Droperidol ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Droperidol ni umuti ukomeye uvura indwara zo mu mutwe utangwa mu nshinge kugira ngo ugenzure umujinya ukabije, isesemi, no kuruka mu bitaro. Uyu muti ukora vuba kugira ngo utuze imitsi kandi akenshi ukoreshwa iyo izindi miti itagize icyo ikora cyangwa iyo ukeneye guhumurizwa ako kanya. Abaganga bakoresha droperidol babigiranye ubushishozi kuko ari umuti ukomeye usaba gukurikiranwa hafi.

Droperidol ni iki?

Droperidol ni umwe mu itsinda ry'imiti yitwa butyrophenones, ariyo miti ikomeye ivura indwara zo mu mutwe. Ikora iby'ingenzi mu guhagarika imisemburo imwe yo mu bwonko yitwa dopamine receptors, igafasha kugabanya imikorere idasanzwe y'ubwonko itera ibimenyetso bikomeye. Uyu muti umaze imyaka myinshi ukoreshwa mu buvuzi kandi ufite akamaro mu bihe byihariye.

Uyu muti uza mu ishusho y'amazi asobanutse abaganga bashyira mu mutsi cyangwa mu gice cy'umubiri. Uzasanga droperidol mu bitaro, mu mavuriro, cyangwa mu bigo by'ubuvuzi aho abakozi babihuguriwe bashobora kugukurikirana hafi. Ntabwo iboneka mu buryo bw'ipilule cyangwa ngo ikoreshwe mu rugo kuko bisaba gukurikiranwa na muganga.

Droperidol ikoreshwa mu kuvura iki?

Droperidol ivura umujinya ukabije n'imyitwarire ya gasharira iyo uri mu kaga gakomeye. Abaganga bakunze kuyikoresha mu byumba by'ubutabazi igihe umuntu afite ikibazo cy'ubuzima bwo mu mutwe cyangwa afite imyitwarire iteye akaga ishobora kwangiza we ubwe cyangwa abandi. Bifasha cyane iyo uburyo bwo gutuza bwo kuvuga n'indi miti bitagize icyo bikora.

Uyu muti kandi urinda kandi uvura isesemi n'ukuruka bikabije, cyane cyane nyuma yo kubagwa cyangwa mu gihe cy'ibikorwa by'ubuvuzi bimwe na bimwe. Abantu benshi bahura n'ibi bimenyetso iyo bari gukira anesthesia, kandi droperidol ishobora gutanga ihumure ryihuse. Bifasha cyane iyo indi miti irwanya isesemi itagize icyo ikora.

Rimwe na rimwe, abaganga bakoresha droperidol nk'igice cya anesiteziya kugira ngo bagufashe kuguma utuje kandi woroshye mu gihe cyo kuvurwa. Muri ibyo bihe, ikorana n'izindi miti kugira ngo habeho ahantu hizewe kandi hacungwa neza mu kubaga cyangwa izindi mvura.

Droperidol ikora ite?

Droperidol ni umuti ukomeye ubuza imitsi ya dopamine mu bwonko bwawe, cyane cyane mu duce ducunga imigendekere, amarangamutima, no kuruka. Tekereza dopamine nk'intumwa mu bwonko bwawe rimwe na rimwe ishobora kohereza ibimenyetso byinshi cyane, bigatuma uhagarara cyangwa kuruka cyane. Mu kubuza iyo mitsi, droperidol ifasha gucecekesha ibimenyetso by'ubwonko bikabije.

Uwo muti ukora vuba, akenshi mu minota 15 kugeza kuri 30 nyuma yo guterwa urushinge. Ibyo ukora bishobora kumara amasaha menshi, bigaha ikipe yawe y'ubuzima umwanya wo gukemura ibibazo byateye ibimenyetso byawe. Kubera ko ari umuti ukomeye, ndetse n'ibipimo bito bishobora kugira ingaruka zikomeye ku mikorere y'imitsi yawe.

