Ngaba ngamanye amaxesha uziva unzima, ulusizi, okanye ungakhathali? Mhlawumbi ugqirha wakho ukunike iyeza elibizwa ngokuba yiNortriptyline. Ngoko ke, masithethe ngale mayeza ngokweenkcukacha namhlanje? Ngokukodwa, yintoni ayenzayo, indlela yokuyisebenzisa, kunye nento omawuyilumkele.
Luhlobo luni lonyango iNortriptyline?
Ngamafutshane, iNortriptyline liyeza elisetyenziselwa ukunyanga uxinzelelo. I-Serotonin kunye ne-norepinephrine ziikhemikhali ezimbini engqondweni ezikunceda uzive wonwabile kwaye usempilweni entle. Eli yeza lisebenza ngokunyusa amanqanaba ezi khemikhali engqondweni. Oku kunokunceda ukuphucula imvakalelo yakho. Likwiqela lamayeza abizwa ngokuba yi -tricyclic antidepressants (TCAs) . Oogqirha ngamanye amaxesha basebenzisa eli yeza nakwezinye iimeko. Ngoko ke ukuba unemibuzo, kungcono ukubuza ugqirha wakho okanye ikhemisti.
Amanye amagama afumanekayo kwimarike yale nto yiAventyl kunye nePamelor, kodwa kusenokuba kukho amanye amagama.
Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa iNortriptyline, kukho izinto ekufuneka uzixelele ugqirha wakho. Kuba kulapho kuphela apho aya kukwazi ukugqiba khona ukuba eli yeza lifanelekile kuwe okanye akunjalo, kwaye angalinika njani. Jonga ukuba ezi zinto ziyasebenza na kuwe:
- Ukuba unesifo sengqondo esifana ne -bipolar disorder .
- Ukuba unesifo sentliziyo esibizwa ngokuba yiBrugada syndrome .
- Ukuba unengxaki yokuchama.
- Ukuba unesifo samehlo i -glaucoma .
- Ukuba unesinye isifo sentliziyo .
- Ukuba ungumntu onxila kakhulu .
- Ukuba unesifo sesibindi .
- Ukuba unesifo sengqondo esifana ne -schizophrenia .
- Ukuba ukhe waba nokuxhuzula okanye iimeko ezifana nokuxhuzula.
- Ukuba ukhe wacinga, waceba, okanye wazama ukuzibulala , okanye ukuba kukho umntu kusapho lwakho oye wakwenza oko.
- Ukuba unesifo se-thyroid .
- Usenokuba ne-aleji kwi-nortriptyline, ezinye ii-tricyclic antidepressants, amanye amayeza, ukutya, iidayi, okanye izithinteli.Ukuba une-allergy.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ukuba kukho into efana nale, bekungayi kuba ngcono na ukuxelela ugqirha ngaphandle kokuyifihla konke konke?
Ndingayisebenzisa njani kanye kanye le yeza?
Eli yeza lenzelwe wena. Ufanele ulithathe kanye njengoko ugqirha wakho ekuyalele. Ukuba lilulwelo, sebenzisa icephe okanye ikomityi yokulinganisa ekhethekileyo ukuze ulilinganise. Musa ukusebenzisa iitisipuni okanye iipunipuni ekhaya ukuze ulilinganise, kuba azichanekanga. Ukuba awunaso isixhobo sokulinganisa, cela ikhemesti ukuba ikunike esinye. Sela iyeza ngexesha, ngobungakanani, nangexesha elimiselweyo ngugqirha wakho. Ungaze uthathe ngaphezu kobungakanani ugqirha wakho akuxelele ukuba uluthathe, okanye uluthathe rhoqo.
Enye into ebaluleke kakhulu kukuba ungayeki ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukuba uyenza loo nto, unokufumana iziphumo ebezingalindelekanga ezibi okanye imeko yakho inokuba mandundu.
Xa ufumana eli yeza kwikhemesti, uza kunikwa incwadana yemiyalelo ekhethekileyo (iMedGuide) . Uza kuyifumana kunye nayo yonke imithi kagqirha, kunye naxa ufumana i-refill. Kubalulekile ukulifunda ngononophelo rhoqo.
Ukuba eli yeza linikwa abantwana, kufuneka kuthathwe ingqalelo ekhethekileyo ngokuthetha nogqirha ngalo.
