Yini i-Droperidol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Droperidol iyimithi enamandla ye-antipsychotic enikezwa ngomjovo ukusiza ukulawula ukucasuka okukhulu, isicanucanu, nokuhlanza ezindaweni zasemtholampilo. Le mithi isebenza ngokushesha ukuthulisa uhlelo lwezinzwa futhi ngokuvamile isetshenziswa lapho ezinye izindlela zokwelapha zingasebenzanga noma lapho kudingeka khona ukukhululeka ngokushesha. Abahlinzeki bezempilo basebenzisa i-droperidol ngokucophelela ngoba iyimithi eqinile edinga ukuqashwa eduze.

Yini i-Droperidol?

I-Droperidol ingeyeqembu lemithi ebizwa ngokuthi ama-butyrophenones, okuyizidakamizwa ezinamandla ze-antipsychotic. Isebenza ngokuvimba amakhemikhali athile obuchopho abizwa ngokuthi ama-dopamine receptors, okusiza ukunciphisa umsebenzi ongaqondakali wobuchopho obangela izimpawu ezinzima. Le mithi isetshenziswe ezindaweni zezokwelapha amashumi eminyaka futhi ithathwa njengephumelelayo ezimweni ezithile.

Lo muthi uza njengoketshezi olucacile olujovwa ochwepheshe bezempilo emsipheni wakho noma emthanjeni. Uzothola i-droperidol kuphela ezibhedlela, emitholampilo, noma ezikhungweni zezokwelapha lapho abasebenzi abaqeqeshiwe bengakuqapha eduze. Ayitholakali njengepilisi noma ukusetshenziswa ekhaya ngoba idinga ukuqashwa kwezokwelapha ngokucophelela.

Isetshenziselwani i-Droperidol?

I-Droperidol iphatha ukucasuka okukhulu nokuziphatha okunolaka uma usesimweni esinzima. Odokotela bavame ukuyisebenzisa emagumbini eziphuthumayo lapho othile enenkinga yempilo yengqondo noma eba nokuziphatha okuyingozi okungalimaza bona noma abanye. Ilusizo ikakhulukazi lapho izindlela zokuthulisa ngamazwi neminye imithi ingasebenzanga.

Le mithi futhi ivimbela futhi iphathe isicanucanu esinzima nokuhlanza, ikakhulukazi ngemva kokuhlinzwa noma ngesikhathi senqubo ethile yezokwelapha. Abantu abaningi bahlangabezana nalezi zimpawu lapho belulama ku-anesthesia, futhi i-droperidol inganikeza ukukhululeka okusheshayo. Ilusizo ikakhulukazi lapho eminye imithi elwa nesicanucanu ingasebenzanga.

Ngesinye isikhathi odokotela basebenzisa i-droperidol njengengxenye ye-anesthesia ukukusiza ukuthi uhlale uzolile futhi ukhululekile ngesikhathi sokuhlinzwa. Kulezi zimo, isebenza kanye neminye imithi ukudala indawo ephephile, elawulwayo yokuhlinzwa noma ezinye izindlela zokwelapha.

Isebenza Kanjani I-Droperidol?

I-Droperidol iyimithi eqinile evimba ama-dopamine receptors ebuchosheni bakho, ikakhulukazi ezindaweni ezilawula ukunyakaza, imizwa, nokucasuka. Cabanga nge-dopamine njengomthunywa ebuchosheni bakho ongathumela izimpawu eziningi kakhulu ngezinye izikhathi, okubangela ukucasuka noma ukucasuka okukhulu. Ngokuvimba la ma-receptor, i-droperidol isiza ukuthulisa izimpawu zobuchopho ezigxilile.

Umuthi usebenza ngokushesha, ngokuvamile kungakapheli imizuzu engu-15 kuya kwengama-30 ngemva kokujovwa. Imiphumela yawo ingahlala amahora amaningana, inikeze ithimba lakho lezempilo isikhathi sokubhekana nezimbangela eziyisisekelo zezimpawu zakho. Ngenxa yokuthi inamandla, ngisho nemithamo emincane ingaba nemiphumela emikhulu ohlelweni lwakho lwezinzwa.

