Ngezinye izikhathi, isimo esifana nokucindezeleka singase singalapheki ngokusebenzisa umuthi owodwa nje. Uma uke wabhekana nalokhu, udokotela wakho angancoma i-capsule ekhethekile eyenziwe ngokuhlanganisa imithi emibili ebizwa ngokuthi i-Olanzapine ne-Fluoxetine. Lo umuthi unamandla kakhulu. Ngakho-ke, ake sixoxe ngakho konke ngokucacile nangokulula.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo umuthi onikezwa ukwelapha ukucindezeleka kwakho. Odokotela bavame ukuwunikeza uma eminye imithi yokucindezeleka ingasebenzi. Uphinde usetshenziswe ukwelapha isimo esibizwa ngokuthi ukucindezeleka kwe-bipolar.
Empeleni lokhu kuyinhlanganisela yezinhlobo ezimbili zemithi.
1. I-Olanzapine: Lona umuthi ongowesigaba se-antipsychotic.
2. I-Fluoxetine: Lona umuthi wokucindezeleka ongowesigaba se-SSRI (Selective Serotonin Reuptake Inhibitor).
Le mithi emibili isebenza ndawonye ukulinganisela umsebenzi wama-neurotransmitter amabili ebuchosheni bethu, i-dopamine kanye ne-serotonin . Lawa ngamakhemikhali asiza ekulawuleni izinto ezifana nesimo sethu sengqondo, injabulo, kanye nokulala. Ngakho-ke uma lokhu kulinganisela, isimo sakho sengqondo siyathuthuka.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Udokotela wakho kuzodingeka azi umlando wakho wezokwelapha ophelele ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isifo noma isimo | Imininingwane okufanele yaziswe |
|---|---|
| Impilo yengqondo | Uma wena noma ilungu lomndeni linesifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder. Uma uzizwa sengathi ufuna ukuzilimaza, uhlele ukwenza kanjalo, noma uke wazama ukwenza kanjalo. |
| Isifo senhliziyo kanye nomfutho wegazi | Uma unesifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, isifo sohlangothi, i-cholesterol ephezulu, umfutho wegazi ophansi, njll. |
| Izinkinga ezihlobene negazi | Izinkinga zokopha, izimo ezifana namaseli amhlophe aphansi egazi, amaseli abomvu egazi, noma ama-platelet uma uthatha imithi yokunciphisa igazi. |
| Ezinye izifo | Isifo sikashukela, isifo sesibindi, ukuquleka, i-glaucoma, isifo sikaParkinson, izinkinga ze-prostate, i-dementia. |
| Umsebenzi womzimba | Ubunzima bokugwinya, ukuqunjelwa, ukuvaleka kwamathumbu, ubunzima bokuchama, ubunzima bokulawula imisipha. |
| Imikhuba kanye nokungezwani komzimba | Uma ubhema, uke waba nokusabela kokungezwani komzimba ne-Olanzapine, i-Fluoxetine, noma eminye imithi noma ukudla esikhathini esidlule. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani umuthi?
- Thatha leli kapsuli nengilazi yamanzi.
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngomthamo ofanele, ngesikhathi esifanele. Zama ukuwuthatha ngesikhathi esifanayo nsuku zonke.
- Lokhu kungathathwa nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukukuthatha ngemva kokudla.
- Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ukuwuthatha ngokuzumayo, noma ngabe uzizwa ungcono. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu.
- Lo muthi ngezinye izikhathi unikezwa izingane ezingaphezu kweminyaka eyi-10, kodwa udokotela kuphela onganquma.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya egumbini lezimo eziphuthumayo esibhedlela (ETU) ngokushesha. Noma shayela iNational Poisons Information Centre eColombo National Hospital .
Okubaluleke kakhulu: Lo muthi ungowakho kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Eminye imithi engase ihlangane nalo muthi
Uma uthatha lo muthi, kufanele wazise udokotela wakho ngayo yonke eminye imithi oyithathayo. Eminye imithi ingasabela kulo muthi futhi ibangele izimo ezibucayi.
| Ungayithathi le mithi ngalokhu! | |
|---|---|
| Ama-MAOI (isib. i-Carbex, i-Nardil) | I-Linezolid, i-Methylene eluhlaza okwesibhakabhaka, i-Pimozide, i-Thioridazine |
| Eminye imithi equkethe i-Fluoxetine noma i-Olanzapine (isib. i-Prozac, i-Zyprexa) | I-Dronedarone, i-Metoclopramide |
| Tshela udokotela wakho uma usebenzisa lezi zinto. | |
| Utshwala | I-aspirin kanye ne-NSAID-type painkillers (isib. i-Ibuprofen, i-Naproxen) |
| Imithi evimbela ukujiya kwegazi (isib. i-Warfarin) | Amaphilisi okulala, eminye imithi yokugula kwengqondo |
| Eminye imithi esetshenziselwa i-migraines | Imithi yomfutho wegazi ophezulu |
| Izithasiselo zemithi ezifana ne-St. John's Wort | Izinhlungu zobuhlungu ezinamandla njengeTramadol neFentanyl |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, noma umkhiqizo wezitshalo owuthathayo.
