Created at:1/13/2025
I-Paliperidone intramuscular iyikhambi elidonsa isikhathi eside elijovwayo elisetshenziselwa ukwelapha i-schizophrenia kanye nezimo zempilo yengqondo ezihlobene. Lo muthi ungoweqembu elibizwa ngokuthi ama-antipsychotics angajwayelekile, asiza ukulinganisa amakhemikhali athile obuchopho athinta imizwa, ukucabanga, nokuziphatha.
Umjovo unikezwa kanye ngenyanga ngumhlinzeki wezempilo, okwenza kube lula kubantu ukuthi baqhubeke nokwelashwa kwabo. Lokhu kungasiza ikakhulukazi uma uke waba nenkinga yokukhumbula ukuthatha amaphilisi nsuku zonke noma uma ungathandi ukucabanga ngemithi nsuku zonke.
I-Paliperidone intramuscular iyifomu elijovwayo le-paliperidone, umuthi we-antipsychotic oza ngendlela ekhethekile yokukhishwa kancane. Uma i-jovwe emsipheni wakho, ikhipha kancane umuthi cishe inyanga eyodwa, inikeze amazinga aqhubekayo emzimbeni wakho.
Lo muthi wenzelwe ukwelapha izimpawu ezinjengokucabanga ngamaphupho, ukukhohlisa, ukucabanga okungahlelekile, nezinye izinselelo ezingahle zize ne-schizophrenia noma i-schizoaffective disorder. Ifomu elijovwayo lisiza ukuqinisekisa ukuthi uthola ukwelashwa okuqhubekayo ngisho nalapho ukuthatha amaphilisi nsuku zonke kuzizwa kungaphezu kwamandla noma kukhohlakala.
Umuthi usebenza ngokuthinta ama-dopamine kanye nama-serotonin receptors ebuchosheni bakho. Laba yizithunywa zamakhemikhali ezisiza ukulawula imizwa, ukuqonda, kanye namaphethini okucabanga.
I-Paliperidone intramuscular isetshenziswa ikakhulukazi ukwelapha i-schizophrenia kanye ne-schizoaffective disorder kubantu abadala. Lezi zimo zingabangela izimpawu ezithinta kakhulu impilo yansuku zonke, ubudlelwano, kanye nenhlalakahle yonke.
Ngesifo sengqondo, lo muthi usiza ukuphatha lokho odokotela abakubiza ngokuthi “izimpawu ezinhle” njengokuzwa izwi, ukubona izinto ezingekho, noma ukuba nokukholwa okungavamile. Iphinde ibhekane “nezimpawu ezingezinhle” ezifana nokuhoxa ezimweni zomphakathi, ukuncipha kokuzwakalisa imizwa, noma ubunzima bokuthola ugqozi.
Isifo se-Schizoaffective siqukethe izimpawu zombili zesifo sengqondo kanye nokuphazamiseka kwemizwa njengokucindezeleka noma i-mania. Umuthi ungasiza ukuzinzisa lezi zimpawu ezihlukahlukene futhi unikeze ukusekelwa okungaguquki kwempilo yengqondo.
Ngezinye izikhathi, odokotela bangase babhale lo muthi ezinye izimo lapho becabanga ukuthi kungasiza, nakuba lokhu kungabhekwa njengokusebenzisa “ngaphandle kwelebula”. Umhlinzeki wakho wezempilo uzoxoxa ukuthi ngabe lo muthi ulungile yini esimweni sakho esithile.
I-Paliperidone intramuscular isebenza ngokuvimba ama-receptors athile ebuchosheni bakho, ikakhulukazi ama-receptors e-dopamine ne-serotonin. Lapho lezi zithunywa zamakhemikhali zingalingani, zingaholela ezimpawini ezinjengokucabanga, ukukhohlisa, noma ukucabanga okungahlelekile.
Cabanga ngayo njengokulungisa ivolumu eziteshini zomsakazo ezihlukene ebuchosheni bakho. Ngokuvimba amanye ala ma-receptors, umuthi usiza ukuthulisa “ukuthula” okungaphazamisa ukucabanga okucacile nokuqonda.
Lokhu kubhekwa njengomuthi olinganiselwe onamandla we-antipsychotic. Akuyona enamandla kakhulu etholakalayo, kodwa isebenza ngokwanele ukuphatha izimpawu ezinzima ngenkathi ngokuvamile ithandwa abantu abaningi.
