Umlobi: Judy Howell
Usuku Lokudalwa: 6 Ujulayi 2021
Ukuvuselela Usuku: 1 Ujulayi 2024
Anonim
I-Quetiapine, ithebhulethi yomlomo - Nezinye
I-Quetiapine, ithebhulethi yomlomo - Nezinye

-Delile

Okuvelele kwe-quetiapine

  1. Amaphilisi omlomo eQuetiapine ayatholakala njengezidakamizwa ezinamagama futhi njengemithi ejwayelekile. Amagama omkhiqizo: iSeroquel neSeroquel XR.
  2. I-Quetiapine iza ngezindlela ezimbili: ithebhulethi yomlomo ekhishwa ngokushesha nethebhulethi yomlomo ekhishwa isikhathi eside. Uhlobo lokukhululwa ngokushesha lukhishelwa egazini ngokushesha. Uhlobo lokukhululwa olwandisiwe lukhishwa kancane kancane egazini lakho ngokuhamba kwesikhathi.
  3. Zombili lezi zinhlobo zamathebulethi e-quetiapine zisetshenziselwa ukwelapha i-schizophrenia ne-bipolar disorder. Ithebhulethi ekhishwa isikhathi eside isetshenziselwa ukwelapha ukudangala okukhulu ngokuhlangana nezidambisi.

Izexwayiso ezibalulekile

Izexwayiso ze-FDA

  • Lo muthi unezixwayiso zebhokisi elimnyama. Lezi izexwayiso ezibucayi kakhulu ezivela ku-Food and Drug Administration (FDA). Izixwayiso zebhokisi elimnyama zixwayisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
  • Ingozi yokufa kwabadala ngesexwayiso sokuwohloka komqondo: I-Quetiapine ingasiza ekwehliseni izimpawu zesifo sengqondo kubantu abane-schizophrenia. Kodwa-ke, akuvunyelwe ukwelashwa kwengqondo kubantu abadala abanokuwohloka komqondo. Izidakamizwa ezifana ne-quetiapine ziphakamisa ingozi yokufa kubantu abadala abanokuwohloka komqondo.
  • Ingozi yemicabango yokuzibulala kanye nesixwayiso sokuziphatha: Ezinyangeni ezimbalwa zokuqala zokwelashwa, i-quetiapine ingakhuphula imicabango noma izenzo zokuzibulala kwezinye izingane, intsha kanye nabantu abadala. Abantu abasengozini enkulu bafaka labo abanokudangala noma ukugula nge-bipolar, noma asebeke babhekana nemicabango yokuzibulala noma izenzo. Abantu abanomlando womndeni walezi zimo nabo basengozini enkulu. Iziguli zeminyaka yonke eziqaliswe ekwelashweni kokulwa nokucindezelwa kufanele zibhekwe ngemicabango emisha noma yokuziphatha okubi noma okubi.

Ezinye izexwayiso

  • Isexwayiso se-Neuroleptic malignant syndrome (NMS): I-NMS yisimo esingajwayelekile kodwa esibi kakhulu esingenzeka kubantu abathatha imishanguzo yokulwisana ne-psychotic efana ne-quetiapine. I-NMS ingadala ukufa futhi kufanele yelashwe esibhedlela. Izimpawu zingafaka umkhuhlane omkhulu, ukujuluka okweqile, imisipha eqinile, ukudideka, noma ushintsho ekuphefumuleni, ekushayeni kwenhliziyo, noma kumfutho wegazi. Uma ugula kakhulu ngalezi zimpawu, shayela u-911 ngokushesha.
  • Isexwayiso soshintsho lwe-Metabolic: I-Quetiapine ingadala ushintsho endleleni umzimba wakho osebenza ngayo. Ungaba ne-hyperglycemia (ushukela ophakeme wegazi), ukwanda kwe-cholesterol kanye ne-triglycerides (amafutha egazini), noma ukuzuza kwesisindo. Ushukela wegazi ophakeme kungenzeka kubantu abanesifo sikashukela noma abangenaso. Izimpawu zingafaka ukuzwa ukoma kakhulu noma ukulamba, ukudinga ukuchama ngaphezu kokujwayelekile, ukuzizwa ubuthakathaka noma ukhathele, noma uphefumula okunuka izithelo. Udokotela wakho uzokuqapha ngalezi zinguquko zomzimba.
  • Isexwayiso se-Tardive dyskinesia: I-Quetiapine ingadala i-tardive dyskinesia. Lesi yisimo esibi esibangela ukunyakaza kobuso, ulimi, noma ezinye izitho zomzimba ongeke ukwazi ukuzilawula. I-Tardive dyskinesia kungenzeka ingahambi noma ngabe uyeka ukuthatha i-quetiapine. Kungase futhi kuqale ngemuva kokuyeka ukuthatha lo muthi.

Yini i-quetiapine?