Izinto okufanele uzicabangele lapho uthatha imithi
- Bona udokotela wakho njalo: Yiya emtholampilo ngezinsuku ezihleliwe ukuze uhlole ukuthi unjani. Uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, sazise.
- Ukusabela okukhulu kwesikhumba: Abanye abantu bangase babe nokusabela okukhulu kwesikhumba emasontweni ambalwa ngemva kokuqala lo muthi. Funa usizo lwezokwelapha ngokushesha uma uba namabala abomvu noma ansomi esikhumbeni sakho, kanye nomkhuhlane kanye nobuhlungu bomzimba, okuthi kamuva kube namaqhubu bese kuqala ukuqhekeka.
- Imicabango yokuzibulala: Lokhu kubaluleke kakhulu. Abanye abantu bangase babe nokucindezeleka okukhulu kanye nemicabango yokuzilimaza lapho beqala ukuthatha imithi noma ngemva kokushintsha umthamo.
Isiguli nomndeni kufanele baqaphele lokhu. Uma ubona ushintsho olusheshayo esimweni sengqondo, njengokukhathazeka, ukuzizwa ukhathazekile, ukuthukuthela kalula, noma ukuba nenkinga yokulala, khuluma nodokotela wakho ngokushesha.
- Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini. Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo.
- Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho usukuma endaweni yokuhlala, ikakhulukazi uma usukhulile.
- Utshwala: Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi. Kungaphazamisa ukusebenza kahle komuthi futhi kwenze ukozela kube kubi nakakhulu.
- Umlomo owomile: Umlomo owomile uvamile . Lokhu kungalawulwa izinto ezifana nokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
- Izinga lokushisa lomzimba:Lo muthi ungathinta ikhono lomzimba lokulawula izinga lokushisa. Lokhu kusho ukuthi ikhono lomzimba lokubekezelela ukubanda okukhulu noma ukushisa okukhulu lingancipha. Ngakho-ke, gwema ukuzivocavoca ezindaweni ezishisayo nokuhlala elangeni. Uma isimo sezulu sibanda, gqoka izingubo ezifudumele.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi. Qaphela izimpawu ezingezansi.
| Uma unalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha | Indle emnyama noma enegazi, ukuhlanza okufana nekhofi, kanye namabala egazi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, ubuhlungu besifuba, isiyezi, ukuzizwa uphelelwe amandla. |
| I-Neuroleptic Malignant Syndrome | Umkhuhlane omkhulu, ukuqina kwemisipha, ukujuluka ngokweqile, kanye nokudideka. |
| I-Serotonin Syndrome | Ukukhathazeka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukudikiza kwemisipha, umkhuhlane omkhulu, ukuhlanza, uhudo. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka ohlangothini olulodwa lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba. |
| Izimpawu ze-Extrapyramidal (EPS) | Ukunyakaza okungalawuleki kwezingxenye zomzimba, ukuthuthumela, kanye nendlela engavamile yokuhamba. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Ukozela | Umlomo owomile |
| Ukwanda kwesifiso sokudla | Ukwanda kwesisindo |
| Izinguquko esifisweni noma emsebenzini wocansi | Ukuzizwa ukhathele |
Ungagcina futhi ulahle kanjani imithi?
- Gcina lo muthi kude nezingane nezilwane ezifuywayo .
- Gcina ekamelweni lokushisa (phakathi kuka-15-30 Celsius), kude nomswakama kanye nokukhanya kwelanga, bese ugcina ibhodlela livaliwe kahle.
- Uma ulahla imithi ephelelwe yisikhathi noma engasadingeki, yixube nento efana nodoti wekati noma ikhofi ngaphambi kokuyifaka emgqonyeni kadoti, uyifake esikhwameni, uyivale kahle, bese uyilahla.
Umlayezo Wokuya Nawe Ekhaya
- Lona umuthi onamandla, ngakho-ke hlala uthatha umthamo onqunyiwe njengoba unqunyiwe udokotela wakho.
- Ngisho noma uzizwa ungcono, ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Qaphela izimpawu ezifana nokusabela okukhulu kwesikhumba, imicabango yokuzibulala, kanye nokushaya kwenhliziyo okungavamile. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukuphuza utshwala ngenkathi uthatha imithi. Qaphela kakhulu lapho ushayela futhi wenza imisebenzi edinga ukunakwa.
- Lo muthi ungaba usizo olukhulu enhlalakahleni yakho yengqondo. Ngakho-ke, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho nokulandela iseluleko sakhe.
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