I-Trihexyphenidyl, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Kuyini i-trihexyphenidyl?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Trihexyphenidyl
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Trihexyphenidyl ingaxhumana neminye imithi
• Isidakamizwa esisetshenziselwa isifo sikaParkinson
• Izidakamizwa zokudangala
• Izixwayiso ze-Trihexyphenidyl
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Ungayithatha kanjani i-trihexyphenidyl
• Ifomu lezidakamizwa namandla
• Isilinganiso se-parkinsonism
• Isilinganiso sokuphazamiseka kokunyakaza okubangelwa izidakamizwa
• Isikali izixwayiso
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-trihexyphenidyl
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-trihexyphenidyl

1. Ithebhulethi yomlomo ye-Trihexyphenidyl itholakala kuphela njengomuthi ojwayelekile. Ayinayo i-brand-name version.
2. I-Trihexyphenidyl iza ngezindlela ezimbili: isisombululo somlomo nethebhulethi yomlomo.
3. Ithebhulethi yomlomo ye-Trihexyphenidyl isetshenziselwa ukwelapha zonke izinhlobo ze-parkinsonism, kufaka phakathi isifo sika-Parkinson. Ibuye isetshenziselwe ukwelapha imiphumela emibi kakhulu yokunyakaza ebangelwa yimithi elwa nezengqondo.

Izexwayiso ezibalulekile

• Isixwayiso sohlangothi lokushisa: Ukuthatha i-trihexyphenidyl kungakubeka engcupheni yokushiswa ukushisa. Kukwenza ujuluke kancane, okungenza umzimba wakho ungakwazi ukuzipholisa. Lokhu kwandisa ubungozi be-hyperthermia (izinga lokushisa lomzimba eliphakeme kakhulu). Uma umzimba wakho ushisa kakhulu futhi ungakwazi ukuphola, ungaba nesifo sohlangothi.
• Isexwayiso se-Neuroleptic malignant syndrome: Ukumisa ngokungazelelwe noma ukunciphisa umthamo wakho we-trihexyphenidyl ngokushesha kukhuphula ubungozi balesi simo esingajwayelekile kodwa esisongela impilo. Uma unezinye zalezi zimpawu ezilandelayo ngenkathi uthatha lo muthi, shayela udokotela wakho ngokushesha: umkhuhlane omkhulu, ukuqina kwemisipha, imicabango eyehlisiwe, ushintsho kumfutho wegazi, ukushaya kwenhliziyo okusheshayo, noma ukujuluka.
• Isexwayiso sokuwohloka komqondo: ukhombisile ukuthi lolu hlobo lomuthi, olubizwa ngokuthi i-anticholinergic, lungakhuphula ubungozi bokuwohloka komqondo.

Kuyini i-trihexyphenidyl?

I-Trihexyphenidyl ngumuthi kadokotela. Kuza njengesisombululo somlomo nethebhulethi yomlomo.

Ithebhulethi yomlomo ye-Trihexyphenidyl itholakala kuphela njengomuthi ojwayelekile. Ayinayo i-brand-name version.

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

Kungani kusetshenziswa

Ithebhulethi yomlomo ye-Trihexyphenidyl isetshenziselwa ukwelapha zonke izinhlobo ze-parkinsonism, kufaka phakathi isifo sika-Parkinson. Ibuye isetshenziselwe ukwelapha imiphumela emibi kakhulu yokunyakaza ebangelwa yimithi elwa nezengqondo.

Isebenza kanjani

I-Trihexyphenidyl ingeyesigaba semithi ebizwa nge-anticholinergics. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Trihexyphenidyl isebenza ngokuvimba ukusebenza kwengxenye ethile yesistimu yakho yezinzwa elawula ukunyakaza komzimba. Kuyasiza ukukhulula imisipha ethile futhi kwenza kube lula ukuhamba ngokukhululeka.

