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

I-Phenothiazine yisigaba semithi esetshenziselwa ikakhulukazi ukwelapha izimo zempilo yengqondo ezinjengokugula kwengqondo nokucasuka okukhulu. Le mithi isebenza ngokuvimba amakhemikhali athile obuchopho angabangela izimpawu ezinjengokucabanga okungamanga, ukukhohlisa, noma ukuhlanza okuqhubekayo.

Ungase wazi le mithi ngamagama ajwayelekile afana ne-Thorazine (chlorpromazine) noma i-Phenergan (promethazine). Sebebelokhu besiza abantu ukuthi balawule izimpawu eziyinselele amashumi eminyaka, futhi odokotela babayala lapho ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele.

Yini i-Phenothiazine?

I-Phenothiazines yiqembu lemithi elingaphansi komndeni omkhulu obizwa ngokuthi ama-antipsychotics. Ziyizinhlanganisela zamakhemikhali ezingathulisa amasignali obuchopho asebenza ngokweqile futhi zinciphise izimpawu eziphazamisa impilo yansuku zonke.

Le mithi iza ngezinhlobo ezahlukene ukuze ihlangabezane nezidingo zakho ezithile. Ungazithatha njengamaphilisi, uzithole njengemijovo, noma usebenzise ama-suppositories uma ukugwinya kunzima. Lokhu kushintshashintsha kusiza ekuqinisekiseni ukuthi uthola ukwelashwa okusebenza kahle kakhulu esimweni sakho.

Imithi ehlukene ye-phenothiazine inamandla ahlukene nezinjongo. Ezinye zingcono ngezimpawu zempilo yengqondo, kanti ezinye zigqama ekulawuleni isicanucanu nokuhlanza.

Yini i-Phenothiazine Esetshenziselwa Yona?

I-Phenothiazines iphatha izimo eziningana, nokuphazamiseka kwempilo yengqondo okuyisetshenziswa sayo esiyinhloko. Zisebenza kahle ikakhulukazi ekuguleni kwengqondo, lapho zisiza ekunciphiseni ukucabanga okungamanga nokuhlela imicabango edidayo.

Le mithi futhi isebenza kahle ekucanucaneni okukhulu nokuhlanza, ikakhulukazi lapho ezinye izindlela zokwelapha zingazange zisize. Abantu abaningi bathola ukukhululeka ekuguleni kokunyakaza, imiphumela emibi ye-chemotherapy, noma isicanucanu ngemva kokuhlinzwa ngale mithi.

Udktela wakho angase akunikeze imithi ye-phenothiazines nangezinye izimo futhi. Ingasiza ngokukhathazeka okukhulu, izinhlobo ezithile zobuhlungu obungapheli, noma njenge-sedative ngaphambi kwezinqubo zezokwelapha. Ukusetshenziswa okuqondile kuncike ekutheni iyiphi i-phenothiazine udokotela wakho ayikhethayo kanye nezimpawu zakho.

Isebenza Kanjani I-Phenothiazine?

I-Phenothiazines isebenza ngokuvimba ama-dopamine receptors ebuchosheni bakho. I-Dopamine iyisithunywa samakhemikhali, lapho sisebenza ngokweqile, singabangela izimpawu ezinjengokucabanga ngamanga, ukukhohlisa, noma isicanucanu esikhulu.

Cabanga ngale mithi njengabalawuli bethrafikhi abanobumnene be-signal yakho yobuchopho. Abayivali ngokuphelele umsebenzi wobuchopho, kodwa basiza ukulawula imiyalezo yamakhemikhali engase ibangele izimpawu zakho.

Lezi zithathwa njengemithi enamandla ngokulinganiselwe, okusho ukuthi inamandla kunezinketho ezingaphezu kwe-counter kodwa ithambile kunezinye izidakamizwa ezintsha ze-antipsychotics. Zivame ukuqala ukusebenza kungakapheli amahora ambalwa ngezimpawu ezinzima, nakuba izinzuzo ezigcwele zezimo zempilo yengqondo zingathatha amasonto amaningana.

Kufanele Ngiyithathe Kanjani I-Phenothiazine?

