Ngezinye izikhathi kunzima kakhulu ukuphila nokudabuka, ukwesaba, kanye nokungakwazi ukugcina izingqondo zethu zisendaweni eyodwa, akunjalo? Ingabe lokho kuye kwenzeka nakuwe? Ngezikhathi ezinjalo, odokotela ngezinye izikhathi batusa imithi yenhlalakahle yethu yengqondo. Omunye umuthi okhethekile yi-Paroxetine Suspension. Namuhla, ake sifunde okwengeziwe ngalokhu, njengokungathi sikhuluma nomngane.
Uyini lo muthi, i-Paroxetine Suspension?
Kalula nje, i-paroxetine umuthi osetshenziselwa ukwelapha izimo ezithile zempilo yengqondo, njengokucindezeleka, ukukhathazeka, i-obsessive-compulsive disorder (OCD), i-post-traumatic stress disorder (PTSD), kanye ne-premenstrual dysphoric disorder (PMDD). Iza ngesimo soketshezi, yingakho ibizwa ngokuthi i-suspension.
Lo muthi usebenza ngokwandisa inani lekhemikhali ebizwa ngokuthi i-serotonin ebuchosheni bethu. Cabanga ngale ndlela, i-serotonin injengesithunywa esincane esilawula izinto ezifana nenjabulo nokuzola ezingqondweni zethu. Lo muthi ungowesigaba semithi ebizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitors) . Lokhu kusho ukuthi le mithi isiza izithunywa ze-serotonin ukuthi zisebenze isikhathi eside, bese isimo sakho sengqondo sithuthuka kancane.
Kungenzeka ukuthi uke wezwa ngalo muthi ngaphansi kwegama lomkhiqizo iPaxil . Kodwa-ke, udokotela wakho angase awunike ngezinye izikhathi kwezinye izimo. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.
Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi?
Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha i-Paroxetine, kufanele uchaze lezi zinto ngokucacile kudokotela wakho. Kulapho-ke kuphela lapho engase anqume khona ukuthi lo muthi ukufanele yini noma ukuthi kunezinyathelo zokuqapha ezikhethekile okudingeka uzithathe.
- Uma unesifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder , noma uma othile emndenini wakho eke waba nalesi simo.
- Uma unezinkinga zokopha (isib., isimo lapho igazi lingajiyi kalula).
- Uma unesifo samehlo i-glaucoma .
- Uma unesifo senhliziyo .
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma utshelwe ukuthi izinga lakho le-sodium liphansi.
- Uma uke waba nesifo sokuwa ngaphambili.
- Imicabango yokuzilimaza, imicabango yokuzibulala (imicabango yokuzibulala)Uma sekwenzekile ngaphambili, uma sekuke kwazanywa, noma uma ilungu lomndeni selikwenzile.
- Uma okwamanje uthatha imithi ye-MAOI (MAOIs - isibonelo `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`). Sizoxoxa kabanzi ngalezi kamuva.
- Uma uthatha imithi yokunciphisa igazi noma imithi yokunciphisa igazi (isib. i-Warfarin).
- Uma unesifo se-thyroid .
- Uma uke waba nokusabela kokungezwani komzimba ne-Paroxetine, noma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa njengamanje, lokhu kubaluleke kakhulu!
- Uma ungumama oncelisayo , lokhu kuyinto okufanele uyisho nakanjani!
Kungcono kakhulu ngenxa yokuphepha kwakho kanye nempumelelo yokwelashwa kwakho uma usho lezi zinto ngaphandle kokuzifihla.
Uyisebenzisa kanjani kahle le mithi?
Lomuthi uwuketshezi oluthathwa ngomlomo. Kufanele uwusebenzise njengoba nje kuqondiswe kulebula likadokotela onikezwe udokotela wakho. Khumbula, lokhu kuyi-suspension, okusho ukuthi noma kunguketshezi, umuthi uzontanta oketshezini njengompuphu. Ngakho-ke kufanele unyakazise ibhodlela kahle ngaphambi kokuwusebenzisa. Ngaleyo ndlela, umuthi uzoxubana kahle noketshezi futhi uzothola umthamo ofanele.
Uma ulinganisa umuthi wakho, sebenzisa isipuni noma isitsha esiphawulwe ngokukhethekile esinikezwe yikhemisi. Uma ungenaso, cela usokhemisi wakho akunike sona. Ungasebenzisi izipuni noma izipuni ezivamile, ngoba ngeke zilinganise umthamo oqondile.
