Ngaba nawe unengxaki yokulala ebusuku? Masifunde ngeepilisi zeDoxepin!

Khawucinge ngentlungu ozivayo xa ulala ebusuku uze ujike ungakhange ulale. Kwezinye iintsuku awulali kude kube sekuseni. Kusasa olulandelayo, umzimba wakho uziva udiniwe kwaye intloko yakho ivakala inzima. I-Doxepin liyeza elinokunceda kolu hlobo lokungalali . Nangona kunjalo, njengalo naliphi na elinye iyeza, kufuneka lisetyenziswe ngolwazi olufanelekileyo kwaye phantsi kwengcebiso kagqirha. Namhlanje, masithethe ngeDoxepin ngokweenkcukacha.

Lithini eli yeza libizwa ngokuba yiDoxepin?

Ngamafutshane, iDoxepin liyeza elisetyenziselwa ukunyanga ukungalali . Likunceda ulale ngokukhawuleza kwaye uhlale ulele ungavuki ezinzulwini zobusuku. Likwiqela lamayeza abizwa ngokuba yi-tricyclic antidepressants (TCAs). Oku kuthetha ukuba olu hlobo lwamayeza lusetyenziswa kakhulu xa uxinezelekile, kodwa xa lusetyenziswa xa ungalali, ludla ngokunikezelwa ngeedosi eziphantsi kakhulu . ESri Lanka, ungalifumana eli yeza phantsi kwegama elithi Silenor.

Kwakhona, kubalulekile ukwazi ukuba oogqirha ngamanye amaxesha banokukunika eli yeza nakwezinye iimeko. Ngoko ke ukuba awuqinisekanga ukuba kutheni unikwe eli yeza, kungcono ubuze ugqirha wakho okanye ingcali yezemithi.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iDoxepin, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Oku kungenxa yokuba eli yeza lisenokungafaneleki kubantu abaneengxaki ezithile zempilo, okanye linokufuna ukusetyenziswa ngononophelo olukhethekileyo.

Nazi ezo zinto:

• Ukuba unesifo sengqondo esibizwa ngokuba yi-bipolar disorder , sisifo sengqondo apho uziva wonwabile kakhulu ngaxesha nye uze ngequbuliso uzive ulusizi kwaye udandathekile.
• Ukuba unesifo sokudakumba .
• Ukuba unengxaki yokuchama .
• Ukuba une -glaucoma (isifo esibangela uxinzelelo oluphezulu emehlweni).
• Ukuba unesifo sentliziyo .
• Ukuba ukhe wasebenzisa iziyobisi okanye utywala ngaphambili.
• Ukuba unesifo sesibindi .
• Ukuba unesifo semiphunga (umz. i-asthma) okanye i-sleep apnea .
• Ukuba uyindoda, unengxaki ye-prostate gland .
• Ukuba unesinye isifo sengqondo, esifana ne -schizophrenia .
• Ukuba ukhe wacinga ngokuzibulala , ukhe waceba ukuzibulala, okanye ukuba wena okanye umntu kusapho lwakho ukhe wazama ukuzibulala ngaphambili.
• Ukuba une -allergy kwi-Doxepin, amanye amayeza, ukutya, imibala yokutya, okanye izithinteli.
• Ukuba ukhulelwe okanye ulindele umntwana .
• Ukuba ungumama oncancisayo .

Ukuba kukho nayiphi na kwezi zinto ekuchaphazelayo, kubaluleke kakhulu ukuxelela ugqirha wakho ngayo.

Ulisebenzisa njani kanye kanye eli yeza?

Kubaluleke kakhulu ukwazi indlela yokusebenzisa iipilisi zeDoxepin ngokuchanekileyo.