Uyu muti kandi ugira ingaruka ku mutima wawe mu kubuza inzira zimwe na zimwe z'amashanyarazi. Nubwo ibyo bishobora gufasha mu bihe bimwe na bimwe, ni nayo mpamvu abaganga bakurikirana imikorere y'umutima wawe neza iyo wakiriye droperidol.

Nkwiriye gufata droperidol nte?

Ntabwo uzifata droperidol ubwawe kuko buri gihe itangwa n'abantu bafite ubuzima mu bigo by'ubuvuzi. Umuforomo cyangwa umuganga bazayikora mu gice cy'imitsi yawe cyangwa bakoresheje urushinge rw'imitsi. Uburyo biterwa n'ikibazo cyawe cyihariye n'uburyo ukeneye guhumurizwa vuba.

Mbere yo kwakira droperidol, ikipe yawe y'ubuzima izareba amateka yawe y'ubuzima n'ubuzima bwawe bw'ubu. Bazashaka kumenya ibibazo byose by'umutima, izindi miti urimo gufata, niba waragize ibibazo byatewe n'imiti isa. Iyo makuru ibafasha kumenya uburyo bwizewe bwo kuvura kwawe.

Ntugomba kurya cyangwa kunywa ikintu icyo aricyo cyose cyihariye mbere yo guhabwa droperidol. Ariko, niba uri guhabwa urukingo mbere yo kubagwa, birashoboka ko uzakurikiza amabwiriza yo kwiyiriza ubusa abaganga bawe bazagutanga. Bazaguha ubuyobozi bwihariye bushingiye ku miterere yawe bwite.

Mbonye Droperidol Igihe Kingana Gite?

Droperidol akenshi atangwa nk'urukingo rumwe cyangwa urukurikirane rw'inkingo ruto aho gutangwa nk'imiti ikoreshwa igihe kirekire. Abantu benshi barahabwa rimwe kugirango bakemure ikibazo cyihutirwa cyangwa uburyo bwihariye bwo kuvura. Ingaruka zikunda kumara amasaha 2 kugeza kuri 4, akenshi bihagije kugirango umubiri wawe ugaruke mu buryo busanzwe.

Niba ukeneye doze nyinshi, ikipe yawe y'ubuvuzi izazitanga neza kandi iguhe ibisubizo buri gihe. Bazareba ibimenyetso byerekana ko umuti ukora kandi barebe niba hari ingaruka zidasanzwe. Intego ni ukoresha doze ntoya ikora neza mugihe gito gishoboka.

Abaganga bawe bazahagarika kuguha droperidol vuba na bwangu ibimenyetso byawe byongera ubuzima cyangwa bashobora kuguha izindi nzira zizewe. Barashobora kuguha imiti yo kunywa ushobora gufata uri murugo, cyangwa bashobora gusanga utakigomba imiti na gato.

Ni Izihe Ngaruka Ziterwa na Droperidol?

Kimwe n'imiti yose ikomeye, droperidol irashobora gutera ingaruka ziva ku zoroshye kugeza ku zikomeye. Kumva ibyo bishoboka bifasha kumenya icyo wakwitega no kumenya igihe cyo gushaka ubufasha bwiyongera. Ikipe yawe y'ubuvuzi izagukurikiranira hafi kugirango ifate ibibazo byose hakiri kare.

Ingaruka zisanzwe abantu benshi bahura nazo zirimo gusinzira, kuribwa umutwe, no kumva utuje cyangwa ufite impungenge. Urashobora kandi kubona umubiri ugoye gukora, cyane cyane mumaso, mumuhogo, cyangwa mumaboko. Abantu bamwe barumirwa cyangwa bagahura n'ingorane zo gutekereza nyuma yo guhabwa droperidol.

Hano hari ingaruka zikunze kugaragara ushobora guhura nazo:

• Gusinzira no kunanirwa bishobora kumara amasaha menshi
• Kuribwa umutwe cyangwa kumva udashikamye iyo uhagaze
• Ubugoye bw'imitsi, cyane cyane mu maso no mu ijosi
• Kutagira umutuzo cyangwa kumva udashobora kwicara
• Umunwa wumye no kunyota kwiyongera
• Kureba nabi cyangwa kugorwa no kureba neza
• Umubare muto w'amaraso ushobora gutuma wumva uguye igihumure

Ibi bikorwa bisanzwe bikunze gushira iyo umuti ushirira, ariko itsinda ryawe ry'abaganga rizagufasha guhangana n'ubwo buryaryate.

