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Promapar^®¶
• I-Thorazine^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.