Udokotela wakho kungenzeka ukuthi unikeze i-Imipramine ukukusiza ukuphatha ukucindezeleka ( izinkinga zemizwa ). Ivame ukusetshenziswa ukusiza izingane ukuphatha izinkinga ezifana nokuchama embhedeni ( i-enuresis ). Sicela ungakhathazeki ngegama lomuthi; ulwazi luyithuluzi lakho elihle kakhulu lokululama. Ake sixoxe nge-Imipramine ngamagama alula nacacile njengengxenye yohambo lwakho neNirogi Lanka.
Iyini ngempela i-Imipramine?
Kalula nje, i-Imipramine iyisidakamizwa sokucindezeleka. Ngokwezokwelapha, ingeyesigaba semithi ebizwa ngokuthi i-Tricyclic Antidepressants (TCAs) . Ubuchopho bethu buthembele ezithunyweni zamakhemikhali ezaziwa ngokuthi ama-neurotransmitters ukulawula imizwa yethu. Izibonelo ezimbili ezibalulekile yi -Serotonin ne -Norepinephrine . Uma ubhekene nokucindezeleka, la makhemikhali angase angalingani. I-Imipramine isebenza ngokusiza ekubuyiseleni ibhalansi efanele yala makhemikhali ebuchosheni bakho, okungasiza ekuphakamiseni imizwa yakho futhi kuthuthukise inhlalakahle yakho.
Okumele ukutshele udokotela wakho ngaphambi kokuqala
Ngaphambi kokuba uqale ukuthatha i-Imipramine, kubaluleke kakhulu ukunikeza udokotela wakho umlando wakho wezokwelapha ogcwele. Qiniseka ukuthi uyabazisa uma unezinye zezimo ezilandelayo:
| Isimo noma Umkhuba | Kungani udinga ukwazisa udokotela wakho |
|---|---|
| Isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ukuhlaselwa yinhliziyo kwamuva nje | I-Imipramine ingathinta isigqi senhliziyo, ngakho-ke kudingeka ukuqapha ngokucophelela uma unezinkinga zenhliziyo eziyisisekelo. |
| Isifo se-bipolar noma i-schizophrenia | Lo muthi ungathinta izimpawu zezifo ezithile zengqondo, kudingeke uhlelo lokwelashwa oluqondene nawe. |
| Imicabango yokuzibulala noma umlando wokuzilimaza (owakho noma umndeni) | Imithi yokucindezeleka ngezinye izikhathi ingandisa le micabango, ikakhulukazi ezigabeni zokuqala zokwelashwa. Udokotela wakho udinga ukukuqapha ngokucophelela. |
| I-Glaucoma | I-Imipramine ingakhuphula ukucindezeleka kwangaphakathi kwamehlo, okungadala i-glaucoma ibe yimbi kakhulu. |
| Isifo sesibindi noma sezinso | Lezi zitho zomzimba zisusa imithi emzimbeni wakho. Ukusebenza okunciphile kungaholela ekuqongeleleni kwemithi kanye nemiphumela emibi. |
| Izinkinga zokuquleka noma umlando wesifo sohlangothi | Lo muthi ungase wehlise kancane umkhawulo wakho wokuquleka. |
| Ukusetshenziswa kotshwala | Ukuhlanganisa utshwala ne-Imipramine kukhulisa kakhulu ukozela kanye nesiyezi. |
| Ukukhulelwa, ukuhlela ukukhulelwa, noma ukuncelisa | Umuthi ungase uthinte ingane; udokotela wakho uzokusiza uhlole izinzuzo uma kuqhathaniswa nezingozi ezingaba khona. |
Indlela yokusebenzisa lo muthi
- Landela imiyalelo kadokotela wakho: Phuza umthamo ofanele ngesikhathi esifanayo nsuku zonke ngengilazi yamanzi.
- Ungayeki ngokuzumayo: Lokhu kubalulekile. Ukuyeka ngokuzumayo kungaholela ezimpawini zokuhoxa njengokuzungeza, isicanucanu , noma ukubuya kwezimpawu zakho. Njalo yehlisa ngaphansi kokuqondisa kukadokotela wakho.
- Izingane: Uma kunikezwe ingane engaphezu kweminyaka engu-6, sicela ulandele isiqondiso somthamo wezingane esinikezwe uchwepheshe wakho ngokuqinile.
- Ukweqisa umthamo: Uma usola ukuthi uphuze okungaphezu kwalokho okuyalelwe, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (ER) ngokushesha noma uxhumane nesikhungo sakho sokulawula ubuthi sendawo.
- Umthamo ongawuphuzanga: Thatha ngokushesha nje lapho ukhumbula. Uma sekuyisikhathi somthamo wakho olandelayo, yeqa lowo ongawuphuzanga. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ongawuphuzanga.
Lo muthi wenzelwe wena ngokwezidingo zakho ezithile. Ungalokothi wabelane ngomuthi wakho nanoma ubani omunye, njengoba wawunikezwe ngokusekelwe kuphrofayela yakho yezempilo ehlukile.
Ukusebenzisana
I-Imipramine ingasebenzisana neminye imithi, ukudla okuthile, kanye nezici zendlela yokuphila. Kumelwe wazise udokotela wakho ngakho konke okuthathayo, okuhlanganisa izithako zokudla, imithi ethengiswa ngaphandle kwemithi kadokotela, kanye nemithi yendabuko yamakhambi.
