Ngezinye izikhathi, lapho sizizwa sidabukile, sikhathazekile, noma sinenkinga yokulawula imikhuba ethile, udokotela angase akunikeze umuthi obizwa ngokuthi i-Fluoxetine. Uma uzwa igama lalo muthi, ungase uzizwe wesaba kancane futhi unemibuzo eminingi. Kuvamile ukucabanga izinto ezinjengokuthi, "Kuyini lokhu ngempela? Kuzongenzani kimi?" Kodwa ungakhathazeki. Namuhla, sizokhuluma ngalo muthi ngendlela elula kakhulu, njengokungathi sikhuluma nomngane.
Uhlobo luni lomuthi i-Fluoxetine?
Kalula nje, i-Fluoxetine umuthi osetshenziselwa ukwelapha izimo ezinjengokucindezeleka, ukukhathazeka, isifo sokuzikhukhumeza ngokweqile (OCD), kanye nezinye izinkinga zokudla.
Cabanga ukuthi kunezithunywa ezincane ngaphakathi kobuchopho bethu ezilawula imizwa yethu, okungukuthi, injabulo yethu kanye nokuzola. Sibiza lezi ngokuthi ama-neurotransmitter. I-Serotonin ingenye yezithunywa ezibaluleke kakhulu. Ngezinye izikhathi, lapho leli zinga le-serotonin lehla, siqala ukuzwa izinto ezifana nokudabuka nokukhathazeka. I-Fluoxetine yandisa inani le-serotonin ebuchosheni bethu futhi ilinganisela umsebenzi wayo. Kwezokwelapha, lezi zinhlobo zemithi zibizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitor) .
Ngezinye izikhathi udokotela wakho angase akunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo, kungcono ukukhuluma nodokotela wakho ngawo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza i-Fluoxetine, kubalulekile ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele. Qiniseka ukuthi utshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enanoma yiziphi izimo ezibalwe ngezansi.
| Isimo okudingeka usibike | Incazelo |
|---|---|
| Isifo se-Bipolar | Uma wena noma othile emndenini wakho enalesi simo. |
| Izifo zokopha | Uma unesifo esibangela ukopha okulula kanye nokuklwebheka. |
| I-Glaucoma | Isimo sokucindezeleka okukhulu emehlweni. |
| Isifo senhliziyo | Noma yiluphi uhlobo lwesifo senhliziyo. |
| Izifo zesibindi | Uma unezinkinga zesibindi. |
| Amazinga aphansi e-sodium | Uma kunemibiko yamazinga aphansi e-sodium egazini. |
| Isithuthwane/ Ukuquleka | Isimo sezempilo esifika njengesithuthwane. |
| Imicabango yokuzibulala | Uma wake wacabanga noma wazama ukuzibulala ngaphambilini. |
| Umuthi wohlobo lwe-MAOI | Uma uthatha olunye uhlobo lwe-antidepressant (isib. i-Parnate). |
| Isiqeda ukugabha kwegazi | Imithi efana ne-Warfarin ne-Aspirin. |
| Izifo ze-thyroid | Amazinga aphansi noma aphezulu e-hormone ye-thyroid. |
| Ukukhulelwa noma ukuhlela | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ezinye izinto ezibangela ukungezwani komzimba | Uma une-allergy ku-fluoxetine noma eminye imithi, ukudla, noma udayi. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu kulula kakhulu. Thatha umthamo udokotela wakho awunike wona ngengilazi yamanzi. Landela imiyalelo ebhalwe ilebula yomuthi ngqo. Ungawuthatha ngaphambi noma ngemva kokudla. Into ebaluleke kakhulu ukuwuthatha cishe ngesikhathi esifanayo nsuku zonke . Lokhu kuzosiza ukugcina umuthi usesilinganisweni esifanayo emzimbeni wakho. Ungathathi ngaphezu kwesilinganiso udokotela wakho akutshele sona, noma kaningi kunalokho okuyalelwe.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi izimpawu zakho zibe zimbi kakhulu ngokuzumayo noma kubangele eminye imiphumela emibi emibi. Uma uyeka, yenza kanjalo kancane kancane, wehlise umthamo, futhi kuphela ngaphansi kokuqondisa kukadokotela wakho.
Ukweqisa umthamo
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena wedwa. Ngakho-ke, ungalokothi wabelane ngomuthi wakho nanoma ubani omunye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, ungawuthathi ngokushesha nje lapho ukhumbula. Yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi sakho esijwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela imiphumela emibi.
