Yini i-Olanzapine ne-Fluoxetine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Olanzapine ne-fluoxetine yinhlanganisela yemithi ehlanganisa imithi emibili enamandla ukwelapha izimo ezithile zempilo yengqondo. Le nhlanganisela ihlanganisa i-olanzapine (i-antipsychotic) ne-fluoxetine (i-antidepressant) ekapsuleni elilodwa, okwenza kube lula ukuthi ulawule ukwelashwa kwakho.

Udokotela wakho angase akubhalele le nhlanganisela uma udinga imithi yomibili isebenze ndawonye ukusiza ukuzinzisa imizwa yakho nemicabango yakho. Yenzelwe ngqo abantu abazuza ekubeni nezinhlobo zombili zemithi ohlelweni lwabo lokwelashwa.

Isetshenziselwani i-Olanzapine ne-Fluoxetine?

Le nhlanganisela yemithi isetshenziselwa ikakhulukazi ukwelapha ukucindezeleka okumelana nokwelashwa kanye neziqephu zokucindezeleka ezihambisana nesifo se-bipolar I. Ukucindezeleka okumelana nokwelashwa kusho ukuthi ukucindezeleka kwakho akuthuthukanga ngokwanele ngamanye ama-antidepressants kuphela.

Le nhlanganisela isebenza kahle ikakhulukazi kubantu abanezimpawu zokucindezeleka kanye nokuphazamiseka okuthile kwemicabango. Udokotela wakho angase akuncome lokhu uma uzamile ezinye izindlela zokwelapha ezingakunikezanga impumuzo oyidingayo.

Ngezinye izikhathi, odokotela baphinda babhale le nhlanganisela kwezinye izimo ezihlobene nemizwa lapho benquma ukuthi izinzuzo zidlula izingozi. Kodwa-ke, ukusetshenziswa okuyinhloko okuvunyelwe kugxila kulezi zinhlobo ezithile zokucindezeleka ezingaba yinselele ukuzelapha ngemithi eyodwa.

Isebenza kanjani i-Olanzapine ne-Fluoxetine?

Le nhlanganisela yemithi isebenza ngokugxila kumakhemikhali ahlukene obuchopho athinta imizwa yakho nokucabanga kwakho. I-Fluoxetine yandisa amazinga e-serotonin ebuchosheni bakho, okusiza ukuthuthukisa imizwa nokunciphisa izimpawu zokucindezeleka.

I-Olanzapine isebenza kumakhemikhali amaningana obuchopho okuhlanganisa i-dopamine ne-serotonin, okusiza ukuzinzisa imicabango nokuguquguquka kwemizwa. Ngokuhlangene, le mithi inikeza indlela ebanzi yokwelapha izifo eziyinkimbinkimbi zemizwa.

Kucabange njengokuthi ubhekana nenkinga ngamasu amabili ngesikhathi esisodwa. I-fluoxetine isiza ukuphakamisa imizwa yakho ngenkathi i-olanzapine isiza ukuzinza kwesimo sakho sengqondo esiphelele, okudala umphumela wokwelapha olinganiselwe kakhulu kunanoma yimuphi umuthi wedwa.

Kufanele Ngiyithathe Kanjani I-Olanzapine ne-Fluoxetine?

Thatha lo muthi ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku kusihlwa. Ungayithatha nokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ukunciphisa isisu uma uhlangabezana nanoma yini.

Gwinya ikhaphule ngokugcwele ngengilazi yamanzi egcwele. Ungagxobi, uhlafune, noma uvule ikhaphule, ngoba lokhu kungathinta ukuthi umuthi usebenza kanjani emzimbeni wakho.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukukusiza ukuthi ukhumbule futhi ugcine amazinga aqhubekayo ohlelweni lwakho. Uma ushintsha kweminye imithi, udokotela wakho uzokuqondisa ngenqubo yokushintsha ngokucophelela.

Abantu abaningi bathola ukuthi ukuthatha lo muthi kusihlwa kuyasiza ngoba i-olanzapine ingabangela ukozela. Kodwa-ke, landela imiyalelo ethile kadokotela wakho mayelana nesikhathi, njengoba bazi isimo sakho ngasinye kangcono.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Olanzapine ne-Fluoxetine?