Ingaruka zikomeye zisaba ubufasha bw'ubuvuzi bwihuse kandi zirimo impinduka ziteje akaga mu mutima wawe. Droperidol ishobora gutera indwara yitwa QT prolongation, aho sisitemu y'amashanyarazi y'umutima wawe idashobora gukora neza. Iyi ni yo mpamvu uzahora ukurikiranwa umutima wawe igihe uri guhabwa uyu muti.

Ingaruka zidakunze kubaho ariko zikomeye zisaba ubuvuzi bwihutirwa zirimo:

• Umutima utera nabi cyangwa kuribwa mu gituza
• Ubugoye bukomeye bw'imitsi mu mubiri wawe wose
• Urubavu rwinshi hamwe no kwiyongera kw'ibyuya
• Kugorwa no guhumeka cyangwa kumira
• Kugenda kw'imitsi kudashobora kugenzurwa mu maso cyangwa ururimi
• Igabanuka rikomeye ry'umubare w'amaraso ritera igihumure
• Urugero rw'uburwayi hamwe n'ibibara, kubyimba, cyangwa kugorwa no guhumeka

Gake cyane, droperidol ishobora gutera indwara iteye ubuzima bw'ubuzima yitwa neuroleptic malignant syndrome, aho ubushyuhe bw'umubiri wawe buzamuka cyane kandi imitsi yawe ikaba igoye cyane. Itsinda ryawe ry'ubuzima rizi uburyo bwo kumenya no kuvura iyi ndwara ako kanya.

Ninde utagomba gufata Droperidol?

Droperidol ntirigira umutekano kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo gufata icyemezo niba bikwiriye kuri wewe. Abantu bafite indwara zimwe na zimwe z'umutima bahura n'ibibazo byinshi kuko umuti ushobora kugira ingaruka ku mutima. Itsinda ryawe ry'ubuzima rizakora electrocardiogram (EKG) kugirango rigenzure imikorere y'amashanyarazi y'umutima wawe mbere yo kuguha droperidol.

Ntugomba guhabwa droperidol niba ufite allergie izwi kuri yo cyangwa imiti isa nayo. Niba waragize ibibazo bikomeye kubera izindi miti igabanya ubwoba, muganga wawe ashobora guhitamo uburyo bwo kuvura butandukanye. Bazirinda kandi gutanga droperidol niba ufite indwara zimwe na zimwe zidakunze kubaho zishingiye ku mikorere y'urugero rwawe, zikagira ingaruka ku buryo umubiri wawe ukoresha imiti.

Indwara nyinshi zishobora gutuma droperidol iba iyobeye kuri wowe:

• Indwara z'umutima cyangwa igihe kirekire cya QT
• Indwara zikomeye z'umutima cyangwa umutima watewe n'umutima vuba aha
• Umubare muto cyane w'amaraso cyangwa igihunga
• Indwara zikomeye z'impyiko cyangwa umwijima
• Indwara ya Parkinson cyangwa izindi ndwara zisa nazo zifite aho zihurira n'imigendekere
• Indwara zifata ubwonko zitagenzurwa neza
• Ubwoba bukomeye cyangwa ibitekerezo byo kwiyahura

Muganga wawe azagereranya neza ibyago n'inyungu, cyane cyane niba ufite izi ndwara ariko ukeneye cyane umuti.

Abagore batwite muri rusange ntibahabwa droperidol keretse habayeho ibibazo byihutirwa bishobora gutera urupfu. Uyu muti ushobora kwambuka placenta kandi ugashobora kugira ingaruka ku mwana wawe ukiri mu nda. Niba uri konjesha, muganga wawe azaganira niba inyungu ziruta ibyago, kuko umubare muto ushobora kujya mu mata y'ibere.

