Usenokuba ngumntu ohlushwa lusizi, okanye uxhalabile nje. Ngamanye amaxesha ezi zinto ziba nzima kakhulu, kwaye kuba nzima ukwenza imisebenzi yakho yemihla ngemihla, akunjalo? Namhlanje siza kuthetha ngeyeza elicetyiswa ngoogqirha elinokukunceda. Olu ludibaniso lwamayeza amabini abizwa ngokuba yi-perphenazine kunye ne-amitriptyline.
Yintoni le yeza? (Perphenazine; Amitriptyline) Lenza ntoni?
Ngamafutshane, olu hlobo lwepilisi olubizwa ngokuba yiPerphenazine; iAmitriptyline isetyenziselwa ukunyanga izifo zengqondo ezifana nokudakumba kunye nokuxhalaba . Ngamanye amaxesha, ingasetyenziselwa nezifo ezifana ne-schizophrenia .
Cinga nje, ubuchopho bethu buneekhemikhali ezinceda ekulawuleni imo yethu, indlela esiziphatha ngayo, kunye neengcinga zethu. Kufana nenjini yemoto. Ezi khemikhali zibizwa ngokuba yiDopamine, iNorepinephrine, kunye neSerotonin . Okwenziwa leli yeza kukunceda ukubuyisela amanqanaba ezo khemikhali engqondweni ukuya kwinqanaba elithile, ukunceda ukuphucula imo yakho. Enyanisweni yindibaniselwano yamayeza amabini: elinye liyi -antipsychotic , kwaye elinye liyi -tricyclic antidepressant (TCA) . La mayeza e-antipsychotic asetyenziselwa ukunyanga iimeko ezahlukeneyo zempilo yengqondo.
Eli yeza linokumiselwa ngugqirha wakho nakwezinye iimeko. Ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.
Eli yeza lingafumaneka kwimarike phantsi kwamagama anje nge -Etrafon, i-Etrafon-A, kunye ne-Triavil .
Ndimele ndimxelele ntoni ugqirha wam ngaphambi kokuba ndisebenzise eli yeza?
Eli linqaku elibaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa eli yeza, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho okanye iqela lakho lonyango. Olu lwazi luza kubanceda bagqibe ukuba eli yeza likulungele na okanye ukuba kufuneka unyamekele ngokukodwa.
Nazi ezo zinto:
- Ngaba unesifo sengqondo esifana ne -bipolar disorder ?
- Ngaba wakha waba nokuvaleka kwamathumbu akho, okanye okwangoku,?
- Ngaba unesifo sengqondo esixhalabisayo , isifo sokulibala?
- Ngaba unesifo seswekile ? Ukuba kunjalo, ngaba uyasilawula?
- Ngaba unengxaki yokuginya ukutya?
- Ngaba une -glaucoma ?
- Ngaba unengxaki yokulawula izihlunu zakho?
- Ngaba wakha wenzakala entloko kakhulu ngaphambili?
- Ngaba unesifo sentliziyo? (Oku kubaluleke kakhulu, kuba eli yeza linokuchaphazela izinga lokubetha kwentliziyo)
- Ngaba usela utywala rhoqo?
- Ngaba unesifo sezintso?
- Ngaba unesifo sesibindi?
- Ingaba inani leeseli zegazi lakho liphantsi, umzekelo, iiseli ezimhlophe zegazi, iiplatelets, okanye iiseli ezibomvu zegazi eziphantsi?
- Ingaba igazi eliphantsi?
- Ngaba unesifo semiphunga okanye ingxaki yokuphefumla, njenge -asthma ?
- Ngaba unesifo sikaParkinson ?
- Ngaba kukho imeko ebizwa ngokuba yi -pheochromocytoma ?
- Ngaba wakha waxhuzula ngaphambili?
- Ngaba wena okanye nabani na kusapho lwakho ukhe wacinga, waceba okanye wazama ukuzibulala?
- Ngaba unesifo se-thyroid?
- Ngaba unengxaki yokuchama?
- Ngaba une-aleji kwi-amitriptyline, i-perphenazine, amanye amayeza, ukutya, iidayi, okanye izithinteli?
- Ngaba ukhulelwe okanye uzama ukukhulelwa?
- Ingaba ungumama oncancisayo?
Ukuba kukho nayiphi na kwezi zinto ezikukhathazayo, xelela ugqirha wakho ngaphandle kokufihla nantoni na .
Ulisebenzisa njani kanye kanye eli yeza?
