Ingabe ngezinye izikhathi uzizwa ukhungathekile yimicabango engafuneki? Noma uzizwa sengathi kufanele wenze into efanayo ngokuphindaphindiwe? Lesi simo sibizwa ngokuthi i-Obsessive-Compulsive Disorder (OCD) . Lesi yisimo sempilo yengqondo. Kodwa izindaba ezinhle ukuthi kunemithi ephumelelayo engasiza. Namuhla sizokhuluma ngesidakamizwa esisodwa esinjalo, i-Fluvoxamine .
Uhlobo luni lomuthi i-Fluvoxamine?
Kalula nje, i-Fluvoxamine umuthi osiza ukulawula isimo sakho se-OCD. Ingowesigaba semithi ebizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitor). Ubuchopho bethu buqukethe ikhemikhali ebizwa ngokuthi i-Serotonin . Lokhu kubaluleke kakhulu ekulawuleni imizwa yethu. Ezimweni ezifana ne-OCD, kungaba nezinguquko ezithile emazingeni ale serotonin.
I-Fluvoxamine isebenza ngokwandisa inani le-serotonin ebuchosheni kanye nokuthuthukisa ukuxhumana phakathi kwamaseli ezinzwa. Lokhu kungasiza ekulawuleni ukucindezeleka kwakho, imicabango engafuneki, kanye nokusabela. Ngezinye izikhathi, odokotela bangase bakunike lo muthi kwezinye izimo zengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-fluvoxamine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba kudingeka siqaphele kakhulu lapho sisebenzisa lo muthi onezimo ezithile zezokwelapha. Qiniseka ukuthi usitshela ngalezi zinto ikakhulukazi:
- Uma wena noma othile emndenini wakho enesifo sokuphazamiseka kwengqondo: Imithi ye-SSRI ngezinye izikhathi ingenza isifo sokuphazamiseka kwengqondo esibi kakhulu sibe sibi kakhulu, ngakho-ke kubalulekile ukuqaphela lokhu.
- Izimo zokopha: Sitshele uma unenkinga yokujiya kwegazi noma enye inkinga yokopha.
- I-Glaucoma: Lo muthi ungathinta abantu abanalesi simo, okubangela ukwanda kokucindezeleka kwamehlo.
- Isifo senhliziyo, isifo sesibindi, noma izinkinga ze-thyroid: Uma unezinkinga ezingamahlalakhona ezifana nalezi, kubalulekile ukuthi udokotela wakho aziqaphele.
- Uma unezinga eliphansi le-sodium egazini: Qaphela lokhu ngoba lo muthi ungase wehlise amazinga akho e-sodium kakhulu.
- Ukuquleka: Uma uke waba nokuquleka ngaphambili, sitshele ngakho.
- Imicabango yokuzibulala: Uma wena noma othile emndenini wakho wake waba nemicabango, amacebo, noma imizamo yokuzibulala esikhathini esidlule, khuluma nodokotela wakho ngokwethembeka ngakho.
- Eminye imithi oyithathayo:Qiniseka ukuthi utshela udokotela wakho uma uthatha imithi yokunciphisa igazi (isib. i-Warfarin) noma imithi ye-MAOI (lena imithi yohlobo oludala esetshenziselwa ukugula ngengqondo).
- Uma uzama ukukhulelwa, ukhulelwe, noma ungumama oncelisayo: Kulezi zimo, kufanele uthintane nodokotela wakho ngaphambi kokusebenzisa imithi.
- Ezinye Izinto Ezibangela Ukungezwani Nomzimba: Sitshele uma unezinkinga zokungezwani nomzimba ku-Fluvoxamine noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
Ngingawusebenzisa kanjani umuthi?
Lo muthi uza njenge-capsule ekhishwa isikhathi eside, ngakho khumbula lezi zinto.
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ugwinye wonke ngengilazi yamanzi.
- Ungalokothi uphule, uchoboze, noma uhlafune i-capsule. Ukwenza kanjalo kungakhipha umuthi emzimbeni ngesikhathi esisodwa futhi kwandise imiphumela emibi.
- Ungakuthatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukukuthatha nokudla.
- Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu .
- Ungase ungazizwa ungcono ngokushesha ngemva kokuthatha umuthi. Kungathatha amasonto ambalwa ukuze uzizwe ungcono ngokuphelele. Ngakho ungakhathazeki futhi uqhubeke nokuthatha umuthi.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Uma uyeka, yenza lokho njengoba kuqondiswe udokotela wakho, wehlise kancane kancane umthamo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma usola ukuthi uthathe umuthi omningi kunalokho ocabanga, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze nawe ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Fluvoxamine ingasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye notshwala. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo zamakhambi ozithathayo.
| Izinto okungafanele uzithathe nge-Fluvoxamine | |
|---|---|
| I-Alosetron | I-Pimozide |
| I-Cisapride | I-Thioridazine |
| I-Linezolid | I-Tizanidine |
| I-MAOIs (isb. Marplan, Nardil, Parnate) | I-Methylene eluhlaza okwesibhakabhaka (njengomjovo) |
Ngaphezu kwalokho, lo muthi ungasebenzisana nemithi yokunciphisa izinhlungu ( ama-NSAIDS - isib., i-Ibuprofen, i-Naproxen), i-aspirin, eminye imithi yokunciphisa igazi, imithi ye-migraine, eminye imithi yengqondo, amaphilisi okulala, utshwala, kanye neminye imikhiqizo yamakhambi (njenge-St. John's Wort). Ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okusebenzisayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukushintsha kwesimo sengqondo: Qaphela kakhulu uma wena noma othile emndenini wakho enesimo sengqondo esibi noma imicabango yokuzibulala, ikakhulukazi uma uqala ukuthatha umuthi noma lapho umthamo ushintshwa. Futhi, uma ubona noma yiziphi izinguquko ezinkulu, njengokungahlaliseki okukhulu, ukucasuka, ukucasuka, noma ubunzima bokulala, shayela udokotela wakho ngokushesha.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Utshwala: Ukuphuza utshwala kungenza ukozela kanye nesiyezi kube kubi nakakhulu. Ngakho-ke, kungcono ukugwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
- Umlomo owomile: Umlomo owomile uwumphumela ovamile wecala. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Imiphumela emibi engaba khona yomuthi
Njengayo yonke imithi, i-Fluvoxamine ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Serotonin Syndrome | Ukushukuma okungachazeki, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukuthuthumela, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuhlanza, uhudo. Lokhu kuyisimo esiphuthumayo. |
| Ukopha okungavamile | Indle emnyama noma enegazi, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, kanye namabala abomvu/onsomi esikhumbeni. |
| Amazinga e-sodium anciphile | Ubuthakathaka bemisipha, ukukhathala okukhulu, isiyezi, ikhanda elibuhlungu, kanye nokulahlekelwa yinkumbulo. |
| Izinkinga zamehlo | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, nokubona ukukhanya okuzungezile ukukhanya. |
| Imicabango yokuzibulala | Ukushintshashintsha kwemizwa, imicabango yokuzibulala. |
| Imiphumela emibi evamile, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukozela | Ukuzizwa ulele ngaso sonke isikhathi. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
| I-Anorexia | Ukuncipha kwesifiso sokudla. |
| Ukujuluka ngokweqile | Ukujuluka kakhulu kunokujwayelekile. |
| Ushintsho esifisweni noma emsebenzini wobulili | Ukuncipha kwesifiso socansi noma ezinye izinkinga. Ungabi namahloni okukhuluma nodokotela wakho ngalokhu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Fluvoxamine umuthi owelapha i-OCD (isifo esicindezelayo) futhi ulawula amazinga e-serotonin ebuchosheni.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Gwinya umuthi wonke, ngaphandle kokuwuphula, ukuwuchoboza, noma ukuwuhlafuna.
- Kungathatha amasonto ambalwa ukuthi umuthi usebenze ngokugcwele, ngakho-ke yiba nesineke futhi uqhubeke nokuwusebenzisa.
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kokubonisana nodokotela wakho.
- Qaphela kakhulu ngokushintsha kwemizwa, ikakhulukazi imicabango yokuzibulala, phakathi nezigaba zokuqala zokuthatha umuthi. Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Gcina umuthi kude nezingane, endaweni yokushisa kwegumbi, futhi kude nomswakama.
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