Ukuphila noxinzelelo, imeko ebizwa ngokuba luxinzelelo, kunokuba nzima kakhulu ngamanye amaxesha, akunjalo? Xa uziva ngathi ukruqukile bubomi kwaye ungenamdla kwinto ethile, usenokuba ukhe wacinga, "Ngaba akukho sisombululo sale nto?" IiSelegiline Patches zezinye zeendlela zonyango ezinokukunceda ngamaxesha anjalo. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, njengokuthetha nomhlobo.
Loluphi uhlobo lonyango olu? I-Selegiline...
Ngamafutshane, iSelegiline liyeza elisetyenziselwa ukunyanga ukudakumba. Liza ngohlobo lwento esetyenziswa eluswini. Kusenokwenzeka ukuba ulibonile phantsi kwegama elithi `EMSAM`.
Eli yeza likwiqela lamayeza abizwa ngokuba yi-`MAOI` (iMonoamine Oxidase Inhibitors). Cinga ngako, kukho iikhemikhali ezahlukeneyo engqondweni yethu ezinceda ukulawula iimvakalelo zethu. Elinye lala machiza yi-dopamine. I-Dopamine yikhemikhali ebandakanyeka kwizinto ezinje ngolonwabo, impilo-ntle, kunye nengqalelo engqondweni yethu. Oko kwenziwa leli yeza le-Selegiline kukunceda ukugcina amanqanaba e-dopamine engqondweni elungeleleneyo. Emva koko, ezinye zeengxaki ezibangelwa kukudakumba zinokuncitshiswa.
Oogqirha ngamanye amaxesha banokukunika eli yeza kwezinye iimeko, ngoko ke ukuba unemibuzo engaphezulu malunga noku, kungcono ubuze ugqirha wakho okanye ikhemisti.
Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndisebenzise eli yeza?
Ngaphambi kokuba uqale ukusebenzisa iSelegiline Patches, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Kuba ayizizo zonke amayeza ezifanayo kuwo wonke umntu. Ukuba unenye yezi meko zilandelayo, yazisa ugqirha wakho:
- Isifo se-Bipolar: Ukuba unesifo se-bipolar.
- Uxinzelelo lwegazi oluphezulu: Ukuba uxinezeleko lwegazi oluphezulu, oko kukuthi, ukuba uxinzelelo lwakho lwegazi luphezulu.
- Ukusetyenziswa kotywala: Ukuba usela rhoqo.
- Isifo sesibindi: Ukuba unesifo sesibindi.
- I-Pheochromocytoma: Le yithumba eyenzeka kwiindlala ze-adrenal. Ukuba unale meko.
- Iimeko zesikhumba okanye ubuthathaka: Ukuba unesifo sesikhumba okanye ulusu lwakho lubuthathaka kakhulu.
- Iingcinga zokuzibulala: Ukuba ukhe wacinga okanye waceba ukuzibulala, wakha wazama ukuzibulala, okanye ukuba kukho umntu kusapho lwakho okhe wakwenza oko. Oku kubaluleke kakhulu.
- Ii-Allergies: Ukuba une-allergy kwi-selegiline, amanye amayeza, ukutya, iidayi, okanye izithinteli.
- Ukukhulelwa: Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo: Ukuba ungumama oncancisayo umntwana.
Ngokuxelela ugqirha wakho ngezi zinto, angakunika iingcebiso ezichanekileyo malunga nokuba eli yeza likulungele na okanye alikulungele, kunye nendlela yokulisebenzisa ngokukhuselekileyo.
Ndingayisebenzisa njani kanye kanye le patch?
Eli yeza lelokusetyenziswa ngaphandle kuphela, ngoko ke landela imiyalelo ekwileyibhile kagqirha oyinikwe ngugqirha wakho.
Nantsi indlela yokusebenzisa i-patch ngokulula:
1. Ukususa ipetshi: Susa ipetshi ngokukrazula ingxowa encinci enesipetshi usebenzisa izikhewu emacaleni. Musa ukusebenzisa izikere.
2. Indawo yokufaka: Ipetshi kufuneka ifakwe kwindawo ecocekileyo, eyomileyo, negudileyo yesikhumba . Ngokwesiqhelo, umqolo ongasentla, isifuba esingaphezulu, amathanga aphezulu, okanye umva weengalo eziphezulu zezona ndawo zifanelekileyo koku.
