Ngezinye izikhathi ukucindezeleka, ukudabuka, noma ukukhathazeka esikuzwayo kungaba nzima kakhulu. Ngezikhathi ezinjengalezi, udokotela wakho angase akunike umuthi wokukusiza. Namuhla sizoxoxa ngomunye umuthi onjalo. Uyinhlanganisela yemithi emibili ebizwa ngokuthi i-Chlordiazepoxide ne-Amitriptyline. Ngokuvamile isetshenziselwa ukwelapha ukucindezeleka kanye nezinkinga zokukhathazeka ezihambisanayo.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lokhu kuyinhlanganisela yemithi emibili esebenza njengeqembu ukusiza ukuzola ingqondo yakho.
1. I-Amitriptyline: Lokhu kungokweqembu lemithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs). Isebenza ngokulinganisa amazinga amakhemikhali amabili alawula imizwa ebuchosheni bethu, i-serotonin ne-norepinephrine. Cabanga ukuthi lokhu kuzosiza ekunciphiseni imizwa yakho yokudabuka nokukhungatheka futhi kukulethele umuzwa wenjabulo nokuphumula.
2. I-Chlordiazepoxide: Lona umuthi osesigabeni se-benzodiazepine. Usebenza ngokuthulisa uhlelo lwakho lwezinzwa. Unciphisa ukukhathazeka okungadingekile, ukungahlaliseki, kanye nokungahlaliseki, uletha ukuphumula okukhulu engqondweni nasemzimbeni.
Uma lokhu kokubili kuhlanganiswa, kungaba usizo olukhulu ekulawuleni kokubili ukucindezeleka kanye nokukhathazeka okuhambisana nakho ngesikhathi esisodwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho abe nesithombe esiphelele sempilo yakho. Kulapho kuphela lapho engakwazi khona ukukunikeza ukwelashwa okufanele nokuphephile kakhulu. Ngakho-ke, ngaphambi kokuqala lo muthi, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezingezansi.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Izifo zengqondo ezifana ne-bipolar noma i-schizophrenia | Lo muthi ungase ubhebhethekise ezinye izifo zengqondo. |
| Isifo se-Glaucoma | Kukhona ithuba lokwenyuka komfutho wamehlo. |
| Uma unesifo senhliziyo noma uhlaselwe yinhliziyo ngaphambilini | Kungathinta isigqi sokushaya kwenhliziyo. |
| Ubunzima bokuchama noma izinkinga ze-prostate | Lezi zinkinga cishe zizokwanda. |
| Isifo sezinso noma sesibindi | Umthamo kungadingeka ushintshwe ngoba uthinta ukususwa komuthi emzimbeni. |
| I-thyroid esebenza ngokweqile | Izimpawu zingase zihluke. |
| Isimo sezokwelapha esibangela ukuquleka | Ingozi yokuba nesifo sokuqina ingahluka. |
| Uma wena noma othile emndenini wakho eke waba nemicabango yokuzibulala | Lokhu kubaluleke kakhulu. Kudingeka ukunakwa okukhethekile ngesimo sengqondo ngemva kokuqala umuthi. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lo muthi ungalimaza ingane engakazalwa futhi ungadluliselwa enganeni ngobisi lwebele. |
Ngingawusebenzisa kanjani umuthi?
Thatha lo muthi ngengilazi yamanzi. Thatha kuphela umthamo owunikezwe udokotela wakho, ngesikhathi owunikezwe sona. Ungalokothi uthathe okungaphezu kwalokho okuwunikezwe.
Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Lokhu kufana nokumisa imoto egijima ngesivinini esikhulu ngokuzumayo. Ukwenza kanjalo kungenza izimpawu zakho zibe zimbi kakhulu futhi kubangele eminye imiphumela emibi eyingozi. Uma uyeka, yenza kanjalo kancane kancane, njengoba udokotela wakho ekutshelile, ngokunciphisa umthamo kancane kancane.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Lokhu akulona ihlaya.
Ingabe lokhu kungasebenzisana neminye imithi?
Yebo, impela. Lo muthi ungasabela kweminye imithi futhi ubangele izimo eziyingozi.
Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo oyinikwe udokotela wakho, kodwa futhi nePanadol ethengiswa ngaphandle kwemithi kadokotela, umuthi womkhuhlane, amaphilisi amavithamini, umuthi we-Ayurvedic, noma yini oyisebenzisayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Ngezansi kunezibonelo ezimbalwa nje. Lolu hlu aluphelele.
| UNGAYITHATHI nakancane le mithi. | |
|---|---|
| Ama-antidepressant e-MAOI (isib. iMarplan, iNardil) | I-Linezolid (i-antibiotic) |
| I-Methylene eluhlaza okwesibhakabhaka | Imithi yezifo zengqondo ezithile, njengePimozide neThioridazine |
| Qaphela kakhulu ngalezi zinto. | |
| Utshwala | Amaphilisi okulala, eminye imithi yokukhathazeka |
| Eminye imithi yomkhuhlane kanye nokungezwani komzimba (ama-Antihistamine) | Izibulala-zinhlungu (ikakhulukazi ama-opioid) |
| Imithi yokuquleka (isib. i-Carbamazepine) | Amahomoni e-thyroid |
Izinto okufanele uziqaphele lapho uthatha umuthi
I-Serotonin Syndrome
Lokhu kungaba yisimo esiyingozi. Kalula nje, yisimo lapho umzimba wakho unekhemikhali eningi kakhulu ebizwa ngokuthi i-serotonin. Lokhu kungenzeka uma uthatha omunye umuthi owandisa i-serotonin kanye nalomuthi. Uma uhlangabezana nezimpawu ezifana nokucasuka, ukuzizwa ungashukumiseki, ukushaya kwenhliziyo okusheshayo, ukuqaqamba kwemisipha, ukujuluka, umkhuhlane, ukuhlanza, kanye nesifo sohudo, funa usizo lwezokwelapha ngokushesha.
Ukushintsha kwesimo sengqondo
Abanye abantu bangase babe nokushintshashintsha kwemizwelo lapho beqala ukuthatha lo muthi, noma lapho umthamo ushintshwa. Uma uzizwa ukhathazekile kakhulu, ucasukile, noma udabukile, ikakhulukazi uma uzizwa sengathi ufuna ukuzilimaza, ungalokothi ungakunaki. Tshela ilungu lomndeni noma umngane ngokushesha bese ubona udokotela wakho.
Ukozela nokushayela
Lomuthi ungakwenza uzizwe ulele noma unesizungu . Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Ukuphuza utshwala kungenza lesi simo sibe sibi kakhulu.
Eminye imiphumela evamile
- Umlomo owomile: Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
- Ukuqunjelwa: Uma unenkinga yokuphuma indle izinsuku ezingu-2-3, tshela udokotela wakho. Yidla ukudla okune-fiber eningi futhi uphuze amanzi amaningi.
- Amehlo omile kanye nokungaboni kahle: Amaconsi amehlo agcobayo angasiza. Uma kuqhubeka, bona udokotela wamehlo.
- Ukuzwela kwelanga: Isikhumba sakho singase sizwele elangeni ngenkathi uthatha lo muthi. Ngakho-ke, sebenzisa isivikelo selanga bese usimboza uma uphuma elangeni.
Imiphumela emibi okufanele ibikwe kudokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, bona udokotela ngokushesha ngaphandle kokulibala.
| Umphumela Ongemuhle | Incazelo |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukwehla komsebenzi wesimiso sezinzwa esiyinhloko (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ukozela ngokweqile, ukuzizwa ubuthakathaka, ukudideka. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Ubuhlungu bamehlo obungazelelwe noma izinguquko zombono | Umbono ofiphele, ukubona indandatho ezizungeze izibani, ukulahlekelwa umbono. |
| Imicabango yokuzibulala | Ukushintshashintsha kwemizwa, imicabango yokuzilimaza. |
Umlayezo Wokuya Nawe Ekhaya
- Lomuthi ungowakho wedwa. Ungalokothi unike omunye umuntu umuthi wakho.
- Phuza umthamo njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele. Ungathathi omningi noma omncane.
- Tshela udokotela wakho nganoma yimiphi eminye imithi noma amavithamini owaphuzayo. Gwema utshwala ngokuphelele.
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Uma ubhekana noshintsho olukhulu esimweni sakho sengqondo noma ekuziphatheni kwakho, ikakhulukazi uma uzizwa sengathi ufuna ukuzilimaza, funa iseluleko sezokwelapha ngokushesha.
- Gwema imisebenzi eyingozi njengokushayela ngoba ubuthongo bungase buvele ngenkathi uthatha imithi.
- Gcina lo muthi endaweni ephephile kude nezingane nezilwane ezifuywayo.
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