ImpiloAmalungiselelo

"Zyprexa": yokusetshenziswa. "Zyprexa": ukubuyekezwa, analogs kanye contraindications

Isimiso sezinzwa somzimba womuntu liyisikhungo umyalo wonke umzimba. Uma unezinkinga ungakwazi bagcine ngeziphambeko ukuthuthukiswa, ngokwenyama nangokomzwelo, nangokwengqondo. Okwamanje, kunezinhlobo lenqwaba izidakamizwa ukuthi angenza izimanga futhi sikusize ubhekane nalesi izifo eziningi. Omunye wabo - "Zyprexa". Isihloko kuzoxoxwa kuleli bhukwana imithi imfundo. "Zyprexa" - umuthi ngokuvamile ezinqunyiwe kwezinso ku isimiso sezinzwa.

izakhiwo kwemithi zomuthi

Lesi sidakamizwa kungokwalabo iqembu neuroleptics ne nomthelela spectrum ezibanzi eziningi yokwamukela izinhlelo. Izifundo eziningi ngazo kwatholakala ukuthi olanzapine, isithako esebenzayo zomuthi, has ukuphikisana ukuze serotonin, Dopamine, futhi ama-receptor cholinergic.

Futhi wathola ukuthi olanzapine kunciphisa excitability we mesolimbic dopaminergic sezinzwa has awakuthinti ku ezindleleni striatal kwemizwa abathintekayo ukulawulwa motor imisebenzi.

Isithako asebenzayo zomuthi sithuthukisa umphumela anti-ukukhathazeka ngesikhathi test anxiolytic.

Medicine "Zyprexa" kunhlobo ezimbili:

  • Ngesimo amaphilisi, ifilimu-camera.
  • Lyophilizate for nokulungisa isixazululo umjovo.

The main isithako ekulungiseleleni yakhiwa olanzapine. izingxenye asizayo ngo izibhebhe yilezi:

  • Crospovidone.
  • magnesium stearate.
  • monohydrate lactose.
  • I-cellulose.
  • Giproloza.

Ukwakheka izibhebhe ifilimu enamathela kukhona colorant ezimhlophe, ukudla inki okwesibhakabhaka, wax carnauba futhi hypromellose.

Ukwakheka a lyophilisate isixazululo ngoba umjovo kuhlanganisa, ngaphandle ketshezi esebenzayo eyinhloko, monohydrate lactose futhi tartaric acid.

Ngayiphi ifomu lokuqoka izidakamizwa ukuze kwelashwe iziguli, udokotela kufanele unqume kuphela.

Izinkomba ukusetshenziswa zomuthi

Izidakamizwa "Zyprexa" has izinkomba olunzulu ukusetshenziswa, avame it is ebekiwe kule mibandela elandelayo:

  • Schizophrenia efomini oyingozi.
  • Okungabangela inkinga yezinzwa ephelezelwa okuyize, ukuhhema, wacabanga sifo.
  • Sikuveze ubutha nokungathembani iziyaluyalu uvalo.
  • ukuhoxiswa Ngokomzwelo noma zenhlalo.
  • izimpawu affective okuyinto athuthukiswe ngokumelene isizinda sokuphazamiseka kwengqondo.
  • Njengoba i-ejenti prophylactic ngoba bayasangana ngangibuye ngihluleke.
  • Komqondo.

Akubalulekile ukuba amise yena izidakamizwa ngaphandle kokukhuluma nomuntu onguchwepheshe, ukwelashwa okunjalo kubabangele nemiphumela emibi ngendlela efanayo.

Isikimu ukwelashwa izidakamizwa

Lisho ukuthini leli bhukwana imfundo? "Zyprexa" inikezwa ekuqaleni ekwelapheni bayasangana e umthamo ubuncane. Ekuqaleni, kuyoba okwanele ukuthatha 10 mg zomuthi kanye ngosuku. Ukuphumelela ekwelapheni ukudla akunamthelela.