Okubaluleke kakhulu: Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele kakhulu eli yeza, okanye ukuba omnye umntu usele kakhulu ngempazamo, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka elikufutshane ngoko nangoko. Le yimeko kaxakeka.
Wenza ntoni ukuba uphoswe yi-aphoyintimenti yakho yamayeza?
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. Ungaze uthathe idosi ephindwe kabini okanye idosi eyongezelelweyo. Ukwenza njalo kunokubangela iingxaki.
Ngawaphi amanye amayeza anokusebenza kunye nale mithi?
Oku kukwayinto ekufuneka uyilumkele kakhulu. I-Nortriptyline inokubangela iingxaki xa isetyenziswa namanye amayeza athile. Oko kukuthi, ukunxibelelana kunokubakho. Ke ngoko, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza emifuno, iivithamini, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni.
Musa ukuthatha iNortriptyline kunye nala mayeza:
Ukuba usela naliphi na kula mayeza alandelayo, akucetyiswa ukuba usebenzise iNortriptyline. Thetha nogqirha wakho ngale nto.
- I-Cisapride
- I-Dronedarone
- I-Linezolid
- Amayeza e-MAOI (ii-MAOI) - imizekelo iquka iCarbex, iEldepryl, iMarplan, iNardil, kunye neParnate
- I-Methylene blue - xa inikwa njengenaliti efakwa emthanjeni
- I-Pimozide
- I-Thioridazine
Unxibelelwano lunokwenzeka nakule mithi:
Kukho amanye amayeza anokubangela iingxaki xa esetyenziswa nge-nortriptyline. Ngoko ke ukuba usebenzisa naliphi na kula mayeza, xelela ugqirha wakho.
- Utywala
- Iintlobo zee-antihistamines ze-allergies, ukukhwehlela, kunye nomkhuhlane
- I-Atropine
- Amanye amayeza eengxaki zesinyi - imizekelo: i-oxybutynin, i-tolterodine
- Amanye amayeza okudakumba - imizekelo: i-amitriptyline, i-fluoxetine, i-sertraline
- Amanye amayeza esifo sikaParkinson - imizekelo: i-benztropine, i-trihexyphenidyl
- Amanye amayeza asetyenziselwa izifo zesisu - imizekelo: i-dicyclomine, i-hyoscyamine
- Amanye amayeza okunyanga isicaphucaphu - umzekelo: i-scopolamine
- I-Chlorpropamide
- I-Cimetidine
- I-Ipratropium
- Amanye amayeza abangela isigqi sentliziyo esingaqhelekanga (esolula ixesha le-QT) - umzekelo: i-dofetilide
- Amanye amayeza anokubangela imeko ebizwa ngokuba yi-serotonin syndrome - imizekelo: I-St. John's Wort, i-fentanyl, i-lithium, i-tramadol, i-tryptophan, i-buspirone, kunye namanye amayeza e-migraine (umz. i-sumatriptan okanye i-rizatriptan)
- I-Quinidine
- I-Reserpine
- Amayeza e-thyroid
Olu luhlu alubandakanyi zonke iindlela zokunxibelelana, ngoko ke kungcono ukuxelela ugqirha wakho malunga nayo yonke imithi, izongezo, okanye imifuno oyithathayo.
Ngawaphi amanyathelo akhethekileyo okhuseleko ekufuneka athathwe xa usebenzisa eli yeza?
Ngelixa usela eli yeza, wena nosapho lwakho kufuneka nilumke ngezinto ezithile.
- Lumka kwiimpawu: Ukuba iimpawu zakho zokudakumba aziphucuki okanye zibonakala zisiba mandundu, xelela ugqirha wakho ngoko nangoko. Kungathatha iiveki ezininzi ukuba eli yeza lisebenze ngokupheleleyo. Ke ngoko, kubaluleke kakhulu ukuqhubeka nokuthatha amayeza njengoko ugqirha wakho ekuxelela.