Eli yeza lifanele lithathwe ngomlomo, lifakwe iglasi yamanzi. Lithathe kanye njengoko kuyalelwe kwileyibhile kagqirha, ngexesha kunye nobungakanani obumiselweyo. Ungayithatha ngaphambi okanye emva kokutya. Kubaluleke kakhulu ukuthatha idosi echanekileyo ngexesha elifanelekileyo. Musa ukuthatha ngaphezu koko ugqirha akuxelele ukuba ukuthathe, okanye ukuthabatha rhoqo.
Eyona nto ibalulekileyo: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga okanye kwenze imeko yakho ibe mandundu.
Xa ufumana eli yeza kwikhemesti, uza kufumana incwadana yemiyalelo ekhethekileyo (iMedGuide) kunye nalo. Kufuneka ulifunde ngononophelo ngalo lonke ixesha ufumana eli yeza okanye xa ufumana ukuphinda uligcwalise, kulungile? Liqulethe ulwazi oluninzi olubalulekileyo kuwe.
Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana eli yeza, ngoko ke thetha neqela lakho lezonyango ngalo.
Ukugqithisa amayeza: Ukuba ucinga ukuba uwasele kakhulu la mayeza, fowunela iziko lolawulo lwetyhefu okanye igumbi likaxakeka esibhedlele ngokukhawuleza.
Enye into: Eli yeza lelakho wedwa. Musa ukwabelana ngalo nabanye abantu.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe ngawo uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele umthamo ophoswe ngawo. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga.
Ngawaphi amanye amayeza anokusebenza kunye nale mithi?
Eli linqaku elibaluleke kakhulu. Amanye amayeza, anjenge-perphenazine, anokubangela iingxaki xa esetyenziswa kunye ne-amitriptyline.
Ungaze uthathe eli yeza kunye namayeza alandelayo:
- I-Linezolid
- Amayeza e-MAOI (umz., iCarbex, iMarplan, iNardil, iParnate, kunye neXadago)
- I-Methylene eluhlaza okwesibhakabhaka
- I-Metoclopramide
Eli yeza linokunxibelelana nezi zinto zilandelayo:
- Utywala
- Amanye amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane (ii-Antihistamines)
- I-Atropine
- Amanye amayeza eengxaki zesinyi (umz., i-oxybutynin, i-tolterodine)
- Amanye amayeza okudakumba, ixhala, okanye iimeko zengqondo
- Amanye amayeza asetyenziselwa ukunyanga ukubetha kwentliziyo okungaqhelekanga (umz. i-amiodarone, i-dofetilide, i-encainide, i-flecainide, i-propafenone, i-quinidine)
- Ezinye iipilisi zokulala
- Amanye amayeza eengxaki zesisu (umz. i-dicyclomine, i-hyoscyamine)
- Amanye amayeza okunyanga isicaphucaphu (umz., i-scopolamine)
- I-Cimetidine
- I-Epinephrine
- I-Ethchlorvynol
- Ii-anesthetics eziqhelekileyo (umz. i-halothane, i-isoflurane, i-methoxyflurane, i-propofol)
- I-Ipratropium
- I-Levodopa okanye amanye amayeza esifo sikaParkinson
- I-Lithium
- Amayeza oxinzelelo lwegazi
- Amayeza okulwa nokuxhuzula (umz. i-phenobarbital, i-primidone, i-phenytoin)
- Iziphumzi zemisipha zotyando
- Amayeza eentlungu ezibangelwa yiziyobisi
- I-Topiramate
Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza, iziqholo, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya ozithathayo. Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.
Yintoni omele uyilumkele xa usebenzisa eli yeza?
Bona ugqirha wakho rhoqo ukuze uhlolwe rhoqo ngelixa usebenzisa eli yeza. Xelela ugqirha wakho ukuba iimpawu zakho aziphucuki okanye ukuba ziya ziba mandundu. Njengoko bekutshiwo ngaphambili, ungayeki ukusela iyeza ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela impendulo enzulu. Ugqirha wakho uza kukuxelela ukuba uthatha amayeza angakanani.
Ingqwalasela ekhethekileyo: Izigulana kunye neentsapho zazo kufuneka ziqaphele iingcinga ezintsha okanye eziya ziba mandundu zokuzibulala okanye ukudakumba. Kwakhona, qaphela utshintsho olukhawulezileyo kwimo yengqondo, olufana nokuxhalaba, ukungazinzi, uloyiko, ukucaphuka, ubutshaba, ubundlobongela, ukungxama, ukungazinzi kakhulu, uvuyo olugqithisileyo kunye nokusebenza ngokugqithisileyo, okanye ukungakwazi ukulala. Ukuba oku kuyenzeka, thetha neqela lakho lezonyango ngokukhawuleza, ingakumbi ekuqaleni konyango okanye emva kokutshintsha idosi yakho.
- Ukozela/Isiyezi: Eli yeza linokukwenza uzive ulele okanye unesiyezi. Ngoko ke, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa kwengqondo ude wazi kakuhle indlela eli yeza elikuchaphazela ngayo. Musa ukuma okanye ukuhlala ngequbuliso, ingakumbi ukuba sele ukhulile. Oku kunokunciphisa amathuba okuba nesiyezi okanye ukuphelelwa ngamandla.
- Utywala: Utywala bunokuphazamisa ukusebenza kakuhle kwale mithi. Ngoko ke, kuphephe ukusela utywala.
- Amanye amayeza: Musa ukuthatha amayeza okukhwehlela, umkhuhlane, okanye awokungezwani komzimba ngaphandle kokujonga ugqirha wakho kuqala. Ezinye zezithako ezikwezi ziyobisi zinokunyusa iziphumo ebezingalindelekanga.
- Amanqanaba eswekile egazini: Eli yeza lisenokunyusa amanqanaba eswekile egazini. Ukuba unesifo seswekile, buza iqela lakho lezempilo ukuba ufuna ukwenza naluphi na utshintsho kwindlela otya ngayo okanye amayeza akho.
- Umlomo owomileyo: Umlomo wakho usenokuvakala womile. Ukuhlafuna itshungama engenaswekile, ukufunxa iilekese eziqinileyo ezingenaswekile, kunye nokusela amanzi amaninzi kunokunceda ekunciphiseni oku. Xelela iqela lakho lezempilo ukuba le ngxaki iyaqhubeka okanye iba mandundu.
- 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 ubuncinci emva kweentsuku ezintathu, fowunela iqela lakho lezempilo.
- Uvakalelo lwelanga:Eli yeza linokukwenza ube novelwano ngakumbi ekukhanyeni kwelanga. Ngoko ke, kuphephe ukukhanya kwelanga. Ukuba kufuneka uphume elangeni, nxiba impahla yokuzikhusela kwaye ufake i-sunscreen. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.
- Iingxaki zokulawula ubushushu bomzimba: Eli yeza linokubangela iingxaki ngokulawula ubushushu bomzimba wakho. Linganciphisa indlela umzimba wakho osabela ngayo kwimozulu ebandayo. Kuphephe ukuphuma kwimozulu ebandayo kangangoko kunokwenzeka. Ukuba kufuneka uphume, nxiba iimpahla ezifudumeleyo. Linganciphisa nendlela umzimba wakho osabela ngayo kubushushu. Ngoko ke kuphephe ukutshisa kakhulu. Musa ukuzilolonga kakhulu. Kuphephe ukukhanya kwelanga kangangoko kunokwenzeka. Ukuba kufuneka uphume elangeni, nxiba iimpahla ezikhanyayo nezipholileyo. Sela amanzi amaninzi. Ukuba unengxaki yokulawula ubushushu bomzimba wakho, thetha neqela lakho lezempilo ngoko nangoko.
- Utyando: Ukuba uza kwenziwa naluphi na utyando, xelela iqela lakho lezonyango ukuba usela eli yeza.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengayo nayiphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga. Ezinye azibi kakhulu, kodwa ezinye kufuneka zixelwe kugqirha wakho ngoko nangoko.
Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha/kwiqela lonyango ngoko nangoko:
- 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.
- I-Neuroleptic Malignant Syndrome (NMS) ingabandakanya: umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okukhulu, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, kunye nokudideka.
- Inqanaba eliphezulu le-prolactin: Ukukhula kwebele okungalindelekanga, ukuphuma kweengono, utshintsho kwiminqweno okanye ukusebenza ngokwesondo, imijikelo yokuya exesheni engaqhelekanga.
- Usulelo: Umkhuhlane, ukubanda, ukukhohlela, okanye umphimbo obuhlungu.
- Uxinzelelo lwegazi oluphantsi: isiyezi, ukuquleka, ukubona izinto ezingaqondakaliyo.
- Iintlungu zamehlo okanye utshintsho lombono ngequbuliso: umzekelo, ukubona izinto zingabonakali, ukubona izinto ezijikeleze izibane, okanye ukulahleka kombono.
- Iingcinga zokuzibulala okanye zokuzilimaza, ukuba mandundu kweemvakalelo, iimvakalelo zokudakumba.
- Iimpawu ze-Extrapyramidal (EPS) zingabandakanya: iintshukumo zomzimba ezingalawulekiyo neziphindaphindayo, ukuqina kwemisipha okanye ukushukuma, ukungcangcazela, ukulahlekelwa yingxaki yokulinganisela okanye yokulungelelanisa, ukungazinzi, ukuhambahamba ngokushukuma.
Iziphumo ebezingalindelekanga ezihlala zingadingi nyango (kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, yazisa ugqirha/iqela lakho lonyango):
- Utshintsho kwiminqweno okanye umsebenzi wesondo
- Ukuqhinwa
- Isiyezi
- Ukozela
- Umlomo owomileyo
- Ukutyeba kwakho
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuze akunike iingcebiso malunga neziphumo ebezingalindelekanga.
Uligcina njani eli yeza likhuselekile?
Gcina eli yeza kude nokufikelela ebantwaneni .
Gcina kubushushu begumbi (20 ukuya kuma-25 degrees Celsius, 68 ukuya kuma-77 degrees Fahrenheit). Khusela ekukhanyeni. Gcina ibhotile/ipakethi ivaliwe kakuhle. Lahla naliphi na iyeza eliphelelwe lixesha.
Khumbula eyona nto ibalulekileyo! (Umyalezo oya nawo ekhaya)
Kulungile, sithethe kakhulu ngale mithi ebizwa ngokuba yiPerphenazine; iAmitriptyline, akunjalo? Khumbula, le yimithi ebalulekileyo enokunceda impilo yakho yengqondo. Kodwa, eyona nto ibalulekileyo kukuyithatha kanye njengoko ugqirha wakho ekuxelele, ngobungakanani obukuxelelayo, nangexesha okuxelela ngalo.
Ukuba unemibuzo okanye izinto ezikuxhalabisayo, qiniseka ukuba ubuza ugqirha wakho, ikhemisti, okanye umboneleli wezempilo. Ungaze ucinge nantoni na.
Le ncwadana sisishwankathelo nje. Isenokungagubungeli lonke ulwazi. Ngoko ke, thetha nogqirha wakho kwaye ulandele olu nyango kangangoko unako. Ndikunqwenelela ukuchacha ngokukhawuleza!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba iPerphenazine kunye neAmitriptyline (Perphenazine; Amitriptyline / Etrafon/Triavil) ziziyobisi ezimbini zesifo sengqondo?
Ewe! Le yipilisi ekhethekileyo edibeneyo eyenziwe ngokudibanisa amayeza amabini. Oogqirha bayinika abaguli abanexhala/i-schizophrenia enzima kunye nokudakumba okukhulu ngaxeshanye. Le pilisi ihlasela zombini ezi meko ngaxeshanye.
💬 La mayeza mabini (iPerphenazine kunye neAmitriptyline) alungelelanisa njani iikhemikhali zobuchopho?
La ngamayeza amabini enza izinto ezimbini! I-Perphenazine yi-antipsychotic; ivimba i-dopamine engqondweni, kwaye ithomalalisa i-100% yezigulana ezisoloko zikrokrela, zinomsindo, kwaye zibonakala ziphambene. Enye yi-Amitriptyline, i-antidepressant; yonyusa i-serotonin, isusa usizi/uxinzelelo olwenza isigulane silile kwaye sizive ngathi siyafa, kwaye isenza sonwabe.
💬 Zithini iziphumo eziphambili zokusela ezi pilisi zengqondo?
Kukho ezinye iziphumo ebezingalindelekanga kuba kukho amayeza amabini! Ezona ziphambili ngumlomo owomileyo, ukubona okufipheleyo, kunye nokuqhina okubangelwa yi-Amitriptyline. Kwakhona, isiyezi xa uvuka ebhedini kusasa. Esinye kukuba iPerphenazine ibangela 'ukuthomalalisa', kwaye kukho ithuba lokuba neempawu ze-extrapyramidal (i-EPS - iimpawu ze-extrapyramidal) (kunikwe iipilisi ezahlukeneyo kuloo nto).
I - Perphenazine, i-amitriptyline, ukudakumba, ixhala, impilo yengqondo, iziphumo ebezingalindelekanga zamayeza, ukugula ngengqondo
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