Ngaba kufuneka uphile neentlungu, ukuqina kunye nokudinwa okungapheliyo emzimbeni wakho wonke? Ugqirha wakho usenokuba ubize le meko ngokuba yi-fibromyalgia . Yimeko ecaphukisayo kakhulu. Ngoko ke, elinye iyeza elikhethekileyo oogqirha abalicebisayo ukukunceda ngamaxesha anje yiMilnacipran. Namhlanje, siza kuthetha ngale yeza, indlela esebenza ngayo, into enokuyenza kunye nento ekufuneka uyiqaphele, ngokulula, ngokungathi uthetha nomhlobo.
Luhlobo luni lweyeza uMilnacipran?
Ngamafutshane, iMilnacipran liyeza elisetyenziselwa ukunyanga imeko yakho yeFibromyalgia . Likwiqela lamayeza abizwa ngokuba yiSNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Musa ukucinga ukuba, "Owu, lithini eli gama libalulekileyo?" Ndiza kulichaza ngokulula.
Khawucinge ukuba kukho abathunywa abancinci ngaphakathi kwengqondo yethu abathwala imiyalezo besiya phambili nangasemva. Sibabiza ngokuba zii-neurotransmitters. I-Serotonin kunye ne -Norepinephrine zimbini zezi zithunywa zibalulekileyo. Zinceda ukugcina isimo sethu sengqondo sonwabile kwaye zilawula iintlungu. Abantu abane-fibromyalgia banokuba notshintsho oluthile ekusebenzeni kwaba bathunywa.
Ngoko ke, into eyenziwa yiMilnacipran kukunyusa amanqanaba ezi serotonin kunye ne norepinephrine engqondweni, nto leyo enceda ekulawuleni indlela oziva ngayo iintlungu kunye neemvakalelo zakho. Ngoko ke iintlungu kunye nokunye ukungakhululeki okuzivayo kuya kuqala ukwehla kancinci kancinci.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale iMilnacipran, kufuneka unike ugqirha wakho inkcazo epheleleyo yempilo yakho. Musa ukufihla nantoni na kuba yinto encinci. Kuba nezo zinto zincinci zinokuchaphazela unyango lwakho.
Ukuba unayo nayiphi na kwezi meko zidweliswe kwitheyibhile engezantsi, qiniseka ukuba uxelele ugqirha wakho ngayo.
| Imeko okanye umkhwa | Kutheni oko kubalulekile? |
|---|---|
| Iingxaki zokopha | Eli yeza linokunyusa kancinci umngcipheko wokopha. |
| Ukuba usela utywala rhoqo | Ukonakala kwesibindi kunye nezinye iziphumo ebezingalindelekanga zinokwanda. |
| Imeko yeGlaucoma | Ingabangela uxinzelelo lwamehlo oluphezulu. |
| Isifo sentliziyo, uxinzelelo lwegazi oluphezulu, iingxaki zesingqisho sentliziyo | Eli yeza linokuchaphazela uxinzelelo lwegazi kunye nesantya sentliziyo. |
| Isifo sezintso okanye sesibindi | Umlinganiselo ungadinga ukutshintshwa kuba uchaphazela ukususwa kwamayeza emzimbeni. |
| I-Mania okanye iimeko ze-bipolar | Ezi meko zisenokuqhubeka zisiba mbi ngakumbi. |
| Izifo zeprostate | Ubunzima bokuchama bunokubakho. |
| Ukuba unesifo sokuxhuzula | Umngcipheko unokwanda. |
| Ukuba wena okanye umntu kusapho lwakho ukhe wacinga ngokuzibulala | Oku kubaluleke kakhulu. Kufuneka ulumke kakhulu ngale ngcinga xa uqala ukusebenzisa amayeza. |
| Ukuba usele amayeza e-MAOI kwiintsuku ezili-14 ezidlulileyo | Oku kunokubangela impendulo eyingozi kakhulu. |
| Ukuba uzama ukukhulelwa, ukhulelwe, okanye ungumama oncancisayo | Qiniseka ukuba uyamxelela ugqirha wakho ngale nto. |
Ndingayisebenzisa njani le mithi?
Eli yeza kufuneka lithathwe ngomlomo neglasi yamanzi. Ungalithatha ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva ukhathazekile, kungcono ukulithatha kunye nokutya. Qiniseka ukuba uthatha idosi emiselweyo ngexesha elimiselweyo, njengoko kumiselwe ngugqirha . Musa ukwandisa okanye ukunciphisa idosi njengoko uziva, okanye ulithathe rhoqo kunokuba kumiselwe.
Eyona nto ibalulekileyo kukuba ukuyeka eli yeza ngequbuliso kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu. Okanye imeko yakho ye-fibromyalgia inokuba mandundu. Ngoko ke, ungaze uyeke ukulithatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ungakhathazeki. Yeka idosi ephosiweyo uze uthathe iyeza njengesiqhelo xa kufuneka lisetyenziswe. Ungaze uthathe iidosi ezimbini ngaxeshanye. Ukuba oku kuyenzeka, qhagamshelana nogqirha wakho.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Kwakhona khumbula, eli yeza limiselwe wena wedwa. Musa ukunika omnye umntu eli yeza, nokuba iimpawu zakhe zifana nezakho. Linokuba yingozi.