Umthamo zokwelapha zomuthi ziyahlukahluka kusuka mg 5 kuya ku-20, kodwa isethwe ngamunye isiguli ngasinye uma sicabangela esimweni saso. Phela ucwaningo, uma isiguli uyazibekezelela umthamo izidakamizwa zingandiswa, kodwa kuphela ngaphansi kweso lwezokwelapha.

Ephambi kwezinduna ukushushiswa mania "Zyprexa" ithebhulethi yaphathwa isamba 15 mg kanye ngelanga. Phakathi ukwelashwa kubalulekile ukuqapha ngezimo zesiguli futhi umthamo kushintshwe uma kudingeka.

Uma isiguli uhlushwa esingamahlalakhona hepatic noma kwezinso, wagunyaza lesi sidakamizwa "Zyprexa" 5 mg, uma isimo kuvamile futhi kusho ibekezelelwe kahle, umthamo kungenziwa landa kancane kancane.

Umuthi ngokuvamile iqondiswa iziguli ngomjovo. Ngaphambi kokwenza umjovo, udinga chaza kahle lyophilisate. Ukuze wenze lokhu, okuqukethwe isitsha sihlakazwa 2 ml amanzi umjovo. Isixazululo ukulungele kumele kube sobala futhi abe nombala ophuzi.

Indlela? "Zyprexa", njengoba sekushiwo, inikezwa kuchwepheshe. Ngakho-ke, le mishanguzo ukwelashwa, uma ukwelashwa wenziwa ekhaya, kufanele kuxoxwe nodokotela.

Lapho ulungiselela ikhambi umjovo okufanele akhunjulwe ngayo:

  • "Zyprexa" kungenziwa oncibilikiswe amanzi oyinyumba kuphela.
  • Ngeke zixutshwe ku isipetu elifanayo izidakamizwa futhi "Diazepam".
  • Compound "Zyprexa" futhi "Haloperidol" kuholela buthakathaka isenzo izidakamizwa kuqala.

Uma udokotela ekunika umuthi "Zyprexa", umthamo kuzoncika uphethwe. Ngokwesibonelo, e-schizophrenia umthamo kokuqala 10 mg kanye ngelanga. Umuthi kufanele sinikezwe intramuscularly kuphela. Uma kudingwa isimo lesiguli, imithi angahlaba yesibili ungenza, kodwa hhayi amahora ngaphambili kuka ezimbili emva umjovo wokuqala.

iziguli ezindala khona ezithile izifo izidakamizwa iqondiswa ngezilinganiso ka 2.5-5 mg.

Ikhumbula ukuthi ukwethulwa "Zyprexa" kungaba avuse ukuwa wegazi ngesikhathi umjovo kungcono ukuba sesimweni amanga, ikakhulukazi uma kukhona emva umjovo ukozela nesiyezi. Kuyadingeka ukuba uqambe amanga, njengoba nje udokotela emva luhlolo ngeke ulungise yokuntuleka nokuncipha blood pressure kanye bradycardia.

Kufanele wakhumbula ukuthi ukuqedwa "Zyprexa" kufanele kwenziwe kancane kancane, njengoba ejwayelekile izidakamizwa ukuhoxiswa syndrome. Ngaso sonke isikhathi kufanele uxoxe ngalokhu nodokotela wakho.

Isikhathi eside yokwelapha "Zyprexa" ngemva kwesikhathi esithile umjovo esikhundleni amaphilisi ngezilinganiso 5 kuya ku-20 mg ngosuku. Udokotela liyadingeka ukuchaza ngokuningiliziwe indlela izidakamizwa "Zyprexa" eside kufanele yamukelwe. Lokho liphatha izindlela futhi uyini uhlelo ukwelashwa, siye sibuyekezwe, kodwa akumelwe sikhohlwe ngemiphumela engadingeki.

imiphumela emibi izidakamizwa

Cishe bonke izidakamizwa ekwelapheni kwemizwa uhlelo nezifo eziphathelene eqenjini, okuyinto Kunconywa hhayi ukuthatha ngaphandle kokukhuluma nodokotela. Lena akuyona sokudlulisa "Zyprexa" ngoba izidakamizwa has a uhlu kunalokho olubanzi side effects:

  • Isimiso sezinzwa angaphendula ikhanda nesiyezi, ubuthakathaka jikelele kanye nokuqwasha, ukulahlekelwa amandla okukhumbula futhi zokwesaba ahlukahlukene. Kundindizele futhi imisipha ukuqina nazo zingaba khona. Ngokuvamile kukhona tinnitus, ubuthulu, ubuhlungu emehlweni, ukunambitheka ngesiphazamiso.
  • On the ingxenye esimiso senhliziyo nemithambo yegazi kungenzeka tachycardia, bafaka umfutho wegazi, izinguquko ECG, cyanosis. Kuhlatiya ongabonisa neutropenia, eosinophilia, leukocytosis, thrombocytopenia. Ezimweni ezimbi kakhulu, kungenzeka ukuboshwa inhliziyo.
  • Kunengozi rhinitis, pharyngitis, laryngitis, ukukhwehlela anda. Kungaba kubi kakhulu somoya, elele singathatha kunengozi.
  • Ukuquleka ukwandisa esesuthi noma ngokudla, ukoma koma ku ngalo ingaphakathi ngomlomo.
  • Ukucanuzela kwenhliziyo nokuhlanza.
  • Exacerbation ka kolwelwesi kanye Gastroenteritis.
  • Ukwephula isihlalo ukubuyisa.
  • iziyaluyalu umzimba engaveza isisindo ushintsho, ukuthuthukiswa sikashukela, ikhoma sikashukela.
  • Urinary incontinence, cystitis, lesizalo cystic, amenorrhea kanye nokuthuthukiswa pheshana urinary nezifo futhi engathandeki ukubonakaliswa ukungenisa.
  • Iziyalezo yokusetshenziswa ( "Zyprexa", njengoba sibona, umuthi kungabangela ezihlukahlukene engadingeki side effects) ixwayisa ngokuthi ukuthuthukiswa kungenzeka arthritis, bursitis, amajaqamba imisipha ithole ubuhlungu emathanjeni.
  • Isikhumba ingase isabele kanjani ukubukeka ukoma ngokweqile, dermatitis, zokwakheka isilonda.
  • urticaria ivela kaningi.
  • Ezinye izimpawu zingase imfiva, Ukugodola, isimo zomkhuhlane kuphawulwe.

Kusukela zonke lezi zindlela osekukhulunywe singaphetha ngokuthi "Zyprexa" side effects kuyingozi ngokwanele, ngakho ukuthatha imithi kuphela iseluleko kadokotela.

Izimpawu ze-ukweqisa izidakamizwa

Uma isiguli alihambisani udokotela izincomo Isikali zomuthi, kukhona ingozi yokweqisa, okuyinto livezwa zimpawu ezilandelayo:

  • Tachycardia.
  • ukucasuka ngokweqile nolaka.
  • Inkulumo sifo.
  • ukwazi kahle.
  • Ngibanjwe.
  • syndrome Neuroleptic.
  • Okusithiyayo of umsebenzi emishinini yokuphefumula.
  • Jumps wegazi.
  • Arrhythmia.
  • Ezimweni ezimbi kakhulu, ukuboshwa inhliziyo kanye ukuphefumula.

Lapho kuvela izimpawu zokuqala of ukweqisa izidakamizwa kuyadingeka iphume esiswini, thatha namalahle. ukwelashwa okunezimpawu Kwenziwa ngokuhambisana ukubonakaliswa sokucindezeleka, sihlale njalo siqaphele umsebenzi izitho ezibalulekile.

Izimo ukusetshenziswa kwezidakamizwa

Ukuze ugweme ukubonakaliswa engadingeki ngemva kokuthatha "Zyprexa" kubalulekile ukufunda ngokucophelela uhlu Izimo. Ukuze labo zihlanganisa:

  1. Ukwandiswa kuvelana izidakamizwa.
  2. Ukucindezeleka isimiso sezinzwa.
  3. Coma.
  4. Ubudala kuze kube iminyaka engu-18.
  5. Ngokunakekela okukhulu kumele ezinqunyiwe isidakamizwa "Zyprexa" e lezi zifo ezilandelayo nezimo:
  • Sezinso futhi yokwehluleka kwesibindi.
  • I-glaucoma.
  • Isifo sokuwa.
  • Hyperplasia Prostatic.
  • Myelosuppression.
  • Phenylketonuria.
  • ileus kofé uhlangothi.
  • Ukukhulelwa.
  • Phakathi ibele.

Uma isiguli okungenani eyodwa lezi zifo ezilandelayo noma izimo okufanele nakanjani wazise udokotela wakho.

Ukuthatha izidakamizwa ngenkathi bekhulelwe nangenkathi bencelisa

Uma owesifazane ongumKristu uchitha yokwelapha nge "Zyprexa" futhi ikhulelwa, kufanele wazise udokotela wakho. Umuthi ngesikhathi sokukhulelwa wengane kufanele bathathe kuphela lapho inzuzo unina idlula ezingaba amathuba okulimala ingane asathuthuka.

"Zyprexa" - antipsychotic, elikwaziyo ukungena ubisi lwebele, ngakho phakathi ukwelashwa hhayi kufanele siqhubeke sizondla ingane yakho, kungcono ukushintshela yokudla yokufakelwa.

izincomo Specific ngesikhathi yokwelapha

Psychiatrists ngokuvamile ayeke ukukhetha emuthini "Zyprexa", intengo, ngeshwa impela high. Ngakho, enye iphakethe amaphilisi (. 5 mg, izingcezu 28) izobiza ruble 2500, futhi omunye isitsha for umjovo -. 239 deda.

Cishe bonke izidakamizwa yaleli qembu bayakwazi kushiya ukuthuthukiswa neuroleptic syndrome, futhi "Zyprexa" iyathinteka. Phakathi ukwelashwa izidakamizwa kumelwe siqaphele, futhi uma kukhona ishayela engazinzile noma tachycardia, arrhythmia, noma ukujuluka, kukhuphuke izinga lokushisa lomzimba, kufanele utshele udokotela wakho.

ukubonakaliswa Clinical of neuroleptic syndrome abulalayo kudinga ukuthi umuthi ngokushesha kukhanselwe.

Izifundo zokwelapha lapho kwatholakala ukuthi ukwelashwa eside "Zyprexa" kuyaqabukela ephelezelwa dyskinesia, okuyinto kuzodinga kokungenela wezokwelapha. Kodwa ungakhohlwa ukuthi kukhona ingozi ukuthuthukiswa kamuva lesimo.

Uma kukhona izimpawu psoriasis, kubalulekile ukuba ulungise umthamo bebheke ukunciphisa yayo.

Ephambi kwezinduna ukuxilongwa "yokwehluleka kwesibindi ukusebenza" imithi okufanele zithathwe ngokucophelela okukhulu, ikakhulukazi nokwanda AST no-ALT. Uma izibalo bafinyelele ezingeni esibucayi, kubalulekile ukunciphisa umthamo "Zyprexa."

Lokhu imithi okufanele zithathwe ngokuqapha, uma umlando isiguli babe zesifo sokuwa noma njalo wadalula izici ukuthi wehlise embundwini kokuquleka.

Uma ukuhlolwa nesineke wabonisa inani amangqamuzana amhlophe egazi noma neutrophil encishisiwe, indlela "Zyprexa" kufanele kwenziwe ngaphansi kweso lwezokwelapha kanye nokuqapha gqwa wegazi nemingcele. Ngakho kubonisa yokusetshenziswa. "Zyprexa" futhi kudinga ukuhambisana ukunakekelwa okukhethekile ngesikhatsi ukwelashwa uma:

  • Zikhona izimpawu zokucindezela noma ukwephulwa anobuthi umnkantsha.
  • Ukuba khona izifo concomitant okuyinto zivimbela umnkantsha umsebenzi.
  • Uma umlando isiguli kwadingeka radiotherapy noma imiphumela emibi yokwelashwa ngamakhemikhali.
  • Ukuba khona hypereosinophilia.

Phakathi nezifundo zokuhlola Ukwelashwa "Zyprexa" kuyaqabukela ephelezelwa imiphumela anticholinergic ezingezinhle, kodwa isipiliyoni sokusebenzisa lo izidakamizwa in iziguli izifo concomitant incane, ngakho ukwelashwa, uma kunesidingo, kumele kwenziwe ngokuqapha futhi kuphela ngaphansi kweso lwezokwelapha.

ileus avaliwe engela glaucoma nazo ngesisekelo ngoba impatho ngokucophelela izidakamizwa "Zyprexa". Isenzo zomuthi ku isimiso sezinzwa esiyinhloko kudinga ukuhambisana ngokuqapha, uma kunesidingo inhlanganisela nezinye izidakamizwa zinemiphumela efanayo.

Umuthi aluhlanganiswa utshwala, ngakho ngesikhathi yokwelapha akufanele baphuze utshwala.

Uma ucabanga ukuthi ngesikhathi ekwelapheni "Zyprexa" kungase kubangele ukozela ke le nkathi kungcono uyeke ukushayela imoto, kanye ukusebenza umsebenzi odinga ukujula ngokweqile.

Indlela sihlanganise "Zyprexa" nezinye izidakamizwa

Umzimba we isakhi esiyinhloko esebenzayo zomuthi kungase nezinguquko bedle inhibitor noma inducers ka cytochrome P450, okuyinto kunethonya umsebenzi wabo ngokumelene CYP1A2. Clearance "Zyprexa" is kakhulu anda ezigulini unomkhuba enjengokubhema, kanye ngokuthatha izidakamizwa "Carbamazepine".

izifundo zokwelapha luye lwabonisa ukuthi uma kukhona umthamo owodwa we "Zyprexa" yokwelapha "warfarin", "theophylline", "diazepam", "Imipramine", ukwehla zakamuva umzimba uyalandelwa.

ekuphathweni esisodwa zomuthi ngotshwala igcwele sithuthukiswe sine izakhiwo zomuthi, okungaholela lube buthaka noma ukugxilisa ingqondo.

Co-ukuphatha nge "Zyprexa" "fluoxetine" kwandisa lokuhlushwa esiphezulu asebenzayo izidakamizwa olanzapine. Kodwa kuzo zonke iziguli, lokhu yikona kungase kudingeke amagama ahlukile, ngakho umthamo is kushintshwe kwi ngokuqinile ngamunye.

Uma "Zyprexa" ekwakhiweni iqondiswa intramuscularly ngokuhlanganyela benzodiazepines, kutuswa ukuba aqhube luhlolo olunzulu isimo basemtholampilo isiguli maqondana okusithiyayo umgudu wokuphefumula futhi senhliziyo esilimele. izifundo zokwelapha zalesi inhlanganisela izidakamizwa akubanga, ngakho uma kungenzeka kufanele zigwenywe.

Ukwethulwa kwe izidakamizwa igcwele ukuthuthukiswa bradycardia noma ephansi blood pressure, futhi ukwelashwa ke ezinjalo kufanele kwenziwe ngokuqapha kakhulu iziguli abanezinkinga esimiso senhliziyo nemithambo yegazi, futhi nakwisyncope babonakala iconsi elibukhali ingcindezi.

Kufanele kuphawulwe ukuthi ekuphathweni amalahle isebenze noma amalungiselelo antacid iyehlisa inqubo ukuncela "Zyprexa" esiqeshini emathunjini, okungase zibulale kahle ukwelashwa.

izinyathelo zokuphepha phakathi ukwelashwa "Zyprexa"

Uma kukhona okuyizici ezinomthelela umzimba kancane ka olanzapine, kufanele kuncishiswe umthamo. Ukuze Lezi zinto zibandakanya:

  • Female.
  • Ukuba khona imikhuba elimazayo enjengokubhema.
  • Ukuguga.

Naphezu kweqiniso lokuthi ngokuvamile kakhulu iqondiswa "Zyprexa" lokhu yokwelapha kudinga ukubhekelwa ngokuthi iziguli noma ukuthambekela ekuzibulaleni.

Phakathi ukwelashwa kufanele iqaphe umsebenzi transaminases hepatic, lokhu kuyiqiniso ikakhulukazi in iziguli ukungakhuli hepatic.

