Haldol, Haldol Decanoate
Isikhubekiso seHaloperidol sisetshenziswa ekwelapheni i-schizophrenia. Le mishini akufanele isetshenziswe ekwelapheni izinkinga zokuziphatha kubantu abadala abakhulu abanephyschosis ehlobene ne-dementia. Lona umkhiqizo utholakala kuphela ngomyalelo wochwepheshe wezokwelapha. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Umakuqondisa ekusebenziseni imithi, kubalulekile ukuqhathanisa izingozi zokusebenzisa imithi nezinzuzo ezingaba khona. Lena yinqubo ozoyenza wena nodokotela wakho. Ngale mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nokuthile okungavamile noma uketshezi oluyimbangela yokuvuvukala kule mithi noma kwezinye izidakamizwa. Tshela odokotela wakho uma unezinye izinhlobo zoketshezi oluyimbangela yokuvuvukala, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izingxenyekazi zephakheji ngokucophelela. Akwenziwanga ucwaningo olufanele mayelana nobudlelwano phakathi nobudala nemiphumela yokubeka i-haloperidol kubantwana. Ukuphepha nokuphumelela akukaqiniswa. Ucwaningo olufanele oluqediwe kuze kube manje alubonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-haloperidol kubantu abadala. Kodwa-ke, abesifazane abadala banethuba elikhulu lokuba nemiphumela emibi ebizwa ngokuthi i-tardive dyskinesia, futhi iziguli ezikhulile zinezinkinga zenhliziyo ezihlobene nobudala, okungase kudinge ukulungiswa komthamo kwabantu abamukela i-haloperidol. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Uma wamukele le mithi, kubalulekile ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili izidakamizwa ziyalelwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki enye noma zombili izidakamizwa. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yemiphumela emibi ethile, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili izidakamizwa ziyalelwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma ngesikhathi sokudla izinhlobo ezithile zokudla ngoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nanoma yimiphi imithi kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kungakhuthazwa kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Umshula wesibeletho noma omunye ochwepheshe bezempilo oqeqeshwe uzohlinzeka ngalolu hlobo lwemiyekezo esikhungweni sezempilo. Lunikezwa njengesiphuzo esisodwa samathambo. Udokotela wakho angakunika imithamo embalwa yalolu hlobo lwemiyekezo kuze kube yilapho isimo sakho siphucuka, bese ukushintshela kwelapha emlonyeni eliphumeza umsebenzi ofanayo. Uma uneminye imibuzo mayelana nalokhu, xhumana nodokotela wakho.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.