Ungakunceda ukunciphisa intlungu yakho? (Imipramine) Masifunde ngeyeza?

Kuqhelekile ukuba sizive sidakumbile kwaye sixhalabile ngamanye amaxesha. Kodwa ukuba le meko iyaqhubeka, ukuba siziva sinomthwalo kangangokuba asikwazi nokwenza imisebenzi yethu yemihla ngemihla, siyibiza ngokuba kukudandatheka. Ngoko ke, kukho amayeza anokusinceda kwiimeko ezinjalo. Namhlanje siza kuthetha ngelinye lamayeza anjalo, eliyi-Imipramine.

Yintoni le yeza (Imipramine)?

Ngamafutshane, i-Imipramine liyeza elisetyenziselwa ukunyanga uxinzelelo. Ubusazi na ukuba kukho iikhemikhali ezikwiingqondo zethu ezinceda ekulawuleni iimvakalelo zethu, njengezithunywa? Sizibiza ngokuba yiSerotonin kunye neNorepinephrine. Into eyenziwa yi-Imipramine kukunyusa inani lezi zithunywa engqondweni, nto leyo enceda ekunciphiseni iimvakalelo zethu zosizi kunye nokuxhalaba, kwaye iphucule iimvakalelo zethu. Ikwiqela lamayeza abizwa ngokuba yiTricyclic Antidepressants (TCAs) .

Ngamanye amaxesha oogqirha banokukunika eli yeza nakwezinye iimeko. Kungoko ke, kungcono ukubuza ugqirha wakho okanye ingcali yezemithi isizathu sokuba unikwe eli yeza, okanye ukuba unemibuzo ngalo.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba uqale ukuthatha eli yeza (i-Imipramine), kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Kuba ezi zinto ziya kugqiba ukuba eli yeza lifanelekile na kuwe okanye akunjalo, kwaye lifanele linikwe njani. Ngoko makhe sijonge ezi zinto:

• Ngaba wakha waba ne-allergy kule yeza (Imipramine), naluphi na olunye unyango, ukutya, iidayi zokutya, okanye izithinteli?
• Ulindele umntwana? Okanye unethemba lokuba nomntwana?
• Ingaba ungumama oncancisayo?
• Ngaba ukhotyokisiwe butywala?
• Ngaba ukhe waba nesifo esifana 'ne-bipolar disorder' - imeko apho uziva wonwabile kakhulu ngequbuliso uze uzive ulusizi kakhulu (ukutshintsha kweemvakalelo) - okanye 'i-schizophrenia' - isifo apho ulahlekelwa khona kukubona inyani, uva izinto ezingabonakaliyo, kwaye uhlangabezana neengxaki ezahlukeneyo zengqondo?
• Ngaba unengxaki yokuchama? Ukuba uyindoda, ngaba unengxaki yeprostate ?
• Ingaba intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga ?
• Ngaba une -glaucoma - isifo apho uxinzelelo ngaphakathi kweliso lunyuka khona?
• Ngaba unesifo sentliziyo okanye ukhe wahlaselwa yintliziyo kutshanje ?
• Ngaba unesifo sezintso ?
• Ngaba unesifo sesibindi ?
• Ngaba unayo nayiphi na isifo sokuphefumla esinxulumene nemiphunga njenge-asthma ?
• Ngaba wakha waxhuzula ngaphambili?
• Ngaba ukhe wahlaselwa sistroke ?
• Eyona nto ibalulekileyo kukuba, ngaba uziva ufuna ukuzenzakalisa? Ngaba wakha waba neengcinga ezinjalo? Ngaba kukho umntu kusapho lwakho owakha waba nale nto? Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngale nto.
• Ngaba unengxaki ye-thyroid ?

Ukuba unayo nayiphi na kwezi zinto, kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha wakho.

Ndingayisebenzisa njani le yeza?

Kulungile, makhe sibone indlela yokusebenzisa eli yeza (Imipramine).