I-Quetiapine ngumuthi kadokotela. Iza ngesimo sethebhulethi oyithatha ngomlomo. Kunezinguqulo ezimbili zethebhulethi. Uhlobo lokukhululwa ngokushesha lukhishelwa egazini ngokushesha. Uhlobo lokukhululwa olwandisiwe lukhishwa kancane kancane egazini lakho ngokuhamba kwesikhathi.


I-Quetiapine iyatholakala njengezidakamizwa ezinegama lomkhiqizo ISeroquel (ithebhulethi ekhishwa ngokushesha) kanye I-Seroquel XR (ithebhulethi ekhishwe isikhathi eside). Womabili la mafomu ayatholakala njengemithi ejwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengesidakamizwa esinegama lomkhiqizo.

I-Quetiapine ingasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha neminye imithi.

Kungani kusetshenziswa

Ithebhulethi yomlomo yeQuetiapine isetshenziselwa ukwelapha izimpawu ze-schizophrenia, i-bipolar disorder, noma i-depression.

I-Quetiapine ingasetshenziselwa ukwelapha izimpawu kubantu abadala abaneziqephu ezicindezelayo noma iziqephu ze-manic ezibangelwa ukuphazamiseka kwe-bipolar I. Kulezi zimo, ingasetshenziswa yodwa noma ngemithi i-lithium noma i-divalproex. Ingasetshenziswa futhi nge-lithium noma i-divalproex ekwelashweni kwesikhathi eside kwe-bipolar I disorder. I-Quetiapine ingasetshenziswa ezinganeni ezineminyaka eyi-10-17 iminyaka ukwelapha iziqephu ze-manic ezibangelwa ukuphazamiseka kwe-bipolar I.


Ekucindezelekeni okukhulu, i-quetiapine isetshenziswa njengezengezo zokwelapha abantu asebethatha imishanguzo yokulwisana nokudangala. Isetshenziswa lapho udokotela wakho ethatha isinqumo sokuthi i-anti-depressant eyodwa iyodwa ayanele ukuphatha ukucindezeleka kwakho.

Isebenza kanjani

I-Quetiapine ingeyesigaba semithi ebizwa ngama-antipyychotic atypical. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

Akwaziwa kahle ukuthi lo muthi usebenza kanjani. Kodwa-ke, kucatshangwa ukuthi kusiza ukulawula inani lamakhemikhali athile (i-dopamine ne-serotonin) ebuchosheni bakho ukulawula isimo sakho.

Imiphumela emibi ye-Quetiapine

Ithebhulethi yomlomo yeQuetiapine ingadala ukozela. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi yalesi sidakamizwa iyahluka kancane ngokuya ngefomu lesidakamizwa.

Imiphumela emibi ejwayelekile yamathebulethi akhishwa ngokushesha ingafaka:

  • umlomo owomile
  • isiyezi
  • ubuhlungu endaweni yakho yesisu
  • ukuqunjelwa
  • isicanucanu
  • ukuhlanza
  • ukuzuza kwesisindo
  • ukwanda kwesifiso sokudla
  • Umphimbo obuhlungu
  • inkinga yokuhamba
  • ukushaya kwenhliziyo okusheshayo
  • ubuthakathaka

Imiphumela emibi ejwayelekile yamathebulethi akhululiwe ingafaka:


  • umlomo owomile
  • ukuqunjelwa
  • isiyezi
  • ukwanda kwesifiso sokudla
  • isisu esibuhlungu
  • ukukhathala
  • ikhala eligcwele
  • inkinga yokuhamba

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

  • Imicabango yokuzibulala noma izenzo
  • Isifo esibuhlungu se-Neuroleptic. Izimpawu zingafaka:
    • umkhuhlane omkhulu
    • ukujuluka okweqile
    • imisipha eqinile
    • ukudideka
    • izinguquko ekuphefumuleni kwakho, ekushayeni kwenhliziyo, nasemfutho wegazi
  • I-Hyperglycemia (ushukela ophakeme wegazi). Izimpawu zingafaka:
    • ukoma ngokweqile
    • ukuchama kaningi
    • indlala enkulu
    • ubuthakathaka noma ukukhathala
    • isisu esibuhlungu
    • ukudideka
    • umoya onuka izithelo
  • I-cholesterol eyandisiwe kanye ne-triglycerides (amazinga aphezulu amafutha egazini lakho)
  • Ukuzuza kwesisindo
  • I-Tardive dyskinesia. Izimpawu zingafaka:
    • ukunyakaza ongeke ukwazi ukukulawula ebusweni bakho, olimini, noma kwezinye izitho zomzimba
  • I-Orthostatic hypotension (yehlise umfutho wegazi lapho inyuka ngokushesha okukhulu ngemuva kokuhlala noma ukulala phansi). Izimpawu zingafaka:
    • ubumhlophe
    • ukuquleka
    • isiyezi
  • Ukwanda kwengcindezi yegazi ezinganeni nasebusheni
  • Inani eliphansi lamaseli egazi amhlophe. Izimpawu zingafaka:
    • imfiva
    • ukutheleleka
  • Isifo senkwethu. Izimpawu zingafaka:
    • ukufiphalisa ilensi yeso lakho
    • ukungaboni kahle
    • ukulahleka kombono
  • Ukuquleka
  • Amazinga we-thyroid angajwayelekile (akhonjisiwe ezivivinyweni angazenza udokotela wakho)
  • Ukwenyuka emazingeni e-prolactin egazi. Izimpawu zingafaka:
    • ukukhuliswa kwebele (kwabesilisa nabesifazane)
    • ukukhishwa kobisi engonweni yesifuba (kwabesifazane)
    • ukungasebenzi kahle kwe-erectile
    • ukungabikho esikhathini
  • Ukushisa komzimba okwandisiwe
  • Inkinga yokugwinya
  • Ingozi yokufa ngenxa yokushaywa unhlangothi kwabadala abanokuwohloka komqondo

