Ngaba ungumntu onengxaki yokudakumba okanye usela amayeza okudakumba? Ukuba kunjalo, usenokuba uqhelene nale meko. Iyeza owalinikwa ngugqirha ekuqaleni, elo 'lasekuqaleni' esilaziyo sonke, linokutshintsha kwikhemesti emva kwexesha elithile. Unokufumana iyeza elifanayo phantsi kwegama elahlukileyo nakwiphakheji eyahlukileyo. Le yinto esiyibiza ngokuba liyeza 'eliqhelekileyo'. Ngolu tshintsho, ngaba uziva ngathi iimvakalelo zosizi kunye nokuxhalaba owawunazo ngaphambili ziyavela kwakhona? Okanye ngaba iziphumo ebezingalindelekanga owazifumana xa wawuqala ukuthatha iyeza ziphinde zavela? Ungakhathazeki, awunguye wedwa ohlangabezana nezi zinto. Masicacise ngale nto.
Yintoni umahluko phakathi 'kwegama lophawu' kunye 'negama eliqhelekileyo'?
Ngamafutshane, inkampani evelisa iyeza elitsha ifumana ilungelo elilodwa lomenzi walo. Ngeli xesha, yiloo nkampani kuphela enokwenza elo yeza. Silibiza ngokuba 'ligama lophawu' okanye iyeza lokuqala . Xa eli xesha lelungelo elilodwa lomenzi liphela, ezinye iinkampani zivunyelwe ngokusemthethweni ukwenza iziyobisi zisebenzisa isithako esifanayo esisebenzayo. Yiloo nto siyibiza ngokuba 'yiziyobisi eziqhelekileyo' .
Iiarhente ezinkulu zempilo kwihlabathi liphela, ezifana neFood and Drug Administration (FDA) eMelika, zithi akukho mahluko mkhulu phakathi kwezi ntlobo zimbini. Ke ngoko, oogqirha kwihlabathi liphela, kunye nakwilizwe lethu, badla ngokucebisa ngokuzithemba amayeza aqhelekileyo. Kuba athathwa njengeekopi ezisebenzayo zeyeza lokuqala. Kwaye akwabiza kakhulu.
Kutheni ke le nguqu ichaphazela abanye abantu?
Lo ngumbuzo abantu abaninzi abanawo. Ukuba omabini la mayeza ayafana ngokwethiyori, kutheni abanye abantu beziva umahluko xa betshintsha kwiyeza lokuqala baye kwiyeza eliqhelekileyo? Kunokubakho izizathu ezibini eziphambili zoku:
1. Ukuphinda-phinda kweempawu: Emva kokutshintshela kumayeza aqhelekileyo, abanye abaguli baqala ukufumana iimpawu zabo zakudala zokudakumba, ezinje ngosizi, ukuphelelwa lithemba, kunye nokuxhalaba, kwakhona.
2. Iziphumo ebezingalindelekanga ziyaphinda zivele: Kwabanye, iziphumo ebezingalindelekanga ezifana nesiyezi kunye nesicaphucaphu eziqale ukubonakala xa kuqalwa amayeza okuqala ziqala ukubonakala kwakhona xa kutshintshelwa kwi-generic.
Khawucinge ngale meko. Umntu ogama linguSamantha wayesebenzisa iyeza lokuqala elithi `(Paxil)` lokudakumba kangangesithuba sonyaka kwaye wayeqhuba kakuhle kakhulu. Kodwa emva kokuba ikhemesti imnike inguqulelo yalo yesiqhelo ebizwa ngokuba yi`(Paroxetine)` kwiiveki ezimbalwa waqala ukuziva ubunzima obufanayo nokungabi namdla kuyo nayiphi na into. Kukho neengxelo zonyango malunga neemeko ezinjalo. Ngamanye amaxesha, nokuba utshintsha ukusuka kwenye iyeza eliqhelekileyo ukuya kwenye, iziphumo ezinjalo zinokwenzeka.
Into ebalulekileyo kukuba le ayisiyo "ngxaki ecwangcisiweyo" ngamayeza aqhelekileyo. Kodwa kubalulekile ukuba oogqirha baqaphele kakhulu ngale nto.
Ithini ingcaciso yesayensi ngalo mahluko?
Kwiimeko ezininzi, ingxaki ayikokuba iyeza eliqhelekileyo "lincinci" kunelokuqala. Kodwa kunokubakho umahluko omncinci kakhulu. Loo mahluko mncinci unokuchaphazela abanye abantu.
