Ingabe kufanele uphile nobuhlungu, ukuqina kanye nokukhathala okuqhubekayo emzimbeni wakho wonke? Udokotela wakho kungenzeka ukuthi ubize lesi simo ngokuthi i-fibromyalgia . Kuyisimo esicasulayo kakhulu. Ngakho-ke, umuthi owodwa okhethekile odokotela abawuncomayo ukukusiza ezikhathini ezinjengalezi yi-Milnacipran. Namuhla, sizoxoxa ngalo muthi, ukuthi usebenza kanjani, ukuthi ungenzani nokuthi yini okufanele uyiqaphele, kalula nje, njengokungathi ukhuluma nomngane.
Uhlobo luni lomuthi uMilnacipran?
Kalula nje, i-Milnacipran umuthi osetshenziselwa ukwelapha isimo sakho se-Fibromyalgia . Ingowesigaba semithi ebizwa ngokuthi i-SNRI (Serotonin-Norepinephrine Reuptake Inhibitor). Ungacabangi ukuthi, "O, liyini leli gama elikhulu?" Ngizolichaza kalula.
Ake sithi kunezithunywa ezincane ngaphakathi kobuchopho bethu ezithwala imiyalezo emuva naphambili. Sizibiza ngokuthi ama-neurotransmitter. I-Serotonin ne -Norepinephrine ziyizithunywa ezimbili ezibaluleke kakhulu. Zisiza ukugcina isimo sethu sengqondo sijabule futhi zilawula ubuhlungu. Abantu abane-fibromyalgia bangase babe nezinguquko ezithile ekusebenzeni kwalezi zithunywa.
Ngakho-ke, lokho okwenziwa yiMilnacipran ukwandisa amazinga alawa ma-serotonin kanye ne-norepinephrine ebuchosheni, okusiza ukulawula indlela ozizwa ngayo ubuhlungu kanye nesimo sakho sengqondo. Ngakho ubuhlungu nokunye ukungakhululeki okuzwayo kuzoqala ukwehla kancane kancane.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale i-Milnacipran, kufanele unikeze udokotela wakho incazelo ephelele yesimo sakho sempilo. Ungafihli lutho ngoba kuyinto encane. Ngoba ngisho nalezo zinto ezincane zingathinta ukwelashwa kwakho.
Uma unezinye zezimo ezibalwe kuthebula elingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo noma umkhuba | Kungani lokho kubalulekile? |
|---|---|
| Izinkinga zokopha | Lo muthi ungandisa kancane ingozi yokopha. |
| Uma uphuza utshwala njalo | Ukulimala kwesibindi kanye neminye imiphumela emibi kunganda. |
| Isimo se-Glaucoma | Kungabangela ukwanda kokucindezeleka kwamehlo. |
| Isifo senhliziyo, umfutho wegazi ophakeme, ukuphazamiseka kwesigqi senhliziyo | Lo muthi ungathinta umfutho wegazi kanye nokushaya kwenhliziyo. |
| Isifo sezinso noma sesibindi | Umthamo kungadingeka ushintshwe njengoba uthinta ukususwa komuthi emzimbeni. |
| I-Mania noma izimo ze-bipolar | Lezi zimo zingase zibhebhetheke kakhulu. |
| Izifo ze-prostate | Kungaba nobunzima bokuchama. |
| Uma unesifo sokuwa | Ingozi inganda. |
| Uma wena noma othile emndenini wakho eke waba nemicabango yokuzibulala | Lokhu kubaluleke kakhulu. Kufanele uqaphele kakhulu ngale micabango ezigabeni zokuqala zokuqala umuthi. |
| Uma uke wathatha umuthi we-MAOI ezinsukwini eziyi-14 ezedlule | Lokhu kungabangela ukusabela okuyingozi kakhulu. |
| Uma uzama ukukhulelwa, ukhulelwe, noma ungumama oncelisayo | Qiniseka ukuthi uyamazisa udokotela wakho ngalokhu. |
Ngingawusebenzisa kanjani umuthi?
Lo muthi kufanele uphuzwe ngomlomo nengilazi yamanzi. Ungawuthatha ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzizwa uphatheke kabi, kungcono ukuwuthatha nokudla. Qiniseka ukuthi uthatha umthamo onqunyiwe ngesikhathi osinqunyiwe, njengoba unqunyiwe udokotela . Ungakhulisi noma wehlise umthamo njengoba uzizwa, noma uwuthathe kaningi kunalokho okushiwo.
Into ebaluleke kakhulu ukuthi ukuyeka lo muthi ngokuzumayo kungabangela imiphumela emibi kakhulu. Noma isimo sakho se-fibromyalgia singase sibe sibi kakhulu. Ngakho-ke, ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ungakhathazeki. Yeqa umthamo ongawusebenzisi bese uthatha umuthi njengenjwayelo uma kufanele. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Uma lokhu kwenzeka, xhumana nodokotela wakho.
