Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Doxepin njengokwelashwa kokucindezeleka noma ukukhathazeka kwakho? Lapho uwuthola ngesimo sesisombululo, kungenzeka ukuthi wawukhathazekile kancane futhi waba nemibuzo embalwa. 'Luhlobo luni lomuthi?', 'Ngiwusebenzisa kanjani ngempela?', 'Ingabe kukhona imiphumela emibi?' Izinto ezinjalo cishe zisengqondweni yakho. Ungakhathazeki, sizoxoxa ngakho konke lokhu ngokucacile nangokulula namuhla.
Iyini ngempela i-Doxepin?
Kalula nje, i-Doxepin umuthi osetshenziselwa ukwelapha izimo ezinjengokucindezeleka nokukhathazeka. Iyingxenye yeqembu lemithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs).
Cabanga ngakho, kunezithunywa zamakhemikhali ezikhethekile ebuchosheni bethu ezilawula izinto ezifana nesimo sethu sengqondo, injabulo, kanye nokulala. Sibiza lezi zinto ngokuthi ama-neurotransmitter. I-Serotonin kanye ne-norepinephrine zimbili zezinto eziyinhloko. Ezimweni ezifana nokucindezeleka, ibhalansi yala makhemikhali iyashintsha ebuchosheni. Lokho okwenziwa yi-Doxepin ukwandisa amazinga alawa ma-serotonin kanye ne-norepinephrine ebuchosheni, okusiza ukugcina isimo sakho sengqondo sisezingeni elihle.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale ukuthatha lo muthi, kunezinto ezimbalwa okudingeka uzitshele udokotela wakho. Ungazifihli lezi zinto, ngoba zibaluleke kakhulu ekuphepheni kwakho. Ukwazi lezi zinto kuzosiza udokotela wakho ukuthi akunike ukwelashwa okufanele nokuphephile kakhulu.
| Yazisa udokotela wakho uma unalesi simo. | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo se-bipolar noma i-schizophrenia | Ngoba lo muthi ungabangela ukushintshashintsha kwemizwelo. |
| Isimo se-Glaucoma | Ngoba lo muthi ungandisa ukucindezeleka kwamehlo. |
| Isifo senhliziyo noma isifo sesibindi | Ngoba kungathinta indlela umuthi ophuma ngayo emzimbeni kanye nendlela osebenza ngayo. |
| Ubunzima bokuchama noma izinkinga ze-prostate | Ngoba lo muthi ungandisa lokho kungakhululeki. |
| Ukuphuza njalo | Utshwala bungandisa imiphumela emibi njengobuthongo kanye nesiyezi. |
| Imicabango noma imizamo yokuzibulala (yakho noma yomunye umuntu emndenini wakho) | Lokhu kubaluleke kakhulu. Udokotela kufanele aqaphele le micabango njengoba ingashintsha ngesikhathi sokuqala kokuthatha umuthi. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Ukuthola ukuthi umuthi ungase uthinte ingane. |
| Uma une-allergies kweminye imithi, ukudla noma izinto ezithile | Ukuthola ukuthi une-allergy ku-Doxepin noma kunoma yiziphi izithako zayo. |
Ngiyisebenzisa kanjani ngempela le mithi?
Kulungile, manje ake sibone ukuthi singayisebenzisa kanjani kahle le sixazululo. Lesi sihlukile kancane, ngakho-ke lalelisisa.
- Shukumisa kahle: Shukumisa ibhodlela kahle ngaphambi kokusebenzisa.
- Ukulinganisa okulungile: Uzonikezwa i-dropper ekhethekile ukuze ulinganise umuthi. Linganisa inani eliqondile udokotela akutshela ukuthi ulithathe.
- Phuza njengoketshezi: Ngaphambi kokuthatha umuthi, hlanganisa inani elilinganisiwe nengxenye yengilazi (cishe i-120 ml) yamanzi, ubisi, i-orenji, i-grapefruit, utamatisi, iplamu (i-prune) noma ujusi wephayinaphu, uvuselele kahle bese uphuza.
- Kubaluleke kakhulu: Ungaxubi lokhu neziphuzo ezine-carbonated, njenge-soda, noma ijusi yamagilebhisi nganoma yisiphi isizathu. Ukwenza kanjalo kungenza umuthi ungasebenzi kahle.
- Yithathe ngesikhathi:Thatha umthamo onqunyiwe ngesikhathi esinqunyiwe. Ungathathi okungaphezu kwalokho udokotela wakho akutshele khona.
- Ungayeki ukuthatha lo muthi ngokuzumayo: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungandisa imiphumela emibi noma kube kubi kakhulu isimo sakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Ukudlula umthamo)
Ake sithi usuthathe lo muthi omningi kakhulu. Uma lokho kwenzeka, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Ungakuthathi lokhu njengehlaya, kubaluleke kakhulu ukuthatha isinyathelo ngokushesha.
