Ingabe usuhlushwa ukucindezeleka isikhathi eside? Mhlawumbe usuzame imithi eminingana oyinikezwe udokotela wakho, kodwa awukazizwa ungcono. Namuhla sikhuluma ngokwelashwa okukhethekile okungasiza labo abahlushwa ukucindezeleka okukhulu futhi abangasabeli kahle kwezinye izindlela zokwelapha. Lesi yi-Esketamine Nasal Spray.
Kuyini i-Esketamine?
Kalula nje, i-Esketamine umuthi osetshenziselwa ukwelapha ukucindezeleka. Kodwa akuyona imithi evamile enikezwa wonke umuntu. Odokotela bavame ukunikeza lo muthi uma eminye imithi yokucindezeleka ingakasizi . Kuyisifutho samakhala . Elinye lamagama adumile emakethe yi-Spravato.
Lo muthi ungasetshenziswa nakwezinye izimo ngaphandle kokucindezeleka. Ungakhuluma nodokotela wakho ngalokhu ukuze uthole ulwazi olwengeziwe.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala lokhu kwelashwa. Ungafihli ngisho nesifo esincane onaso. Lo muthi awufanele wonke umuntu. Uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo sezokwelapha/uhlobo lolwazi | Incazelo |
|---|---|
| Izifo zemithambo yegazi | Uma unesifo semithambo yegazi noma kuphi emzimbeni, njengobuchopho, isifuba, izingalo, noma imilenze. |
| Isifo senhliziyo kanye nomfutho wegazi | Umfutho wegazi ophakeme, isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ukuhlaselwa yinhliziyo ngaphambilini. |
| Umlando ohlobene nobuchopho | Uma uke waba nesifo sohlangothi ngaphambilini, umlando wokopha ebuchosheni, noma ukulimala okukhulu ekhanda. |
| Impilo yengqondo | Izifo zengqondo ezifana ne-schizophrenia, i-dementia (ukulahlekelwa yinkumbulo), noma uma wena noma othile emndenini wakho eke waba nemicabango noma izinhlelo zokuzibulala. |
| Ezinye izimo zempilo | Isifo sesibindi, umlando wokulutheka ngezidakamizwa noma utshwala (isifo sokusebenzisa izidakamizwa). |
| Ukungezwani komzimba | Uma une-allergy ku-Esketamine, i-Ketamine, noma yimuphi omunye umuthi, ukudla, noma idayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Uyisebenzisa kanjani le mithi?
Lena yinto ebaluleke kakhulu okudingeka uyazi. Lona akuyona imithi ongayithatha uye nayo ekhaya uyoyisebenzisa.
Lomuthi kufanele usetshenziswe esibhedlela noma emtholampilo kuphela, ngaphansi kokuqondisa ngqo kukadokotela noma uchwepheshe wezempilo oqeqeshiwe.
- Uzifutha wena ngokwakho: Udokotela wakho noma umhlengikazi uzokukhombisa ngokucacile ukuthi ungayisebenzisa kanjani le divayisi yokufutha ekhaleni, ukuthi kufanele isetshenziswe kangaki, nokuthi kufanele isetshenziswe nini. Uzoyifutha ekhaleni lakho wena ngokwakho ngaphansi kokuqondisa kwabo.
- Qaphela amahora amaningana: Ngemva kokuthatha umuthi, uzoqashelwa okungenani amahora amabili.Ithimba lezokwelapha lizokuqapha. Lizohlola izinto ezifana nomfutho wegazi lakho kanye nokushaya kwenhliziyo bese linquma ukuthi ukulungele yini ukuya ekhaya.
- Ukushayela akuvunyelwe: Lokhu kubaluleke kakhulu. Awukwazi ukushayela imoto nganoma yisiphi isizathu ngosuku lokuphuza umuthi. Awukwazi futhi ukwenza noma yini edinga ukunakekelwa kwengqondo okugcwele. Kubalulekile ukuthi ilungu lomndeni noma umngane eze ukuzokuthatha akuyise ekhaya. Uzokwazi ukushayela ngendlela evamile futhi ngosuku olulandelayo ngemva kokulala kahle ebusuku.
- Qaphela ngokudla nokuphuza: Lo muthi ungabangela isicanucanu nokuhlanza. Ngakho-ke, kufanele uyeke ukudla okungenani amahora ama-2 ngaphambi kokuthatha ukwelashwa. Kufanele uyeke nokuphuza uketshezi, njengamanzi, okungenani imizuzu engama-30 ngaphambi kokuthatha umuthi.
- Ezinye izifutho zamakhala: Uma usebenzisa ezinye izidakamizwa zokuhlanza amakhala noma izidakamizwa zokuhlanza amakhala, kufanele uzisebenzise okungenani ihora elilodwa ngaphambi kokuthatha lolu hlobo lokwelashwa lwe-Esketamine.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma unomuzwa wokuthi uphuze umuthi ngokweqile nganoma iyiphi indlela, yazisa ithimba lezokwelapha ngokushesha. Uma omunye umuntu ekhaya ephuze lo muthi futhi lokhu kwenzeka, myise eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha. Noma shayela i-National Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini nemithi yendabuko, ngoba ezinye izinto zingase zihlangane ne-Esketamine futhi zibangele izimo eziyingozi.
| Izinhlobo zezinto ezingashayisana | Izibonelo |
|---|---|
| Utshwala | Gwema ukusebenzisa noma yiluphi uhlobo lotshwala. |
| Imithi yokulala nokukhathazeka | Ama-Benzodiazepine, njenge-Alprazolam, i-Diazepam, ne-Lorazepam, angamaphilisi okulala. |
| Amanye ama-antidepressant | Imithi efana ne-Amitriptyline, i-Trazodone, ikakhulukazi imithi ye-MAOI efana ne-Marplan, i-Nardil, ne-Parnate. |
| Ama-painkiller kanye nomuthi wokukhwehlela | Ama-painkiller avela eqenjini lama-opioid. |
| Okunye | I-Ketamine, imithi yokuwa (isib. i-Phenobarbital), imithi yokuphumula imisipha, izikhuthazi ze-ADHD. |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuqapha njalo: Udokotela wakho uzohlola njalo ukuze abone ukuthi isimo sakho siyathuthuka noma siyaba sibi. Mtshele uma kukhona ushintsho ezimpawini zakho.
- Ukozela kanye nesiyezi: Ungase uzizwe ulele kakhulu, unesizungu, noma uquleke amahora ambalwa ngemva kokuthatha umuthi. Yingakho ugcinwa uqashwe esibhedlela. Yingakho welulekwa ukuthi ungashayeli noma usebenzise imishini.
- Ingozi yokulutha: Kukhona ingozi yokusebenzisa kabi lo muthi. Ngakho-ke, udokotela wakho uzokuqapha lokho futhi.
- Ukukhulelwa: Akufanele uthathe lo muthi uma ukhulelwe. Lo muthi ungabangela izinkinga ezinkulu zokuzalwa komntwana.
- Ukuncelisa: Ungamncelisi umntwana wakho ngenkathi uthatha lo muthi.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Into ebaluleke kakhulu ukwazisa ithimba lakho lezokwelapha ngokushesha uma ubona noma yini engavamile.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| 🚨 Imiphumela emibi kakhulu kufanele ibikwe kudokotela noma kumhlengikazi ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela ngokweqile, ukuzizwa uphelelwe amandla, ukudideka. |
| Ukuzizwa uhlukene (Ukuhlukana) | Ukuzizwa uhlukene nemicabango, imizwa, kanye nendawo okuzungezile, njengokungathi kusephusheni. |
| Umfutho wegazi okhuphukile | Ukwenyuka okuphawulekayo komfutho wegazi ngokuzumayo. |
| Ukuwohloka kwesimo sengqondo | Imicabango yokuzibulala, ukucindezeleka okukhulu. |
| 🙂 Ngokuvamile akukho okufanele ukhathazeke ngakho, kodwa uma imiphumela emibi iqhubeka, kufanele utshele udokotela wakho. | |
| Ukukhathazeka, ukungahlaliseki | Isiyezi kanye nokozela |
| Isicanucanu nokuhlanza | Ukuzizwa kwenjabulo engavamile, injabulo |
| Ukuba ndikindiki, ukuncipha komuzwa wokuthinta | |
Umlayezo Wokuya Nawe Ekhaya
- I-Esketamine iyindlela yokwelapha ekhethekile enikezwa esibhedlela kuphela ngaphansi kokuqashwa kwezokwelapha ngenxa yokucindezeleka okukhulu okungazange kwelashwe ngeminye imithi.
- Akufanele ushayele noma wenze noma yini edinga ukunakekelwa ngosuku othatha ngalo lo muthi. Kufanele ube nomuntu ozokuthatha akuyise ekhaya.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo ngaphandle kokufihla lutho .
- Uzoqashwa yithimba lezokwelapha amahora amaningana ngemva kokuthatha umuthi, njengoba imiphumela emibi ingaba khona.
- Lo muthi awufanele abesifazane abakhulelwe noma abancelisayo. Awuvunyelwe futhi ezinganeni.
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