Yilabo kuphela abake baba nokucindezeleka abaziyo ukuthi kunzima kangakanani ukuphila nakho. Ngezinye izikhathi udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Levomilnacipran njengokwelashwa kwalesi simo. Ungawuthola lo muthi ngaphansi kwegama lomkhiqizo i-Fetzima eSri Lanka. Ngakho-ke, njengomsebenzisi walo muthi, kubaluleke kakhulu ukwazi konke ngawo ngokucacile. Namuhla, ake sixoxe ngalo muthi, ukuthi usebenza kanjani, kanye nezinto okudingeka siziqaphele.
Uyini lomuthi? Usebenza kanjani emzimbeni?
Kalula nje, i-Levomilnacipran umuthi osetshenziselwa ukwelapha isimo esibizwa ngokuthi ukucindezeleka . Amaseli ezinzwa zobuchopho ayaxhumana ukuze alawule imizwa yethu, imizwa yethu, kanye nokulinganisela. Amakhemikhali amabili akhethekile asiza kulokhu yi -serotonin kanye ne-norepinephrine .
Umuntu onesifo sokucindezeleka angase abe nezinguquko ezithile endleleni la makhemikhali asebenza ngayo ebuchosheni bakhe. I-Levomilnacipran isebenza ngokwandisa inani kanye nomsebenzi wala makhemikhali ebuchosheni okuthiwa i-serotonin kanye ne-norepinephrine. Ukuze kube sobala, lo muthi ungowesigaba semithi ebizwa ngokuthi i-SNRI (i-Serotonin-Norepinephrine Reuptake Inhibitor) . Lokhu kusho ukuthi lo muthi uvimba la makhemikhali ukuthi aphinde amuncwe emangqamuzaneni ezinzwa. Ngemuva kwalokho, ngenxa yokuthi akhona emangqamuzaneni ezinzwa isikhathi eside futhi emazingeni aphezulu, isimo sengqondo siyathuthuka.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuthi uqale ukuthatha lo muthi, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Lo muthi ungase uhlangane nezinye izimo zezokwelapha. Bheka ithebula elingezansi. Uma unezinye zalezi zimo, qiniseka ukuthi utshela udokotela wakho.
| Isimo noma umkhuba osebenza kuwe | Kungani kufanele utshele udokotela? |
|---|---|
| Ukuphuza njalo | Imiphumela emibi (ikakhulukazi isiyezi) inganda. |
| Ezinye izifo zengqondo(isb. i-Mania, i-Bipolar disorder) | Lomuthi ungashintsha lezo zimo. |
| Isifo senhliziyo , umfutho wegazi ophakeme , noma ukushaya kwenhliziyo okungajwayelekile | Lo muthi ungandisa umfutho wegazi kanye nokushaya kwenhliziyo. |
| Isifo sezinso | Umthamo womuthi kungadingeka ushintshwe. |
| I-Glaucoma isifo samehlo. | Ukucindezeleka kwamehlo kunganda. |
| Uma uke waba nokuxhuzula | Ingozi yokuxhuzula inganda. |
| Izinkinga zokopha noma ukuthatha imithi evimbela ukujiya kwegazi (isib. i-Warfarin, i-Aspirin) | Kwandisa ingozi yokopha okungavamile. |
| Uma wena noma othile emndenini wakho eke waba nemicabango yokuzibulala | Lolu udaba lubaluleke kakhulu. Udokotela uzokhathazeka kakhulu ngalokhu. |
| Uma ukhulelwe , uzama ukukhulelwa , noma uncelisa | Kudingeka ukunakwa okukhethekile ngoba umuthi ungase uthinte ingane. |
| Ukuthatha imithi ye-MAOI (isib. iMarplan, iNardil) | Ukuthatha le mithi emibili ndawonye kungaba yingozi kakhulu. |
Ngingawusebenzisa kanjani lo muthi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa ibaluleke kakhulu.
- Thatha lo muthi nengilazi yamanzi. Akunandaba ukuthi uwuthatha ngaphambi noma ngemva kokudla.
- Okubaluleke kakhulu: Ungalokothi uphule, uchoboze, noma uhlafune i-capsule. Yigwinye yonke . Ngaphandle kwalokho, umuthi uzokhishwa emzimbeni ngokuzumayo futhi ungabangela imiphumela emibi eyingozi.
- Thatha umuthi njengoba nje udokotela wakho ewushilo, ngesikhathi osibekiwe. Ungawushintshi umthamo ngokwakho.
- Ungayeki ukuthatha umuthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Uma wenza kanjalo, ungase ube nezimpawu zokuhoxa, noma isimo sakho singase sibe sibi kakhulu. Uma uyeka, yenza lokho njengoba kuqondiswe udokotela wakho, wehlise kancane kancane umthamo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lesi yisimo esiphuthumayo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Sonke siyakhohlwa ukuphuza imithi yethu. Uma lokho kwenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nalo muthi
I-Levomilnacipran umuthi ongasebenzisana neminye imithi, ukudla okuthile, kanye notshwala.
