Icyo Phenothiazine ari cyo: Ibyo ikoreshwa, urugero rwa dose, ingaruka zayo, n'ibindi

Phenothiazine ni itsinda ry'imiti ikoreshwa cyane cyane mu kuvura indwara zo mu mutwe nk'uburwayi bwo mu mutwe bwa schizophrenia no kuruka bikabije. Iyi miti ikora ibuza imisemburo imwe yo mu bwonko ishobora gutera ibimenyetso nk'ibitekerezo by'ibinyoma, kwibeshya, cyangwa kuruka bidahagarara.

Ushobora kumenya iyi miti ku mazina azwi nka Thorazine (chlorpromazine) cyangwa Phenergan (promethazine). Zimaze imyaka myinshi zifasha abantu guhangana n'ibimenyetso bigoye, kandi abaganga bazandika iyo izindi nshuti zitatanze umuti uhagije.

Icyo Phenothiazine ari cyo?

Phenothiazines ni itsinda ry'imiti riri mu muryango munini witwa antipsychotics. Ni imiti ikora imisemburo ishobora gutuza ibimenyetso byo mu bwonko bikabije no kugabanya ibimenyetso bibuza ubuzima bwa buri munsi.

Iyi miti iboneka mu buryo butandukanye kugira ngo ihaze ibyo ukeneye. Urashobora kuyifata mu buryo bw'ibinini, kuyihabwa mu nshinge, cyangwa gukoresha suppositories niba kubyara bigoye. Ubu buryo bufasha kumenya neza ko ubona ubuvuzi bukora neza ku miterere yawe.

Imiti itandukanye ya phenothiazine ifite imbaraga zitandukanye n'intego zitandukanye. Zimwe zikora neza ku bimenyetso byo mu mutwe, izindi zikora neza mu kugenzura isesemi no kuruka.

Icyo Phenothiazine ikoreshwa?

Phenothiazines ivura indwara nyinshi, indwara zo mu mutwe zikaba ari zo zikoreshwa cyane. Zikora neza cyane kuri schizophrenia, aho zifasha kugabanya ibitekerezo by'ibinyoma no gutegura ibitekerezo byavuye mu mutwe.

Iyi miti kandi ikora neza ku isesemi ikabije no kuruka, cyane cyane iyo izindi nshuti zitagize icyo zifasha. Abantu benshi babona ubufasha ku ndwara zo mu rugendo, ingaruka ziterwa na chimiothérapie, cyangwa isesemi nyuma yo kubagwa n'iyi miti.

Muganga wawe ashobora kugutera imiti ya phenothiazines kubera izindi ndwara. Zishobora gufasha mu guhangayika bikabije, ubwoko bumwe bw'uburibwe buhoraho, cyangwa nk'umuti utuza mbere yo gukora ibikorwa by'ubuvuzi. Uburyo ikoreshwa byihariye biterwa na phenothiazine muganga wawe yahisemo n'ibimenyetso byawe byihariye.

Phenothiazine ikora ite?

Phenothiazines ikora ibyo ikingira imitsi ya dopamine mu bwonko bwawe. Dopamine ni ubutumwa bwa chimique, iyo burenze urugero, bushobora gutera ibimenyetso nk'ibitekerezo by'ibinyoma, kwibeshya, cyangwa isesemi nyinshi.

Tekereza kuri iyi miti nk'abagenzuzi b'umuhanda boroheje ku bimenyetso byawe byo mu bwonko. Ntabwo bahagarika imikorere y'ubwonko burundu, ariko bafasha kugenzura ubutumwa bwa chimique bushobora gutera ibimenyetso byawe.

Iyi miti ifatwa nk'imiti ikomeye ku rugero ruciriritse, bivuze ko ikomeye kurusha ibindi bisanzwe ariko yoroshye kurusha imiti mishya imwe yo kurwanya indwara zo mu mutwe. Muri rusange itangira gukora mu masaha make ku bimenyetso bikaze, nubwo inyungu zose ku ndwara zo mu mutwe zishobora gufata ibyumweru byinshi.

Nkwiriye gufata phenothiazine nte?

