Created at:1/13/2025
Question on this topic? Get an instant answer from August.
I-Olanzapine intramuscular iyifomu elijova ngokushesha lomuthi we-antipsychotic i-olanzapine. Lo mjovo unikeza umuthi ngqo emsipheni wakho, okuvumela ukuthi usebenze ngokushesha kunezibhebhe uma udinga ukukhululeka ngokushesha ezimpawini ezinzima zengqondo. Abahlinzeki bezempilo bavame ukusebenzisa lo mjovo ezindaweni zasemtholampilo noma ezimweni eziphuthumayo lapho imithi yomlomo ingafaneleki noma lapho ukulawulwa kwezimpawu okusheshayo kubalulekile.
I-Olanzapine intramuscular iyifomu elijovwayo le-olanzapine, umuthi we-antipsychotic osiza ukuphatha izimpawu zezimo zempilo yengqondo. Umjovo udlula uhlelo lwakho lokugaya futhi uqonde ngqo emsipheni wakho, lapho umuncwa khona ungene egazini lakho ngokushesha kunezibhebhe zomlomo. Lokhu kwenza kube usizo ikakhulukazi uma udinga ukukhululeka okusheshayo kwezimpawu noma lapho ukuthatha amaphilisi kungenzeki.
Umuthi ungowesigaba esibizwa ngokuthi ama-antipsychotics angajwayelekile, asebenza ngokulinganisa amakhemikhali athile obuchopho athinta imizwa, ukucabanga, nokuziphatha. Uma inikezwa njengomjovo, i-olanzapine ingaqala ukusebenza phakathi kwemizuzu engu-15 kuya kwengama-45, uma iqhathaniswa namafomu omlomo angathatha amahora ukufinyelela ekusebenzeni okuphezulu.
I-Olanzapine intramuscular isetshenziselwa ikakhulukazi ukulawula ngokushesha ukucasuka okukhulu nezimpawu ze-psychotic ezimweni eziphuthumayo. Udokotela wakho angase ancome lo mjovo uma uhlangabezana neziqephu ezinzima ze-schizophrenia, isifo se-bipolar, noma ezinye izimo zengqondo ezidinga ukungenelela ngokushesha.
Umjovo usiza ikakhulukazi uma ungakwazi ukuthatha imithi yomlomo ngenxa yokucasuka okukhulu, ukwenqaba amaphilisi, noma ukuzwa isicanucanu nokuhlanza. Isetshenziswa futhi uma izimpawu zakho zinzima kangangokuthi ukulinda ukuthi umuthi womlomo usebenze kungaba yingozi kuwe noma kwabanye abaseduze nawe.
Izimo ezivamile lapho lo mjovo ungase usetshenziswe zihlanganisa izigameko ezinzima zokugula ngengqondo, izigameko eziqatha zokugula ngengqondo, noma uma usesimweni esiphuthumayo sokwelashwa ngengqondo lapho ukulawulwa okusheshayo kwezimpawu kubalulekile ekuphepheni kwakho nasekunakekelweni kwakho.
I-Olanzapine intramuscular isebenza ngokuvimba ama-receptors athile ebuchosheni bakho abahilelekile emizweni, ekucabangeni, nasekuziphatheni. Ihloselwe ikakhulukazi ama-receptors e-dopamine ne-serotonin, okuyimichiza yobuchopho engalingani ngesikhathi sezigameko zokwelashwa ngengqondo. Ngokuvimba la ma-receptors, umuthi usiza ukubuyisela ukulinganisela kwamakhemikhali okuzinzile ebuchosheni bakho.
Lokhu kuthathwa njengomuthi oqinile wokulwa nokugula ngengqondo, okusho ukuthi usebenza kahle ekuphatheni izimpawu ezinzima ngenkathi ngokuvamile enezinto ezimbalwa ezingezinhle kunezidakamizwa ezindala zokulwa nokugula ngengqondo. Ifomu le-intramuscular livumela umuthi ukuthi ufinyelele ebuchosheni bakho ngokushesha kunezibhebhe, yingakho likhethwa ezimweni eziphuthumayo.