Ungathathi nalokhu nhlobo:
Uma uthatha lo muthi, akuvunyelwe ngokuphelele ukuthatha eminye imithi ye-SNRI efana ne-Duloxetine, i-Venlafaxine, i-Milnacipran, kanye nemithi ye-MAOI (njenge-Marplan, i-Nardil). Futhi, i-Linezolid yama-antibiotic kanye nomuthi wokugomela i-Methylene blue zingase zihlangane nalo muthi.
Qaphela ngoba lokhu kungase kungqubuzane nalokhu okulandelayo:
- Utshwala: Bukhulisa kakhulu imiphumela emibi efana nokuzumeka kanye nokozela.
- Iziqeda-buhlungu: Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) njenge-Aspirin, i-Ibuprofen, ne-Naproxen.
- Izinto zokunciphisa igazi: i-Warfarin, i-Enoxaparin, njll.
- Imithi ye-migraine: Imithi yohlobo lwe-triptan efana ne-Sumatriptan.
- Imithi kanye namaphilisi okulala kwezinye izifo zengqondo.
- Izithasiselo zemithi: ikakhulukazi i-St. John's Wort .
- Amanye ama-antibiotic (i-Clarithromycin), ama-antifungal (i-Ketoconazole), kanye nemithi efana ne-Isoniazid, esetshenziselwa ukwelapha i-TB.
Ngakho-ke, uma uya kudokotela wakho, letha uhlu oluphelele lwazo zonke izidakamizwa, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Ungakhohlwa ukubatshela uma ubhema noma uphuza utshwala.
Izinto okufanele uzicabangele lapho uthatha imithi
- Bekezela: Ngeke ubone imiphumela ngokushesha ngemva kokuthatha lo muthi. Kungathatha amasonto ambalwa ukuze uzizwe ungcono ngokuphelele. Ngakho-ke, qhubeka uthatha umuthi uma nje udokotela wakho ekutshelile.
- Qaphela ukushintsha kwemizwelo (kubaluleke kakhulu): Uma wena noma othile emndenini wakho eba nemicabango yokuzibulala, ecasuka, ehlala engazinzile, ecasuka, noma enenkinga yokugxilisa ingqondo , ikakhulukazi lapho eqala umuthi noma lapho umthamo ushintshwa, shayela udokotela wakho ngokushesha. Lesi yisixwayiso esibaluleke kakhulu.
- Umfutho wegazi: Lo muthi ungawukhuphula kancane umfutho wegazi. Ngakho-ke, kala umfutho wegazi lakho ekhaya njengoba uqondiswe udokotela wakho.
- Ukuzungeza kanye nokozela: Lo muthi ungathinta ikhono lakho lokugxilisa ingqondo nokusabela ngokushesha. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi ukuthinta kanjani. Ukuze unciphise isiyezi, sukuma kancane lapho uvuka endaweni yokuhlala noma uvuka embhedeni.
- Umlomo owomile: Lokhu kuwumphumela ovamile wecala. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Umphumela ongemuhle | Incazelo |
| Ukungezwani 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. |
| I-Serotonin Syndrome | Ukudideka, ukungahlaliseki, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuqina kwemisipha, ukuxhuzula. Lesi yisimo esiyingozi. |
| Ukushaya kwenhliziyo okusheshayo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, ishaya ngamandla, noma ishaya ngokungajwayelekile. |
| Umfutho wegazi okhuphukile | Yazisa udokotela. |
| Ukwehla kwe-sodium egazini | Ubuthakathaka bemisipha, ukukhathala, isiyezi, ukudideka. |
| Ubuhlungu bamehlo noma izinguquko zombono | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, ukubona indandatho ezizungeze izibani. |
| Ubunzima bokuchama | Akukho noma ukuchama okuncane. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isicanucanu nokuhlanza | Kuvame kakhulu ezigabeni zokuqala zokusebenzisa umuthi. |
| Ukuqunjelwa | Kuvame ukubonakala. |
| Ukujuluka ngokweqile | - |
| Izinguquko esifisweni noma emsebenzini wocansi | Ungabi namahloni okukhuluma nodokotela wakho ngalokhu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Levomilnacipran (i-Fetzima) umuthi owelapha ukucindezeleka futhi othinta amakhemikhali obuchopho.
- Ungalokothi uphule, uchoboze, noma uhlafune ikhaphu. Yigwinye yonke.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo zemithi ozithathayo.
- Uma uhlangabezana nokushintshashintsha kwemizwelo noma imicabango yokuzibulala ekuqaleni kokwelashwa, funa iseluleko sezokwelapha ngokushesha.
- Ukweqisa umthamo kuyisimo esiphuthumayo. Yiya ngokushesha eNational Poisons Information Centre noma esibhedlela i-ETU esiseduze.
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