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Quetiapine ingahlangana neminye imithi

Ithebhulethi yomlomo yeQuetiapine ingaxhumana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uwaphuza. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukusebenzisana ne-quetiapine zibhalwe ngezansi.

Izidakamizwa okungafanele uzisebenzise ne-quetiapine

Ungayiphuzi le mithi nge-quetiapine. Ukwenza kanjalo kungadala izinkinga zesigqi senhliziyo ezingadala ukufa okungazelelwe. Izibonelo zale mithi zifaka:

  • Izidakamizwa ezilwa nokuhleleka njenge-quinidine, i-procainamide, i-amiodarone noma i-sotalol
  • Izidakamizwa ze-antipsychotic njenge-ziprasidone, i-chlorpromazine, noma i-thioridazine
  • Ama-antibiotics afana ne-gatifloxacin noma i-moxifloxacin
  • IPentamidine
  • I-Methadone

Ukusebenzisana okwandisa ubungozi bemiphumela emibi

  • Imiphumela emibi eyengeziwe evela kwezinye izidakamizwa: Ukuthatha i-quetiapine ngemithi ethile kuphakamisa ubungozi bakho bemiphumela emibi evela kuleyo mithi. Izibonelo zale mithi zifaka:
    • I-Benzodiazepines efana ne-alprazolam, i-clonazepam, i-diazepam, i-chlordiazepoxide noma i-lorazepam. Kungenzeka ukuthi ukwanda ukozela.
    • Ukuphumula kwemisipha okufana ne-baclofen, cyclobenzaprine, methocarbamol, tizanidine, carisoprodol, noma i-metaxalone. Kungenzeka ukuthi ukwanda ukozela.
    • Imithi yezinhlungu efana ne-morphine, i-oxycodone, i-fentanyl, i-hydrocodone, i-tramadol, noma i-codeine. Kungenzeka ukuthi ukwanda ukozela.
    • Ama-antihistamine afana ne-hydroxyzine, diphenhydramine, chlorpheniramine, noma i-brompheniramine. Kungenzeka ukuthi ukwanda ukozela.
    • I-sedative / hypnotics efana ne-zolpidem noma i-eszopiclone. Kungenzeka ukuthi ukwanda ukozela.
    • Ama-barbiturates afana ne-phenobarbital. Kungenzeka ukuthi ukwanda ukozela.
    • Ama-antihypertensives afana ne-amlodipine, lisinopril, losartan, noma i-metoprolol. Umfutho wakho wegazi ungehliswa kakhulu.
  • Imiphumela emibi eyengeziwe evela ku-quetiapine: Ukuthatha i-quetiapine ngemithi ethile kuphakamisa ubungozi bakho bemiphumela emibi evela ku-quetiapine. Lokhu kungenxa yokuthi inani le-quetiapine emzimbeni wakho linganyuswa. Uma uphuza le mithi nge-quetiapine, udokotela wakho anganciphisa isilinganiso sakho se-quetiapine. Izibonelo zale mithi zifaka:
    • Izidakamizwa ezibulala izinhlungu ezifana ne-ketoconazole noma i-itraconazole
    • Izidakamizwa ze-HIV ezifana ne-indinavir noma i-ritonavir
    • Ama-anti-depressants afana ne-nefazodone noma i-fluoxetine

Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle

  • Lapho i-quetiapine ingasebenzi kahle: Uma i-quetiapine isetshenziswa nezidakamizwa ezithile, ingahle ingasebenzi ukwelapha isimo sakho. Lokhu kungenxa yokuthi inani le-quetiapine emzimbeni wakho lingehla. Uma uphuza le mithi nge-quetiapine, udokotela wakho angakhuphula isilinganiso sakho se-quetiapine. Izibonelo zale mithi zifaka:
    • Ama-Anticonvulsants afana ne-phenytoin noma i-carbamazepine
    • I-Rifampin
    • Isibungu iSt
  • Lapho ezinye izidakamizwa zingasebenzi kahle: Lapho izidakamizwa ezithile zisetshenziswa nge-quetiapine, kungenzeka zingasebenzi futhi. Izibonelo zale mithi zifaka:
    • Imithi yesifo sikaParkinson efana nelevodopa, i-pramipexole, noma i-ropinirole. I-Quetiapine ingavimba imiphumela yemithi yakho kaParkinson. Lokhu kungadala ukwanda kwezimpawu zakho zesifo sikaParkinson.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Quetiapine