Amanye amayeza anokusebenzisana nalo mayeza (Intsebenziswano)
I-Milnacipran liyeza elinokusetyenziswana namanye amayeza, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza ezityalo, kunye nezongezo).
Musa ukuthatha iMilnacipran kunye nale yeza.
Akufuneki ngokuqinisekileyo ukuba usebenzisa iMilnacipran ukuba uthatha naliphi na kula mayeza alandelayo: Inokubangela iziphumo ezinzulu, ezisongela ubomi.
- Amayeza e-MAOI (umz. iMarplan, iNardil)
- I-Linezolid
- I-Methylene blue (efakwa emthanjeni)
- Ezinye ii-SNRI ezifana neDuloxetine, iDesvenlafaxine, iVenlafaxine, iLevomilnacipran
Iingxaki zinokubakho nakule mithi.
La mayeza alandelayo asenokusebenzisana neMilnacipran. Ngoko ke, qiniseka ukuba wazisa ugqirha wakho ngale mithi.
- I-Aspirin kunye nezinye iintlungu ezifanayo
- Iintlungu zohlobo lwe-NSAIDS (umz. i-Ibuprofen, i-Naproxen)
- Amayeza athintela ukujiya kwegazi (umz. iWarfarin, iEnoxaparin)
- Amanye amayeza e-migraine (iiTriptans)
- Amanye amayeza okugula ngengqondo
- I-Tramadol, iLithium, iTryptophan
- Isongezelelo semifuno iSt. John's Wort
Olu luhlu aluphelelanga, ngoko xelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Nika ingqalelo ekhethekileyo: Xa uqala ukusebenzisa eli yeza okanye xa utshintsha umthamo, qaphela ngononophelo utshintsho olutsha okanye oluya lusiba mandundu lweemvakalelo, iingcinga zokuzibulala, ukuphazamiseka, okanye ixhala kuwe okanye kusapho lwakho. Ukuba oku kuyenzeka , fowunela ugqirha wakho ngoko nangoko. Oku kubaluleke kakhulu.
- Uxinzelelo lwegazi: Eli yeza linokunyusela uxinzelelo lwegazi. Ugqirha wakho angakucela ukuba uhlolwe uxinzelelo lwegazi rhoqo.
- Isiyezi: Eli yeza lisenokuchaphazela amandla akho okugxila nokusabela ngokukhawuleza. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Ukuze unciphise isiyezi kunye nokuba buhlungu, vuka kancinci kwindawo ohleli kuyo okanye ebhedini. Le meko inokwenziwa mandundu ngokusela utywala.
- Umlomo owomileyo: Umlomo owomileyo sisiphumo esiqhelekileyo. Oku kunokulawulwa ngokuhlafuna itshungama engenaswekile nokusela amanzi amaninzi.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengayo nayiphi na iyeza, iMilnacipran inokubangela iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo. Ezinye ziyingozi, ngelixa ezinye zincinci.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Ukopha okungaqhelekanga | Indle emnyama efana nekofu egayiweyo okanye igazi, igazi elihlanzayo, umchamo obomvu/omdaka omnyama, kunye namabala amancinci abomvu/omfusa eluswini. |
| Utshintsho kwisantya sentliziyo | Uziva ngathi intliziyo yakho ibetha ngokukhawuleza, isifuba siqinile. |
| Isifo seSerotonin | Ukungazoli, ukudideka, ukubila kakhulu, umkhuhlane, ukuqina kwemisipha okanye ukuxhuzula, ukuhlanza, urhudo. |
| Iimpawu zomonakalo wesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, ukutyheli kwamehlo okanye ulusu, umchamo otyheli/omdaka omnyama. |
| Iimpawu ze-sodium ephantsi emzimbeni | Ubuthathaka bemisipha, ukudinwa kakhulu, iintloko ezibuhlungu, ukudideka. |
| Ezinye iimpawu ezinzulu | Ukuxhuzula, iintlungu zamehlo ngequbuliso, ukubona izinto ezingaqondakaliyo, iingcinga zokuzibulala, ubunzima bokuchama. |
Iziphumo ebezingalindelekanga ezingaqhelekanga
Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa. Kodwa ukuba ziyaqhubeka, okanye zikukhathaza kakhulu, xelela ugqirha wakho.
- Isicaphucaphu, ukuhlanza
- Ukuqhinwa
- Umlomo owomileyo
- Isiyezi
- Ukubila okugqithisileyo
- Utshintsho kwiminqweno okanye umsebenzi wesondo
Umyalezo Wokuya Ekhaya
- I-Milnacipran liyeza elikhethekileyo elisetyenziselwa ukunyanga i-fibromyalgia .
- Ngaphambi kokuba uqale eli yeza, xelela ugqirha wakho ngazo zonke ezinye iiyeza ozisebenzisayo kunye nazo naziphi na iingxaki zempilo onazo .
- Ungaze uyeke ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
- Lumka kakhulu malunga notshintsho lweemvakalelo, ukuphazamiseka, okanye iingcinga zokuzibulala ngexesha lokuqala kokuthatha amayeza. Ukuba ufumana nayiphi na kwezi zinto, xelela ugqirha wakho ngoko nangoko.
- Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye abantu.
- Gcina iyeza kubushushu begumbi , kude nokufikelela kwabantwana .
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