Ingabe usebenzisa iMirtazapine ukunciphisa ukucindezeleka kwakho? Masiqaphele lokhu!

Ingabe ngezinye izikhathi uzizwa udabuke kakhulu, unesizungu, futhi ungafuni ukwenza lutho? Ngezinye izikhathi le mizwa iyaphela ngemva kwezinsuku ezimbalwa, kodwa uma iqhubeka, kungaba uphawu lwesimo esibizwa ngokuthi ukucindezeleka . Uma kunjalo, kungcono ukufuna iseluleko sezokwelapha. Ngezikhathi ezinjalo, udokotela wakho angase akunike umuthi obizwa ngokuthi 'iMirtazapine'. Ngakho-ke, namuhla sizoxoxa ngokuthi iyini i-'Mirtazapine', ukuthi isetshenziswa kanjani, nokuthi yiziphi izinto okufanele uziqaphele.

Uyini lo muthi obizwa ngokuthi iMirtazapine?

Kalula nje, i-Mirtazapine umuthi osetshenziselwa ukwelapha ukucindezeleka. Ubuchopho bethu buqukethe amakhemikhali amabili abizwa ngokuthi i-serotonin kanye ne -norepinephrine . Lawa asiza ekulawuleni imizwa yethu yenjabulo nokudabuka. Asebenza njengezithunywa ezilawula imizwa yethu. Ngakho-ke, uma sinokucindezeleka, ibhalansi yala makhemikhali ingaphazamiseka. Lokho i-Mirtazapine ekwenzayo ukukhulisa amazinga e-serotonin kanye ne-norepinephrine ebuchosheni, okusiza ekuthuthukiseni imizwa yakho.

Ungawuthenga lo muthi emakhemisi ngaphansi kwegama lomkhiqizo elithi ``Remeron`` noma ngaphansi kwamanye amagama. Ngezinye izikhathi odokotela bangawusebenzisa lo muthi nakwezinye izimo zezokwelapha. Ngakho-ke uma uneminye imibuzo mayelana nalo muthi, buza udokotela wakho noma usokhemisi.

Yini okufanele ngiyitshele udokotela wami ngaphambi kokusebenzisa lo muthi?

Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukusebenzisa i-Mirtazapine, kufanele utshele udokotela wakho ngesimo sakho sempilo. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zingase zingahambisani nalo muthi, noma kungadingeka ukuthi unakekele ngokukhethekile. Nazi ezinye izinto okufanele uzitshele udokotela wakho:

• Uma unesifo sengqondo esifana nesifo sokuphazamiseka kwengqondo okubangelwa yi-bipolar: Yilapho uba nobunzima bokugcina ingqondo yakho isendaweni eyodwa. Ngokungazelelwe uzizwa ujabule kakhulu (uhlanya), bese ngokuzumayo uzizwa udabuke kakhulu ( ukucindezeleka ).
• Uma une-glaucoma: Lesi yisifo esibangela ukucindezeleka okukhulu emehlweni.
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma uke waba nemicabango yokuzibulala noma okwamanje unemicabango yokuzibulala.
• Uma une-allergy ku-Mirtazapine, eminye imithi, ukudla, amadayi okudla, noma izithasiselo.
• Uma ukhulelwe njengamanje, noma uzama ukukhulelwa maduze.
• Uma ungumama oncelisayo.

Uma usho lezi zinto ngokunembile, udokotela wakho angahlela ukwelashwa okukufanele kakhulu.

Uyisebenzisa kanjani kahle le mithi?

Kulungile, manje ake sibone ukuthi singawuthatha kanjani lo muthi.

• Lomuthi uza ngesimo samaphilisi. Kufanele uphuzwe ngomlomo kanye nengilazi yamanzi.
• Kufanele uphuze umuthi njengoba nje udokotela wakho ekutshelile, ngesikhathi esiqondile, nangenani eliqondile elishiwo udokotela wakho. Ungalokothi uthathe okungaphezu kwenani udokotela wakho akutshele lona.
• Kungcono ukuthatha umuthi ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ngeke ukhohlwe futhi umuthi uzosebenza kahle.
• Nansi into ebaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Uma wenza kanjalo, ungase ube nemiphumela emibi kakhulu noma ukucindezeleka kwakho kungase kube kubi kakhulu. Udokotela wakho uzokutshela nokuthi ungayeka kanjani ukuthatha umuthi uma kudingeka.
• Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yolwazi ekhethekile (`MedGuide`) nayo. Funda le ncwajana ngokucophelela isikhathi ngasinye lapho uthola ukugcwalisa kabusha. Iqukethe ulwazi olubaluleke kakhulu ngalo muthi.
• Uma unikeza izingane lo muthi: Kufanele kuthathwe ukunakekelwa okukhethekile. Nikeza izingane lo muthi kuphela ngemva kokukhuluma nodokotela nangokulandela imiyalelo yakhe.
• Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo eliseduze ngokushesha.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngomuthi wakho nabanye, noma ngabe banezimpawu ezifanayo nezakho.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ngezinye izikhathi uyakhohlwa ukuphuza umuthi wakho. Uma lokho kwenzeka, ungakhathazeki.

• Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
• Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo uma ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe.
• Ungalokothi uthathe umuthi ophindwe kabili ngesikhathi esisodwa.Ukwenza kanjalo kwandisa ingozi yemiphumela emibi.

Yikuphi okunye ukusebenzisana okungenzeka nalomuthi?

"Ukuxhumana" kusho ukuthi isenzo se-Mirtazapine singase sithinteke eminye imithi, ukudla, noma ezinye izinto ozithathayo. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini), kanye nokuthi ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.

Kunemithi eminingana okungafanele ithathwe ne-'Mirtazapine' :

• I-Linezolid (lena i-antibiotic)
• Ama-antidepressant e-MAOI (izibonelo: i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, ne-Parnate) - Lawa futhi uhlobo lomuthi osetshenziselwa ukwelapha ukucindezeleka . Ukuthatha lokhu nge-Mirtazapine kungabangela ukusabela okuyingozi.
• `I-Methylene blue` (Lona umuthi ofakwa emthanjeni)

I-Mirtazapine ingasebenzisana nalokhu okulandelayo:

• Utshwala: Ukuthatha lo muthi notshwala kungandisa ukozela kanye nesiyezi. Ngakho-ke, kungcono ukugwema utshwala ngenkathi usebenzisa lo muthi.
• Imithi yokulwa namagciwane elapha 'i-HIV' noma 'i-AIDS'.
• Izinto zokunciphisa igazi (isib., izinto ezilwa nokuvuvukala kwegazi ezifana ne-Warfarin).
• Eminye imithi esetshenziswa ukwelapha ukucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo.
• Imithi yokutheleleka kwesikhunta (isib. iKetoconazole, i-Itraconazole).
• Eminye imithi yokwelapha i-migraine (isib. i-Almotriptan, i-Eletriptan, i-Sumatriptan).
• Imithi yokwelapha ukuxhuzula noma ukuxhuzula (isib. i-Carbamazepine, i-Phenytoin).
• Umuthi wokulala.
• I- Cimetidine (umuthi wokuvuvukala kwesisu).
• I-Erythromycin (i-antibiotic).
• I-Fentanyl (umuthi wokuqeda izinhlungu onamandla).
• I-Lithium (umuthi ovame ukunikezwa isifo sokuphazamiseka kwengqondo).
• Imithi yokulawula umfutho wegazi.
• `Nefazodone` (umuthi wokucindezeleka).
• I-Rasagiline (umuthi wesifo sikaParkinson).
• `Rifampin` (umuthi osetshenziselwa ukwelapha isifo sofuba).
• Ezinye izithako zemithi zihlanganisa i-'St. John's wort', i-'kava kava', ne-'valerian'.
• I-Tramadol (umuthi wokuqeda izinhlungu).
• I-Tryptophan (i-amino acid, ngezinye izikhathi ethathwa njengesengezo).

Lolu hlu aluphelele. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo kanye nanoma yimiphi imikhiqizo yezitshalo oyisebenzisayo. Angakusiza ukuthi usebenzise iMirtazapine ngokuphephile.

Yiziphi izinto okufanele uziqaphele kakhulu lapho uthatha lo muthi?

Kudingeka futhi uqaphele kancane uma usebenzisa i-'Mirtazapine'.

• Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Hlala uthintana nodokotela wakho njalo futhi uye kohlolwa njengoba encoma.
• Kungathatha amasonto ambalwa ukuthi lo muthi usebenze ngokugcwele. Ngakho-ke, ungakhathazeki futhi uqhubeke uthatha umuthi njengoba udokotela wakho ekutshela.
• Lokhu kubaluleke kakhulu: Wena nomndeni wakho kufanele niqaphele noma yiziphi izinguquko ekuziphatheni noma ekucabangeni kwenu. Ikakhulukazi, uma unemicabango emisha noma emibi yokuzibulala, noma uma uzizwa ucindezeleke kakhulu, kufanele utshele udokotela wakho ngokushesha.
• Futhi, uma uzizwa ukhathazekile ngokuzumayo, ukhathazekile, ukhathazekile, ucasukile, unolaka, unesihluku, unesihluku, ungenaso isiqondiso, ungenaso isifiso sokuphumula, ujabule kakhulu futhi usebenza ngokweqile, noma ungakwazi ukulala, ikakhulukazi lapho uqala umuthi noma ngemva kokushintsha umthamo, khuluma nodokotela wakho ngokushesha.
• Lomuthi ungakwenza uzizwe ulele noma udidekile . Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqapha uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
• Ungavuki ngokuzumayo umi noma uhleli, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isiyezi futhi ungase uwe.
• Gwema ukuphuza utshwala. Utshwala bungaphazamisa ukusebenza kahle kwalo muthi futhi bukhulise imiphumela emibi.
• Lomuthi ungabangela amehlo omile kanye nokungaboni kahle . Uma ugqoka ama-contact lens, ungase uzizwe ungakhululekile. Amaconsi okugcoba angasiza. Kodwa-ke, uma le nkinga iqhubeka noma inzima, bona udokotela wakho wamehlo.
• Umlomo owomile ungase ube khona. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi kungasiza. Kodwa-ke, uma lokhu kuqhubeka noma kuba kubi kakhulu, khuluma nodokotela wakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Mirtazapine ingabanga imiphumela emibi kwabanye abantu. Akuwona wonke umuntu oyitholayo, kodwa abanye abantu bayayithola.

Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha ihlanganisa:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Lokhu kungabangela ubunzima bokuphefumula futhi kufanele kwelashwe ngokushesha.
• Ukushintsha kwesigqi senhliziyo: Uma uzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, uma uzizwa unesiyezi, uma uzizwa ubuthakathaka noma unekhanda elibuhlungu, uma unezinhlungu esifubeni, noma uma unenkinga yokuphefumula.
• Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
• Izimpawu ze-Serotonin Syndrome: Lesi yisimo esiyingozi kancane. Singenzeka uma izinga le-serotonin ebuchosheni likhuphuka kakhulu. Izimpawu zifaka: ukucasuka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuxhuzula, ukubanda, ukuhlanza, kanye nesifo sohudo.
• Izimpawu zamazinga aphansi e-sodium egazini (`Hyponatremia`): ubuthakathaka bemisipha, ukukhathala, isiyezi, ikhanda elibuhlungu, ukudideka.
• Ukuvuvukala kwesikhumba okunomkhuhlane kanye nama-lymph node avuvukele.
• Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka noma ukukhululeka kwesikhumba, ngisho nangaphakathi emlonyeni kungenzeka.
• Ukuquleka/ukuquleka.
• Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo: umbono ofiphele, ukubona ama-halo azungeze ukukhanya, ukulahlekelwa umbono.
• Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, kanye nemizwa yokucindezeleka eyandayo.

Imiphumela emibi evame ukungadingi ukwelashwa, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

• Ukuqunjelwa.
• Isiyezi.
• Ukozela.
• Umlomo owomile.
• Ukwanda kwesifiso sokudla.
• Ukwanda kwesisindo.

Khumbula, lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile ngaphezu kwalokhu, khuluma nodokotela wakho ngalokho futhi. Ungesabi imiphumela emibi, kodwa kubalulekile ukuqaphela.

Uwugcina kanjani lo muthi?

Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.

• Yigcine kude nezingane futhi ikude nazo.
• Kufanele igcinwe ekamelweni lokushisa, okusho ukuthi iphakathi kuka-15 no-30 degrees Celsius (15 no-30 degrees C noma 59 no-86 degrees F).
• Vikela elangeni eliqondile kanye nomswakama. Ngakho-ke ungayigcini ezindaweni ezinomswakama njengasegumbini lokugezela.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.

Into ebaluleke kakhulu okudingeka siyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-'Mirtazapine.' Okokugcina, nazi izinto ezibaluleke kakhulu okufanele uzikhumbule:

• I-Mirtazapine umuthi wokucindezeleka. Isiza ukuthuthukisa isimo sakho sengqondo ngokulinganisela amakhemikhali ebuchosheni bakho.
• Ngaphambi kokusebenzisa lo muthi, tshela udokotela wakho konke ngesimo sakho sempilo.
• Thatha umuthi njengoba nje udokotela wakho ekutshela, ngesikhathi esifanele, ngenani elifanele. Ungalokothi uyeke ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho.
• Qaphela imiphumela emibi engaba yingozi uma uthatha imithi, futhi uma ikhona, tshela udokotela wakho ngokushesha.
• Tshela udokotela wakho nganoma yimiphi eminye imithi noma imikhiqizo yamakhambi oyithathayo, njengoba ingase ihlangane nalo muthi.
• Qaphela ngoba kungabangela ukozela kanye nesiyezi. Gwema utshwala.

Ukucindezeleka yisimo esingathinta noma ubani. Singelapheka ngokwelashwa okufanele. I-'Mirtazapine' ingomunye nje umuthi ongasiza ngakho. Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho. Ungumuntu ongakusiza kakhulu. Ngikufisela ukululama okusheshayo!

Ukucindezeleka , i-mirtazapine, i-Remeron, imithi yokucindezeleka, impilo yengqondo, imiphumela emibi, imithi