Lo muthi uphinde uthinte isigqi senhliziyo yakho ngokuvimba izindlela ezithile zikagesi. Nakuba lokhu kungasiza kwezinye izimo, futhi yingakho odokotela beqapha umsebenzi wenhliziyo yakho eduze uma uthola i-droperidol.

Kufanele Ngiyithathe Kanjani I-Droperidol?

Ngeke uzithathele wena i-droperidol ngoba ngaso sonke isikhathi inikezwa ochwepheshe bezempilo ezindaweni zezokwelapha. Umnakekeli noma udokotela uzoyijova emsipheni wakho noma ngokuqondile emthanjeni ngomugqa we-IV. Indlela incike esimweni sakho esithile nokuthi ngokushesha kangakanani udinga ukukhululeka.

Ngaphambi kokuthola i-droperidol, ithimba lakho lezempilo lizohlola umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje. Bazofuna ukwazi nganoma yiziphi izinkinga zenhliziyo, eminye imithi oyithathayo, nokuthi ngabe uke waba nokusabela emithini efanayo. Lolu lwazi lubasiza ukuthi banqume indlela ephephe kunazo zonke yokwelashwa kwakho.

Akudingeki ukuthi udle noma uphuze noma yini ekhethekile ngaphambi kokuthola i-droperidol. Kodwa-ke, uma uthola umjovo ngaphambi kokuhlinzwa, cishe uzodinga ukulandela imiyalelo yokuzila ukudla enikezwa ithimba lakho lezokwelapha. Bazokunikeza isiqondiso esiqondile esisekelwe esimweni sakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Droperidol?

I-Droperidol ngokuvamile inikezwa njengomthamo owodwa noma uchungechunge olufushane lwemijovo kunokuba kube ukwelashwa kwesikhathi eside. Abantu abaningi bayithola kanye ukuze babhekane nenkinga esheshayo noma inqubo ethile yezokwelapha. Imiphumela ivame ukuhlala amahora angu-2 kuya kwangu-4, okuyisikhathi esanele sokuzinzisa isimo sakho.

Uma udinga imithamo eminingi, ithimba lakho lezempilo lizowahlukanisa ngokucophelela futhi likuqaphe ngokuqhubekayo. Bazobheka izimpawu zokuthi umuthi uyasebenza futhi bahlole noma yiziphi izimo ezingase zibe khona. Umgomo uhlala ukusebenzisa umthamo omncane osebenzayo ngesikhathi esifushane ngangokunokwenzeka.

Odokotela bakho bazoyeka ukukunikeza i-droperidol ngokushesha nje lapho izimpawu zakho zithuthuka noma bengakushintshela kwezinye izindlela eziphephile. Bangase bakushintshele emithini yomlomo ongayithatha ekhaya, noma bangase bathole ukuthi awusadingi imithi nhlobo.

Yiziphi Imiphumela Eceleni Ye-Droperidol?

Njengayo yonke imithi enamandla, i-droperidol ingabangela imiphumela engemihle esukela kokuncane kuya kokukhulu. Ukuqonda lezi zinto ezingenzeka kukusiza ukuthi wazi ukuthi yini ongayilindela nokuthi nini okufanele ufune usizo olwengeziwe. Ithimba lakho lezempilo lizokuqapha eduze ukuze libambe noma yiziphi izinkinga zisasekuqaleni.

Imiphumela ejwayelekile engemihle abantu abaningi abayizwayo ihlanganisa ukozela, isiyezi, nokuzizwa ungenamahloni noma ukhathazekile. Ungase futhi uqaphele ukuqina kwemisipha, ikakhulukazi ebusweni bakho, entanyeni, noma ezingalweni. Abanye abantu bazizwa bedidekile noma benobunzima bokugxila ngemva kokuthola i-droperidol.

Nawa imiphumela engemihle ebikwa kaningi ongase uyizwe:

• Ukozela nokukhathala okungahlala amahora amaningi
• Isiyezi noma ukuzizwa ungazinzile uma umi
• Ukuqina kwemisipha, ikakhulu ebusweni nasentanyeni yakho
• Ukungazinzi noma ukuzizwa ungenakuhlala uzolile
• Umlomo owomile nokoma okukhulu
• Ukubona okungacacile noma ubunzima bokugxila
• Umfutho wegazi ophansi okungenzeka ukuthi ukwenza uzizwe uzoquleka

Le miphumela ejwayelekile ivame ukuncipha njengoba umuthi uphela, kodwa ithimba lakho lezokwelapha lizokusiza ukuba ubhekane nanoma yikuphi ukungakhululeki.

