Wake wezwa ngesimo lapho wena noma umuntu omaziyo enemicabango ephindaphindayo nephazamisayo? Lesi simo sisibiza ngokuthi i-Obsessive-Compulsive Disorder, noma i-OCD ngamafuphi. I-Fluvoxamine umuthi odokotela abavame ukuwunikeza ukwelapha lezi zimo. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi usebenza kanjani, okufanele uwuqaphele lapho uwusebenzisa, kanye nemiphumela emibi engaba khona.
Uhlobo luni lomuthi i-Fluvoxamine?
Kalula nje, i-Fluvoxamine umuthi osetshenziselwa ukwelapha isimo sengqondo esibizwa ngokuthi i-Obsessive-Compulsive Disorder (OCD) . Ingowesigaba semithi ebizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitor). I-Serotonin iyikhemikhali ebuchosheni ebalulekile ekulawuleni imizwa yenjabulo nokuzola. Ezimweni ezifana ne-OCD, leli zinga le-serotonin lingaphazamiseka. Ngakho-ke, lo muthi usiza ukugcina inani le-serotonin ebuchosheni lisezingeni elifanele. Lokhu kungasiza ekulawuleni izimpawu ze-OCD. Ngezinye izikhathi, udokotela wakho angase akunikeze lo muthi kwezinye izimo zengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala i-fluvoxamine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yomlando wakho wezempilo. Qiniseka ukuthi utshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enanoma yiziphi zalezi zimo ezilandelayo:
| Uhlobo lolwazi | Izinto okufanele uzitshele udokotela wakho |
|---|---|
| Umlando wezempilo yengqondo | - Ukuba nesifo sokuphazamiseka kwengqondo noma umlando womndeni waso. - Njengoba wake waba nemicabango, amacebo, noma imizamo yokuzibulala. |
| Ezinye izifo | - Izinkinga zokopha. - Isimo se-Glaucoma. - Isifo senhliziyo. - Izifo zesibindi. - Amazinga aphansi e-sodium emzimbeni. - Ukuquleka. - Izifo ze-thyroid. |
| Eminye imithi ethathwayo | - Imithi ye-MAOI (isib. i-Carbex, i-Marplan, i-Nardil). - Imithi evimbela ukujiya kwegazi noma ukunciphisa igazi (isib. i-Warfarin). |
| Amanye amaphuzu | - Ukuzama ukukhulelwa noma ukukhulelwa. - Ukuncelisa umntwana. - Ukungezwani komzimba ne-fluvoxamine noma eminye imithi, ukudla, noma udayi. |
Ngingawusebenzisa kanjani lo muthi?
Kubaluleke kakhulu ukuthatha isilinganiso esifanele, ngesikhathi esifanele, njengoba kunqunywe udokotela wakho.
- Gwinya leli philisi ngengilazi yamanzi.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla.
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zakho zibe zimbi kakhulu futhi ungase ube nezimpawu zokuhoxa. Uma uyeka ukuthatha umuthi, yenza kanjalo ngaphansi kokuqondisa kukadokotela wakho, bese wehlisa kancane kancane umthamo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma, shayela i-National Poisons Information Centre e-Colombo National Hospital.
Nakuba lo muthi unconywa ezinganeni ezingaphezu kweminyaka engu-8 ubudala ngenxa yezimo ezithile, kufanele kuthathwe ukunakekelwa okukhethekile. Ngakho-ke, uma unikeza ingane yakho lo muthi, landela imiyalelo kadokotela ngqo.
Yini okufanele uyenze 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 ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Ezinye izinto ezingase zihlangane nalo muthi
I-Fluvoxamine ingasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye notshwala. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yokunciphisa ubuhlungu, amavithamini, imikhiqizo yamakhambi - ngisho namatiye amakhemikhali).
| Uhlobo lokusabela | Izibonelo |
|---|---|
| Ungalokothi uthathe i-fluvoxamine nalezi. | |
| Imithi ephikisana kakhulu | Imithi ye-MAOI (njengeParnate, Nardil), i-Linezolid, i-Pimozide, i-Thioridazine, ne-Tizanidine. |
| Qiniseka ukuthi utshela udokotela wakho uma uthatha lezi zidakamizwa. | |
| Utshwala | Ukuphuza utshwala kungandisa imiphumela emibi yemithi (njengokozela). |
| Ama-Painkiller | I-aspirini kanye nama-NSAID (njenge-Ibuprofen kanye ne-Naproxen) kungandisa ingozi yokopha. |
| Imithi yezinye izifo zengqondo | Eminye imithi yokucindezeleka, imithi yokulwa nokukhathazeka. |
| Izinto zokunciphisa igazi | Izidakamizwa ezifana neWarfarin ne-Enoxaparin. |
| Imikhiqizo yezitshalo | Imikhiqizo efana ne-St. John's Wort. |
Izinto okufanele uzicabangele lapho uthatha umuthi
- Bekezela: Kungathatha amasonto ambalwa ukuthi imiphumela ephelele yalo muthi izwakale. Ngakho-ke, ungayeki ukuthatha umuthi ngoba nje ungezwa mehluko ezinsukwini ezimbalwa zokuqala. Qhubeka uwusebenzisa njengoba uqondiswe udokotela wakho.
- Qaphela izinguquko zemizwa: Abanye abantu bangase babe noshintsho lwemizwa, ikakhulukazi ekuqaleni kokwelashwa noma lapho umthamo ushintshwa. Isibonelo, bangase babe nokukhathazeka, imicabango ecindezelayo eyengeziwe, ukucasuka, ubunzima bokulala, noma imicabango yokuzibulala . Uma wena noma othile emndenini wakho ebona noma yiluphi lwalezi zinguquko, tshela udokotela wakho ngokushesha.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Gwema ukushayela noma ukusebenzisa imishini uze wazi kahle ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka noma uhlala phansi ngokushesha, ikakhulukazi uma usukhulile.
- Umlomo owomile: Uma uzizwa sengathi umlomo wakho womile, ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-fluvoxamine ingabangela imiphumela emibi. Iningi lale miphumela ayimbi kangako, kodwa kunezinto ezithile okudingeka siziqaphele kakhulu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Indle emnyama, ukuhlanza igazi noma into efana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, kanye namabala abomvu/onsomi esikhumbeni. |
| I-Serotonin Syndrome | Ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane, ukuhlanza, isifo sohudo. |
| Ezinye izimpawu ezinkulu | Ukuquleka, imicabango yokuzibulala, izimpawu zamazinga aphansi e-sodium emzimbeni (ubuthakathaka bemisipha, ikhanda elibuhlungu kakhulu, ukudideka). |
| Imiphumela emibi evamile kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Imiphumela emibi evamile | - Ukozela. - Ukucanuzela kwenhliziyo (ukuzizwa ugula). - Ubunzima bokulala. - I-Anorexia. - Ukujuluka. - Ukuthuthumela komzimba. - Izinguquko esifiso noma ekusebenzeni kocansi. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Fluvoxamine umuthi we-SSRI owelapha izifo ezifana ne-OCD futhi ulawula amazinga e-serotonin ebuchosheni.
- Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Qaphela noma yiziphi izinguquko esimweni sakho sengqondo (ikakhulukazi imicabango yokuzibulala) phakathi nezigaba zokuqala zokwelashwa. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
- Qhubeka nokwelashwa ngesineke, njengoba kungathatha amasonto ambalwa ukubona imiphumela ephelele yomuthi.
- Uma uphuza umuthi omningi kakhulu, iya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha noma uxhumane neNational Poisons Information Center.
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