Ngamanye amaxesha kunzima ukuphila nosizi, ixhala, okanye isifo sokungakhathali (OCD) esisivayo. Kwiimeko ezinjalo, ugqirha wakho unokukunika iyeza elifana neFluoxetine ukunceda ukuphucula impilo yakho yengqondo. Ngoko ke namhlanje, masithethe ngale mithi kunye nezinto ezibalulekileyo ekufuneka uzazi malunga nokuyisebenzisa.
Luhlobo luni lweyeza iFluoxetine?
Ngamafutshane, iFluoxetine liyeza elisetyenziselwa ukunyanga izifo ezinje ngokudakumba, ixhala, i-OCD (Obsessive-Compulsive Disorder), kunye nezinye iingxaki zokutya.
Iingqondo zethu ziqulethe ikhemikhali ebizwa ngokuba yi -serotonin . Oku kunceda ekulawuleni iimvakalelo zethu, ulonwabo, kunye nokulala. Ngamanye amaxesha, xa amanqanaba ethu e-serotonin ehla, sifumana uxinzelelo. I-Fluoxetine isebenza ngokunyusa ubungakanani be-serotonin engqondweni, inceda ukugcina iimvakalelo zethu zikwimeko entle. Eli yeza likwiqela lamayeza abizwa ngokuba yi-SSRI (Selective Serotonin Reuptake Inhibitors) .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba unike i-Fluoxetine, ugqirha wakho uya kufuna ukwazi imbali yakho epheleleyo yempilo. Kubaluleke kakhulu ukubaxelela ukuba wena okanye nabani na kusapho lwakho unenye yezi meko zilandelayo:
| Isifo okanye ezinye izinto | Izinto ekufuneka ziqwalaselwe |
|---|---|
| Ingxaki yeBipolar okanye imbali yosapho | Eli yeza ngamanye amaxesha linokubangela iziqephu zokudakumba. |
| Iingxaki zokopha | Eli yeza linokunyusa kancinci umngcipheko wokopha. |
| I-Glaucoma | Uxinzelelo lwamehlo lunokuchaphazeleka. |
| Isifo sentliziyo, isifo sesibindi, isifo se-thyroid | Ukusebenza kwesiyobisi kunokutshintsha ngokwezi meko zonyango. |
| Ukwehla kwamanqanaba e-sodium egazini | Eli yeza linokunciphisa amanqanaba e-sodium ngakumbi. |
| Ukuxhuzula | Isifo sokuwa esibizwa ngokuba yi-status epilepticus sinokuchaphazeleka. |
| Iingcinga, izicwangciso, okanye imizamo yokuzibulala | Oku kubaluleke kakhulu. Ugqirha kufuneka azi ezi ngcinga kuba zinokukhula xa eqala ukusebenzisa amayeza. |
| Ukusebenzisa amayeza e-MAOI | Ukusela la mayeza mabini kunye kunokuba yingozi kakhulu. |
| Ukuthatha amayeza athintela ukujiya kwegazi (umz. iWarfarin) | Umngcipheko wokopha unganda. |
| Ukukhulelwa, ukuzama ukukhulelwa, okanye ukuncancisa | Kule meko, amayeza amiselwe ngononophelo olukhulu. |
| Ukunganyamezelani ne-fluoxetine okanye amanye amayeza okanye ukutya | Oku kubalulekile ukuze kuthintelwe iimpembelelo ze-allergy. |
Ndingayisebenzisa njani le mithi?
- Le yikhaphu oyithathayo kube kanye ngeveki. Khumbula nje ukusela le pilisi ngosuku olunye lweveki njengoko ugqirha wakho ekuxelela. Kungcono ukuyiphawula kwikhalenda.
- Ginya le kapsule yonke ngeglasi yamanzi. Ungaze uyiqhekeze, uyityumze, okanye uyihlafune le kapsule.
- Ungayithatha le nto ngaphambi okanye emva kokutya. Ayizukubangela ngxaki.
- Okubaluleke kakhulu: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela ukuba iimpawu zakho zibe mandundu okanye kubangele ezinye iingxaki.
Ingqalelo: Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiCandelo loNgxamiseko lwesibhedlele (i-ETU) ngokukhawuleza. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Eli yeza limiselwe wena wedwa. Ngoko ke, ungaze wabelane ngalo nabanye.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba uyakhumbula ukuba uphoswe yidosi yakho ngomhla ekufuneka uyithathe ngawo, yithathe ngokukhawuleza. Kodwa ukuba sele idlulile umhla wakho wokugqibela, yithathe ngokukhawuleza kwaye uqale ukuthatha idosi yakho ngosuku olulandelayo lweveki. Ungaze uthathe iidosi ezimbini ngaxeshanye. Kufuneka kubekho iveki enye ngqo phakathi kwedosi nganye.
