Ingabe wena noma othile emndenini wakho uke wanikezwa umuthi obizwa ngokuthi i-Clomipramine ngudokotela wakho? Uma kunjalo, cishe unemibuzo eminingi ngalo muthi. Ungase uzibuze izinto ezinjengokuthi, "Lokhu kwenzani ngempela?", "Yimiphi imiphumela emibi?", "Yiziphi izinto okufanele uziqaphele ngenkathi usebenzisa?" Ungakhathazeki, sizoxoxa ngakho konke ngendlela elula nenobungane namuhla.
Uhlobo luni lomuthi i-Clomipramine?
Kalula nje, i-clomipramine umuthi oyinhloko osetshenziselwa ukwelapha i-Obsessive-Compulsive Disorder (OCD) , isimo sengqondo esibonakala ngemicabango ephindaphindayo kanye nezifiso zokwenza into efanayo. Ngezinye izikhathi, odokotela bangase bawunikeze nezinye izimo zengqondo.
Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs) . Amanye amakhemikhali (ama-neurotransmitters) atholakala ngokwemvelo ebuchosheni bethu asiza ukulawula imizwa yethu. Lo muthi usebenza ngokulinganisela amazinga ala makhemikhali, abizwa ngokuthi i-serotonin ne-norepinephrine, futhi usiza ukulawula izimpawu ze-OCD. ESri Lanka, ngezinye izikhathi ungathola lo muthi ngaphansi kwegama lomkhiqizo i-Anafranil.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala i-clomipramine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezingezansi.
- Uma ungumuntu othanda utshwala .
- I-asthma noma ezinye izinkinga zokuphefumula .
- Ezinye izimo zempilo yengqondo, njenge- bipolar disorder noma i-schizophrenia .
- Ubunzima bokuchama noma izinkinga ze-prostate.
- I-Glaucoma isifo samehlo.
- Uma unesifo senhliziyo noma uke wahlaselwa yinhliziyo ngaphambilini.
- Izifo zesibindi .
- Uma une-thyroid esebenza ngokweqile.
- Uma unesifo esibangela ukuxhuzula .
- Uma unemicabango yokuzilimaza, imicabango yokuzibulala, noma umlando womndeni wakho wemicabango enjalo.
- Uma une -allergy ku-clomipramine noma eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ukunikeza udokotela wakho lolu lwazi kuzomsiza ukuthi akwelaphe ngendlela ephephile ngangokunokwenzeka.
Ngiyisebenzisa kanjani ngempela le mithi?
- Thatha lo muthi nengilazi yamanzi.
- Kungcono ukuyithatha kanye nokudla noma ngokushesha ngemva kokudla ukuze ugweme ukucasuka kwesisu.
- Thatha umthamo onqunyiwe ngesikhathi udokotela wakho akuyalela ngaso. Ungalokothi uthathe ngaphezu kwenani elinqunyiwe.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa noma kwenze isimo sakho sibe sibi kakhulu.
Ingabe lo muthi unikezwa izingane?
Yebo, kwezinye izimo ezikhethekile, lo muthi unganikezwa izingane ezine-OCD ezingaphezu kweminyaka eyi-10. Kodwa kufanele wenziwe ngokuqapha okukhulu nangaphansi kokuqondisa kwezokwelapha.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umthamo ongaphezu kobekiwe, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma, shayela i-National Poisons Information Centre e-Colombo National Hospital. Lokhu kuyinto okungafanele ihlehliswe.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Eminye imithi engase ihlangane ne-clomipramine (Ukusebenzisana Kwemithi)
Lena yingxenye ebaluleke kakhulu. I-Clomipramine iyisidakamizwa esingasebenzisana neminye imithi eminingi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
| Ungayithathi i-clomipramine kanye nale mithi! | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Linezolid | I-Pimozide |
| I-Thioridazine | I-Methylene eluhlaza okwesibhakabhaka (engena emthanjeni) |
| Imithi ye-MAOI: njenge-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate. | |
| Le mithi ingase ihlangane ne-clomipramine (tshela udokotela wakho). | |
|---|---|
| Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane | Eminye imithi yokwelapha umfutho wegazi kanye nesifo senhliziyo |
| Eminye imithi esetshenziselwa i-migraines | Imithi yokulala nokukhathazeka |
| Izibulali-zinhlungu (ikakhulukazi izidakamizwa) | Eminye imithi yokucindezeleka noma imithi yokwelapha isifo sengqondo |
| Imithi enikezwayo yokuquleka (isib. iPhenobarbital, iPhenytoin) | Izinto zokunciphisa igazi ezifana ne-Warfarin |
| I-Digoxin, i-Lithium, i-Cimetidine, i-Haloperidol | Eminye imithi esetshenziswa njenge-anesthesia ngesikhathi sokuhlinzwa |
Izinto okufanele uzicabangele lapho uthatha umuthi
- Ukushintsha kwesimo sengqondo: Abanye abantu bangase babe nokushintsha kwesimo sengqondo lapho beqala ukuthatha lo muthi noma lapho umthamo ushintshwa. Uma unezimpawu ezintsha noma eziya ziba zimbi njengokucindezeleka okukhulu, ukucasuka, ukungaphumuli, ubunzima bokulala, noma imicabango yokuzibulala , tshela udokotela wakho noma umndeni wakho ngokushesha.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.Ukuze unciphise ingozi yokuba nesiyezi kanye nokuwa, ikakhulukazi uma ungumuntu osekhulile, kwenze kancane uma uhleli phansi lapho umile nalapho uvuka lapho uhleli.
- Utshwala: Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha i-clomipramine. Utshwala bungandisa imiphumela emibi yomuthi.
- Umlomo owomile: Umlomo owomile uwumphumela ovamile wecala. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela, ukugabha, nokuphuza amanzi amaningi.
- Imiphumela emehlweni: Amehlo omile, ukubona okufiphele, njll. kungase kwenzeke. Abagqoka amalensi okuxhumana bangase bangakhululeki. Amaconsi okugcoba angasetshenziswa. Uma inkinga iqhubeka, bona udokotela wamehlo.
- Ukuqunjelwa: Lo muthi ungabangela ukuqunjelwa. Zama ukuthutha indle okungenani kanye njalo ezinsukwini ezingu-2-3. Uma ungenawo indle ngemva kwezinsuku ezingu-3, shayela udokotela wakho.
- Ukuzwela elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, uma uzoba selangeni, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa i-sunscreen.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-clomipramine ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Serotonin Syndrome | Ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuquleka, ukuhlanza, uhudo. |
| Izinguquko ku-rhythm yenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Ezinye izimpawu ezinkulu | Ukuquleka, ubuhlungu bamehlo obungazelelwe noma ukushintsha kombono, ubunzima bokuchama, imicabango yokuzibulala. |
| Imiphumela emibi emincane okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Izinkinga ezivamile | Umlomo owomile, ukozela, isiyezi, ukuqunjelwa, ukuthuthumela, ukukhuluphala, izinguquko esifisweni socansi noma ekusebenzeni. |
Umlayezo Wokuya Nawe Ekhaya
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngesilinganiso esifanele nangesikhathi esifanele.
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, ngisho nemithi yendabuko oyithathayo.
- Qaphela imiphumela emibi kakhulu (ikakhulukazi izinguquko zengqondo, ukusabela kokungezwani komzimba, izinguquko ekushayeni kwenhliziyo). Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
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