Yini i-Quetiapine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Quetiapine iyimithi kadokotela esiza ukulinganisa amakhemikhali athile ebuchosheni bakho ukuze kuthuthukiswe imizwa, ukucabanga, nokuziphatha. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-antipsychotics angajwayelekile, asebenza ngendlela ehlukile kunemithi endala yezengqondo futhi ngokuvamile inemiphumela emincane eceleni.

Le mithi ingenza umehluko omkhulu kubantu ababhekene nezimo ezingokwengqondo ezingathi sína. Ngenkathi idinga ukuqashwa ngokucophelela ngudokotela wakho, abantu abaningi bathola ukuthi ibasiza bazizwe bezinzile futhi bakwazi ukuphatha izimpilo zabo zansuku zonke.

Yini i-Quetiapine?

I-Quetiapine iyimithi yezempilo yengqondo esiza ukubuyisela ukulinganisela kumakhemikhali obuchopho abizwa ngokuthi ama-neurotransmitters. Lawa makhemikhali athwala imiyalezo phakathi kwamaseli obuchopho futhi athinte indlela ocabanga, ozizwa ngayo, futhi oziphatha ngayo.

Le mithi iza ngezinhlobo ezimbili: amaphilisi akhishwa ngokushesha asebenza ngokushesha namaphilisi akhishwa isikhathi eside anikeza imiphumela eqhubekayo usuku lonke. Udokotela wakho uzokhetha uhlobo olufanele ngokusekelwe ezidingweni zakho ezithile nesimo sakho.

Ngokungafani neminye imithi endala yezengqondo, i-quetiapine ithathwa njenge-antipsychotic “engajwayelekile”. Lokhu kusho ukuthi isebenza ngokukhethekile kuma-receptors obuchopho, okuvame ukuholela emiphumeleni emincane eceleni ehlobene nokunyakaza eyayivame ukuba khona ngemithi yangaphambili.

Isetshenziselwani i-Quetiapine?

I-Quetiapine iphatha izimo eziningana ezingokwengqondo ezingathi sína ngokusiza ukuzinzisa imizwa nokunciphisa izimpawu eziphazamisa impilo yansuku zonke. Le mithi ivunywe yi-FDA ngezimo ezithile lapho ukungalingani kwamakhemikhali obuchopho kubangela ukucindezeleka okukhulu.

Nawa amazwi ayinhloko i-quetiapine esiza ukuwapheka, ngalinye lidinga ukuxilongwa ngokucophelela nokuqashwa ngudokotela wezengqondo noma omunye udokotela oqeqeshiwe:

• I-Schizophrenia: Isiza ukunciphisa ukucabanga okungahleliwe, ukukhohlisa, nokucabanga okungahleliwe kubantu abadala nasebancane
• Isifo se-Bipolar: Siphatha kokubili izigaba ze-manic (amandla aphezulu, ukuziphatha okungazelelwe) nezigaba zokucindezeleka (isimo esiphansi, ukungabi nathemba)
• Isifo esikhulu sokucindezeleka: Lisetshenziswa kanye nama-antidepressants lapho ukucindezeleka kungaphenduli kwezinye izindlela zokwelapha zodwa
• Ukugcinwa kwe-Bipolar: Kusiza ukuvimbela izigaba zesimo sengqondo esizayo uma kuthathwa isikhathi eside

Udokotela wakho angase futhi anikeze i-quetiapine kwezinye izimo ezingabaliwe lapha, umkhuba obizwa ngokuthi ukusetshenziswa "ngaphandle kwelebula". Lokhu kuvumelekile futhi kuvamile lapho odokotela benazo izizathu ezinhle zezokwelapha ezisekelwe esimweni sakho somuntu ngamunye.

Isebenza Kanjani I-Quetiapine?

I-Quetiapine isebenza ngokuvimba ama-receptors athile ebuchosheni bakho athola imiyalezo yamakhemikhali. Ithonya ikakhulukazi ama-receptors e-dopamine ne-serotonin, adlala indima ebalulekile emoyeni, ekucabangeni, nasekuziphatheni.