Umjovo udala ichibi elincane emsipheni wakho elikhipha kancane umuthi cishe amasonto amane. Lokhu kukhishwa okuqhubekayo kusiza ukugcina amazinga aqhubekayo egazini lakho, okungaholela ekulawuleni okungcono izimpawu.
I-paliperidone intramuscular inikezwa njengomjovo emsipheni, ngokuvamile ezinqeni zakho noma engalweni engenhla. Umhlinzeki wezempilo uzohlala ekunikeza lo mjovo esikhungweni sezokwelapha, emtholampilo, noma ehhovisi likadokotela.
Ngokuvamile uzothola umjovo kanye njalo emavikini amane, nakuba udokotela wakho engase alungise lolu hlelo ngokusekelwe endleleni ozabela ngayo emuthini. Indawo yokujova ingase ijikeleziswe phakathi kwemisipha ehlukene ukuvimbela ukucasuka.
Ngaphambi kokuqala imijovo, udokotela wakho cishe uzokwenza ukuthi uthathe amaphilisi e-paliperidone ngomlomo izinsuku ezimbalwa ukuze uqiniseke ukuthi uyawuthola kahle umuthi. Lokhu kusiza ekuvikeleni noma yiziphi izindlela ezingalindelekile lapho uthola umjovo osebenza isikhathi eside.
Akudingeki ukuthi wenze noma yini ekhethekile ngokudla noma iziphuzo ngesikhathi somjovo wakho. Nokho, kubalulekile ukugcina zonke izikhathi zakho ezihleliwe, njengoba ukweqa imijovo kungaholela ekubuyeni kwezimpawu.
Indawo yokujova ingase izizwe ibuhlungu noma ithambile usuku olulodwa noma ezimbili ngemuva komjovo, okuyinto evamile ngokuphelele. Ukusebenzisa i-compress ebandayo kungasiza nganoma yikuphi ukungakhululeki.
Ubude bokwelashwa nge-paliperidone intramuscular buhluka kakhulu kumuntu nomuntu. Abanye abantu bangase bayidinge izinyanga eziningana, kanti abanye bangazuza ekwelashweni kwesikhathi eside okuhlala iminyaka.
Udokotela wakho uzosebenza nawe ukuze anqume ubude obufanele ngokusekelwe ekutheni izimpawu zakho zilawulwa kahle kangakanani, ukuthi uwuthola kahle kangakanani umuthi, kanye nemigomo yakho yokwelashwa iyonke. Izimo zempilo yengqondo zivame ukudinga ukuphathwa okuqhubekayo, njengokuthi isifo sikashukela noma umfutho wegazi ophezulu.
Abantu abaningi bathola ukuthi ukwelashwa okuqhubekayo, kwesikhathi eside kubasiza ukuthi bagcine ukuzinza futhi kuvimbele ukuqubuka kwezimpawu. Nokho, ithimba lakho lezempilo lizohlola njalo ukuthi umuthi usawuyindlela engcono kakhulu kuwe.
Ungayeki ukuthola imijovo yakho ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungaholela ezimpawini zokuhoxiswa kanye nokubuyela kwezimpawu imithi ebisiza ukuzilawula.
Njengayo yonke imithi, i-paliperidone intramuscular ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi iyalawuleka futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi.
Nawa amanye amanye imiphumela emibi ongase uyiqaphele, ukhumbula ukuthi abantu abaningi bayayibekezelela kahle le mithi:
Le miphumela emibi ejwayelekile ivamise ukuba milde futhi ivame ukuthuthuka ngokuhamba kwesikhathi. Umhlinzeki wakho wokunakekelwa kwezempilo angase ancome izindlela zokuzilawula uma ziba yinkinga.
Eminye imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:
Uma uhlangabezana nanoma yimiphi yale miphumela emibi ebucayi, xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Khumbula, le miphumela emibi ayivamile, futhi abantu abaningi bathatha le mithi ngokuphepha.
I-paliperidone intramuscular ayifanele wonke umuntu. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ukuze aqiniseke ukuthi lo muthi uphephile kuwe.
Akufanele uthole lo muthi uma unokungezwani komzimba ne-paliperidone noma i-risperidone, okuyimithi ehlobene. Izimpawu zokungezwani komzimba zingabandakanya ukuqubuka, ukuluma, ukuvuvukala, noma ubunzima bokuphefumula.
