Olanzapine neFluoxetine (inorapwa nemumuromo)
Mhando dzinowanikwa
Symbyax
Nezve mushonga uyu
Musanganiswa ye olanzapine ne fluoxetine inoshandiswa kurapa kuora mwoyo kuri chikamu chehosha yebipolar, uye kuora mwoyo muvarwere vakagamuchira mishonga inorwisa kuora mwoyo yakanga isina kushanda zvakanaka. Mishonga iyi haifaniri kushandiswa kurapa matambudziko ehutano muvarwere vakwegura vane dementia kana Alzheimer's disease. Olanzapine ne fluoxetine zvinoshanda nekuwedzera basa remakemikari anonzi serotonin, norepinephrine, uye dopamine muuropi. Makemikari aya anobatsira kuderedza zviratidzo zvekuora mwoyo. Olanzapine ndiyo mushonga unorwisa psychosis. Fluoxetine ndiyo mushonga unorwisa kuora mwoyo uye uri muchikwata chemishonga inozivikanwa se selective serotonin reuptake inhibitors (SSRIs). Mishonga iyi inowanikwa chete nechirango chechiremba wako. Chigadzirwa ichi chinowanikwa mumafomu anotevera ekurapa:
Usati washandisa mushonga uyu
Mukusarudza kushandisa mushonga, njodzi dzekutora mushonga unofanirwa kuyeranidzwa ne zvakanaka zvaunoita. Iyi sarudzo iwe nechikamu chako muchaiita. Kune mushonga uyu, zvinotevera zvinofanirwa kufungwa: Udza chiremba wako kana iwe wakambonzwa chero mhinduro isinganzwisisiki kana chirwere cheallergic kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana iwe uine mamwe marudzi eallergies, akadai sechikafu, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinhu zvakanyatsonaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye olanzapine ne fluoxetine musanganiswa wekurapa bipolar I depression muvana vane makore asingasviki gumi, uye muvana vane kurapwa kunoramba kuripo. Kuvimbika uye kushanda hazvina kusimbiswa mumapoka aya. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo emakore ekukwegura aizoita kuti kushandiswa kwe olanzapine ne fluoxetine musanganiswa kuve kwakaderera muvakuru. Zvisinei, varwere vakwegura vane mukana wakakura wekuva ne dementia kana matambudziko ekukwegura ehuro, itsvo, kana moyo, izvo zvinoda kungwarira kana kugadziriswa kwemishonga kune varwere vanogamuchira olanzapine ne fluoxetine musanganiswa. Ongororo muvakadzi vanoyamwisa dzakaratidza migumisiro yakaipa yevacheche. Imwe nzira yemushonga uyu inofanira kunyorwa kana iwe uchifanira kurega kuyamwisa uchishandisa mushonga uyu. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Munyaya idzi, chiremba wako angada kuchinja dose, kana mamwe matanho angave achidiwa. Kana uri kutora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana ne kukosha kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusimudzirwi. Chiremba wako angasarudza kusakurapa iwe nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kusimudzirwa, asi kunogona kudiwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa sei imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kwenjodzi yemigumisiro yakati, asi kushandisa mishonga yose kunogona kuva kurapa kwakanakira iwe. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa sei imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo ne nguva yekudya kana kudya marudzi akati ekudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana. Kuwirirana kunotevera kwakasarudzwa zvichienderana ne kukosha kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero zvinotevera kazhinji hakusi kusimudzirwa, asi kungasava nyore kudzivisa mune dzimwe nguva. Kana zvakashandiswa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa sei mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa zvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana iwe uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chete sezvakarayirwa nachiremba wako kuti uve nebetsero yakawanda pane zvaunorwara. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura zvakarayirwa nachiremba wako. Mushonga uyu unofanira kuuya neGwara reMishonga. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana mushonga wako kana uine mibvunzo. Unogona kutora mushonga uyu uchidyisa kana usina kudya. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri papendekete. Ruzivo runotevera rinosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana wakanganwa dose yemushonga uyu, itora nekukurumidza sezvinobvira. Zvisinei, kana iri nguva pfupi yeku dose yako inotevera, siya dose yakanganwika uye dzokera kune yako dosing schedule yakajairwa. Usatore doses kaviri. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kuti urege kuomarara. Chengetedza kure nevana. Usachengetse mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yehutano hwako maitiro ekurasa chero mushonga wausashandisi.