Isiza "Ketilept": ukuphononongwa, imiyalelo yokusetyenziswa

"I-Ketilept" isichengululo se-antipsychotic esiseqela lama-neuroleptics. Inxalenye esebenzayo yale mayeza i-quetiapine, ene-calucination and overwhelming estate hallucination. Kodwa ziphi na iimeko ezi zonyango, kwaye ziphi iingqinisiso ekusebenziseni kwayo, siya kuqwalasela ngezantsi.

Izimpawu zokungena

Ngokuphathelele ukulungiswa kwee-"Ketilept" ukuqinisekiswa ukuba le mpilisi ye-antipsychotic inefuthe elixhuzisayo nelinomonakalo. Uze uyigqibe kwiimeko ezilandelayo:

• Ngeengqondo ezinzima kunye ezingapheliyo;
• Nge-schizophrenia;
• Ukunyangwa kweengxaki zomntu kunye neeplastiki.

Kubalulekile ukuba uqaphele ukuba isilwanyana esinjalo asinayo impembelelo, kodwa ngamanye amaxesha "i-Ketilept" inokubangela ukuba umntu alele.

Izindlela zokusetyenziswa kwesi sidakamizwa kunye nomyinge

Ukuhlolwa kweziyobisi "Ketilept" kubonisa ukuba umiselwe kuphela ngugqirha. Yaye yonke ingcaciso iya kunikwa ngezansi yinto efunyanwa yinyaniso.

Ngokuyinhloko, "iKetilept" imiselwe ukuba ithathe amaxesha amabini ngosuku, kungakhathaliseki ukuba ukutya. Kubantu abadala, amayeza kufuneka athathwe ngale ndlela:

• Umhla wokuqala - 50 mg;
• Usuku lwesibini - 100 mg;
• Usuku lwesithathu - 200 mg;
• Usuku lwesine - 300 mg.

Ngolwesihlanu kunye neentsuku ezalandelayo, isantya sesuku zonke si-300 mg.

Ukulungiswa kwezonyango "uKetilept" ubungqina beengqondo ziqinisekisa ukuba iimpendulo zeklinikhi kunye nokunyamezela komntu ngamnye kwisigulane ngasinye kuthathwa ingqalelo. Ngoko ke, umthamo ungaguquleka, zombini omkhulu kunye ncinane, ngelixa umlinganiselo wansuku zonke awufanele udlule 800 mg ngosuku.

Kuloo matyala xa isigulane sinokuxolelwa ngokuzinzile, ugqirha oya kwixesha ubeka umlinganiselo ophantsi. Kwiimeko ezinjalo, izigulane zihlolisiswa ngezikhathi ezithile ukwenzela ukuseka isidingo sokulungisa unyango ngale meyeza.

Ukuba unyango lwangonyango lwaluphelile ngokupheleleyo, kwaye kwakukho isidingo sokuphinda siphumeze ngokukhawuleza, kwaye i-dose yemihla ngemihla ikhethwe ngokusekelwe ngexesha lokuphuka.

Ngokomzekelo, ukuba kuphela iveki enye ukusuka ngosuku lokukhansela, "i-Ketilept" iyaqhubeka isetyenziswe kwisilinganiselo esifanayo njengoko ngaphambi kokuba isilwanyana sinqunywe.

Ukuba ngaphezu kweveki enye kunye nosuku olunye luye lwadlula ukususela ngomhla wokukhansela, iyeza liqala ukuthathwa ekukhetheni kokuqala kweyeza.

Ukuba isigulane sinesimo esibuthakathaka okanye sithathwa ngokusesikweni komfutho wegazi ophezulu, ke le nkunkuma inqunywe ngeqondo elincinci, kwaye imele ijonge imeko yonke yesigulane. Kwimeko apho umntu unamaqhina okanye engenako ukuphelelwa ngamandla, le nyanga iqalile ukuthatha nge-25 mg ngosuku, ukwandisa umyinge wemihla ngemihla de ifikelelwe.

Ziziphi iziphumo ezichaphazelekayo ezinokuthi zenzeke emva kokuthatha?

Ukuqwalaselwa kwezidakamizwa "Ketilept" zibonisa ukuba iziphumo ezichaphazelekayo zilandelayo zilandelayo:

• Ukulala;
• Utywala;
• Umlomo omile;
• Ukuphuhliswa kwe-asthenia;
• Ukutyunjwa;
• Tachycardia;
• Ukuphuhliswa kwengqondo.

Kubalulekile ukuba uqaphele ukuba iimpawu ezingentla zingabonakali. Kodwa ngelo xesha livinjelwe ngokukodwa ukuthabatha esi sixhobo sisodwa. Kubalulekile ukuqonda ukuba izigulane zisebenzisa le myeza kuphela phantsi kweliso loogqirha.

Ziziphi iingqinisiso zokusetyenziswa kwesi sixhobo?