Ngamafutshane, ipilisi ayisiyonto isebenzayo ngokupheleleyo. Ezinye izithako zongezwa kwipilisi ukuze zihlanganiswe (izihlanganisi), zigcine imo yepilisi, kwaye zibeke uqweqwe ngaphezulu (izigqubuthelo). Ezi zibizwa ngokuba 'zizithako ezingasebenziyo' . Ezi zithako zingasebenziyo zinokwahluka phakathi kweyeza lokuqala kunye neyeza eliqhelekileyo. Lo mahluko unokutshintsha kancinci isantya apho iyeza linyibilika khona emzimbeni kunye nesantya elifunxwa ngaso egazini.
Ngokomthetho, inqanaba leyeza elifanele liqokelelwe liyeza eliqhelekileyo egazini lomzimba liphakathi kwe-80% ne-125% yenqanaba eliqokelelwe liyeza lokuqala. Nangona oku kunokubonakala ngathi kuluhlu olukhulu, uninzi lwabantu aluyi kuwuqaphela lo mahluko. Nangona kunjalo, kwabanye abantu abanobuthathaka, ingakumbi abo banezinye iimeko zonyango okanye utshintsho lwemfuza, kwanolu mahluko mncinci lunokubachaphazela.
Lo mahluko ungachazwa ngakumbi kwitheyibhile engezantsi.
| Inyani | Igama lophawu (loqobo) iyeza | Amayeza aqhelekileyo |
|---|---|---|
| Isithako Esisebenzayo | Kuyafana ngokupheleleyo | Kuyafana ngokupheleleyo |
| Izithako ezingasebenziyo | Kukho indibaniselwano enye ethile | Ingahluka. (umz., izinto zokubopha, izigqubuthelo) |
| Amanqanaba eGazi | Inomgangatho othile | Inokuba phakathi kwe-80% - 125% yeyokuqala |
| Ixabiso | Idla ngokuba yindleko ephezulu | Ihlala ingabizi kakhulu |
Ufanele wenze ntoni?
Kulungile, ngoko ke ukuba nawe uziva umahluko xa utshintshela kwiyeza eliqhelekileyo, ungakhathazeki. Zimbalwa izinto onokuzenza.
Thetha nogqirha.
Eli lelona nyathelo libalulekileyo nelokuqala . Xelela ugqirha wakho ngalo naluphi na utshintsho oluphawulayo, nokuba iimpawu ziyabuya okanye kukho iziphumo ebezingalindelekanga. Cacisa, "Gqirha, ndiyibonile le nguqu ukusukela oko ndatshintshela kumayeza amatsha." Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngokwakho.
Uhlengahlengiso lweDosi
Ngamanye amaxesha ugqirha wakho unokugqiba ekubeni atshintshe umthamo wamayeza akho kancinci. Umzekelo, ukuba ubuthatha i-20mg yeyeza lokuqala elithi ``(Celexa)`` kwaye ubuqhuba kakuhle, kunokufuneka uthathe i-30mg okanye i-40mg yeyeza eliqhelekileyo elithi ``(Citalopram)`` ukuze ufumane iziphumo ezifanayo. Esi sigqibo kufuneka senziwe ngugqirha wakho ngokupheleleyo.
Ukubuyela kwiyeza lokuqala
Ukuba amayeza e-generic awakulungelanga kwaye unako ukuhlawulela ixabiso leyeza lokuqala, ugqirha wakho unokukucebisa ukuba ubuyele kumayeza okuqala.
Ukuqukumbela, amayeza okuphelisa uxinzelelo aqhelekileyo ngokubanzi ngamayeza akhuselekileyo nasebenzayo. Abiza kancinci, nto leyo eyenza ukuba afikeleleke lula kubantu abaninzi. Kodwa njengakweminye imithi, kubalulekile ukuqaphela indlela echaphazela ngayo umzimba wakho kwaye uthethe nogqirha wakho ngayo nayiphi na into exhalabisayo.
Umyalezo Wokuya Ekhaya
- Amayeza okudakumba aqhelekileyo akhuselekile kwaye asebenza kakuhle njengamayeza okuqala.
- Xa kutshintshwelwa kwiyeza lokuqala ukuya kwiyeza eliqhelekileyo, inani elincinci labantu linokufumana iimpawu okanye iziphumo ebezingalindelekanga. Oku kungenxa yomahluko 'kwizithako ezingasebenziyo' ezikwipilisi.
- Ukuba ubona utshintsho olunjalo, ungoyiki, thetha nogqirha wakho ngoko nangoko.
- Akufuneki uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha.
- Thetha nogqirha wakho ukuze akunike amayeza kunye nomlinganiselo ofanelekileyo kuwe. Impilo-ntle yakho yengqondo ibaluleke kakhulu.
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