Ezinye izimo zezokwelapha zingenza lo muthi ungabi nawo umphumela noma zidinge ukuqashwa okukhethekile. Yazisa umhlinzeki wakho wezempilo uma unezinye zalezi zimo:
Abantu abadala abanezimo ezihlobene nokuwohloka kwengqondo ngokuvamile akufanele bathole lo muthi ngenxa yengozi eyengeziwe yemiphumela emibi. Udokotela wakho uzocabangela ezinye izindlela eziphephile uma usesimweni esinjalo.
Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa lokhu ngokucophelela nomhlinzeki wakho wezempilo. Umuthi ungathinta ingane esakhula, kodwa izimo zempilo yengqondo ezingelashwa nazo zingaba yingozi.
I-paliperidone intramuscular itholakala ngaphansi kwegama lomkhiqizo elithi Invega Sustenna lokujova kwanyanga zonke. Kukhona futhi i-Invega Trinza, okuyinguqulo esebenza isikhathi eside enikezwa njalo emavikini amathathu.
Zombili lezi zindlela ziqukethe isithako esifanayo esisebenzayo kodwa zenzelwe ukukhipha umuthi ezikhathini ezihlukene. Udokotela wakho uzokhetha inguqulo evumelana kangcono nezidingo zakho zokwelashwa nezintandokazi zakho.
Izinhlobo ezivamile ze-paliperidone intramuscular zingase zitholakale ngokuhamba kwesikhathi, nakuba izinhlobo ezinophawu lwazo zivame kakhulu njengamanje. Umhlinzeki wakho wokunakekelwa kwezempilo kanye nosokhemisi bangakusiza ukuthi uqonde izinketho zakho.
Eminye imithi eminingi ye-antipsychotic ekhishwa ngomjovo isikhathi eside iyatholakala uma i-paliperidone intramuscular ingakulungele. Lezi ezinye izindlela zisebenza ngendlela efanayo kodwa zingase zibe nemiphumela ehlukile noma amashejuli okulinganisa.
Ezinye izindlela zihlanganisa i-fluphenazine decanoate, i-haloperidol decanoate, i-olanzapine pamoate, kanye nomjovo wokukhishwa okwandisiwe we-aripiprazole. Ngayinye inezinzuzo zayo kanye nezinto okufanele zicatshangelwe.
Imithi yomlomo nayo iyindlela uma ukhetha amaphilisi ansuku zonke kunemijovo yanyanga zonke. Lokhu kuhlanganisa amaphilisi e-paliperidone, i-risperidone, i-olanzapine, i-quetiapine, nabanye abaningi.
Umhlinzeki wakho wokunakekelwa kwezempilo uzokusiza ukuthi ulinganise izinzuzo nobubi bezinketho ezihlukene ngokusekelwe ezimpawini zakho, indlela yakho yokuphila, izintandokazi zakho, nokuthi ube usabela kahle kangakanani ekwelashweni kwangaphambilini.
I-Paliperidone intramuscular kanye ne-risperidone yimithi ehlobene eduze, i-paliperidone iyindlela esebenzayo i-risperidone eguqukela kuyo emzimbeni wakho. Zombili ziyimithi ye-antipsychotic esebenzayo, kodwa zomehluko obalulekile.
Inzuzo enkulu ye-paliperidone intramuscular ukulula kwemijovo yanyanga zonke kunamaphilisi ansuku zonke. Lokhu kungasiza ikakhulukazi uma unzima ukukhumbula ukuthatha imithi yansuku zonke noma uma ungathandi ukucabanga ngemithi nsuku zonke.
I-Paliperidone ingase ibangele ukusebenzisana kwemithi okuncane kune-risperidone ngoba akudingeki iguqulwe ngama-enzyme esibindi. Lokhu kungaba usizo uma uthatha eminye imithi ethinta ukusebenza kwesibindi.
Zombili imithi inokusebenza okufanayo ekwelapheni i-schizophrenia nezinye izimo ezihlobene. Ukukhetha phakathi kwazo kuvame ukuncika ekuthandeni komuntu, ukukwazi ukuyithwala, kanye nezinto ezingokoqobo njengomsebenzi wakho wansuku zonke namakhono okuphatha imithi.
I-Paliperidone intramuscular ingasetshenziswa kubantu abanesifo sikashukela, kodwa idinga ukuqapha ngokucophelela. Lo muthi ungaqala ukunyusa amazinga kashukela egazini, ngakho udokotela wakho uzofuna ukuhlola ushukela wakho wegazi njalo.