• Eli liyeza eliza ngeekhaphu. Lifanele lithathwe ngomlomo neglasi yamanzi.
• Ufanele uthathe amayeza kanye njengoko ugqirha ekuyalele, ngexesha elifanelekileyo, kwaye ngokwedosi efanelekileyo. Musa ukuthatha ngaphezulu okanye ngaphantsi koko ugqirha akuxelele ukuba uthabathe.
• Eyona nto ibalulekileyo yile: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukuba uyeka ngequbuliso, unokufumana iimpawu zokurhoxa, okanye imeko yakho inokuba mandundu. Ngoko ke, ukuba uyeka, yenza njalo kancinci kancinci, ulandela ingcebiso kagqirha wakho.
• Xa ikhemesti ikunika eli yeza, lisenokuza nencwadana yemiyalelo ekhethekileyo (iMedGuide) . Qiniseka ukuba ulifunda ngononophelo ngalo lonke ixesha usela eli yeza. Liqulethe ulwazi olubalulekileyo.
• Kufuneka unonophelo olukhethekileyo ukuba eli yeza linikwa abantwana. Thetha nogqirha wakho ngalo uze ufumane ingcebiso.
• Ukuba ngempazamo usele amayeza amaninzi kakhulu, oko kukuthi, ukuba usela kakhulu, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba kwiziko lokulawula ityhefu, ngaphandle kokulibazisa.

Eli yeza lenzelwe wena kuphela. Musa ukunika eli yeza umhlobo okanye ilungu losapho oluneempawu ezifanayo nezakho.

Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?

Khawucinge ukuba ulibele ukuthatha idosi yeyeza. Ukuba oku kuyenzeka, yithathe kwangoko wakuba ukhumbule. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo (umzekelo, kwiiyure ezimbalwa), yeka idosi ongayithathanga uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iidosi ezimbini okanye ezongezelelweyo. Ukwenza njalo kunokunyusa inani leyeza olithathayo kwaye kubangele iziphumo ebezingalindelekanga.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Eli yeza (i-Imipramine) linokusebenzisana namanye amayeza, iziqholo, okanye ezinye izinto ozisebenzisayo. Ukuba liyakwenza oko, linokubangela iingxaki. Ngoko ke kubaluleke kakhulu ukukwazi oku.

Musa ukuthatha i-Imipramine kunye nala mayeza:

• (I-Amoxapine)
• (I-Arsenic trioxide)
• Amanye amayeza okulawula ukubetha kwentliziyo okungaqhelekanga okanye ezinye iimeko zentliziyo
• (I-Cisapride)
• (I-Cocaine) (Eli liyeza)
• (I-Grepafloxacin)
• (I-Halofantrine)
• (I-Levomethadyl)
• (I-Linezolid)
• Amayeza akwiqela elibizwa ngokuba yi-'MAOI' (iMonoamine Oxidase Inhibitors) (imizekelo: (Carbex), (Eldepryl), (Marplan), (Nardil), (Parnate)). Akucetyiswa ukuba uqale (Imipramine) de kube ziiveki ezimbini ubuncinane emva kokuyeka la mayeza e-MAOI.
• (I-Methylene blue) (Eli liyeza elifakwa emthanjeni)
• Amanye amayeza okudakumba (buza ugqirha wakho ngale nto)
• Amayeza akwiqela elibizwa ngokuba yi-'Phenothiazines' (imizekelo: (perphenazine), (thioridazine), (chlorpromazine))
• (I-Pimozide)
• (I-Procarbazine)
• (I-Sparfloxacin)
• (I-St. John's Wort) (Nangona le yiyeza lemifuno, isenokudibana ne-(Imipramine))

Kwakhona, ezi zinto zilandelayo zinokusebenzisana ne-Imipramine:

Ukuba usela ezi, kufuneka uxelele ugqirha.

• (i-Atropine) kunye namayeza anxulumene nayo (umz. (i-hyoscyamine), (i-scopolamine), (i-tolterodine))
• Amayeza ohlobo lwe-barbiturate (umz., i-phenobarbital) akunceda ulale okanye unyange ukuxhuzula
• (I-Cimetidine)
• (I-Clonidine)
• Ii-anesthetics zasekuhlaleni (umz., iyeza lokubulala amazinyo elinikwa ngaphambi kokukhutshwa kwamazinyo)
• Amayeza oxinzelelo lwegazi oluphezulu
• Iipilisi zokubulala iintlungu ezichazwe ngugqirha
• Amayeza okulwa nokuxhuzula (umz. i-carbamazepine okanye i-phenytoin)
• Izinto ezivuselelayo (umz. i-dexmethylphenidate okanye i-methylphenidate)
• Iihomoni ze-thyroid
• (I-Ziprasidone)

Olu luhlu lusenokungabi lubanzi. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, iimveliso zezityalo, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya), nokuba uyatshaya, uyasela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokudibana nalo mayeza, ngoko ke kungenxa yokhuseleko lwakho.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Xa uthatha (imipramine), kungcono ukuba uqaphele utshintsho emzimbeni wakho nakwimo yakho yeemvakalelo.