Fata phenothiazines nk'uko muganga wawe abikwandikiye. Inyinshi mu miterere yo kunywa zirashobora gufatwa hamwe cyangwa nta biryo, nubwo kuzifata hamwe n'amata cyangwa ifunguro rito bishobora gufasha kugabanya ibibazo byo mu gifu.

Niba ufata umuti mu mazi, upime neza ukoresheje igikoresho cyagenewe gupima. Ntukoreshe ibiyiko byo mu rugo, kuko bitazaguha urugero rukwiye. Urashobora kuvanga amazi n'umutobe cyangwa amazi niba uburyohe bugutera ikibazo.

Ku miti ishyirwa mu kibuno, uyibike ahantu hakonje hanyuma uyishyiremo nk'uko byategetswe. Karaba intoki zawe neza mbere na nyuma yo kuyikoresha. Niba uhabwa inshinge, umuganga azaziguha mu gihe gikwiye.

Irinde kunywa inzoga mugihe ufata iyi miti, kuko bishobora kongera gusinzira n'izindi ngaruka ziterwa. Nanone, witondere ibikorwa bisaba ubushishozi, cyane cyane iyo utangiye gufata umuti.

Nzamara Mfite Igihe Kingana Iki Phenothiazine?

Igihe cyo kuvura na phenothiazines giterwa n'uburwayi bwawe n'uburyo umubiri wawe wakira imiti. Ku bimenyetso bikomeye nk'isuka ikabije, ushobora kuyikoresha iminsi mike cyangwa ibyumweru.

Niba uvura indwara yo mu mutwe nka schizophrenia, ushobora gukenera gufata iyi miti amezi menshi cyangwa imyaka. Ibi ntibiterwa n'uko uyobewe, ahubwo ni uko ubwonko bwawe bukeneye ubufasha buhoraho kugira ngo bugumane ubuzima.

Ntuzigere uhagarika gufata phenothiazines ako kanya utabanje kuvugana na muganga wawe. Guhagarika vuba bishobora gutera ibimenyetso byo kuva mu miti cyangwa bigatuma ibimenyetso byawe bya mbere bisubira. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro niba ukeneye guhagarika gufata umuti.

Ni Ibihe Bimenyetso Bigaragara Byatewe na Phenothiazine?

Abantu benshi bakira neza phenothiazines, ariko nk'imiti yose, ishobora gutera ibimenyetso bigaragara. Inkuru nziza ni uko ibimenyetso byinshi bigaragara biba byoroheje kandi bikagenda neza uko umubiri wawe wimenyereza umuti.

Dore ibimenyetso bigaragara byinshi ushobora guhura nabyo:

• Gusinzira cyangwa kumva unaniwe ku manywa
• Umunwa wumye utuma ushaka kunywa amazi menshi
• Kureba nabi, cyane cyane iyo usoma
• Kugorana mu kwituma cyangwa kugira ikibazo cyo kwituma
• Kuribwa umutwe iyo uhagurutse vuba
• Kongera ibiro uko igihe kigenda

Ibi bimenyetso bigaragara bikunze kugabanuka nyuma y'ibyumweru bike bya mbere byo kuvurwa. Kunywa amazi menshi, kurya ibiryo birimo fibre nyinshi, no guhaguruka buhoro bishobora gufasha gukemura ibi bimenyetso byinshi.

Abantu bamwe bahura n'ibimenyetso bitamenyerewe ariko bikomeye bikeneye ubufasha bwa muganga. Nubwo ibi bitaba kuri buri wese, ni ngombwa kumenya icyo ugomba kwitaho:

• Ubugoye bw'imitsi cyangwa imyitwarire idasanzwe, cyane cyane mu maso cyangwa mu ntoki zawe
• Urusobe rwinshi hamwe no kwiyongera kw'ibyuya no kuvurungana
• Umutima utagenda neza cyangwa kubabara mu gituza
• Kutagira umutuzo ukabije cyangwa kutabasha kwicara
• Uruhu cyangwa amaso y'umuhondo
• Urugero rwinshi cyangwa guta ubwenge

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n'umuganga wawe ako kanya. Barashobora guhindura urugero rwawe cyangwa bakaguherereza umuti utandukanye niba bibaye ngombwa.

Ninde utagomba gufata Phenothiazine?

