Ngaba ngamanye amaxesha uziva uxinezelekile ziingcinga ezingafunwayo? Okanye uziva ngathi kufuneka wenze into efanayo rhoqo? Le meko ibizwa ngokuba yi -Obsessive-Compulsive Disorder (OCD) . Le yimeko yengqondo. Kodwa iindaba ezimnandi zezokuba kukho amayeza asebenzayo anokunceda. Namhlanje siza kuthetha ngelinye lamayeza anjalo, i-Fluvoxamine .
Luhlobo luni lweyeza iFluvoxamine?
Ngamafutshane, iFluvoxamine liyeza elinceda ukulawula imeko yakho ye-OCD. Likwiqela lamayeza abizwa ngokuba yi-SSRI (Selective Serotonin Reuptake Inhibitor). Iingqondo zethu ziqulethe ikhemikhali ebizwa ngokuba yiSerotonin . Oku kubaluleke kakhulu ekulawuleni iimvakalelo zethu. Kwiimeko ezifana ne-OCD, kunokubakho utshintsho oluthile kumanqanaba ale serotonin.
I-Fluvoxamine isebenza ngokunyusa ubungakanani be-serotonin engqondweni kunye nokuphucula unxibelelwano phakathi kweeseli zemithambo-luvo. Oku kunokunceda ukulawula uxinzelelo lwakho, iingcinga ezingafunekiyo, kunye neempendulo. Ngamanye amaxesha, oogqirha banokukunika eli yeza kwezinye iimeko zengqondo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale i-fluvoxamine, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Kuba kufuneka silumke kakhulu xa sisebenzisa eli yeza kwiimeko ezithile zonyango. Qiniseka ukuba usixelela ngezi zinto ngokukodwa:
- Ukuba wena okanye umntu okwintsapho yakho unesifo se-bipolar: Amayeza e-SSRI ngamanye amaxesha anokwenza isifo se-bipolar sibe sibi kakhulu, ngoko ke kubalulekile ukukwazi oku.
- Iimeko zokopha: Sixelele ukuba unengxaki yokujiya kwegazi okanye esinye isifo sokopha.
- I-Glaucoma: Eli yeza linokubachaphazela abantu abanale meko, nto leyo ebangela uxinzelelo lwamehlo oluphezulu.
- Isifo sentliziyo, isifo sesibindi, okanye iingxaki ze-thyroid: Ukuba uneengxaki ezingapheliyo ezifana nezi, kubalulekile ukuba ugqirha wakho aziqaphele.
- Ukuba unezinga eliphantsi le-sodium egazini: Yazi oku kuba eli yeza lisenokunciphisa kakhulu izinga lakho le-sodium.
- Ukuxhuzula: Ukuba ukhe waxhuzula ngaphambili, sixelele ngako.
- Iingcinga zokuzibulala: Ukuba wena okanye umntu kusapho lwakho ukhe wacinga, waceba, okanye wazama ukuzibulala kwixesha elidlulileyo, thetha nogqirha wakho ngokunyanisekileyo ngaloo nto.
- Amanye amayeza owasebenzisayo:Qiniseka ukuba uxelela ugqirha wakho ukuba uthatha amayeza okunciphisa igazi (umz., iWarfarin) okanye amayeza e-MAOI (la mayeza asetyenziswa kakhulu kwizifo zengqondo).
- Ukuba uzama ukukhulelwa, ukhulelwe, okanye ungumama oncancisayo: Kwezi meko, kufuneka udibane nogqirha wakho ngaphambi kokusebenzisa amayeza.
- Ezinye ii-Allergies: Sixelele ukuba unayo nayiphi na i-allergies kwi-Fluvoxamine okanye naliphi na elinye iyeza, ukutya, okanye idayi.
Ndingayisebenzisa njani le mithi?
Eli yeza liza njengekhaphu ekhutshwa ixesha elide, ngoko gcina ezi zinto engqondweni.
- Sela amayeza kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ginya yonke ngeglasi yamanzi.
- Ungaze uyiqhekeze, uyityumze, okanye uyihlafune ikhaphu. Ukwenza njalo kunokukhupha iyeza emzimbeni ngaxeshanye kwaye konyuse iziphumo ebezingalindelekanga.
- Ungayithatha le nto nokuba utya okanye ungakhange uyitye. Nangona kunjalo, ukuba unengxaki yesisu, kungcono ukuyithatha nokuba utya.
- Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iidosi ezimbini ngaxeshanye nangasiphi na isizathu .
- Usenokungaziva bhetele kwangoko emva kokusela iyeza. Kungathatha iiveki ezininzi ukuze uzive ungcono ngokupheleleyo. Ngoko ke ungakhathazeki kwaye uqhubeke nokusela iyeza.