Ubude bokwelashwa buyahluka kakhulu kuye ngesimo sakho ngasinye nokuphendula emuthini. Abantu abaningi badinga ukuthatha le nhlanganisela izinyanga eziningana ukuze babone izinzuzo ezigcwele.

Udokotela wakho uzoqapha njalo inqubekela phambili yakho futhi alungise uhlelo lwakho lokwelapha njengoba kudingeka. Abanye abantu bangase badinge lo muthi izinyanga ezimbalwa, kanti abanye bangazuza ekwelashweni kwesikhathi eside.

Ungayeki ukuthatha lo muthi ngokuzumayo, ngisho noma uzizwa ungcono. Udokotela wakho uzokusiza ukuthi unciphise kancane umthamo lapho sekuyisikhathi sokuyeka, okusiza ukuvimbela izimpawu zokuhoxisa futhi kuvikele ukuzinza kwempilo yakho yengqondo.

Yiziphi Imiphumela Eceleni Ye-Olanzapine ne-Fluoxetine?

Njengazo zonke izidakamizwa, le nhlanganisela ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi iyalawuleka futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nawa amanye emiphumela emibi evame kakhulu ongase uyithole njengoba umzimba wakho ujwayela umuthi:

• Ukozela noma ukuzizwa ulele emini
• Ukukhuluphala noma ukwanda kwesifiso sokudla
• Isiyezi, ikakhulukazi uma usukuma
• Umlomo owomile
• Ukuqunjelwa
• Ukubona okungacacile
• Ubunzima bokugxila ekuqaleni
• Ukukhathala noma ukuzizwa ukhathele

Le miphumela evamile ivame ukungabonakali kakhulu njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Eminye imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha:

• Umkhuhlane omkhulu ongazelelwe onokuqina kwemisipha
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Isiyezi esikhulu noma ukuquleka
• Ukuhamba okungajwayelekile ongakwazi ukukulawula
• Izimpawu zikashukela ophezulu (ukoma ngokweqile, ukuvama ukuchama)
• Ukuphuzi kwesikhumba noma amehlo
• Ubuhlungu obukhulu besisu

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma iyiphi yale miphumela ebucayi.

Kukhona neminye imiphumela emibi engavamile kodwa ebucayi kakhulu edinga ukunakekelwa kwezokwelapha eziphuthumayo:

• I-Neuroleptic malignant syndrome (umkhuhlane omkhulu, ukudideka, ukuqina kwemisipha)
• I-Serotonin syndrome (ukucasuka, imibono, ukushaya kwenhliziyo okusheshayo)
• Ukungezwani komzimba okukhulu (ubunzima bokuphefumula, ukuvuvukala kobuso noma umphimbo)
• Imicabango yokuzilimaza, ikakhulukazi kubantu abadala abasebancane
• Ukushaywa yisithuthwane

Nakuba le miphumela ebucayi ingavamile, kubalulekile ukwazi izimpawu zokuxwayisa futhi ufune usizo ngokushesha uma zenzeka.

Ubani Ongafanele Athathe i-Olanzapine ne-Fluoxetine?

Le nhlanganisela ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Ezinye izimo nemithi kungenza le nhlanganisela ingaphephile noma ingasebenzi kahle.

Akufanele usebenzise lo muthi uma unezinye zalezi zimo:

• Ukungezwani komzimba ku-olanzapine, fluoxetine, noma imithi efanayo
• Njengamanje usebenzisa ama-MAO inhibitors noma uwayekile ngaphakathi kwezinsuku eziyi-14
• Usebenzisa i-pimozide noma i-thioridazine
• Umlando we-neuroleptic malignant syndrome
• Isifo sesibindi esibi kakhulu
• I-glaucoma ye-narrow-angle

Udokotela wakho uzophinda aqaphele kakhulu uma unezimo ezithile zezokwelapha ezidinga ukuqashwa okukhethekile.