Imiphumela emibi engathi sína idinga ukunakekelwa kwezokwelapha ngokushesha futhi ihlanganisa izinguquko eziyingozi esigqi senhliziyo yakho. I-Droperidol ingabangela isimo esibizwa ngokuthi i-QT prolongation, lapho uhlelo lukagesi lwenhliziyo yakho lungazinzi. Yingakho uzoba nokuqapha okuqhubekayo kwenhliziyo ngenkathi uthola lo muthi.

Imiphumela emibi engavamile kodwa engathi sína edinga ukwelashwa okuphuthumayo ihlanganisa:

• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ukuqina kwemisipha okukhulu emzimbeni wakho wonke
• Umkhuhlane ophezulu nokujuluka ngokweqile
• Ubunzima bokuphefumula noma ukugwinya
• Ukunyakaza kwemisipha okungalawuleki ebusweni noma olimini lwakho
• Ukwehla okukhulu komfutho wegazi okubangela ukuquleka
• Ukungezwani komzimba nezinto ezithile ezinamathambo, ukuvuvukala, noma ubunzima bokuphefumula

Ngokuvamile, i-droperidol ingabangela isimo esisongela impilo esibizwa ngokuthi i-neuroleptic malignant syndrome, lapho izinga lokushisa lomzimba wakho likhuphuka ngokuyingozi futhi imisipha yakho iba lukhuni kakhulu. Ithimba lakho lezempilo liyazi ukuthi lingasibona kanjani futhi lilaphe lesi simo ngokushesha.

Ubani Ongafanele Athole I-Droperidol?

I-Droperidol ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokunquma ukuthi ilungele yini. Abantu abanezimo ezithile zenhliziyo babhekana nezingozi eziphezulu ngoba umuthi ungathinta isigqi senhliziyo. Ithimba lakho lezempilo lizokwenza i-electrocardiogram (EKG) ukuze lihlole umsebenzi kagesi wenhliziyo yakho ngaphambi kokukunika i-droperidol.

Akufanele wamukele i-droperidol uma wazi ukuthi unokungezwani nayo noma eminye imithi efanayo. Uma uke waba nokusabela okukhulu kweminye imithi elwa nokucindezeleka, udokotela wakho cishe uzokhetha enye indlela yokwelapha. Bazogwema i-droperidol uma unezimo ezithile ezingavamile zofuzo ezithinta indlela umzimba wakho oyiqeda ngayo imithi.

Izimo eziningi zezokwelapha zenza i-droperidol ibe yingozi kuwe:

• Ukuphazamiseka kwesigqi senhliziyo noma isikhathi eside se-QT
• Isifo senhliziyo esibi noma ukuhlaselwa yinhliziyo kwakamuva
• Umfutho wegazi ophansi kakhulu noma ukushaqeka
• Isifo esibi sezinso noma sesibindi
• Isifo sikaParkinson noma izifo ezifanayo zokunyakaza
• Ukuphazamiseka kokuhlaselwa okungalawulwa kahle
• Ukucindezeleka okukhulu noma imicabango yokuzibulala

Udokotela wakho uzohlola izingozi nezinzuzo ngokucophelela, ikakhulukazi uma unezinye zalezi zimo kodwa udinga ngempela imithi.

Abesifazane abakhulelwe ngokuvamile abamukeli i-droperidol ngaphandle uma kunesimo esiphuthumayo esisongela impilo. Umuthi ungangena esithweni somzimba futhi ungase uthinte ingane yakho esakhula. Uma uncelisa, udokotela wakho uzoxoxa ngokuthi izinzuzo zidlula yini izingozi, njengoba amanani amancane engangena obisini lwebele.

Amagama Omkhiqizo we-Droperidol

I-Droperidol itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba izibhedlela nemitholampilo eminingi isebenzisa inguqulo ejwayelekile. Igama elivamile lomkhiqizo yi-Inapsine, equkethe isithako esifanayo esisebenzayo njenge-droperidol ejwayelekile. Ezinye izikhungo zezokwelapha zingase zibe namanye amagama omkhiqizo, kodwa zonke zisebenza ngendlela efanayo.

