Ngezinye izikhathi kunzima kakhulu ukulwa nesimo esibizwa ngokuthi ukucindezeleka. Uma kungekho shintsho esimweni sakho ngisho nangemva kokuthatha imithi nokwenza konke okushiwo udokotela, ukukhungatheka kanye nesizungu okufika engqondweni akunakuchazwa ngamazwi. Uma nawe ungumuntu ohlushwa yinto efanayo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sikhuluma ngokwelashwa okukhethekile okusetshenziswa ezimweni lapho imithi yokucindezeleka evame ukunqunywa ingakunikezanga impumuzo, okungukuthi, i-Esketamine Nasal Spray.
Kalula nje, iyini i-Esketamine?
I-Esketamine (eyaziwa nangokuthi i-Spravato) umuthi osetshenziselwa ukwelapha ukucindezeleka. Kodwa akuyona indlela eyodwa yokwelapha efanelekile. Udokotela wakho uzocabangela lokhu kwelashwa kuphela uma unesifo sokucindezeleka futhi uzame okungenani eminye imithi emibili yokucindezeleka futhi abakakusizi ngangokunokwenzeka. Lokho kusho ukuthi kuyindlela ethile yokwelapha abantu abangazange basabele kwezinye izindlela zokwelapha .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Uma unezinye zezimo ezingezansi, qiniseka ukuthi uyamtshela ngakho.
| Isimo | Incazelo |
|---|---|
| Inhliziyo nomfutho wegazi | Ukuba nomlando womfutho wegazi ophakeme, isifo senhliziyo, ukuhlaselwa yinhliziyo, noma ukushaya kwenhliziyo okungajwayelekile. |
| Ubuchopho nemithambo yegazi | Ukuba nokopha ebuchosheni, isifo sohlangothi, ukulimala ekhanda, noma isifo semithambo yegazi ebuchosheni, esifubeni, ezithweni, noma kwenye indawo. |
| Impilo yengqondo | Ezinye izifo zengqondo ezifana ne-schizophrenia, i-dementia, imicabango yokuzibulala noma ukuzama ukuzibulala (kuwe noma kothile emndenini wakho). |
| Ezinye izimo | Isifo sesibindi, umlando wokulutheka ngezidakamizwa noma utshwala, ukusabela kokungezwani komzimba ne-Esketamine, i-Ketamine noma eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa | Uma ukhulelwe njengamanje, uzama ukukhulelwa, noma ukuncelisa, qiniseka ukuthi usazise. |
Uwusebenzisa kanjani lo muthi? Lona ukhethekile kakhulu!
Into ebaluleke kakhulu okudingeka uyiqonde lapha ukuthi lo muthi awusiwo umuthi ongawuthatha ekhaya . Lo muthi usetshenziswa kuphela ngaphansi kokuqondisa kwezokwelapha, esibhedlela noma emtholampilo.
- Ngaphansi kokuqashwa kwezokwelapha: Kufanele usebenzise lesi sifutho samakhala ngaphansi kokuqashwa udokotela noma abasebenzi bezokwelapha abaqeqeshiwe. Bazokufundisa ngokucacile ukuthi ungasisebenzisa kanjani nokuthi kufanele usisebenzise kangakanani.
- Isikhathi sokubheka amahora amabili: Ngemva kokuthatha umuthi, uzobhekwa ngabasebenzi bezokwelapha okungenani amahora amabili . Bazohlola umfutho wegazi lakho kanye nezinye izimo bese benquma ukuthi uphilile ngokwanele yini ukuya ekhaya.
- Ukushayela akuvunyelwe ngokuphelele: Lokhu kubaluleke kakhulu. Awukwazi ukushayela nganoma yisiphi isizathu ngosuku lokuphuza umuthi. Akukhona lokho kuphela, kodwa akufanele usebenzise imishini noma wenze noma yini edinga ukugxilisa ingqondo. Ngakho-ke, kubalulekile ukuthi ulethe ilungu lomndeni noma umngane ukuze akuyise ekhaya. Ngemva kokulala kahle ebusuku, uzokwazi ukubuyela emisebenzini evamile ngosuku olulandelayo.
- Qaphela ngokudla nangeziphuzo: Lo muthi ungabangela isicanucanu nokuhlanza. Ukuze ugweme lokhu, ungadli lutho emahoreni ama-2 ngaphambi kokuthatha umuthi. Futhi, yeka ukuphuza uketshezi, okuhlanganisa namanzi , imizuzu engama-30 ngaphambi kokuthatha umuthi.
- Ezinye izifutho zamakhala: Uma usebenzisa ezinye izifutho zamakhala (ama-corticosteroids) noma izifutho zokukhulula ukuminyana, zisebenzise okungenani ihora elilodwa ngaphambi kwesifutho se-Esketamine.
Uma uphuthelwa umthamo, okusho ukuthi awukwazi ukuya esimisweni sakho esihleliwe, sicela wazise udokotela wakho ngokushesha. Kubaluleke kakhulu ukuqhubeka nalokhu kwelashwa njengoba kunqunyiwe.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Lokhu kunikezwa ngaphansi kokuqashwa kwezokwelapha ngakho amathuba okuba lokhu kwenzeke mancane. Kodwa-ke, uma kwenzeka into efana nale, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, izithasiselo zokudla okunempilo, kanye nemikhiqizo yamakhambi oyithathayo. Ezinye izinto zingathintana nalo muthi. Qaphela kakhulu ngalezi zinto:
- Utshwala
- Imithi ethulisa ingqondo futhi ibangele ubuthongo
- Eminye imithi yomkhuhlane, ukukhwehlela, kanye nokungezwani komzimba (ama-Antihistamine)
- Eminye imithi yokucindezeleka (isib. i-Amitriptyline, i-Fluoxetine, ne-Sertraline)
- Eminye imithi yokwelapha isithuthwane (isb. i-Phenobarbital)
- Izinzwa ezivamile
- Iziphumuli zemisipha ezisetshenziswa ngesikhathi sokuhlinzwa
- Imithi yokwelapha ubuhlungu obukhulu
- Ama-antidepressants ohlobo olubizwa ngokuthi ama-MAOI
- Izikhuthazi zengqondo (isib. Ama-Amphetamine, i-Methylphenidate)
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, imiphumela emibi ingaba khona. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi okufanele ibikwe eqenjini lakho lezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukuzihlukanisa | Ukuzizwa uhlukene nemicabango, imizwa, umzimba, kanye nendawo okuzungezile, njengokungathi uyantanta. Umuzwa wokuhlukana neqiniso. |
| Umfutho wegazi okhuphukile | Ukwanda okukhulu komfutho wegazi ngemuva kokuthatha umuthi. |
| Ushintsho esimweni sengqondo | Imicabango yokuzibulala, ukucindezeleka okukhulu, ukukhathazeka. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Izinto ezivame ukuzwakala | Isiyezi, ukozela, isicanucanu, ukuhlanza, ukukhathazeka. |
| Eminye imiphumela | Ubunzima bokugxilisa ingqondo, izinkinga ngenkumbulo noma inkulumo, ukungakhululeki emzimbeni, umuzwa wenjabulo enkulu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Esketamine iyindlela ekhethekile yokwelapha ukucindezeleka okukhulu engasabelanga kweminye imithi, futhi inikezwa kuphela ngaphansi kokuqondisa kukadokotela.
- Lona akuwona umuthi ongawuthatha uye ekhaya uwusebenzise. Uhlala unikezwa esibhedlela noma emtholampilo.
- Ngosuku lokuphuza umuthi, kubalulekile ukuthi othile akuyise ekhaya. Gwema ukushayela noma ukwenza noma yini edinga ukugxilisa ingqondo kuze kube yilapho usulele kahle ebusuku.
- Nikeza udokotela wakho incazelo ephelele yayo yonke eminye imithi oyithathayo, izifo ezikhona, kanye nokungezwani komzimba.
- Qaphela imiphumela emibi kakhulu (ikakhulukazi izinguquko zengqondo, umfutho wegazi ophakeme, ukungezwani komzimba) futhi wazise ithimba lezokwelapha ngokushesha uma ubona noma yiziphi izimpawu ezinjalo.
- Landela imiyalelo kadokotela wakho ngaso sonke isikhathi. Ungayeki ukwelashwa phakathi nesikhathi.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho