Ungase ube ngumuntu ohlushwa ukudabuka, noma ukukhathazeka nje. Ngezinye izikhathi lezi zinto ziba nzima kakhulu, futhi kuba nzima ukwenza imisebenzi yakho yansuku zonke, akunjalo? Namuhla sizokhuluma ngomuthi odokotela abavame ukuwuncoma ongakusiza. Lokhu kuyinhlanganisela yemithi emibili ebizwa ngokuthi i-perphenazine ne-amitriptyline.
Uyini lomuthi? (Perphenazine; Amitriptyline) Wenzani?
Kalula nje, lolu hlobo lwephilisi olubizwa ngokuthi i-Perphenazine; i-Amitriptyline isetshenziselwa ukwelapha izimo zengqondo ezifana nokucindezeleka nokukhathazeka . Ngezinye izikhathi, ingasetshenziswa nasezimweni ezifana ne -schizophrenia .
Cabanga ngakho, ubuchopho bethu bunamakhemikhali asiza ekulawuleni isimo sethu sengqondo, ukuziphatha, kanye nemicabango. Kufana nenjini yemoto. La makhemikhali abizwa ngokuthi i-Dopamine, i-Norepinephrine, kanye ne-Serotonin . Lo muthi okwenziwayo ukusiza ekubuyiseleni amazinga alawo makhemikhali ebuchosheni ngezinga elithile, okusiza ekuthuthukiseni isimo sakho sengqondo. Empeleni kuyinhlanganisela yemithi emibili: omunye umuthi wokulwa nesifo sengqondo , kanti omunye umuthi wokulwa nokucindezeleka kwe-tricyclic (TCA) . Le mithi yokulwa nesifo sengqondo isetshenziselwa ukwelapha izimo ezahlukene zempilo yengqondo.
Lo muthi ungase unqunywe udokotela wakho ngezinye izimo. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.
Lo muthi ungatholakala emakethe ngaphansi kwamagama anjenge -Etrafon, i-Etrafon-A, ne-Triavil .
Yini okufanele ngiyitshele udokotela wami ngaphambi kokusebenzisa lo muthi?
Leli iphuzu elibaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha lo muthi, kunezinto ezimbalwa okufanele uzitshele udokotela wakho noma ithimba lokwelapha. Lolu lwazi luzobasiza banqume ukuthi lo muthi ukufanele yini noma udinga ukunakekelwa okukhethekile.
Nazi lezo zinto:
- Ingabe unesifo sengqondo esifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder ?
- Wake waba nokuvaleka kwamathumbu akho, noma okwamanje,?
- Ingabe unesifo sokukhohlwa , isifo sokuwohloka kwengqondo?
- Ingabe unesifo sikashukela ? Uma kunjalo, ingabe uyasilawula?
- Ingabe unenkinga yokugwinya ukudla?
- Ingabe une -glaucoma ?
- Ingabe unenkinga yokulawula imisipha yakho?
- Wake walimala kakhulu ekhanda ngaphambili?
- Ingabe unesifo senhliziyo? (Lokhu kubaluleke kakhulu, ngoba lo muthi ungathinta izinga lokushaya kwenhliziyo)
- Ingabe uphuza utshwala njalo?
- Unesifo sezinso?
- Unesifo sesibindi?
- Ingabe unenani eliphansi lamaseli egazi, isibonelo, amaseli amhlophe egazi aphansi, ama-platelet, noma amaseli abomvu egazi?
- Ingabe unawo umfutho wegazi ophansi?
- Ingabe unesifo samaphaphu noma inkinga yokuphefumula, njenge -asthma ?
- Unayo yini isifo sikaParkinson ?
- Ingabe kukhona isifo esibizwa ngokuthi i-pheochromocytoma ?
- Wake waba nesifo sokuwa ngaphambili?
- Ingabe wena noma omunye emndenini wakho wake waba nemicabango, amacebo noma imizamo yokuzibulala?
- Unesifo se-thyroid?
- Ingabe unenkinga yokuchama?
- Ingabe unesifo sokungezwani komzimba ne-amitriptyline, i-perphenazine, eminye imithi, ukudla, amadayi, noma izithasiselo?