Lomuthi ungathathwa nokudla noma ngaphandle kokudla. Udokotela wakho uzokutshela ngawo. Into ebaluleke kakhulu ukuthatha umuthi ngezikhathi ezithile, lapho udokotela wakho ekutshela ukuthi ukwenze. Ungathathi ngaphezu kwesilinganiso esinqunyiwe, noma uwuthathe kaningi kakhulu.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu noma kwenze isimo sakho sibe sibi kakhulu. Ngakho-ke, uma uyeka ukuwuthatha, kwenze kancane kancane, njengoba udokotela wakho ekutshela.
Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile (i-MedGuide) kanye nomuthi ngamunye kanye nokugcwalisa kabusha. Khumbula ukuwufunda ngokucophelela njalo.
Uma unikeza izingane lo muthi, khuluma nodokotela wakho ngawo. Kungadingeka ukunakekelwa okukhethekile.
Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.
Okunye futhi: Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
O, kungenzeka lokho, akunjalo? Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kuseduze kakhulu nomthamo wakho olandelayo (isibonelo, kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo ephindwe kabili noma eyengeziwe ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela imiphumela emibi.
Yikuphi okunye ukusebenzisana okungenzeka nalomuthi?
Leli futhi liphuzu elibaluleke kakhulu. Lo muthi obizwa ngokuthi i-Paroxetine ungasebenzisana neminye imithi, ukudla, noma ezinye izinto ozithathayo. Uma lokhu kwenzeka, i-Paroxetine ngeke isebenze kahle noma izodala imiphumela emibi kakhulu. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.
Ungalokothi usebenzise i-Paroxetine kanye nemithi elandelayo:
- `I-Linezolid`
- Imithi ye-MAOI, njenge-Carbex, i-Eldepryl, i-Marplan, i-Nardil, ne-Parnate. Akufanele uqale i-paroxetine okungenani amasonto amabili ngemuva kokuyeka lawa ma-MAOI, futhi akufanele uqale i-MAOI okungenani amasonto amabili ngemuva kokuyeka i-paroxetine.
- I-Methylene blue (umjovo emthanjeni wegazi )
- `I-Pimozide`
- `I-Thioridazine`
I-Paroxetine ingasebenzisana nalokhu okulandelayo:
- Utshwala - Kufanele ugweme ukuphuza utshwala ngenkathi uthatha lo muthi.
- Izikhuthazi zohlobo lwe-amphetamine
- I-aspirini neminye imithi equkethe i-aspirini
- 'I-Atomoxetine'
- Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
- Eminye imithi esetshenziselwa ukwelapha ukushaya kwenhliziyo okungajwayelekile (isib. i-propafenone, i-flecainide, i-encainide, i-quinidine)
- Eminye imithi yokwelapha i-migraine (isib. i-almotriptan, i-eletriptan, i-frovatriptan, i-naratriptan, i-rizatriptan, i-sumatriptan, i-zolmitriptan)
- I- Cimetidine
- `I-Digoxin`
- Imithi yokwehlisa umfutho wegazi (diuretics) – imithi esiza ekususeni amanzi emzimbeni
- `I-Fentanyl`
- `I-Fosamprenavir`
- 'I-Furazolidone'
- `Isoniazid`
- `I-Lithium`
- Imithi evimbela ukujiya kwegazi noma ukunciphisa igazi (isib. i-warfarin, i-enoxaparin, i-dalteparin)
- Eminye imithi yokulala
- Ama-NSAID (imithi yokunciphisa ubuhlungu kanye nemithi yokulwa nokuvuvukala, njenge-ibuprofen noma i-naproxen)
- `I-Phenobarbital`
- `I-Phenytoin`
- `I-Procarbazine`
- `I-Rasagiline`
- `I-Ritonavir`
- Izithasiselo zemithi – isibonelo, i-`St. John's wort`, i-`kava kava`, i-`valerian`
- "Tamoxifen".
- `Tramadol`
- `I-Tryptophan`
Lolu hlu alufaki konke ukusebenzisana. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela noma ethengwa ngaphandle kwemithi kadokotela), imikhiqizo yamakhambi, amavithamini, kanye nezithasiselo zokudla, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.
Yini okufanele ngiyiqaphele kakhulu lapho ngisebenzisa lo muthi?
Kungumqondo omuhle ukunaka umzimba wakho nengqondo yakho ngenkathi usebenzisa lo muthi.