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Quetiapine ingadala ukusabela okweqile. Izimpawu zingafaka:

  • inkinga yokuphefumula
  • ukuvuvukala komphimbo wakho noma ulimi

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kotshwala

I-Quetiapine ingadala ukozela. Ukusetshenziswa kweziphuzo eziqukethe utshwala kuphakamisa ubungozi bakho balo mphumela wecala. Uma uphuza utshwala, khuluma nodokotela wakho ukuthi ngabe lo muthi uphephile yini kuwe.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo sikashukela noma ushukela ophakeme wegazi: I-Quetiapine ingakhuphula izinga likashukela egazini lakho, elingasenza sibe sibi isimo sakho. Ushukela wegazi ophakeme kakhulu kungaholela ekuqulekeni noma ekufeni. Uma unesifo sikashukela noma ubungozi besifo sikashukela, khuluma nodokotela wakho. Kufanele bahlole ushukela wegazi ngaphambi nangesikhathi sokwelashwa nge-quetiapine.

Kubantu abane-hyperlipidemia (amazinga aphezulu amafutha egazini): I-Quetiapine ingaqhubeka ikhuphule amazinga amafutha (cholesterol kanye ne-triglycerides) egazini lakho. Amazinga aphezulu amafutha akhulisa ingozi yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi. La mazinga aphezulu ngokujwayelekile awazibangeli izimpawu. Ngakho-ke, udokotela wakho angahlola i-cholesterol yegazi kanye ne-triglycerides yakho ngesikhathi sokwelashwa nge-quetiapine.

Kubantu abanengcindezi yegazi ephansi noma ephezulu: I-Quetiapine ingase ibe yimbi umfutho wegazi ophakeme noma ophansi. Kungakhuphula nomfutho wegazi ezinganeni nasebusheni. Udokotela wakho kufanele aqaphe umfutho wegazi lakho ngenkathi uthatha i-quetiapine.

Kubantu abanenani eliphansi lamaseli amhlophe egazi: I-Quetiapine ingehlisa isibalo samaseli amhlophe egazi aphansi kakhulu. Udokotela wakho kufanele aqaphe ukubalwa kwamangqamuzana akho amhlophe egazi kaningi phakathi nezinyanga zokuqala ezimbalwa zokwelashwa. Lokhu kungasiza ekuqinisekiseni ukuthi i-quetiapine ayinciphisi ukubalwa kwamaseli akho amhlophe egazi.

Kubantu abane-cataract: I-Quetiapine ingase iwenze ube mubi kakhulu amehlo akho. Udokotela wakho uzokuqapha ngezinguquko ku-cataract yakho. Bazohlola amehlo akho lapho uqala ukwelashwa futhi njalo ezinyangeni eziyisithupha ngesikhathi sokwelashwa.

Okwabantu abanesithuthwane: Ukuquleka kwenzeke ezigulini ezinesithuthwane noma ezingenazo ngenkathi zithatha i-quetiapine. I-Quetiapine ingenza kube nzima ukulawula ukuqubuka kubantu abanesithuthwane. Udokotela wakho kufanele akuhlole ngokunyuka kokuquleka ngenkathi ethatha lo muthi.

Kubantu abane-hypothyroidism (izinga eliphansi le-thyroid): I-Quetiapine ingehlisa amazinga e-hormone yegilo futhi yenze isimo sakho sibe sibi kakhulu. Udokotela wakho kufanele aqaphe amazinga e-thyroid yegazi lakho ngaphambi nangesikhathi sokwelashwa ngalo muthi.

Kubantu abanezinkinga zenhliziyo: Buza udokotela wakho ukuthi lo muthi uphephile yini kuwe. Lesi sidakamizwa sandisa ubungozi besigqi senhliziyo esingajwayelekile.

Kubantu abanezinkinga zesibindi: I-Quetiapine yehle kakhulu emzimbeni yisibindi. Ngenxa yalokhu, abantu abanezinkinga zesibindi kungenzeka ukuthi bakhuphule amazinga egazi alo muthi. Lokhu kuphakamisa ubungozi bemiphumela emibi evela kulo muthi.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Quetiapine yisigaba C somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

  1. Ukucwaninga ngezilwane kukhombise imiphumela emibi embungwini lapho umama ethatha umuthi.
  2. Akuzange kube nezifundo ezanele ezenziwe ebantwini ukuze kuqinisekiswe ukuthi umuthi ungawuthinta kanjani umbungu.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Lesi sidakamizwa kufanele sisetshenziswe kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona.

Kwabesifazane abancelisayo: I-Quetiapine ingadlulela ebisini lwebele futhi ingadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwabadala: Izinso nezibindi zabantu abadala zingase zingasebenzi ngendlela ebekade zisebenza ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Okwezingane:

  • Ischizophrenia
    • Iziqephu: Le mithi ayifundwanga ezinganeni ngale njongo. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka engu-13.
  • I-bipolar I mania
    • Iziqephu: Le mithi ayifundwanga ezinganeni ngale njongo. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-10.
  • Isifo se-bipolar, iziqephu ezicindezelayo: Le mithi ayifundwanga ezinganeni ngale njongo. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka engu-18.
  • Ukucindezeleka okukhulu okuphathwa ngama-anti-depressants: Le mithi ayifundwanga ezinganeni ngale njongo. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka engu-18.

Ungayithatha kanjani i-quetiapine

Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

  • iminyaka yakho
  • isimo esilashwa
  • ubunzima besimo sakho
  • ezinye izimo zezokwelapha onazo
  • ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu wezidakamizwa namandla

Okujwayelekile: I-Quetiapine

  • Ifomu: ithebhulethi yomlomo ekhishwa ngokushesha
  • Amandla: 25 mg, 50 mg, 100 mg, 200 mg, 300 mg, no-400 mg
  • Ifomu: ithebhulethi yomlomo ekhishwe isikhathi eside
  • Amandla: 50 mg, 150 mg, 200 mg, 300 mg, no-400 mg

Umkhiqizo: ISeroquel

  • Ifomu: ithebhulethi yomlomo ekhishwa ngokushesha
  • Amandla: 25 mg, 50 mg, 100 mg, 200 mg, 300 mg, no-400 mg

Umkhiqizo: I-Seroquel XR

  • Ifomu: ithebhulethi yomlomo ekhishwe isikhathi eside
  • Amandla: 50 mg, 150 mg, 200 mg, 300 mg, no-400 mg

Isilinganiso se-schizophrenia

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

Amaphilisi akhishwa ngokushesha

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 25 mg kabili ngosuku.
    • Izinsuku 2 no-3: Udokotela wakho uzokwandisa umthamo wakho ngo-25-50 mg. Umthamo ophelele kufanele uphuzwe kabili noma kathathu nsuku zonke.
    • Usuku lwesi-4: 300-400 mg nsuku zonke, lithathwa ngemithamo ehlukaniswe kabili noma emithathu.
  • Isikali siyanda:
    • Udokotela wakho angaqhubeka nokwandisa isilinganiso sakho hhayi kaningi kunezinsuku ezimbili. Ukwanda kuzoba ngama-25-50 mg engezwe kumthamo wakho wangaphambilini. Umthamo ophelele uzothathwa kabili nsuku zonke.
    • Ububanzi bomthamo onconyiwe ngu-150-750 mg ngosuku.
  • Isilinganiso sesondlo: Udokotela wakho angakugcina kulo muthi ukusiza ukulawula izimpawu ngokuqhubekayo. Ububanzi bomthamo wokusetshenziswa kwesondlo ngu-400-800 mg ngosuku, uthathwe ngemithamo emi-2 noma emi-3 ehlukanisiwe.
  • Umthamo omkhulu: I-800 mg ngosuku, ithathwa ngemithamo ehlukaniswe kabili noma emithathu.

Amathebulethi akhululiwe

  • Isilinganiso sokuqala sokuqala: 300 mg kanye ngosuku.
  • Isikali siyanda: Udokotela wakho angakhuphula isilinganiso sakho nsuku zonke ngokungadluli ku-300 mg kanye ngosuku. Ububanzi bomthamo onconyiwe ngu-400-800 mg kanye ngosuku.
  • Umthamo omkhulu: 800 mg ngosuku.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Udokotela wakho angakuqala kumthamo owehlisiwe noma uhlelo oluhlukile lokulinganisa. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho. Udokotela wakho angakuqala ngomthamo we-50 mg nsuku zonke. Bangakhuphula kamuva, bengeze ama-50 mg kumthamo wakho wansuku zonke. Umthamo ungakhuphuka ngesilinganiso esisheshayo, futhi umthamo ophansi wansuku zonke ungasetshenziswa ukunciphisa ubungozi bemiphumela emibi.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

ISIQEPHU SESI-SCHIZOPHRENIA

Isilinganiso sengane (iminyaka eyi-13-17 iminyaka)

Amaphilisi akhishwa ngokushesha

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 25 mg kabili ngosuku.
    • Usuku 2: 100 mg ngosuku, uthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 3: 200 mg ngosuku, kuthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 4: 300 mg ngosuku, kuthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku lwesi-5: 400 mg ngosuku, uthathwe ngemithamo ehlukanisiwe kabili ngosuku.
  • Isikali siyanda: Udokotela wakho angaqhubeka nokwandisa umthamo wengane yakho kungabi ngaphezu kuka-100 mg ngosuku. Ububanzi bomthamo onconywayo ngu-400-800 mg ngosuku, uthathwe ngemithamo ehlukaniswe kabili noma emithathu.
  • Umthamo omkhulu: I-800 mg ngosuku, ithathwa ngemithamo ehlukaniswe kabili noma emithathu.