• Eli yeza lifanele lithathwe ngomlomo, lixutywe neglasi yamanzi .
• Landela imiyalelo ekule miyalelo uyinikwe ngugqirha wakho ngokuchanekileyo .
• Eli yeza lifanele lithathwe ungenanto esiswini . Oko kukuthi, ubuncinane iiyure ezi-3 emva kokutya . Lisenokungasebenzi kakuhle xa lithathwa kunye nokutya.
• Ufanele ukusele oku malunga nemizuzu engama-30 ngaphambi kokuba ulale . Kwakhona, okubaluleke kakhulu, ukusele oku kuphela ukuba uqinisekile ukuba ungalala ubusuku bonke (ubuncinane iiyure ezisi-7-8) ngaphandle kokuphazamiseka . Kuba ukuba kufuneka uvuke usebenze emva nje kokusela oku, ungaziva ulele kwaye ungakhululekanga.
• Musa ukusela ngaphezu komlinganiselo omiselwe ngugqirha.
• Musa ukuyeka ukuthatha eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho . Ukwenza njalo kunokunyusa iziphumo ebezingalindelekanga okanye kwenze ukungakwazi ukulala kube mandundu.
• Xa ufumana eli yeza kwikhemesti, unganikwa incwadana yemiyalelo ekhethekileyo ebizwa ngokuba yi-"MedGuide" . Yifunde ngononophelo ngalo lonke ixesha ufumana iyeza lakho. Isenokuba nolwazi olubalulekileyo kuwe.
• Ukuba unika abantwana eli yeza, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngalo kwaye ufumane ingcebiso ekhethekileyo.

Kuthekani ukuba umthamo weyeza unyusiwe? (Umthamo ogqithisileyo)

Ukuba ucinga ukuba uthathe iDoxepin engaphezulu kunokuba ucinga ukuba ufanele uyenze, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba iZiko loLawulo lweeTyhefu ngoko nangoko . Musa ukuchitha ixesha.

Kubalulekile: Eli yeza limiselwe wena kuphela. Musa ukunika umhlobo okanye ilungu losapho eli yeza nangasiphi na isizathu , nokuba nabo banesifo esifana nesakho.

Kuthekani ukuba ndiphoswa lidosi leyeza?

Ekubeni eli yeza lithathwa ngaphambi kokuba ulale, "ukuphosa idosi" akusebenzi ngokwenene koku. Nangona kunjalo, ukuba ulibele ukusela iyeza lakho ngaphambi kokuba ulale uze ukhumbule, ungaze uthathe idosi ephindwe kabini okanye uthathe ipilisi eyongezelelweyo ukuze ubuyisele idosi ephosiweyo. Ukwenza njalo kwandisa umngcipheko weziphumo ebezingalindelekanga.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

I-Doxepin liyeza elinokuthi ``lisebenzisane`` namanye amayeza. Oku kuthetha ukuba xa ithathwa nala mayeza, iziphumo ze-Doxepin zinokutshintsha okanye iziphumo ebezingalindelekanga zinganda.

I-Doxepin kufuneka igwenywe ngamayeza alandelayo:

• I-Arsenic trioxide `(i-Arsenic trioxide)`
• Amanye amayeza asetyenziswa ukulawula ukubetha kwentliziyo okungaqhelekanga
• I-Cisapride
• I-Halofantrine
• I-Levomethadyl `(Levomethadyl)`
• I-Linezolid
• Amayeza akwiqela lamayeza abizwa ngokuba yi -`MAOIs` (iMonoamine Oxidase Inhibitors) (umz. iCarbex, iEldepryl, iMarplan, iNardil, iParnate). La mayeza anamandla asetyenziswa ukunyanga izifo zengqondo.
• I-Methylene eluhlaza okwesibhakabhaka `(i-Methylene eluhlaza okwesibhakabhaka)`
• Amanye amayeza okudakumba
• IiPhenothiazines ( umz. i-perphenazine, i-thioridazine, i-chlorpromazine)
• I-Pimozide
• I-Procarbazine
• I-Sparfloxacin `(i-Sparfloxacin)`
• Amayeza enziwe ngemifuno iSt. John's Wort (le ikwasetyenziswa ngabanye abantu xa benengxaki yempilo yengqondo)

I-Doxepin inokunxibelelana namayeza alandelayo:

• I-Cimetidine (iyeza le-gastritis)
• I-Tolazamide (iyeza lesifo seswekile)
• I-Ziprasidone (iyeza lokugula ngengqondo)

Olu luhlu aluphelelanga. Kusenokubakho eminye imithi. Ngoko ke, xelela ugqirha wakho ngayo yonke imithi oyithathayo (eyalelwe ngugqirha, ethengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, iivithamini, kunye nezongezo zokutya). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni . Ezi zinokusebenzisana neDoxepin.

Yintoni esifanele siyiqwalasele xa sisebenzisa eli yeza?