Ithimba lakho lezempilo lizokutshela ukuthi yimuphi umkhiqizo othile abawusebenzisayo, nakuba igama lomkhiqizo ngokuvamile lingabalulekile ekwelashweni kwakho. Okubalulekile ukuthi uthola imithi evela ochwepheshe abaqeqeshiwe abangakuqapha kahle. I-droperidol ejwayelekile isebenza kahle njengezinhlobo zamagama omkhiqizo futhi ihlangabezana nezindinganiso zokuphepha ezifanayo.

Ezinye izindlela ze-Droperidol

Eminye imithi eminingi ingelapha izimo ezifanayo uma i-droperidol ingakulungele. Ukuze kulawulwe ukuthuthumela okukhulu, odokotela bangasebenzisa i-haloperidol, esebenza ngendlela efanayo kodwa inemiphumela ehlukile. I-Lorazepam ingenye inketho enganciphisa ukukhathazeka nokuthuthumela, nakuba isebenza ngezindlela ezihlukene zobuchopho.

Ukuze kulawulwe isicanucanu nokuhlanza, ezinye izindlela zihlanganisa i-ondansetron, evame ukuba iphephe kubantu abanezinkinga zenhliziyo. I-Promethazine ingenye imithi elwa nesicanucanu esebenza ngendlela ehlukile kune-droperidol. Udokotela wakho angase futhi acabangele i-metoclopramide, kuye ngokuthi yini ebangela izimpawu zakho.

Ngezinye izikhathi ukuhlanganiswa kwemithi kusebenza kangcono kunemithi eyodwa. Ithimba lakho lezempilo lingasebenzisa imithamo emincane yemithi emibili ehlukene kunomthamo omkhulu we-droperidol. Le ndlela ingaba iphephe ngenkathi isahlinzeka ngokuqeda izimpawu ngempumelelo.

Ingabe i-Droperidol Ingcono Kune-Haloperidol?

Kokubili i-droperidol ne-haloperidol ziyimithi ephumelelayo yokulwa nokucindezeleka, kodwa zinamandla nezingozi ezehlukene. I-Droperidol isebenza ngokushesha futhi ivame ukukhethwa ezimweni eziphuthumayo lapho kudingeka khona isenzo esisheshayo. Ilungele ikakhulukazi ukwelapha isicanucanu esibi nokuhlanza kanye nokuthuthumela.

I-Haloperidol ingase iphephe kubantu abanezimo ezithile zenhliziyo ngoba inethonya elincane esigcawini senhliziyo. Kodwa-ke, ingabangela imiphumela eminingi ehlobene nokunyakaza njengokuqina kwemisipha nokuthuthumela. Ukukhetha phakathi kwabo kuncike ezimpawini zakho ezithile, umlando wezokwelapha, kanye nesimo sakho sempilo samanje.

Udokotela wakho uzocabangela izici eziningana lapho ekhetha phakathi kwale mithi. Bazobheka ukuthi udinga ukukhululeka ezimpawini ngokushesha kangakanani, izici zakho eziyingozi zemiphumela emibi, nokuthi ngabe udinga ukwelashwa ngezimpawu eziningi ngesikhathi esisodwa. Akukho mithi engcono ngokujwayelekile - kuncike esimweni sakho ngasinye.

Imibuzo Evame Ukubuzwa Nge-Droperidol

U-Q1. Ingabe i-Droperidol iphephile kubantu abanezifo zenhliziyo?

I-Droperidol idinga ukuqapha okwengeziwe uma unesifo senhliziyo ngoba ingathinta uhlelo lukagesi lwenhliziyo yakho. Udokotela wakho uzokwenza i-EKG ngaphambi kokukunika umuthi futhi aqaphe inhliziyo yakho ngokuqhubekayo ngesikhathi sokwelashwa. Bazohlola izingozi ngokumelene nezinzuzo, ikakhulukazi uma usesimweni esiphuthumayo sezokwelapha.