Imiphumela emibi ye-Trihexyphenidyl

Ithebhulethi yomlomo ye-Trihexyphenidyl ingadala ukozela. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Eminye yemiphumela emibi ejwayelekile engenzeka ngokusetshenziswa kwe-trihexyphenidyl ifaka:

• umlomo owomile
• ukungaboni kahle
• isiyezi
• isicanucanu
• uvalo
• ukuqunjelwa
• ukozela
• inkinga yokuchama

Ngaphezu kwemiphumela emibi ebhalwe ngenhla, okulandelayo kubikwe ezinganeni ezisebenzise lesi sidakamizwa:

• ukukhohlwa
• ukuncipha komzimba
• ukungahlaliseki
• inkathazo yokulala
• ukuphazamiseka kwemisipha
• ukunyakaza komzimba okungazibandakanyi

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:

• Ukushaya kwenhliziyo okungajwayelekile
• Ukusangana
• I-Paranoia
• I-Glaucoma. Izimpawu zingafaka:
  • ubuhlungu beso
  • ukungaboni kahle
  • ukulahleka kombono ngokuzumayo noma kancane kancane
  • umhubhe umbono
  • imibuthano enemibala yothingo ezungeze amalambu akhanyayo
• Izinkinga zamathumbu. Izimpawu zingafaka:
  • ukuqunjelwa
  • ubuhlungu besisu
  • ukuqunjelwa okukhulu
  • isicanucanu
  • ukuhlanza
  • ukulahlekelwa isifiso sokudla
• Ukushiswa ukushisa noma ukukhathazeka ukujuluka noma kokubili. Izimpawu zingafaka:
  • ukungakwazi ukujuluka
  • ukukhathala
  • ukuquleka
  • isiyezi
  • imisipha noma isisu
  • isicanucanu
  • ukuhlanza
  • isifo sohudo
  • ukudideka
  • imfiva
• I-Neuroleptic malignant syndrome (NMS). Izimpawu zifaka:
  • imfiva
  • imisipha eqinile
  • ukunyakaza okungazibandakanyi
  • izinguquko zesimo sengqondo
  • ishayela ngokushesha
  • ukuphefumula okusheshayo nokungajulile
  • umfutho wegazi ophakeme noma ophansi

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-Trihexyphenidyl ingaxhumana neminye imithi

Ithebhulethi yomlomo ye-Trihexyphenidyl ingaxhumana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. 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 zezidakamizwa ezingadala ukusebenzisana ne-trihexyphenidyl zibalwe ngezansi.

Isidakamizwa esisetshenziselwa isifo sikaParkinson

Ukuthatha levodopa futhi i-trihexyphenidyl ndawonye ingadala ukwanda kokunyakaza okungenziwanga ngokubandakanya izidakamizwa. Uma kuhlanganiswa ndawonye, ​​imithamo yomunye noma enye yale mithi ingadinga ukwehliswa.

Izidakamizwa zokudangala

Uma ithathwa nge-trihexyphenidyl, imishanguzo ethile yokudangala ingakhuphula ubungozi bemiphumela emibi njengomlomo owomile, inkinga yokuchama, ukuqunjelwa, ukujuluka okuncane nokwanda kwezinga lokushisa komzimba. Izibonelo zale mithi zifaka:

• isocarboxazid
• phenzi
• umagazine
• amithole
• clomipramine
• desipramine
• nolwaz

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.

Izimpawu zakho zingabuya ngokushesha futhi ungahle uhlakulele isimo esisongela impilo esibizwa nge-neuroleptic malignant syndrome. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokumisa lesi sidakamizwa.

Izixwayiso ze-Trihexyphenidyl

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso sokusebenzisana kotshwala

Uma uphuza utshwala, khuluma nodokotela wakho. Ukuphuza iziphuzo eziqukethe utshwala kungakhuphula ubungozi bakho ukozela kusuka ku-trihexyphenidyl.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abane-glaucoma evulekile: Akufanele usebenzise i-trihexyphenidyl uma une-glaucoma evulekile ngoba ingadala ubumpumputhe. Udokotela wakho kufanele ahlolwe iso ngaphambi kokuqala wena kulo muthi ukuze uqiniseke ukuthi ukubona kwakho kulungile.

