Usenokuba usela amayeza anikwe ngugqirha ngenxa yokudakumba okukhulu. Kodwa ngamanye amaxesha, ngaba uvakalelwa kukuba amayeza odwa awanelanga, kwaye intlungu yakho, ukudinwa, kunye nokungabi namdla kuyo nayiphi na into kusakulawula? Ungakhathazeki, awuwedwa. Ngamanye amaxesha, amayeza aphambili okudakumba owasebenzisayo ngenxa yokudakumba afuna uncedo olongezelelweyo. Kulapho sithetha khona ngonyango olongezelelweyo olusetyenziswa ngoogqirha.
Kutheni amayeza okudakumba ngamanye amaxesha enganelanga?
Ukudakumba okukhulu, okanye oko sikubiza ngokwezonyango ngokuthi "iMajor Depression Disorder (MDD)", kungaphezulu kakhulu kunokuba lusizi nje. Yimeko yempilo yengqondo. Inokuphawulwa lusizi oluqhubekayo, ukudinwa kakhulu, ukuziva ungento yanto, ukuphelelwa ngumdla kwimisebenzi obukade uyonwabela, utshintsho kwiindlela zokulala, utshintsho ekutyeni, kwaye ngamanye amaxesha kwaneengcinga zokuphelisa ubomi bakho.
Ngokwesiqhelo, ugqirha wakho uya kukunika iyeza lokudakumba. Kodwa kwabanye abantu, elo yeza lodwa aliniki ncedo lupheleleyo. Licinge njengenjini ephambili yemoto. Kodwa ngamanye amaxesha loo njini ifuna ukongezwa kancinci ukuze isebenze kakuhle. I-Vraylar (ebizwa ngokuba yi: వ్రే-లర్) liyeza elongezelelweyo elinika olo hlobo loncedo.
Yintoni eyenziwa leli yeza elibizwa ngokuba yiVraylar emzimbeni?
Eli yeza elithi `Vraylar` liqulethe isithako esisebenzayo esithi `cariprazine`. Likudidi lwamayeza abizwa ngokuba yi `isizukulwana sesibini se-antipsychotics`. La luhlobo lwamayeza asetyenziselwa ukunyanga izifo zengqondo. La mayeza `esizukulwana sesibini` ahlukile kumayeza amadala kuba awanakho ukubangela iziphumo ebezingalindelekanga ezinxulumene nokuhamba (iimpawu ze-extrapyramidal), ezifana nokungcangcazela nokungaphumli.
Akukaziwa kakuhle ukuba eli yeza lisebenza njani. Kodwa esikwaziyo kukuba lisebenza ngokutshintsha umsebenzi we -serotonin kunye ne-dopamine, izithunywa ezimbini zeekhemikhali ezingqondweni zethu ezilawula imood. Njengokulungisa unomathotholo ukuze ufumane isandi esicacileyo, eli yeza lisebenza ngokulungisa imiyalezo yeekhemikhali engqondweni yakho kwaye lincede ekuphuculeni imood yakho.
Ulisebenzisa njani eli yeza?
I-'Vraylar' iza ngeekhaphu. Ingathathwa kube kanye ngemini, nokuba kutyiwe okanye akutyiwa. Eyona nto ibalulekileyo kukuyithatha kanye njengoko ugqirha wakho ekuyalele, ngexesha elimiselweyo.
Ngokwesiqhelo, ugqirha uza kuqala ngedosi encinci ye-1.5mg. Emva koko, ngokuxhomekeke kwindlela onyamezela ngayo amayeza kunye neziphumo, unganyusa idosi ukuya kwi-3mg emva kweeveki ezimbini.Xa unyanga ukudakumba, khumbula ukuba idosi ephezulu yale yeza yi-3mg ngosuku. Musa ukunyusa okanye ukunciphisa idosi okanye uyeke ngequbuliso, ucinga ukuba ingcono kuwe. Yonke into mayiyenziwe kuphela ngokwengcebiso kagqirha wakho.
Kubaluleke kakhulu: Qiniseka ukuba uyazi oku
Umngcipheko weengcinga nezenzo zokuzibulala unokwanda kancinci kwiinyanga zokuqala ezimbalwa zokuthatha iVraylar kunye nokutshintsha idosi. Le yinto ekufuneka ithathwe nzulu kakhulu.
Ukuba wena okanye umntu osondeleyo kuwe uhlangabezana nezi mpawu , kufuneka uthathe inyathelo ngoko nangoko.
- Ukuba uneengcinga zokuzenzakalisa, nceda uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
- Ngaphandle koko, fowunela iNational Institute of Mental Health (NIMH) ngo-1926.
- Thetha nomntu omthembayo ngale nto uze ubone ugqirha wakho ngokukhawuleza.
Hlala ujonge ezi mpawu:
- Iingcinga ezintsha okanye ezingaphezulu zifika engqondweni ukuze zonakalise ubomi bakho.
- Ndizama ukwenza into efana naleyo.
- Ixhala elitsha okanye elongezelelekileyo, ukudakumba, okanye olunye utshintsho olungaqhelekanga kwindlela yokuziphatha.
Iziphumo ebezingalindelekanga ezinokubakho ngamayeza kunye nendlela yokuzilungisa
Njengalo naliphi na iyeza, iVraylar inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ekubeni eli yeza lihlala emzimbeni ixesha elide, ezinye iziphumo ebezingalindelekanga zinokuvela emva kweeveki ezimbalwa. Nazi iziphumo ebezingalindelekanga eziphambili ezinokubonwa kunye nendlela yokuzilawula.
| Imiphumela | Ungayilawula njani? |
|---|---|
| Ukungazoli (akathisia) kunye nokungazoli | Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho ngoko nangoko. Usenokukwazi ukunciphisa umthamo wakho, akunike elinye iyeza lokulawula ezi mpawu, okanye akutshintshele kwelinye iyeza. |
| Ukudinwa okanye isiyezi | Ziphephe izinto ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba amayeza akuchaphazela njani. |
| Ukuqhinwa | Sela amanzi amaninzi. Yitya ukutya okunefayibha eninzi, njengeziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo. Zilolonge. Nciphisa ukutya inyama enamafutha kunye netshizi. Ukuba ezi zinto azincedi, thetha nogqirha wakho. |
| Isicaphucaphu | Sela amanzi amaninzi ukuze ungaphelelwa ngamanzi emzimbeni. Yitya ukutya okungeyondlwantyala njengesonka neebhanana. Musa ukutya okuninzi ngaxeshanye, yitya izidlo ezincinci ezimbalwa. Zigcine kude neevumba ezibukhali. Ukuba ziyaqhubeka, xelela ugqirha wakho. |
| Ukungalali | Ukuba unengxaki yokulala ebusuku okanye ukuhlala ulele, thetha nogqirha wakho ngale nto. |
| Ukwanda komnqweno wokutya kunye nokunyuka kobunzima | Yitya ukutya okunesondlo kwaye uzilolonge. Ugqirha wakho uza kujonga oku. Mhlawumbi uza kujonga ubunzima bakho, iswekile yegazi kunye namanqanaba e-cholesterol. |
Masifunde nangokusebenzisana kwamanye amayeza.
Amanye amayeza owasebenzisayo (amayeza ezinye izifo, iivithamini, amayeza esintu) asenokusebenzisana nala mayeza 'e-Vraylar'. Amanye amayeza anokunyusa iziphumo ebezingalindelekanga ze-'Vraylar', ngelixa amanye anokunciphisa ukusebenza kwe-'Vraylar'.
Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo, nokuba zeziphi na iivithamini ozisebenzisayo. Angatshintsha umthamo okanye akunike iingcebiso ezifanelekileyo ukuba kuyimfuneko.
Ukudakumba yimfazwe. Kodwa khumbula, kukho unyango olufanelekileyo kunye neengcebiso zonyango ezifanelekileyo zokukunceda kweli dabi.
Umyalezo Wokuya Ekhaya
- I-'Vraylar' liyeza elinikwa ukongeza kumayeza akho aphambili okuthomalalisa uxinezeleko, ukuphucula ukusebenza kwalo.
- Oku kufanele kusetyenziswe kuphela njengoko kuyalelwe ngugqirha. Ungaze utshintshe okanye uyeke umthamo ngokwakho.
- Kungathatha ixesha ukuba iyeza lisebenze ngokupheleleyo, ngoko yiba nomonde kwaye uqhubeke ulisebenzisa njengoko ugqirha wakho eyalele.
- Kubaluleke kakhulu: Kukho umngcipheko weengcinga zokuzibulala ngexesha lokuqala kokuthatha amayeza. Ukuba iingcinga ezinjalo ziyenzeka, yiya kwicandelo lezonyango elikufutshane (ETU) okanye utsalele umnxeba ku-1926.
- Iziphumo ebezingalindelekanga zinokwenzeka. Musa ukoyika ukuthetha ngazo ngokukhululekileyo nogqirha wakho.
- Kubalulekile ukuba wazise ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
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