Amathebulethi akhululiwe

Isilinganiso sokuqala sokuqala:

  • Usuku 1: 50 mg kanye ngosuku.
  • Usuku 2: 100 mg kanye nsuku zonke.
  • Usuku 3: 200 mg kanye nsuku zonke.
  • Usuku 4: 300 mg kanye ngosuku.
  • Usuku 5: 400 mg kanye ngosuku.

Isilinganiso sengane (iminyaka engu-0-12 yeminyaka)

Akuqinisekisiwe ukuthi i-quetiapine iphephile futhi iyasebenza ukusetshenziselwa le nhloso ezinganeni ezingaphansi kweminyaka eyi-13.

ISHIZOPHRENIA MAINTENANCE

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lo muthi awufundelwanga ezinganeni ukuthi uzisebenzisele le nhloso. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-18.

Isilinganiso se-bipolar I disorder (iziqephu zomuntu noma ezixubekile)

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

Amaphilisi akhishwa ngokushesha

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 100 mg ngosuku, uthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 2: 200 mg ngosuku, uthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 3: 300 mg ngosuku, kuthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 4: 400 mg ngosuku, kuthathwe ngemithamo ehlukanisiwe kabili ngosuku.
  • Isikali siyanda: Udokotela wakho angaqhubeka nokwandisa isilinganiso sakho ngokungadluli ku-200 mg ngosuku.
  • Isilinganiso sesondlo: Udokotela wakho angakugcina kulo muthi ukusiza ukulawula izimpawu ngokuqhubekayo. Ububanzi bomthamo wokusetshenziswa kwesondlo ngu-400-800 mg ngosuku, uthathwe ngemithamo ehlukaniswe kabili noma emithathu.
  • Umthamo omkhulu: 800 mg ngosuku, uthathwe ngemithamo ehlukanisiwe emibili noma emithathu.

Amathebulethi akhululiwe

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 300 mg kanye ngosuku.
    • Usuku 2: 600 mg kanye ngosuku.
    • Usuku 3: 400-800 mg kanye ngosuku.
  • Isikali siyanda: Udokotela wakho angashintsha isilinganiso sakho ebangeni eliphakanyisiwe lika-400-800 mg kanye ngosuku.
  • Umthamo omkhulu: 800 mg kanye ngosuku.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Udokotela wakho angakuqala ngomthamo owehlisiwe noma uhlelo oluhlukile lokulinganisa. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho. Udokotela wakho angakuqala ngomthamo we-50 mg nsuku zonke. Bangakhuphula kamuva, bengeze ama-50 mg kumthamo wakho wansuku zonke. Umthamo ungakhuphuka ngesilinganiso esisheshayo, futhi umthamo ophansi wansuku zonke ungasetshenziswa ukunciphisa ubungozi bemiphumela emibi.

Isilinganiso sengane (iminyaka eyi-10-17 iminyaka)

Amaphilisi akhishwa ngokushesha

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 25 mg kabili ngosuku.
    • Usuku 2: 100 mg ngosuku, uthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 3: 200 mg ngosuku, kuthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku 4: 300 mg ngosuku, kuthathwe ngemithamo ehlukanisiwe kabili ngosuku.
    • Usuku lwesi-5: 400 mg ngosuku, uthathwe ngemithamo ehlukanisiwe kabili ngosuku.
  • Isikali siyanda: Udokotela wakho angaqhubeka nokwandisa umthamo wakho kungabi ngaphezu kuka-100 mg ngosuku. Ububanzi bomthamo onconywayo ngu-400-600 mg ngosuku othathwe ngamanani ahlukanisiwe kuze kube kathathu nsuku zonke.
  • Umthamo omkhulu: I-600 mg ngosuku ngemithamo ehlukanisiwe emibili noma emithathu.

Amathebulethi akhululiwe

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 50 mg kanye ngosuku.
    • Usuku 2: 100 mg kanye ngosuku.
    • Usuku 3: 200 mg kanye ngosuku.
    • Usuku 4: 300 mg kanye ngosuku.
    • Usuku 5: 400 mg kanye ngosuku.
  • Isikali siyanda: Udokotela wakho angashintsha umthamo wakho, ngaphakathi kwebanga lokuncoma elinconywayo lika-400-600 mg kanye ngosuku.
  • Umthamo omkhulu: 600 mg kanye ngosuku.

Isilinganiso sengane (iminyaka engu-0-9 iminyaka)

Akuqinisekisiwe ukuthi i-quetiapine iphephile futhi iyasebenza ukusetshenziselwa le nhloso ezinganeni ezingaphansi kweminyaka eyi-10.

Isilinganiso se-bipolar I disorder (isondlo)

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi i-quetiapine iphephile futhi iyasebenza ukusetshenziselwa le nhloso ezinganeni ezingaphansi kweminyaka eyi-18.

Isilinganiso se-bipolar disorder (iziqephu zokudangala)

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

Amaphilisi akhishwa ngokushesha

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 50 mg nsuku zonke, kuthathwe ngesikhathi sokulala.
    • Usuku 2: 100 mg nsuku zonke, kuthathwe ngesikhathi sokulala.
    • Usuku 3: 200 mg nsuku zonke, kuthathwe ngesikhathi sokulala.
    • Usuku 4: 300 mg nsuku zonke, kuthathwe ngesikhathi sokulala.
  • Umthamo omkhulu: Ama-300 mg nsuku zonke, athathwe ngesikhathi sokulala.

Amathebulethi akhululiwe

  • Isilinganiso sokuqala sokuqala:
    • Usuku 1: 50 mg kanye nsuku zonke ngesikhathi sokulala.
    • Usuku 2: 100 mg kanye nsuku zonke ngesikhathi sokulala.
    • Usuku 3: 200 mg kanye nsuku zonke ngesikhathi sokulala.
    • Usuku 4: 300 mg kanye nsuku zonke ngesikhathi sokulala.
  • Umthamo omkhulu: I-300 mg kanye nsuku zonke ngesikhathi sokulala.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Udokotela wakho angakuqala ngomthamo owehlisiwe noma uhlelo oluhlukile lokulinganisa. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho. Udokotela wakho angakuqala ngomthamo we-50 mg nsuku zonke. Bangakhuphula kamuva, bengeze ama-50 mg kumthamo wakho wansuku zonke. Umthamo ungakhushulwa ngesilinganiso esincane, futhi umthamo ophansi wansuku zonke ungasetshenziswa ukunciphisa ubungozi bemiphumela emibi.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi i-quetiapine iphephile futhi iyasebenza ukusetshenziselwa le nhloso ezinganeni ezingaphansi kweminyaka eyi-18.

Isilinganiso sokucindezeleka okukhulu kubantu asebevele bethatha imishanguzo yokulwa nezidakamizwa

Amathebulethi akhululiwe

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

  • Isilinganiso sokuqala sokuqala:
    • Izinsuku 1 no-2: 50 mg kanye ngosuku.
    • Usuku 3: 150 mg kanye ngosuku.
  • Isikali siyanda: Udokotela wakho angashintsha umthamo wakho, ebangeni elinconywayo lika-150-300 mg kanye ngosuku.
  • Umthamo omkhulu: 300 mg kanye ngosuku.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Udokotela wakho angakuqala ngomthamo owehlisiwe noma uhlelo oluhlukile lokulinganisa. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho. Udokotela wakho angakuqala ngomthamo we-50 mg nsuku zonke. Bangakhuphula kamuva, bengeze ama-50 mg kumthamo wakho wansuku zonke. Umthamo ungakhushulwa ngesilinganiso esincane, futhi umthamo ophansi wansuku zonke ungasetshenziswa ukunciphisa ubungozi bemiphumela emibi.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi i-quetiapine iphephile futhi iyasebenza ukusetshenziselwa le nhloso ezinganeni ezingaphansi kweminyaka eyi-18.

Ukucatshangelwa okukhethekile komthamo

  • Kubantu abanesifo sesibindi: Udokotela wakho kufanele aqale umthamo wakho ku-25 mg nsuku zonke. Lesi silinganiso singakhuphuka ngama-25-50 mg nsuku zonke.
  • Sebenzisa izidakamizwa ezibizwa ngokuthi i-CYP3A4 inhibitors: Umthamo weQuetiapine kufanele wehliswe uye kokukodwa kokuthathu komthamo wokuqala lapho unikezwa ngemithi ethile ebizwa nge-CYP3A4 inhibitors. Buza udokotela noma usokhemisi wakho uma uthatha i-CYP3A4 inhibitor. Izibonelo zale mithi zifaka phakathi i-ketoconazole, i-itraconazole, i-indinavir, i-ritonavir, noma i-nefazodone. Lapho i-CYP3A4 inhibitor imisiwe, umthamo we-quetiapine kufanele ukhuphuke izikhathi eziphindwe kathathu ngomthamo wangaphambilini.
  • Sebenzisa ngezidakamizwa ezibizwa ngokuthi i-CYP3A4 inducers: Umthamo weQuetiapine kufanele ukhuliswe ngokuphindwe kahlanu umthamo wokuqala uma unikezwa ngemithi ethile ebizwa ngokuthi i-CYP3A4 inducers. Buza udokotela noma usokhemisi wakho uma uthatha i-inducer ye-CYP3A4. Izibonelo zale mithi zifaka phakathi i-phenytoin, i-carbamazepine, i-rifampin, noma iSt John's wort. Lapho i-inducer ye-CYP3A4 imisiwe, umthamo we-quetiapine kufanele wehliswe ube umthamo wokuqala zingakapheli izinsuku eziyi-7-14.