Cabanga ngala ma-receptors njengeziteshi zomsakazo ebuchosheni bakho. Lapho izimo zempilo yengqondo zenzeka, ezinye iziteshi zingase zidlale kakhulu noma zithole izimpawu ezixubile. I-Quetiapine isiza ukushuna lezi ziteshi emvameni efanele.

Lo muthi ubhekwa njengomuthi oqinile phakathi kwemithi yezengqondo. Unamandla ngokwanele ukwelapha izimo ezinzima kodwa ngokuvamile unomusa kune-antipsychotics endala. Abantu abaningi baqaphela ukuthuthuka okuthile emasontweni ambalwa okuqala, nakuba izinzuzo ezigcwele zingathatha izinyanga eziningana.

Kufanele Ngiyithathe Kanjani I-Quetiapine?

Thatha i-quetiapine ngendlela udokotela wakho ayala ngayo, ngokuvamile kanye noma kabili ngosuku kuye ngendlela yokulungiselela. Uhlobo olukhishwe ngokushesha luvame ukuthathwa izikhathi ezi-2-3 ngosuku, kuyilapho olukhishwe isikhathi eside luthathwa kanye ngosuku kusihlwa.

Ungayithatha le mithi ngaphandle noma ngaphandle kokudla, kodwa ukuyithatha nokudla okulula noma ukudla okulula kungasiza ekunciphiseni isisu. Gwema ukudla okunamafutha amaningi uma uthatha amaphilisi akhishwe isikhathi eside, njengoba lokhu kungathinta indlela umzimba wakho owamukela ngayo imithi.

Nawa imihlahlandlela ebalulekile okufanele uyilandele uma uthatha i-quetiapine:

• Yithathe ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho
• Gwinya amaphilisi akhishwe isikhathi eside wonke - ungalokothi uwachoboze, uwahlafune, noma uwaqhekeze
• Uma uthatha ifomu elikhishwe ngokushesha, ungaqhekeza amaphilisi aqoshiwe uma udokotela wakho ekweluleka
• Qala ngomthamo ophansi bese ukhuphuka kancane kancane njengoba uqondiswa udokotela wakho
• Qhubeka ukuyithatha ngisho noma uzizwa ungcono, ngaphandle kwalapho udokotela wakho ethi uyeke

Njalo yiba nengilazi yamanzi egcwele uma uthatha umthamo wakho. Lokhu kusiza imithi ukuthi ifinyelele esiswini sakho ngendlela efanele futhi kunciphisa ithuba lokucasuka komphimbo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Quetiapine?

Ubude bokwelashwa nge-quetiapine busekelwe esimweni sakho esithile nokuthi usabela kahle kangakanani emithini. Abanye abantu bayayidinga izinyanga ezimbalwa, kanti abanye bayazuza ekwelashweni kwesikhathi eside ukuvimbela izimpawu ukuthi zingabuyi.

Ezikhathini ezinzima njengokucindezeleka okukhulu noma i-mania, ungase uthathe i-quetiapine izinyanga eziningana kuze kube yilapho izimpawu zizinzile. Ezimweni ezingapheli njenge-schizophrenia noma i-bipolar disorder, abantu abaningi baqhubeka nokwelashwa iminyaka eminingi ukuze bagcine ukuzinza.

Udokotela wakho uzobuyekeza njalo inqubekela phambili yakho futhi angase ashintshe uhlelo lwakho lokwelashwa. Ungalokothi uyeke ukuthatha i-quetiapine ngokuzumayo, njengoba lokhu kungabangela izimpawu zokuhoxiswa noma kuvumele izimpawu zakho zokuqala ukuthi zibuye ngokushesha. Uma sekuyisikhathi sokuyeka, udokotela wakho uzokwehlisa kancane kancane umthamo wakho emasontweni noma ezinyangeni.

Ziyini Imiphumela Eceleni Ye-Quetiapine?