Amazina y'ubwoko bwa Droperidol

Droperidol iboneka mu mazina menshi y'ubwoko, nubwo ibitaro byinshi na za clinique bikoresha verisiyo rusange. Izina risanzwe ni Inapsine, irimo ibintu bikora kimwe na droperidol rusange. Ibikorwa bimwe na bimwe by'ubuvuzi bishobora kugira andi mazina y'ubwoko, ariko byose bikora kimwe.

Itsinda ryawe ry'ubuzima rizababwira igicuruzwa runaka bakoresha, nubwo izina ry'ubwoko akenshi ntacyo rivuze ku kuvurwa kwawe. Ikintu cy'ingenzi ni uko uhabwa umuti n'abantu babihuguriwe bashobora kugukurikiranira neza. Droperidol rusange ifite akamaro kimwe na verisiyo z'amazina y'ubwoko kandi yujuje amahame amwe yo gukoresha neza.

Uburyo bwo gusimbuza Droperidol

Imiti myinshi yindi irashobora kuvura indwara zisa niba droperidol itagukwiriye. Kubera guhungabana gukabije, abaganga bashobora gukoresha haloperidol, ikora kimwe ariko ifite ingaruka zitandukanye. Lorazepam ni indi nzira ishobora gutuza umunabi no guhungabana, nubwo ikora binyuze mu nzira zitandukanye z'ubwonko.

Kubera isesemi no kuruka, izindi nzira zirimo ondansetron, akenshi ikoreshwa neza kubantu bafite ibibazo by'umutima. Promethazine ni undi muti urwanya isesemi ukora mu buryo butandukanye na droperidol. Muganga wawe ashobora kandi gutekereza metoclopramide, bitewe nicyateye ibimenyetso byawe.

Rimwe na rimwe guhuza imiti bikora neza kuruta imiti imwe. Itsinda ryawe ryita ku buzima rishobora gukoresha doze ntoya z'imiti ibiri itandukanye aho gukoresha doze nini ya droperidol. Ubu buryo bushobora kuba bworoshye mugihe bugikora neza mu kugabanya ibimenyetso.

Ese Droperidol iruta Haloperidol?

Droperidol na haloperidol ni imiti ikora neza yo kuvura indwara zo mumutwe, ariko ifite imbaraga n'ibibazo bitandukanye. Droperidol ikora vuba kandi akenshi ikoreshwa mugihe cyihutirwa aho ibikorwa byihuse bikenewe. Ni nziza cyane mukuvura isesemi ikabije no kuruka hamwe no guhungabana.

Haloperidol irashobora kuba yoroshye kubantu bafite indwara zimwe na zimwe zumutima kuko ntigira ingaruka nyinshi kumutima. Ariko, irashobora gutera ingaruka zifitanye isano no kugenda nko gukomera kw'imitsi no kunyeganyega. Guhitamo hagati yabyo biterwa nibimenyetso byawe byihariye, amateka yawe yubuvuzi, n'ubuzima bwawe bwubu.

Muganga wawe azatekereza ibintu byinshi mugihe ahitamo hagati yiyi miti. Bazareba uko ukeneye kugabanya ibimenyetso byihuse, ibintu bigushyira mu kaga k'ingaruka, niba ukeneye kuvurwa ibimenyetso byinshi icyarimwe. Nta muti numwe uruta undi - biterwa n'imimerere yawe bwite.

Ibikunze Kubazwa Kuri Droperidol

Ikibazo cya 1. Ese Droperidol irakwiriye abantu barwaye indwara z'umutima?

Droperidol isaba kwitonda cyane niba urwaye indwara z'umutima kuko ishobora kugira ingaruka ku mikorere y'amashanyarazi y'umutima wawe. Muganga wawe azagukorera isuzuma rya EKG mbere yo kuguha umuti kandi azakurikirana umutima wawe buri gihe mu gihe uvurwa. Bazagereranya ibyago n'inyungu, cyane cyane niba uri mu bihe bikomeye by'ubuvuzi.

Niba ufite ibibazo byoroheje by'umutima, muganga wawe ashobora gukoresha droperidol ariko akoresheje uburyo bwo gukurikirana hafi kandi ashobora kugabanya urugero rwawo. Ariko, niba ufite ibibazo bikomeye by'umutima cyangwa ibibazo by'umutima bya vuba, birashoboka ko bazahitamo undi muti. Umutekano wawe ni wo uza imbere.

