Risperidone, Piritsi Yamlomo

Zamkati

• Mfundo zazikulu za risperidone
• Kodi risperidone ndi chiyani?
• Chifukwa chake amagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira zoyipa za Risperidone
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Risperidone amatha kulumikizana ndi mankhwala ena
• Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo
• Kuyanjana komwe kumapangitsa kuti mankhwala anu asamagwire bwino ntchito
• Momwe mungatengere risperidone
• Mafomu ndi mphamvu
• Mlingo wa schizophrenia
• Mlingo wa manic pachimake kapena wosakanikirana ndi matenda ochititsa munthu kusinthasintha zochitika
• Mlingo wa kukwiya ndi vuto la autistic
• Maganizo apadera
• Machenjezo a Risperidone
• Chenjezo la FDA: Kuwonjezeka kwangozi yakufa kwa okalamba omwe ali ndi matenda amisala
  
• Machenjezo ena
• Chenjezo la Neuroleptic malignant syndrome (NMS)
• Kuwonjezeka kwa chiopsezo cha stroke kapena matenda a mtima
• Tardive dyskinesia chenjezo
• Chenjezo la ziwengo
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Tengani monga mwalamulidwa
• Zofunikira pakumwa risperidone
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Chilolezo chisanachitike
• Kodi pali njira zina?

Mfundo zazikulu za risperidone

1. Pulogalamu yamlomo ya Risperidone imapezeka ngati mankhwala achibadwa komanso mayina ena. Dzinalo: Risperdal.
2. Risperidone imabwera ngati piritsi lokhazikika, piritsi lowonongeka pakamwa, komanso yankho lamlomo. Imabweranso ngati jakisoni yemwe amapatsidwa ndi othandizira azaumoyo.
3. Pulogalamu yamlomo ya Risperidone imagwiritsidwa ntchito pochiza schizophrenia, matenda ochititsa munthu kusinthasintha zochitika, komanso kukwiya komwe kumachitika chifukwa cha matenda a autistic.

Kodi risperidone ndi chiyani?

Risperidone ndi mankhwala omwe mumalandira. Imabwera ngati piritsi lokamwa, piritsi lomwe limasweka pakamwa, komanso yankho lamlomo. Imabweranso ngati jakisoni yomwe imangoperekedwa ndi othandizira azaumoyo.

Pulogalamu yamlomo ya Risperidone imapezeka ngati dzina lodziwika Zowonongeka. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, mankhwala omwe amatchulidwa ndi mtunduwu akhoza kupezeka m'njira zosiyanasiyana komanso mphamvu.

Chifukwa chake amagwiritsidwa ntchito

Risperidone imagwiritsidwa ntchito pochiza zizindikiro za matenda angapo amisala. Izi zikuphatikiza:

• Matenda achizungu. Ichi ndi matenda amisala omwe amachititsa kusintha kwa malingaliro kapena kuzindikira. Anthu omwe ali ndi vutoli amatha kuyerekezera zinthu zakale (kuwona kapena kumva zinthu zomwe kulibe) kapena kukhala ndi chinyengo (zikhulupiriro zabodza zokhudzana ndi zenizeni).
• Makanema ovuta amisala kapena osakanikirana omwe adayambitsidwa ndi matenda ochititsa munthu kusinthasintha zochitika. Mankhwalawa atha kuperekedwa okha kapena ndi mankhwalawa lithiamu kapena divalproex. Anthu omwe ali ndi vuto la kusinthasintha zochitika amakhala ndi magawo amisala. Izi zitha kuphatikizira mania (chisangalalo chochulukirapo kapena chisangalalo), kukhumudwa, kapena kuphatikiza zonse ziwiri.
• Kukwiya komwe kumalumikizidwa ndi autism. Autism imakhudza momwe munthu amachitira, kulumikizana ndi ena, kuphunzira, ndi kulumikizana. Zizindikiro zakukwiya zitha kuphatikizira kupsa mtima kwa ena, kudzivulaza, kupsa mtima, komanso kusinthasintha kwamaganizidwe.