- Iingcinga zokuzibulala:Le yingxaki enzulu kakhulu. Ukuba wena okanye amalungu osapho lwakho nineengcinga ezintsha okanye eziya ziba mandundu zokuzibulala, kufuneka nixelele ugqirha wakho ngoko nangoko. Kwakhona, qaphela naluphi na utshintsho olukhawulezileyo kwindlela ovakalelwa ngayo. Umzekelo, ukukhathazeka kakhulu, ukucaphuka, ukurhawuzelelwa, ubutshaba, ukungxama, ukungazinzi, uvuyo olukhulu kunye nokusebenza ngokugqithisileyo, okanye ubunzima bokulala. Ukuba ezi zinto ziyenzeka, ingakumbi xa uqala ukuthatha iyeza okanye emva kokutshintsha idosi, thetha nogqirha wakho ngoko nangoko.
- Ukozela kunye nesiyezi: Ungaziva ulele okanye unesizungu xa usebenzisa eli yeza. Ngoko ke, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama kwengqondo ude wazi kakuhle indlela eli yeza elikuchaphazela ngayo. Ingakumbi ukuba umdala, musa ukuma okanye uhlale ngequbuliso. Ukwenza njalo kuya kunciphisa amathuba okuba nesiyezi nokuwa.
- Utywala: Utywala bunokuphazamisa ukusebenza kakuhle kwale mithi. Ngoko ke, kuphephe ukusela utywala ngelixa usela le mithi.
- Amayeza okukhwehlela kunye nawomkhuhlane: Ukuba unesifo sokukhwehlela, umkhuhlane, okanye i-allergies, musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha wakho kuqala. Oku kungenxa yokuba amanye amayeza anokunyusa iziphumo ebezingalindelekanga xa edityaniswe ne-nortriptyline.
- Umlomo owomileyo: Umlomo owomileyo sisiphumo esinokubakho sale mithi. Ungayilawula le nto ngokuhlafuna itshungama engenaswekile, ukufunxa iilekese eziqinileyo ezingenaswekile, nokusela amanzi amaninzi. Nangona kunjalo, ukuba le ngxaki iyaqhubeka okanye inzima, xelela ugqirha wakho.
- Amehlo omileyo kunye nokubona okufipheleyo: Eli yeza linokubangela amehlo omileyo kunye nokubona okufipheleyo. Ukuba unxiba iilensi zokunxibelelana, unokufumana ukungakhululeki. Amaconsi okuthambisa amehlo anokunceda. Ukuba le ngxaki iyaqhubeka okanye inzima, bona ugqirha wakho wamehlo.
- Ukuqhina: Eli yeza linokubangela ukuqhina. Zama ukuqhina ubuncinci kube kanye emva kweentsuku ezimbini ukuya kwezintathu. Ukuba awuqhubi ubumdaka emva kweentsuku ezintathu, tsalela umnxeba ugqirha wakho.
- Uvakalelo elangeni: Eli yeza lingenza ulusu lwakho lube buthathaka kancinci ekukhanyeni kwelanga. Ngoko ke, kuphephe ukukhanya kwelanga kangangoko unako. Ukuba kufuneka uphume phandle, nxiba impahla egquma ulusu lwakho, kwaye unxibe iiglasi zelanga kunye ne-sunscreen. Ungaze usebenzise izibane zelanga okanye iibhedi/ii-booths zelanga.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengayo nayiphi na iyeza, iNortriptyline inokubangela iziphumo ebezingalindelekanga. Ezinye zinzima kwaye kufuneka zixelwe kugqirha wakho ngoko nangoko. Ezinye zihlala zingengobungozi, kodwa ukuba ziyaqhubeka okanye ziyakhathaza, kufuneka uxelele ugqirha wakho.
Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:
Ukuba ufumana naziphi na kwezi mpawu, yiya kugqirha okanye esibhedlele ngokukhawuleza.
- Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
- Utshintsho lwesingqi sentliziyo: Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla.
- Iimpawu ze-serotonin syndrome zingabandakanya: ukucaphuka, ukudideka, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha, ukuxhuzula kwemisipha, ukubila okugqithisileyo, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, kunye norhudo.
- Ukuxhuzula.
- Iintlungu zamehlo okanye utshintsho lombono ngequbuliso: Umzekelo, umbono ofipheleyo, ukukhanya okujikeleze izibane, okanye ukulahleka kombono.
- Iingcinga zokuzibulala okanye ukuzenzakalisa, imeko yakho ibe mandundu, uxinezeleko olungakumbi.
- Ubunzima bokuchama.
Iziphumo ebezingalindelekanga ezihlala zingadingi nyango (kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza):
Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho.
- Utshintsho kwinkanuko okanye kwindlela asebenza ngayo ngokwesondo.