Uma unesifo sikashukela, umhlinzeki wakho wokunakekelwa kwezempilo angase adinge ukulungisa imithi yakho yesifo sikashukela noma imithamo ye-insulin ngenkathi wamukela imijovo ye-paliperidone. Bazosebenza nawe ukuze ugcine amazinga kashukela wakho egazini ezinzile.
Ungavumeli ukukhathazeka ngesifo sikashukela kukuvimbele ekwelapheni isimo sakho sempilo yengqondo. Ngokuqapha okufanele nokuphatha, abantu abaningi abanesifo sikashukela basebenzisa ngempumelelo lo muthi ngenkathi begcina ukulawulwa okuhle kashukela egazini.
Uma uphuthelwa umjovo wakho ohleliwe, xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Isikhathi somjovo wakho olandelayo kungadingeka ukuthi silungiswe ngokusekelwe ekutheni usheshe kangakanani.
Ukuphuthelwa imijovo kungaholela ekubuyeni kwezimpawu, ngakho kubalulekile ukubuyela esimisweni ngokushesha. Udokotela wakho angase ancome ukuthatha amaphilisi e-paliperidone ngomlomo okwesikhashana ukuze kuvalwe igebe kuze kube yilapho ungathola umjovo wakho.
Ukusetha izikhumbuzi ocingweni lwakho noma ekhalendeni kungakusiza ukuthi ukhumbule ama-aphoyintimenti omujovo ozayo. Abantu abaningi bakuthola kuwusizo ukuhlela imijovo yabo ngosuku olufanayo njalo ngenyanga.
Kungcono ukugwema utshwala noma ukulunciphisa kakhulu ngenkathi uthola imijovo ye-paliperidone intramuscular. Utshwala bungakhuphula imiphumela yokuthulisa yomuthi futhi bungase lenze isiyezi noma izinkinga zokuxhumana zibe zimbi.
Utshwala bungaphazamisa nokwelashwa kwempilo yakho yengqondo futhi bungase luqale izimpawu ezisizwa umuthi ukuzilawula. Lokhu kubaluleke kakhulu ukukucabangela uma usezigabeni zokuqala zokwelashwa.
Uma ukhetha ukuphuza ngezikhathi ezithile, kwenze ngokucophelela okukhulu nangamanani amancane. Njalo xoxa ngokusebenzisa utshwala nomhlinzeki wakho wezempilo ukuze bakunikeze isiqondiso esiqondene nawe esisekelwe esimweni sakho esithile.
Ukuqina kwemisipha, ukuthuthumela, noma ukunyakaza okungajwayelekile ngezinye izikhathi kungenzeka nge-paliperidone intramuscular. Ngenkathi le miphumela emibi ingakhathaza, ivame ukulawuleka ngokunakekelwa kwezempilo okufanele.
Xhumana nomhlinzeki wakho wezempilo uma ubona noma yiziphi izinkinga zemisipha ezintsha noma eziya ziba zimbi. Bangase balungise umthamo wakho, banikeze imithi eyengeziwe yokusiza ngezinkinga zokunyakaza, noma baphakamise amanye amaqhinga okuphatha.
Ungayeki imijovo yakho wedwa uma uhlangabezana nale miphumela emibi. Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise izinzuzo nezingozi futhi uthole indlela engcono kakhulu yokuphatha noma yiziphi izinkathazo ezihlobene nokunyakaza.
Isinqumo sokuyeka i-paliperidone intramuscular kufanele senziwe ngaso sonke isikhathi ngokubambisana nomhlinzeki wakho wezempilo. Abantu abaningi bayazuza ekwelashweni kwesikhathi eside, kodwa izidingo zakho ngazinye zingashintsha ngokuhamba kwesikhathi.
Udokotela wakho uzocabangela izinto ezinjengokuthi izimpawu zakho zizinzile kangakanani, ukuthi usunesikhathi esingakanani uphilile, uhlelo lwakho lokusekela, nezintandokazi zakho siqu lapho nixoxa ngokuthi ngabe uzoqhubeka noma uyeke ukwelashwa.
Uma wena nodokotela wakho nithatha isinqumo sokuyeka imijovo, lokhu ngokuvamile kuzokwenziwa kancane kancane ngokubheka ngokucophelela. Abanye abantu bangase bashintshele emithini yomlomo kuqala, kanti abanye bangase bakwazi ukuyeka imithi ngokuphelele ngaphansi kokuqondiswa okuseduze.