Risperidone itha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Momwe imagwirira ntchito

Risperidone ndi gulu la mankhwala otchedwa antipychotic antipsychotic. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Risperidone imagwira ntchito pakukhudza kuchuluka kwa mankhwala ena otchedwa ma neurotransmitters omwe amapezeka mwachilengedwe muubongo wanu. Amakhulupirira kuti anthu omwe ali ndi schizophrenia, matenda ochititsa munthu kusinthasintha zochitika, komanso autism amakhala ndi vuto la ma neurotransmitters ena. Mankhwalawa amatha kusintha kusamvana kumeneku.

Zotsatira zoyipa za Risperidone

Pulogalamu yamlomo ya Risperidone imatha kuyambitsa tulo. Zingayambitsenso mavuto ena.

Zotsatira zofala kwambiri

Zotsatira zofala kwambiri za risperidone zitha kuphatikiza:

• parkinsonism (zovuta kuyenda)
• akathisia (kusakhazikika komanso kufuna kusuntha)
• dystonia (minyewa ya minyewa yomwe imayambitsa kupindika komanso kubwereza mayendedwe omwe simungathe kuwongolera)
• kunjenjemera (kayendedwe kosalamulirika kamayendedwe ka gawo limodzi la thupi lanu)
• kugona ndi kutopa
• chizungulire
• nkhawa
• kusawona bwino
• kupweteka m'mimba kapena kusapeza bwino
• kutsitsa
• pakamwa pouma
• kuchuluka kwa njala kapena kunenepa
• zidzolo
• mphuno yothinana, matenda opatsirana apamwamba, ndi kutupa kwa mphuno ndi kukhosi

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi zachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Imfa kuchokera kumatenda ndi sitiroko mwa okalamba omwe ali ndi matenda amisala
• Matenda oopsa a Neuroleptic. Zizindikiro zimatha kuphatikiza:
  • malungo (pamwamba pa 100.4 ° F, kapena 38 ° C)
  • thukuta lolemera
  • minofu yolimba
  • chisokonezo
  • kusintha kwa kupuma kwanu, kayendedwe ka mtima, ndi kuthamanga kwa magazi
  • impso kulephera, ndi zizindikilo monga kunenepa, kutopa, kapena kukodza pang'ono kuposa zachilendo kapena ayi
• Tardive dyskinesia. Zizindikiro zimatha kuphatikiza:
  • mayendedwe kumaso, lilime, kapena ziwalo zina za thupi zomwe simungathe kuzilamulira
• Hyperglycemia (shuga wambiri wamagazi). Zizindikiro zimatha kuphatikiza:
  • kumva ludzu kwambiri
  • ofunikira kukodza pafupipafupi kuposa zachilendo
  • kumva njala kwambiri
  • kufooka kapena kutopa
  • nseru
  • chisokonezo
  • Mpweya wonunkhira bwino
• Kuchuluka kwa cholesterol ndi triglyceride
• Magazi a prolactin ambiri. Zizindikiro zimatha kuphatikiza:
  • kukulitsa mawere
  • Kutulutsa mkaka mkamwa mwako
  • Kulephera kwa erectile (kuvuta kupeza kapena kusunga erection)
  • kutaya msambo
• Orthostatic hypotension (kuchepa kwa magazi mukamaimirira pansi kapena kugona). Zizindikiro zimatha kuphatikiza:
  • mutu wopepuka
  • kukomoka
  • chizungulire
• Kuchuluka kwa maselo oyera a magazi. Zizindikiro zimatha kuphatikiza:
  • malungo
  • matenda
• Kuvuta kuganiza, komanso kuwonongeka koyendetsa bwino komanso luso lamagalimoto
• Kugwidwa
• Vuto kumeza
• Kukonda (kupweteka kowawa kopitilira maola anayi)

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Risperidone amatha kulumikizana ndi mankhwala ena

Pulogalamu yamlomo ya Risperidone imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi risperidone alembedwa pansipa.

Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo

Kutenga risperidone ndi mankhwala ena kumawonjezera chiopsezo chanu ku risperidone. Izi ndichifukwa choti kuchuluka kwa risperidone mthupi lanu kumakulitsidwa, kapena mankhwala onse atha kubweretsa zovuta zomwezo. Zitsanzo za mankhwalawa ndi monga:

• Mankhwala osokoneza bongo, monga alprazolam, clonazepam, diazepam, chlordiazepoxide, ndi lorazepam. Mutha kukhala ndi sedation yambiri komanso kuwodzera.
• Zotulutsa minofu, monga baclofen, cyclobenzaprine, methocarbamol, tizanidine, carisoprodol, ndi metaxalone. Mutha kukhala ndi sedation yambiri komanso kuwodzera.
• Mankhwala opweteka, monga morphine, oxycodone, fentanyl, hydrocodone, tramadol, ndi codeine. Mutha kukhala ndi sedation yambiri komanso kuwodzera.
• Antihistamines, monga hydroxyzine, diphenhydramine, chlorpheniramine, ndi brompheniramine. Mutha kukhala ndi sedation yambiri komanso kuwodzera.
• Sedative / hypnotics, monga zolpidem, temazepam, zaleplon, ndi eszopiclone. Mutha kukhala ndi sedation yambiri komanso kuwodzera.
• Fluoxetine. Mutha kukhala ndi chiopsezo chotenga nthawi yayitali ya QT, kusakhazikika kwamitima ya mtima, ndi zovuta zina za risperidone. Dokotala wanu akhoza kuchepetsa mlingo wanu wa risperidone.
• Paroxetine. Mutha kukhala ndi chiopsezo chotenga nthawi yayitali ya QT, kusakhazikika kwamitima ya mtima, ndi zovuta zina za risperidone. Dokotala wanu akhoza kuchepetsa mlingo wanu wa risperidone.
• Clozapine. Mutha kukhala ndi parkinsonism (kusuntha koyenda), kugona tulo, nkhawa, kusawona bwino, ndi zovuta zina za risperidone. Dokotala wanu adzakuyang'anirani mosamala zotsatira zoyipa ndi kawopsedwe.
• Mankhwala osokoneza bongo, monga amlodipine, lisinopril, losartan, kapena metoprolol. Mutha kukhala ndi kuthamanga kwa magazi.
• Mankhwala a Parkinson, monga levodopa, pramipexole, kapena ropinirole. Mutha kukhala ndi zizindikilo zambiri za matenda a Parkinson.

Kuyanjana komwe kumapangitsa kuti mankhwala anu asamagwire bwino ntchito

Pamene risperidone imagwiritsidwa ntchito ndi mankhwala ena, sizingagwire bwino ntchito pochiza matenda anu. Izi ndichifukwa choti kuchuluka kwa risperidone mthupi lanu kumatha kutsika. Zitsanzo za mankhwalawa ndi monga:

• Phenytoin. Dokotala wanu akhoza kukulitsa mlingo wanu wa risperidone.
• Carbamazepine. Dokotala wanu akhoza kukulitsa mlingo wanu wa risperidone.
• Rifampin. Dokotala wanu akhoza kukulitsa mlingo wanu wa risperidone.
• Phenobarbital. Dokotala wanu akhoza kukulitsa mlingo wanu wa risperidone.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Momwe mungatengere risperidone

Chidziwitso cha mlingowu ndi cha piritsi yamlomo ya risperidone. Mlingo uliwonse wotheka ndi mitundu ya mankhwala sizingaphatikizidwe pano. Mlingo wanu, mawonekedwe a mankhwala, komanso kuchuluka kwa momwe mumamwa mankhwalawo zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Mafomu ndi mphamvu

Zowonjezera: Risperidone

• Mawonekedwe: piritsi lowonongeka pakamwa
• Mphamvu: 0,5 mg, 1 mg, 2 mg, 3 mg, 4 mg
  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 0,25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg

Mtundu: Risperdal M-TAB

• Mawonekedwe: piritsi lowonongeka pakamwa
• Mphamvu: 0,5 mg, 1 mg, 2 mg, 3 mg, 4 mg

