Dzimwe nguva zvakaoma kurarama nekusuruvara, kuzvidya mwoyo, kana chirwere chepfungwa chinodzvinyirira (OCD) chatinonzwa. Muzviitiko zvakadaro, chiremba wako anogona kukupa mushonga wakaita seFluoxetine kuti ubatsire kuvandudza hutano hwepfungwa dzako. Saka nhasi, ngatitaurei nezvemushonga uyu nezvinhu zvakakosha zvaunofanira kuziva nezvekuushandisa.
Mushonga werudzii unonzi Fluoxetine?
Zvichitaurwa zviri nyore, Fluoxetine mushonga unoshandiswa kurapa zvirwere zvakaita sekuora mwoyo, kuzvidya mwoyo, OCD (Obsessive-Compulsive Disorder), uye mamwe matambudziko ekudya.
Uropi hwedu hune kemikari inonzi serotonin . Izvi zvinobatsira kudzora manzwiro edu, mufaro, uye hope. Dzimwe nguva, kana huwandu hweserotonin yedu hwadzikira, tinosangana nekuora mwoyo. Fluoxetine inoshanda nekuwedzera huwandu hweserotonin muuropi, zvichibatsira kuchengetedza mafungiro edu ari muchimiro chakanaka. Mushonga uyu ndeweboka remishonga inonzi SSRI (Selective Serotonin Reuptake Inhibitors) .
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati wanyora mushonga weFluoxetine, chiremba wako achada kuziva nhoroondo yako yese yehutano. Zvakakosha kuvaudza kana iwe kana mumwe munhu mumhuri yako aine chimwe chezvirwere zvinotevera:
| Kurwara kana zvimwe zvinhu | Zvinhu zvekufunga nezvazvo |
|---|---|
| Dambudziko reBipolar kana nhoroondo yemhuri | Mushonga uyu dzimwe nguva unogona kukonzera manic episodes. |
| Matambudziko ekubuda ropa | Mushonga uyu unogona kuwedzera zvishoma njodzi yekubuda ropa. |
| Glaucoma | Kumanikidzwa kwemaziso kunogona kukanganiswa. |
| Chirwere chemwoyo, chirwere chechiropa, chirwere chethyroid | Kushanda kwemushonga uyu kunogona kuchinja zvichienderana nemamiriro ezvinhu aya ekurapa. |
| Kuderera kwemazinga e sodium muropa | Mushonga uyu unogona kuderedza zvakanyanya huwandu hwesodium mumuviri. |
| Kubatwa nepfari | Status epilepticus inogona kukanganiswa. |
| Pfungwa dzekuzviuraya, zvirongwa, kana kuedza | Izvi zvakakosha zvikuru. Chiremba anofanira kuziva nezvepfungwa idzi nekuti dzinogona kuwedzera pavanotanga kushandisa mushonga. |
| Kutora mishonga yeMAOI | Kutora mishonga iyi miviri pamwe chete kunogona kuva nengozi huru. |
| Kutora mishonga inodzivirira kuumbwa kweropa (semuenzaniso Warfarin) | Njodzi yekubuda ropa inogona kuwedzera. |
| Kuva nepamuviri, kuedza kubata pamuviri, kana kuyamwisa | Muzviitiko izvi, mushonga wacho unorayirwa nokungwarira kukuru. |
| Kurwara ne fluoxetine kana mimwe mishonga kana chikafu | Izvi zvakakosha kudzivirira allergic reactions. |
Ndinofanira kushandisa mushonga uyu sei?
- Iyi ipiritsi raunotora kamwe chete pasvondo. Ingoyeuka kunwa piritsi iri pazuva rimwe chete revhiki sezvawakaudzwa nachiremba wako. Zvakanaka kurinyora pakarenda.
- Medza kapusule iyi yese negirazi remvura. Usambopwanya, kupwanya, kana kutsenga kapusule iyi.
- Unogona kunwa mushonga uyu usati wadya kana kuti wapedza kudya. Hazvizokonzere matambudziko.
- Chinonyanya kukosha: Usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera kuti zviratidzo zvako zviwedzere kuipa kana kukonzera mamwe matambudziko.