Ukusetyenziswa kweziyobisi "i-Ketilept" kuqinisekisa ukuba akukhuthazwa ukusebenzisa eso sidakamizwa kwiimeko ezilandelayo:

• Ngexesha lokukhulelwa;
• Ngexesha lokuncelisa;
• Iziguli ezingaphantsi kweminyaka eyi-14 ubudala;
• Ngenxa yokwanda komzwelo kwenye yezakhi ezenza iyeza.

Kwakhona, eli lonyango lilawulwa ngokulumkisa kwizigulane ezinokuhluleka kwesibindi kunye nokutshatyalaliswa kwemithi. Esi sidakamizwa asikhuthazwa ngabantu asebekhulile, kodwa ukuba kukho isidingo esiphuthumayo sokwamkelwa kwayo, ngoko kusetyenziswa phantsi kolawulo oluqinileyo logqirha.

Sebenzisa ngexesha lokukhulelwa kunye nokuhlaselwa

Ngokumalunga neziyobisi "I-Ketilept" ubungqina bengqondo yeengqondo ziqinisekisa ukuba ukukhusela nokusebenza kwakhe ngexesha lokukhulelwa akuzange kusekwe. Ngenxa yoko, ininzi yesimo sonyango asikhuthazwa.

Kodwa kwezinye iimeko, ukuqeshwa kwesi sixhobo sinako, kodwa kuphela kwimiba apho iinzuzo zomama ozayo ziza kudlula umngcipheko onokwenzeka kumntwana. Ngokuphathelele ixesha lokuncelisa, okwangoku akuyaziwa ukuba isithako esisebenzayo se-quetalinin singena kubisi okanye cha. Ngoko ke, ukuba kukho imfuneko enkulu yokuthabatha le nyilisi, ukuncelisa kufuneka imiswe ngokukhawuleza.

Imiyalelo ekhethekileyo ekulungiseleleni "i-Ketilept"

Isicelo (ukuphonononga kwakhona kuqinisekisa oko) kufuneka uqaphele ngezifo ezinjalo:

• Isifo senhliziyo;
• Ukuxhatshazwa komsindo;
• Tardive dyskinesia;
• Isifo esibi se-neuroleptic syndrome;
• Ukuphendula ngokukhangela ngokukhawuleza;
• Ukunyamezela kwelactose.

Konke oku kufakazela iyeza "I-Ketilept" izigulane zihlolisisa izigulane. Ukuba umntu unesifo senhliziyo, okanye iziphene ze-cerebral defects, ke le nkunkuma inqunywe ngokuqaphela kwaye kwinqanaba elincinci. Inyaniso kukuba "i-Ketilept" inokukhupha i-hypotension ye-orthostatic, leyo ingazibonakalisa kwinqanaba lokuqala lonyango. Njengomthetho, loo ngxaki ivela kubantu asebekhulile, ngoko kufuneka baqale ukuthabatha isigxina ngokugqithiseleyo phantsi kolawulo loogqirha.

Ngomzuzu, xa umntu eqala ukuxhalabisa emva kokuba athathe la mayeza, ayengabonakaliswa. Kodwa le nkunkuma, kunye nezinye i-antipsychotics, inokubangela ukuba iphendule. Ngoko ke, kuyimfuneko ukuqalisa ukuthatha eli gama ngokuqaphela okukhulu.

Oku kuchaza ngokucacileyo ukulungiswa komyalelo we "Ketilept".

Ukuphononongwa kwakhona kubonisa ukuba unako ukukhupha i-tardive dyskinesia xa ithe yachitha ixesha elide. Ngoko ke, ukuba uphawu olunjalo olungathandekiyo luvakalelwa, kufuneka uqhagamshelane noogqirha ngokukhawuleza ukuba ulungise umthamo owenziwe kumlinganiselo omncinci okanye ukuyeka ngokupheleleyo isiza.

Iimpawu ze-Neuroleptic Syndrome

Ngokuqhelekileyo ngexesha lokonyango, i- neuroleptic syndrome ebulalayo ifunyaniswa kumntu . Uyakwazi ukuyiqonda ngeempawu ezilandelayo:

• Hyperthermia;
• Utshintsho kwisimo sengqondo;
• Ukubonakala kobunzima bomzimba;
• Ukukhubazeka kwenkqubo yesantya.

Ukuba iimpawu ezinjalo zityhilwa, ngoko "iKetilept" kufuneka iphephe ngokukhawuleza ukuyisebenzisa, kwaye ngokufanelekileyo yenza unyango lwezokwelapha ukuphelisa esi siphene.

Ukuba umntu unempendulo yokurhoxa ngokukhawuleza, uya kuba neempawu ezilandelayo:

• Iimpawu zokuhoxiswa ngokukhawuleza;
• Isicathulo esikhulu;
• Ukuvutha;
• Ukungabikho.

Kubalulekile ukugxininisa ukuba ukuphendula okunjalo kwimizimba kwenzeka kwiimeko ezinqabile kakhulu. Ngokubanzi, kubonakala, ukuba ukulungiswa kwezenzo zokulwa ne-antipsychotic ngokukhawuleza kuyeka ukuthatha. Kule meko, zonke iimpawu ezichazwe ngentla zongezwa kunye nesifo sengqondo. Ukuze uphephe umphumo onjalo, isigulane kufuneka sanciphise kancane kancane umlinganiselo wezilwanyana ezisetyenzisiweyo kwaye usiyeke ngokupheleleyo.

Ukuba umntu unexholongwane le-lactose, ngoko kwimeko, eli liyeza litshintshwe ngu-analog. Inyaniso kukuba iingubo ezifakela iipilisi zenziwa ngokudibanisa i-lactose. Ngoko ke, isilwanyana asikhuthazwa ukuba sisebenzise. Kodwa ukuba akukho nto ikhona yokutshintshela kwisalathiso, ukusetyenziswa kwale macwecwe kuqala ngokuqaphela, ukulawula ukubonakaliswa kweziphumo ezibi.

Ukugqithisa

Njengoko umyalelo wokusetyenziswa kwe "Ketilept" ubonisa (ukuphonononga kwakhona kuqinisekisa oku), kuze kube yimhla, kukho iziganeko ezidityanisiweyo zokugqithisa, ezichazwe kwezi zimpawu ezilandelayo:

• Ukunciphisa uxinzelelo lwegazi;
• Ukongeza kwenani lentliziyo;
• Ukulala;
• Ukubonakalisa ukunganakwa;
• Kwiimeko ezinqabileyo, i-coma ingenzeka.

Ukuba le nkunkuma idibaniswe namanye amayeza okulwa ne-antipsychotic, ngoko ukuphazamiseka nokuvuvukala komzimba wonke kuya kwenzeka.

Okwangoku, akukho zixhobo ezichasayo ezizodwa ezingakwazi ukunciphisa ukugqithisa. Ngoko ke, unyango lwamayeza lujoliswe ekumiseleni umsebenzi we-cardiovascular system, kunye nokubuyisela umsebenzi wokuphefumula. Ngenxa yezi njongo, isigulane sinikezelwa ngomoya wamaphaphu kunye ne-oxygenation.

Isimo esinyanzelekileyo sigxininise ngokupheleleyo kwintlanzi ngaphambi kokuba abuyele ngokugcwele.

Ukuphonononga emva kokusebenzisa le mayeza

Kukho amayeza amaninzi "i-Ketilept". Xa ecinezelekile, umiselwa ngokuqhelekileyo.

Kwaye ininzi enkulu yokuphonononga malunga nale nyanga ifanelekile. Isiza esilungileyo nesebenza kakuhle, abantu abaqala ukuthabatha eli liyeza, baqhekeza ukuhlaselwa kwesoyiki, okuye kwabandezeleka ixesha elide. Yaye inzuzo enkulu kulona myeza kukuba iziphumo ezizeleyo azibonakali. Isiphetho sibonisa ukuba, "Ketilept" yonyango olusebenzayo lwe-antipsychotic.

Ngokuqhelekileyo, abantu abanokuxilongwa nge-schizophrenia baya kwi-reception. Kule meko, iyeza elithi "Ketilept" linconywa, kuba isicatshulwa sayo esisebenzayo sinomphumo wokuguqula. Ngokumalunga nemiphumo emibi, kwixesha elide lokumisela le nkunkuma, iimiphumo ezinjalo zibi kakhulu. Ngoko ke, ngokuxilongwa "kwe-schizophrenia," eli gama linikezelwe ngokukhethekileyo.

Kwaye zithini iingcali malunga nalo myeza?

Ngokumalunga nokulungiselela "i-Ketilept" ukuhlolwa koogqirha kugqiba ukuba xa isigqirha sichazwe isigulane kufuneka sisetyenziswe kuyo ixesha elide kakhulu, kodwa umphumo wezo ntlungu zifanelekile. Emva kokusebenzisa izidakamizwa, zonke iinguqu zengqondo zidlula. Kwaye kubaluleke kakhulu, akukho ukungahloneli kwihlabathi elisijikelezayo.

Ekuqaleni, ugqirha ukhetha ukuthabatha eli gama kwi-300 mg ngosuku. Ngokukhawuleza ukuba iqela lonyango luqalisiwe, isigulane siyabaleka kwaye sihlale silele. Kodwa ngokuthe ngcembe ezi ziphumo ziphela, kwaye ngokubuya kukho umqondo wokuzinza nokuzithemba.

Isiphelo

Sihlolisise ukuba ngubani owamkela "uKetilept". Ukuphononongwa kwakhona kubonisa ukuba oku kuyilisi elisebenzayo, kodwa akuvumelekanga ukuba ayisebenzise ngaphandle kokuqeshwa kukagqirha. Kubalulekile ukuqonda ukuba i-dosage ikhethwe kwisigulane ngasinye ngabanye, kwimiba ethile, imihla ngemihla i-700 mg, kwabanye abantu i-standard mg ye-300 mg. Ngoko ke akufuneki ukuba kwenziwe iimvavanyo emzimbeni wakho, kwaye ukuba kukho isidingo sokusebenzisa le ndlela, kulungele ukutyelela ingcali.