Ukwesaba okukhulu abantu abaningi abanakho lapho beqala imithi yokucindezeleka yimiphumela emibi. Kuvamile ukuba nemibuzo efana nokuthi "Ingabe kuzongenza ngizizwe ngingcono?", "Ingabe kuzothinta impilo yami yocansi?", "Ingabe kuzoba nezinye izinkinga?". Ngakho-ke namuhla sizokhuluma ngohlobo olusha lomuthi olunemiphumela emibi embalwa kuneminye. Lowo umuthi wokucindezeleka obizwa ngokuthi i-NDRI. Uma udokotela wakho ekunike lolu hlobo lomuthi, lesi sihloko sizoba sibaluleke kakhulu kuwe.
Iyini i-NDRI? Isebenza kanjani?
Kalula nje, imizwa yethu yenjabulo, ukudabuka, kanye nomsebenzi ilawulwa yizithunywa zamakhemikhali ebuchosheni ezibizwa ngokuthi ama-neurotransmitters. Ezimweni ezifana nokucindezeleka, ibhalansi yalezi zithunywa iyaphazamiseka kancane. Izinhlobo ezahlukene zezidakamizwa zokucindezeleka zithuthukisa isimo sethu sengqondo ngokuthinta lezi zithunywa ngezindlela ezahlukene.
I-NDRI isifinyezo se -Norepinephrine kanye ne-Dopamine Reuptake Inhibitors . Le mithi isebenza ngokuyinhloko ngokwandisa amazinga ama-neurotransmitter amabili ebuchosheni abizwa ngokuthi i-Norepinephrine kanye ne-Dopamine. Lokhu kunomthelela omkhulu ekuqapheni nasekujabuleni kwethu.
I-NDRI kuphela etholakala eSri Lanka okwamanje yi -Bupropion . Udokotela wakho kungenzeka ukuthi uyinike igama lomkhiqizo njenge -Wellbutrin . Ngezinye izikhathi ifakwa kwamanye ama-antidepressant kubantu abangakaphenduli ngokugcwele kwamanye ama-antidepressant. I-Bupropion iphinde inikezwe odokotela ngaphansi kwegama lomkhiqizo i-Zyban njengosizo lokuyeka ukubhema.
Inzuzo enkulu yama-NDRI ukuthi mancane kakhulu amathuba okuba nemiphumela emibi, njengokukhuluphala noma ukuncipha kwesifiso sobulili, okubonakala kwezinye izidakamizwa eziningi zokucindezeleka.
Imiphumela emibi evamile (kodwa engeyesabisayo)
Njenganoma yimuphi umuthi, ama-NDRI angaba nemiphumela emibi emincane. Kodwa iningi lalawa lingokwesikhashana . Okusho ukuthi, azophela kakhulu ngemva kwamasonto ambalwa okusebenzisa umuthi njengoba umzimba wakho usujwayele.
| Umphumela Ongemuhle | Izinto okufanele uzenze nezinto okufanele uzazi |
|---|---|
| Umlomo Owomile | Lona umphumela ovame kakhulu. Phuza amanzi amaningi, munca i-ice cube, xubha amazinyo akho njalo. Ukunciphisa izinto ezifana notshwala, ikhofi, nokubhema nakho kuyasiza. |
| Isicanucanu/Ukuhlanza | Lokhu kungancishiswa kakhulu uma umuthi uthathwa kanye nokudla. |
| Ukungalali | Ama-NDRI angabangela abanye abantu ukuba babe nenkinga yokulala ngoba ayakhuthaza kancane. Uma unale nkinga, gwema ukuthatha umthamo wakho wokugcina wosuku eduze kakhulu nesikhathi sokulala. |
| Ikhanda elibuhlungu | Lokhu kuvame ukuphela zingakapheli izinsuku ezimbalwa kusukela uqale umuthi. |
| Ukwehlisa Isisindo | Nakuba imithi eminingi yokucindezeleka ikhala ngokukhuluphala, ama-NDRI angakusiza ukuthi wehlise isisindo kancane. |
| Ukukhathazeka | Izinto ezifana nokuzivocavoca umzimba, i-yoga, nokuzindla kungasiza ekuthuliseni ingqondo yakho. |
| Isiyezi | Lokhu kungenzeka uma uvuka ekuseni kakhulu. Vuka kancane uphuze amanzi amaningi. |
| Ukuqunjelwa | Ukudla ukudla okune-fiber eningi (izithelo, imifino, ubhontshisi), ukuzivocavoca umzimba, nokuphuza uketshezi oluningi kungasiza. |
Ngaphezu kwalokhu, imiphumela emibi engavamile ihlanganisa ukushaya kwenhliziyo okusheshayo, umphimbo obuhlungu, ukuthuthumela okungalawuleki, ukuqubuka kwesikhumba, ukujuluka, ukukhala ezindlebeni, ubuhlungu besisu, ubuhlungu bemisipha, kanye nokuchama njalo.
Imiphumela emibi kakhulu okufanele uyiqaphele
Lezi azivamile kakhulu, kodwa kufanele nakanjani siziqaphele. Uma uhlangabezana nanoma yini efana nale, kufanele wazise udokotela wakho ngokushesha.
1. Ukuquleka
Kubantu abaningi, le ngozi iphansi kakhulu. Kodwa-ke, ingozi ingaba phezulu kancane kumuntu onezimo ezilandelayo:
- Uma unezinkinga zokudla (i-Anorexia noma i-Bulimia)
- Uma uke waba nesifo sokuwa ngaphambili
- Uma uke walimala kakhulu ekhanda
- Uma unesifo sesibindi
- Uma umlutha wotshwala noma izidakamizwa
2. Umfutho Wegazi Ophakeme
Udokotela wakho uzohlola umfutho wegazi lakho njalo ngemva kokuqala ukuthatha umuthi. Lokhu kubaluleke kakhulu uma usebenzisa into efana nama-nicotine patches ukuyeka ukubhema.
3. Ukwanda kwengcindezi emehlweni (i-Angle-closure Glaucoma)
Lesi yisimo esiphuthumayo samehlo esingavela ngokuzumayo. Singabangela ngisho nokulahlekelwa umbono. Uma unesihlungu samehlo, izinguquko embonweni, ukuvuvukala noma ukubomvu emehlweni akho noma eduze kwawo , tshela udokotela wakho ngokushesha.
4. Imicabango Yokuzibulala
Lokhu kubaluleke kakhulu. Ngesikhathi sokuqala kokusebenzisa noma yimuphi umuthi wokucindezeleka, okuhlanganisa ne-NDRI, kunethuba elincane kakhulu lokuthi abanye abantu (ikakhulukazi intsha) bazobhekana nokucindezeleka okukhulu noma imicabango yokuzibulala.
Uma wena noma othile omaziyo eba nentukuthelo enkulu, ukukhathazeka, ukudabuka, ukwesaba, noma yimuphi omunye umuzwa ongavamile nobuhlungu ngenkathi ethatha lo muthi, kubalulekile ukushayela udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ukusebenzisana neminye imithi
Lokhu kubaluleke kakhulu futhi. Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, izithasiselo zamakhambi, ngisho nemithi ethengiswa ngaphandle kwemithi kadokotela. Eminye imithi ingandisa ingozi yokuxhuzula uma ihlanganiswa ne-NDRI. Eminye imithi inganciphisa nokusebenza kahle kwe-NDRI.
Qiniseka ukuthi ubuza udokotela wakho ukuthi kuphephile yini ukuthatha ama-NDRI, ikakhulukazi uma usebenzisa okulandelayo:
- Ama-antidepressant e-MAOI (uma ethathwa zingakapheli amasonto ama-2)
- Noma yimuphi omunye umuthi wokucindezeleka
- Utshwala nezidakamizwa
- Ama-antipsychotics
- Umuthi wokwelapha ukuxhuzula
- Izikhuthazi
- Izinhlobo ze-Steroids
- I-insulin kanye neminye imithi yesifo sikashukela
- Amanye ama-antibiotic
- Ama-Beta-blocker
- Imithi yokwelapha izinkinga zesigqi senhliziyo
- Ama-painkiller aqukethe i-codeine
- Amaphilisi okulala kanye nemithi yokudambisa ukucindezeleka
Okubaluleke kakhulu: Ungalokothi uthathe imithi engaphezu kweyodwa equkethe i-Bupropion ngesikhathi esisodwa (isib. ukuthatha i-Wellbutrin ne-Zyban ndawonye). Ukuthatha imithi eminingi kakhulu (ukudlula umthamo) kungabangela imiphumela emibi emibi kakhulu, ukuquleka, noma ngisho nokufa.
Ukushayela nini udokotela ucingo
Ngisho noma uhlangabezana nomphumela omncane we-side effect, tshela udokotela wakho ngakho. Angase akwazi ukulungisa umthamo noma akunikeze umuthi ohlukile ukulawula umphumela we-side effect. Futhi, qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Uma unezinye zezimpawu ezilandelayo, kuyisimo esiphuthumayo . Shayela udokotela wakho ngokushesha noma uye esibhedlela esiseduze i-Emergency Treatment Unit (ETU) . Uma usola ukuthi uphuze ngokweqile, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital .
| Isimo Esiphuthumayo! Funa iseluleko sezokwelapha ngokushesha. | |
|---|---|
| Isibonakaliso | Incazelo |
| Ukuquleka | Uma umzimba uthuthumela ngokungalawuleki. |
| Ukuphupha izinto ezingekho | Uma ubona noma uzwa izinto ezingekho ngempela. |
| Ukuquleka | Uma ulahlekelwa ingqondo ngokuzumayo bese uwe. |
| Izinguquko ekushayeni kwenhliziyo | Uma uzizwa sengathi inhliziyo yakho ishaya ngokushesha kakhulu, ikhala kakhulu, ihamba kancane kakhulu, noma ishaya ngokungajwayelekile. |
Umlayezo Wokuya Nawe Ekhaya
- Ama-NDRI awuhlobo oluphephile lwe-antidepressant olunemiphumela emibi embalwa evamile, njengokukhuluphala kanye nokuncipha kwesifiso sobulili.
- Imiphumela emibi emincane njengomlomo owomile nokungalali kahle ingase ivele, kodwa ivame ukuphela phakathi namasonto ambalwa.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Uma uhlangabezana nezimpawu ezinkulu njengokuquleka, ukulahlekelwa ukwazi, noma izinguquko ezinkulu zengqondo, funa usizo lwezokwelapha ngokushesha.
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