Kubaluleke kakhulu: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho. Ukwenza njalo kunokubangela iimpawu zokurhoxa. Ukuba uyeka, yenza oko njengoko ugqirha wakho ekuyalele, wehlise kancinci kancinci umthamo.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ukrokrela ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwiSebe leeNgxamiseko (i-ETU) elikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
I-Fluvoxamine inokunxibelelana namanye amayeza, iimveliso zezityalo, kunye notywala. Ngoko ke xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye nezongezo zezityalo ozisebenzisayo.
| Izinto ongafanele uzithathe ngeFluvoxamine | |
|---|---|
| I-Alosetron | I-Pimozide |
| I-Cisapride | I-Thioridazine |
| I-Linezolid | I-Tizanidine |
| I-MAOIs (umz. Marplan, Nardil, Parnate) | I-Methylene blue (njengesitofu) |
Ukongeza, eli yeza lisenokusebenzisana neziyobisi ezinciphisa iintlungu ( NSAIDS - umz., i-Ibuprofen, i-Naproxen), i-aspirin, ezinye izinto ezinciphisa igazi, amayeza e-migraine, amanye amayeza eengqondo, iipilisi zokulala, utywala, kunye nezinye iimveliso zezityalo (ezifana ne-St. John's Wort). Ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Utshintsho lweemvakalelo: Lumka kakhulu ukuba wena okanye umntu kusapho lwakho uneemvakalelo eziya zisiba mandundu okanye iingcinga zokuzibulala, ingakumbi xa uqala ukuthatha amayeza okanye xa idosi itshintshiwe. Kwakhona, ukuba ubona naluphi na utshintsho olukhulu, olufana nokungaphumli kakhulu, ukuphazamiseka, ukucaphuka, okanye ubunzima bokulala, tsalela umnxeba ugqirha wakho ngoko nangoko.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke, ziphephe izinto ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba eli yeza likuchaphazela njani.
- Utywala: Ukusela utywala kunokubangela ukozela kunye nesiyezi. Kungoko ke, kungcono ukungayisebenzisi ngokupheleleyo isiselo xa usebenzisa eli yeza.
- Umlomo owomileyo: Umlomo owomileyo sisiphumo esiqhelekileyo. Oku kunokulawulwa ngokuhlafuna itshungama engenaswekile nokusela amanzi amaninzi.
Iziphumo ebezingalindelekanga ezinokubakho zeyeza
Njengazo zonke iziyobisi, iFluvoxamine inokubangela iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi, ngelixa ezinye zixhaphakile.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Isifo seSerotonin | Ukushukuma okungachazekiyo, ukubetha kwentliziyo ngokukhawuleza, ukuqina kwemisipha okanye ukungcangcazela, ukubila okugqithisileyo, umkhuhlane ophezulu, ukuhlanza, urhudo. Le yimeko engxamisekileyo. |
| Ukopha okungaqhelekanga | Indle emnyama okanye enegazi, ukuhlanza okufana nekofu egayiweyo, umchamo obomvu/omdaka omnyama, kunye namabala abomvu/omfusa eluswini. |
| Amanqanaba e-sodium anciphileyo | Ubuthathaka bemisipha, ukudinwa kakhulu, isiyezi, intloko ebuhlungu, kunye nokulahlekelwa yinkumbulo. |
| Iingxaki zamehlo | Intlungu yamehlo ngequbuliso, ukubona okufipheleyo, nokubona ukukhanya okujikeleze izibane. |
| Iingcinga zokuzibulala | Ukutshintshatshintsha kweemvakalelo, iingcinga zokuzibulala. |
| Iziphumo ebezingalindelekanga eziqhelekileyo, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukozela | Ndiziva ndilele ngalo lonke ixesha. |
| Isicaphucaphu | Ukuziva ngathi uhlanza. |
| I-Anorexia | Ukuncipha komnqweno wokutya. |
| Ukubila okugqithisileyo | Ukubila ngaphezu kwesiqhelo. |
| Utshintsho kwiminqweno okanye umsebenzi wesondo | Ukuncipha komnqweno wesondo okanye ezinye iingxaki. Musa ukuba namahloni okuthetha nogqirha wakho ngale nto. |
Umyalezo Wokuya Ekhaya
- I-Fluvoxamine liyeza elinyanga i-OCD (isifo sokungakhathali ngokugqithisileyo) kwaye lilawula amanqanaba e-serotonin engqondweni.
- Ngaphambi kokuba uqale eli yeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Ginya iyeza liphelele, ungaliqhekezi, ulityumze, okanye ulihlafune.
- Kungathatha iiveki ezininzi ukuba iyeza lisebenze ngokupheleleyo, ngoko ke yiba nomonde kwaye uqhubeke ulisebenzisa.
- Ungaze uyeke ukuthatha amayeza ngequbuliso ngaphandle kokubonisana nogqirha wakho.
- Lumka kakhulu malunga notshintsho lweemvakalelo, ingakumbi iingcinga zokuzibulala, ngexesha lokuqala kokuthatha amayeza. Ukuba ufumana nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
- Gcina amayeza kude nokufikelela kwabantwana, kubushushu begumbi, kwaye kude nokufuma.
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