Njengazo zonke izidakamizwa, i-quetiapine ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi ithambile futhi iyathuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukuzizwa ukozela, isiyezi, noma umlomo owomile. Lokhu kuvame ukuba ngaphansi kokukhathaza njengoba uqhubeka nokwelashwa:

• Ukozela nokukhathala: Ngokuvamile kuqashelwa kakhulu lapho kuqala ukwelashwa
• Isiyezi: Ikakhulukazi lapho usukuma ngokushesha
• Umlomo owomile: Ukunatha amanzi usuku lonke kuyasiza
• Ukuqunjelwa: Ukudla ukudla okunothile ngemfucumfucu nokuhlala unamanzi kungasiza
• Ukukhuluphala: Ukuzivivinya njalo nokudla okunempilo kubalulekile
• Ukukhuphuka kwesifiso sokudla: Sebenza nodokotela wakho kumacebo okuhlela ukudla

Abanye abantu bathola imiphumela emibi engathi sína edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke futhi uthinte udokotela wakho ngokushesha uma kwenzeka.

Imiphumela emibi engathi sína edinga ukunakekelwa kwezempilo ngokushesha ihlanganisa:

• Ushukela ophezulu wegazi: Ukoma ngokweqile, ukuchama njalo, umbono ongacacile
• Izinkinga zokunyakaza: Ukunyakaza kwemisipha okungalawuleki, ukuqina, noma ukuthuthumela
• Ushintsho lwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ubuhlungu besifuba
• Isiyezi esibi: Ukuquleka noma izigameko ezicishe ziquleke
• Izimpawu zokutheleleka: Umkhuhlane, umphimbo obuhlungu, noma ubuthakathaka obungajwayelekile

Imiphumela emibi engavamile kakhulu kodwa engathi sína ihlanganisa i-neuroleptic malignant syndrome, isimo esingase sibeke ukuphila engozini esibangela umkhuhlane ophezulu, ukuqina kwemisipha, nokudideka. Uma uthola lezi zimpawu, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha.

Ubani Ongafanele Athathwe I-Quetiapine?

I-Quetiapine ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-quetiapine uma unenkinga yokungezwani nayo noma yiziphi izithako zayo. Izimpawu zokungezwani komzimba zihlanganisa ukuqubuka, ukuluma, ukuvuvukala, isiyezi esikhulu, noma ukungaphefumuli kahle.

Izimo eziningi zezokwelapha zidinga ukuqapha okukhethekile noma zingakuvimbela ukuthi ungathathi i-quetiapine ngokuphepha:

• Izinkinga zenhliziyo: Kuhlanganisa ukushaya kwenhliziyo okungajwayelekile, ukuhluleka kwenhliziyo, noma ukuhlaselwa yinhliziyo kwakamuva
• Isifo sesibindi: Isibindi sakho sicubungula lo muthi, ngakho izinkinga zesibindi zingaba yingozi
• Isifo sezinso: Kungase kuthinte indlela umzimba wakho oqeda ngayo umuthi
• Isifo sikashukela: I-Quetiapine ingakhuphula amazinga kashukela egazini
• Izifo zokuthuthumela: Kungase kwehlise umkhawulo wokuthuthumela
• I-Glaucoma: Ingakhuphula ingcindezi yamehlo
• Ukwanda kwendlala yesinye: Kungase kwenze kube nzima ukuchama

Iziguli ezindala ezinengqondo ehlobene nokugula kwengqondo ziba nengozi eyengeziwe yokufa lapho zithatha imithi ye-antipsychotic. I-Quetiapine ayivunyelwe ukwelapha izinkinga zokuziphatha ezihlobene nokugula kwengqondo.

Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa ngokucophelela. Ngenkathi i-quetiapine ingase idingeke kwabesifazane abakhulelwe, ingamthinta umntwana osakhula. Njalo xoxa ngokuhlela umndeni nodokotela wakho ngenkathi uthatha lo muthi.

Amagama e-Quetiapine Brand

I-Quetiapine itholakala ngaphansi kwamagama amaningi e-brand, i-Seroquel iyona eyaziwa kakhulu. Inguqulo yegama lomkhiqizo nezinguqulo ezivamile ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo.

