Pimozide

Zamkati

• Musanatenge pimozide,
• Pimozide imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Kafukufuku wasonyeza kuti achikulire omwe ali ndi vuto la misala (vuto laubongo lomwe limakhudza kukumbukira, kulingalira bwino, kulumikizana, komanso kuchita zochitika za tsiku ndi tsiku zomwe zingayambitse kusintha kwa malingaliro ndi umunthu) omwe amatenga ma antipsychotic (mankhwala amisala) monga pimozide khalani ndi mwayi wambiri wakufa panthawi yachithandizo.

Pimozide sivomerezedwa ndi Food and Drug Administration (FDA) pochiza mavuto amachitidwe mwa achikulire omwe ali ndi vuto la misala. Lankhulani ndi dokotala yemwe adakupatsani mankhwalawa ngati inu, wachibale wanu, kapena wina amene mumamusamalira ali ndi matenda amisala ndipo akumwa pimozide. Kuti mumve zambiri, pitani patsamba la FDA: http://www.fda.gov/Drugs

Pimozide imagwiritsidwa ntchito kuwongolera zoyendetsa zamagalimoto kapena zamawu (chosowa chosalamulirika chobwereza mayendedwe kapena mawu ena) obwera chifukwa cha matenda a Tourette (chikhalidwe chodziwika ndi mota kapena mawu apakamwa). Pimozide iyenera kugwiritsidwa ntchito pochiza anthu omwe sangathe kumwa mankhwala ena kapena omwe amamwa mankhwala ena popanda zotsatira zabwino. Pimozide iyenera kugwiritsidwa ntchito pochiza ma tiki okhwima omwe amalepheretsa munthu kuphunzira, kugwira ntchito, kapena kuchita zochitika za tsiku ndi tsiku.

Pimozide ali mgulu la mankhwala omwe amatchedwa antipsychotic ochiritsira. Zimagwira ntchito pochepetsa chisangalalo chachilendo muubongo.

Pimozide amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku pogona kapena kawiri kapena kupitilira apo patsiku. Tengani pimozide mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani pimozide ndendende monga momwe adauzira.Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni ndi pimozide wocheperako pang'onopang'ono ndikuwonjezerani mlingo wanu, osapitilira kamodzi masiku awiri kapena atatu. Dokotala wanu amachepetsa mlingo wanu mukangoyang'aniridwa. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira pimozide.

Pimozide imayang'anira matenda a Tourette koma samachiritsa. Zitha kutenga nthawi kuti mumve pimozide. Pitirizani kumwa pimozide ngakhale mukumva bwino. Osasiya kumwa pimozide osalankhula ndi dokotala. Mukasiya mwadzidzidzi kumwa pimozide, mutha kukhala ndi zovuta kuwongolera mayendedwe anu. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Pimozide imagwiritsidwanso ntchito nthawi zina kuchiza schizophrenia (matenda amisala omwe amachititsa kusokonezeka kapena kuganiza kwachilendo, kutaya chidwi ndi moyo, komanso kukhudzika kapena zosayenera) ndimakhalidwe, umunthu, mayendedwe, ndi matenda amisala mwa akulu. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Mankhwalawa amatha kupatsidwa ntchito zina; lankhulani ndi dokotala kapena wamankhwala kuti mumve zambiri.