Amanye amayeza anokusebenza kunye nale mayeza
I-Fluoxetine liyeza elinokusetyenziswana namanye amayeza, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
Amayeza angafanele asetyenziswe kunye: Ukusebenzisa amayeza afana namayeza e-MAOI (umz. iCarbex, iParnate), iThioridazine, iPimozide, kunye neLinezolid kunye kunokubangela iziphumo ebezingalindelekanga ezinzulu kakhulu, nezisongela ubomi.
Ukongeza, iingxaki zinokwenzeka kwezi zilandelayo:
- Utywala
- Iipilisi zokunciphisa iintlungu (ii-NSAID ezifana ne-Aspirin, i-Ibuprofen, ne-Naproxen)
- Amanye amayeza athintela ukujiya kwegazi (iWarfarin)
- Amanye amayeza okudakumba okanye ukuxhalaba
- Amanye amayeza e-migraine (iiTriptans)
- Ezinye izongezo - umz. iSt. John's wort
- Iziyobisi ezibangela ukozela
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho malunga nayo yonke imithi, iivithamini, amayeza esintu, okanye izongezo ozithathayo. Mxelele nokuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Utshintsho lweemvakalelo: Lumka iimpawu zokuba iimpawu zakho ziya zisiba mandundu okanye ziya zisiba mandundu emva kokuba uqalise amayeza. Ngokukodwa, ukuba uneengcinga ezintsha okanye ezinzulu zokuzibulala, okanye ukuba uziva ulusizi, unomsindo, okanye uxhalabile kunangaphambili, bona ugqirha wakho ngoko nangoko. Ezi ziqheleke kakhulu kwasekuqaleni konyango okanye xa idosi itshintshiwe.
- Ukozela/isiyezi: Usenokuziva ulele okanye unesiyezi. Ngoko ke , musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani.Ziphephe imisebenzi efuna ingqalelo, efana nale: Lumka xa umi okanye uhleli ngequbuliso.
- Utywala: Kuphephe ngokupheleleyo utywala xa usebenzisa amayeza.
- Umlomo owomileyo: Ukuhlafuna itshungama engenaswekile kunye nokusela amanzi kunokunceda umlomo owomileyo.
- Isifo seswekile: Ukuba unesifo seswekile, eli yeza lisenokuchaphazela amanqanaba eswekile egazini lakho. Ngoko ke thetha nogqirha wakho ukuze akunike ingcebiso.
Zeziphi iziphumo ebezingalindelekanga ezinokubonwa?
Njengazo zonke amayeza, le inokuba nemiphumo emibi, kodwa ayinguye wonke umntu oyifumanayo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukopha okungaqhelekanga | Indle emnyama okanye engapheliyo, ukuhlanza okufana nekofu egayiweyo, umchamo obomvu/omdaka omnyama, amabala abomvu/amfusa eluswini. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Isifo seSerotonin | Ixhala, ukudideka, ukubila kakhulu, umkhuhlane, ukuqaqamba kwemisipha, ukuhlanza, urhudo. |
| Iingcinga zokuzibulala | Iingcinga zokuzilimaza kunye nokudakumba okuya kusiba mandundu. |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Ukungazoli, ixhala | Urhudo, intloko ebuhlungu, isicaphucaphu, umlomo owomileyo |
| Ukungalali okanye ukulala kakhulu | Ukubila kakhulu, ukungcangcazela, utshintsho kwiminqweno yesondo okanye ukusebenza. |
Umyalezo Wokuya Ekhaya
- I-Fluoxetine liyeza elinikwa ngugqirha elisetyenziselwa ukunyanga iimeko ezinje ngokudakumba kunye nokuxhalaba. Musa ukuyeka ukulithatha ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Ngaphambi kokuba uqale eli yeza, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo kunye nazo naziphi na iimeko zempilo onazo.
- Qaphela naluphi na utshintsho lweemvakalelo, ingakumbi iingcinga zokuzibulala, ngexesha lokuqala kokuthatha amayeza. Ukuba oku kuyenzeka, xelela ugqirha wakho ngoko nangoko.
- Kuphephe ukusela utywala xa usebenzisa amayeza. Lumka xa usenza imisebenzi efuna ingqalelo, kuba inokubangela ukozela.
- Ukuba ufumana naziphi na iingxaki okanye iziphumo ebezingalindelekanga, qiniseka ukuba uthetha nogqirha wakho ngazo. Funa iingcebiso zonyango endaweni yokukhangela izisombululo kwi-intanethi.
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