Ingabe nawe uzizwa unesithukuthezi ngomhlaba wonke isonto elilodwa noma amabili ngaphambi kokuba isikhathi sakho sokuya esikhathini siqale? Ingabe uyathukuthela ngisho nezinto ezincane kakhulu, ingabe amehlo akho agcwele izinyembezi ngaphandle kwesizathu, ingabe uzizwa udabuke kakhulu futhi ucindezelekile? Ingabe le mizwa ngezinye izikhathi iba nzima kangangokuthi awukwazi ukuzibamba? Lesi yisimo esibi kakhulu kune-'Premenstrual Syndrome - PMS' evamile. Kwezokwelapha, lokhu sikubiza ngokuthi 'Premenstrual Dysphoric Disorder' noma '(PMDD)'. Ngakho-ke uma lesi simo '(PMDD)' siphazamisa umsebenzi wakho wansuku zonke, umsebenzi, kanye nempilo yomndeni, udokotela angase akunike umuthi obizwa ngokuthi 'i-Fluoxetine' njengesixazululo. Ake sixoxe ngalo muthi ngokuningiliziwe namuhla.
Kalula nje, iyini i-Fluoxetine?
I-'Fluoxetine' umuthi osetshenziselwa ukwelapha i-'PMDD'. Ingowesigaba semithi ebizwa ngokuthi i-'SSRI' (Selective Serotonin Reuptake Inhibitors). Kulungile, manje cishe uyazibuza ukuthi la magama asho ukuthini.
Cabanga nje ngale ndlela. Kunamakhemikhali ebuchosheni bethu asisiza ukuxhumana phakathi kwamangqamuzana ezinzwa. Siwabiza ngokuthi "ama-Neurotransmitter". "I-Serotonin" ingenye yamakhemikhali anjalo. Le "Serotonin" isiza kakhulu ekulawuleni imizwa yethu, okungukuthi, imizwa yethu yenjabulo, ukudabuka, kanye nokuzola. Yingakho abanye abantu beyibiza nangokuthi "i-hormone yenjabulo."
Kukholelwa ukuthi abesifazane abane-PMDD banamazinga aphansi e-serotonin ngaphambi kokuya esikhathini. Yingakho bezizwa becindezelekile kakhulu ngalezo zinsuku. Ngakho-ke, umuthi i-Fluoxetine usebenza ngokwandisa inani le-serotonin ebuchosheni nokusiza ukulinganisela lelo zinga. Ngemuva kwalokho, lezo zimpawu ezinzima njengokucindezeleka, intukuthelo nokudabuka ziyalawulwa.
Odokotela batusa lo muthi hhayi nje kuphela we-PMDD, kodwa futhi nakwezinye izimo zempilo yengqondo njengokucindezeleka nokukhathazeka.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
I-Fluoxetine akuyona umuthi ongawuthenga ekhemisi. Ngaphambi kokuyisebenzisa, udokotela wakho kufanele aqaphele umlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enanoma yiziphi zalezi zimo ezilandelayo:
Ukufihla lolu lwazi kubeka impilo yakho engozini. Ngakho-ke khuluma nodokotela wakho ngakho konke ngokucacile.
- Izinkinga zempilo yengqondo: Uma wena noma othile emndenini wakho enesifo sokuphazamiseka kwengqondo, noma uma wake waba nemicabango, izinhlelo, noma imizamo yokuzibulala ngaphambilini, kufanele usho nalokhu.
- Ezinye izinhlobo zemithi:Tshela udokotela wakho uma okwamanje uthatha umuthi obizwa ngokuthi i-MAOI (isib. i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate). Ukuthatha le mithi emibili ndawonye kuyingozi kakhulu.
- Izinkinga zegazi: Uma uthatha imithi yokunciphisa igazi (isib. i-Warfarin) noma uma unesifo sokopha.
- Ezinye izimo zezokwelapha: Isifo senhliziyo, isifo sesibindi, ukuquleka, i-glaucoma, isifo se-thyroid, noma amazinga aphansi e-sodium emzimbeni.
- Ukungezwani komzimba: Uma une-allergy ku-Fluoxetine noma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukukhulelwa nokuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma ukuncelisa, kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokuqala lo muthi.
Ngingawusebenzisa kanjani umuthi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa kubaluleke kakhulu ukulandela imiyalelo ngqo.
1. Indlela Yokuthatha: Lo muthi uza ngesimo se-capsule noma ithebhulethi. Ugwinye nengilazi yamanzi. Ungawuthatha nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuwuthatha nokudla.
2. Isikhathi esifanele: Thatha umthamo onqunyiwe nsuku zonke, ngesikhathi udokotela wakho akutshela sona. Ungasidluli isikhathi.
3. Gwema ukuyeka ngokuzumayo: Lena yinto ebaluleke kakhulu. Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Uma wenza kanjalo, ungase uzizwe ungakhululekile njengokuzumeka, ikhanda elibuhlungu, kanye nesicanucanu. Kungase futhi kube kubi kakhulu izimpawu zakho ze-PMDD. Uma uyeka, kufanele wenze kanjalo ngokunciphisa kancane kancane umthamo njengoba kuqondiswe udokotela wakho.