Xhumana nodokotela wakho mayelana nalezi zimo ngaphambi kokuqala ukwelashwa, njengoba zingase zithinte ukuthi ungawusebenzisa kanjani lo muthi ngokuphepha:

• Isifo sikashukela noma umlando womndeni wesifo sikashukela
• Izinkinga zenhliziyo noma umlando wokuhlaselwa yinhliziyo
• Isifo sesibindi noma sezinso
• Umlando wokuhlaselwa yizifo
• Ukwehla kwesibalo samangqamuzana egazi elimhlophe
• Ubunzima bokugwinya
• Ukwanda kwe-prostate noma izinkinga zokuchama
• Umlando wokusebenzisa kabi izidakamizwa

Lezi zimo akudingeki zikuvimbele ekuthathweni komuthi, kodwa zidinga ukuqashwa okuseduze futhi mhlawumbe kulungiswe umthamo.

Amagama Omkhiqizo we-Olanzapine ne-Fluoxetine

Igama elivamile lomkhiqizo walo muthi ohlanganisiwe yi-Symbyax. Lena inguqulo yomkhiqizo wokuqala ehlanganisa imithi emibili ngesilinganiso esiqondile.

Izinhlobo ze-Generic nazo ziyatholakala futhi ziqukethe izithako ezifanayo ezisebenzayo ngamandla afanayo nenguqulo yegama lomkhiqizo. Ikhemisi lakho lingase linikeze igama lomkhiqizo noma inguqulo ejwayelekile, kuye ngokuthi umshwalense wakho uhlanganisa ini nokutholakala.

Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, umuthi usebenza ngendlela efanayo. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo mayelana nokwehluka kokubukeka noma ukupakishwa.

Ezinye Izindlela Zokwelapha I-Olanzapine ne-Fluoxetine

Uma le nhlanganisela ingasebenzi kahle kuwe, kunezindlela eziningi zokwelapha ezitholakalayo. Udokotela wakho angase ancome ukuthatha i-olanzapine ne-fluoxetine njengemithi ehlukene, okuvumela ukuthi kube nokulinganisela okuguquguqukayo.

Ezinye izindlela zokuhlanganisa udokotela wakho angazicabangela zihlanganisa ukuhlanganiswa okuhlukene kwama-antidepressant kanye nama-mood stabilizer. Abanye abantu basabela kangcono ekuhlanganisweni okufana ne-aripiprazole nama-antidepressant noma i-lithium nama-antidepressant.

Imithi eyodwa engasebenza njengezinye izindlela zokwelapha zihlanganisa ezinye izidakamizwa ezingavamile ze-antipsychotics njenge-quetiapine noma izigaba ezihlukene zama-antidepressant. Udokotela wakho uzocabangela izimpawu zakho ezithile, umlando wezokwelapha, kanye nezimpendulo zokwelashwa zangaphambilini lapho exoxa ngezindlela zokwelapha.

Okubalulekile ukuthola indlela efanele yokwelapha isimo sakho esiyingqayizivele, okwesinye isikhathi okudinga ukuzama izinketho ezihlukene ngesiqondiso sikadokotela wakho.

Ingabe i-Olanzapine ne-Fluoxetine Ingcono Kunezinye Izinhlanganisela?

Le nhlanganisela ikhombise ukusebenza kahle ekwelapheni ukucindezeleka okumelana nokwelashwa kanye nokucindezeleka kwe-bipolar ezifundweni zomtholampilo. Kodwa-ke, ukuthi

Umuthi ongcono kakhulu yilowo okwenza uzizwe ungcono kakhulu ngemiphumela emincane ongayimela. Lokhu kuyahlukahluka kakhulu kumuntu nomuntu, ngakho-ke okusebenzela abanye kungase kungabi kuhle ngawe.

Imibuzo Evame Ukubuzwa Mayelana ne-Olanzapine ne-Fluoxetine

Ingabe i-Olanzapine ne-Fluoxetine iphephile ku-Diabetes?

Le nhlanganisela ingathinta amazinga kashukela egazini futhi ingase yenze ukulawula i-diabetes kube kubi kakhulu kwabanye abantu. Uma une-diabetes, udokotela wakho uzoqapha ushukela wakho wegazi eduze ngenkathi uthatha lo muthi.

