Umbhali: Gregory Harris
Umhla Wokudalwa: 9 Utshazimpuzi 2021
Hlaziya Umhla: 19 Eyenkanga 2024
Anonim
The Evidence for Chlorpromazine
Ividiyo: The Evidence for Chlorpromazine

Umxholo

Izifundo zibonise ukuba abantu abadala abanesifo sengqondo esixhalabisayo (ukuphazamiseka kwengqondo okuchaphazela ukukhumbula, ukucinga ngokucacileyo, ukunxibelelana, nokwenza imisebenzi yemihla ngemihla kwaye kunokubangela utshintsho kwiimvakalelo nakubuntu) abathatha ii-antipsychotic (amayeza esigulo sengqondo) njenge-chlorpromazine banamathuba amaninzi okufa ngexesha lonyango.

I-Chlorpromazine ayivunywanga yi-Food and Drug Administration (FDA) kunyango lweengxaki zokuziphatha kubantu abadala abanesifo sengqondo esixhalabisayo. Thetha nogqirha okumisele la mayeza ukuba wena, ilungu losapho, okanye umntu omkhathalelayo unesifo sengqondo esixhalabisayo kwaye uthatha i-chlorpromazine. Ngolwazi oluthe kratya, ndwendwela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm

I-Chlorpromazine isetyenziselwa ukunyanga iimpawu zeschizophrenia (isifo sengqondo esibangela ukuphazamiseka okanye ukucinga okungaqhelekanga, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingalunganga) kunye nezinye iingxaki zengqondo (iimeko ezibangela ubunzima bokuchaza umahluko phakathi kwezinto okanye izimvo eyinyani kunye nezinto okanye izimvo ezingezizo zokwenyani) kunye nokunyanga iimpawu ze-mania (ukuphazamiseka, imood engaqhelekanga) kubantu abane-bipolar disorder (isifo sokudakumba komntu; imeko ebangela iziqendu ze-mania, iziqendu zokudakumba, kunye nokunye okungaqhelekanga Iimvakalelo). I-Chlorpromazine ikwasetyenziselwa ukunyanga iingxaki zokuziphatha ezinje ngeziqhushumbisi, indlela yokuziphatha enoburharha kunye nokungakhathali kubantwana abaneminyaka eli-1 ukuya kweli-12 ubudala. I-Chlorpromazine ikwasetyenziselwa ukulawula isicaphucaphu kunye nokugabha, ukukhulula ii-hiccups ezihlale inyanga enye okanye ngaphezulu, kunye nokuphelisa ukungazinzi kunye novalo olunokwenzeka ngaphambi nje kotyando. I-Chlorpromazine ikwasetyenziselwa ukunyanga i-porphyria ebukhali (imeko apho izinto ezithile zendalo zakha emzimbeni kwaye zibangele iintlungu zesisu, utshintsho ekucingeni nasekuziphatheni, kunye nezinye iimpawu). I-Chlorpromazine ikwasetyenziswa kunye namanye amayeza ukunyanga i-tetanus (isifo esinzulu esinokubangela ukuqina kwemisipha, ngakumbi umsipha womhlathi). I-Chlorpromazine ikwiklasi yamayeza abizwa ngokuba yi-antipsychotic yesiqhelo. Isebenza ngokutshintsha umsebenzi wezinto ezithile zendalo kwingqondo nakwezinye iindawo zomzimba.


I-Chlorpromazine iza njengecwecwe lokuthatha ngomlomo. I-Chlorpromazine ihlala ithathwa amaxesha amabini okanye amane ngemini. Xa i-chlorpromazine isetyenziselwa ukulawula isicaphucaphu kunye nokugabha, ihlala ithathwa rhoqo emva kweeyure eziyi-4-6 njengoko kufuneka. Xa i-chlorpromazine isetyenziselwa ukunciphisa ukukhathazeka ngaphambi kotyando, ihlala ithathwa iiyure ezingama-2-3 ngaphambi kotyando. Xa i-chlorpromazine isetyenziselwa ukunciphisa i-hiccups, ihlala ithathwa amaxesha angama-3-4 ngosuku ukuya kuthi ga kwiintsuku ezi-3 okanye kude kuyeke ii-hiccups. Ukuba ii-hiccups aziyeki emva kweentsuku ezintathu zonyango, amayeza ahlukeneyo kufuneka asetyenziswe. Ukuba uthatha i-chlorpromazine kwishedyuli eqhelekileyo, yithathe ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-chlorpromazine kanye njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokukuqala kwidosi esezantsi ye-chlorpromazine kwaye ngokuthe ngcembe wandise idosi yakho. Ugqirha wakho unokunciphisa umthamo wakho xa imeko yakho ilawulwa. Qiniseka ukuba uxelela ugqirha wakho ukuba uziva njani ngexesha lonyango lwe-chlorpromazine.