Wenzani uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo njengokujwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe umuthi omningi kunalokho okucabangayo, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha noma ushayele i-National Poisons Information Centre e-Colombo National Hospital . Ungakuthathi kalula lokhu.
Eminye imithi engase ihlangane ne-Fluoxetine (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo, njengoba i-fluoxetine ingasebenzisana neminye imithi futhi ibangele imiphumela emibi eyingozi.
| Uhlobo lokusabela | Izibonelo nezincazelo |
|---|---|
| Imithi okungafanele ithathwe ndawonye | Ukuthatha le mithi kanye ne-Fluoxetine kungaba yingozi empilweni.
|
| Izinto okufanele uziqaphele kakhulu lapho uthatha kanye nokuthi yini okufanele uyitshele udokotela wakho | Iseluleko sikadokotela sibalulekile njengoba singasebenzisana ne-Fluoxetine.
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo. |
Izinto okufanele uziqaphele lapho uthatha umuthi
Qaphela izinguquko zemizwa.
Lokhu kubaluleke kakhulu. Kunengozi encane yokwanda kwemicabango noma ukuziphatha kokuzibulala uma uqala ukuthatha umuthi ofana ne-Fluoxetine, ikakhulukazi entsheni. Ngakho-ke uma wena noma othile omaziyo ebona lezi zinto, khuluma nodokotela wakho ngokushesha.
- Uma uzizwa sengathi ukudabuka kwakho nokucindezeleka kwakho kuyakhula.
- Uma uzizwa ukhathazekile, ungaphumuli, noma uthukuthele.
- Uma ubona izinguquko ezisheshayo nezinzima ekuziphatheni noma emizweni.
Kungathatha amasonto ambalwa ukuthi lo muthi usebenze ngokugcwele. Ngakho-ke, ungakhathazeki uma izimpawu zakho zingakathuthuki kancane. Qhubeka uthatha umuthi njengoba udokotela wakho ekutshela.
Eminye imiphumela evamile
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele, ube nenkinga yokugxilisa ingqondo, noma uzizwe unesiyezi. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini eyingozi uze wazi ukuthi lo muthi uthinta kanjani wena.
- Umlomo owomile: Ungase uzizwe sengathi umlomo wakho womile. Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
- Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungathinta amazinga kashukela egazini lakho, ngakho khuluma nodokotela wakho ngakho.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Fluoxetine ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Abanye abantu bangase babe nokungakhululeki okuncane kuphela. Into ebalulekile ukwazi ukuthi yimiphi imiphumela emibi emibi nokuthi yimiphi imiphumela emibi evamile.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | 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, ukudlikizela, ukuhlanza, uhudo. Lesi yisimo esiyingozi kakhulu. |
| Ukopha okungavamile | Indle emnyama noma igazi, umchamo obomvu/onsundu omnyama, igazi elihlanzayo, amabala abomvu/onsomi esikhumbeni, kanye nokulunywa okungachazeki. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuzizwa ubuthakathaka, ubuhlungu besifuba. |
| Izinkinga zamehlo | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, nokubona ukukhanya okuzungezile ukukhanya. |
| Ukwehla kwamazinga e-sodium emzimbeni | Ubuthakathaka bemisipha, ukukhathala okukhulu, ikhanda elibuhlungu, ukudideka. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, uhudo, isisu esibuhlungu. |
| Ezinye izinkinga ezivamile | Umlomo owomile, ikhanda elibuhlungu, ukujuluka ngokweqile, ukungakwazi ukulala noma ukozela, ukuthuthumela, ukukhathazeka, izinguquko zesifiso sobulili noma ukusebenza kahle. |
Umlayezo Wokuya Nawe Ekhaya
- I-Fluoxetine iwumuthi osebenzayo wesimo sokucindezeleka esibi esaziwa ngokuthi i-PMDD. Kufanele isetshenziswe kuphela ngokunconywa udokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, nanoma yiziphi izimo zezokwelapha ozithathayo ngaphambi kokuqala umuthi.
- Gwema ukuyeka lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukungakhululeki. Uma uyeka, yenza lokho njengoba kuqondiswe udokotela wakho.
- Ngesikhathi sokuqala kokuthatha umuthi, qaphela kakhulu ngezinguquko esimweni sakho sengqondo, ikakhulukazi imicabango yokuzibulala. Uma ubona noma yiziphi izinguquko, tshela udokotela wakho ngokushesha.
- Uma kuvela imiphumela emibi kakhulu (njengokungezwani komzimba, i-serotonin syndrome, ukopha okungavamile), funa iseluleko sezokwelapha ngokushesha.
- I-PMDD akuyona iphutha lakho. Yisimo esingelapheka. Ngakho-ke ungesabi ukucela usizo.
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