Imiphumela yokuthulisa nokuzinzisa ivamise ukuqala phakathi kwemizuzu eyi-15 kuya kwengama-45 ngemuva komjovo, ngemiphumela ephezulu eyenzeka phakathi kwehora elingu-1 kuya kwamabili. Lokhu kuqala okusheshayo kukwenza kube yigugu ikakhulukazi uma udinga ukukhululeka kwezimpawu ngokushesha.
I-Olanzapine intramuscular ngaso sonke isikhathi inikezwa uchwepheshe wezempilo endaweni yezokwelapha efana nesibhedlela, umtholampilo, noma igumbi eliphuthumayo. Ngeke udinge ukulungiselela umjovo ngokuwuthatha nokudla noma amanzi, njengoba unikezwa ngqo emsipheni wakho, ngokuvamile engalweni yakho noma okhalweni.
Umhlinzeki wakho wezempilo uzohlanza indawo yokujova futhi asebenzise inaliti enezinto ezingcolisiwe ukuze alethwe umuthi emsipheni wakho. Umjovo ngokwawo uthatha imizuzwana embalwa nje, yize ungase uzwe ukungakhululeki endaweni yokujova. Ngemuva kokuthola umjovo, uzoqashwa eduze ukuze kuqinisekiswe ukuthi umuthi usebenza ngempumelelo nokubheka noma yiziphi izinto ezingezinhle.
Njengoba lokhu kunikezwa ezindaweni zezokwelapha, ithimba lakho lokunakekelwa kwezempilo lizosingatha zonke izici zokuphatha. Akudingeki ukhathazeke ngokukuhlela nezidlo noma ukukhumbula ukukuthatha, njengoba ochwepheshe bezokwelapha bezonquma isikhathi esingcono kakhulu ngokusekelwe esimweni sakho esithile nezidingo zakho.
I-Olanzapine intramuscular ngokuvamile isetshenziselwa ukulawula izimpawu zesikhashana, ngokushesha kunokwelashwa kwesikhathi eside. Abantu abaningi bathola imijovo eyodwa kuya kwemithathu ngesikhathi sokuhlaselwa okukhulu, kuye ngokuthi izimpawu zabo zithuthuka ngokushesha kangakanani nokuthi basabela kanjani emuthini.
Udokotela wakho uzoqapha ukusabela kwakho kumjovo ngamunye futhi anqume ukuthi ngabe kudingeka eminye imithamo. Umgomo ngokuvamile ukuzinzisa izimpawu zakho ngokushesha ukuze ukwazi ukushintshela emithini yomlomo noma ezinye izindlela zokwelapha zesikhathi eside. Abanye abantu bangase bathole imijovo ezinsukwini ezimbalwa ngesikhathi sokuhlala esibhedlela, kanti abanye bangase badinge umjovo owodwa kuphela ngesikhathi esiphuthumayo.
Isinqumo sokuthi uqhubeke isikhathi esingakanani ngemijovo sincike ekusabeleni kwakho ngakunye, ubukhulu bezimpawu zakho, kanye nekhono lakho lokuthatha imithi yomlomo. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukuthuthukisa uhlelo lokwelapha olubanzi olungabandakanya ukushintshela ku-olanzapine yomlomo noma eminye imithi uma ngabe ubunzima bakho obuqhamukayo budlulile.
Njengayo yonke imithi, i-olanzapine intramuscular ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ivame ukuba yiminyene kuya kwemaphakathi futhi ivamise ukuthuthuka njengoba umzimba wakho ujwayela umuthi.
Nawa amanye imiphumela emibi ongase uyithole:
Le miphumela ejwayelekile ivamise ukulawuleka futhi ithimba lakho lezempilo lizokuqapha ngokucophelela ukuqinisekisa ukuthi uzizwa ukhululekile futhi uphephile.
Abanye abantu bangase babe nemiphumela emibi kakhulu edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:
Njengoba uzobe usesimweni sezokwelapha lapho uthola lo mjovo, ochwepheshe bezempilo bazokuqapha ukuze bathole le miphumela emibi kakhulu futhi bangasabela ngokushesha uma kwenzeka.