- Ukuqhinwa.
- Isiyezi.
- Ukozela.
- Umlomo owomileyo.
- Ukungcangcazela okanye ukungcangcazela.
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho. Ungaxela ezi ziphumo ebezingalindelekanga kwi-FDA ku-1-800-FDA-1088.
Uligcina njani eli yeza ngokufanelekileyo?
Oku kubaluleke kakhulu. Ukuba iyeza aligcinwanga kakuhle, ukusebenza kwalo kunokulahleka.
- Yigcine kude nabantwana. Oku kubaluleke kakhulu. Ukuba abantwana bayazifumana ezi zinto baze bazisele, zinokubangela iingxaki ezinkulu.
- Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, phakathi kwe-59 kunye ne-86 degrees Fahrenheit).
- Gcina ibhotile yamayeza okanye ipakethe ivaliwe kakuhle.
- Khusela ekukhanyeni. Oko kukuthi, ungayibeki elangeni ngqo okanye kwiindawo ezikhanyayo.
- Musa ukusebenzisa amayeza aphelelwe lixesha. Ukuba unamayeza aphelelwe lixesha, walahle ngokufanelekileyo.
Khumbula, eli phetshana lisisishwankathelo nje. Lisenokungabi nalo lonke ulwazi. Ukuba unemibuzo engaphezulu malunga neli yeza, thetha nogqirha wakho, usokhemesti, okanye umboneleli wezempilo.
Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule
I-Nortriptyline liyeza elibalulekileyo kwiimeko ezifana nokudakumba. Nangona kunjalo, kufuneka lisetyenziswe ngononophelo.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Thatha amayeza ngokwexabiso elimiselweyo, ngexesha elimiselweyo, nanjengoko kumiselweyo.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi kunye nezongezo ozithathayo, njengoko kusenokubakho unxibelelwano.
- Lumka ngemiphumo emibi. Ukuba ubona into engaqhelekanga, xelela ugqirha wakho ngoko nangoko.
- Musa ukuyeka ukuthatha amayeza ngequbuliso. Ukwenza njalo ngaphandle kwengcebiso kagqirha wakho kunokubangela iingxaki.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo, thetha nogqirha wakho. Musa ukufihlwa nantoni na.
Ndikunqwenelela ukuchacha ngokukhawuleza!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni i-Nortriptyline (Nortriptyline / Pamelor) ipilisi?
Le pilisi yaqale yenzelwe abantu abanengxaki yokudakumba okukhulu kunye noxinzelelo (iyeza le-TCA). Nangona kunjalo, namhlanje, uninzi loogqirha bayisebenzisa ukunyanga 'iintlungu ze-neuropathic' ezinzima (umz. isifo seswekile) esibangelwa kukonakala kwemithambo-luvo/ukucinezelwa, kunye nokuthintela iintloko ezibuhlungu rhoqo ngaphandle kwengxaki.
💬 Eli yeza (iNortriptyline) linceda njani ukunciphisa iintlungu zemithambo-luvo kunye nentloko ebuhlungu?
Oku kuyamangalisa kwimithambo-luvo! Kunyusa zombini iikhemikhali ezivuyisayo/ezinika amandla engqondweni ezibizwa ngokuba yi-'Serotonin & Norepinephrine'. Emva koko, ezo khemikhali ziya ngqo emqolo (Iindlela zentlungu ezihlayo), zivala/zivale imiqondiso yentlungu evela emilenzeni/entanyeni ngaphambi kokuba ifike engqondweni.
💬 Zithini iziphumo ebezingalindelekanga ezinokubakho xa uthatha le pilisi (Pamelor)?
Ingxaki ephambili ngale pilisi (i-TCA) kukuba 'ineziphumo ze-anticholinergic'. Oku kuthetha ukuba xa uyithatha, umlomo wakho uba womile kakhulu, ufumana ukuqhina, umbono wakho uba luzizi, kwaye kuba nzima/kuvaleka ukuchama (ingakumbi kumadoda ane-prostate ekhulisiweyo). Kwakhona, ungaziva unesizungu kwaye uwe xa uvuka ebhedini ngequbuliso (i-orthostatic hypotension)!
I- Nortriptyline, ukudakumba, impilo yengqondo, amayeza, ii-tricyclic antidepressants, iziphumo ebezingalindelekanga, amayeza
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