Musanatenge pimozide,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la pimozide, mankhwala ena amisala, kapena mankhwala ena aliwonse.
• uzani dokotala ngati mukumwa mankhwala aliwonse otsatirawa: maantibayotiki ena kuphatikizapo azithromycin (Zithromax, Z-Pak), clarithromycin (Biaxin), erythromycin (EES, E-Mycin, Erythrocin), ndi moxifloxacin (Avelox); antifungals monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); arsenic trioxide (Trisenox); dofetilide (Tikosyn); mankhwala enaake; dolasetron (Anzemet); mankhwala osokoneza bongo (Inapsine); HIV protease inhibitors monga indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), ndi ritonavir (Norvir, ku Kaletra); mankhwala a kugunda kwamtima kosasinthasintha monga amiodarone (Cordarone), disopyramide (Norpace), procainamide, quinidine, ndi sotalol (Betapace); mankhwala a matenda amisala ndi nseru; mefloquine (Lariam); nefazadone; pentamidine (Nebu-Pent); serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), ndi sertraline (Zoloft); tacrolimus (Prograf); thioridazine; zileuton (Zyflo); ndi ziprasidone (Geodon). Dokotala wanu akhoza kukuwuzani kuti musatenge pimozide.
• auzeni dokotala ngati mukumwa mankhwala omwe angayambitse tics, kuphatikizapo amphetamine monga amphetamine (Adderall) ndi dextroamphetamine (Dexadrine, Dextrostat); pemoline (Cylert) (sakupezeka ku US); ndi methylphenidate (Concerta, Ritalin). Dokotala wanu angakuuzeni kuti musiye kumwa mankhwala anu kwakanthawi musanayambe kumwa pimozide. Izi zimulola dokotala wanu kuti awone ngati matekinoloje anu adayambitsidwa ndi mankhwala enawo ndipo atha kuthandizidwa poyimitsa.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: cimetidine (Tagamet); okodzetsa ('mapiritsi amadzi'); mankhwala a nkhawa, kupweteka, ndi kugwidwa; mankhwala ogonetsa; mapiritsi ogona; ticlopidine (Ticlid); ndi zotontholetsa. Mankhwala ena ambiri amatha kulumikizana ndi pimozide, chifukwa chake onetsetsani kuti mumauza dokotala zamankhwala onse omwe mukumwa, ngakhale omwe sanatchulidwe pano kapena pamndandanda womwe uli pamwambapa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhala ndi matenda a QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kudzetsa chidziwitso kapena kufa mwadzidzidzi); kugunda kwamtima kosasintha; kapena potaziyamu kapena magnesium wambiri m'magazi anu. Muuzeni dokotala ngati muli ndi matenda otsekula m'mimba musanalandire chithandizo kapena nthawi iliyonse yomwe mumalandira. Dokotala wanu akhoza kukuwuzani kuti musatenge pimozide.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi khansa ya m'mawere; Matenda a Parkinson (PD; vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndikuwongolera); glaucoma (momwe kupsyinjika kowonjezeka m'maso kumatha kubweretsa kuwonongeka pang'ono kwa masomphenya); mavuto pokodza; kuvuta kusunga malire, electroencephalogram (EEG; mayeso omwe amalemba zamagetsi muubongo); kugwidwa; kapena prostate, chiwindi, kapena matenda a impso. Uzaninso dokotala wanu ngati munayamba mwasiya kumwa mankhwala a matenda amisala chifukwa cha zovuta zina.
• uzani dokotala wanu ngati muli ndi pakati, makamaka ngati muli m'miyezi ingapo yapitayo ya mimba yanu, kapena ngati mukufuna kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga pimozide, itanani dokotala wanu. Pimozide imatha kubweretsa mavuto kwa ana obadwa kumene atabereka ngati atamwa m'miyezi yapitayi yamimba.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa pimozide.
• Muyenera kudziwa kuti pimozide imatha kukupangitsani kuti mukhale tulo ndipo imatha kusintha malingaliro anu ndi mayendedwe anu, makamaka kumayambiriro kwa chithandizo chanu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti pimozide imatha kuyambitsa chizungulire, kumutu mopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• Funsani dokotala wanu zakumwa koyenera kwa mowa mukamamwa mankhwala a pimozide. Mowa umatha kukulitsa zovuta za pimozide.

Musadye zipatso zamphesa kapena kumwa madzi amphesa pamene mukumwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Pimozide imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufooka
• chizungulire, kumva kusakhazikika, kapena kukhala ndi vuto loti musamachite zinthu mopitirira malire
• pakamwa pouma
• kuchuluka malovu
• kutsegula m'mimba
• kudzimbidwa
• njala kapena ludzu lachilendo
• kusintha kwa kaimidwe
• manjenje
• kusintha kwamakhalidwe
• zovuta kulawa chakudya
• kutengeka ndi kuwala
• kusintha kwa masomphenya
• amachepetsa kuthekera kwakugonana mwa amuna
• mawonekedwe opanda nkhope
• kuyenda mosinthana
• kusuntha kosazolowereka, kosachedwa, kapena kosalamulirika kwa gawo lililonse la thupi
• kusakhazikika
• mavuto olankhula
• zosintha pamanja
• zidzolo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• malungo
• kuuma minofu
• kugwa
• chisokonezo
• thukuta
• kuthamanga kapena kusakhazikika kwamtima
• kupweteka kwa khosi
• zolimba pakhosi
• kuvuta kupuma kapena kumeza
• lilime lomwe limatuluka pakamwa
• mayendedwe abwino, onga nyongolotsi
• osalamulirika, nkhope, kamwa, kapena nsagwada

Mlingo waukulu, pimozide yadzetsa zotupa mu mbewa. Izi sizitanthauza kuti pimozide imayambitsanso zotupa mwa anthu. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Pimozide imatha kupangitsa kugunda kwamtima kosasinthasintha. Anthu ena omwe amamwa kwambiri pimozide pochiza matenda ena kupatula Tourette's syndrome adamwalira mwadzidzidzi, mwina chifukwa cha kugunda kwamtima kosazolowereka. Dokotala wanu adzaitanitsa electrocardiogram (mayeso omwe amalemba zamagetsi mumtima) musanachitike komanso mukamamwa mankhwala a pimozide kuti muwone ngati muli ndi mavuto amtima omwe angawonjezeke ndi pimozide ndikuwona ngati pimozide yayambitsa mavuto amtima. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Pimozide imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• mawonekedwe opanda nkhope
• kuyenda mosinthana
• kusuntha kosazolowereka, kosachedwa, kapena kosalamulirika kwa gawo lililonse la thupi
• kusakhazikika
• kugunda kwamtima mwachangu
• Kusinza
• chikomokere (kutaya chidziwitso kwakanthawi)
• kuvuta kupuma

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira pimozide.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Orap^®