Kukhona futhi okuthile okungavamile kodwa okubalulekile okufanele kucatshangelwe ngesikhathi eside ngokusetshenziswa kwe-olanzapine, nakuba lokhu kuhlobene kakhulu nabantu abathatha imithi njalo kunalabo abathola imijovo ngezikhathi ezithile. Udokotela wakho uzoxoxa ngalezi zingozi nawe uma kucatshangelwa ukwelashwa isikhathi eside.
I-Olanzapine intramuscular ayifanele wonke umuntu, futhi umhlinzeki wakho wezempilo uzohlola ngokucophelela ukuthi iphephile yini kuwe ngaphambi kokuthi anikeze umjovo. Izimo ezithile zezokwelapha nezimo zenza le mithi ingafaneleki noma idinga izinyathelo zokuphepha ezikhethekile.
Akufanele uthole i-olanzapine intramuscular uma wazi ukuthi unokungezwani komzimba okukhulu ne-olanzapine noma yiziphi izithako zayo. Umhlinzeki wakho wezempilo uzogwema lo mjovo uma ukoma noma unokucindezeleka okukhulu kwesistimu yezinzwa emaphakathi okungahlobene nesimo sakho sengqondo.
Udokotela wakho uzosebenzisa ukuqapha okukhethekile futhi angakhetha ezinye izindlela zokwelapha uma une:
Uma ukhulelwe noma uncelisa, umhlinzeki wakho wezempilo uzohlola ngokucophelela izinzuzo nezingozi ngaphambi kokukunika lo mjovo, njengoba umuthi ungase uthinte ingane yakho ekhulayo noma udlulele obisini lwebele.
Ithimba lakho lezokwelapha lizobuye licabange ngemithi yakho yamanje ukuze ligweme ukusebenzisana okungaba yingozi, ikakhulukazi neminye imithi yokuthulisa noma izidakamizwa ezithinta ukushaya kwenhliziyo yakho.
I-Olanzapine intramuscular itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Zyprexa IntraMuscular iyona eqashelwa kakhulu. Lolu uhlobo lokuqala lomkhiqizo olwenziwe yi-Eli Lilly and Company, futhi lusetshenziswa kakhulu ezibhedlela nasezindaweni eziphuthumayo.
Izinhlobo ze-generic ze-olanzapine intramuscular nazo ziyatholakala ezinkampanini ezahlukahlukene zemithi. Lezi zinhlobo ze-generic ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo nohlobo lomkhiqizo, kodwa zingase zibe ngentengo ephansi. Isikhungo sakho sezempilo sizokhetha phakathi kwamagama omkhiqizo nezinhlobo ze-generic ngokusekelwe ekutholakaleni, ukucatshangelwa kwezindleko, kanye nezintandokazi zabo zomtholampilo.
Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, ukusebenza kahle komuthi kanye nephrofayili yokuphepha kuhlala kufana. Umhlinzeki wakho wezempilo uzoqinisekisa ukuthi uthola uhlobo olufanele lomuthi olwenzelwe isimo sakho esithile.
Imithi eminingi ehlukile ingasetshenziswa esikhundleni se-olanzapine intramuscular lapho ukulawulwa kwezimpawu ngokushesha kudingeka. Umhlinzeki wakho wezempilo angase akhethe lezi ezinye izindlela ngokusekelwe ezimpawini zakho ezithile, umlando wezokwelapha, noma ukuthi usabele kanjani emithini esikhathini esidlule.
Eminye imithi yokulwa nokucindezeleka engajovwa esebenza ngendlela efanayo ihlanganisa:
Udokotela wakho angase futhi acabange ngezindlela zokuhlanganisa, njengokusebenzisa i-benzodiazepine kanye ne-antipsychotic injection ukuze kubhekwane nokucasuka kanye nezimpawu ze-psychotic ngasikhathi sinye.
Ukukhethwa kwenye indlela kuncike ezintweni ezinjengezimpawu zakho ezithile, umlando wezokwelapha, imithi yamanje, nokuthi ukulawulwa kwezimpawu kudingeka ngokushesha kangakanani. Ithimba lakho lezempilo lizokhetha inketho efanele kakhulu isimo sakho ngasinye.
