I-Pimozide
-Delile
- Ngaphambi kokuthatha i-pimozide,
- I-Pimozide 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 imishanguzo yokuthithibula (imishanguzo yokugula ngengqondo) njenge-pimozide babe nethuba elandayo lokufa ngesikhathi sokwelashwa.
I-Pimozide ayivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni izinkinga zokuziphatha kubantu abadala asebekhulile abanenkinga yokuwohloka komqondo. Khuluma nodokotela onqume lo muthi uma wena, ilungu lomndeni, noma umuntu omnakekelayo enesifo sengqondo sokuphazamiseka ngokomqondo futhi ethatha i-pimozide. Ngeminye imininingwane, vakashela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs
I-Pimozide isetshenziselwa ukulawula ama-motor noma ama-verics tics (isidingo esingalawuleki sokuphinda ukunyakaza okuthile noma imisindo) okubangelwa ukuphazamiseka kwe-Tourette's (isimo esiboniswa ngemoto noma ngomlomo). I-Pimozide kufanele isetshenziselwe kuphela ukwelapha abantu abangakwazi ukuthatha eminye imishanguzo noma abathathe eminye imithi ngaphandle kwemiphumela emihle. I-Pimozide kufanele isetshenziselwe kuphela ukuphatha ama-tics anzima amisa umuntu ekufundeni, ekusebenzeni, noma ekwenzeni imisebenzi yansuku zonke.
I-Pimozide isekilasini lemithi ebizwa ngama-antipsychotic ejwayelekile. Isebenza ngokunciphisa injabulo engavamile ebuchosheni.
IPimozide iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku ngesikhathi sokulala noma izikhathi ezimbili noma ngaphezulu ngosuku. Thatha i-pimozide cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-pimozide njengoba nje kuqondisiwe.Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-pimozide futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo ezinsukwini ezi-2 noma ezi-3. Udokotela wakho anganciphisa umthamo wakho uma isimo sakho silawulwa. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani ngenkathi welashwa nge-pimozide.
IPimozide ilawula ukuphazamiseka kukaTourette kodwa ayiyelaphi. Kungathatha isikhashana ngaphambi kokuba uzwe inzuzo ephelele ye-pimozide. Qhubeka uthathe i-pimozide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-pimozide ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-pimozide, ungahlangabezana nobunzima bokulawula ukunyakaza kwakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.
I-Pimozide nayo iyasetshenziswa kwesinye isikhathi ukwelapha i-schizophrenia (ukugula kwengqondo okubangela ukucabanga okuphazamisekile noma okungajwayelekile, ukuphelelwa yintshisekelo empilweni, nemizwelo enamandla noma engafanele) nokuziphatha okuthile, ubuntu, ukunyakaza, nokuphazamiseka kwengqondo kubantu abadala. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; khuluma nodokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-pimozide,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-pimozide, eminye imithi yokugula ngengqondo, noma eminye imithi.
- Tshela udokotela wakho uma uthatha noma iyiphi yale mithi elandelayo: ama-antibiotic athile ahlanganisa i-azithromycin (iZithromax, Z-Pak), i-clarithromycin (i-Biaxin), i-erythromycin (i-E.E.S., i-E-Mycin, i-Erythrocin), ne-moxifloxacin (i-Avelox); ama-antifungals afana ne-itraconazole (Sporanox) ne-ketoconazole (i-Nizoral); i-arsenic trioxide (iTrisenox); i-dofetilide (Tikosyn); i-chlorpromazine; i-dolasetron (i-Anzemet); i-droperidol (Inapsine); I-HIV protease inhibitors efana ne-indinavir (Crixivan), i-nelfinavir (i-Viracept), i-saquinavir (i-Invirase), ne-ritonavir (i-Norvir, e-Kaletra); imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone), i-disopyramide (i-Norpace), i-procainamide, i-quinidine, ne-sotalol (i-Betapace); imithi yokugula ngengqondo kanye nesicanucanu; i-mefloquine (iLariam); nefazadone; ipentamidine (Nebu-Pent); ezinye ze-serotonin reuptake inhibitors (SSRIs) ezikhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexeva) ne-sertraline (i-Zoloft); itacrolimus (Prograf); thioridazine; zileuton (Zyflo); kanye ne-ziprasidone (Geodon). Udokotela wakho angakutshela ukuthi ungathathi i-pimozide.
- Tshela udokotela wakho uma uthatha imishanguzo engadala ama-tics, kufaka phakathi ama-amphetamine afana ne-amphetamine (Adderall) ne-dextroamphetamine (Dexadrine, Dextrostat); pemoline (Cylert) (ayitholakali e-US); kanye ne-methylphenidate (Concerta, Ritalin). Udokotela wakho angakutshela ukuthi uyeke ukuthatha imishanguzo yakho isikhashana ngaphambi kokuba uqale ukuthatha ipimozide. Lokhu kuzokwenza udokotela wakho abone ukuthi ama-tics akho adalwe yini omunye umuthi futhi angalashwa ngokuwumisa.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: imishanguzo; i-cimetidine (Tagamet); isisu (‘amaphilisi amanzi’); imithi yokukhathazeka, ubuhlungu nokuhlukunyezwa; isidambisi; amaphilisi okulala; i-ticlopidine (iTiclid); kanye nezithambisi. Eminye imithi eminingi ingaxhumana ne-pimozide, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imishanguzo oyiphuzayo, ngisho nalawo angabhalisiwe lapha noma ohlwini olungezansi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- tshela udokotela wakho uma ngabe uke waba ne-QT syndrome ende noma (wake waba nesifo esandisa ingozi yokuhlaselwa ukushaya kwenhliziyo okungajwayelekile okungadala ukulahlekelwa ukwazi noma ukufa ngokuzuma); ukushaya kwenhliziyo okungajwayelekile; noma amazinga aphansi we-potassium noma i-magnesium egazini lakho. Phinda utshele udokotela wakho uma unesifo sohudo esibi ngaphambi kokwelashwa kwakho noma nganoma yisiphi isikhathi lapho welashwa. Udokotela wakho angakutshela ukuthi ungathathi i-pimozide.