Amagama ajwayelekile emakethe afaka i-Seroquel yamaphilisi akhishwa ngokushesha kanye ne-Seroquel XR yamaphilisi akhishwa isikhathi eside. Izinhlobo ze-generic zibizwa ngokuthi "quetiapine" noma "quetiapine fumarate" futhi ngokuvamile zishibhile kunezinhlobo ezinegama.

Ikhemisi lakho lingashintsha i-quetiapine generic ngamagama anegama ngaphandle uma udokotela wakho ecela ngokuqondile uhlobo olinegama. Zombili izinhlobo zisebenza ngendlela efanayo, ngakho ukukhetha kuvame ukuncika ezindlekweni kanye nokukhokhelwa komshuwalense.

Ezinye izindlela ze-Quetiapine

Eminye imithi eminingi ingelapha izimo ezifanayo uma i-quetiapine ingakulungele. Udokotela wakho angase acabangele lezi ezinye izindlela ngokusekelwe ezimpawini zakho ezithile, umlando wakho wezokwelapha, nokuthi usabela kanjani ekwelashweni.

Ezinye izidakamizwa ezingajwayelekile ze-antipsychotic ezisebenza ngendlela efanayo ne-quetiapine zifaka i-aripiprazole (Abilify), i-olanzapine (Zyprexa), kanye ne-risperidone (Risperdal). Ngayinye inohlu oluhlukile lwemiphumela engemihle futhi ingasebenza kangcono kubantu abathile.

Ngesifo se-bipolar, izithuthukisi zemizwa ezinjenge-lithium, i-valproic acid, noma i-lamotrigine zingase zicatshangelwe. Ngokucindezeleka, udokotela wakho angase azame ama-antidepressants ahlukene noma inhlanganisela yemithi.

Enye indlela engcono kakhulu incike esimweni sakho esithile, eminye imithi oyithathayo, kanye nokusabela kwakho ngakunye ekwelashweni. Ungalokothi ushintshe imithi ngaphandle kokuxoxa ngayo ngokucophelela nodokotela wakho kuqala.

Ingabe i-Quetiapine ingcono kune-Olanzapine?

I-Quetiapine ne-olanzapine zombili ziyizidakamizwa eziphumelelayo ezingajwayelekile ze-antipsychotic, kodwa zinamandla ahlukene kanye nohlu lwemiphumela engemihle. Akukho noyedwa "ongcono" ngokujwayelekile - ukukhetha kuncike ezidingweni zakho ngazinye nokuthi umzimba wakho usabela kanjani.

I-Quetiapine ivame ukubangela ukuzuza isisindo esincane nezinkinga ezimbalwa ze-metabolic kune-olanzapine, okuyenza ibe yindlela engcono kubantu abakhathazekile ngale miphumela engemihle. Kodwa-ke, i-quetiapine ingase ibangele ukuthula okwengeziwe, ikakhulukazi uma uqala ukwelashwa.

I-Olanzapine ivame ukusebenza kahle kakhulu ngezimpawu ezithile ze-schizophrenia futhi ingase isebenze ngokushesha ezigamekweni ezinzima ze-manic. Kodwa-ke, ithwala ingozi enkulu yokuzuza isisindo esikhulu kanye nesifo sikashukela.

Udokotela wakho uzocabangela izinto ezinjengezimpawu zakho ezithile, umlando wezokwelapha, eminye imithi, nendlela yokuphila lapho ekhetha phakathi kwalezi zinketho. Okusebenza kahle kakhulu kumuntu oyedwa kungase kungabi kuhle komunye.

Imibuzo Evame Ukubuzwa Mayelana ne-Quetiapine

Ingabe i-Quetiapine iphephile ku-Diabetes?

I-Quetiapine ingakhuphula amazinga kashukela egazini, ngakho-ke abantu abanesifo sikashukela badinga ukuqapha okwengeziwe ngenkathi bethatha lo muthi. Udokotela wakho uzohlola ushukela wakho wegazi njalo futhi kungase kudingeke alungise imithi yakho yesifo sikashukela.

