Ngezinye izikhathi kunzima ukuphila nokudabuka, ukukhathazeka, noma isifo esibangelwa ukucindezeleka ngokweqile (OCD) esisizwayo. Ezimweni ezinjalo, udokotela wakho angase akunike umuthi ofana ne-Fluoxetine ukusiza ukuthuthukisa impilo yakho yengqondo. Ngakho-ke namuhla, ake sixoxe ngalo muthi nezinto ezibaluleke kakhulu okudingeka uzazi ngokuwusebenzisa.
Uhlobo luni lomuthi i-Fluoxetine?
Kalula nje, i-Fluoxetine iwumuthi osetshenziselwa ukwelapha izimo ezinjengokucindezeleka, ukukhathazeka, i-OCD (Obsessive-Compulsive Disorder), kanye nezinye izinkinga zokudla.
Ubuchopho bethu buqukethe ikhemikhali ebizwa ngokuthi i-serotonin . Lokhu kusiza ekulawuleni isimo sethu sengqondo, injabulo, kanye nokulala. Ngezinye izikhathi, lapho amazinga ethu e-serotonin ehla, sibhekana nokucindezeleka. I-Fluoxetine isebenza ngokwandisa inani le-serotonin ebuchosheni, isize ekugcineni isimo sethu sengqondo sisesimweni esihle. Lo muthi ungowesigaba semithi ebizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitors) .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokunikeza i-Fluoxetine, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Kubaluleke kakhulu ukubatshela uma wena noma omunye emndenini wakho enanoma yiziphi zalezi zimo ezilandelayo:
| Ukugula noma ezinye izinto | Izinto okufanele uzicabangele |
|---|---|
| Isifo se-Bipolar noma umlando womndeni | Lo muthi ngezinye izikhathi ungabangela iziqephu zokusangana. |
| Izinkinga zokopha | Lo muthi ungandisa kancane ingozi yokopha. |
| I-Glaucoma | Ukucindezeleka kwamehlo kungase kuthinteke. |
| Isifo senhliziyo, isifo sesibindi, isifo se-thyroid | Ukusebenza kahle komuthi kungashintsha ngenxa yalezi zimo zezokwelapha. |
| Ukwehla kwamazinga e-sodium egazini | Lo muthi unganciphisa amazinga e-sodium kakhulu. |
| Ukuquleka | Isimo sokuwa singase sithinteke. |
| Imicabango, amacebo, noma imizamo yokuzibulala | Lokhu kubaluleke kakhulu. Udokotela kufanele aqaphele le micabango njengoba ingase ikhule lapho eqala umuthi. |
| Ukuthatha imithi ye-MAOI | Ukuthatha le mithi emibili ndawonye kungaba yingozi kakhulu. |
| Ukuthatha imithi evimbela ukujiya kwegazi (isib. i-Warfarin) | Ingozi yokopha inganda. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Kulezi zimo, umuthi unikezwa ngokucophelela okukhulu. |
| Ukungezwani komzimba ne-fluoxetine noma eminye imithi noma ukudla | Lokhu kubalulekile ukuze kugwenywe ukusabela kokungezwani komzimba. |
Ngingawusebenzisa kanjani umuthi?
- Leli yi-capsule oyithatha kanye ngesonto. Khumbula nje ukuphuza leli philisi ngosuku olufanayo lwesonto njengoba udokotela wakho ekutshelile. Kungumqondo omuhle ukulimaka ekhalendeni.
- Gwinya leli kapsuli liphelele ngengilazi yamanzi. Ungalokothi uliphule, ulichoboze, noma ulihlafune leli kapsuli.
- Ungayithatha ngaphambi noma ngemva kokudla. Ngeke ibangele izinkinga.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zakho zibe zimbi kakhulu noma kubangele ezinye izinkinga.
Qaphela: Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya esibhedlela i-Emergency Unit (ETU) ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi unikezwe wena kuphela. Ngakho-ke, ungalokothi uwuhlanganyele nabanye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhumbula ukuthi weqile umthamo wakho ngosuku okufanele uwuthathe, thatha ngokushesha nje lapho ukhumbula. Kodwa uma usudlulile usuku lwakho lokuzalwa, thatha ngokushesha nje lapho ukhumbula bese uqala ukuthatha umthamo wakho ngosuku olulandelayo lwesonto. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Kufanele kube nesonto elilodwa phakathi komthamo ngamunye.