Thatha i-phenothiazines ngendlela eqondile udokotela wakho akuyale ngayo. Izinhlobo eziningi zomlomo zingathathwa ngokudla noma ngaphandle kokudla, nakuba ukuzithatha nobisi noma ukudla okulula kungasiza ukunciphisa isisu esibuhlungu.

Uma uthatha uhlobo oluwuketshezi, lulinganise ngokucophelela ngedivayisi yokulinganisa enikeziwe. Ungasebenzisi izipuni zasendlini, njengoba ngeke zikunikeze umthamo olungile. Ungaxuba uketshezi nejusi noma amanzi uma ukunambitheka kukuphazamisa.

Ngezithako, zigcine endaweni epholile bese uzifaka njengoba uqondiswe. Geza izandla zakho kahle ngaphambi nangemva kokusebenzisa. Uma uthola imijovo, umhlinzeki wezempilo uzokunikeza yona ngezikhathi ezifanele.

Gwema ukuphuza utshwala ngenkathi uthatha le mithi, njengoba ingakhuphula ukozela neminye imiphumela emibi. Futhi, qaphela ngemisebenzi edinga ukuqapha, ikakhulukazi uma uqala ukuthatha umuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Phenothiazine?

Ubude bokwelashwa nge-phenothiazines buxhomeke ngokuphelele esimweni sakho nokuthi usabela kahle kangakanani emuthini. Ngezimpawu ezinzima ezinjengokucasuka okukhulu, ungase uzidinge izinsuku ezimbalwa noma amasonto.

Uma welapha isimo sempilo yengqondo esifana ne-schizophrenia, ungase udinge ukuthatha le mithi izinyanga noma iminyaka. Lokhu akukhona ngoba uthembele kubo, kodwa ngoba ubuchopho bakho budinga ukusekelwa okuqhubekayo ukuze kugcinwe ukuzinza.

Ungayeki ukuthatha i-phenothiazines ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokushesha kungabangela izimpawu zokuhoxisa noma kuvumele izimpawu zakho zokuqala ukuthi zibuye. Udokotela wakho uzokwenza uhlelo lokunciphisa kancane kancane uma udinga ukuyeka ukuthatha umuthi.

Yiziphi Imiphumela Eceleni ye-Phenothiazine?

Abantu abaningi bayayibekezelela kahle i-phenothiazines, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nawa amanye imiphumela emibi ejwayelekile ongase uyithole:

• Ukozela noma ukuzwa ubuthongo emini
• Umlomo owomile okwenza ufune ukuphuza amanzi amaningi
• Ukubona okungacacile, ikakhulukazi lapho ufunda
• Ukuqunjelwa noma ubunzima bokuthuthwa kwamathumbu
• Isiyezi lapho usukuma ngokushesha
• Ukukhuluphala ngokuhamba kwesikhathi

Le miphumela emibi ejwayelekile ivame ukungabonakali ngemva kwamasonto ambalwa okuqala ukwelashwa. Ukuphuza amanzi amaningi, ukudla ukudla okunothile nge-fiber, nokuvuka kancane kungasiza ekuphatheni imiphumela eminingi.

Abanye abantu bathola imiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezokwelapha. Nakuba lokhu kungenzeki kuwo wonke umuntu, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ukuqina kwemisipha noma ukunyakaza okungajwayelekile, ikakhulukazi ebusweni bakho noma ezandleni zakho
• Umkhuhlane omkhulu onokujuluka nokudideka
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ukuphumula okukhulu noma ukungakwazi ukuhlala uzolile
• Ukuphuzi kwesikhumba noma amehlo
• Isiyezi esikhulu noma ukuquleka

Uma uqaphela noma yiziphi zalezi zimpawu ezingathi sína, xhumana nodokotela wakho ngokushesha. Bangashintsha umthamo wakho noma bakushintshele emuthini ohlukile uma kudingeka.

Ubani Ongafanele Athatha I-Phenothiazine?

Ama-Phenothiazines awafanele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwanika. Ezinye izimo zenza le mithi ibe yingozi noma ingasebenzi kahle.

