Uma udokotela wakho ekunikeze umuthi obizwa ngokuthi i-Nortriptyline, ungase uzizwe wesaba futhi udidekile. Kuvamile ukuthi abaningi bethu bacabange ngaleyo ndlela uma sizwa "umuthi wobuchopho," "umuthi wokugula kwengqondo." Kodwa ungakhathazeki. Lokhu kufana nanoma yimuphi omunye umuthi womzimba wethu. Kulungile, ake sichaze konke ngalomuthi kalula, njengokungathi sikhuluma nomngane.
Uyini lo muthi obizwa ngokuthi i-Nortriptyline?
Kalula nje, i-Nortriptyline umuthi osetshenziselwa ukwelapha ukucindezeleka . Ungowesigaba semithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs) .
Cabanga ngalokhu: ubuchopho bethu bunamakhemikhali asebenza njengezithunywa ezincane. Sibiza lawa ma-neurotransmitter . Lawa ma-messenger adlala indima enkulu ekulawuleni imizwa yethu, imizwa efana nenjabulo nokudabuka. I-Serotonin ne -norepinephrine yizithunywa ezimbili eziyinhloko. Abantu abanokucindezeleka bangase babe nokungalingani kwala makhemikhali ebuchosheni babo. I-Nortriptyline isebenza ngokubuyisela lokho kulinganisela nokusiza ekuthuthukiseni imizwa yakho.
Ngezinye izikhathi odokotela basebenzisa lo muthi kwezinye izimo zezokwelapha, ngakho-ke uma unemibuzo, buza udokotela wakho ngawo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Ukuze ulashwe ngokuphepha, udokotela wakho udinga ukwazi umlando wakho wezempilo ophelele. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala i-Nortriptyline.
| Isifo noma umkhuba | Kungani kubalulekile ukwazisa udokotela? |
|---|---|
| Izimo ezifana nesifo senhliziyo noma i-Brugada syndrome | Lo muthi ngezinye izikhathi ungathinta izinga lokushaya kwenhliziyo. |
| Izifo zengqondo ezifana ne-bipolar disorder noma i-schizophrenia | Imiphumela yomuthi ingahluka, futhi izimpawu zingase zibe zimbi kakhulu. |
| Isifo sesibindi | Ukusebenza kwesibindi kubalulekile ngoba isibindi sisiza ekususeni imithi emzimbeni. |
| I-Glaucoma noma ubunzima bokuchama | Lomuthi ungase ube mubi kakhulu kulezo zimo. |
| Ukuquleka | Umuthi ungandisa kancane ingozi yokuquleka. |
| Isifo se-thyroid | Kungase kube nokuxhumana phakathi kwama-hormone e-thyroid nalo muthi. |
| Umkhuba wokuphuza utshwala | Ukuphuza utshwala kanye nalo muthi ndawonye kungandisa ukozela kanye neminye imiphumela emibi. |
| Imicabango yokuzibulala noma imizamo yangaphambilini | Lokhu kubaluleke kakhulu. Udokotela kufanele aqaphele lokhu. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Kufanele uxoxe nodokotela wakho ngemiphumela engaba khona enganeni. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Kufanele wazise udokotela wakho uma une-allergy ku-nortriptyline noma eminye imithi ye-TCA. |
Ngingawusebenzisa kanjani lo muthi?
- Thatha lo muthi nengilazi yamanzi. Thatha njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele.
- Ngikukhumbuze.Ungathathi umthamo ophindwe kabili.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho futhi kubangele imiphumela emibi efana nekhanda elibuhlungu kanye nesicanucanu. Uma uyeka ukuthatha umuthi, yenza kancane kancane futhi kuphela njengoba uqondiswe udokotela wakho.
Isexwayiso: Ukweqisa umthamo
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, xhumana ne -National Poisons Information Centre e-National Hospital ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze. Lo muthi ungowakho kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingabangela izinkinga ngalo muthi (Ukusebenzisana)
I-Nortriptyline umuthi ongabangela izinkinga (ukusebenzisana) neminye imithi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yesiSinhala, imithi ye-Ayurvedic, amavithamini, kanye nezithasiselo ozithatha kudokotela womndeni wakho.
Ungawuthathi lo muthi nanoma yini!
Uma uthatha imithi elandelayo, ukuthatha i-Nortriptyline akuvunyelwe ngokuphelele .
- I-Cisapride
- I-Dronedarone
- I-Linezolid
- I-Pimozide
- I-Thioridazine
- Imithi esesigabeni semithi ebizwa ngokuthi i-MAOIs (isib. i-Carbex, i-Marplan)
- I-Methylene eluhlaza okwesibhakabhaka (engena emthanjeni)
Kungaba nezinkinga ngale mithi futhi.
