Unonzwawo kufinhwa nenyika yese kwevhiki imwe chete kana maviri usati watanga kuenda kumwedzi here? Unotsamwira zvinhu zvidiki here, unosvimha misodzi pasina chikonzero here, unonzwa kusuruvara uye kuora mwoyo zvakanyanya here? Dzimwe nguva manzwiro aya anova akanyanya zvekuti haugone kuzvidzora here? Ichi chirwere chakanyanya kuipa kupfuura 'Premenstrual Syndrome - PMS'. Mukurapa, tinodana izvi kuti 'Premenstrual Dysphoric Disorder' kana kuti '(PMDD)'. Saka kana chirwere ichi '(PMDD)' chiri kukanganisa basa rako rezuva nezuva, basa, uye hupenyu hwemhuri, chiremba anogona kukupa mushonga unonzi 'Fluoxetine' semhinduro. Ngatitaurei nezvemushonga uyu zvakadzama nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Fluoxetine?
`Fluoxetine` mushonga unoshandiswa kurapa `PMDD`. Ndeweboka remishonga inonzi `SSRI` (Selective Serotonin Reuptake Inhibitors). Zvakanaka, ikozvino ungangove uchishamisika kuti mazwi aya anorevei.
Ingofunga nezvazvo nenzira iyi. Kune makemikari muuropi hwedu anotibatsira kutaurirana pakati pemasero etsinga. Tinoadaidza kuti "Neurotransmitters". "Serotonin" ndeimwe yemakemikari akadaro. Iyi "Serotonin" inobatsira zvikuru mukudzora manzwiro edu, kureva, manzwiro edu emufaro, kusuruvara, uye rugare. Ndosaka vamwe vanhu vachiidaidzawo kuti "hormone yemufaro."
Zvinotendwa kuti vakadzi vane PMDD vane serotonin shoma vasati vaenda kumwedzi. Ndosaka vachinzwa kuora mwoyo zvakanyanya mumazuva iwayo. Saka, mushonga weFluoxetine unoshanda nekuwedzera huwandu hweserotonin muuropi uye kubatsira kudzikamisa huwandu ihwohwo. Zvadaro, zviratidzo zvakakomba zvakaita sekuora mwoyo, hasha, uye kusuruvara zvinodzorwa.
Vanachiremba vanokurudzira mushonga uyu kwete chete kune PMDD, asiwo kune mamwe matambudziko epfungwa akadai sekuora mwoyo nekuzvidya mwoyo.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Fluoxetine haisi mushonga waunogona kungotenga kubva ku pharmacy. Usati washandisa, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana iwe kana mumwe munhu mumhuri yako aine chimwe chezvirwere zvinotevera:
Kuvanza ruzivo urwu kuri kuisa hupenyu hwako panjodzi. Saka taura nachiremba wako nezvese zvakajeka.
- Matambudziko ehutano hwepfungwa: Kana iwe kana mumwe munhu mumhuri yako aine chirwere chebipolar, kana kuti wakambofunga kuzviuraya, kuronga, kana kuedza kuzviuraya, unofanirawo kutaura izvi.
- Mamwe marudzi emishonga:Udza chiremba wako kana uri kutora mushonga unonzi MAOI (semuenzaniso Carbex, Eldepryl, Marplan, Nardil, Parnate). Kutora mishonga iyi miviri pamwe chete kune njodzi huru.
- Matambudziko eropa: Kana uri kutora mushonga unoderedza ropa (semuenzaniso Warfarin) kana kuti uine chirwere chekubuda ropa.
- Zvimwe zvirwere: Chirwere chemwoyo, chirwere chechiropa, pfari, glaucoma, chirwere chethyroid, kana kuti sodium shoma mumuviri.
- Kurwara: Kana uine allergy kuFluoxetine kana chero imwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri nekuyamwisa: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, unofanira kutaura nachiremba wako usati watanga mushonga uyu.
Ndinofanira kushandisa mushonga uyu sei?
Nzira yekushandisa mushonga uyu iri nyore kwazvo, asi zvakakosha kutevedzera mirairo nemazvo.
1. Maitiro ekutora: Mushonga uyu unouya uri muchimiro chekapusule kana piritsi. Medza negirazi remvura. Unogona kuutora nechikafu kana usina. Zvisinei, kana uchinzwa kurwadziwa mudumbu, zvakanaka kuutora nechikafu.
2. Nguva yakakodzera: Inwa mushonga wakanyorwa zuva nezuva, panguva yaunoudzwa nachiremba wako. Usapotsa nguva yacho.
3. Dzivisai kumira kamwe kamwe: Ichi ndicho chinhu chakakosha. Musarega kutora mushonga uyu kamwe kamwe musina kurairwa nachiremba wenyu. Kana mukadaro, munogona kunzwa kusagadzikana kwakadai sedzungu, musoro, uye kuda kurutsa. Zvinogonawo kuwedzera zviratidzo zvePMDD yenyu. Kana mukamira, munofanira kuita izvozvo nekuderedza zvishoma nezvishoma mushonga sezvakarayirwa nachiremba wenyu.
Unoita sei kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, siya mushonga wawakarasikirwa nawo wotora mushonga wako unotevera semazuva ese. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika kana kufonera National Poisons Information Centre kuColombo National Hospital . Usatore izvi sezvisina basa.
Mimwe mishonga inogona kushanda pamwe chete neFluoxetine (Kudyidzana Kwemishonga)
Zvakakosha kuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora, sezvo fluoxetine inogona kusangana nemimwe mishonga uye kukonzera migumisiro yakaipa.
| Rudzi rwekuita | Mienzaniso netsananguro |
|---|---|
| Mishonga isingafanirwe kutorwa pamwe chete | Kutora mishonga iyi pamwe chete neFluoxetine kunogona kuisa upenyu panjodzi.
|
| Zvinhu zvekungwarira zvakanyanya paunenge uchitora uye zvekuzivisa chiremba wako nezvazvo | Mazano kubva kuna chiremba akakosha sezvo anogona kushandiswa neFluoxetine.
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvese zvaunotora. |
Zvinhu zvekungwarira paunenge uchitora mushonga
Ziva kuchinja kwemanzwiro.
Izvi zvakakosha zvikuru. Pane mukana mudiki wekuwedzera pfungwa dzekuzviuraya kana maitiro ekuzviuraya paunotanga kutora mushonga wakaita seFluoxetine, kunyanya muvechidiki. Saka kana iwe kana mumwe munhu waunoziva akaona zvinhu izvi, taura nachiremba wako nekukasika.
- Kana uchinzwa sekunge kusuruvara kwako nekuora mwoyo kuri kuwedzera.
- Kana uchinzwa kunetseka, kusagadzikana, kana hasha.
- Kana ukaona shanduko huru, dzakakomba mumaitiro kana mafungiro ako.
Zvinogona kutora mavhiki akati wandei kuti mushonga uyu ushande zvizere. Saka, usazvidya mwoyo kana zviratidzo zvako zvisati zvanyatsovandudzika. Ramba uchitora mushonga sezvaunoudzwa nachiremba wako.
Mimwe migumisiro inowanzoonekwa
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope, uomerwe nekufunga zvakanyanya, kana kuti unzwe dzungu. Saka, dzivisa kutyaira kana kushandisa michina ine njodzi kusvika waziva kuti mushonga uyu unokukanganisa sei.
- Muromo wakaoma: Unganzwa sekuti muromo wako waoma. Kutsenga chingamu isina shuga uye kunwa mvura yakawanda kunogona kubatsira.
- Chirwere cheshuga: Kana uine chirwere cheshuga, mushonga uyu unogona kukanganisa huwandu hweshuga muropa rako, saka taura nachiremba wako nezvazvo.
Migumisiro yemushonga
Kufanana nemushonga upi zvawo, Fluoxetine inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Vamwe vanhu vanogona kungonzwa kusagadzikana kudiki. Chinhu chakakosha kuziva kuti migumisiro yakaipa ndeipi uye kuti migumisiro yakaipa inowanzovapo.
| Migumisiro yakakomba inoda kurapwa nekukurumidza | |
|---|---|
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Chirwere cheSerotonin | Kusagadzikana, kuvhiringidzika, kurova kwemoyo nekukurumidza, kuomarara kwetsandanyama kana kugwinha, kudikitira zvakanyanya, fivha, kugwinha, kurutsa, manyoka. Ichi chirwere chine njodzi zvikuru. |
| Kubuda ropa kusingajairika | Tsvina nhema kana ropa, weti tsvuku/tsvuku, kurutsa ropa, mavara matsvuku/pepuru paganda, uye mavanga asina kutsanangurwa. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kunzwa kupera simba, kurwadziwa pachipfuva. |
| Matambudziko emaziso | Kurwadziwa kwemaziso kamwe kamwe, kuona zvisipo, uye kuona mwenje uchitenderedza chiedza. |
| Kuderera kwemazinga e sodium mumuviri | Kushaya simba kwetsandanyama, kuneta zvakanyanya, musoro unotemwa nemusoro, kuvhiringidzika. |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Matambudziko ekugaya chikafu | Kusvotwa, manyoka, dumbu rinogumbuka. |
| Mamwe matambudziko akajairika | Muromo wakaoma, musoro, kudikitira zvakanyanya, kushaya hope kana hope, kudedera, kuzvidya mwoyo, kuchinja kwechido chepabonde kana kuita zvakanaka. |
Mharidzo Yekuenda Nayo Kumba
- Fluoxetine mushonga unoshanda pakurapa kushushikana kwakanyanya kunozivikanwa sePMDD. Unofanira kushandiswa chete kana chiremba akurudzira.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye chero matambudziko auri kutora usati watanga mushonga wacho.
- Dzivisai kurega mushonga uyu kamwe kamwe. Kuita izvi kunogona kukonzera kusagadzikana. Kana mukarega, itai sezvakarairwa nachiremba wenyu.
- Munguva yekutanga yekutora mushonga, chenjerera zvakanyanya nezvekuchinja kwepfungwa dzako, kunyanya kufunga nezvekuzviuraya. Kana ukaona shanduko, taurira chiremba wako nekukasika.
- Kana paine migumisiro yakakomba (yakadai seallergies, serotonin syndrome, kubuda ropa kusingawanzoitiki), tsvaga rubatsiro rwechiremba nekukasika.
- PMDD haisi mhosva yako. Idambudziko rinorapika. Saka usambotya kukumbira rubatsiro.
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