Phenothiazines ntibakwiriye kuri buri wese, kandi umuganga wawe azasuzuma neza amateka yawe mbere yo kubagenera. Bimwe mu bibazo bituma iyi miti ishobora kuba ifite akaga cyangwa idakora neza.

Ugomba kwirinda phenothiazines niba ufite ibibazo by'ubuzima runaka. Ibi birimo indwara ikomeye y'umwijima, ibibazo runaka by'umutima, cyangwa niba waragize allergie ikomeye kuri iyi miti mbere.

Menyesha umuganga wawe ibi bibazo by'ubuzima by'ingenzi mbere yo gutangira phenothiazines:

• Indwara y'umutima cyangwa umutima utagenda neza
• Ibibazo by'umwijima cyangwa impyiko
• Indwara ya Parkinson cyangwa ibibazo byo kugenda
• Indwara zo gufatwa cyangwa epilepsi
• Prostate yagutse cyangwa ibibazo byo kunyara
• Glaucoma cyangwa ibibazo by'umuvuduko w'amaso
• Indwara z'amaraso cyangwa umubare muto w'uturemangingo twera tw'amaraso

Abagore batwite cyangwa bonka bagomba kwitonderwa cyane kuri iyi miti. Nubwo rimwe na rimwe biba ngombwa mugihe cyo gutwita, umuganga wawe azagereranya inyungu n'ibishobora kuba byabangamira wowe n'umwana wawe.

Abantu bakuze bashobora kwiyumva cyane kuri phenothiazines kandi bashobora gukenera urugero ruto. Umuganga wawe azakugenzura neza niba urengeje imyaka 65 kugirango yemeze ko umuti ukora neza.

Amazina y'ubwoko bwa Phenothiazine

Phenothiazines ziboneka munsi y'amazina menshi y'ubucuruzi, buri rimwe rikaba rikubiyemo imiti itandukanye muri iki cyiciro. Izisanzwe ushobora guhura nazo harimo Thorazine, ikubiyemo chlorpromazine ikoreshwa mu buzima bwo mu mutwe.

Phenergan ni irindi zina ry'ubucuruzi rizwi cyane rikubiyemo promethazine, akenshi ikoreshwa mu kuruka no kurwara allergie. Compazine (prochlorperazine) ikunda kwandikwa ku kuruka gukabije.

Farumasi yawe ishobora no kugira verisiyo rusange z'iyi miti, ikubiyemo ibikoresho bikora kimwe ariko bihendutse. Phenothiazines rusange zikora neza nk'izina ry'ubucuruzi kandi zujuje ibisabwa by'umutekano.

Uburyo bwo gusimbuza Phenothiazine

Niba phenothiazines zitagukundira cyangwa zikaba zateza ingaruka zitishimira, muganga wawe afite uburyo bwinshi bwo gusuzuma. Guhitamo neza biterwa n'uburwayi bwawe bwihariye n'uko umubiri wawe witwara ku miti itandukanye.

Ku bibazo byo mu mutwe, imiti mishya ya antipsychotike nka risperidone cyangwa olanzapine birashobora kuba amahitamo meza. Iyi miti akenshi igira ingaruka nke zijyanye no kugenda kurusha phenothiazines gakondo.

Ku kuruka, ibindi bisimbura harimo ondansetron (Zofran), ikora mu buryo butandukanye na phenothiazines. Antihistamines nka meclizine irashobora gufasha mu kurwara urugendo, mugihe metoclopramide ishobora gukora ku bwoko runaka bwo kuruka.

Uburyo karemano rimwe na rimwe bushobora guhuza cyangwa gusimbuza imiti ku bimenyetso byoroheje. Ibiyobyabwenge bya ginger bishobora gufasha kuruka, mugihe uburyo bwo kuruhuka bushobora gushyigikira kuvura ubuzima bwo mu mutwe. Buri gihe ganira kuri izi mpaka na muganga wawe mbere yo guhindura.

Ese Phenothiazine iruta Haloperidol?

Phenothiazines na haloperidol byombi ni imiti ya antipsychotike ya kera, ariko bikora mu buryo butandukanye gato kandi bifite ingaruka zitandukanye. Nta na kimwe kirenze ikindi - biterwa n'ibyo ukeneye ku giti cyawe n'uko umubiri wawe witwara.

