Ngaba ubusoloko unengxaki yokudakumba ? Mhlawumbi uzame amayeza amaninzi owanikwe ngugqirha wakho, kodwa awukayiva inkqubela oyifunayo. Namhlanje sithetha ngonyango olukhethekileyo olunokunceda abo banengxaki yokudakumba okukhulu kwaye abangasabeli kakuhle kwamanye amayeza. Le yi-Esketamine Nasal Spray.
Yintoni i-Esketamine?
Ngamafutshane, i-Esketamine liyeza elisetyenziselwa ukunyanga ukudakumba. Kodwa ayiloyeza eliqhelekileyo elinikwa wonke umntu. Oogqirha badla ngokunika eli yeza xa amanye amayeza okudakumba engancedanga . Lisisifutho sempumlo . Elinye lamagama adumileyo alo kwimarike yiSpravato.
Eli yeza lingasetyenziselwa nezinye iimeko ngaphandle koxinzelelo. Ungathetha nogqirha wakho ngale nto ukuze ufumane ulwazi oluthe kratya.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo ngaphambi kokuba uqale olu nyango. Musa ukufihla nesigulo esincinci onaso. Eli yeza alifanelekanga kuye wonke umntu. Ukuba unenye yezi meko zingezantsi, qiniseka ukuba uxelela ugqirha wakho ngalo.
| Imeko yezonyango/uhlobo lolwazi | Inkcazo |
|---|---|
| Izifo zemithambo yegazi | Ukuba unesifo semithambo yegazi naphi na emzimbeni, njengengqondo, isifuba, iingalo, okanye imilenze. |
| Isifo sentliziyo kunye noxinzelelo lwegazi | Uxinzelelo lwegazi oluphezulu, isifo sentliziyo, ukubetha kwentliziyo okungahambelaniyo, okanye uhlaselo lwentliziyo lwangaphambili. |
| Imbali enxulumene nengqondo | Ukuba ukhe waba nestroke ngaphambili, imbali yokopha ebuchotsheni, okanye ukwenzakala okukhulu entloko. |
| Impilo Yengqondo | Izifo zengqondo ezifana ne-schizophrenia, i-dementia (ukulahlekelwa yinkumbulo), okanye ukuba wena okanye umntu kusapho lwakho ukhe wacinga okanye waceba ukuzibulala. |
| Ezinye iimeko zempilo | Isifo sesibindi, imbali yokuba likhoboka leziyobisi okanye utywala (ingxaki yokusebenzisa iziyobisi). |
| Ii-aleji | Ukuba une-allergy kwi-Esketamine, i-Ketamine, okanye nayiphi na enye iyeza, ukutya, okanye idayi. |
| Ukukhulelwa kunye nokuncancisa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Ulisebenzisa njani eli yeza?
Le yeyona nto ibalulekileyo ekufuneka uyazi. Ayisiyonto onokuyithatha uye nayo ekhaya uyisebenzise.
Eli yeza lifanele lisetyenziswe esibhedlele okanye ekliniki kuphela, phantsi kweliso elithe ngqo likagqirha okanye ingcali yezempilo eqeqeshiweyo.
- Uzitshiza ngokwakho: Ugqirha okanye umongikazi wakho uza kukubonisa ngokucacileyo indlela yokusebenzisa esi sixhobo sokutshiza ngeempumlo, ukuba singakanani, kwaye sisetyenziswe nini. Uza kusitshiza empumlweni yakho ngokwakho phantsi kweliso labo.
- Jonga iiyure ezininzi: Emva kokusela iyeza, uza kujongwa ubuncinane iiyure ezimbini.Iqela lezonyango liza kukujonga. Liza kujonga izinto ezifana noxinzelelo lwegazi kunye nokubetha kwentliziyo yakho, lize ligqibe ukuba ukulungele na ukubuyela ekhaya.
- Ukuqhuba akuvumelekanga: Oku kubaluleke kakhulu. Awunakuqhuba imoto nangasiphi na isizathu ngomhla wokuthatha amayeza. Awunakwenza nantoni na efuna ingqalelo epheleleyo yengqondo. Kubalulekile ukuba ilungu losapho okanye umhlobo eze kukuthatha akuse ekhaya. Uya kukwazi ukuqhuba kwakhona ngesiqhelo ngosuku olulandelayo emva kokuba ulele kamnandi ebusuku.
- Lumka ngokutya nokusela: Eli yeza linokubangela isicaphucaphu nokuhlanza. Ngoko ke, kufuneka uyeke ukutya ubuncinane iiyure ezi-2 ngaphambi kokuba uthathe unyango. Kufuneka uyeke nokusela ulwelo, olufana namanzi, ubuncinane imizuzu engama-30 ngaphambi kokuba usebenzise unyango.
- Ezinye izitshizi zeempumlo: Ukuba usebenzisa ezinye ii-corticosteroids zeempumlo okanye ii-decongestants zempumlo, kufuneka uzisebenzise ubuncinane iyure enye ngaphambi kokuba uthathe olu nyango lwe-Esketamine.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Oku kubonelelwa esibhedlele, ngoko ke amathuba okuba oku kwenzeke mancinci kakhulu. Nangona kunjalo, ukuba uvakalelwa kukuba usele amayeza amaninzi ngandlel’ ithile, yazisa iqela lezonyango ngoko nangoko. Ukuba kukho omnye umntu ekhaya osele amayeza kwaye oku kuyenzeka, mse kwiSebe leeNgxamiseko (ETU) elikufutshane nawe ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Ufanele uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka iivithamini kunye namayeza emveli, kuba ezinye izinto zinokusabela kwi-Esketamine kwaye zibangele iimeko eziyingozi.
| Iintlobo zezinto ezinokungqubana | Imizekelo |
|---|---|
| Utywala | Kuphephe ukusebenzisa naluphi na uhlobo lotywala. |
| Amayeza okulala nokuxhalaba | IiBenzodiazepines, ezifana neAlprazolam, Diazepam, neLorazepam, ziipilisi zokulala. |
| Ezinye izinto ezithintela uxinezeleko | Amayeza afana ne-Amitriptyline, iTrazodone, ingakumbi amayeza e-MAOI afana neMarplan, iNardil, iParnate. |
| Izithomalalisi zentlungu kunye namayeza okukhwehlela | Iipilisi zokubulala iintlungu ezivela kwiqela le-opioid. |
| Okunye | I-Ketamine, amayeza okuxhuzula (umz. iPhenobarbital), iziphumzi zemisipha, izikhuthazi ze-ADHD. |
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Ugqirha wakho uza kujonga rhoqo ukuze abone ukuba imeko yakho iyaphucuka okanye iyawohloka. Mxelele ukuba kukho utshintsho kwiimpawu zakho.
- Ukozela kunye nesiyezi: Usenokuziva ulele kakhulu, unesizungu, okanye uphelelwe ngamandla kangangeeyure ezimbalwa emva kokusela amayeza. Yiyo loo nto uhlala ujongiwe esibhedlele. Yiyo loo nto ucetyiswa ukuba ungaqhubi okanye usebenzise oomatshini.
- Umngcipheko wokulutha: Kukho umngcipheko wokusetyenziswa gwenxa kunye nokuxhomekeka kweli yeza. Ngoko ke, ugqirha wakho uza kukujonga nawe ngenxa yaloo nto.
- Ukukhulelwa: Akufanele ulisebenzise eli yeza ukuba ukhulelwe. Eli yeza linokubangela iingxaki ezinkulu ekuzalweni komntwana.
- Ukuncancisa: Musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile. Eyona nto ibalulekileyo kukwazisa iqela lakho lezonyango ngokukhawuleza ukuba ubona into engaqhelekanga.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| 🚨 Iziphumo ebezingalindelekanga ezinzulu mazixelwe kugqirha okanye kumongikazi ngoko nangoko. | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukozela kakhulu, ukuziva utyhafile, ukudideka. |
| Ukuziva ngathi uzahlukene (Ukuzahlula) | Ukuziva ukhululekile kwiingcinga, iimvakalelo, kunye nendawo ekungqongileyo, ngokungathi kusephupheni. |
| Uxinzelelo lwegazi olunyukileyo | Ukunyuka okuphawulekayo koxinzelelo lwegazi ngequbuliso. |
| Ukuwohloka kwemeko yengqondo | Iingcinga zokuzibulala, ukwanda koxinzelelo. |
| 🙂 Ngokuqhelekileyo akukho nto ixhalabisayo ngayo, kodwa ukuba iziphumo ebezingalindelekanga ziyaqhubeka, kufuneka uxelele ugqirha wakho. | |
| Ixhala, ukungazinzi | Ukudinwa kunye nokozela |
| Isicaphucaphu nokuhlanza | Ukuziva ulonwabo olungaqhelekanga, uchulumanco |
| Ukuba ndindisholo, ukuncipha kwemvakalelo yokuchukumisa | |
Umyalezo Wokuya Ekhaya
- I-Esketamine lunyango olukhethekileyo olunikwa esibhedlele kuphela phantsi kweliso likagqirha xa umntu edandathekile kakhulu kodwa enganyangwanga ngamanye amayeza.
- Akufuneki uqhube okanye wenze nantoni na efuna ukuqwalaselwa ngomhla osele ngawo eli yeza. Kufuneka ube nomntu oza kukusa ekhaya.
- Xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo ngaphandle kokufihla nantoni na .
- Uza kuhlolwa liqela lezonyango kangangeeyure ezininzi emva kokusela amayeza, njengoko iziphumo ebezingalindelekanga zinokubakho.
- Eli yeza alifanelekanga kubafazi abakhulelweyo okanye abancancisayo. Alivumelekanga nokuba lisetyenziswe ebantwaneni.
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