Ingxenye ye-olanzapine ingabangela ukukhuluphala nokumelana ne-insulin, okungase kwenze i-diabetes ibe nzima ukuyilawula. Kodwa-ke, abantu abaningi abane-diabetes basengawuthatha ngokuphepha lo muthi ngokugadwa okufanele futhi mhlawumbe balungise imithi ye-diabetes.

Udokotela wakho angase ancome ukuhlolwa kashukela wegazi njalo futhi kungase kudingeke alungise imithi yakho ye-diabetes. Ngokuqapha okufanele, abantu abaningi abane-diabetes bangayisebenzisa ngempumelelo le nhlanganisela lapho izinzuzo zempilo yengqondo zidlula izingozi ezihlobene ne-diabetes.

Ngingenzani Uma Ngithatha Ngengozi i-Olanzapine ne-Fluoxetine eningi kakhulu?

Uma ngengozi uthatha okungaphezu komthamo wakho obekiwe, xhumana nodokotela wakho noma ukulawulwa ngokushesha. Ukuthatha okuningi kakhulu kungabangela imiphumela emibi eyingozi okuhlanganisa ukozela okukhulu, ukudideka, nezinkinga zenhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngokuqondile ochwepheshe bezokwelapha. Uma uzizwa ukozela kakhulu, udidekile, noma unzima ukuphefumula, shayela izinsiza eziphuthumayo ngokushesha.

Gcina ibhodlela lomuthi unawo lapho ufuna usizo ukuze ochwepheshe bezokwelapha bazi kahle ukuthi uthatheni ini nokuthi ungakanani. Isikhathi sibalulekile ngemithamo eminingi, ngakho-ke ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini.

Ngingenzani Uma Ngiphuthelwa Umthamo we-Olanzapine ne-Fluoxetine?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Uma sekuseduze nesikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela engemihle. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu yokwelashwa. Uma uphuthelwa imithamo kaningi, khuluma nodokotela wakho mayelana namasu okukusiza ukuthi ukhumbule noma ukuthi ngabe ishejuli yemithi ehlukile ingasebenza kangcono.

Ngingayeka nini ukuthatha i-Olanzapine ne-Fluoxetine?

Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo, ngisho noma uzizwa ungcono ngokuphelele. Udokotela wakho uzokusiza ukuthi unciphise kancane umthamo lapho kufanele ukuyeka, okusiza ekuvikeleni izimpawu zokuhoxisa futhi kuvikele impilo yakho yengqondo.

Isinqumo sokuyeka sincike ezintweni eziningi ezihlanganisa ukuthi usunesikhathi esingakanani uzinzile, umlando wakho wezimpawu, kanye nemigomo yakho yokwelashwa iyonke. Abanye abantu bangase badinge lo muthi izinyanga eziningana, kanti abanye bazuza ekwelashweni kwesikhathi eside.

Udokotela wakho uzosebenza nawe ukuze anqume isikhathi esifanele sokunciphisa noma sokuyeka umuthi. Bazocabangela ukuzinza kwezimpawu zakho, izimo zempilo, kanye nezici eziyingozi zokubuyela kwezimpawu lapho benza lesi sinqumo kanye nawe.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Olanzapine ne-Fluoxetine?

Kungcono ukugwema utshwala ngenkathi uthatha le nhlanganisela yemithi. Utshwala bungakhuphula imiphumela yokuthulisa ye-olanzapine futhi ingase iqhubekisele phambili izimpawu zokucindezeleka ozama ukuzelapha.

Ukuhlanganisa utshwala nale mithi kungakhuphula ingozi yakho yokugajwa, ukuwa, kanye nokulimala kokwahlulela. Uma ukhetha ukuphuza ngezikhathi ezithile, zilinganisele ezingxenyeni ezincane futhi uqaphele kakhulu ngemisebenzi edinga ukuqapha.

Khuluma ngokukhululeka nodokotela wakho mayelana nokusebenzisa kwakho utshwala ukuze bakwazi ukukunikeza isiqondiso esiqondene nawe. Bangakusiza ukuthi uqonde izingozi ezithile ngokusekelwe emthozweni wakho, eminye imithi, nezici zezempilo zomuntu ngamunye.