Eminye imithi engase ihlangane nalo muthi
I-Fluoxetine umuthi ongasebenzisana neminye imithi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Imithi okungafanele ithathwe kanyekanye: Ukuthatha imithi efana nemithi ye-MAOI (isib. i-Carbex, i-Parnate), i-Thioridazine, i-Pimozide, kanye ne-Linezolid ndawonye kungabangela imiphumela emibi engathi sína kakhulu, ngisho nesongela impilo.
Ngaphezu kwalokho, izinkinga zingase zivele ngalokhu okulandelayo:
- Utshwala
- Ama-painkiller (ama-NSAID afana ne-Aspirin, i-Ibuprofen, ne-Naproxen)
- Eminye imithi evimbela ukujiya kwegazi (i-Warfarin)
- Eminye imithi yokucindezeleka noma ukukhathazeka
- Eminye imithi yokwelapha ikhanda elibuhlungu (i-Triptans)
- Ezinye izithako - isibonelo i-St. John's wort
- Izidakamizwa ezibangela ukozela
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amavithamini, imithi yamakhambi, noma izithasiselo ozithathayo. Mtshele futhi uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukushintsha kwesimo sengqondo: Qaphela izimpawu zokuthi izimpawu zakho ziya ziba zimbi noma ziya ziba zimbi ngemva kokuqala umuthi. Ikakhulukazi, uma unemicabango emisha noma enzima yokuzibulala, noma uma uzizwa udabuke kakhulu, uthukuthele, noma ukhathazekile kunangaphambili, bona udokotela wakho ngokushesha. Lokhu kuvame kakhulu ekuqaleni kokwelashwa noma lapho umthamo ushintshwa.
- Ukozela/isiyezi: Ungase uzizwe ulele noma unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena.Gwema imisebenzi edinga ukunakwa, njengokuthi: Qaphela lapho umi noma uhleli ngokuzumayo.
- Utshwala: Gwema utshwala ngokuphelele ngenkathi uthatha umuthi.
- Umlomo owomile: Ukuhlafuna itshungama engenashukela kanye nokuphuza amanzi kungasiza emlonyeni owomile.
- Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungathinta amazinga kashukela egazini lakho. Ngakho-ke khuluma nodokotela wakho ukuze uthole iseluleko.
Yimiphi imiphumela emibi engabonakala?
Njengayo yonke imithi, lena ingaba nemiphumela emibi, kodwa akuwona wonke umuntu oyitholayo.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Indle emnyama noma ephuzile, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukukhathazeka, ukudideka, ukujuluka ngokweqile, umkhuhlane, ukuqaqamba kwemisipha, ukuhlanza, isifo sohudo. |
| Imicabango yokuzibulala | Imicabango yokuzilimaza kanye nokucindezeleka okubi kakhulu. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Ukungaphumuli, ukukhathazeka | Uhudo, ikhanda elibuhlungu, isicanucanu, umlomo owomile |
| Ukungalali noma ukulala ngokweqile | Ukujuluka ngokweqile, ukuthuthumela, izinguquko ekufiseni ucansi noma ekusebenzeni kahle. |
Umlayezo Wokuya Nawe Ekhaya
- I-Fluoxetine umuthi onikezwa ngodokotela osetshenziselwa ukwelapha izimo ezinjengokucindezeleka nokukhathazeka. Ungayeki ukuwuthatha ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngayo yonke imithi oyithathayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Qaphela noma yikuphi ukushintsha kwemizwa, ikakhulukazi imicabango yokuzibulala, phakathi nezigaba zokuqala zokuthatha umuthi. Uma lokhu kwenzeka, tshela udokotela wakho ngokushesha.
- Gwema ukuphuza utshwala ngenkathi uthatha umuthi. Qaphela lapho wenza imisebenzi edinga ukunakwa, ngoba ingabangela ukozela.
- Uma uhlangabezana nanoma yiziphi izinkinga noma imiphumela emibi, qiniseka ukuthi ukhuluma nodokotela wakho ngakho. Funa iseluleko sezokwelapha esikhundleni sokufuna izixazululo ku-inthanethi.
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