Iziguli, lapho umsebenzi wakhe lochwepheshe lihlotshaniswa ushayela noma imisebenzi ukuthi adinga ukunakekelwa okukhethekile futhi okuhlushwa, izidakamizwa ezinqunyiwe ngokuqapha. Uma kungenzeka, kungcono esikhundleni nomunye izidakamizwa.

Uma kukhona izimpawu neuroleptic syndrome abulalayo ngesimo imfiva, tachycardia, imisipha ukungezwani, kufanele ayeke ukuthatha izidakamizwa.

Kusukela ukungahlaliseki yokwelapha motor "Zyprexa" kungase kubangele ukungahlaliseki, isifiso njalo ukuhambisa, kubalulekile ukunciphisa umthamo kancane bese babela ejenti antiparkinsonian.

izidakamizwa analogue

"Zyprexa" analogue has amaqembu amabili:

  1. Synonyms, okungukuthi, ukuba ketshezi asebenzayo efanayo. Leli qembu kuhlanganisa imithi ezilandelayo: "Zalasta," "Olanzapine", "Parnasan", "Olaneks", "Normiton".
  2. Isigaba sesibili sihlanganisa izidakamizwa ukuthi babe emzimbeni womuntu zinemiphumela efanayo kwemithi, njengokuthi "Azaleptin", "Viktoel", "Ketilept", "Kutipin", "Lakvel", "Nantarid", "Safris" nabanye.

Uma udokotela wakho ebekiwe njengoba ukwelashwa imithi "Zyprexa", analogue akufanele ukusheshe pick up, ngakho-ke kungenzeka ukufezekisa oyifunayo nomphumela oqabulayo. Kuphela udokotela kungasiza ukuxazulula le nkinga. Isifiso esikhundleni esifanisweni esisenze izidakamizwa buyafaneleka, ngoba izidakamizwa "Zyprexa" intengo impela high, kodwa ukusebenza yayo namanje kuwufanele imali.

Izibuyekezo sokulungiselela

Okwamanje, cishe njalo nesineke ngaphambi uya ekhemisi imithi udokotela, qiniseka buza mayelana nemibono kulabo kakade welashelwa. "Zyprexa" izimpendulo ngokuvamile has omuhle. Iziguli avume ukwelashwa nge izidakamizwa, okusezingeni eliphezulu kahle iphuzu yayo. Ngisho nangemva kokuba inkambo main yokwelashwa, iziguli eziningi zithi yesondlo Ukweqiwa izidakamizwa akuvumeli isifo ukuba ngibuye bese uyahluleka uma elwa nokuphuza cishe akukho. Okuhle silwa izidakamizwa nokucindezeleka, kusukela lapho ngemva Yiqiniso yokwelapha ngisho nomkhondo uhlala, futhi kukhona isifiso sokuphila.

Kufanele kuphawulwe ukuthi, naphezu kweqiniso lokuthi "Zyprexa" has Izibuyekezo ezinhle, iziguli eziningi uqaphela ukubonakaliswa imiphumela emibi. Ikakhulukazi ngokuvamile kwenzeka ngenxa le yokwelapha ukhuluphele, umzimba ephazamisekile, abanye bathi ukungahlaliseki kanye nesifiso njalo ukwenza okuthile.

Kaningi, iziguli futhi ezikhala ngezinhlungu zibiza kakhulu izidakamizwa, okungadingi simvumele ukuba izingxenye ezithile sabantu.

Okwamanje, omunye isifo ku arsenal of odokotela kukhona inqwaba yezidakamizwa, kodwa kuphela emva luhlolo egcwele, udokotela angase ukhetha omunye wabo. Ngakho-ke akudingekile ukuba ngokuzimela liqoke yokwelapha, umuthi ofanayo kungase kube nemiphumela ehlukile iziguli. Konke kuncike izici i umzimba, isimo jikelele kanye Yiqiniso lesi sifo. Lokhu ngokuyinhloko uphathelene Amalungiselelo ekwelapheni izifo ezithile zesimiso sezinzwa. Zinakekele futhi uhlale unempilo!

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