Chenjerera: Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara Emergency Unit (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mushonga uyu wakanyorerwa iwe chete. Saka, usambougovana nevamwe.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana uchiyeuka kuti wakarasikirwa nemushonga wako pazuva raunofanira kuutora, tora nekukurumidza sezvaunoyeuka. Asi kana watopfuura zuva rako rekuzvarwa, tora nekukurumidza sezvaunoyeuka wotanga kutora mushonga wako pazuva rinotevera revhiki. Usambofa watora mishonga miviri panguva imwe chete. Panofanira kuva nevhiki imwe chete pakati pemushonga wega wega.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Fluoxetine mushonga unogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
Mishonga isingafaniri kutorwa pamwe chete: Kutora mishonga yakaita semishonga yeMAOI (semuenzaniso Carbex, Parnate), Thioridazine, Pimozide, uye Linezolid pamwe chete kunogona kukonzera migumisiro yakaipa zvikuru, inotouraya.
Mukuwedzera, matambudziko anogona kuitika ne:
- Doro
- Mishonga inouraya marwadzo (NSAIDs dzakadai seAspirin, Ibuprofen, Naproxen)
- Mimwe mishonga inodzivirira kuumbwa kweropa (Warfarin)
- Mimwe mishonga yekuderedza kushungurudzika kana kuzvidya mwoyo
- Mimwe mishonga yekurwadziwa kwemusoro (Triptans)
- Zvimwe zvinovaka muviri - semuenzaniso St. John's wort
- Mishonga inokotsira
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemishonga, kana zvimwe zvinovaka muviri zvaunotora. Muudzewo kana uchisvuta kana kunwa doro.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kuchinja kwemafungiro: Tarisa zviratidzo zvekuva nekuwedzera kana kuwedzera kwezviratidzo zvako mushure mekutanga mushonga. Kunyanya, kana uine pfungwa itsva kana dzakakomba dzekuzviuraya, kana uchinzwa kusuruvara, hasha, kana kunetseka kupfuura kare, shanyira chiremba wako nekukasika. Izvi zvinonyanya kuitika pakutanga kwekurapwa kana kana mushonga wacho wachinjwa.
- Hope/dzungu: Unganzwa hope kana dzungu. Saka , usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei.Dzivisa mabasa anoda kutarisirwa, akadai sekuti: Chenjerera paunenge wakamira kana kugara kamwe kamwe.
- Doro: Rega doro zvachose paunenge uchitora mushonga.
- Muromo wakaoma: Kutsenga chingamu isina shuga uye kunwa mvura kunogona kubatsira mumuromo wakaoma.
- Chirwere cheshuga: Kana uine chirwere cheshuga, mushonga uyu unogona kukanganisa huwandu hweshuga muropa rako. Saka taura nachiremba wako kuti akupe mazano.
Ndezvipi migumisiro inogona kuonekwa?
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa, asi havasi vese vanoiwana.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kubuda ropa kusingajairika | Tsvina nhema kana kuti yakamira, kurutsa kunoita sekofi yakakuyiwa, weti tsvuku/yakasvibira, mavanga matsvuku/epepuru paganda. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva, kunetseka kufema. |
| Chirwere cheSerotonin | Kunetseka, kuvhiringidzika, kudikitira zvakanyanya, fivha, kurwadziwa kwetsandanyama, kurutsa, manyoka. |
| Pfungwa dzekuzviuraya | Pfungwa dzekuzvikuvadza uye kuora mwoyo kuri kuwedzera. |
| Kana zvikaramba zvichiitika kana kuti zvichikunetsa, udza chiremba wako. | |
| Kusagadzikana, kuzvidya mwoyo | Manyoka, musoro, kuda kurutsa, muromo wakaoma |
| Kushaya hope kana kurara zvakanyanya | Kudikitira zvakanyanya, kudedera, kuchinja kwechido chebonde kana mashandiro aro. |
Mharidzo Yekuenda Nayo Kumba
- Fluoxetine mushonga unonyorerwa nachiremba unoshandiswa kurapa zvirwere zvakaita sekuora mwoyo nekuzvidya mwoyo. Usarega kuutora kamwe kamwe usina kurairwa nachiremba.
- Usati watanga mushonga uyu, udza chiremba wako nezvemishonga yese yauri kutora uye chero matambudziko ehutano auri kusangana nawo.
- Ziva nezvekuchinja kwemanzwiro, kunyanya kufunga nezvekuzviuraya, pakutanga kwekutora mushonga. Kana izvi zvikaitika, taurira chiremba wako nekukasika.
- Dzivisa kunwa doro paunenge uchitora mushonga. Chenjerera paunenge uchiita mabasa anoda kutarisirwa, sezvo anogona kukonzera hope.
- Kana ukasangana nematambudziko kana migumisiro yakaipa, iva nechokwadi chekutaura nachiremba wako nezvazvo. Tsvaga mazano echiremba pane kutsvaga mhinduro paindaneti.
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