Uma unezinkinga zenhliziyo ezilula, udokotela wakho angase asebenzise i-droperidol kodwa ngokuqapha okuseduze futhi mhlawumbe ngomthamo ophansi. Kodwa-ke, uma unezinkinga ezinzima zokushaya kwenhliziyo noma izinkinga zenhliziyo zakamuva, cishe bazokhetha omunye umuthi. Ukuphepha kwakho kuhlala kuyinto eza kuqala.

U-Q2. Kufanele ngenzeni uma ngithola i-Droperidol eningi ngengozi?

Awukwazi ukuthatha i-droperidol eningi ngengozi ngoba ochwepheshe bezempilo babala ngokucophelela futhi banikeze yonke imithamo. Kodwa-ke, uma uhlangabezana nemiphumela emibi ngemva kokuthola umuthi, tshela ithimba lakho lezokwelapha ngokushesha. Baqeqeshwe ukuqaphela nokwelapha izimpawu zokweqisa umthamo.

Izimpawu ze-droperidol eningi zihlanganisa ukozela okukhulu, umfutho wegazi ophansi kakhulu, ukushaya kwenhliziyo okungajwayelekile, noma ubunzima bokuphefumula. Ithimba lakho lezempilo lizohlinzeka ngokunakekelwa okusekelayo, liqaphe izimpawu zakho ezibalulekile ngokucophelela, futhi lingakunika imithi yokulwa nemiphumela emibi. Ukululama kuvame ukwenzeka kancane kancane njengoba umuthi usuka emzimbeni wakho.

U-Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Droperidol?

Ukuphuthelwa umthamo ngokuvamile akuyona into ekhathazayo ngoba i-droperidol ngokuvamile inikezwa njengomjovo owodwa noma uchungechunge olufushane lwemithamo ezindaweni zezokwelapha. Ithimba lakho lezempilo lihlela umthamo ngamunye ngokusekelwe ezidingweni zakho ngokushesha kanye nokuphendula ekwelashweni. Uma bekufanele uthole umthamo olandelayo, bazobuyekeza ukuthi usawudinga yini.

Ungakhathazeki ngemithamo ephuthelwe ekhaya ngoba ngeke usebenzise i-droperidol ngaphandle kwezikhungo zezokwelapha. Ithimba lakho lezempilo lizolungisa uhlelo lwakho lokwelashwa ngokusekelwe endleleni ozabela ngayo nokuthi ngabe udinga eminye imithi.

Q4. Ngingayeka nini ukuthatha i-Droperidol?

Awunqumi ukuthi uyeka nini i-droperidol ngoba ochwepheshe bezempilo balawula zonke izinqumo zokulinganisa. Bazoyeka ukukunika umuthi uma izimpawu zakho zithuthuka, uma bengakushintshela ngokuphephile kwezinye izindlela zokwelapha, noma uma uba nemiphumela engathandeki. Abantu abaningi bathola i-droperidol amahora ambalwa kuya ezinsukwini ezimbalwa.

Ithimba lakho lezokwelapha lizokushintsha kancane kancane ukuthi ungayeki i-droperidol kunokuthi uyeke kungazelelwe uma kungenzeka. Bangase bakushintshele emithini yomlomo ongayithatha ekhaya, noma bangase banqume ukuthi awusadingi noma yimuphi umuthi. Umgomo uhlala ukusebenzisa umuthi omncane isikhathi esifushane esidingekayo.

Q5. Ngingashayela ngemva kokuthola i-Droperidol?

Akufanele ushayele noma usebenzise imishini okungenani amahora angama-24 ngemuva kokuthola i-droperidol ngoba ingabangela ukozela, isiyezi, nokukhubazeka kokwahlulela. Le miphumela ingahlala amahora amaningi ngemuva komjovo, ngisho noma uzizwa uqaphele kakhulu. Isikhathi sakho sokusabela nokuxhumana kungase kuthinteke ngisho noma ungazizwa ukozela.

Ngaphambi kokushiya isikhungo sezokwelapha, qiniseka ukuthi unomuntu ozokushayela ekhaya. Ithimba lakho lezempilo lizokunika imiyalelo ethile mayelana nokuthi kuphephile nini ukuqhubeka nemisebenzi ejwayelekile. Ungenzi izinqumo ezibalulekile noma usayine imibhalo yezomthetho kuze kube yilapho umuthi usuphele ngokuphelele futhi uzizwa ucacile engqondweni.