Kubantu abanesifo sesibindi: Uma unesifo sesibindi, umzimba wakho kungenzeka ungakwazi ukucubungula kahle lesi sidakamizwa. Lokhu kungadala ukwanda kwamazinga alo muthi emzimbeni wakho. Lokhu kungakhuphula ingozi yemiphumela emibi.

Kubantu abanesifo senhliziyo: Uma unesifo senhliziyo, ungaba sengozini eyengeziwe ye-angina (ubuhlungu besifuba) noma i-tachycardia (isilinganiso sokushaya kwenhliziyo esisheshayo). Udokotela wakho angafuna ukukuqapha kakhulu ngemiphumela emibi futhi akuqale kumthamo owehlisiwe ukuze ubone ukuthi uphendula kanjani.

Kubantu abanesifo sezinso: Uma unezinkinga zezinso noma umlando wesifo sezinso, ungahle ungakwazi ukusula lesi sidakamizwa emzimbeni wakho kahle. Lokhu kungakhuphula amazinga alo muthi emzimbeni wakho futhi kubangele imiphumela emibi eminingi. Udokotela wakho angakuqapha kakhulu ngemiphumela emibi.

Kubantu abane-high blood pressure: Ungaba sengozini enkulu ye-angina (ubuhlungu besifuba), isifo senhliziyo, noma i-tachycardia (ukushaya kwenhliziyo okusheshayo). Udokotela wakho angakuqapha eduze ngemiphumela emibi bese ekuqala ngomthamo ophansi ukubona ukuthi uphendula kanjani.

Kubantu abane-arteriosclerosis: Uma unenkani yezindonga zemithambo yakho, ukuzwela kwakho kulo muthi kungakhuphuka. Lokhu kungadala ukudideka kwengqondo, ukucasuka, ukuguquka kokuziphatha, isicanucanu nokuhlanza. Ukugwema lezi zimpawu, udokotela wakho angakuqala ngomthamo ophansi futhi akhuphule kancane.

Ungayithatha kanjani i-trihexyphenidyl

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

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Ifomu lezidakamizwa namandla

Okujwayelekile: I-Trihexyphenidyl

• Ifomu: ithebhulethi yomlomo
• Amandla: 2 mg, 5 mg

Isilinganiso se-parkinsonism

Isikali sabadala (iminyaka eyi-18-59)

• Isilinganiso sokuqala sokuqala: 1 mg ngosuku.
• Isikali siyanda: Udokotela wakho angakhuphula isilinganiso sakho ngo-2 mg njalo ezinsukwini ezingama-3-5, uze uthathe u-6-10 mg ngosuku.
• Qaphela: Uma i-parkinsonism yakho ibangelwe ukutheleleka ngegciwane, ungahle udinge umthamo ka-12-15 mg ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi i-trihexyphenidyl iphephile futhi isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka eyi-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Uma umdala kuneminyaka engama-60, ungahle uzwele kakhulu emiphumeleni ye-trihexyphenidyl. Kukhonjisiwe ukuthi kubangele ukudideka okuningi nokulahleka kwememori kubantu asebekhulile. Udokotela wakho angakuqala ngomthamo ophansi futhi ubuke imiphumela emibi.

Isilinganiso sokuphazamiseka kokunyakaza okubangelwa izidakamizwa

Isikali sabadala (iminyaka eyi-18-59)

• Isilinganiso sokuqala sokuqala: 1 mg ngosuku njengomthamo owodwa.
• Isikali siyanda: Uma ukunyakaza kungalawulwa emahoreni ambalwa, udokotela wakho angakhuphula amanani akho alandelayo kuze kuphele izimpawu zakho.
• Isilinganiso esivamile sokugcinwa: Lokhu kungaba phakathi kuka-5 mg no-15 mg ngosuku. Kuzonqunywa ukuthi izimpawu zakho zilawulwa kanjani.
• Qaphela: Udokotela wakho angakwazi ukulawula izimpawu zakho kangcono ngenkathi uthatha i-trihexyphenidyl uma umthamo wakho wemithi obangela izimpawu unciphile.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi i-trihexyphenidyl iphephile futhi isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka eyi-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Uma umdala kuneminyaka engama-60, ungahle uzwele kakhulu emiphumeleni ye-trihexyphenidyl. Kukhonjisiwe ukuthi kubangele ukudideka okuningi nokulahleka kwememori kubantu asebekhulile. Udokotela wakho angakuqala ngomthamo ophansi futhi ubuke imiphumela emibi.

