Ngaba ugqirha wakho ukunike amayeza esifo esifana nokudakumba okanye iintlungu ezingapheliyo? Ngaba ukhe weva ngegama elithi 'i-tricyclic antidepressants' phakathi kwala mayeza? Nangona la mayeza esizukulwana esidala, asaluncedo kakhulu kwezinye iimeko. Ngoko ke namhlanje, masithethe ngawo onke la mayeza e-tricyclic antidepressants, okanye "ii-TCA" ngamafutshane.
Ngamafutshane, zithini ezi tricyclic antidepressants (TCAs)?
Ii-Tricyclic antidepressants (TCAs) luhlobo lwamayeza anceda ukulawula iimpawu zesifo sokudakumba okukhulu. Nangona zinegama elithi "antidepressant" egameni lazo, oogqirha bayazinika nezinye iimeko ezahlukeneyo.
Ezi zikwabizwa ngokuba zii- "first-generation" antidepressants kuba bezizi-"tricyclic" zokuqala ukufunyanwa. Zibizwa ngokuba zii-"tricyclic" kuba zinezangqa ezintathu kwisakhiwo sazo seekhemikhali.
Kule mihla, ngenxa yokuba amayeza amatsha okudakumba akhuselekile kwaye aneziphumo ebezingalindelekanga ezimbalwa (ezifana nee-SSRI), oogqirha abaniki rhoqo amayeza e-TCA okudakumba. Nangona kunjalo, anokuba luncedo ngakumbi kwabanye abantu abangakhange baphendule kwamanye amayeza. Asetyenziswa rhoqo nakwezinye iimeko.
Ziziphi iintlobo ze-TCA? Ziziphi iintlobo zezifo ezinikwa ngoogqirha?
Kukho iintlobo ezininzi eziphambili ze-TCA ezisetyenziswa eSri Lanka nakwihlabathi liphela. Jonga ukuba amayeza anikwe ngugqirha wakho angomnye wawo na.
| Igama eliqhelekileyo | Iimeko ezisetyenziswa rhoqo |
|---|---|
| I-Amitriptyline | Ukuthintela ukudakumba, iintlungu ezingapheliyo, iintlungu zemithambo-luvo, kunye nemigraines |
| I-Imipramine | Uxinzelelo, ukuchama ebhedini kubantwana abancinci |
| I-Nortriptyline | Uxinzelelo, intlungu engapheliyo |
| I-Clomipramine | Isebenza kakhulu kwi-Obsessive-Compulsive Disorder (OCD), imeko ebonakaliswa ziingcinga nezenzo ezingafunekiyo. |
| I-Doxepin | Ukudakumba, ixhala, ukungalali kakuhle |
Ukongeza kwi-depression kunye ne-OCD ekhankanyiweyo apha ngasentla, oogqirha banika eli yeza kwezinye iimeko ezininzi. Oku kubizwa ngokuba "kukusetyenziswa ngaphandle kweleyibhile." Oku kuthetha ukuba eli yeza linikwa imeko engeyiyo leyo lavunywa ngayo, xa uphando lubonise ukuba liluncedo kwenye imeko.
- Iintlungu ezingapheliyo: Ingakumbi iintlungu ezinxulumene nemithambo-luvo, ezifana ne-diabetes neuropathy kunye ne-postherpetic neuralgia.
- Ukuthintela iintloko ezibuhlungu: Lawula iintloko ezibuhlungu rhoqo.
- Ukungalali: Abanye abantu banikwa iidosi eziphantsi ukuze balale.
- Iingxaki zokuxhalaba
- I-Fibromyalgia: Intlungu kunye nokudinwa emzimbeni wonke.
- Ukuchama Ebhedini: Le meko ngamanye amaxesha icetyiswa kubantwana abancinci.
Eli yeza lisebenza njani emzimbeni?
Ngamafutshane, ubuchopho bethu buneekhemikhali ezithumela imiyalezo phakathi kweeseli zemithambo-luvo. Ezi sizibiza ngokuba zii-neurotransmitters . `I-Norepinephrine` kunye ne-`I-Serotonin` zii-neurotransmitters ezimbini ezibaluleke kakhulu ezilawula iimvakalelo zethu, ulonwabo, kunye nokuziphatha.
La manqanaba anokuba phantsi kwiimeko ezifana nokudakumba. Ii-TCA zisebenza ngokunyusa amanqanaba ezi neurotransmitters, ``Norepinephrine`` kunye ``Serotonin`` engqondweni, ziphucula unxibelelwano phakathi kweeseli zemithambo-luvo.
Xa kulawula iintlungu, la mayeza athintela imiqondiso yentlungu esuka kumqolo ukuya engqondweni.
Kodwa kunye nale nkqubo, nezinye ii-receptors emzimbeni ziyavalwa. Yiyo loo nto kuvela iziphumo ebezingalindelekanga ezifana nomlomo owomileyo kunye nobunzima bokuchama.
Zithini iziphumo ebezingalindelekanga kunye neengozi zala mayeza?
Ii-TCA zineziphumo ebezingalindelekanga ezininzi kancinci kunamayeza amatsha. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ukuba ziyafumaneka, ziya kuncipha ngokuhamba kwexesha njengoko umzimba uqhelana namayeza.
Iziphumo ebezingalindelekanga eziqhelekileyo
- Umlomo owomileyo
- Ukuqhinwa
- Isiyezi
- Ukozela
- Umbono ofipheleyo
Ezinye iziphumo ebezingalindelekanga
- Ubunzima bokuchama okanye ukugcinwa komchamo
- Ukwanda kwesantya sentliziyo (iTachycardia)
- Uxinzelelo lwegazi oluphantsi xa umile okanye uvuka)
- Ukwanda komnqweno wokutya kunye nokunyuka kobunzima
Ukuba ezi ziphumo bezingalindelekanga ziyakukhathaza, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uyeke ukusebenzisa amayeza. Usenokukwazi ukulungisa umthamo okanye acebise esinye isisombululo.
Amatyala afuna ingqalelo ekhethekileyo
- Ukuba unesifo sentliziyo: Ii-TCA zinokuchaphazela ezinye iimeko zentliziyo, ngoko ugqirha wakho unokufuna ukwenza i-EKG ngaphambi kokuba aqalise eli yeza.
- Ukuba unesifo sokuwa/sokuxhuzula: Eli yeza lisenokunyusa kancinci umngcipheko wakho wokuxhuzula.
- Ukuba ukhulelwe okanye uceba ukukhulelwa: Ii-TCA azikhuselekanga kakhulu ngexesha lokukhulelwa, ngoko ke kubalulekile ukuthetha nogqirha wakho ngale nto.
Kubalulekile: Kubekho umngcipheko omncinci wokucinga ngokuzibulala xa abantu abaselula abangaphantsi kweminyaka engama-25 beqala ukusebenzisa eli yeza. Ukuba wena okanye umntwana wakho ninezi ngcinga, xelela ugqirha wakho ngoko nangoko.
Ngaba kufuneka ukhathazeke ngokugqithisileyo?
Ewe, le yinto esifanele siyiqwalasele ngokuqinisekileyo. Ii-TCA luhlobo lwamayeza anokubangela ubuthi obukhulu xa esetyenziswa ngokugqithisileyo.
Kodwa khumbula, le ngozi ayiveli logama nje uthatha idosi echanekileyo echazwe ngugqirha wakho. Ukugqithisa kwenzeka kuphela xa uthatha amayeza amaninzi ngempazamo, ngokungazi, okanye ngabom.
Ngoko ke, soloko usela amayeza akho kanye njengoko ugqirha wakho ekuxelele. Gcina iipilisi zakho kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya.
Iimpawu zokugqithisa kakhulu
- Ukuphazamiseka kwentliziyo
- Uxinzelelo lwegazi oluphantsi kakhulu
- Ukozela kakhulu
- Ukuxhuzula
- Iingxolo
- Isifo sengqondo esixhalabisayo
- Imeko ye-Coma
Ukuba wena okanye umntu omaziyo ufumana naziphi na kwezi mpawu, musa ukulibazisa. Tsalela umnxeba ku-1990 ngoko nangoko ukuze ufumane i-ambulensi, okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. Ukuba kuyimfuneko, ungatsalela umnxeba iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- Ii-TCA ziluhlobo lwamayeza amadala, kodwa aluncedo kakhulu anyanga iimeko ezahlukeneyo, kubandakanya ukudakumba, iintlungu ezingapheliyo, kunye ne-migraines.
- Ezi zineziphumo ebezingalindelekanga ezingaphezulu kancinci kunezonyango ezintsha, kodwa ayinguye wonke umntu ozifumanayo. Ukuba uneziphumo ebezingalindelekanga ezikhathazayo, thetha nogqirha wakho.
- Ungaze utshintshe umthamo wamayeza okanye uyeke ukuwasebenzisa ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Soloko ugcina amayeza kwindawo ekhuselekileyo kude nabantwana.
- Qaphela iimpawu zokusebenzisa iziyobisi ngokugqithisileyo. Ukuba ukrokrela into enjalo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
- Ukuba unemibuzo malunga namayeza akho, ukusebenza kwawo, okanye iziphumo ebezingalindelekanga, ungoyiki ukubuza ugqirha wakho. Ukho ukukunceda.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho