Ingabe ngezinye izikhathi uzizwa ukhungathekile, udabuke kakhulu, noma uqaphela ukungabi nandaba nhlobo nezinto ovame ukuzijabulela? Sicela wazi ukuthi akudingeki uhlupheke wedwa. Ngesiqondiso esifanele sezokwelapha, futhi uma kudingeka, umuthi ofanele, kungenzeka ngokuphelele ukunqoba le mizwa. Namuhla, sixoxa nge-Amoxapine, umuthi osetshenziselwa ukwelapha isimo esaziwa ngokwezokwelapha ngokuthi ukucindezeleka.
Iyini i-Amoxapine? Kalula nje…
I-Amoxapine umuthi onikezwa ngodokotela osetshenziswa kakhulu ukwelapha ukucindezeleka. Ngaphakathi kobuchopho bakho, kunezithunywa zamakhemikhali ezibizwa ngokuthi i-serotonin kanye ne-norepinephrine ezidlala indima ebalulekile ekulawuleni isimo sakho sengqondo, injabulo, kanye nenhlalakahle yakho yonke ngokomzwelo. I-Amoxapine isebenza ngokusiza ubuchopho bakho ukuthi bukhuphule amazinga ala makhemikhali, angasiza ekuphakamiseni isisindo sokucindezeleka futhi athuthukise isimo sakho sengqondo. Lo muthi ungowesigaba semithi eyaziwa ngokuthi ama-tricyclic antidepressants (TCAs). Ngezinye izikhathi, odokotela bangase bawunikeze nezinye izimo. Uma unemibuzo, umuntu ongcono kakhulu ongaxhumana naye udokotela wakho noma usokhemisi. Igama lomkhiqizo elidumile lalo muthi yi-Asendin.
Yini okufanele uyitshele udokotela wakho ngaphambi kokuthatha lo muthi?
Ngaphambi kokuthi uqale ukuthatha i-Amoxapine, kunezinto ezithile okufanele uzazi nodokotela wakho. Lolu lwazi lubalulekile kubo ukuze banqume ukuthi lo muthi uphephile yini kuwe futhi banqume umthamo ofanele.
Nazi ezinye izinto ezibalulekile okufanele uxoxe ngazo:
- Ingabe unenkinga yokuchama?
- Ingabe unezinkinga zamehlo njenge -Glaucoma ?
- Ingabe unomlando wesifo senhliziyo noma uke waba nokuhlaselwa yinhliziyo muva nje?
- Ingabe unezinkinga zempilo ezihlobene nezinso ?
- Ingabe unezinkinga zesibindi?
- Ingabe unezimo ezifana nesifo sikaParkinson ?
- Ingabe unesifo sokuwa noma isifo sokuwa?
- Ingabe ucabanga ngokuzibulala, noma kukhona umlando walokhu emndenini wakho?
- Wake waba nokusabela kokungezwani komzimba ne-Amoxapine, noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi?
- Ingabe ukhulelwe noma uzama ukukhulelwa njengamanje?
- Ingabe okwamanje uyancelisa?
Kubaluleke kakhulu ukuvuleleka ngokuphelele kudokotela wakho ngalezi zici.
Kufanele uwuthathe kanjani lo muthi?
Ake sibheke ukuthi ungawuthatha kanjani lo muthi ngendlela efanele.
Lona umuthi ophuzwayo okufanele uphuzwe nengilazi yamanzi. Landela imiyalelo yakho yelebula likadokotela njengoba nje udokotela wakho ekuyalile. Ungalokothi uthathe okungaphezu noma okungaphansi komthamo owubekiwe.
Elinye iphuzu elibalulekile: ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungakwenza uzizwe ungaphilile noma kubangele izimpawu zakho zibuye. Uma udinga ukuyeka, udokotela wakho uzokuqondisa ukuthi unganciphisa kanjani kancane kancane umthamo.
Ikhemisi lakho lizokunikeza i-MedGuide yalo muthi. Sicela uqinisekise ukuthi uyayifunda ngokucophelela njalo uma uthola umuthi omusha noma ugcwalisa kabusha.
Uma lo muthi unikezwa ingane, kudingeka uqaphele kakhulu. Sicela uxoxe ngalokhu ngokugcwele nethimba lakho lezempilo.
Okubalulekile: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngawo nabanye, noma ngabe banezimpawu ezifanayo nezakho.