- Ukhulelwe noma uzama ukukhulelwa?
- Ingabe ungumama oncelisayo?
Uma kukhona kulezi zinto ezikuthintayo, tshela udokotela wakho ngaphandle kokufihla lutho .
Uyisebenzisa kanjani kahle le mithi?
Lo muthi kufanele uphuzwe ngomlomo, kanye nengilazi yamanzi. Thatha njengoba nje kuqondiswe kulebula likadokotela, ngesikhathi kanye nenani elibekiwe. Ungawuthatha ngaphambi noma ngemva kokudla. Kubaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele. Ungathathi okungaphezu kwalokho udokotela akutshele ukuthi ukuthathe, noma uwuthathe kaningi.
Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu noma kwenze isimo sakho sibe sibi kakhulu.
Uma uthola lo muthi ekhemisi, uzothola incwajana yemiyalelo ekhethekile (i-MedGuide) kanye nawo. Kufanele uwufunde ngokucophelela njalo uma uthola umuthi noma uma uthola ukugcwalisa kabusha, kulungile? Uqukethe ulwazi oluningi olubalulekile kuwe.
Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni, ngakho khuluma nethimba lakho lezokwelapha ngakho.
Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo esibhedlela ngokushesha.
Enye into: Lo muthi ungowakho wedwa. Ungawubelani nabanye abantu.
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 ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela imiphumela emibi.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Lokhu futhi kuyiphuzu elibaluleke kakhulu. Eminye imithi, njenge-perphenazine kanye ne-amitriptyline, ingabangela izinkinga uma isetshenziswa ndawonye.
Ungalokothi uthathe lo muthi kanye nemithi elandelayo:
- I-Linezolid
- Imithi ye-MAOI (isib., i-Carbex, i-Marplan, i-Nardil, i-Parnate, ne-Xadago)
- I-Methylene eluhlaza okwesibhakabhaka
- I-Metoclopramide
Lo muthi ungase futhi uhlangane nalokhu okulandelayo:
- Utshwala
- Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (ama-Antihistamine)
- I-Atropine
- Eminye imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine)
- Eminye imithi yokucindezeleka, ukukhathazeka, noma izimo zengqondo
- Eminye imithi esetshenziselwa ukwelapha ukushaya kwenhliziyo okungajwayelekile (isib. i-amiodarone, i-dofetilide, i-encainide, i-flecainide, i-propafenone, i-quinidine)
- Amaphilisi okulala athile
- Eminye imithi yezinkinga zesisu (isib. i-dicyclomine, i-hyoscyamine)
- Eminye imithi yokwelapha ukugula okubangelwa ukuhamba (isb., i-scopolamine)
- I-Cimetidine
- I-Epinephrine
- I-Ethchlorvynol
- Izibulala-zinhlungu ezijwayelekile (isib. i-halothane, i-isoflurane, i-methoxyflurane, i-propofol)
- I-Ipratropium
- I-Levodopa noma eminye imithi yesifo sikaParkinson
- I-Lithium
- Imithi yokucindezela kwegazi
- Imithi yokulwa nokuxhuzula (isib. i-phenobarbital, i-primidone, i-phenytoin)
- Iziphumuli zemisipha zokuhlinzwa
- Imithi yokwelapha ubuhlungu
- I-Topiramate
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi, amakhambi, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla ozithathayo. Tshela nodokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.
Yini okufanele uyiqaphele lapho uthatha lo muthi?
Bona udokotela wakho njalo ukuze uhlolwe njalo ngenkathi uthatha lo muthi. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu. Njengoba kushiwo ngaphambili, ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okukhulu. Udokotela wakho uzokutshela ukuthi umuthi ongakanani okufanele uwuthathe.
Ukunakwa okukhethekile: Iziguli nemindeni yazo kufanele ziqaphele imicabango emisha noma eba mibi yokuzibulala noma ukucindezeleka. Futhi, qaphela izinguquko ezisheshayo zemizwa, njengokukhungatheka, ukungahlaliseki, ukwesaba, ukucasuka, ubutha, ulaka, ukuxhamazela, ukungaphumuli kakhulu, ukujabula ngokweqile kanye nokusebenza ngokweqile, noma ukuqwasha. Uma lokhu kwenzeka, khuluma nethimba lakho lezempilo ngokushesha, ikakhulukazi ekuqaleni kokwelashwa noma ngemuva kokushintsha umthamo wakho.