Isikali izixwayiso

Uma umise i-quetiapine isikhathi esingaphezu kwesonto elilodwa, uzodinga ukuqalwa phansi ngomthamo ophansi. Umthamo uzobe usudinga ukwandiswa ngokuya ngesilinganiso somthamo kusukela lapho uqala umuthi.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo yeQuetiapine isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo: Isimo sakho singase sibe sibi kakhulu. Uma uyeka ukuthatha i-quetiapine ngokuzumayo, ungaba nenkinga yokulala noma ube nenkinga yokulala, noma ube nesicanucanu noma uhlanze.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

  • ukozela
  • ubuthongo
  • ukushaya kwenhliziyo okusheshayo (ukushaya kwenhliziyo)
  • isiyezi
  • ukuquleka

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-1-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Ukuziphatha noma imizwa yakho kufanele ithuthuke.

Ukucatshangelwa okubalulekile kokuthatha i-quetiapine

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-quetiapine.

Jikelele

  • Ungathatha ithebhulethi ekhishwa ngokushesha ngokudla noma ngaphandle kokudla. Kufanele uthathe ithebhulethi ekhishwe isikhathi eside ngaphandle kokudla noma ngesidlo esilula (cishe ama-calories angama-300).
  • Thatha lo muthi ngesikhathi (izi) esinconywe ngudokotela wakho.
  • Ungakwazi ukusika noma ukuchoboza amaphilisi akhululwa ngokushesha e-quetiapine. Kodwa-ke, awukwazi ukusika noma ukuchoboza amaphilisi wokukhishwa okwandisiwe e-quetiapine.

Isitoreji

  • Gcina i-quetiapine ekamelweni lokushisa eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
  • Gcina lesi sidakamizwa kude nokukhanya.
  • Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

  • Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
  • Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
  • Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
  • Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuzilawula

I-Quetiapine ingenza umzimba wakho ungakwazi ukuphatha amazinga akho okushisa. Lokhu kungadala ukuthi izinga lokushisa kwakho likhule kakhulu, okuholele esimeni esibizwa nge-hyperthermia. Izimpawu zingafaka isikhumba esishisayo, ukujuluka okweqile, ukushaya kwenhliziyo okusheshayo, ukuphefumula okusheshayo, kanye nokuquleka. Ukusiza ukuvimbela lokhu, yenza okulandelayo ngenkathi welashwa ngalo muthi:

  • Gwema ukushisa ngokweqile noma ukuphelelwa amanzi emzimbeni. Ungazivocavoci ngokweqile.
  • Ngesikhathi sezulu esishisayo, hlala ngaphakathi endaweni epholile uma kungenzeka.
  • Hlala elangeni. Ungagqoki izingubo ezisindayo.
  • Phuza amanzi amaningi.

Ukuqapha komtholampilo

Wena nodokotela wakho kufanele niqaphele izinkinga ezithile zezempilo. Lokhu kungasiza ukuthi uqiniseke ukuthi uhlala uphephile ngenkathi usebenzisa lo muthi. Lezi zinkinga zifaka:

  • Ushukela wegazi. I-Quetiapine ingakhuphula izinga likashukela egazini lakho. Udokotela wakho angaqapha ushukela wegazi lakho ngezikhathi ezithile, ikakhulukazi uma unesifo sikashukela noma usengozini yesifo sikashukela.
  • Cholesterol. I-Quetiapine ingakhuphula amazinga amafutha (i-cholesterol ne-triglycerides) egazini lakho. Ungahle ungabi nazimpawu, ngakho-ke udokotela wakho angahlola i-cholesterol yegazi lakho kanye ne-triglycerides ekuqaleni kokwelashwa nangesikhathi sokwelashwa nge-quetiapine.
  • Isisindo. Ukuzuza kwesisindo kuvamile kubantu abathatha i-quetiapine. Wena nodokotela wakho kufanele nihlole isisindo sakho njalo.
  • Izinkinga zempilo yengqondo nokuziphatha. Wena nodokotela wakho kufanele nibheke noma yiziphi izinguquko ezingavamile ekuziphatheni nasesimweni sengqondo. Lesi sidakamizwa singadala izinkinga ezintsha zempilo yengqondo nokuziphatha, noma izinkinga ezimbi osuvele unazo.
  • Amazinga ama-hormone wegilo. I-Quetiapine inganciphisa amazinga akho e-hormone yegilo. Udokotela wakho kufanele aqaphe amazinga wakho we-hormone yegilo ngaphambi kokuqala ukwelashwa nangayo yonke imithi yokwelashwa nge-quetiapine.

Izindleko ezifihliwe

Ungadinga ukuthi uhlolwe igazi ngezikhathi ezithile ukuze uhlole ushukela wegazi kanye namazinga akho e-cholesterol. Izindleko zalezi zivivinyo zizoya ngokutholakala komshuwalense wakho.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula:Izindaba Zokwelapha Namuhla wenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.

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