Ungakwazi yini ukunciphisa ukudabuka kwakho? (Imipramine) Ake sifunde ngomuthi?

Kuvamile ukuthi sizizwe sidabukile futhi sikhathazekile ngezinye izikhathi. Kodwa uma lesi simo siqhubeka, uma sizizwa sithwele kanzima kangangokuthi asisakwazi ngisho nokwenza imisebenzi yethu yansuku zonke, sikubiza ngokuthi ukucindezeleka. Ngakho-ke, kunemithi engasisiza ezimweni ezinjalo. Namuhla sizokhuluma ngomunye wemithi enjalo, okuyi-Imipramine.

Uyini lomuthi (i-Imipramine)?

Kalula nje, i-Imipramine umuthi osetshenziselwa ukwelapha ukucindezeleka. Ubuwazi ukuthi kukhona amakhemikhali ebuchosheni bethu asiza ukulawula imizwa yethu, njengezithunywa? Siwabiza ngokuthi i-Serotonin ne-Norepinephrine. Lokho i-Imipramine ekwenzayo ukwandisa inani lalezi zithunywa ebuchosheni, okusiza ukunciphisa imizwa yethu yokudabuka nokukhathazeka, nokuthuthukisa imizwa yethu. Iyingxenye yemithi ebizwa ngokuthi i-Tricyclic Antidepressants (TCAs) .

Ngezinye izikhathi odokotela bangase bakunike lo muthi nakwezinye izimo. Ngakho-ke, kungcono ukubuza udokotela wakho noma usokhemisi ngesizathu sokuthi unikwe lo muthi, noma uma unemibuzo mayelana nawo.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukuthatha lo muthi (i-Imipramine), kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ngoba lezi zinto zizonquma ukuthi lo muthi ukufanele yini noma cha, nokuthi kufanele unikezwe kanjani. Ngakho ake sibheke lezi zinto:

• Wake waba nokusabela kokungezwani komzimba kulo muthi (i-Imipramine), noma yimuphi omunye umuthi, ukudla, udayi wokudla, noma izithasiselo?
• Ulindele umntwana? Noma unethemba lokuba nomntwana?
• Ingabe ungumama oncelisayo?
• Ingabe umlutha wotshwala?
• Ingabe uke waba nesimo esifana 'ne-bipolar disorder' - isimo lapho uvele ujabule kakhulu ngokuzumayo futhi ngokuzumayo udabuke kakhulu (ukushintshashintsha kwemizwelo) - noma 'i-schizophrenia' - isifo lapho ulahlekelwa khona ukuxhumana neqiniso, uhlangabezana nokubona izinto ezingekho, futhi uhlangabezana nezinkinga ezahlukene zengqondo?
• Ingabe unenkinga yokuchama? Uma uyindoda, ingabe unenkinga ye-prostate ?
• Ingabe unenhliziyo eshaya ngokushesha noma engajwayelekile ?
• Ingabe une -glaucoma - isifo lapho ingcindezi ngaphakathi kweso ikhuphuka khona?
• Ingabe unesifo senhliziyo noma uke waba nokuhlaselwa yinhliziyo muva nje ?
• Unesifo sezinso ?
• Unesifo sesibindi ?
• Ingabe unezifo zokuphefumula ezihlobene namaphaphu njenge-asthma ?
• Wake waba nesifo sokuwa ngaphambili?
• Uke waba nesifo sohlangothi ?
• Into ebaluleke kakhulu ukuthi, uzizwa sengathi ufuna ukuzilimaza? Wake waba nemicabango enjalo? Ingabe ukhona emndenini wakho owake waba nalokhu? Kufanele nakanjani utshele udokotela wakho ngalokhu.
• Ingabe unenkinga ye-thyroid ?

Uma unezinye zalezi zinto, kubaluleke kakhulu ukuze uphephe ukutshela udokotela wakho.

Ngingawusebenzisa kanjani lo muthi?

Kulungile, ake sibone ukuthi singawusebenzisa kanjani lo muthi (i-Imipramine).