Imithi elandelayo ingase ihlangane ne-Nortriptyline. Ngakho-ke uma uthatha noma iyiphi yalezi, tshela udokotela wakho.
- Utshwala
- Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (ama-Antihistamine)
- Eminye imithi yokucindezeleka (isib. i-fluoxetine, i-sertraline)
- Imithi ethinta izinga lokushaya kwenhliziyo (imithi yokwandisa isikhathi se-QT)
- Izibulali-zinhlungu (isib. i-tramadol)
- Imithi efana ne-Cimetidine, i-Quinidine, i-Reserpine
- Amahomoni e-thyroid
Izinto okufanele uzikhumbule lapho uthatha imithi
Qaphela izinguquko zemizwa.
Lokhu kubaluleke kakhulu. Ikakhulukazi emavikini ambalwa okuqala okuqala kokusebenzisa umuthi noma ngemuva kokushintsha umthamo, kubalulekile ukuthi wena nomndeni wakho niqaphele noma yimiphi imizwa emisha noma eya iba mibi yokukhathazeka, ukungahlaliseki, ukucasuka, ukuqwasha, noma imicabango yokuzibulala.Kudingeka uqaphele kakhulu. Uma ubona noma yiziphi izinguquko ezinjalo, shayela udokotela wakho ngokushesha.
Ukozela kanye nesiyezi
Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo uhleli. Sukuma kancane ngemva kwesikhashana. Lokhu kuzonciphisa ingozi yokuba nesizungu nokuwa.
Ezinye izinkinga ezivamile kanye nezixazululo zazo
- Umlomo owomile: Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
- Amehlo omile kanye nokubona okufiphele: Amalensi okuxhumana angase angakhululeki. Amaconsi okugcoba angasetshenziswa. Uma le nkinga iqhubeka, bona udokotela wamehlo.
- Ukuqunjelwa: Zama ukuhlanza amathumbu okungenani kanye njalo ezinsukwini ezimbili kuya kwezintathu. Yidla ukudla okuningi okune-fiber, imifino, nezithelo. Uma ungenzi ukuhlanza amathumbu ngemva kwezinsuku ezintathu, tshela udokotela wakho.
- Ukuzwela elangeni: Isikhumba sakho singase sishise kakhulu uma uthatha lo muthi. Ngakho-ke, uma uzoba selangeni, gqoka izingubo ezimboza umzimba wakho bese usebenzisa i-sunscreen.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Nortriptyline ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Serotonin syndrome | Ukungahlaliseki, ukudideka, ukujuluka ngokweqile, umkhuhlane, ukuqina kwemisipha noma ukuthuthumela, ukuhlanza, uhudo. |
| Ukuquleka | Ukuqala ngokuzumayo kokuxhuzula. |
| Ubuhlungu obungazelelwe noma izinguquko ekubukekeni kwamehlo | Ukubona okufiphele, ukubona indandatho ezizungeze izibani, ubuhlungu bamehlo. |
| Ubunzima bokuchama | Ubunzima bokuchama noma ukungaphumi komchamo. |
| Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukozela noma isiyezi | Lokhu kuzoncipha njengoba umzimba ujwayela imithi. |
| Umlomo owomile | Kungalawulwa ngokuphuza amanzi amaningi. |
| Ukuqunjelwa | Kungalawulwa ngokudla ukudla okune-fiber eningi nokuphuza amanzi amaningi. |
| Izinguquko esifisweni noma emsebenzini wocansi | Khuluma nodokotela wakho ngokukhululekile ngalokhu. |
Ugcina kanjani imithi yakho iphephile?
Gcina lo muthi kude nezingane . Gcina esitsheni esivalwe kahle, endaweni yokushisa kwegumbi, kude nokukhanya kwelanga. Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Nortriptyline umuthi osetshenziselwa ukwelapha ukucindezeleka. Usiza ukulinganisela amakhemikhali obuchopho nokuthuthukisa isimo sengqondo.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela) kanye nanoma yiziphi izimo zezokwelapha onazo.
- Ngesikhathi sokuqala kokwelashwa, wena nomndeni wakho kufanele niqaphele isimo senu sengqondo (ikakhulukazi imicabango yokuzibulala). Uma ubona noma yiziphi izinguquko, yazisa udokotela wakho ngokushesha.
- Imiphumela emibi evamile efana nokozela nomlomo owomile ingase ivele, futhi uma uhlangabezana nemiphumela emibi kakhulu (izinguquko ekushayeni kwenhliziyo, ukungezwani komzimba), funa iseluleko sezokwelapha ngokushesha.
- Uma unenkinga ngalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.
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