Isikali izixwayiso

• Udokotela wakho kufanele aqale ngaso sonke isikhathi kumthamo ophansi we-trihexyphenidyl futhi akhuphule kancane umthamo wakho njengoba kudingeka, ikakhulukazi uma uneminyaka engama-60 noma ngaphezulu. Ukwandisa umthamo kancane kuzokwehlisa ingozi yemiphumela emibi.
• Ungayeki ukuthatha i-trihexyphenidyl ngokungazelelwe. Ungabuya ngokushesha kwezimpawu zakho futhi mhlawumbe ube nesimo esisongela impilo esibizwa nge-neuroleptic malignant syndrome.

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 ye-Trihexyphenidyl isetshenziselwa ukwelashwa kwesikhathi eside nangesikhathi esifushane. Isetshenziselwa ukwelashwa isikhathi eside kwesifo sikaParkinson. Ingasetshenziselwa ukwelashwa kwesikhathi eside nangesikhathi esifushane kwezinye izinhlobo ze-parkinsonism noma ukuphazamiseka kokunyakaza okubangelwa izidakamizwa.

Lo muthi uza nezingozi uma ungawuthathi njengokuyalelwa.

Uma uyeka ukuthatha lo muthi noma ungawuthathi nhlobo: Ungayeki ukuthatha i-trihexyphenidyl ngokungazelelwe. Ungabuya ngokushesha kwezimpawu zakho futhi mhlawumbe uthuthukise isimo esisongela impilo. Lesi simo sibizwa ngokuthi yi-neuroleptic malignant syndrome. Uma ungawuthathi nhlobo lo muthi, izimpawu zakho zizoqhubeka noma zibe zimbi kakhulu.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Uma uphuthelwa imithamo eminingana noma ungawuthathi lo muthi kusheduli enconywe udokotela wakho, izimpawu zakho zingabuya ngokushesha.

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

• abafundi abahlanzekile
• isikhumba esomile
• imfiva
• ukushaya kwenhliziyo okusheshayo
• inkinga yokuchama
• ukuqunjelwa
• umoya onukayo
• ukudideka
• ukusangana

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-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: Izimpawu zakho kufanele zithuthuke.

Ukucatshangelwa okubalulekile kokuthatha i-trihexyphenidyl

Gcina lokhu kubheka engqondweni uma udokotela wakho ekuchazela i-trihexyphenidyl.

Jikelele

• Ungasika noma uqede ithebhulethi.
• Ukuthatha lesi sidakamizwa ngokudla kungasiza ekwehliseni isisu esibuhlungu. Ungafisa ukuhlukanisa umthamo wakho wansuku zonke ube yizintathu bese uthatha ingxenye yesithathu ngayinye ngokudla. Uma umthamo wakho ungaphezu kwe-10 mg ngosuku, ungawahlukanisa ube ngowesine. Ungathatha ezintathu kwezine ngokudla kwakho, bese kuthi owesine wokugcina ngesikhathi sokulala.

Isitoreji

• Gcina i-trihexyphenidyl ekamelweni eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• 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.

Ukuqapha komtholampilo

Ngesikhathi sokwelashwa kwakho nalesi sidakamizwa, udokotela wakho uzohlola ukuqinisekisa ukuthi izimpawu zakho azibuyi futhi umbono wakho awushintshi. Udokotela wakho futhi angaqhuba izivivinyo ukuhlola ukusebenza kwesibindi sakho nezinso.

Ingabe zikhona ezinye izindlela?

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

Ukuzikhulula: I-Healthline yenze 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.