• Lona umuthi oza ngama-capsule. Kufanele uphuzwe ngomlomo kanye nengilazi yamanzi.
• Kufanele uphuze umuthi njengoba nje udokotela ekuyalile, ngesikhathi esifanele, nangesilinganiso esifanele. Ungathathi okungaphezu noma okungaphansi kwalokho udokotela akutshele ukuthi uphuze.
• Nansi into ebaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Uma uyeka ngokuzumayo, ungase ube nezimpawu zokuhoxa, noma isimo sakho singase sibe sibi kakhulu. Ngakho-ke, uma uyeka, yenza kanjalo kancane kancane, ulandela iseluleko sikadokotela wakho.
• Uma ikhemisi likunikeza lo muthi, ungase ufike nencwajana yemiyalelo ekhethekile (i-MedGuide) . Qiniseka ukuthi uyayifunda ngokucophelela njalo uma uthatha umuthi. Uqukethe ulwazi olubalulekile.
• Kudingeka ukunakekelwa okukhethekile uma lo muthi unikezwa izingane. Khuluma nodokotela wakho ngawo bese uthola iseluleko.
• Uma ngephutha uthatha umuthi omningi kakhulu, okungukuthi, uma uphuza ngokweqile, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi, ngaphandle kokulibala.

Lomuthi ungowokusetshenziswa kwakho kuphela. Unganiki lo muthi kumngane noma ilungu lomndeni elinezimpawu ezifanayo nezakho.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Zicabange ukhohliwe ukuthatha umthamo womuthi. Uma lokhu kwenzeka, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo ephindwe kabili noma eyengeziwe. Ukwenza kanjalo kungandisa inani lomuthi owuthathayo futhi kubangele imiphumela emibi.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Lo muthi (i-Imipramine) ungasebenzisana neminye imithi, amakhambi, noma ezinye izinto ozithathayo. Uma kwenzeka, ungabangela izinkinga. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Ungayithathi i-Imipramine kanye nale mithi:

• (I-Amoxapine)
• (I-Arsenic trioxide)
• Eminye imithi yokulawula ukushaya kwenhliziyo okungajwayelekile noma ezinye izimo zenhliziyo
• (I-Cisapride)
• (I-Cocaine) (Lesi yisidakamizwa)
• (I-Grepafloxacin)
• (I-Halofantrine)
• (I-Levomethadyl)
• (I-Linezolid)
• Imithi eqenjini elibizwa ngokuthi 'i-MAOI' (i-Monoamine Oxidase Inhibitors) (izibonelo: (i-Carbex), (i-Eldepryl), (i-Marplan), (i-Nardil), (i-Parnate)). Akukhuthazwa ukuqala (i-Imipramine) kuze kube okungenani amasonto amabili ngemva kokuyeka le mithi ye-MAOI.
• (I-Methylene eluhlaza okwesibhakabhaka) (Lona umuthi ofakwa emthanjeni)
• Eminye imithi yokucindezeleka (buza udokotela wakho ngalokhu)
• Imithi eqenjini elibizwa ngokuthi 'amaPhenothiazine' (izibonelo: (perphenazine), (thioridazine), (chlorpromazine))
• (I-Pimozide)
• (I-Procarbazine)
• (I-Sparfloxacin)
• (I-St. John's Wort) (Nakuba lokhu kuyikhambi lezitshalo, kungase kuhlangane ne-(Imipramine))

Futhi, okulandelayo kungasebenzisana ne-Imipramine:

Uma uthatha lezi zidakamizwa, kufanele utshele udokotela.

• (i-Atropine) kanye nemithi ehlobene nayo (isib. (i-hyoscyamine), (i-scopolamine), (i-tolterodine))
• Imithi yohlobo lwe-barbiturate (isb., i-phenobarbital) ekusiza ulale noma welaphe ukuxhuzula
• (I-Cimetidine)
• (I-Clonidine)
• Izinzwa zendawo (isib. umuthi wokuqeda izinhlungu onikezwa ngaphambi kokukhishwa kwamazinyo)
• Imithi yokwelapha umfutho wegazi ophakeme
• Ama-painkiller anqunywe udokotela
• Imithi yokulwa nokuxhuzula (isib. i-carbamazepine noma i-phenytoin)
• Izikhuthazi (isib. i-dexmethylphenidate noma i-methylphenidate)
• Ama-hormone e-thyroid
• (I-Ziprasidone)

Lolu hlu lungase lungaphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla), nokuthi uyabhema, uyaphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nalo muthi, ngakho-ke kungenxa yokuphepha kwakho.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Uma uthatha (imipramine), kuwumqondo omuhle ukuqaphela kancane izinguquko emzimbeni wakho kanye nesimo sakho sengqondo.