Kwenzekani uma uthatha kakhulu? (Umthamo oweqile)
Uma usola ukuthi uthathe okungaphezu komthamo onqunyiwe, xhumana ngokushesha nezinsizakalo eziphuthumayo zasendaweni (911) noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa lowo ophuthelwe bese ubuyela esimisweni sakho esijwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele lowo ophuthelwe.
Yini engasebenzisana nalo muthi? (Ukusebenzisana)
Lokhu kuyinkinga ebaluleke kakhulu yokuphepha. I-Amoxapine ingasebenzisana nezinye izinto, okungase kubangele imiphumela emibi engafuneki noma kushintshe indlela umuthi osebenza ngayo.
Gwema lokhu nge-Amoxapine:
- I-Linezolid
- Ama-MAOI (isib., i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, kanye ne-Parnate)
- I-Maprotiline
- I-Methylene eluhlaza okwesibhakabhaka
- I-St. John's Wort
- Amanye ama-antidepressant e-tricyclic (isb., i-amitriptyline)
Okunye ukuxhumana okungenzeka kufaka phakathi:
- Utshwala
- Ama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela, noma umkhuhlane
- I-Atropine
- Ama-Barbiturates (isb., i-phenobarbital)
- Imithi yokukhathazeka noma yokusiza ukulala
- Imithi yesinyi (isib. i-oxybutynin, i-tolterodine)
- Eminye imithi ethile yezifo zengqondo
- Imithi yesifo sikaParkinson (isb., i-benztropine, i-trihexyphenidyl)
- Imithi yesisu (isb., i-dicyclomine, i-hyoscyamine)
- Imithi yokugula okuhambayo (isb., i-scopolamine)
- I-Cimetidine
- I-Flecainide
- I-Furazolidone
- I-Ipratropium
- I-Loxapine
- I-Procarbazine
- I-Propafenone
- I-Quinidine
Lolu hlu aluphelele. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela noma ethengwa ngaphandle kwemithi kadokotela), imikhiqizo yamakhambi, amavithamini, kanye nezithasiselo zokudla. Ngaphezu kwalokho, dalula ukuthi ubhema, uphuza utshwala, noma usebenzisa noma yiziphi ezinye izinto. Izinto ezithile zingathintana ngendlela eyingozi nalo muthi.
Yini okufanele uyiqaphele lapho usebenzisa lo muthi?
Kunezici eziningana okudingeka uziqaphele ngenkathi usebenzisa lolu hlelo lokwelashwa.
- Uma izimpawu zakho zingathuthuki noma ziqala ukuba zimbi kakhulu, sicela wazise udokotela wakho. Ukuqokwa njalo kokulandela kubalulekile ukuze kuqashwe intuthuko yakho. Kungathatha amasonto ambalwa ukuzwa izinzuzo ezigcwele zalo muthi, ngakho-ke kubaluleke kakhulu ukuqhubeka nokuwuthatha njengoba nje udokotela wakho ekuyalile.
- Ulwazi Olubalulekile Lokuphepha: Wena, abanakekeli bakho, noma umndeni wakho kufanele niqaphele noma yiziphi izinguquko ezisheshayo esimweni sengqondo noma ukucindezeleka okubi kakhulu. Ngokukhethekile, qaphela izimpawu ezinjengokwanda kwemicabango yokuzilimaza, ukungahlaliseki okukhulu, ukucasuka, ubutha, ukushesha, ukukhathazeka okukhulu, noma ukuphazamiseka kokulala —ikakhulukazi lapho uqala umuthi noma ngemva kokushintsha umthamo. Xhumana nethimba lakho lezokwelapha ngokushesha uma lokhu kwenzeka.
- Lo muthi ungabangela ukozela noma isiyezi. Kuze kube yilapho wazi ukuthi kukuthinta kanjani, gwema ukushayela, ukusebenzisa imishini, noma ukwenza imisebenzi edinga ukugxila engqondweni. Uma ungumuntu omdala, gwema ukuvuka ngokushesha uhleli noma ulele phansi ukuze uvimbele isiyezi kanye nokuwa okungenzeka. Gwema utshwala, njengoba bungaphazamisa indlela lo muthi osebenza ngayo.
- Ungathathi noma yimiphi imithi ethengwa ngaphandle kwemvume kadokotela yokukhwehlela, umkhuhlane, noma ukungezwani komzimba ngaphandle kokubonisana nodokotela wakho kuqala, njengoba ezinye izithako zingase zandise ingozi yemiphumela emibi.
- Uma uzwa umlomo owomile, ungawulawula ngokuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, noma ukuphuza amanzi usuku lonke. Sicela wazise udokotela wakho uma lokhu kuqhubeka noma kuba kubi kakhulu.
- Lo muthi ungabangela amehlo omile kanye nokungaboni kahle. Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Ukusebenzisa amaconsi amehlo agcobayo kungasiza. Uma lezi zinkinga ziqhubeka noma ziba zimbi kakhulu, sicela uxhumane nochwepheshe wamehlo akho.
- Ukuqunjelwa kungaba umphumela ongemuhle. Zama ukugcina ukuhamba kwamathumbu njalo. Uma ungazange uphume emanzini izinsuku ezintathu, xhumana nethimba lakho lezokwelapha.
- Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Qaphela elangeni; sebenzisa isivikelo selanga kanye nezingubo zokuzivikela uma kufanele ube ngaphandle. Gwema ukusebenzisa izibani zelanga noma imibhede yokushiswa kwelanga.
Yiziphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Amoxapine ingaba nemiphumela emibi. Akuwona wonke umuntu ozobhekana nayo, kodwa kubalulekile ukuyiqaphela.
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nale miphumela emibi:
- Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, noma ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, noma ubunzima bokuphefumula.
- Izimpawu ze-Neuroleptic Malignant Syndrome: Umkhuhlane ophakeme, imisipha eqinile, ukujuluka okukhulu, ukushaya kwenhliziyo okusheshayo/okungajwayelekile, kanye nokudideka.
- Izimpawu ze-Serotonin Syndrome: Ukuphazamiseka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka, umkhuhlane, ukuthuthumela, ukuhlanza, noma isifo sohudo.
- Ubuhlungu noma ukushintsha kwamehlo ngokuzumayo: Ukubona okufiphele, ukubona ama-halo azungeze izibani, noma ukulahlekelwa umbono.
- Imicabango yokuzilimaza, isimo sengqondo esibi kakhulu, noma ukucindezeleka okujulile.
- Izimpawu Zezimpawu Zangaphandle Kwe-Pyramidal (EPS): Ukunyakaza komzimba okungalawulwa noma okuphindaphindayo, ukuqina kwemisipha, ukuthuthumela, ukulahlekelwa ibhalansi, ukungaphumuli, noma ukuhamba kancane.
Imiphumela emibi evamile engase ingadingi ukunakekelwa okuphuthumayo kodwa okufanele ibikwe uma iqhubeka:
- Izinguquko esifiso noma ekusebenzeni kocansi.
- Ukuqunjelwa.
- Isiyezi.
- Ukozela.
- Umlomo owomile.
- Ukuthuthumela.
Lolu akulona uhlu oluphelele lwazo zonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, sicela uxhumane nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA (1-800-FDA-1088).
Kufanele uwugcine kanjani lo muthi?
Indawo yokugcina izinto ngendlela efanele ibalulekile:
- Gcina kude nezingane.
- Gcina ekamelweni lokushisa (15°C kuya ku-30°C / 59°F kuya ku-86°F).
- Vikela ekukhanyeni.
- Gcina isitsha sivaliwe kahle.
- Lahla noma yimuphi umuthi ophelelwe yisikhathi ngendlela efanele.
Umlayezo Wokuya Nawe Ekhaya
Sesixoxe ngezici eziningi ze-Amoxapine. Khumbula, lokhu kumane nje kuyisifinyezo. Uma uneminye imibuzo mayelana nemithi yakho, sicela ukhulume nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.
Ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngemibuzo nemizwa yakho. Bakhona ukukusekela. Ukucindezeleka kuyisimo esilawulekayo nesingelapheka.
Ukulandela uhlelo lwakho lokwelashwa, ukunamathela eselulekweni sikadokotela wakho, nokubagcina benolwazi nganoma yiziphi izinguquko obhekana nazo kuyindlela engcono kakhulu yokululama eNirogi Lanka.
Amagama angukhiye: I-Amoxapine, Umuthi Wokucindezeleka, Impilo Yengqondo, I-Serotonin, I-Norepinephrine, I-TCA, Imiphumela Engemihle