- Qaphela izimpawu zakho: Uma izimpawu zakho zingabi ngcono noma zingabi zimbi kakhulu, tshela udokotela wakho. Hlala uxhumane nodokotela wakho ukuze uthole ukuhlolwa njalo ukuze ubone ukuthi ukwelashwa kwakho kuqhubeka kanjani.
- Kuthatha isikhathi ukululama ngokuphelele: Kungathatha amasonto ambalwa ukuthi lo muthi usebenze ngokugcwele. Ngakho-ke, kubaluleke kakhulu ukuqhubeka nokuthatha umuthi njengoba uyalelwe udokotela wakho ngaphandle kokweqa noma yini.
- Qaphela imicabango emisha noma emibi yokuzibulala noma ukucindezeleka: Lokhu kubaluleke kakhulu. Tshela udokotela wakho ngokushesha uma unemicabango emisha noma emibi yokuzibulala noma ukucindezeleka, ikakhulukazi ekuqaleni kokwelashwa noma ngemva kokushintsha umthamo wakho. Qaphela futhi izinguquko ezisheshayo esimweni sengqondo, ekuziphatheni, noma emicabangweni. Lezi zinguquko zingenzeka nganoma yisiphi isikhathi, kodwa zivame kakhulu ekuqaleni kokwelashwa noma ngemva kokushintsha umthamo wakho.
- Izigameko zokusangana kubantu abanesifo sokusangana: Abanye abantu abanesifo sokusangana abaphuza lo muthi bangase babe nezigameko zokusangana. Lokhu kufaka phakathi ukuzizwa bethukuthele kakhulu, becasukile, becasukile, beshesha ukuthukuthela, benolaka, benenkani, bengenakuthula, bejabule kakhulu futhi bekhuthele ngokweqile, noma bengakwazi ukulala. Lokhu kuvamile futhi ekuqaleni kokwelashwa noma lapho umthamo ushintshwa. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho ngokushesha.
- Ukozela noma isiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kunganciphisa amathuba okuba nesiyezi noma ukuquleka.
- Utshwala: Utshwala bungaphazamisa ukusebenza kahle kwalomuthi, ngakho gwema ukuphuza utshwala.
- Umlomo owomile: Umlomo wakho ungase uzizwe womile. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi kungasiza ekunciphiseni lokhu. Uma le nkinga iqhubeka noma iba nzima, khuluma nodokotela wakho.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, i-paroxetine ingabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye imiphumela emibi iyingozi futhi kufanele utshele udokotela wakho ngokushesha nje lapho uyiqaphela. Eminye ayibi kakhulu, kodwa uma iqhubeka noma ikhathaza, kufanele utshele udokotela wakho.
Uma uhlangabezana nanoma yimiphi yale miphumela emibi, tshela udokotela wakho noma ithimba lezokwelapha ngokushesha okukhulu:
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ukopha: indle enegazi noma emnyama, efana ne-tar, umchamo obomvu noma onsundu omnyama, ukuhlanza igazi noma izinto ezinsundu ezibukeka njengezinhlayiya zekhofi, amabala amancane, abomvu noma ansomi esikhumbeni, ukopha noma ukuklwebheka okungavamile.
- Ukushintsha kwesigqi senhliziyo: ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuzizwa ubuthakathaka noma ikhanda elibuhlungu, ubuhlungu besifuba, ukuphefumula okunzima.
- Izinga eliphansi le-sodium egazini: ubuthakathaka bemisipha, ukukhathala, isiyezi, ikhanda elibuhlungu, ukudideka.
- I-Serotonin syndrome: Lesi yisimo esibi kakhulu. Izimpawu zifaka phakathi ukucasuka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha, ukunyakazisa imisipha, ukujuluka ngokweqile, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza kanye nesifo sohudo.
- Ubuhlungu bamehlo noma izinguquko zokubona ngokuzumayo: njengokubona okufiphele, ukubona ama-halo azungeze ukukhanya, noma ukulahlekelwa umbono.
- Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka.
Le miphumela emibi ngokuvamile ayidingi ukwelashwa, kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho:
- Ushintsho ekuthandweni noma ekusebenzeni kocansi.
- Uhudo.
- Ukujuluka ngokweqile.
- Isicanucanu.
- Ukuthuthumela noma ukuthuthumela.
- Isisu esibuhlungu.
Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi. Ungabika futhi imiphumela emibi ku-FDA ku-1-800-FDA-1088.
Ugcina kanjani imithi ngendlela efanele?