• Uma izimpawu zakho zingathuthuki noma zibonakala ziba zimbi kakhulu, tshela udokotela wakho. Kubalulekile ukubona udokotela wakho ngezikhathi ezithile ukuze uhlole ukuthi unjani.
• Kungathatha amasonto ambalwa ukubona umphumela ophelele walo muthi. Ngakho-ke,Njengoba udokotela eshilo, kubaluleke kakhulu ukuqhubeka nokuthatha umuthi isikhathi esinqunyiwe. Ungayeki ngokuzumayo ngoba ucabanga ukuthi akukho miphumela.
• Lokhu kubaluleke kakhulu: Uma wena noma amalungu omndeni wakho nibona ukuthi ninemicabango emisha noma ekhulayo yokuzibulala, noma uma ukucindezeleka kwakho kuba kubi kakhulu, noma uma unezimo ezishintshashintshayo ngokuzumayo (isibonelo, ukuzizwa ukhathazekile, ukhathazekile, ukhathazekile, ucasukile, unolaka, unesihluku, ungenaso isifiso, ungenaso isifiso esikhulu, ujabule kakhulu futhi usebenza ngokweqile, noma unenkinga yokulala), shayela udokotela wakho ngokushesha, ikakhulukazi uma uqala ukuthatha lo muthi noma ngemva kokushintsha umthamo wakho.
• Ungase uzizwe ulele noma udidekile . Ngakho-ke, uze wazi kahle ukuthi lo muthi uthinta kanjani wena, ungashayeli, ungasebenzisi imishini, noma wenze noma yini edinga ukuqaphelisisa kwengqondo. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kuzonciphisa ingozi yokuba nesiyezi nokuwa. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo futhi bungakwenza uzizwe ulele. Ngakho-ke, gwema ukuphuza utshwala.
• Uma unesifo sokukhwehlela, umkhuhlane, noma ukungezwani komzimba, ungathengi imithi ethengwa ngaphandle kwemithi kadokotela ngaphandle kokubuza udokotela wakho kuqala. Ezinye zezithako zemithi ethengwa ngaphandle kwemithi kadokotela zingandisa imiphumela emibi yalo muthi (i-Imipramine).
• Umlomo wakho ungase wome . Uma lokhu kwenzeka, ungakunciphisa lokhu ngokuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi. Uma le nkinga iqhubeka noma iba nzima, tshela udokotela wakho.
• Lomuthi ungabangela amehlo omile kanye nokungaboni kahle . Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Ukusebenzisa amaconsi amehlo agcobayo kungasiza. Uma le nkinga iqhubeka noma inzima, bona udokotela wamehlo.
• Lomuthi ungabangela ukuqunjelwa kwabanye abantu. Yidla i-fiber eningi ngangokunokwenzeka futhi uphuze amanzi amaningi. Zama ukunyakaza kwamathumbu okungenani kanye njalo ezinsukwini ezimbili kuya kwezintathu. Uma ungenaso isisu ngemva kwezinsuku ezintathu, shayela udokotela wakho.
• Isikhumba sakho singase sizwele kakhulu elangeni ngenkathi uthatha lo muthi. Ngakho-ke hlala kude nelanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezimboza isikhumba sakho, gqoka isigqoko, futhi usebenzise umuthi omuhle wokuvikela ilanga. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwesikhumba.

Yimiphi imiphumela emibi engingayithola kulo muthi?

Njenganoma yimuphi umuthi, i-Imipramine ingaba nemiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Eminye iyingozi futhi kufanele utshele udokotela wakho ngokushesha. Eminye ayibi kakhulu kangako, kodwa uma ikhathaza, kufanele umtshele.