Ikibazo cya 2. Nakora iki niba mbonye droperidol nyinshi mu buryo butunganye?

Ntushobora gufata droperidol nyinshi mu buryo butunganye kuko abaganga babara neza kandi bagatanga urugero rwose. Ariko, niba uhuye n'ingaruka zikomeye nyuma yo guhabwa umuti, bimenyeshe ikipe yawe y'ubuvuzi ako kanya. Batojwe kumenya no kuvura ibimenyetso byo kurenza urugero.

Ibimenyetso byo gufata droperidol nyinshi birimo gusinzira cyane, umuvuduko w'amaraso muke cyane, umutima utagenda neza, cyangwa guhumeka bigoye. Ikipe yawe y'ubuvuzi izatanga ubufasha, ikurikirane ibimenyetso byawe by'ingenzi, kandi ishobora kuguha imiti yo kurwanya ingaruka zikomeye. Gukira mubisanzwe bibaho buhoro buhoro uko umuti uva mu mubiri wawe.

Ikibazo cya 3. Nakora iki niba ntasize urugero rwa droperidol?

Gusiba urugero ntibisanzwe kuba ikibazo kuko droperidol isanzwe itangwa nk'urushinge rumwe cyangwa urukurikirane rw'urugero ruto mu bigo by'ubuvuzi. Ikipe yawe y'ubuvuzi itegura urugero ruriho hashingiwe ku byo ukeneye ako kanya n'uburyo witwara ku buvuzi. Niba wagombaga guhabwa urugero rukurikira, bazongera gusuzuma niba ukirukeneye.

Ntugahagarike gufata imiti iyo wibagiwe kuyifata mu rugo kuko ntuzajya ufata droperidol hanze y'ibigo by'ubuvuzi. Itsinda ryawe ry'ubuzima rizagena gahunda yawe yo kuvurwa bitewe n'uko urimo witwara n'niba ukeneye indi miti.

Q4. Ni ryari nshobora kureka gufata Droperidol?

Ntabwo ari wowe uhitamo igihe cyo kureka gufata droperidol kuko abaganga nibo bafata icyemezo cyose cyo gutanga imiti. Bazahagarika kuguha umuti igihe ibimenyetso byawe byoroheye, igihe bashobora kuguherereza imiti yindi mu buryo bwizewe, cyangwa niba wagaragaza ingaruka zidakwiye. Abantu benshi bafata droperidol mu masaha make cyangwa iminsi mike.

Itsinda ryawe ry'ubuvuzi rizagenda rigukuraho droperidol buhoro buhoro aho guhagarara ako kanya igihe bishoboka. Bashobora kuguherereza imiti yo kunywa ushobora gufatira mu rugo, cyangwa bashobora kumenya ko utakiri ngombwa ko ufata umuti uwo ariwo wose. Intego ni ukoresha umuti muto cyane mu gihe gito gishoboka.

Q5. Nshobora gutwara imodoka nyuma yo guhabwa Droperidol?

Ntabwo ugomba gutwara imodoka cyangwa gukoresha imashini nibura mu masaha 24 nyuma yo guhabwa droperidol kuko bishobora gutera ibitotsi, isereri, no kudatekereza neza. Izi ngaruka zirashobora kumara amasaha menshi nyuma yo guterwa urushinge, kabone niyo wumva umeze neza. Igihe cyo gusubiza no guhuza ibikorwa birashobora guhinduka niyo utumva uruhuka.

Mbere yo kuva mu kigo cy'ubuvuzi, menya neza ko ufite umuntu ugutwara mu rugo. Itsinda ryawe ry'ubuzima rizagutanga amabwiriza yihariye yerekeye igihe cyiza cyo gusubira mu bikorwa bisanzwe. Ntukagire ibyemezo bikomeye cyangwa ushyireho amasezerano y'amategeko kugeza igihe umuti urangiriyeho rwose kandi wumva utekereza neza.