Ukuba uthatha i-chlorpromazine ukunyanga i-schizophrenia okanye enye ingxaki yengqondo, i-chlorpromazine inokulawula iimpawu zakho kodwa ayizukuyinyanga imeko yakho. Qhubeka nokuthatha i-chlorpromazine nokuba uziva uphilile. Sukuyeka ukuthatha i-chlorpromazine ungakhange uthethe nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba uyeka ngesiquphe ukuthatha i-chlorpromazine, unokufumana iimpawu zokurhoxa, ezinje ngokuba nesicaphucaphu, ukugabha, iintlungu zesisu, isiyezi, kunye nokuqaqanjelwa.

Eli yeza linokumiselwa ezinye izinto; thetha nogqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-chlorpromazine,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-chlorpromazine; ezinye i-phenothiazines ezifana ne-fluphenazine, i-perphenazine, i-prochlorperazine (i-Compazine), i-promethazine (i-Phenergan), i-thioridazine, kunye ne-trifluoperazine; okanye naliphi na iyeza.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: ii-anticoagulants (izinciphisi zegazi) ezinjengewarfarin (Coumadin); iziyobisi; antihistamines; iatropine (eMotofen, eLomotil, eLonox); ii-barbiturates ezinje nge-pentobarbital (Nembutal), phenobarbital (Luminal), kunye ne-secobarbital (Seconal); umhlaza chemotherapy; womchamo (iipilisi zamanzi); epinephrine (Epipen); I-guanethidine (ayifumaneki e-US); ipratropium (Atrovent); lithium (Eskalith, Lithobid); amayeza oxinzelelo, isifo sesisu esinganyangekiyo, isifo sengqondo, isifo esishukumayo, isifo sikaParkinson, izilonda, okanye iingxaki zomchamo; amayeza okubanjwa afana ne-phenytoin (Dilantin); amayeza e-narcotic entlungu; ipropranolol (Inderal); ukuthomalalisa; iipilisi zokulala; kunye noxinzelelo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ukhe wakha wafumana i-asthma; emphysema (isifo semiphunga esibangela ukuphefumla okufutshane); usulelo kwimiphunga yakho okanye kwimibhobho ye-bronchial (iityhubhu ezizisa umoya emiphungeni); ingxaki yokugcina ibhalansi yakho; i-glaucoma (imeko apho uxinzelelo olwandileyo kwiliso kunokukhokelela ekuphulukaneni nombono ngokuthe ngcembe); umhlaza webele; pheochromocytoma (ithumba kwincindi encinci kufutshane nezintso); ukuxhuzula; i-electroencephalogram engaqhelekanga (i-EEG; uvavanyo olurekhoda umsebenzi wombane kwingqondo); nayiphi na imeko echaphazela ukuveliswa kweeseli zegazi ngumongo wethambo lakho; okanye intliziyo, isibindi, okanye isifo sezintso. Xelela ugqirha wakho ukuba ukhe uyeke ukuthatha iyeza lokugula ngengqondo ngenxa yeziphumo ebezingalindelekanga ezibi okanye ukuba ucwangcisa ukusebenza ne-organophosphorus insecticides (uhlobo lwekhemikhali esetyenziselwa ukubulala izinambuzane).
  • ukuba uza kusebenzisa i-chlorpromazine ukunyanga isicaphucaphu nokugabha, kubalulekile ukuba uxelele ugqirha wakho ngazo naziphi na ezinye iimpawu ohlangabezana nazo, ngakumbi ukungabinalo uluhlu; ukozela; ukudideka; ubundlongondlongo ukuxhuzula; intloko; iingxaki ngombono, ukuva, ukuthetha, okanye ukulinganisela; isisu esibuhlungu okanye iicramps; okanye ukuqhina. Isicaphucaphu nokugabha okukhoyo kwezi mpawu kunokuba luphawu lwesimo esibi kakhulu esingafanele kunyangwa nge-chlorpromazine.
  • xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa zokugqibela zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwe ngelixa uthatha i-chlorpromazine, tsalela ugqirha wakho. I-Chlorpromazine inokubangela iingxaki kwiintsana ezisandul 'ukuzalwa emva kokubeleka ukuba zithathwa kwiinyanga zokugqibela zokukhulelwa.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-chlorpromazine.
  • ukuba une-myelogram (uxilongo lwe-x-ray yomqolo), xelela ugqirha wakho kunye nomchwephesha we-radiographer ukuba uthatha i-chlorpromazine. Ugqirha wakho usenokukuxelela ukuba ungathathi i-chlorpromazine kangangeentsuku ezi-2 phambi kwe-myelogram nangosuku olunye emva kwe-myelogram.
  • Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele kwaye linokuchaphazela indlela ocinga ngayo kunye neentshukumo zakho. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngexesha lonyango lwe-chlorpromazine. Utywala bunokuzenza iziphumo ezibi kakhulu zeklorpromazine.
  • cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. I-chloropomazine inokwenza ulusu lwakho lubuthathaka kwilanga.
  • Kuya kufuneka uyazi ukuba i-chlorpromazine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, ukubetha kwentliziyo okukhawulezayo, kunye nokuphelelwa ngamandla, ngakumbi xa uphakama ngokukhawuleza kwindawo yokulala. Oku kuqheleke kakhulu ekuqaleni kunyango lwe-chlorpromazine, ngakumbi emva kwethamo lokuqala. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
  • Kuya kufuneka uyazi ukuba i-chlorpromazine inokwenza kube nzima ukuba umzimba wakho uphole xa kushushu kakhulu. Tshela ugqirha wakho ukuba ucwangcisa ukwenza umthambo ngamandla okanye uvezwe bubushushu obugqithisileyo.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.


