I-Olanzapine (iZyprexa) yenye yeqela elitsha lonyango lokulwa ne- antipsychotic ebizwa ngokuthi i-antipychotic atypical. Ezi ntloba zonyango zibonwa njengento ekhethekileyo kubantu abane- Alzheimer ngaphezu kwamanye amayeza adala ase-antipsychotic. Nangona kunjalo, iZyprexa ayigunyaziwe yi-US Food and Drug Administration ukunyangwa kwengqondo yengqondo kubantu abadala abadala abaneengqondo.
I-Olanzapine ingowesigaba seyeza ezibizwa ngokuba yi- psychotropics- izidakamizwa ezichaphazela ingqondo. Amachiza e-Antipsychotic angamayeza e-psychotropic aphethe unyango lwe-schizophrenia ezifana ne- hallucinations , paranoia kunye neengcinga .
Ziyiphi imithi ye-Antipyytictic Atypical?
Izidakamizwa zokulwa ne-antipsychotic zibizwa ukuba zihluke phakathi kwala ma-antipsychotics amasha kunye nezinye i-antipsychotics eziqhelekileyo (ezifana neClorpromazine (iTrarazine) ne-haloperidol). Amayeza okulwa ne-antipsychotic aqale aqaliswa ngawo-1980. UZyprexa wavunywa yi-Food and Drug Administration (FDA) ngo-1996.
Amachiza okulwa ne-antipsychotic anemibandela eyahlukileyo eyahlukeneyo kwaye athengiswa njengezilwanyana ezinobungozi obuncinane beempembelelo ezinjenge- extrapyramidal kunye namazinga aphantsi e-dyskinesia ye-tardive. Ama-antipsychotics atypical avunyelwe ukonyango lwe-schizophrenia kodwa asetyenziswe kubantu abane-bipolar disorde r kunye nokunyangwa koxinzelelo kunye nengqondo yengqondo.
Iziphumo eziPhezulu zeZyprexa
Iziphumo eziqhelekileyo ziquka:
- Akathisia (umvakalelo wokungakwazi ukuhlala uhleli)
- Ukutyunjwa
- Ukulala nokugqithisa
- I-Hypotension (uxinzelelo lwegazi oluphantsi)
- Utywala
- Ukutyeba kwakho
- Ingozi eyongeziweyo yokwanda kweeshukela zegazi kunye nesifo sikashukela
- Ingozi yokuwa
Imiphumo emibi kakhulu yeengxaki zegazi ezibandakanya:
- Izimpawu ze-Extrapyramidal - ezizenzekelayo, ezingenakuzibandakanya zentloko, intamo, iingalo, umzimba okanye amehlo.
- I-Tardive i-dyskinesia - ukunyanzelisa ngokungabikho komlomo, ulwimi, umhlathi okanye iinkophe. Ingozi iyanda ngokusetyenziswa kwexesha elide.
Izinketho zoLawulo lweZyprexa
Iipilisi zeZyprexa zifumaneka njengamacwecwe angathathwa kanye ngemini, kwiimandla eziquka 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg kunye no-20 mg. Amachiza angathathwa kunye okanye ngaphandle kokutya. Akukho kuhlolwa kwegazi rhoqo.
I-Zyprexa nayo iyafumaneka kwi-formulation echithayo emlonyeni ekudibaniseni nomathe, kunye nejoyi ye-intramuscular (shot).
Qinisekisa ukuba ufunde imimiselo yomyalelo ngokuchanekileyo. Buza malunga nayiphi na into ongaqinisekanga ngayo nekhemistiki okanye ugqirha wakho.
Isilumkiso malunga neZyprexa kunye nabantu abane-Dementia
Kukho umngcipheko wokufa kwabantu abantu abanomdla wokuphefumula komzimba abathwala imithi yokulwa ne-antipsychotic-equka iZyprexa. Uphando lufumene ukuba abaninzi balabo bafa baxhomekeke kwiimeko ze-cardiovascular (umz., Ukwehluleka kwentliziyo) okanye izifo (isib.
Nangona i-Zyprexa ingavunyelwe ukuphatha abantu abadala abadala abaneengqondo ezihlobene nengqondo, ngamanye amaxesha imiselwe "off-label" (kungeyiyo ivunyiwe yi-FDA) ngenjongo yokunciphisa iingxaki zokuziphatha okanye i-psychosis.
Ukuba isetyenziselwa i-antipsychotic medication kule meko, kufuneka ukuba emva kweminye indlela engeyiyo yeziyobisi izama kwaye emva kokuqinisekisa ukuba iziphathamandla zibeka ingozi kumntu onomdemokhrasi okanye abo abajikelezile, okanye i-paranoia kunye neengcinga zabo ezixakisayo ziyabakhathaza ngokwenene .
Ezinye iiMicrosoft Antipsychotic Medication
Amanye amayeza okulwa ne-antipsychotic aquka oku okulandelayo:
- IQuetiapine (uSeroquel)
- Risperidone (Risperdal)
- Ariprazole (Abilify)
Elinye lala machiza linemiphumo eyahlukileyo, kunye nemiphumo emibi, kuluntu jikelele kunye nakwabo abane-Alzheimer's disease.
Izigqibo eziPhezulu
Ngokuqhelekileyo kuqatshelwa ukuba ngelixa uphando oluninzi lufunekayo, ukuphepha-okanye ukusetyenziswa ngokunyamekela ngenyango-ugqirha-ubizwa ukuba ukhangele iZyprexa kubantu abaneengqondo.
Imithombo:
Eli Lilly. Zyprexa. Kufumaneka ngoFebruwari 27, 2016. http://pi.lilly.com/us/zyprexa-pi.pdf
ILayibrari yeSizwe ka-US yamayeza. Olanzapine. Disemba 12, 2015. https://www.nlm.nih.gov/medlineplus/druginfo/meds/a601213.html
-Kuhleliwe ngu-Esther Heerema, MSW