Uma udokotela wakho ekubhalela umuthi omusha wokucindezeleka kwakho, kuvamile ukuba nemibuzo eminingi engqondweni yakho. Ungase uzibuze izinto ezinjengokuthi, "Kuzokwenzekani ngalokhu?", "Ingabe kuzoba nemiphumela emibi?", "Ingabe lokhu kuzongisebenzela?" Ungakhathazeki. Namuhla, sizokhuluma ngomuthi owunikezwe wona, i-Desvenlafaxine. Ngemva kokufunda lokhu, uzoba nokuqonda okungcono ngalo muthi.
Kalula nje, iyini i-Desvenlafaxine?
I-Desvenlafaxine umuthi osetshenziselwa ukwelapha ukucindezeleka . Ngezinye izikhathi ithengiswa ngaphansi kwegama lomkhiqizo i-Pristiq noma i-Khedezla.
Cabanga ngakho sengathi kukhona amakhemikhali amabili ebuchosheni bakho afana nezithunywa ezincane ezithwala imiyalezo. Yi -serotonin kanye ne -norepinephrine . Lawa amabili yiwo asiza ukugcina isimo sethu sengqondo sijabule, sikhululekile, futhi sizinzile. Kumuntu ocindezelekile, umsebenzi walezi zithunywa ebuchosheni ungase wehliswe kancane.
Ngakho-ke, lokho okwenziwa yilesi sidakamizwa esibizwa ngokuthi i-Desvenlafaxine ukuthi sigcina lezo zithunywa ezimbili ebuchosheni isikhathi eside futhi sizisize zenze umsebenzi wazo kahle. Sibiza lezi zinhlobo zemithi ngokuthi ama-SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) . Kalula nje, lesi yisidakamizwa esisiza ukuthuthukisa isimo sakho sengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-Desvenlafaxine, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
- Umfutho wegazi ophakeme: Lo muthi ngezinye izikhathi ungabangela ukwenyuka okuncane komfutho wegazi. Ngakho-ke, uma usuvele unomfutho wegazi ophakeme, kubaluleke kakhulu ukwazisa udokotela wakho.
- I-Glaucoma: Isifo esihlobene nokucindezeleka kwamehlo.
- Isifo sezinso noma sesibindi: Njengoba imithi ikhishwa emzimbeni ngalezi zitho, udokotela kufanele aqaphele umsebenzi wazo.
- I-Bipolar noma i-Mania: Lezi ezinye izimo ezihlobene nemizwelo.
- Imicabango noma imizamo yokuzibulala: Lokhu kubaluleke kakhulu. Qiniseka ukuthi utshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enomlando walokhu.
- Ukungezwani komzimba neminye imithi: Ikakhulukazi uma une-allergy kulo muthi (i-Desvenlafaxine) noma umuthi obizwa ngokuthi i-Venlafaxine.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa: Udokotela wakho kuphela onganquma ukuthi uzokunika lo muthi noma cha, futhi uma kunjalo, uzowunikeza kanjani.
Khumbula, ungamfihli lutho udokotela wakho. Ukunemba kolwazi olunikezayo kungokwezokuphepha kwakho.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Lokhu kuvame ukuza ngesimo sephilisi.
- Gwinya ithebhulethi lonke ngengilazi yamanzi.
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi. Lawa enzelwe ukukhululwa isikhathi eside. Ukuwaphula kungabangela ukuthi umuthi omningi ungene emzimbeni ngesikhathi esisodwa.
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke ngangokunokwenzeka. Lokhu kuzosiza ukugcina amazinga omuthi emzimbeni wakho ehambisana.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa ezifana nokuzungeza, isicanucanu, kanye nobuthakathaka. Uma udinga ukuyeka ukuthatha umuthi, yenza lokho udokotela wakho akutshele khona, wehlise kancane kancane umthamo.
Kuthiwani uma uphuza kakhulu ngephutha? (Ukuphuza ngokweqile)
Uma ucabanga ukuthi uthathe okungaphezu kwalokho okucabangayo, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, kungakapheli amahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nalo muthi
I-Desvenlafaxine ingasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye notshwala. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela kanye nemithi ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, kanye namavithamini.
| Uhlobo lokusabela | Izibonelo (lezi ezinye nje) |
|---|---|
| Ungayithathi i-Desvenlafaxine nalezi zinto. | Ama-antidepressants e-MAOI (isb., uParnate, uNardil) I-Linezolid (i-antibiotic) I-Methylene eluhlaza okwesibhakabhaka (umjovo) I-Venlafaxine, i-Duloxetine (nazo ziseqenjini elifanayo lemithi ye-SNRI) |
| Qaphela kakhulu lapho uhamba nalezi zinto. | Utshwala I-aspirin kanye ne-NSAID-type painkillers (isib. i-Ibuprofen, i-Naproxen) Imithi evimbela ukujiya kwegazi (isib. i-Warfarin) Eminye imithi yokwelapha i-migraine (Triptans) Izibulala-zinhlungu ezifana neTramadol Imikhiqizo yamakhambi njenge-St. John's Wort |
Izinto okufanele uzikhumbule lapho uthatha imithi
- Imiphumela ithatha isikhathi: Kungathatha amasonto amaningana (mhlawumbe 4-6) ukuthi lo muthi ukwenze uzizwe ungcono futhi uthuthukise isimo sakho sengqondo. Ngakho-ke ungayeki ukuwuthatha ngoba awubonanga mehluko omkhulu esontweni lokuqala. Yiba nesineke futhi uqhubeke nokuwusebenzisa njengoba kuqondiswe udokotela wakho.
- Qaphela izinguquko esimweni sakho sengqondo: Lokhu kubaluleke kakhulu. Uma unemicabango yokuzibulala , ukukhathazeka okukhulu, ukucasuka, noma ukungahlaliseki, ikakhulukazi lapho uqala ukuthatha imithi noma lapho umthamo wakho ushintshwa, khuluma nodokotela wakho ngokushesha. Kubalulekile futhi ukugcina umndeni wakho unolwazi ngalezi zinguquko.
- Umfutho wegazi: Udokotela wakho uzohlola umfutho wegazi lakho njalo ngenkathi uthatha imithi.
- Ukozela kanye nesiyezi: Kungase kube nesiyezi kanye nokozela. Ngakho-ke, gwema ukwenza imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka uhleli.
- Umlomo owomile: Ungase ube nomlomo owomile. Ukuhlafuna itshungama engenashukela nokuphuza amanzi kungasiza.
Yimiphi imiphumela emibi engingayithola?
Njengayo yonke imithi, i-Desvenlafaxine ingabangela imiphumela emibi kwabanye abantu, yize kungebona bonke abantu abayitholayo. Ithebula elingezansi linikeza isithombe esicacile salokhu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| I-Serotonin Syndrome | Ukungaphumuli okumangalisayo, ukushaya kwenhliziyo okusheshayo, ukucindezeleka kwemisipha, ukujuluka ngokweqile, umkhuhlane omkhulu, kanye nokuxhuzula. |
| Imicabango yokuzibulala | Imicabango yokuzilimaza, ukushintshashintsha kwemizwelo. |
| Ezinye izimpawu ezinkulu | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, ukuxhuzula, izimpawu zamazinga aphansi e-sodium (ubuthakathaka bemisipha, ukukhathala okukhulu, ukudideka). |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Izinto ezivamile ezingenzeka | Isicanucanu, ukuqunjelwa, isiyezi, ukujuluka ngokweqile, ukulahlekelwa yisifiso sokudla, ukuqwasha, izinguquko zesifiso sobulili noma ukusebenza komzimba. |
Umlayezo Wokuya Nawe Ekhaya
- I-Desvenlafaxine (i-Pristiq) umuthi olinganisela amakhemikhali ebuchosheni futhi usetshenziselwa ukwelapha ukucindezeleka.
- Kungathatha amasonto ambalwa ukuthi lo muthi ubonise imiphumela yawo ephelele, ngakho-ke bekezela futhi uqhubeke nokuwusebenzisa.
- Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi, utshwala, kanye nemikhiqizo yamakhambi oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi eyingozi njengemicabango yokuzibulala, ukungezwani komzimba, noma i-serotonin syndrome.
- Uma uneminye imibuzo mayelana nalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.
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