Kukho izinto ezimbalwa ekufuneka uzazi xa usebenzisa iDoxepin:

• Bona ugqirha wakho rhoqo ukuze ajonge ukuba unjani na.
• Ziqhelise ukulala ngexesha elifanayo yonke imihla . Kwakhona, kuphephe ukusela iziselo ezine-caffeine ezifana nekofu neti emva kwemini nangokuhlwa.
• Ukuba awukwazi ukulala emva kweentsuku ezisi-7-10 zokusela eli yeza, thetha nogqirha wakho. Kusenokuba kukho esinye isizathu sokuba ulale.
• Sebenzisa eli yeza kuphela ukuba uqinisekile ukuba ungalala ubusuku bonke (iiyure ezisi-7-8) .
• Emva kokusebenzisa eli yeza, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa (umz., ukwenza izigqibo ezibalulekileyo, ukufundela uviwo) .
• Ufanele usele eli yeza imizuzu engama-30 ngaphambi kokuba ulale. Emva koko, yenza kuphela izinto ezikulungiselela ukulala (njengokutshintsha impahla, ukuxukuxa amazinyo).
• Ungaziva ulele okanye ucotha kusasa emva kokusela eli yeza. Ukuba oku kuyenzeka, musa ukuqhuba imoto, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama ude uvuke ngokupheleleyo kwaye uphilile engqondweni.
• Musa ukuma okanye ukuhlala ngequbuliso , ingakumbi ukuba sele ukhulile. Ukwenza njalo kunokukwenza ube nesiyezi, ungabi nangqondo, kwaye ungawi kakhulu.

Le yinto ekufuneka uyilumkele kakhulu: Emva kokusela eli yeza, ungavuka ebhedini ungaqondanga uze wenze izinto ezifana "nokuqhuba ulele", ukupheka, ukutya, ukuthetha ngefowuni, ukulala nomntu, nokuhambahamba ulele. Ezi zinto zinokubangela ukwenzakala okukhulu . Ukuba ufumanisa ukuba into efana nale ikwehlele (usenokungayikhumbuli ngosuku olulandelayo, kodwa usapho lwakho kufuneka lukuxelele), xelela ugqirha wakho ngoko nangoko .

• Musa ukulisebenzisa eli yeza ukuba usele utywala ngaloo ngokuhlwa . Kwakhona, musa ukulisebenzisa eli yeza ukuba ukhe wasebenzisa elinye iyeza elinokukunceda ulale. Ukuba wenza njalo, umngcipheko wokufumana iimpawu ezinxulumene nokulala ezikhankanyiweyo ngaphambili uphezulu kakhulu.

• Isigulana kunye nosapho kufuneka bazi oku kulandelayo: iingcinga ezintsha okanye eziya ziba mandundu zokuzibulala , ukudakumba okuya kuba mandundu, okanye utshintsho olukhawulezileyo kwimo yengqondo - umzekelo, ukuziva uxhalabile, ungaphumli, ucaphuka, ukwenza izinto ngendlela engafanelekanga, okanye ukuba nengxaki yokulala. Ukuba kukho nayiphi na kwezi zinto eyenzekayo, ingakumbi kwiintsuku zokuqala zokuqalisa amayeza okanye emva kokutshintsha idosi, xelela ugqirha wakho ngoko nangoko .

• Eli yeza linokubangela umlomo owomileyo . Oku kungancitshiswa ngokuhlafuna itshungama engenaswekile, ukugcina iqhekeza lejinja emlonyeni wakho, nokusela amanzi amaninzi imini yonke. Ukuba le ngxaki iyaqhubeka, okanye ukuba inzima, thetha nogqirha wakho.

• Abanye abantu banokuba namehlo omileyo kunye nokungaboni kakuhle . Ukuba unxiba iilensi zokunxibelelana, usenokuba nengxaki xa uzinxibile. Amathontsi amehlo aqatywayo anokunceda. Ukuba oku kuyaqhubeka, kulungile, kodwa ukuba kunzima, xelela ugqirha wakho.

• Eli yeza linokubangela ukuqhina . Ngoko ke, yitya ukutya okuninzi okune-fiber (iziqhamo, imifuno, imifuno eluhlaza) kwaye usele amanzi amaninzi. Zama ukukhupha isisu ubuncinane kanye emva kweentsuku ezi-2-3. Ukuba awukhuphanga isisu kangangeentsuku ezi-3, xelela ugqirha wakho.

• Xa uthatha eli yeza,Ulusu lunokuba buthathaka kwilanga (photosensitivity). Ngoko ke, kuphephe ukukhanya kwelanga ngokuthe ngqo kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla yokuzikhusela kwaye usebenzise i-sunscreen ene-SPF elungileyo. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.

Zithini iziphumo ebezingalindelekanga zeDoxepin?

