Ukudakumba, okanye njengoko sonke sisazi, asikobuthathaka engqondweni, yimeko yezonyango efuna unyango. Kwiimeko ezinjalo, kunye nonyango lwengqondo, ngamanye amaxesha amayeza ayafuneka. Olunye uhlobo lwamayeza olunikwa unyango lokudakumba okunjalo yiTrimipramine. Ukuba ugqirha wakho ukunike eli yeza, kubaluleke kakhulu ukuba nolwazi olupheleleyo ngalo. Masithethe ngale nto ngokulula.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, i-Trimipramine ikwiqela lamayeza abizwa ngokuba yi-tricyclic antidepressants (TCAs). Iikhemikhali ezithile engqondweni zinceda ekulawuleni imo yethu. Ngokukodwa, zibizwa ngokuba yi-serotonin kunye ne-norepinephrine. Ibhalansi yezi khemikhali inokutshintsha kwiimeko zokudakumba.
Oko kwenziwa leli yeza kukunyusa amanqanaba ala makhemikhali mabini engqondweni, nto leyo ephucula indlela ovakalelwa ngayo. Kufana nokuvula iiswitshi ezimbini ezilawula ulonwabo nokuzola.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kufuneka abe nomfanekiso opheleleyo wempilo yakho. Ke ngoko, ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngaphandle kokufihla nantoni na. Oku kubaluleke kakhulu kukhuseleko lwakho.
| Isifo okanye ezinye izinto | Kutheni kufuneka uxelele ugqirha ? |
|---|---|
| Ukuba unengxaki yotywala | Ukudibanisa utywala kunye nale mithi kunokunyusa iziphumo ebezingalindelekanga. |
| Izifo zengqondo ezifana ne-bipolar okanye i-schizophrenia | Eli yeza lingazitshintsha ezo mpawu. |
| Ubunzima bokuchama, iingxaki zeprostate | Eli yeza linokunyusa ukugcinwa komchamo. |
| Isifo sentliziyo, ukungalingani kwesingqisho sentliziyo, ukuhlaselwa yintliziyo kutshanje | Eli yeza linokuchaphazela ukusebenza kwentliziyo. |
| Isifo seGlaucoma | Kukho ithuba lokunyuka koxinzelelo lwamehlo. |
| Isifo sesibindi okanye sezintso | Inkqubo yokususa amayeza emzimbeni ingachaphazeleka. |
| Izifo zemiphunga okanye zokuphefumla ezifana ne-asthma | Umngcipheko weziphumo ebezingalindelekanga ezithile unokwanda. |
| Ukuxhuzula okanye iStroke | Iingozi zezi meko zingahluka. |
| Izifo ze-thyroid | Kusenokubakho ubudlelwane phakathi kwamanqanaba eehomoni kunye nokusebenza kakuhle kwesiyobisi. |
| Iingcinga zokuzibulala, iinzame zokuzibulala, okanye imbali yosapho enjalo | Ezi ngcinga zinokwanda ekuqaleni kokusebenzisa iyeza, ngoko ke kufuneka ingqalelo esondeleyo. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ufanele uthethe nogqirha wakho malunga nemiphumo enokubakho kumntwana. |
| Ukuba umntwana uncanciswa | Kufuneka kuqwalaselwe ukuba ingaba iyeza lingadluliselwa na kumntwana ngobisi lwebele. |
| Ukunganyamezelani kwamanye amayeza, ukutya, okanye idayi | Ukufumanisa ukuba ingaba kukho i-allergy kwiyeza okanye izithako zalo. |
Ndingayisebenzisa njani le mithi?
Sela eli yeza neglasi yamanzi. Sela idosi echazwe ngugqirha wakho, ngexesha elimiselweyo. Ungaze uthathe ngaphezu komlinganiselo ochazwe ngugqirha wakho.
Kubaluleke kakhulu: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokwenza imeko yakho ibe mandundu okanye kubangele ezinye iziphumo ebezingalindelekanga. Ukuba uyayeka ukulisebenzisa eli yeza, yenza njalo njengoko ugqirha wakho ekuyalele, wehlise kancinci kancinci idosi.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yingxamiseko leyo. Fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Lo asingomdlalo.
Khumbula, eli yeza limiselwe wena wedwa. Musa ukunika omnye umntu eli yeza kuba nje eneempawu ezifanayo nezakho.
Amanye amayeza anokusebenza kunye nale mayeza
Oku kubaluleke kakhulu. Xa usela eli yeza, linokudibana namanye amayeza. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi. Ngoko ke xelela ugqirha wakho ngalo lonke iyeza, imifuno, kunye neevithamini ozithathayo.
| Ungaze uthathe iTrimipramine kunye nezi | |
|---|---|
| I-MAOIs (umz. Marplan, Nardil, Parnate) | I-Linezolid |
| I-Methylene blue (efakwa emthanjeni) | I-Pimozide |
| Iiphenothiazines ezifana neThioridazine | Amanye amayeza alawula izinga lokubetha kwentliziyo |
| I-Cisapride | I-St. John's Wort (isicatshulwa semifuno) |
| Iingxaki zinokubakho nakule mithi (xelela ugqirha wakho). | |
| Amayeza oxinzelelo lwegazi oluphezulu (umz. iClonidine) | Amayeza okuxhuzula (umz. iCarbamazepine) |
| IiBarbiturates (umz. iPhenobarbital) | I-Cimetidine |
| Iihomoni ze-thyroid | Amayeza entlungu abhalwe ngugqirha |
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Utshintsho lweemvakalelo kunye neengcinga zokuzibulala
Le yeyona nto ibalulekileyo. Ngamanye amaxesha, ingakumbi kwiiveki zokuqala zonyango okanye xa idosi itshintshiwe, iimpawu zokudakumba zinokwanda okanye kuvele iingcinga ezintsha zokuzibulala. Ukuba wena okanye amalungu osapho lwakho niyaziqaphela ezi zinto , thetha nogqirha wakho ngoko nangoko.