Ezinye izinto ezingase zihlangane ne-Fluoxetine
I-Fluoxetine ingasebenzisana neminye imithi, amavithamini, noma imikhiqizo yamakhambi oyiphuzayo, ngakho tshela udokotela wakho ngakho konke okuphuzayo.
| Ungayithathi i-Fluoxetine kanye nalezi. | |
|---|---|
| Imithi yohlobo lwe-MAOI (isib. iParnate, iMarplan) | I-Thioridazine, i-Pimozide (imithi yokugula kwengqondo) |
| I-Linezolid (i-antibiotic) | I-Methylene eluhlaza okwesibhakabhaka (umjovo) |
| Qaphela kakhulu uma uthatha i-Fluoxetine nalezi zidakamizwa. | |
| Utshwala | Ama-painkiller (ama-NSAID) njenge-aspirin ne-ibuprofen |
| Izinto zokunciphisa igazi ezifana ne-Warfarin | Eminye imithi yokucindezeleka noma imithi yokukhathazeka |
| Eminye imithi yokwelapha i-migraine (Triptans) | Imikhiqizo yamakhambi njenge-St. John's Wort |
| Izibulala-zinhlungu ezifana neTramadol | Imithi ethinta izinga lokushaya kwenhliziyo (imithi yokwandisa isikhathi se-QT) |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Bekezela: Kungathatha amasonto angu-4-6 ukubona imiphumela ephelele yalo muthi. Ngakho-ke ungayeki ukuthatha umuthi ngemva kwesonto lokuqala ngoba awuzizwa ungcono. Bekezela futhi uqhubeke nokuthatha umuthi njengoba uyalelwe udokotela wakho.
- Qaphela imicabango yakho: Qaphela kakhulu imicabango yakho kanye nokuziphatha kwakho, ikakhulukazi uma uqala ukuthatha imithi noma ngemva kokushintsha umthamo wakho. Uma uzizwa udabuke kakhulu, uthukuthele, noma unemicabango yokuzibulala, ungazami ukuyifihla bese utshela udokotela wakho noma umuntu omethembayo ngokushesha.
- Ukuzungeza kanye nokozela: Lo muthi ungabangela ukozela kanye nokuzungeza kwabanye abantu. Ngakho-ke, gwema imisebenzi edinga ukuqaphela, njengokushayela noma ukusebenzisa imishini, uze uzizwe uphilile.
- Utshwala:Ukuphuza utshwala kungaphazamisa ukusebenza kahle komuthi futhi kwandise imiphumela emibi. Ngakho-ke, kungcono ukugwema utshwala ngenkathi uthatha lo muthi.
- Umlomo owomile: Uma uzizwa sengathi umlomo wakho womile, ukuhlafuna itshungama engenashukela nokuphuza amanzi amancane kungasiza.
- Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungathinta amazinga kashukela egazini lakho. Ngakho hlola amazinga kashukela egazini lakho njalo.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Fluoxetine ingaba nemiphumela emibi, kodwa akuwona wonke umuntu oyitholayo.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha okungavamile | Indle emnyama, umchamo onsundu/obomvu, amabala abomvu/onsomi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, isiyezi, ubuhlungu besifuba. |
| I-Serotonin Syndrome | Ukungaphumuli, ukuqina kwemisipha noma ukuthuthumela, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuhlanza, uhudo. |
| Ubuhlungu bamehlo/izinguquko zokubona | Ubuhlungu bamehlo, ukubona okufiphele, ukubona indandatho ezizungeze izibani. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu, isicanucanu | Ukukhathazeka, ukungahlaliseki |
| Ukungalali noma ukulala ngokweqile | Ushintsho esifisweni noma emsebenzini wobulili |
| Umlomo owomile, isifo sohudo | Ukujuluka ngokweqile |
Umlayezo Wokuya Nawe Ekhaya
- I-Fluoxetine umuthi osiza ekulinganiseni imizwa yakho futhi kufanele uthathwe ngaphansi kweseluleko sikadokotela.
- Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Kungaba yingozi.
- Kuthatha amasonto ambalwa ukubona imiphumela ephelele yomuthi, ngakho-ke yiba nesineke futhi uqhubeke nokuwusebenzisa njengoba kuqondiswe.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi namavithamini owasebenzisayo.
- Qaphela imicabango nemizwa yakho ikakhulukazi lapho uqala ukuthatha imithi. Uma uhlangabezana nanoma yiziphi izinguquko eziyingozi, njengemicabango yokuzibulala, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalo muthi, ungawugcini kuwe futhi ukhulume ngokukhululekile nodokotela wakho.
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