3. Iindawo ezingahambelaniyo: Musa ukuyifaka le ndawo kwiindawo ezineenxeba, ulusu olukruqukileyo, amanxeba, okanye ulusu oluqinileyo.
4. Sebenzisa iphetshi enye ngexesha: Musa ukusebenzisa iphetshi ezingaphezu kwesinye ngexesha.
5. Musa ukusika: Musa ukusika okanye ukwahlulahlula isiqwenga.
6. Ukunamathela kakuhle: Qinisekisa ukuba ibala linamathele ngokuqinileyo kwaye lithe tyaba eluswini. Ingakumbi imiphetho kufuneka inamathele ngokugqibeleleyo.
7. Ukususa endala: Ngaphambi kokuba ufake ipetshi entsha, qiniseka ukuba uyayisusa ipetshi endala.
8. Ukutshintsha indawo: Ngalo lonke ixesha ufaka i-patch entsha, ungayinamatheli kwindawo efanayo neyangaphambili, kodwa yinamathelise kwindawo eyahlukileyo, njengasemqolo ongasentla, esifubeni esingaphezulu, ethangeni eliphezulu, okanye ngasemva kwengalo engasentla. Musa ukuyinamathelisa kwindawo enye ngokuphindaphindiweyo.
9. Musa ukusebenzisa ngaphezu koko ugqirha akuyalele kona, kwaye ungayeki ukukuthatha ngaphambi kwexesha elimiselweyo. Ukuba uyeka , yenza oko kuphela njengoko ugqirha wakho ekuyalele.
Xa ufumana eli yeza kwikhemesti, uya kufumana nencwadana yemiyalelo ekhethekileyo (`MedGuide`). Funda eli phepha ngononophelo ngalo lonke ixesha ufumana eli yeza, kwaye ngalo lonke ixesha ufumana ukuphinda ulizalise. Kubaluleke kakhulu.
Ingaba eli yeza lifanelekile ebantwaneni?
Eli yeza alivumelekanga ukusetyenziswa ebantwaneni. Ingakumbi ungaliniki abantwana abangaphantsi kweminyaka eli-12 ubudala. Ukuba umntwana wakho udinga olu hlobo lonyango, thetha nogqirha wabantwana ngalo.
Kwenzeka ntoni ukuba uthatha kakhulu? (`Umthamo ogqithisileyo`)
Ukuba ucinga ukuba usele kakhulu eli yeza, okanye ukuba umntu ulisele ngempazamo, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka elikufutshane ngokukhawuleza.
Eli yeza lelakho kuphela!
Eli liyeza elimiselwe wena kuphela. Ngoko ke, musa ukulinika abanye.
Wenza ntoni ukuba uphoswe yi-aphoyintimenti yakho yamayeza?
Ukuba uphoswa yipetshi yakho ecwangcisiweyo, yifake ngokukhawuleza xa ukhumbula. Kodwa ukuba sele kusondele ixesha lepetshi yakho elandelayo, ungafaki entsha. Faka iphetshi elandelayo kuphela ngexesha elicwangcisiweyo. Ungaze ufake iipetshi ezimbini ngaxeshanye okanye uthathe idosi eyongezelelweyo.
Ziziphi ezinye iindlela ezinokwenzeka xa usebenzisana nale mithi?
Eli linqaku elibaluleke kakhulu. I-Selegiline sisiyobisi esinokudibana namanye amayeza kunye nokutya okuthile. Ngoko ke kufuneka ulumke kakhulu ngale nto.
I-Selegiline akufanele isetyenziswe namayeza alandelayo:
- I-Atomoxetine
- I-Carbamazepine
- I-Cyclobenzaprine
- I-Dextromethorphan - isenokuba ikhona kwezinye iziraphu zokukhwehlela.
- Amanye amayeza e-MAOI: Imizekelo iquka iMarplan, iNardil, kunye neParnate.
- Ezinye izinto ezithomalalisa iintlungu ziquka: i-meperidine, i-tramadol, i-methadone, kunye ne-pentazocine.
- Kukho amanye amayeza amaninzi okunyanga ukudakumba.
- Amanye amayeza aqulethe i-selegiline: Umzekelo, amayeza abizwa ngokuba yi-`Eldepryl` kunye ne-`Zelapar`.
- I-Rasagiline
- I-Safinamide
- Amayeza okuvuselela iingxaki zokuqwalasela.
- I-St. John's Wort - Eli liyeza lemifuno elisetyenziswa ngabanye abantu.
- I-Viloxazine
Eli yeza linokunxibelelana nezi zinto zilandelayo:
- Utywala
- I-Buspirone
- U-Ephedrine
- I-Epinephrine okanye i-racepinephrine
- Izinto zokunciphisa ukuxinana: ezifana ne-phenylephrine kunye ne-pseudoephedrine.
- I-Norepinephrine
- Amayeza okuvuselela umzimba asetyenziselwa ukunciphisa umzimba okanye ukuhlala uphaphile.
Olu luhlu alubandakanyi yonke into. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owathathayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, izongezo zokutya). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokuchaphazela amayeza akho.
Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?
Kubaluleke kakhulu ukuthetha nogqirha wakho malunga nempilo yakho kwaye uhlolwe rhoqo ngelixa usebenzisa eli yeza. Ukuba iimpawu zakho aziphucuki okanye zibonakala zisiba mandundu, xelela ugqirha wakho.
Kungathatha iiveki ezininzi ukubona isiphumo esipheleleyo seli yeza. Ke ngoko, kubalulekile ukuqhubeka nokusela iyeza njengoko ugqirha wakho ekuyalele. Musa ukuyeka ukulisela ngequbuliso ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokubangela impendulo ebuhlungu. Ugqirha wakho uza kukuxelela ukuba lingakanani iyeza omawulisele.
Lumka iingcinga zokuzibulala!
Izigulane kunye neentsapho zazo kufuneka ziqaphele iingcinga ezintsha okanye eziya ziba mandundu zokuzibulala okanye ukudakumba. Kwakhona, qaphela utshintsho olukhawulezileyo kwimo yengqondo - umzekelo, ukuziva ungaphumli, uphazamisekile, ucaphuka msinya, unomsindo ngokukhawuleza, unomsindo, ungonwabanga kakhulu, uchulumancile kakhulu, okanye unengxaki yokulala - kwaye uthethe nogqirha wakho ngoko nangoko ukuba oku kuyenzeka, ingakumbi ekuqaleni konyango okanye emva kokutshintsha umthamo wakho.
Lumka ngokutya okune-tyramine!
Ukuba ugqirha wakho unyusa umthamo wale mayeza ukuya kuthi ga kwi-6 milligrams (6 mg) ngosuku, kufuneka uqaphele nokutya okuqulethe ikhemikhali ebizwa ngokuba yi-tyramine. Eli yeza linokushukuma nokutya okunjalo lize libangele iintloko ezibuhlungu, ukunyuka koxinzelelo lwegazi ngequbuliso, okanye ukubetha kwentliziyo okungaqhelekanga .
Nokuba ugqirha wakho unciphise idosi yakho ukuya kwi-6 milligrams (`6 mg`) ngosuku, okanye emva kokuba uyekile ukuthatha idosi ye-9 okanye i-12 milligrams (`12 mg`) ngosuku, kufuneka uziphephe ukutya neziselo ezine-tyramine eninzi kangangeeveki ezimbini . Nangona kunjalo, ukuba uqala kwaye uqhubeka nokuthatha idosi ye-6 mg, usenokungadingi ukwenza naluphi na utshintsho olukhulu kwindlela otya ngayo. (Ungabuza ugqirha wakho okanye ingcali yesondlo ngolwazi oluthe kratya malunga noku.)
Ezinye izinto ekufuneka ziqwalaselwe:
- Ukozela/Ukudinwa: Usenokuziva ulele okanye unesizungu. Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma okanye ukuhlala ngequbuliso, ingakumbi ukuba sele ukhulile. Ukwenza njalo kunokunciphisa umngcipheko wokuba nesizungu kunye nokuwa.
- Utywala: Utywala bunokuphazamisa ukusebenza kakuhle kwale mithi. Ngoko ke, kuphephe ukusela utywala.
- Umlomo owomileyo: Umlomo wakho usenokuvakala ngathi womile. Ukuhlafuna itshungama engenaswekile, ukufunxa itoffee engenaswekile, kunye nokusela amanzi amaninzi kunokunceda ekunciphiseni oku. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, thetha nogqirha wakho.
- Amanye amayeza:Musa ukuthatha naliphi na iyeza lokukhwehlela, umkhuhlane, okanye i-allergies ngaphandle kokubonisana nogqirha wakho. Kwakhona, musa ukuthatha naliphi na iyeza lokunciphisa umzimba ngaphandle kwengcebiso kagqirha. Izithako ezikwezinye zezi ziyobisi zinokunyusa iziphumo ebezingalindelekanga.
- Isifo seswekile: Eli yeza lisenokuchaphazela amanqanaba eswekile egazini. Ukuba unesifo seswekile (iDiabetes Mellitus), thetha nogqirha wakho ngaphambi kokuba utshintshe indlela otya ngayo okanye umthamo weyeza lakho leswekile.
- Utyando: Ukuba usebenzisa naluphi na unyango okanye unyango lwamazinyo, xelela iqela lezonyango ukuba usela eli yeza, njengoko lisenokudibana namanye amayeza asetyenziswa ngexesha lotyando.
- Ipatshi kunye nobushushu bomzimba: Le patshi inovelwano kutshintsho oluthile kubushushu bomzimba. Oku kuthetha ukuba ukuba ulusu lwakho lushushu kakhulu, ipatshi inokufunxa amayeza amaninzi eluswini lwakho. Ke ngoko, ukuba unesicaphucaphu, thetha nogqirha wakho. Kwakhona, kuphephe ukuhlamba emanzini ashushu kakhulu, ukuhlamba elangeni, ukusebenzisa iibhafu ezishushu, ii-sauna, ukufudumeza ulusu lwakho ngee-hairdryer, ukusebenzisa ii-heating pads, iingubo zombane, ii-waterbeds ezishushu, kunye nezibane ze-tanning. Kwakhona, nciphisa umthambo onyusa ubushushu bomzimba wakho ngeli xesha. Oku kubaluleke kakhulu kubushushu kwilizwe lethu.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengazo zonke amayeza, le inokubangela iziphumo ebezingalindelekanga, kodwa ayinguye wonke umntu ozifumanayo.
Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:
- Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
- Ukunyuka okukhulu koxinzelelo lwegazi: intloko ebuhlungu ngequbuliso, isicaphucaphu, ukuhlanza, ukuqina kwentamo, ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo.
- Iingcinga zokuzibulala okanye ukuzenzakalisa, imeko yeemvakalelo esiya isiba mandundu, okanye iimvakalelo zokudakumba okukhulu.
Iziphumo ebezingalindelekanga ezingadingi ngcebiso kagqirha, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:
- Isiyezi
- Ukozela
- Umlomo owomileyo
- Intloko ebuhlungu
- Ukungakhululeki okufana nokubomvu nokurhawuzelela kwindawo apho kufakwe khona ipetshi (Ukurhawuzelela kwindawo apho kufakwe khona ipetshi)
- Isicaphucaphu
- Ingxaki yokulala
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana ezinye iziphumo ebezingalindelekanga, thetha nogqirha wakho ngazo. Ungaxela iziphumo ebezingalindelekanga kwi-FDA (Food and Drug Administration) ngokufowunela ku-1-800-FDA-1088.
Uligcina njani eli yeza?
- Eli yezaGcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius / ama-68 nama-77 degrees Fahrenheit).
- Gcina eli yeza kwingxowa yalo yokukhusela de lilungele ukusetyenziswa.
- Musa ukusebenzisa amayeza aphelelwe lixesha, walahle.
Ulahla njani amayeza angasetyenziswanga, aphelelwe lixesha?
- Thatha eli yeza uliyise kwindawo ene "nkqubo yokubuyisela amayeza." Ungafumana ulwazi ngeendawo ezinjalo kwikhemesti yakho okanye emapoliseni.
- Ukuba akukho ndlela yokulibuyisela, buza ikhemisti okanye ugqirha wakho ukuba ungalilahla njani eli yeza ngokukhuselekileyo.
Emva kokususa isiqwenga esisetyenzisiweyo, songa amacala anamathelayo kunye, usibeke kwipakethi engenanto, uze ngoko nangoko usilahle kwisitya senkunkuma esinesiciko. Oku kuya kugcina abantwana nezilwanyana zingangeni. Emva koko hlamba izandla zakho kakuhle.
Umyalezo Wokuya Ekhaya:
Kulungile, ngoko ke sithethe kakhulu ngeeSelegiline Patches, akunjalo? Le yipatch esetyenziswa eluswini kwaye isetyenziswa njengonyango lokudakumba.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo: Sebenzisa idosi emiselweyo kangangexesha elimiselweyo, njengoko kuyalelwe ngugqirha wakho. Musa ukuyeka ukuyithatha ngequbuliso.
- Xelela ugqirha wakho ngeemeko zakho zempilo: Qiniseka ukuba uxelela ugqirha wakho ngazo naziphi na ezinye izifo, amayeza owasebenzisayo, kunye nee-allergies onazo.
- Lumka ngemiphumo emibi: Lumka ngakumbi ngemiphumo emibi kakhulu, efana neengcinga zokuzibulala kunye noxinzelelo lwegazi oluphezulu. Ukuba ufumana nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
- Ukutya kunye namanye amayeza: Ezinye ukutya (eziqulethe i-'Tyramine') kunye nezinye amayeza zinokudibana nale patch, ngoko ke qaphela loo nto.
- Faka kwaye ugcine ipetshi ngokuchanekileyo: Lumka malunga nendlela ofaka ngayo ipetshi, indlela osusa ngayo endala, kunye nendlela otshintsha ngayo indawo ofaka kuyo entsha. Kwakhona, ungalibali ukugcina amayeza ngokufanelekileyo.
Khumbula, eli nqaku lenzelwe ulwazi ngokubanzi kuphela. Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, nceda uxoxe ngayo nogqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Sikunqwenelela ukuchacha ngokukhawuleza!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba iPhenelzine (Nardil) yipilisi yoxinzelelo?
Hayi! Eli asiloyeza le-SSRI eliqhelekileyo lezengqondo (njengeFluoxetine)! Eli liyeza elidala kakhulu, kodwa elinamandla elivela kwiqela le-'MAOI' elinikwa njengendlela yokugqibela 'yokudakumba okukhulu nokuqinileyo' (ukudakumba okungamelaniyo nonyango) elingakhange linyangwe naliphi na iyeza elitsha. Eli chiza lonyusa iikhemikhali ezininzi 'zolonwabo' (iSerotonin, iDopamine, iNorepinephrine) engqondweni ngaxeshanye, liphilisa isigulane ngokukhawuleza.
💬 Kutheni abantu abasebenzisa la mayeza (MAOI) kufuneka balandele 'ukutya' okukhethekileyo?
Oku kubaluleke kakhulu! Eli yeza lithintela i-enzyme eqhekeza ikhemikhali ebizwa ngokuba yi-'Tyramine' emizimbeni yethu. Ngoko ke ukuba utya ukutya okufana netshizi, inyama egugileyo (iSalami), iisoseji, ii-pickles, utywala kunye nesosi yesoya ngelixa usela eli yeza, umzimba wakho uya kugcwala yi-tyramine kwaye uxinzelelo lwakho lwegazi luya kunyuka ngequbuliso lude luqhume (ingxaki ye-Hypertensive), i-brain aneurysm/uhlaselo lwentliziyo kwaye ungafa!
💬 Ndingayisebenzisa eminye imithi yokuthomalalisa uxinezeleko ngale mithi?
Hayi suka! Oku kuyabulala. Ukuba uthatha iPhenelzine kunye namanye amayeza afana neFluoxetine / iSertraline / isiraphu yokukhohlela, ubungakanani be-serotonin engqondweni buya kunyuka bufikelele kwinqanaba elinganyamezelekiyo (iSerotonin syndrome) kwaye isigulana siya kufa. Nokuba emva kokuyeka iPhenelzine, oogqirha abayi kukuvumela ukuba uqale naliphi na elinye iyeza lokudakumba kangangeentsuku ezili-14 (iiveki ezimbini)!
I- Selegaline, ukudakumba, i-MAOI, i-dopamine, i-patch, impilo yengqondo, iziphumo ebezingalindelekanga
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