Njengalo naliphi na iyeza, iDoxepin inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kubalulekile ukuba uzazi.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

Ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga, bona ugqirha ngokukhawuleza :

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, amaqhuqhuva, ulusu olubomvu, oludumbileyo, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala (oku kunokubangela ubunzima bokuphefumla).
• I-Serotonin Syndrome: Yimeko enobungozi enokubangela enye okanye ngaphezulu kwezi mpawu zilandelayo: ukudideka, ukushukuma, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha okanye ukungcangcazela, ukubila okugqithisileyo, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, kunye norhudo. Le yimeko engxamisekileyo.
• Intlungu yamehlo ngequbuliso okanye utshintsho olukhawulezileyo embonweni: ukufiphala kwembono ngequbuliso, ukubona iirhalingi ezinemibala (ii-halos) zijikeleze izibane, okanye ukulahleka kombono.
• Iingcinga ezintsha okanye ezandayo zokuzibulala okanye ukuzenzakalisa, ukuba mandundu kweemvakalelo, iimvakalelo ezandayo zokudakumba .
• Ubunzima bokuchama okanye ukungachami.
• Iindlela zokuziphatha ezingaqhelekanga ezinxulumene nokulala: Imisebenzi oyenzayo ebuthongweni bakho ongayikhumbuliyo ngosuku olulandelayo (umz., ukuqhuba ulele, ukutya, ukwenza isondo).

Iziphumo ebezingalindelekanga ezingeyongozi, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

Ezi ziphumo bezingalindelekanga azibi kakhulu. Zihlala ziphela emva kweentsuku ezimbalwa. Nangona kunjalo, ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho:

• Utshintsho kwiminqweno yesondo okanye umsebenzi wesondo.
• Ukuqhinwa.
• Isiyezi.
• Ukuva ubuthongo kwanasemva kosuku olusele unyango.
• Umlomo owomileyo.
• Ukungcangcazela (ukungcangcazela okungabonakaliyo) kwimilenze.
• Ukutyeba kwakho.

Olu luhlu luquka kuphela ezinye zeziphumo ebezingalindelekanga zeDoxepin. Usenokufumana ezinye iziphumo ebezingalindelekanga. Ngoko ke, ukuba ufumana into engaqhelekanga, ungoyiki ukuthetha nogqirha wakho ngayo.

Ndingaligcina phi eli yeza?

• Gcina eli yeza kude nabantwana kwaye lingafikeleleki kubo . Oku kubaluleke kakhulu.
• Kubushushu obuqhelekileyo begumbiGcina kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius / ama-68 nama-77 degrees Fahrenheit). Musa ukuyibeka kwindawo eshushu kakhulu okanye efumileyo. Musa ukuyigcina kwiindawo ezifana negumbi lokuhlambela.
• Musa ukugcina amayeza angasetyenziswanga aphelelwe lixesha ebhalwe kwileyibhile yamayeza, walahle ngokukhuselekileyo .

Amanqaku abalulekileyo (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda ukuba nangona iDoxepin iliyeza elinokunceda ekungalalini, kukho izinto ekufuneka uzilumkele xa ulisebenzisa.

Khumbula, eli yeza lifanele lisetyenziswe kuphela xa ugqirha ecebisa. Lithathe kanye njengoko ugqirha wakho ekuxelela, ngexesha elifanelekileyo, nangomlinganiselo ofanelekileyo. Ungalibali ukuxelela ugqirha wakho ngezinye izifo onazo okanye amanye amayeza owasebenzisayo.

Qaphela ngakumbi iindlela zokuziphatha ezinxulumene nokulala, iingcinga zokuzibulala, kunye nemiphumo emibi eyingozi efana ne-serotonin syndrome. Ukuba unemibuzo, iinkxalabo, okanye iinkxalabo, bonana nogqirha wakho ngoko nangoko.

Enye into, eli yeza lelakho kuphela. Nokuba omnye umntu uneempawu ezifana nezakho, musa ukumnika iyeza lakho. Iyeza elifanelekileyo kunye nomlinganiselo ofanelekileyo womntu wonke wahlukile. Ukulala okunempilo kubalulekile ebomini obusempilweni. Ke ngoko, ukuba uneengxaki ezinxulumene nokulala, ungathandabuzi ukufuna ingcebiso kagqirha.

I- Doxepin, i-Silenor, i-Insomnia, i-Tricyclic Antidepressant, i-TCA, Iziphumo ebezingalindelekanga, Amayeza, Ukulala, Impilo Yengqondo