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 ukuze uthole iseluleko.
Khumbula futhi, lo muthi unikezwe wena kuphela. Unganiki omunye umuntu lo muthi, noma ngabe izimpawu zakhe zifana nezakho. Kungaba yingozi.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
I-Milnacipran umuthi ongasebenzisana neminye imithi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo).
Ungayithathi i-Milnacipran kanye nalomuthi.
Akufanele neze usebenzise i-Milnacipran uma uthatha noma yimuphi wemithi elandelayo: Ingabangela ukusabela okubi kakhulu, ngisho nokusongela impilo.
- Imithi ye-MAOI (isib. iMarplan, iNardil)
- I-Linezolid
- I-Methylene eluhlaza okwesibhakabhaka (engena emthanjeni)
- Amanye ama-SNRI afana ne-Duloxetine, i-Desvenlafaxine, i-Venlafaxine, ne-Levomilnacipran
Izinkinga zingavela nangalo muthi.
Imithi elandelayo ingase ihlangane neMilnacipran. Ngakho-ke, qiniseka ukuthi wazisa udokotela wakho ngayo.
- I-aspirin kanye nezinye izidakamizwa zokunciphisa ubuhlungu ezifanayo
- Ama-painkiller ohlobo lwe-NSAIDS (isib. i-Ibuprofen, i-Naproxen)
- Imithi evimbela ukujiya kwegazi (isib. iWarfarin, i-Enoxaparin)
- Eminye imithi yokwelapha i-migraine (Triptans)
- Eminye imithi yokwelapha isifo sengqondo
- I-Tramadol, i-Lithium, i-Tryptophan
- Isengezo semifino i-St. John's Wort
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Qaphela ngokukhethekile: Uma uqala ukusebenzisa lo muthi noma uma ushintsha umthamo, qaphela ngokucophelela ukushintshashintsha kwemizwelo okusha noma okubi kakhulu, imicabango yokuzibulala, ukuphazamiseka, noma ukukhathazeka kuwe noma emndenini wakho. Uma lokhu kwenzeka , shayela udokotela wakho ngokushesha. Lokhu kubaluleke kakhulu.
- Umfutho wegazi: Lo muthi ungandisa umfutho wegazi. Udokotela wakho angakucela ukuthi uhlolwe umfutho wegazi njalo.
- Isiyezi: Lo muthi ungathinta ikhono lakho lokugxilisa ingqondo nokusabela ngokushesha. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ukuze unciphise isiyezi kanye nokungabi nangqondo, vuka kancane uhleli noma ulale embhedeni. Lesi simo singenziwa sibe sibi kakhulu ngokuphuza utshwala.
- Umlomo owomile: Umlomo owomile uwumphumela ovamile wecala. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-Milnacipran ingaba nemiphumela emibi. Akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye imnene.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha okungavamile | Indle emnyama ebukeka njengekhofi noma igazi, ukuhlanza igazi, umchamo obomvu/onsundu omnyama, kanye namabala amancane abomvu/onsomi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, isifuba siqinile. |
| I-Serotonin Syndrome | Ukungahlaliseki, ukudideka, ukujuluka ngokweqile, umkhuhlane, ukuqina kwemisipha noma ukudikiza, ukuhlanza, uhudo. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama. |
| Izimpawu ze-sodium ephansi emzimbeni | Ubuthakathaka bemisipha, ukukhathala okukhulu, ikhanda elibuhlungu, ukudideka. |
| Ezinye izimpawu ezinkulu | Ukuquleka, ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, imicabango yokuzibulala, ubunzima bokuchama. |
Imiphumela emibi evame ukungabi mibi kakhulu
Lezi zivame ukuphela ezinsukwini ezimbalwa. Kodwa uma ziqhubeka, noma uma zikukhathaza kakhulu, tshela udokotela wakho.
- Isicanucanu, ukuhlanza
- Ukuqunjelwa
- Umlomo owomile
- Isiyezi
- Ukujuluka ngokweqile
- Izinguquko esifisweni noma emsebenzini wocansi
Umlayezo Wokuya Nawe Ekhaya
- I-Milnacipran umuthi okhethekile osetshenziselwa ukwelapha i-fibromyalgia .
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izimo zezokwelapha onazo .
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Qaphela kakhulu ngokushintsha kwemizwa, ukuphazamiseka, noma imicabango yokuzibulala ezigabeni zokuqala zokuthatha umuthi. Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu.
- Gcina umuthi endaweni yokushisa yegumbi , kude nezingane .
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