- Ukozela/Isiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi kahle ukuthi lo muthi ukuthinta kanjani. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa amathuba okuba nesiyezi noma ukuquleka.
- Utshwala: Utshwala bungaphazamisa ukusebenza kahle kwalomuthi. Ngakho-ke, gwema ukuphuza utshwala.
- Eminye imithi: Ungayithathi imithi yokukhwehlela, yomkhuhlane, noma yokungezwani komzimba ngaphandle kokuhlola udokotela wakho kuqala. Ezinye zezithako ezikule mithi zingandisa imiphumela emibi.
- Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini. Uma unesifo sikashukela, buza ithimba lakho lezempilo uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
- Umlomo owomile: Umlomo wakho ungase uzizwe womile. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi kungasiza ekunciphiseni lokhu. Tshela ithimba lakho lezempilo uma le nkinga iqhubeka noma iba nkulu.
- Amehlo omile kanye nokubona okufiphele: Lo muthi ungabangela amehlo omile kanye nokubona okufiphele. Uma ugqoka amalensi okuxhumana, ungase uzizwe ungakhululekile. Amaconsi amehlo agcobayo angasiza. Uma le nkinga iqhubeka noma inzima, bona udokotela wakho wamehlo.
- Ukuqunjelwa: Lo muthi ungabangela ukuqunjelwa. Zama ukuthutha indle okungenani kanye njalo ezinsukwini ezimbili kuya kwezintathu. Uma ungenawo ukuthutha indle ngemva kwezinsuku ezintathu, shayela ithimba lakho lezempilo.
- Ukuzwela kwelanga:Lo muthi ungakwenza uzwele kakhulu elangeni. Ngakho-ke, gwema ukukhanya kwelanga. Uma kufanele uphume elangeni, gqoka izingubo zokuzivikela bese ufaka isivikelo selanga. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
- Izinkinga zokulawula izinga lokushisa lomzimba: Lo muthi ungabangela izinkinga ngokulawula izinga lokushisa lomzimba wakho. Unganciphisa indlela umzimba wakho osabela ngayo esimweni sezulu esibandayo. Gwema ukuphuma esimweni sezulu esibandayo ngangokunokwenzeka. Uma kufanele uphume, gqoka izingubo ezifudumele. Unganciphisa nendlela umzimba wakho osabela ngayo ekushiseni. Ngakho gwema ukushisa ngokweqile. Ungavivinyi umzimba ngokweqile. Gwema ukukhanya kwelanga ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezikhanyayo nezipholile. Phuza amanzi amaningi. Uma unenkinga yokulawula izinga lokushisa lomzimba wakho, khuluma nethimba lakho lezempilo ngokushesha.
- Ukuhlinzwa: Uma uzohlinzwa, tshela ithimba lakho lezokwelapha ukuthi uthatha lo muthi.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye ayimibi kakhulu, kodwa eminye kufanele ibikwe kudokotela wakho ngokushesha.
Imiphumela emibi okufanele ibikwe kudokotela/eqenjini lokwelapha ngokushesha:
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ukushintsha kwesigqi senhliziyo: ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
- I-Neuroleptic Malignant Syndrome (NMS) ingafaka: umkhuhlane ophakeme, ukuqina kwemisipha, ukujuluka okukhulu, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, kanye nokudideka.
- Izinga eliphezulu le-prolactin: Ukukhula kwebele okungalindelekile, ukuphuma kwesisu esiswini, ushintsho lwesifiso socansi noma ukusebenza, imijikelezo yokuya esikhathini engajwayelekile.
- Ukutheleleka: Umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
- Umfutho wegazi ophansi: isiyezi, ukuquleka, ukubona okufiphele.
- Ubuhlungu noma ukushintsha kombono ngokuzumayo: isibonelo, ukubona okufiphele, ukubona ama-halo azungeze ukukhanya, noma ukulahlekelwa umbono.
- Imicabango yokuzibulala noma yokuzilimaza, ukuwohloka kwemizwa, imizwa yokucindezeleka.