Kufanele ugweme ama-phenothiazines uma unezimo ezithile zezokwelapha. Lokhu kuhlanganisa isifo sesibindi esibi, izinkinga ezithile zesigqi senhliziyo, noma uma uke waba nokusabela okukhulu komzimba kule mithi ngaphambili.

Yazisa udokotela wakho ngalezi zimo ezibalulekile zempilo ngaphambi kokuqala ama-phenothiazines:

• Isifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile
• Izinkinga zesibindi noma izinso
• Isifo sikaParkinson noma izifo zokunyakaza
• Ukuphazamiseka kokuhlaselwa noma isithuthwane
• I-prostate enwebekile noma izinkinga zokuchama
• I-glaucoma noma izinkinga zengcindezi yamehlo
• Izifo zegazi noma ukubala kwamangqamuzana amhlophe egazi okuphansi

Abesifazane abakhulelwe noma abancelisa ngamabele badinga ukucatshangelwa okukhethekile ngale mithi. Ngenkathi ngezinye izikhathi zidingeka ngesikhathi sokukhulelwa, udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ezingaba khona kuwe nomntwana wakho.

Abantu abadala bangase bazwele kakhulu kuma-phenothiazines futhi bangase badinge imithamo ephansi. Udokotela wakho uzokuqapha eduze uma uneminyaka engaphezu kwengama-65 ukuze aqinisekise ukuthi imithi isebenza ngokuphepha.

Amagama Omkhiqizo we-Phenothiazine

Ama-phenothiazines atholakala ngaphansi kwamagama amaningi omkhiqizo, ngalinye liqukethe imithi ehlukene ekhethekile kulolu hlu. Lawa ajwayelekile ongahlangana nawo afaka i-Thorazine, equkethe i-chlorpromazine yezimo zempilo yengqondo.

I-Phenergan elinye igama lomkhiqizo elaziwayo eliqukethe i-promethazine, elivame ukusetshenziselwa isicanucanu nokungezwani komzimba nezinto ezithile. I-Compazine (prochlorperazine) ivame ukunqunywa ngenxa yesicanucanu esibi nokuhlanza.

I-pharmacy yakho ingase futhi ithwale izinguqulo ezivamile zale mithi, equkethe izithako ezifanayo ezisebenzayo kodwa ezibiza kancane. Ama-phenothiazines ajwayelekile asebenza kahle njengezinguqulo zegama lomkhiqizo futhi ahlangabezana namazinga afanayo okuphepha.

Ezinye Izindlela Zama-Phenothiazine

Uma ama-phenothiazines engasebenzi kahle kuwe noma ebangela imiphumela emibi, udokotela wakho unezinye izindlela eziningi zokucabangela. Ukukhetha okungcono kuncike esimweni sakho esithile nokuthi umzimba wakho usabela kanjani emithini ehlukene.

Ngezimo zempilo yengqondo, ama-antipsychotics amasha afana ne-risperidone noma i-olanzapine angase abe izinketho ezingcono. Le mithi ivame ukuba nemiphumela emincane ehlobene nokunyakaza kunama-phenothiazines endabuko.

Ngesicanucanu nokuhlanza, ezinye izindlela zifaka i-ondansetron (Zofran), esebenza ngendlela ehlukile kunama-phenothiazines. Ama-antihistamines afana ne-meclizine angasiza ngesifo sokunyakaza, kuyilapho i-metoclopramide ingase isebenze ngezinhlobo ezithile zesicanucanu.

Izindlela zemvelo ngezinye izikhathi zingagcwalisa noma zithathe indawo yemithi yezimpawu ezithambile. Izithasiselo ze-ginger zingasiza ngesicanucanu, kuyilapho izindlela zokuphumula zingasekela ukwelashwa kwempilo yengqondo. Hlala uxoxa ngezinketho zakho nodokotela wakho ngaphambi kokwenza izinguquko.

Ingabe i-Phenothiazine Ingcono Kune-Haloperidol?