- Ukuba uziva uxhalabile okanye ukhathazekile
- Ukuba uziva ungaphumli kwaye unomsindo,
- Ukuba ngequbuliso uqala ukusebenza kakhulu
- Ukuba awukwazi ukulala
- Ukuba uvakalelwa kukuba ukudakumba kwakho kuya kusiba mandundu
Ukozela kunye nesiyezi
Eli yeza lingakwenza uzive ulele okanye unesizungu. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuvuka ngequbuliso uhleli phantsi, ingakumbi ukuba sele ukhulile. Oku kunokukwenza ulale kwaye uwe. Kuphephe ukusela utywala. Oku kunokukwenza uzive ulele nangakumbi.
Umlomo owomileyo, ukuqhina kwesisu nezinye izinto
- Umlomo owomileyo:Oku kunokulawulwa zizinto ezifana nokuhlafuna itshungama engenaswekile kunye nokusela amanzi amaninzi.
- Ukuqhinwa: Ukuba awuphumi mathumbu kangangeentsuku ezi-2-3, thetha nogqirha wakho. Ukutya ukutya okunefayibha eninzi kunye nokusela amanzi amaninzi kunokunceda.
- Ulwazelelelo elangeni: Ulusu lwakho lusenokuba nolwazelelelo elangeni ngelixa usebenzisa eli yeza. Ngoko ke, nxiba impahla yokuzikhusela kwaye usebenzise i-sunscreen xa uphuma elangeni.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile. Makhe sijonge ukuba yintoni na.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy (ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi) | Iingcinga zokuzibulala , utshintsho lweemvakalelo |
| Utshintsho kwisantya sentliziyo (ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga, iintlungu zesifuba, ubunzima bokuphefumla) | Intlungu yamehlo ngequbuliso , umbono ofipheleyo, ukubona iisangqa ezijikeleze izibane |
| I-Serotonin Syndrome: Iimpawu ezinokubakho ziquka: ukungazinzi, ukudideka, ukubetha kwentliziyo ngokukhawuleza, ukuqina kwemisipha okanye ukuxhuzula, ukubila kakhulu, umkhuhlane, ukuhlanza, kunye norhudo. | |
| Xelela ugqirha wakho ukuba iyaqhubeka okanye iyakukhathaza. | |
| Umlomo owomileyo | Ukozela |
| Isiyezi | Ukuthintela |
| Utshintsho kwiminqweno okanye umsebenzi wesondo | Ukungcangcazela okuncinci (Ukungcangcazela) |
Umyalezo Wokuya Ekhaya
- Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho malunga namanye amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo. Ezinye zazo zisenokudibana nale mithi.
- Xelela ugqirha wakho ngokukhawuleza ukuba ufumana naluphi na utshintsho olukhawulezileyo kwindlela ovakalelwa ngayo okanye kwindlela oziphatha ngayo, okanye iingcinga zokuzibulala, ingakumbi ekuqaleni konyango.
- Kuphephe ukusela utywala ngelixa usebenzisa eli yeza.
- Kuphephe ukuqhuba okanye ukwenza imisebenzi efuna ukulumka ude wazi ukuba iyeza likuchaphazela njani.
- Ukugqithisa umthamo yinto engxamisekileyo. Ukuba oku kuyenzeka, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zisetyenziselwa ntoni iikhaphu zeTrimipramine / Surmontil?
Eli lelinye lamayeza engqondo amadala nanamandla kakhulu kwezonyango (i-TCA - iklasi ye-Tricyclic Antidepressant) anokusetyenziswa ukulawula 'uxinzelelo' oluqatha! Lisetyenziswa kwizigulana ezinganyangekiyo kunyango ezingakhange zibone naluphi na utshintsho/uphuculo nangona kukho amanye amayeza engqondo amatsha (i-SSRI/SNRI) kwaye ngakumbi kwabo 'bane-severe insomnia kunye noxinzelelo olukhulu'.
💬 Eli yeza (iTrimipramine) linceda njani ukudakumba xa lingena engqondweni?
Uxinzelelo lubangelwa kukuncipha kweekhemikhali zolonwabo/ezinamandla zobuchopho (iSerotonin, iNorepinephrine). Okwenziwa leli yeza kukuthintela ngokupheleleyo ukunqandwa kokuphinda kuthathwe kweekhemikhali zolonwabo ezikhutshwa yingqondo. Emva koko ingqondo izele zezo khemikhali, kwaye uxinezeleko lwesigulana luyanyangeka ngokupheleleyo. Kwakhona, kuba ithintela i-histamine, inika 'isiphumo sokuthomalalisa'.
💬 Zeziphi iziphumo ebezingalindelekanga ezicaphukisayo ezinokubakho ukuba uqhubeka nokusela ezi pilisi (TCA)?
Eli liyeza elidala (i-TCA) ngoko ke linemiphumo emibi emininzi! Linefuthe 'lokulwa ne-cholinergic', elibangela umlomo owomileyo, ukuqhina, ukubona okufipheleyo, kunye nobunzima bokuchama. Kwakhona, kukho umngcipheko omkhulu wokuba isingqisho sentliziyo yesigulana sitshintshe kwaye sibethe ngendlela engaqhelekanga (i-Arrhythmia/QT Prolongation), esisifo esibulalayo, ngoko ke ugqirha kufuneka ajonge i-ECG rhoqo.
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