Ukuxuba i-Imipramine nezinto ezithile kungaba yingozi.
- Ama-MAOI Antidepressants: Imithi efana neMarplan, iNardil, neParnate. Ukuhlanganisa lokhu ne-Imipramine kungaba yingozi empilweni.
- Ama-antipsychotics: Imithi efana ne-Thioridazine noma i-Pimozide.
- Ama-antibiotic: Ikakhulukazi i-Linezolid.
- Izithasiselo Zemithi: I-St. John's Wort.
Ngaphezu kwalokho, kufanele uqaphele kakhulu lapho uthatha i-Imipramine kanye nalokhu okulandelayo:
- Imithi ethile yomfutho wegazi (isb., i-Clonidine)
- Imithi yokuquleka (isib., i-Carbamazepine, i-Phenytoin)
- Ama-sedative, izinsiza zokulala, kanye nemithi yokunciphisa izinhlungu
- Amahomoni e-thyroid
- Utshwala nezidakamizwa zokuzijabulisa
Yini okufanele uyiqaphele lapho uthatha i-Imipramine?
Gada izinguquko esimweni sakho sengqondo
Lokhu kubalulekile. Emasontweni ambalwa okuqala okuqala umuthi noma ngemva kokulungiswa komthamo, uma uzwa ukucasuka, ukungahlaliseki, ukucasuka, noma imicabango yokuzibulala, xhumana nodokotela wakho ngokushesha. Kunconywa kakhulu ukuthi wazise amalungu omndeni wakho, njengoba angase aqaphele izinguquko zokuziphatha kuwe ngaphambi kokuba wenze kanjalo.
Ukozela kanye nesiyezi
Lo muthi ungabangela ukozela noma isiyezi. Kuze kube yilapho wazi ukuthi kukuthinta kanjani, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini esindayo. Uma ungumuntu omdala, qaphela kakhulu ukuthi ume kancane usendaweni yokuhlala noma yokulala ukuze ugweme ukuba nekhanda elibuthakathaka noma ukuwa.
Umlomo owomile, ukuqunjelwa, namehlo omile
- Ngomlomo owomile: Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, kanye nokuphuza amanzi usuku lonke kungasiza.
- Ngokuqunjelwa: Qinisekisa ukuthi uhamba njalo ngamathumbu okungenani njalo ezinsukwini ezingu-2-3. Uma kungenjalo, xhumana nodokotela wakho. Ukufaka ukudla okune-fiber eningi (izithelo, imifino) nokuhlala unamanzi amaningi kuyasiza.
- Kwamehlo omile: Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Ungasebenzisa amaconsi amehlo agcobayo; uma inkinga iqhubeka, xhumana nochwepheshe wamehlo.
Ukuzwela elangeni
Isikhumba sakho singase sizwele kakhulu elangeni ngenkathi usebenzisa lo muthi. Gwema ukuchayeka elangeni isikhathi eside, gqoka izingubo zokuzivikela, futhi usebenzise isivikelo selanga uma uphuma ngaphandle.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Imipramine ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Uma lezi zimpawu zenzeka, xhumana nodokotela wakho ngokushesha noma uye eGumbini Eliphuthumayo | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, noma ukuvuvukala kobuso, izindebe, noma ulimi. |
| Izinguquko zesigqi senhliziyo | Ukushaya kwenhliziyo okusheshayo, ubuhlungu besifuba, isiyezi, noma ukuphelelwa umoya. |
| I-Serotonin Syndrome | Ukucasuka okukhulu, ukudideka, ukujuluka ngokweqile, ukuthuthumela, ukuqina kwemisipha, umkhuhlane omkhulu, noma ukuhlanza. |
| Ezinye izimpawu ezinkulu | Ukuquleka, ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, ubunzima bokuchama, noma imicabango yokuzibulala. |
| Le miphumela emibi ngokuvamile ayibi mibi kakhulu, kodwa xhumana nodokotela wakho uma iqhubeka | |
| Imiphumela emibi evamile | Umlomo owomile, ukozela, isiyezi, ukuqunjelwa, ukulahlekelwa yisifiso sokudla, ukuthuthumela, noma izinguquko ekufiseni/ekusebenzeni kocansi. |
Umlayezo Wokuya Nawe Ekhaya
- I-Imipramine umuthi osetshenziselwa ukwelapha izimo ezinjengokucindezeleka ngokulinganisela amakhemikhali obuchopho.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kwemiyalelo kadokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izimo zempilo ezikhona ngaphambi kokuqala lokhu kwelashwa.
- Qaphela isimo sakho sengqondo, ikakhulukazi mayelana nemicabango yokuzibulala, ngesikhathi sokuqala kokwelashwa. Uma ubona noma yiziphi izinguquko, xhumana nodokotela wakho ngokushesha.
- Funa usizo oluphuthumayo lwezokwelapha uma uhlangabezana nemiphumela emibi kakhulu (isib., ukushintsha kwesigqi senhliziyo, ukusabela kokungezwani komzimba, ukuxhuzula).
- Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
I-Imipramine, iTofranil, Ukucindezeleka, iNirogi Lanka, Impilo Yengqondo, Umuthi Wokucindezeleka We-Tricyclic