Phenothiazines zikunda gutuma umuntu asinzira kurusha haloperidol, ibyo bishobora gufasha niba urimo guhangana no guhuzagurika gukabije cyangwa ukeneye ubufasha bwo gusinzira. Ariko, uku gusinzira bishobora kubangamira ibikorwa byawe bya buri munsi kurusha uko haloperidol yabikora.

Haloperidol akenshi ikoreshwa mu kuvura ibibazo bya psychotique byihutirwa kuko bidakunze gutera igabanuka ry'umuvuduko w'amaraso. Ariko, bishobora gutera ingaruka zifitanye isano no kugenda kurusha phenothiazines zimwe.

Muganga wawe azatekereza ku bimenyetso byawe byihariye, amateka yawe y'ubuzima, n'imibereho yawe ya buri munsi mugihe ahitamo hagati y'iyo miti. Bashobora ndetse no kugerageza byombi kugirango barebe niba hari ikigukorera neza.

Ibibazo Bikunze Kubazwa Kuri Phenothiazine

Ese Phenothiazine irakwiriye ku ndwara z'umutima?

Phenothiazines bisaba gukurikiranwa neza niba ufite indwara y'umutima, ariko rimwe na rimwe birashobora gukoreshwa neza niba bikurikiranwa na muganga. Iyi miti ishobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, bityo muganga wawe azakenera gupima inyungu zayo n'ibishobora gutera.

Niba ufite indwara y'umutima, muganga wawe ashobora gutangira n'urugero ruto hanyuma akagenzura imikorere y'umutima wawe cyane. Bashobora gutumiza EKGs zisanzwe kugirango barebe niba umutima wawe ukomeza gukora neza mugihe urimo gufata umuti.

Nigute nakora niba mfashe phenothiazine nyinshi bitunguranye?

Niba ufata phenothiazine nyinshi bitunguranye, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, kabone niyo wumva umeze neza. Gufata nyinshi bishobora gutera ingaruka zikomeye nk'ibitotsi bikabije, urujijo, cyangwa impinduka ziteje akaga mu mutima.

Ntugerageze kwivugisha umuriro keretse ubitegetswe n'umuganga. Bika icupa ry'umuti hamwe nawe kugirango ushobore kubwira abaganga neza icyo wafashe n'ingano yacyo.

Nigute nakora niba nirengagije urugero rwa phenothiazine?

Niba wibagiwe gufata urugero rwa phenothiazine, rufate uko wibukije, keretse igihe cyo gufata urundi rugero rwegereje. Mu gihe nk'icyo, reka urugero wibagiwe, ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakunda. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha igikoresho cyo gutegura imiti kugira ngo bigufashe kuguma ku murongo.

Ni ryari nshobora kureka gufata Phenothiazine?

Reka gufata phenothiazines gusa igihe muganga wawe akubwiye ko bitekanye kubikora. Guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti cyangwa bikemerera ibimenyetso byawe bya mbere gusubira, rimwe na rimwe bikomeye kurusha mbere.

Muganga wawe azakora gahunda yo kugabanya buhoro buhoro niba ukeneye kureka gufata umuti. Iyi gahunda ishobora gufata ibyumweru byinshi cyangwa amezi, bitewe n'igihe umaze ufata umuti n'uburyo umubiri wawe wabyitwayemo.

Nshobora gutwara imodoka nkanwa phenothiazine?

Ugomba kwitonda cyane ku gutwara imodoka igihe utangiye gufata phenothiazines, kuko bishobora gutera gusinzira no kugira ingaruka ku buryo witwara. Tegereza kugeza umenye uko umuti ukugiraho ingaruka mbere yo gutwara imodoka cyangwa gukoresha imashini.

Abantu benshi bashobora gutwara neza imodoka igihe bamaze kumenyera umuti, ariko ibi bitandukana ku muntu ku muntu. Niba ukomeje kumva usinzira cyangwa uribwa umutwe, ganira n'umuganga wawe ku buryo bwo gutwara butandukanye aho gushyira ubuzima bwawe mu kaga.