Ukuba uthatha i-chlorpromazine kwishedyuli eqhelekileyo kwaye uphosa idosi, thatha idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-chlorpromazine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • isiyezi, ukuziva ungazinzanga, okanye unengxaki yokugcina ibhalansi yakho
  • imbonakalo yobuso engenanto
  • ukuhamba ngokukhawuleza
  • ukungazinzi
  • ukuphazamiseka
  • uvalo
  • ukuhamba okungaqhelekanga, okucothayo, okanye okungalawulekiyo kwalo naliphi na ilungu lomzimba
  • ubunzima bokulala okanye ukulala
  • ukwanda kwesidlo
  • ukutyeba kwakho
  • imveliso yobisi lwebele
  • ukwandiswa kwebele
  • ukuphoswa lixesha lokuya exesheni
  • ukunciphisa amandla esini
  • utshintsho kumbala wolusu
  • umlomo owomileyo
  • impumlo efakiweyo
  • ubunzima bokuchama
  • ukwandisa okanye ukunciphisa abafundi (izangqa ezimnyama phakathi kwamehlo)

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

  • ifiva
  • ukuqina kwemisipha
  • ukuwa
  • ukudideka
  • ukukhawuleza kwentliziyo okanye okungaqhelekanga
  • ukubila
  • mthubi ulusu okanye amehlo
  • Iimpawu ezinjengomkhuhlane
  • umqala obuhlungu, ukugodola kunye neminye imiqondiso yosulelo
  • ukopha okungaqhelekanga okanye ukugruzuka
  • iinyanda zentamo
  • ulwimi olukhupha emlonyeni
  • ukuqina emqaleni
  • ubunzima bokuphefumla okanye ukugwinya
  • kulungile, intshukumo efana neentshulube
  • ukungalawuleki, ubuso besingqisho, umlomo, okanye intshukumo yomhlathi
  • ukuxhuzula
  • amadyungudyungu
  • irhashalala
  • urhwebo
  • ukurhawuzelela
  • ukudumba kwamehlo, ubuso, umlomo, imilebe, ulwimi, umqala, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
  • ukulahleka kombono, ngakumbi ebusuku
  • ubona yonke into enombala omdaka

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

I-chlorpromazine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

  • ukozela
  • ukulahleka kwengqondo
  • ukuhamba okungaqhelekanga, okucothayo, okanye okungalawulekiyo kwalo naliphi na ilungu lomzimba
  • ukuphazamiseka
  • ukungazinzi
  • ifiva
  • ukuxhuzula
  • umlomo owomileyo
  • ukubetha kwentliziyo ngokungaqhelekanga

Gcina lonke ixesha lokudibana nogqirha wakho kunye nogqirha wakho wamehlo. Kuya kufuneka ucwangcise iimviwo zamehlo rhoqo ngexesha lonyango lwe-chlorpromazine kuba i-chlorpromazine inokubangela isifo samehlo.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-chlorpromazine.

I-Chlorpromazine inokuphazamisa iziphumo zovavanyo lokukhulelwa ekhaya. Thetha nogqirha wakho ukuba ucinga ukuba unokukhulelwa ngexesha lonyango lwakho nge-chlorpromazine.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Ukukhuthaza®
  • Thorazine®

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-07/15/2017

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