Mtundu: Zowonongeka

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg

Mlingo wa schizophrenia

Mlingo wa akulu (zaka 18-64 zaka)

• Mlingo woyambira: 2 mg patsiku amatengedwa kamodzi kapena kawiri.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kuwonjezera pang'onopang'ono mlingo wanu kamodzi pa maola 24 kapena kupitirira. Amatha kukulitsa ndi 1-2 mg tsiku lililonse mpaka mlingo wa 4-16 mg patsiku. Dokotala wanu asintha kuchuluka kwanu malinga ndi momwe thupi lanu lingayankhire mankhwalawa.
• Zolemba malire mlingo: 16 mg pa tsiku.

Mlingo wa ana (zaka 13-17 zaka)

• Mlingo woyambira: 0,5 mg pa tsiku amatengedwa m'mawa kapena madzulo.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kuwonjezera pang'onopang'ono mlingo wanu kamodzi pa maola 24 kapena kupitirira. Amatha kuwonjezera ndi 0.5-1 mg tsiku, mpaka 6 mg patsiku. Dokotala wanu asintha kuchuluka kwanu malinga ndi momwe thupi lanu lingayankhire mankhwalawa.
• Zolemba malire mlingo: 6 mg patsiku.

Mlingo wa ana (zaka 0-12 zaka)

Mankhwalawa sanaphunzirepo kwa ana ochepera zaka 13. Sayenera kugwiritsidwa ntchito mgululi.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Dokotala wanu angakupatseni mlingo woyambira wa 0,5 mg wotengedwa kawiri patsiku. Angakulitse mlingo wanu pang'onopang'ono kuti muchepetse chiopsezo chanu.

Mlingo wa manic pachimake kapena wosakanikirana ndi matenda ochititsa munthu kusinthasintha zochitika

Mlingo wa akulu (zaka 18-64 zaka)

• Mlingo woyambira: 2-3 mg pa tsiku.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kuwonjezera pang'onopang'ono mlingo wanu kamodzi pa maola 24 kapena kupitirira. Amatha kukulitsa ndi 1 mg patsiku mpaka mlingo wa 1-6 mg patsiku. Dokotala wanu asintha kuchuluka kwanu malinga ndi momwe thupi lanu lingayankhire mankhwalawa.
• Zolemba malire mlingo: 6 mg patsiku.

Mlingo wa ana (zaka 10-17 zaka)

• Mlingo woyambira: 0,5 mg pa tsiku amatengedwa m'mawa kapena madzulo.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kuwonjezera pang'onopang'ono mlingo wanu kamodzi pa maola 24 kapena kupitirira. Amatha kuwonjezera ndi 0.5-1 mg tsiku, mpaka 6 mg patsiku. Dokotala wanu asintha kuchuluka kwanu malinga ndi momwe thupi lanu lingayankhire mankhwalawa.
• Zolemba malire mlingo: 6 mg patsiku.

Mlingo wa ana (zaka 0-9 zaka)

Mankhwalawa sanaphunzirepo kwa ana ochepera zaka 10. Sayenera kugwiritsidwa ntchito mgululi.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Dokotala wanu angakupatseni mlingo woyambira wa 0,5 mg wotengedwa kawiri patsiku. Angakulitse mlingo wanu pang'onopang'ono kuti muchepetse chiopsezo chanu.

Mlingo wa kukwiya ndi vuto la autistic

Mlingo wa akulu (zaka 18-64 zaka)

Mankhwalawa sanaphunzire kwa akuluakulu. Sayenera kugwiritsidwa ntchito mgululi.