- Izimpawu ze-Extrapyramidal (EPS) zingase zihlanganise: ukunyakaza komzimba okungalawuleki nokuphindaphindwayo, ukuqina kwemisipha noma ukudikiza, ukuthuthumela, ukulahlekelwa yibhalansi noma izinkinga zokuxhumanisa, ukungaphumuli, ukuhamba kancane.
Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa uma iqhubeka noma ikhathaza, yazisa udokotela wakho/ithimba lakho lokwelapha):
- Ushintsho esifisweni noma emsebenzini wobulili
- Ukuqunjelwa
- Isiyezi
- Ukozela
- Umlomo owomile
- Ukwanda kwesisindo
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.
Uwugcina kanjani lo muthi uphephile?
Gcina lo muthi kude nezingane .
Gcina ekamelweni lokushisa (20 kuya ku-25 degrees Celsius, 68 kuya ku-77 degrees Fahrenheit). Vikela ekukhanyeni. Gcina ibhodlela/iphakethe livaliwe kahle. Lahla noma yimuphi umuthi ophelelwe yisikhathi.
Khumbula into ebaluleke kakhulu! (Umyalezo Wokuya Ekhaya)
Kulungile, sesikhulume kakhulu ngalo muthi obizwa ngokuthi i-Perphenazine; i-Amitriptyline, akunjalo? Khumbula, lo muthi obalulekile ongasiza impilo yakho yengqondo. Kodwa, into ebaluleke kakhulu ukuwuthatha njengoba nje udokotela wakho ekutshelile, ngesilinganiso ositshela sona, nangesikhathi ositshela ngaso.
Uma unemibuzo noma ukukhathazeka, qiniseka ukuthi ubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Ungalokothi ucabange lutho.
Leli pheshana liyisifinyezo nje. Lingase lingahlanganisi lonke ulwazi. Ngakho-ke, khuluma nodokotela wakho bese ulandela lokhu kwelashwa ngangokunokwenzeka. Ngikufisela ukululama okusheshayo!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe i-Perphenazine ne-Amitriptyline (Perphenazine; Amitriptyline / Etrafon/Triavil) ziyimithi emibili yokwelapha izifo zengqondo?
Yebo! Leli iphilisi elihlanganisiwe elikhethekile elenziwe ngenhlanganisela yemithi emibili. Odokotela balinikeza iziguli ezinenkinga yokukhathazeka okukhulu/i-schizophrenia kanye nokucindezeleka okukhulu ngesikhathi esisodwa. Leli philisi lihlasela zombili lezi zimo ngesikhathi esisodwa.
💬 Le mithi emibili (i-Perphenazine ne-Amitriptyline) iwalinganisa kanjani amakhemikhali obuchopho?
Lena imithi emibili eyenza izinto ezimbili! I-Perphenazine iyisidakamizwa sokulwa nesifo sengqondo; ivimba i-dopamine ebuchosheni, futhi ithobisa iziguli eziyi-100% ezihlala zisola, zithukuthele, futhi zibonakala zihlanya. Enye i-Amitriptyline, umuthi wokucindezeleka; ikhulisa i-serotonin, isusa ukudabuka/ukucindezeleka okwenza isiguli sikhale futhi sizizwe sengathi siyafa, futhi isenza sijabule.
💬 Yimiphi imiphumela emibi eyinhloko yokuphuza la maphilisi engqondo?
Kuneminye imiphumela emibi embalwa ngoba kunemithi emibili! Emikhulu umlomo owomile, ukubona okufiphele, kanye nokuqunjelwa okubangelwa yi-Amitriptyline. Futhi, isiyezi lapho uvuka embhedeni ekuseni. Okunye ukuthi i-Perphenazine ibangela 'ukudambisa', futhi kungenzeka ukuthi kube nezimpawu ze-extrapyramidal (i-EPS - izimpawu ze-extrapyramidal) (kunqunyelwe amaphilisi ahlukene ngalokho).
I - Perphenazine, i-amitriptyline, ukucindezeleka, ukukhathazeka, impilo yengqondo, imiphumela emibi yemithi, ukugula kwengqondo
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho