Ngaba umntwana wakho unengxaki yokuhlala egxile? Okanye wakha waziva ngathi unengxaki yokuhlala egxile ngelixa efunda okanye esenza umsebenzi? I-Atomoxetine liyeza elinikwa oogqirha le-ADHD (Attention-Deficit Hyperactivity Disorder). Laziwa kakhulu ngegama lebhrendi iStrattera. Ke namhlanje, makhe sifunde ngakumbi ngale mayeza, ukuba asebenza ntoni, indlela yokuwasebenzisa, kunye noko kufuneka ukuqaphele ngakumbi.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, i-Atomoxetine liyeza elisetyenziselwa ukunyanga i-ADHD. Liphucula amandla akho kunye nawomntwana wakho okugxila kwaye linceda ukulawula ukuziphatha okungxamayo.
Eli liyeza elikudidi lwamayeza abizwa ngokuba yi-SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Ngamafutshane, eli yeza lisebenza ngokulinganisela umsebenzi weekhemikhali ezithile (ii-neurotransmitters) ezithwala imiyalezo phakathi kwemithambo-luvo engqondweni yethu. Oku kunceda kakhulu ekulawuleni ingqalelo kunye nokuziphatha. Ngamanye amaxesha, ugqirha wakho unokukunika eli yeza kwezinye izinto. Ngoko ke ukuba unemibuzo, ungathandabuzi ukubuza ugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale ukusebenzisa i-atomoxetine, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo zonyango, njengoko olu lwazi lunokuchaphazela idosi okanye ukuba iyeza lifanelekile na kuwe.
| Imeko yakho yempilo okanye ingxaki | Kutheni ufanele uxelele ugqirha? |
|---|---|
| I-Glaucoma | Eli yeza linokunyusa uxinzelelo lwamehlo. |
| Uxinzelelo lwegazi oluphezulu okanye oluphantsi, isifo sentliziyo, ukubetha kwentliziyo okungaqhelekanga, okanye imbali yestroke | Eli yeza linokuchaphazela uxinzelelo lwegazi kunye nesantya sentliziyo. |
| Isifo sesibindi | Ukuba ukusebenza kwesibindi kuyaphazamiseka, iyeza likhutshwa kancinci emzimbeni. |
| Isifo sengqondo esifana ne-mania okanye i-bipolar disorder | Eli yeza lingenza iimeko ezinjalo zibe mandundu ngakumbi. |
| Uhlobo lwethumba olubizwa ngokuba yi-pheochromocytoma | Eli lithumba elikhula kwiindlala ze-adrenal, kwaye amayeza anokubangela ukuba uxinzelelo lwegazi lunyuke ngendlela eyingozi. |
| Iingcinga zokuzibulala okanye imbali yazo | Amaxesha amaninzi, eli yeza linokwandisa iingcinga ezinjalo. |
| Ukuzama ukukhulelwa, ukukhulelwa, okanye ukuncancisa | Kwezi meko, iingcebiso zonyango zibalulekile ukuqinisekisa ukhuseleko lwamayeza. |
| Ukunganyamezelani ne-atomoxetine okanye amanye amayeza, ukutya, okanye iidayi | Kubalulekile ukuqaphela oku ukuze uphephe iimpembelelo ze-allergy. |
Ndingayisebenzisa njani le yeza?
Indlela yokusebenzisa eli yeza ilula kakhulu.
- Sela ngomlomo ngeglasi yamanzi.
- Landela imiyalelo kagqirha ngokuchanekileyo.
- Ungayithatha ngaphambi okanye emva kokutya, kodwa ukuba uziva uphazamisekile esiswini, kungcono ukuyithatha kunye nokutya.
- Oku kunokwenza kube nzima kwabanye abantu ukulala ebusuku. Ukuba kufuneka uthathe idosi engaphezulu kwesinye ngosuku, zama ukuthatha idosi yokugqibela ngaphambi kwentsimbi yesi-6 emva kwemini.
- Eyona nto ibalulekileyo kukuba, ungayeki ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Ukuba ngempazamo usele amayeza amaninzi kakhulu, yiya kwiCandelo loNgxamiseko lwesibhedlele esikufutshane (i-ETU) okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko.
Eli yeza limiselwe wena wedwa. Ngoko ke ungaze wabelane nangomnye umntu ngeyeza lakho. Linokuba yingozi.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyilibeleyo.
Amanye amayeza anokusebenza kunye nale mayeza
I-Atomoxetine liyeza elinokusetyenziswana namanye amayeza, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
| Ungaze uthathe i-Atomoxetine kunye nale yeza! | |
|---|---|
| Ii-MAOI (umz., iiCarbex, iiEldepryl, iiMarplan, iiNardil, iiParnate) | I-Cisapride |
| I-Dronedarone | I-Pimozide |
| I-Reboxetine | I-Thioridazine |
| Lumka kakhulu xa uthatha i-Atomoxetine kunye nale yeza. | |
| |
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho malunga nayo yonke imithi, iivithamini, kunye namayeza esintu owasebenzisayo. Ungalibali ukuxelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Umonde ubalulekile: Kungathatha iveki okanye ngaphezulu ukuba eli yeza lisebenze ngokupheleleyo. Ngoko ke, ungayeki ukulisebenzisa kuba "awukaziva bhetele." Qhubeka ulisebenzisa njengoko ugqirha wakho eyalele.
- Lumkela impilo yengqondo: Kunqabile kakhulu ukuba iingcinga zokuzibulala okanye utshintsho kwindlela yokuziphatha (umz., ukuba nomsindo ngakumbi, ukucaphuka, okanye ukudandatheka) zivele kubantwana nakubantu abadala abaselula abasebenzisa la mayeza. Ukuba ubona utshintsho olunjalo ngequbuliso kwindlela yokuziphatha komntwana wakho, fowunela ugqirha wakho ngoko nangoko.
- Inqaku elikhethekileyo kumadoda: Ukuba indoda ifumana ukuvuvuka okubuhlungu okanye okuhlala ixesha elide kangangeeyure ezingaphezu kwe-4, isenokuba yimeko enzima. Ukuba oku kuyenzeka , kufuneka ufune iingcebiso zonyango ngokukhawuleza ngaphambi kokuba kwenzeke umonakalo ongunaphakade.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba oku kukuchaphazela njani. Lumka xa uvuka okanye uhlala phantsi ngokukhawuleza, ingakumbi ukuba sele ukhulile.
- Umlomo owomileyo: Ukuba uziva ngathi umlomo wakho womile, hlafuna itshungama engenaswekile uze usele amanzi amaninzi.
Iziphumo ebezingalindelekanga ezinokubakho
Njengayo nayiphi na iyeza, i-Atomoxetine inokubangela iziphumo ebezingalindelekanga. Ezinye zazo ziyingozi, ngelixa ezinye zixhaphakile.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, iintlungu zesifuba. |
| Ukulimala kwesibindi | Intlungu esiswini esingentla ngasekunene, ukungabi namdla wokutya, ukuba tyheli kolusu okanye amehlo, umchamo otyheli omnyama, indle ekhanyayo. |
| Utshintsho lwengqondo kunye nokuziphatha | Ixhala, ukucaphuka, iingcinga zokuzibulala, ukudakumba. |
| Iimpawu zeStroke | Ukuba ndindisholo/ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso, ubunzima bokuthetha, intloko ebuhlungu kakhulu. |
| Ubunzima bokuchama | Ubunzima bokuchama okanye ukungachami. |
| Ngokwesiqhelo ayisiyongxaki inzulu (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana into engaqhelekanga, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-Atomoxetine liyeza elinceda kwi-ADHD. Nangona kunjalo, kuthatha ixesha ukubona iziphumo ezipheleleyo, ngoko yiba nomonde kwaye ulisebenzise rhoqo njengoko ugqirha wakho eyalele.
- Musa ukuyeka ukuthatha amayeza akho ngequbuliso ngaphandle kokubonisana nogqirha wakho.
- Qiniseka ukuba wazisa ugqirha wakho malunga nawo onke amanye amayeza, iivithamini, kunye neemeko zempilo ozisebenzisayo.
- Lumka kakhulu malunga nemiphumo emibi efana notshintsho kwindlela umntwana wakho aziphethe ngayo okanye iingcinga zokuzibulala. Ukuba ubona into efana nale, funa ingcebiso kagqirha ngoko nangoko.
- Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye abantu.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zisetyenziselwa ntoni iipilisi ze-Aliskiren / Tekturna?
Eli liyeza eliphumelele kakhulu lesizukulwana samva nje nesahlukileyo (i-Direct Renin Inhibitor) elifunyenwe kwihlabathi liphela ukulawula 'uxinzelelo lwegazi oluphezulu'! Ngelixa zonke ezinye iipilisi zoxinzelelo zimisa umlambo one-asidi xa uhla, eli pilisi livala umthombo womlambo (iRenin) nge-100% kwaye liwuvale, lithintele uxinzelelo ukuba lukhule kwasekuqaleni.
💬 Ungawunciphisa njani uxinzelelo lwegazi ngale pilisi intsha yoxinzelelo lwegazi (i-Aliskiren)?
Umlambo wekhemikhali onyusa uxinzelelo lwegazi uqala nge-enzyme ebizwa ngokuba yi-'Renin' ekhutshwa zizintso zethu! Ezinye iipilisi (i-ACE/ARB) zisebenza kwi-Angiotensin chemical eveliswa yiyo. Kodwa xa le pilisi ingena emzimbeni, iya ngqo ezintsoni ize ivale loo matshini we-enzyme oyintloko obizwa ngokuba yi-'Renin' nge-100%. Emva koko umlambo awuqali nokuqalwa, imithambo yegazi iyaphumla kwaye uxinzelelo luyehla ngoko nangoko.
💬 Ngowuphi umngcipheko obalulekileyo obulalayo (iBlack Box Isilumkiso) ekufuneka uwuqaphele xa usebenzisa eli yeza (iAliskiren)?
Le pilisi, njengezinye iipilisi zoxinzelelo lwegazi, ayivumelekanga kwaphela kubafazi abakhulelweyo! Ukuba umfazi okhulelweyo osela le pilisi uyakhulelwa, izintso zomntwana zinokonakala/zopha kwaye umntwana angafa (Ukugula kwe-Fetal). Kwakhona, ukuba unesifo seswekile kwaye uthatha le pilisi kunye nezinye iipilisi zoxinzelelo lwegazi (ACE/ARB - umz. iLosartan), kukho umngcipheko wokonakala kwezintso nge-100%/i-potassium ephezulu kunye nokufa.
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