I-Olanzapine (iZyprexa) ingenye yeqembu lemishanguzo entsha yokulwa ne-antipsychotic ebizwa ngokuthi i-atypical antipsychotics. Lezi zinhlobo zemithi zibonwa njengendlela engcono kakhulu kubantu abane- Alzheimer kunezinye izidakamizwa ezindala zokulwa ne-antipsychotic. Noma kunjalo, i-Zyprexa ayivunyelwe yi-US Food Administration and Drug Administration ukuphathwa kwe-psychosis kubantu abadala asebekhulile abane- dementia .
I-olanzapine ingokwesigaba semithi ebizwa ngokuthi i- psychotropics- izidakamizwa ezithinta ingqondo. Imithi ye-Antipsychotic ingumuthi we-psychotropic ophuza izimpawu zesifo schizophrenia ezifana nokucabangela , i- paranoia kanye nokukhohlisa .
Yimiphi imithi ye-Atypical Antipsychotic?
Izidakamizwa zokulwa ne-antipsychotic zibizwa kanjalo ukuze zihlukanise phakathi kwalezi zinhlobo zokulwa ne-antipsychotics ezivamile (njengeClorpromazine (Thorazine) ne-haloperidol). Imishanguzo ye-antipyytictic antiypical yaqala ukuqala ngawo-1980. UZyprexa wamukelwa yi-Food and Drug Administration (FDA) ngo-1996.
Imishanguzo yokulwa ne-antipyytic i-atypical inezinto eziningi ezihlukile futhi zithengiswa njengezidakamizwa ezinemiphumela emibi kakhulu yezinzwa ezinjenge- extrapyramidal kanye namazinga aphansi we-tardive dyskinesia. Ama-antipsychotics ase-atypical avunyelwe ukwelashwa kwesifo schizophrenia kodwa asetshenzisiwe kubantu abane-bipolar disorde r nasekwelapheni ukukhathazeka nokucindezeleka kwengqondo ekudemeni kwengqondo.
Imiphumela emibi ye-Zyprexa
Imiphumela emibi evamile ihlanganisa:
- U-Akathisia (umuzwa wokungakwazi ukuhlala nokho)
- Ukuqokwa
- Ukulala nokudlulela phezulu
- I-Hypotension (umfutho wegazi ophansi)
- Isizungu
- Inzuzo yesisindo
- Ingozi eyengeziwe yokwanda kwamazinga kashukela egazini nesifo sikashukela
- Ingozi yokuwa
Imiphumela emibi kakhulu ye-neurological include:
- Izimpawu ezengeziwe ze-Extrapyramidal - izinyathelo ezinzima , ezingenakuzikhethela zekhanda, intamo, izingalo, umzimba, noma amehlo.
- I-Tardive dyskinesia - ukunyakaza okungahambisani nomlomo, ulimi, umhlathi noma amajwabu amehlo. Ingozi iyanda ngokusebenzisa isikhathi eside.
Izinketho Zokuphatha Zyprexa
Amaphilisi e-Zyprexa atholakala njengamaphilisi angathathwa kanye ngosuku, emandleni afaka phakathi 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg no 20 mg. Imithi ingathathwa noma ngaphandle kokudla. Akukho ukuqapha kwegazi okuvamile.
I-Zyprexa nayo itholakala ekubunjweni okuphazamisa emlonyeni ekuthinteni ngomathela, kanye nomjovo we-intramuscular (shot).
Qiniseka ukuthi ufunda imiyalelo kadokotela ngokufanele. Buza nganoma yini ongaqinisekisiwe ngayo nekhemisi noma udokotela wakho.
Isexwayiso mayelana neZyprexa kanye nabantu abane-Dementia
Kukhona ingozi eyengeziwe yokufa kubantu abane-dementia abathwala imishanguzo ye-antipsychotic- okubandakanya i-Zyprexa. Ucwaningo luye lwabona ukuthi iningi lalabo abafayo lalihlobene nezimo zenhliziyo (isib. Ukuhluleka kwenhliziyo) noma izifo (isibonelo, isibhamu).
Nakuba iZyprexa engavunyelwe ukuphatha abantu abadala asebekhulile ngengqondo ehlobene nokuwohloka komqondo, ngezinye izikhathi kunqunywe "off-label" (hhayi njengokwamukelwa yi-FDA) ngenhloso yokunciphisa izinkinga zokuziphatha eziphawulekayo noma i-psychosis.
Uma imithi yokulwa ne-antipsychotic isetshenziswe kuleso simo, kufanele kube ngemuva kweminye indlela engeyona yezidakamizwa izama futhi emva kokuqinisekisa ukuthi ukuziphatha kubeka ingozi kumuntu onesifo sengqondo somqondo noma labo abazungezile, noma i-paranoia ne-delusion yabo ibacindezela ngempela .
Eminye imishanguzo ye-Antipyytictic Atypical
Ezinye izidakamizwa ze-antipsychotic zihlanganisa lokhu okulandelayo:
- I-Quetiapine (i-Seroquel)
- I-Risperidone (Risperdal)
- I-Ariprazole (Abilify)
Ngayinye yalezi zidakamizwa zinemiphumela ehlukile, nemiphumela emibi, emphakathini jikelele nakulabo abane-Alzheimer's disease.
Iziphetho ezijwayelekile
Kuye kwaqaphela ukuthi nakuba ucwaningo olwengeziwe luyadingeka, ukugwema- noma ukusetshenziswa ngokuqapha ngokucophelela udokotela- kuyadingeka uma ucabangela iZyprexa kubantu abanesifo sengqondo sokugula.
Imithombo:
Eli Lilly. Zyprexa. Ifinyelele ngo-February 27, 2016. http://pi.lilly.com/us/zyprexa-pi.pdf
Ilabhulali Kazwelonke Yezokwelapha yase-US. Olanzapine. NgoDisemba 12, 2015. https://www.nlm.nih.gov/medlineplus/druginfo/meds/a601213.html
-Uhlelwe ngu-Esther Heerema, MSW