Mlingo wa ana (zaka 5-17 zaka)

• Mlingo woyambira:
  • Kwa ana olemera zosakwana 44 lbs. (Makilogalamu 20): Dokotala wanu ayambitsa mwana wanu pa 0.25 mg wotengedwa kamodzi patsiku. Kapenanso dokotala wanu atenga mwana wanu kuti atenge theka la kuchuluka kwa tsiku lililonse kawiri patsiku.
  • Kwa ana omwe amalemera 44 lbs. (20 kg) kapena kupitilira apo: Dokotala wanu ayambitsa mwana wanu pa 0,5 mg wotengedwa kamodzi patsiku. Kapenanso dokotala wanu atenga mwana wanu kuti atenge theka la kuchuluka kwa tsiku lililonse kawiri patsiku.
• Mlingo ukuwonjezeka:
  • Kwa ana olemera zosakwana 44 lbs. (Makilogalamu 20): Pambuyo masiku osachepera 4, dokotala akhoza kuwonjezera kuchuluka kwa mwana wanu mpaka 0.5 mg patsiku. Ngati mwana wanu sakuyankha mankhwalawa atadutsa masiku 14, dokotala wanu amatha kuwonjezera mlingo uliwonse milungu iwiri kapena kupitilira apo. Amatha kuwonjezera ndi 0.25 mg patsiku.
  • Kwa ana omwe amalemera 44 lbs. (20 kg) kapena kupitilira apo: Pambuyo masiku osachepera 4, dokotala wanu amatha kuwonjezera kuchuluka kwa mwana wanu mpaka 1 mg patsiku. Ngati thupi la mwana wanu silikumvera mankhwalawa patadutsa masiku 14, dokotala wanu amatha kuwonjezera mlingo uliwonse milungu iwiri kapena kupitilira apo. Amatha kuwonjezera ndi 0.5 mg patsiku.
• Zolemba malire mlingo: 3 mg patsiku.

Mlingo wa ana (zaka 0-4 zaka)

Mankhwalawa sanaphunzirepo kwa ana ochepera zaka 5. Sayenera kugwiritsidwa ntchito mgululi.

Maganizo apadera

Kwa anthu omwe ali ndi matenda a impso: Ngati muli ndi matenda a impso, muyeso wanu uyenera kukhala 0,5 mg wotengedwa kawiri patsiku. Dokotala wanu akhoza kukulitsa mlingo wanu ndi 0,5 mg kapena zochepa, amatengedwa kawiri patsiku. Ngati mukumwa mlingo waukulu kuposa 1.5 mg kawiri patsiku, dokotala wanu akhoza kukulitsa mlingo wanu kamodzi sabata iliyonse kapena kupitilira apo.

Kwa anthu omwe ali ndi matenda a chiwindi: Ngati muli ndi matenda owopsa a chiwindi, mlingo wanu woyambira uyenera kukhala 0,5 mg wotengedwa kawiri patsiku. Dokotala wanu akhoza kukulitsa mlingo wanu ndi 0,5 mg kapena zochepa, amatengedwa kawiri patsiku. Ngati mukumwa mlingo waukulu kuposa 1.5 mg kawiri patsiku, dokotala wanu akhoza kukulitsa mlingo wanu kamodzi sabata iliyonse kapena kupitilira apo.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Machenjezo a Risperidone

Chenjezo la FDA: Kuwonjezeka kwangozi yakufa kwa okalamba omwe ali ndi matenda amisala

• Mankhwalawa ali ndi chenjezo lakuda lakuda. Ili ndiye chenjezo lalikulu kwambiri kuchokera ku Food and Drug Administration (FDA). Chenjezo la bokosi lakuda limachenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
• Mankhwalawa akhoza kuwonjezera ngozi yakufa kwa okalamba omwe ali ndi matenda amisala (matenda amubongo omwe amachititsa kukumbukira kukumbukira). Mankhwalawa savomerezedwa kuthana ndi psychosis mwa okalamba omwe ali ndi matenda amisala. Psychosis ndi mkhalidwe womwe munthu amalephera kulumikizana ndi zenizeni ndipo amatha kuyerekezera zinthu (kuwona kapena kumva zinthu zomwe kulibe) kapena kukhala ndi zabodza (zikhulupiriro zabodza zokhudzana ndi zenizeni).