Uma ungenaso isifo sikashukela, udokotela wakho usazoqapha ushukela wakho wegazi ngoba i-quetiapine ngezinye izikhathi ingabangela isifo sikashukela kubantu abasengozini. Izimpawu okufanele ziqashelwe zihlanganisa ukwanda komzwelo wokoma, ukuvama ukuchama, nombono ongacacile.

Abantu abaningi abanesifo sikashukela bangayithatha ngokuphepha i-quetiapine ngokuqapha okufanele. Okubalulekile ukusebenzisana eduze nodokotela wakho wezengqondo nodokotela wakho wesifo sikashukela ukuphatha zombili izimo ngempumelelo.

Ngingenzani Uma Ngiphuzile I-Quetiapine Engaphezu Kakhulu Ngengozi?

Uma ngengozi uthatha i-quetiapine eningi kakhulu, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kungabangela izinkinga ezinkulu ezihlanganisa ukozela ngokweqile, ukushaya kwenhliziyo okusheshayo, nomfutho wegazi ophansi.

Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe nokweqisa. Kunalokho, hlala uzolile futhi funa usizo lwezokwelapha ngokushesha. Yiba nebhodlela lakho lemithi nawe lapho ushayela ucingo ukuze uthole usizo.

Uma othile engazi lutho, enobunzima bokuphefumula, noma ekhombisa izimpawu zokuphendula okukhulu, shayela izinsiza eziphuthumayo ngokushesha. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga ezinkulu ezivela ekweqiseni.

Ngingenzani Uma Ngedlula Umthamo We-Quetiapine?

Uma uphuthelwa umthamo we-quetiapine, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi 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 kungakhuphula ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo.

Ukuphuthelwa imithamo ngezikhathi ezithile ngokuvamile akuyona ingozi, kodwa ukweqa imithamo njalo kungavumela izimpawu zakho ukuthi zibuye. Khuluma nodokotela wakho uma unenkinga yokukhumbula ukuthatha imithi yakho ngokuqhubekayo.

Ngingayeka nini Ukuthatha i-Quetiapine?

Yeka kuphela ukuthatha i-quetiapine lapho udokotela wakho ekweluleka ukuthi wenze njalo. Noma ngabe uzizwa ungcono ngokuphelele, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa futhi kuvumele izimpawu zakho zokuqala ukuthi zibuye ngokushesha.

Lapho sekuyisikhathi sokuyeka, udokotela wakho uzokwehlisa kancane umthamo wakho phakathi namasonto amaningana noma izinyanga. Lokhu kunciphisa kancane kusiza ekuvimbeleni izimpawu zokuhoxisa futhi kunikeza ubuchopho bakho isikhathi sokuzivumelanisa.

Abanye abantu badinga ukuthatha i-quetiapine isikhathi eside ukuze bavimbele izimpawu ukuthi zingabuyi. Udokotela wakho uzohlola njalo ukuthi ngabe ukuqhubeka nokwelashwa kuyadingeka yini ngokuya ngenqubekela phambili yakho nempilo yonke.

Ngingashayela Ngenkathi Ngithatha i-Quetiapine?

I-Quetiapine ingadala ukozela nesiyezi, ikakhulukazi lapho uqala ukuyithatha noma lapho umthamo wakho ukhushulwa. Gwema ukushayela noma ukusebenzisa imishini kuze kube yilapho wazi ukuthi imithi ikuthinta kanjani.

Abantu abaningi bathola ukuthi bangashayela ngokuphepha ngemuva kokuthi umzimba wabo uzivumelanise nemithi, ngokuvamile kungakapheli amasonto ambalwa. Kodwa-ke, hlala uqotho kuwe ngokuqondene nezinga lakho lokuqapha ngaphambi kokungena ngemuva kwesondo.

Uma uqhubeka nokuzwa ukozela noma isiyezi ngemuva kwamasonto amaningana okwelashwa, khuluma nodokotela wakho. Bangakwazi ukulungisa umthamo wakho noma isikhathi sokunciphisa le miphumela ngenkathi kugcinwa izinzuzo zemithi.