- tshela udokotela wakho uma uke waba nomdlavuza webele noma wake waba nawo; Isifo sikaParkinson (PD; ukuphazamiseka kwesistimu yezinzwa okubangela ubunzima ngokunyakaza, ukulawula imisipha, nokulinganisela); i-glaucoma (isimo lapho ukucindezela okwandisiwe esweni kungaholela ekulahlekelweni kancane kombono); izinkinga zokuchama; unenkinga yokugcina ibhalansi yakho, i-electroencephalogram engajwayelekile (i-EEG; ukuhlolwa okurekhoda umsebenzi kagesi ebuchosheni); ukuquleka; noma i-prostate, isibindi, noma isifo sezinso. Phinda utshele udokotela wakho uma wake wakuyeka ukuthatha umuthi wokugula ngengqondo ngenxa yemiphumela emibi kakhulu.
- Tshela udokotela wakho uma ukhulelwe, ikakhulukazi uma usezinyangeni ezimbalwa ezedlule zokukhulelwa kwakho, noma uma uhlela ukukhulelwa noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-pimozide, shayela udokotela wakho. I-Pimozide 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-pimozide.
- kufanele wazi ukuthi i-pimozide ingakwenza ukozele futhi ingathinta ukucabanga kwakho nokunyakaza kwakho, ikakhulukazi ekuqaleni kokwelashwa kwakho. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
- kufanele wazi ukuthi i-pimozide ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
- buza udokotela wakho ngokusetshenziswa okuphephile kotshwala ngenkathi welashwa nge-pimozide. Utshwala bungenza imiphumela emibi ye-pimozide ibe yimbi kakhulu.
Ungadli isithelo samagilebhisi noma uphuze ijusi lamagilebhisi ngenkathi uthatha lo muthi.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Pimozide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ubuthakathaka
- isiyezi, ukuzizwa ungagxilile, noma unenkinga yokugcina ibhalansi yakho
- umlomo owomile
- ukwanda kwamathe
- isifo sohudo
- ukuqunjelwa
- indlala noma ukoma okungajwayelekile
- izinguquko ekumeni
- uvalo
- izinguquko ekuziphatheni
- kunzima ukunambitha ukudla
- ukuzwela ekukhanyeni
- izinguquko embonweni
- kwehle ikhono lezocansi emadodeni
- ubuso obungenalutho
- ukuhamba ngokushova
- ukunyakaza okungajwayelekile, okuhamba kancane, noma okungalawuleki kwanoma iyiphi ingxenye yomzimba
- ukungahlaliseki
- izinkinga zokukhuluma
- izinguquko ekubhalweni ngesandla
- ukuqubuka
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- imfiva
- ukuqina kwemisipha
- ukuwa
- ukudideka
- ukujuluka
- ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
- amajaqamba entamo
- ukuqina emphinjeni
- ukuphefumula kanzima noma ukugwinya
- ulimi oluphuma emlonyeni
- kuhle, ukunyakaza okufana nezikelemu
- ukungalawuleki, ubuso besigqi, umlomo, noma ukunyakaza komhlathi
Emithamo ephezulu, i-pimozide idale izicubu kumagundane. Lokhu akusho ukuthi ipimozide nayo izodala izicubu kubantu. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.
I-Pimozide ingadala ukushaya kwenhliziyo okungajwayelekile okusongela impilo. Abanye abantu abathathe imithamo ephezulu ye-pimozide ukwelapha izimo ezingezizo i-Tourette's syndrome bafa ngokuzuma, mhlawumbe ngenxa yalolu hlobo lokushaya kwenhliziyo okungajwayelekile. Udokotela wakho uzoku-oda i-electrocardiogram (isivivinyo esiqopha umsebenzi kagesi wenhliziyo) ngaphambi nangesikhathi sokwelashwa kwakho nge-pimozide ukubona ukuthi usuvele unezinkinga zenhliziyo yini ezingase zibe zimbi nge-pimozide nokuthi ubone ukuthi i-pimozide ibangele noma yiziphi izinkinga zenhliziyo. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi.
I-Pimozide ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.
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).
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:
- ubuso obungenalutho
- ukuhamba ngokushova
- ukunyakaza okungajwayelekile, okuhamba kancane, noma okungalawuleki kwanoma iyiphi ingxenye yomzimba
- ukungahlaliseki
- ukushaya kwenhliziyo okusheshayo
- ukozela
- ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
- ukuphefumula kanzima
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-pimozide.
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.
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