Machenjezo ena

Chenjezo la Neuroleptic malignant syndrome (NMS)

NMS ndichinthu chosowa koma choopsa chomwe chitha kuchitika kwa anthu omwe amamwa mankhwala a antipsychotic, kuphatikiza risperidone. Vutoli limatha kupha ndipo liyenera kuthandizidwa kuchipatala. Zizindikiro zimatha kuphatikiza:

• malungo akulu
• thukuta lolemera
• minofu yolimba
• chisokonezo
• impso kulephera
• kusintha kwa kupuma kwanu, kayendedwe ka mtima, ndi kuthamanga kwa magazi

Kuwonjezeka kwa chiopsezo cha stroke kapena matenda a mtima

Risperidone ingayambitse kusintha kwa kagayidwe kamene kangapangitse chiopsezo chanu chodwala sitiroko kapena matenda amtima. Inu ndi adotolo muyenera kuwonera shuga wanu wamagazi, zizindikilo za matenda ashuga (kufooka kapena kuwonjezeka pokodza, ludzu, kapena njala), kunenepa, komanso kuchuluka kwama cholesterol.

Tardive dyskinesia chenjezo

Mankhwalawa amatha kuyambitsa tardive dyskinesia. Ichi ndi vuto lalikulu lomwe limakupangitsani kusuntha kumaso, lilime, kapena ziwalo zina za thupi zomwe simungathe kuzilamulira. Vutoli silingathe ngakhale mutasiya kumwa mankhwalawa.

Chenjezo la ziwengo

Risperidone imatha kuyambitsa vuto lalikulu. Zizindikiro zitha kuphatikizira

• kuvuta kupuma
• kutupa pakhosi kapena lilime

Ngati simukugwirizana nazo, pitani kuchipatala nthawi yomweyo. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake kapena paliperidone. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Kumwa zakumwa zoledzeretsa mukamamwa risperidone kumatha kukulitsa chiopsezo chogona ndi risperidone. Mukamamwa mowa, kambiranani ndi dokotala ngati risperidone ndi yabwino kwa inu.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi matenda ashuga: Mankhwalawa akhoza kukulitsa shuga m'magazi anu. Izi zitha kukulitsa matenda anu ashuga. Shuga wamagazi kwambiri amatha kubweretsa chikomokere kapena kufa. Ngati muli ndi matenda ashuga kapena zoopsa za matenda ashuga (monga kunenepa kwambiri kapena mbiri yakubadwa ndi matenda ashuga), dokotala wanu ayenera kuwona kuchuluka kwa shuga asanakwane komanso mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi cholesterol yambiri: Mankhwalawa atha kukulitsa cholesterol yanu ndi milingo ya triglyceride. Izi zitha kubweretsa chiopsezo chanu chodwala matenda amtima komanso stroke. Cholesterol wambiri sangayambitse zizindikiro zilizonse. Dokotala wanu amatha kuwona kuchuluka kwanu kwama cholesterol ndi triglyceride mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi kuthamanga kwa magazi: Mankhwalawa amatha kuchepetsa kuthamanga kwa magazi. Izi zitha kukulitsa vuto lanu. Dokotala wanu ayenera kuyang'anira kuthamanga kwa magazi kwanu mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi kuchuluka kwama cell oyera: Mankhwalawa amachepetsanso kuchuluka kwama cell oyera. Dokotala wanu ayenera kuyang'anira kuchuluka kwama cell oyera nthawi zambiri m'miyezi ingapo yoyambirira yamankhwalawa.

Kwa anthu ogwidwa: Izi zingayambitse kugwidwa. Zitha kukhudzanso kulanda kwa anthu omwe ali ndi khunyu. Dokotala wanu akuyenera kukuyang'anirani za khunyu mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi hyperprolactinemia (milingo yayikulu ya prolactin): Mankhwalawa akhoza kukulitsa milingo yanu ya prolactin. Izi zitha kukulitsa vuto lanu. Dokotala wanu ayenera kuyang'anira kuchuluka kwamagazi anu musanayambe komanso mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi mavuto amtima: Mankhwalawa amachepetsa kuthamanga kwa magazi. Ngati muli ndi vuto la mtima, funsani dokotala ngati mankhwalawa ndi abwino kwa inu. Izi zikuphatikizapo mbiri ya matenda amtima, angina (kupweteka pachifuwa), matenda amitsempha yam'mimba, kulephera kwa mtima, kapena mavuto am'mimba. Risperidone itha kukulitsa izi.