Gcina lo muthi kude nezingane ezincane nezilwane ezifuywayo. Ubaluleke kakhulu.
Kufanele igcinwe kuma-degree Celsius angu-25 noma ngaphansi kwawo. Lokhu kufana nokushisa okuvamile kwegumbi. Gcina isivalo sebhodlela sivaliwe kahle. Ungasebenzisi noma ulahle noma yimuphi umuthi osudlulile usuku lwawo lokuphelelwa yisikhathi.
Okokugcina, ezinye izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, sesikhulume kakhulu nge-Paroxetine Suspension, akunjalo? Khumbula, yize lo muthi ungasiza empilweni yakho yengqondo, kufanele usetshenziswe kuphela njengoba kuqondiswe udokotela wakho.
Lesi sihloko sihloselwe ukukunikeza ulwazi oluyisisekelo kuphela. Akulona lonke ulwazi olukulesi sihloko olungasebenza kuwe. Uma unemibuzo noma ukukhathazeka ngalo muthi, qiniseka ukuthi ubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.
Kafushane:
- Tshela udokotela wakho : Tshela udokotela wakho ngeminye imithi oyithathayo, noma yiziphi ezinye izifo onazo, noma yikuphi ukungezwani komzimba onakho, nokuthi ukhulelwe noma uncelisa ngaphambi kokuqala umuthi.
- Sebenzisa kahle: Thatha umuthi njengoba nje udokotela wakho ekutshelile, ngesikhathi nangenani elibekiwe. Ungayeki ngokuzumayo.
- Qaphela: Qaphela izimpawu ezintsha nemiphumela emibi. Tshela udokotela wakho ngokushesha, ikakhulukazi uma unezinguquko emicabangweni yakho.
- Ungabelani: Lo muthi ungowakho kuphela. Ungawuniki abanye.
Impilo yakho yengqondo ibaluleke kakhulu. Ikunika amandla okufuna usizo ngayo. Ngikufisela ukululama okusheshayo!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Hlobo luni lokuxhuzula oluyi-Ethosuximide (Ethosuximide / Zarontin)?
Lona umuthi okhethekile onikezwa labo 'abanokuquleka'! Kodwa hhayi kulabo abaquleka kakhulu lapho umzimba unyakaza khona futhi kuphuma amafinyila emlonyeni, lokhu kunikezwa ngenxa yokuquleka okukhethekile okubizwa ngokuthi 'Ukuquleka Okungekho (Petit mal)'. Lokho kusho ukuthi ingane ngokuzumayo iyeka lokho ekwenzayo bese ibuka isibhakabhaka/indawo engenalutho imizuzwana eyi-10-20 ngaphandle kokucwayiza (ukulahlekelwa isikhashana kokuqwasha) ukuze iyeke ukuquleka!
💬 Kungani umuthi wokuqina komzimba ojwayelekile (i-Phenytoin) unganikezwa lesi sifo (i-Absence Seizures)?
Ngoba indlela ubuchopho obuvuza ngayo (emisipheni) ihlukile! Lokhu kufaneleka okubonakala ngokuvuleka kwesikhala kubangelwa izindawo ezikhethekile ebuchosheni ezibizwa ngokuthi 'i-T-type Calcium Channels'. Uma kufaneleka okuvamile, umuthi usebenza kuma-Sodium Channels. Lo muthi we-Ethosuximide uvala ngqo lawo ma-Calcium Channels bese uyayeka afanelana ngo-100% ngemizuzwana embalwa.
💬 Yimiphi imiphumela emibi eyinhloko yokunikeza izingane lo muthi (i-Ethosuximide)?
Umphumela ovame kakhulu walokhu ukuphatheka kabi kwesisu! Lokho kusho ukuhlanza/isicanucanu esingabekezeleleki, ubuhlungu besisu, kanye nokulahlekelwa yisifiso sokudla (ingane ilahlekelwa isisindo). Ngakho-ke, kubaluleke kakhulu ukunikeza lo muthi 'njengesiraphu' ekudleni. Futhi, ingane ingase izizwe ilele/ikhathele ngaso sonke isikhathi. Akuvamile ukuba kube khona ithuba lokulahlekelwa yigazi/i-anemia emzimbeni, ngakho udokotela uzokwenza ukuhlolwa kwegazi.
I- Paroxetine, Ukucindezeleka, Ukukhathazeka, i-OCD, i-PTSD, i-SSRI, Impilo Yengqondo, i-Paxil











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