I-Olanzapine intramuscular kanye ne-haloperidol injection zombili ziyasebenza ekuphatheni izimpawu eziqatha ze-psychiatric, kodwa zinezinzuzo ezihlukene kanye nokucatshangelwa. Akukho noyedwa
I-Olanzapine intramuscular ivamele ivamise ukubangela imiphumela emincane ehlobene nokunyakaza uma iqhathaniswa ne-haloperidol, njengokuqina kwemisipha, ukuthuthumela, noma ukunyakaza okungazelelwe. Lokhu kuyenza ibe yindlela ekhethwayo kubantu abaningi, ikakhulukazi labo abazwela kulezi zinhlobo zemiphumela noma abaye bayithola ngaphambilini ngeminye imithi.
Kodwa-ke, ukujova kwe-haloperidol kusetshenziswe amashumi eminyaka futhi kunomlando wokuphepha oqinile. Ivamise ukuba ingabi nokuqeda amandla njenge-olanzapine, okungenzeka ukuthi kuyathandwa uma udinga ukuhlala uqaphile. I-Haloperidol nayo ivamise ukubiza ngaphansi kwe-olanzapine, okungaba yinto okufanele icatshangelwe kwezinye izinhlelo zokunakekelwa kwempilo.
Umhlinzeki wakho wezempilo uzocabangela izinto ezinjengempendulo yakho yangaphambilini yemithi, izimpawu zamanje, ezinye izimo zempilo, kanye nemigomo ethile yokwelashwa lapho ekhetha phakathi kwalezi zinketho. Yomibili imithi iyasebenza, futhi isinqumo sivame ukwehla ekutheni iyiphi engasebenza kangcono esimweni sakho esithile ngemiphumela emincane.
I-Olanzapine intramuscular ingasetshenziswa kubantu abanesifo sikashukela, kodwa idinga ukuqapha okucophelelayo nokuphathwa kukashukela wegazi. Umuthi ungase ubangele amazinga akho kashukela egazi ukuthi anyuke, ikakhulukazi ngokusetshenziswa okuphindaphindiwe noma uma ushintshela ku-olanzapine ngomlomo ngemuva kwalokho.
Ithimba lakho lezempilo lizogada amazinga akho kashukela egazi ngokucophelela uma unesifo sikashukela futhi uthola lo mjovo. Kungase kudingeke ukuthi balungise imithi yakho yesifo sikashukela noma imithamo ye-insulin ukuze ugcine ushukela wakho wegazi ebangeni elinempilo. Uma unesifo sikashukela esingalawuleki kahle, udokotela wakho angase acabangele eminye imithi enomthelela omncane emazingeni kashukela egazi.
Izinzuzo zokusebenzisa i-olanzapine intramuscular ngezimpawu ezinzima zengqondo zivame ukwedlula izingozi, ngisho nakubantu abanesifo sikashukela. Ithimba lakho lezokwelapha lizosebenza ukuphatha kokubili izimpawu zakho zempilo yengqondo nesifo sikashukela sakho ngempumelelo ngesikhathi sokwelashwa.
Njengoba i-olanzapine intramuscular inikezwa ezindaweni zezokwelapha, ochwepheshe bezempilo bazokuqapha ukuze bathole imiphumela emibi futhi bangaphendula ngokushesha uma kwenzeka okubalulekile. Uma uthola imiphumela emibi esindayo njengobunzima bokuphefumula, ubuhlungu besifuba, isiyezi esikhulu, noma ukunyakaza kwemisipha okungajwayelekile, yazisa ithimba lakho lezempilo ngokushesha.
Ithimba lakho lezokwelapha liqeqeshwe ukubona nokwelapha imiphumela emibi esindayo evela kulo muthi. Banemithi nemishini etholakalayo yokubhekana nokusabela komzimba, izinguquko zomfutho wegazi, noma ezinye izinkinga ezingase zivele. Lokhu kungenye yezinzuzo zokuthola lo muthi endaweni yezokwelapha elawulwayo.
Uma ukhishwa esikhungweni sezokwelapha futhi kamuva uthola izimpawu ezikhathazayo ezingase zihlobane nomjovo, xhumana nomhlinzeki wakho wezempilo noma ubuyele egumbini eliphuthumayo. Ngenkathi imiphumela emibi eminingi yenzeka kungakapheli amahora ngemuva komjovo, eminye imiphumela ingavela kamuva, ikakhulukazi uma ushintshela emithini yomlomo.