Ama-phenothiazines kanye ne-haloperidol yomibili imithi endala ye-antipsychotic, kodwa isebenza kancane ngendlela ehlukile futhi inamaphrofayili ahlukene emiphumeleni. Akukho noyedwa

Ama-phenothiazine athambekele ekubeni aqede kakhulu kuno-haloperidol, okungasiza uma ubhekene nokuthukuthela okukhulu noma udinga usizo lokulala. Kodwa-ke, lokhu kuqeda kungaphazamisa imisebenzi yakho yansuku zonke ngaphezu kwalokho okungase kwenziwe yi-haloperidol.

I-Haloperidol ivame ukukhethwa ekwelapheni izigameko eziqatha ze-psychotic ngoba mancane amathuba okuthi idale ukwehla okuyingozi kwengcindezi yegazi. Kodwa-ke, ingase idale imiphumela eminingi ehlobene nokunyakaza kunama-phenothiazine athile.

Udokotela wakho uzocabangela izimpawu zakho ezithile, umlando wezokwelapha, nendlela yokuphila lapho ekhetha phakathi kwale mithi. Bangase bazame ngisho nakho kokubili ukuze babone ukuthi yikuphi okusebenzela kangcono.

Imibuzo Evame Ukubuzwa Mayelana ne-Phenothiazine

Ingabe i-Phenothiazine iphephile ezigulini zenhliziyo?

Ama-phenothiazine adinga ukuqapha ngokucophelela uma unezifo zenhliziyo, kodwa ngezinye izikhathi angasetshenziswa ngokuphepha ngaphansi kokuqondiswa okufanele kwezokwelapha. Le mithi ingathinta ukushaya kwenhliziyo yakho nengcindezi yegazi, ngakho udokotela wakho uzodinga ukulinganisa izinzuzo nezingozi ezingaba khona.

Uma unezifo zenhliziyo, udokotela wakho cishe uzoqala ngomthamo ophansi futhi aqaphe ukusebenza kwenhliziyo yakho ngokucophelela. Bangase ba-ode ama-EKG avamile ukuze baqinisekise ukuthi ukushaya kwenhliziyo yakho kuhlala kujwayelekile ngenkathi uthatha umuthi.

Ngingenzani uma ngiphuzile i-Phenothiazine eningi ngengozi?

Uma ngengozi uphuza i-phenothiazine eningi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukuphuza okuningi kungabangela imiphumela emibi engathi sína efana nokozela okukhulu, ukudideka, noma izinguquko eziyingozi ekushayeni kwenhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma utshelwe ngqo ukuthi wenze kanjalo ngumsebenzi wezokwelapha. Gcina ibhodlela lomuthi nawe ukuze ukwazi ukutshela abahlinzeki bezempilo ukuthi yini kanye nokuthi ungakanani okuthathile.

Ngingenzani uma ngiphuthelwa umthamo we-Phenothiazine?

Uma uphuthelwa umthamo we-phenothiazine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze nesikhathi somthamo wakho olandelayo. Uma kunjalo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni.

Ngingayeka nini ukuthatha i-Phenothiazine?

Yeka kuphela ukuthatha ama-phenothiazines uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa noma kuvumele izimpawu zakho zokuqala ukuthi zibuye, ngezinye izikhathi zibe zimbi kakhulu kunakuqala.

Udokotela wakho uzokwenza uhlelo lokunciphisa kancane uma udinga ukuyeka ukuthatha umuthi. Le nqubo ingathatha amasonto amaningana noma izinyanga, kuye ngokuthi usuthatha isikhathi esingakanani umuthi kanye nokuphendula kwakho ngakunye.

Ngingashayela ngesikhathi ngithatha i-Phenothiazine?

Kufanele uqaphele kakhulu mayelana nokushayela uma uqala ukuthatha ama-phenothiazines, njengoba engabangela ukozela futhi athinte isikhathi sakho sokuphendula. Linda uze wazi ukuthi umuthi ukuthinta kanjani ngaphambi kokushayela noma ukusebenzisa imishini.

Abantu abaningi bangashayela ngokuphepha uma sebeqhelele emuthini, kodwa lokhu kuyahlukahluka kumuntu nomuntu. Uma uqhubeka nokuzwa ukozela noma isiyezi, xoxa ngezinketho zokuthutha ezingezinye nodokotela wakho kunokufaka engozini ingozi.