Izinto okufanele uzikhumbule lapho uthatha imithi
Izinguquko esimweni sengqondo
Uma uqala ukuthatha lo muthi, ikakhulukazi emasontweni ambalwa okuqala, wena nomndeni wakho kudingeka niqaphele kakhulu. Ngezinye izikhathi ungase uzizwe sengathi umfutho wegazi wakho uyakhuphuka, noma ungase ube nemicabango yokuzibulala. Futhi, qaphela noma yiziphi izinguquko ezisheshayo esimweni sakho sengqondo. Isibonelo:
- Ukuphazamiseka kakhulu, ukukhathazeka
- Imizwa yentukuthelo nolaka
- Ukusebenza ngokunganaki
- Ukungalali noma ukusebenza ngokweqile
Uma uhlangabezana nanoma yini efana nale, ikakhulukazi uma uqala ukuthatha umuthi noma ngemva kokushintsha umthamo, khuluma nodokotela wakho ngokushesha.
Amanye amaphuzu abalulekile
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lokhu kukuthinta kanjani. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile.
- Utshwala: Gwema ukuphuza utshwala. Utshwala bungakwenza uzizwe ulele kakhulu futhi unesiyezi.
- Umlomo owomile: Uma umlomo wakho womile, ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi kungasiza. Uma inkinga iqhubeka, tshela udokotela wakho.
- Ukuzwela elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma uphuma, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa umuthi wokuvikela ilanga.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Doxepin ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kubalulekile ukuyiqaphela.
| Umphumela ongemuhle | Incazelo kanye nezimpawu |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuhlanza, isifo sohudo. |
| Izinkinga zamehlo | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, ukubona indandatho ezizungeze izibani. |
| Imicabango yokuzibulala | Imicabango yokuzilimaza, ukucindezeleka okukhulu, qaphela. |
| Ubunzima bokuchama | Ukungakwazi noma ubunzima bokuchama. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukozela | Lokhu kungase kunciphe njengoba umzimba ujwayela imithi. |
| Umlomo owomile | Ukuphuza amanzi kanye namaswidi angenashukela kungasiza. |
| Ukuqunjelwa | Kubalulekile ukudla ukudla okune-fiber eningi bese uphuza amanzi. |
| Ukwanda kwesisindo | Nakekela ukudla kwakho nokuzivocavoca umzimba. |
| Izinguquko ekusebenzeni kocansi | Ukwehla kwesifiso socansi noma izinguquko ekusebenzeni komzimba. |
Umlayezo Wokuya Nawe Ekhaya
- I-Doxepin umuthi okufanele usetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngokuphelele ngazo zonke izimo zakho zezokwelapha kanye nanoma yimiphi eminye imithi oyithathayo.
- Ungaxubi umuthi nejusi yamagilebhisi noma iziphuzo ezine-carbonated njenge-soda.
- Emasontweni ambalwa okuqala, qaphela kakhulu nganoma yiziphi izinguquko esimweni sakho, ikakhulukazi imicabango yokuzibulala. Uma lokhu kwenzeka, tshela udokotela wakho ngokushesha.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Umuthi/isiraphu ye-Doxepin ewuketshezi isetshenziselwani?
Lona umuthi wezifo zengqondo wesizukulwane esidala futhi onamandla (TCA - Tricyclic Antidepressant) osetshenziswa ukulawula 'Ukucindezeleka/Ukukhathazeka'! Kodwa-ke, odokotela abaningi namuhla basebenzisa lolu ketshezi (Silenor/Doxepin) ngemithamo ephansi njengephilisi/umuthi wokulala osebenza kahle futhi ophephile 'weziguli ezinenkinga yokungalali kanye nalabo abavuka ebusuku futhi abangakwazi ukulala (inkinga yokungalali).'
💬 Lolu ketshezi (i-Doxepin) lungasisiza kanjani isiguli ukuba silale ngokushesha ngenkathi kunciphisa ukucindezeleka?
Kuyiqiniso ukuthi lo muthi wandisa amakhemikhali ajabulisayo (i-Serotonin, i-Norepinephrine) ebuchosheni ukuze kuncishiswe ukucindezeleka. Kodwa lo muthi unelinye ikhono elimangalisayo! Okusho ukuthi, uvimba/uvala 'i-histamine (ama-Histamine / ama-H1 receptors - ikhemikhali esigcina siphapheme/siqaphile)' ebuchosheni ngo-100%. Lapho i-histamine isiphelile, isiguli simane silale ubuthongo obukhulu njengedwala elingenakubekezelelwa (i-Sedation).
💬 Yimiphi imiphumela emibi eyinhloko kanye nezingozi (Isexwayiso Sebhokisi Elimnyama) ezingaba khona uma uphuza loluju?
Lona umuthi omdala (i-TCA), ngakho-ke unemiphumela emibi eminingi yokulwa ne-cholinergic! Umlomo owomile, ukuqunjelwa, ukubona okufiphele, kanye nomphumela omncane we-hangover ngakusasa ekuseni. Enye into eyingozi ukuthi kungabangela ukuphazamiseka kwengqondo okukhulu kanye 'nemicabango yokuzibulala' ebhubhisayo kwezinye izingane ezincane kanye neziguli!
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