• Ukuba iimpawu zakho aziphucuki okanye zibonakala zisiba mandundu, xelela ugqirha wakho. Kubalulekile ukubona ugqirha wakho rhoqo ukuze ujonge ukuba unjani.
• Kungathatha iiveki ezininzi ukubona isiphumo esipheleleyo seli yeza. Ke ngoko,Njengoko ugqirha etshilo, kubaluleke kakhulu ukuqhubeka nokusela amayeza kangangexesha elimiselweyo. Musa ukuyeka ngequbuliso kuba ucinga ukuba akukho ziphumo.
• Oku kubaluleke kakhulu: Ukuba wena okanye amalungu osapho lwakho niyabona ukuba nineengcinga ezintsha okanye ezikhulayo zokuzibulala, okanye ukuba ukudakumba kwenu kuya kusiba mandundu, okanye ukuba ninotshintsho olukhawulezileyo lweemvakalelo (umzekelo, ukuziva nixhalabile, niphazamisekile, nixhalabile, ninomsindo, ninobutshaba, ningenamdla, ningazinzi kakhulu, nichwayitile kwaye nisebenza kakhulu, okanye ninengxaki yokulala), tsalela umnxeba ugqirha wakho ngoko nangoko, ingakumbi xa uqala ukuthatha eli yeza okanye emva kokutshintsha idosi yakho.
• Ungaziva ulele okanye unesizungu . Ngoko ke, de wazi kakuhle indlela eli yeza elikuchaphazela ngayo, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukulumka ngengqondo. Musa ukuma okanye uhlale ngequbuliso, ingakumbi ukuba sele ukhulile. Oku kuya kunciphisa umngcipheko wokuba nesiyezi nokuwa. Utywala bungaphazamisa indlela eli yeza elisebenza ngayo kwaye bunokukwenza uzive ulele. Ngoko ke, kuphephe ukusela utywala.
• Ukuba unesifo sokukhohlela, umkhuhlane, okanye i-allergies, musa ukuthenga amayeza athengiswa ngaphandle kwemvume kagqirha ngaphandle kokubuza ugqirha wakho kuqala. Ezinye zezithako ezifumaneka kumayeza athengiswa ngaphandle kwemvume kagqirha zinokunyusa iziphumo ebezingalindelekanga zale mithi (Imipramine).
• Umlomo wakho usenokuba womile . Ukuba oku kuyenzeka, ungakunciphisa oku ngokuhlafuna itshungama engenaswekile, ukufunxa iilekese eziqinileyo ezingenaswekile, nokusela amanzi amaninzi. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, xelela ugqirha wakho.
• Eli yeza linokubangela amehlo omileyo kunye nokungaboni kakuhle . Ukuba unxiba iilensi zokunxibelelana, unokufumana ukungakhululeki. Ukusebenzisa amathontsi amehlo aqatywayo kunokunceda. Ukuba le ngxaki iyaqhubeka okanye inzima, bonana nogqirha wamehlo.
• Eli yeza linokubangela ukuqhina kwabanye abantu. Yitya ifayibha eninzi kangangoko unako kwaye usele amanzi amaninzi. Zama ukukhupha isisu ubuncinane kanye emva kweentsuku ezimbini ukuya kwezintathu. Ukuba awuphumi emva kweentsuku ezintathu, tsalela umnxeba ugqirha wakho.
• Ulusu lwakho lusenokuba novelwano ngakumbi elangeni ngelixa usela eli yeza. Ngoko ke hlala kude nelanga kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla egquma ulusu lwakho, nxiba umnqwazi, kwaye usebenzise i-sunscreen elungileyo. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.

Zeziphi iziphumo ebezingalindelekanga endinokuzifumana kweli yeza?

Njengalo naliphi na iyeza, i-Imipramine inokuba nemiphumo emibi. Kodwa ayinguye wonke umntu oyifumanayo. Ezinye ziyingozi kwaye kufuneka uxelele ugqirha wakho ngoko nangoko. Ezinye azibi yingozi kangako, kodwa ukuba ziyakhathaza, kufuneka umxelele.

Ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga, kufuneka uxelele ugqirha wakho ngokukhawuleza :

• Iimpendulo ze-allergy - ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba (ukudumba kobuso, imilebe, ulwimi, umqala, okunokubangela ubunzima bokuphefumla)
• Utshintsho lwesingqi sentliziyo - ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza, ukuziva ngathi ibetha ngokungacwangciswanga, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla
• Iimpawu zosulelo - umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu
• Iimpawu ze-serotonin syndrome zingabandakanya: ukucaphuka, ukudideka, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha, ukuxhuzula kwemisipha, ukubila okugqithisileyo, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, urhudo.
• Uxinzelelo lwegazi oluphantsi - isiyezi, ukuquleka, umbono ofipheleyo
• Ukuxhuzula
• Uvelwano ekukhanyeni
• Intlungu yamehlo ngequbuliso okanye utshintsho lombono (umz., umbono ofipheleyo, ukukhanya okujikeleze izibane, ukulahleka kombono)
• Iingcinga zokuzibulala, iingcinga zokuzilimaza, imeko yengqondo ewohlokayo, ukwanda koxinzelelo
• Ubunzima bokuchama (umz., umchamo uphuma kancinci, uzive ngathi awuphumi xa usiya kuchama)

Ezi ziphumo ebezingalindelekanga azisoloko ziyinto yokuxhalaba. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Utshintsho kwinkanuko okanye ukusebenza ngokwesondo
• Ukuqhinwa
• Isiyezi
• Ukozela
• Umlomo owomileyo
• Ukungaboni (ukubona izinto ezingekhoyo)
• Ukulahlekelwa ngumdla wokutya
• Ukungcangcazela okanye ukungcangcazela

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo.

Ndingaligcina phi eli yeza?

• Gcina eli yeza kwindawo ekhuselekileyo kude nabantwana kunye nezilwanyana zasekhaya.
• Gcina kubushushu begumbi, phakathi kwama-20 ukuya kuma-25 degrees Celsius (ama-68 kunye nama-77 degrees Fahrenheit). Musa ukuyibeka kwindawo eshushu kakhulu okanye efumileyo.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Afanele alahlwe ngendlela efanelekileyo.

Uzilahla njani amayeza angasetyenziswanga naphelelwe lixesha?

Akusoloko kuyinto elungileyo ukulahla amayeza angasetyenziswanga, aphelelwe lixesha enkunkuma okanye ukuwalahla endlwini yangasese. Anokuba yingozi kwindalo esingqongileyo okanye abangele iingxaki ukuba aphelela ezandleni zomnye umntu. Ngoko ke yenza oku:

• Ezinye iikhemesti kunye nezibhedlele zineenkqubo zokuthatha amayeza kwakhona. Ungafumanisa ngeendawo ezinjalo ngokubuza ikhemesti yakho okanye abasemagunyeni bezempilo basekuhlaleni.
• Ukuba akukho ndlela yokuyibuyisela, jonga iphakheji yamayeza okanye imiyalelo engaphakathi kuyo ukuze ubone ukuba la mayeza afanele alahlwe kwinkunkuma okanye ahlanjwe kwindlu yangasese. Ukuba awuqinisekanga, buza ugqirha wakho okanye ikhemisti.
• Ukuba ithi kukhuselekile ukuyibeka enkunkumani, yenza oku: Ukuba iyeza likwimo yekhaphu, likhuphe kwisitya ulixube kakuhle nento engenakucingelwa mntu ukuba ayitye, efana nenkunkuma yekati, ikofu esetyenzisiweyo, okanye umhlaba. Emva koko, faka umxube kwingxowa yeplastiki okanye kwisitya esivalekayo, usivale, uze usilahle kwinkunkuma. Oku kuya kuthintela abantwana okanye izilwanyana ukuba zingangeni kuwo.

Okokugqibela, izinto ekufuneka uzikhumbule

Nangona i-Imipramine iliyeza elinokunceda kwiimeko ezifana nokudakumba, kukho izinto ezithile ekufuneka uzilumkele xa ulisebenzisa.

• Soloko uthatha idosi emiselweyo ngexesha elimiselweyo, njengoko ugqirha ekuyalele.
• Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
• Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza owasebenzisayo kunye nezinye izifo onazo.
• Emva kokuqalisa amayeza, ingakumbi kwiiveki ezimbalwa zokuqala, lumka kakhulu malunga naluphi na utshintsho kwimo yakho (ingakumbi iingcinga zokuzibulala) okanye iziphumo ezingalindelekanga ezintsha. Ukuba ubona nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
• Lumka xa ulele kwaye unesiyezi, kuba ezi zinto zinokwenzeka.
• Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, nceda uxoxe ngayo nogqirha wakho okanye nekhemisti.

Impilo yakho yengqondo ibaluleke kakhulu. Ngoko ke xa udlula kolu hlobo lonyango, khumbula ukuba awuwedwa. Eyona nto ibalulekileyo kukuba nolwalamano oluhle nogqirha wakho kwaye ulandele imiyalelo yakhe.

I- Imipramine, Uxinzelelo, Ii-Tricyclic Antidepressants, i-TCA, Impilo Yengqondo, Iziphumo Ezingalindelekanga