Uma uhlangabezana nanoma yimiphi yale miphumela emibi, kufanele utshele udokotela wakho ngokushesha okukhulu :

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala (ukuvuvukala kobuso, izindebe, ulimi, umphimbo, okungase kubangele ubunzima bokuphefumula)
• Ukushintsha kwesigqi senhliziyo - uzizwa sengathi inhliziyo yakho ishaya ngokushesha, uzizwa sengathi ishaya ngokungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula
• Izimpawu zokutheleleka - umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu
• Izimpawu ze-serotonin syndrome zingase zihlanganise: ukucasuka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha, ukudikiza kwemisipha, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuxhuzula, ukubanda, ukuhlanza, isifo sohudo.
• Umfutho wegazi ophansi - isiyezi, ukuquleka, umbono ofiphele
• Ukuquleka
• Ukuzwela ekukhanyeni
• Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo (isib., umbono ofiphele, ukukhanya okuzungeze ukukhanya, ukulahlekelwa umbono)
• Imicabango yokuzibulala, imicabango yokuzilimaza, isimo sengqondo esibi kakhulu, ukucindezeleka okukhulu
• Ubunzima bokuchama (isib., umchamo uphuma kancane, uzizwe sengathi awuphumi uma uyochama)

Le miphumela emibi ngokuvamile akuyona into okufanele ukhathazeke ngayo. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Ushintsho ekuthandweni kobulili noma ekusebenzeni
• Ukuqunjelwa
• Isiyezi
• Ukozela
• Umlomo owomile
• Ukubona izinto ezingekho (hallucination)
• Ukulahlekelwa yisifiso sokudla
• Ukuthuthumela noma ukuthuthumela

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwale, khuluma nodokotela wakho ngakho.

Ngingawugcina kuphi lo muthi?

• Gcina lo muthi endaweni ephephile kude nezingane nezilwane zasekhaya.
• Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-20 no-25 (ama-degree Fahrenheit angu-68 no-77). Ungayibeki endaweni eshisayo noma enomswakama owedlulele.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Kufanele ilahlwe ngendlela efanele.

Uyilahla kanjani imithi engasetshenziswanga nephelelwe yisikhathi?

Akuyona njalo umqondo omuhle ukumane ulahle imithi engasetshenziswanga, ephelelwe yisikhathi kudoti noma uyihlanze endlini yangasese. Ingaba yingozi emvelweni noma ibangele izinkinga uma iphelela ezandleni zomunye umuntu. Ngakho yenza lokhu:

• Amanye amakhemisi nezibhedlela anezinhlelo zokuthatha imithi. Ungathola ulwazi ngalezi zindawo ngokubuza ikhemisi lakho noma iziphathimandla zezempilo zasendaweni.
• Uma kungekho ndlela yokuyibuyisela, hlola iphakethe lemithi noma imiyalelo engaphakathi ukuze ubone ukuthi kufanele yini ilahlwe emgqonyeni kadoti noma ilahlwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ithi kuphephile ukuyifaka kudoti, yenza lokhu: Uma umuthi usefomini ye-capsule, uwukhiphe esitsheni bese uwuxuba kahle nento okungekho muntu ongacabanga ukuyidla, njengodoti wekati, ikhofi elisetshenzisiwe, noma inhlabathi. Bese ubeka ingxube esikhwameni sepulasitiki noma esitsheni esivalekayo, uyivale, bese uyiphonsa kudoti. Lokhu kuzovimbela izingane noma izilwane ukuthi zingangeni kuwo.

Okokugcina, izinto okufanele uzikhumbule

Nakuba i-Imipramine ingumuthi ongasiza ezimweni ezinjengokucindezeleka, kunezinto okufanele uziqaphele uma uyisebenzisa.

• Njalo thatha umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela.
• Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
• Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
• Ngemva kokuqala umuthi, ikakhulukazi phakathi namasonto ambalwa okuqala, qaphela kakhulu nganoma yiziphi izinguquko esimweni sakho sengqondo (ikakhulukazi imicabango yokuzibulala) noma imiphumela emibi emisha. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
• Qaphela ukozela kanye nesiyezi, njengoba lokhu kungenzeka.
• Uma unemibuzo noma ukukhathazeka mayelana nalo muthi, sicela uxoxe ngawo nodokotela wakho noma nosokhemisi.

Impilo yakho yengqondo ibaluleke kakhulu. Ngakho-ke uma udlula kulolu hlobo lokwelashwa, khumbula ukuthi awuwedwa. Into ebaluleke kakhulu ukuba nobuhlobo obuhle nodokotela wakho futhi ulandele imiyalelo yakhe.

I- Imipramine, Ukucindezeleka, Ama-Tricyclic Antidepressants, i-TCA, Impilo Yengqondo, Imiphumela Engemihle