Kwa anthu omwe ali ndi vuto la impso: Ngati muli ndi matenda a impso ochepa, mwina simungathe kuchotsa mankhwalawa mthupi lanu. Izi zitha kupangitsa kuti risperidone imangidwe mthupi lanu. Izi zitha kubweretsa zovuta zina. Dokotala wanu akhoza kuchepetsa mlingo wanu ngati muli ndi matenda a impso.

Kwa anthu omwe ali ndi vuto la chiwindi: Ngati muli ndi vuto la chiwindi, mwina simungathe kukonza mankhwalawa bwino. Izi zitha kupangitsa kuti risperidone imangidwe mthupi lanu. Izi zitha kubweretsa zovuta zina. Dokotala wanu akhoza kuchepetsa mlingo wanu ngati muli ndi matenda a chiwindi.

Kwa anthu omwe ali ndi matenda a Parkinson kapena dementia ya thupi la Lewy: Mutha kukhala omvera pazotsatira za mankhwalawa. Izi zikutanthauza kuti mutha kukhala ndi zovuta zina. Izi zitha kuphatikizira kusokonezeka, ulesi, kugwa pafupipafupi, kusunthika, kusakhazikika komanso kufuna kusuntha, komanso kutsekeka kwa minofu. Zitha kuphatikizanso kutentha thupi, thukuta lolemera, minofu yolimba, komanso kusintha kwa kupuma kwanu, mayimbidwe amtima, komanso kuthamanga kwa magazi.

Kwa anthu omwe ali ndi phenylketonuria (PKU): Pulogalamu ya Risperidone yopasula pakamwa imakhala ndi phenylalanine. Ngati muli ndi PKU, simuyenera kumwa mankhwalawa.

Machenjezo kwa magulu ena

Kwa amayi apakati: Kafukufuku wazinyama awonetsa zoyipa kwa mwana wosabadwa mayi atamwa mankhwalawo. Komabe, sipanapezeke maphunziro okwanira mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.

Ana obadwa kumene obadwa kwa amayi omwe amamwa mankhwalawa amatha kukhala ndi zizindikiritso zakutha. Zizindikirozi zitha kuphatikiza:

• kusakhazikika
• kulephera
• kuuma
• kunjenjemera (kayendedwe kosalamulirika kamayendedwe ka gawo limodzi la thupi lanu)
• kugona
• mavuto opuma
• mavuto odyetsa

Ana ena akhanda amayamba kuchira pakadutsa maola ochepa kapena masiku angapo asanalandire chithandizo, koma ena angafunike kupita kuchipatala.

Lankhulani ndi dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Ndipo mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo likutsimikizira kuwopsa kwake.

Kwa amayi omwe akuyamwitsa: Risperidone imatha kulowa mkaka wa m'mawere ndipo imatha kuyambitsa zovuta zina kwa mwana yemwe akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Kwa okalamba: Impso, mtima, ndi chiwindi cha okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimabweretsa chiopsezo cha zotsatirapo.

Okalamba atha kukhala ndi orthostatic hypotension (kuchepa kwa kuthamanga kwa magazi mukayimirira kuchokera pampando kapena pakunama) chifukwa cha mankhwalawa.

Kwa ana:

• Chithandizo cha schizophrenia. Mankhwalawa sanaphunzirepo ndipo sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 13 pochiza vutoli.
• Chithandizo cha manic pachimake kapena chosakanikirana ndi matenda ochititsa munthu kusinthasintha zochitika ndili ndi matenda. Mankhwalawa sanaphunzirepo ndipo sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 10 pochiza vutoli.
• Pofuna kuchiza kukwiya ndi matenda a autistic. Mankhwalawa sanaphunzirepo ndipo sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 5 kuti athetse vutoli.

Tengani monga mwalamulidwa

Pulogalamu yamlomo ya Risperidone imagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse: Matenda anu akhoza kukulirakulira.

Mukaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• Kusinza
• kugona
• kugunda (kugunda kwamtima)
• chizungulire
• kukomoka
• kutuluka kwa minofu ndi kufinya
• minofu yolimba
• kunjenjemera (kayendedwe kosalamulirika kamayendedwe ka gawo limodzi la thupi lanu)
• kusuntha pang'onopang'ono kuposa zachilendo
• kusinthasintha, kusuntha kwa thupi
• kugwidwa

Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Tengani mlingo wanu mukangokumbukira. Koma ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani mlingo umodzi wokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Khalidwe lanu kapena malingaliro anu ayenera kusintha.

Zofunikira pakumwa risperidone

Kumbukirani izi ngati dokotala akukulemberani piritsi ya risperidone.

Zonse

• Mutha kutenga risperidone kapena wopanda chakudya.
• Mutha kudula kapena kuphwanya piritsi lokhazikika. Koma musadule kapena kuphwanya piritsi lomwe likugawanika.

Yosungirako

• Sungani risperidone kutentha. Sungani pakati pa 59 ° F ndi 77 ° F (15 ° C ndi 25 ° C).
• Tetezani ku kuwala ndi kuzizira.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula zama makina aku X-ray eyapoti. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula bokosi loyambirira lomwe muli nalo.
• Musayike mankhwala awa m'galimoto yamagalimoto anu kapena kusiya m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kudziyang'anira pawokha

Pamapiritsi omwe amawonongeka pakamwa, simuyenera kuwachotsa phukusi lawo kufikira mutakonzeka kuwamwa:

• Ndi manja owuma, peel zojambulazo kuti mutulutse piritsi. Osakankhira pulogalamuyo kudzera pa zojambulazo. Izi zitha kuwononga.
• Ikani piritsi lilime lanu nthawi yomweyo. Idzasungunuka mkamwa mwako mkati mwa masekondi.
• Kumeza piritsi kapena wopanda madzi.

Kuwunika kuchipatala

Inu ndi dokotala muyenera kuyang'anira zovuta zina zaumoyo. Izi zitha kuthandizira kuti mukhale otetezeka mukamamwa mankhwalawa. Izi zikuphatikiza:

• Ntchito ya impso. Dokotala wanu akhoza kuyesa magazi kuti aone ngati impso zanu zikugwira ntchito bwino. Ngati impso zanu sizikuyenda bwino, dokotala wanu akhoza kuchepetsa mlingo wa mankhwalawa.
• Mavuto amisala ndi machitidwe. Inu ndi dokotala muyenera kuyang'anitsitsa kusintha kulikonse kwachilendo pamakhalidwe anu ndi momwe mumamvera. Mankhwalawa amatha kuyambitsa mavuto atsopano azaumoyo, kapena mavuto ena omwe muli nawo kale.
• Ntchito ya chiwindi. Dokotala wanu akhoza kuyesa magazi kuti muwone momwe chiwindi chanu chikugwirira ntchito. Ngati chiwindi chanu sichikuyenda bwino, dokotala wanu akhoza kuchepetsa kuchuluka kwa mankhwalawa.
• Shuga wamagazi. Mankhwalawa akhoza kukulitsa kuchuluka kwa shuga wamagazi. Dokotala wanu amatha kuwunika shuga wanu wamagazi mukamamwa mankhwalawa, makamaka ngati muli ndi matenda ashuga kapena muli pachiwopsezo cha matenda ashuga.
• Cholesterol. Mankhwalawa atha kukulitsa cholesterol yanu ndi milingo ya triglyceride. Dokotala wanu amatha kuwona misinkhuyi musanayambe komanso mukamamwa mankhwalawa.
• Kulemera. Mankhwalawa angakupangitseni kunenepa. Inu ndi dokotala muyenera kuwona kulemera kwanu mukamalandira chithandizo.

Chilolezo chisanachitike

Makampani ena a inshuwaransi amafuna chilolezo choyambirira cha mankhwalawa. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.