Imiphumela yokuthulisa nokulawula izimpawu ye-olanzapine intramuscular ngokuvamile iqala phakathi kwemizuzu eyi-15 kuya kwengama-45 futhi ifinyelele esicongweni sayo phakathi kwehora elingu-1 kuya kwama-2 ngemuva komjovo. Imiphumela yomuthi ingahlala noma yikuphi kusuka emahoreni ayi-12 kuya kwangama-24, kuye ngokuthi impendulo yakho kanye nokusebenza komzimba.
Abanye abantu bangase bazizwele imiphumela yokuthuliswa imizwa amahora amaningana ngemuva komjovo, kanti abanye bangase bathole ukuthi izinzuzo zomuthi zihlala usuku lonke. Umhlinzeki wakho wezempilo uzoqapha ukuthi imiphumela ihlala isikhathi esingakanani kuwe ukuze anqume ukuthi ngabe imijovo eyengeziwe iyadingeka yini noma ngabe sekuyisikhathi sokushintshela emithini yomlomo.
Umuthi uyasuswa kancane kancane emzimbeni wakho ngokuhamba kwesikhathi, kodwa imikhondo ingase ihlale itholakala izinsuku eziningana. Lokhu kujwayelekile futhi akusho ukuthi umuthi usasebenza ngempela. Udokotela wakho uzocabangela isikhathi lapho ehlela ukwelashwa kwakho okuqhubekayo ukuze aqinisekise ukushintsha okubushelelezi phakathi kwemithi ehlukene uma kudingeka.
Akufanele ushayele noma usebenzise imishini okungenani amahora angama-24 ngemuva kokuthola umjovo we-olanzapine intramuscular. Umuthi uvame ukubangela ukozela, isiyezi, futhi unganciphisa isikhathi sakho sokuphendula, okwenza kungaphephile ukushayela noma ukusebenzisa imishini edinga ukuqapha nokuxhumana.
Noma ngabe uzizwa uqaphile ngemuva komjovo, umuthi ungathinta ukwahlulela kwakho kanye nama-reflex ngendlela ongase ungayiqapheli. Ithimba lakho lezempilo lizokweluleka ngokuthi kungani kuphephile ukuqhubeka nokushayela ngokususelwa endleleni ozabela ngayo emuthini kanye nanoma yikuphi okunye ukwelashwa okutholayo.
Uma udinga ukufika ekhaya ngemuva kokuthola umjovo, lungiselela othile ukuthi akuqhubele noma usebenzise izithuthi zomphakathi noma isevisi yokwabelana ngemoto. Ukuphepha kwakho nokuphepha kwabanye emgwaqeni yikho okubaluleke kakhulu ngenkathi umuthi usathinta uhlelo lwakho.
I-Olanzapine intramuscular ivame ukusetshenziselwa ukuphathwa kwezinkinga zesikhashana esikhundleni sokwelashwa kwesikhathi eside. Abantu abaningi bashintshela emithini yomlomo uma izimpawu zabo ezisheshayo sezilawulwa futhi bakwazi ukuthatha amaphilisi ngokwethembeka.
Umhlinzeki wakho wezempilo uzosebenza nawe ukuthuthukisa uhlelo lokwelashwa lwesikhathi eside olungase luhlanganise amaphilisi e-olanzapine yomlomo noma eminye imithi ongayithatha ekhaya. Umgomo ngokuvamile ukuthola umuthi womlomo ohlala izimpawu zakho zizinzile ngaphandle kokudinga imijovo ephindaphindiwe.
Abanye abantu bangazuza emithini ejovwayo esebenza isikhathi eside enikezwa njalo ngenyanga, kodwa lezi zehlukile emijovweni esebenza ngokushesha oyithola ngesikhathi senkinga. Udokotela wakho uzoxoxa ngazo zonke izinketho zakho futhi akusize ukhethe indlela yokwelashwa esebenza kangcono ngendlela yakho yokuphila nezidingo ezithile.