Uma wena noma othile omaziyo enenkinga yempilo yengqondo njengokucindezeleka noma ukukhathazeka, imithi iyingxenye ebalulekile yohlelo lokwelashwa. Imithi emibili odokotela abavame ukuyinikeza futhi esiza abantu abaningi yiProzac neLexapro. Kunezinto ezimbalwa ezibalulekile okufanele uzazi ngale mithi yomibili. Ake sixoxe ngayo namuhla.
Lomuthi usebenza kanjani? Kulula kakhulu!
Yomibili le mithi isebenza ngokwandisa inani lekhemikhali emizimbeni yethu ebizwa ngokuthi i-serotonin. Kalula nje, i-serotonin iyisithunywa esibaluleke kakhulu ebuchosheni esilawula izinto ezifana nemizwa yethu, injabulo, kanye nemizwa yenhlalakahle. Iphinde isize ngezinto ezifana nokulala, ukugaya ukudla kanye nesifiso sokudla.
Zombili i-Prozac ne-Lexapro ziyingxenye yemithi ebizwa ngokuthi ama-SSRI (Selective Serotonin Reuptake Inhibitors) . Nakuba igama lingase lizwakale liyinkimbinkimbi, indlela esebenza ngayo ilula kakhulu. Cabanga ngendlela ubuchopho bethu obusebenzisa ngayo i-serotonin ukuthumela umlayezo phakathi kwamangqamuzana amabili ezinzwa. Lo muthi okwenziwa yiwo uvimba i-serotonin ukuthi ingamuncwa ngokushesha ngemva kokuba umlayezo usuthunyelwe. Lokhu kusho ukuthi kune-serotonin eningi phakathi kwamangqamuzana amabili, okuvumela umlayezo ukuthi ugeleze kalula. Yilokhu okusiza ukuthuthukisa isimo sakho sengqondo. Zibizwa ngokuthi "ezikhethayo" ngoba zihlose ngqo i-serotonin.
Lo muthi usetshenziselwa ziphi izimo?
Yomibili le mithi isetshenziselwa ukwelapha izinkinga ezahlukahlukene zempilo yengqondo. Ake sibheke izimo lapho udokotela evame ukukunikeza le mithi.
| Izimo zezokwelapha ezivunyiwe ze-Prozac (Fluoxetine) | Izimo zezokwelapha ezivunyiwe ze-Lexapro (Escitalopram) |
|---|---|
| Isifo Sokucindezeleka Okukhulu (MDD) | Isifo Sokucindezeleka Okukhulu (MDD) |
| Isifo Sokucindezeleka Okungapheli (OCD) | Isifo Sokukhathazeka Okujwayelekile (i-GAD) |
| Isifo Sokwethuka | |
| I-Bulimia Nervosa - inkinga yokuziphatha ngokudla | |
| Isifo Sokuphazamiseka Kwe-Dysphoric Sangaphambi Kokuya Esikhathini (PMDD) |
Into ebalulekile ukuthi ngezinye izikhathi udokotela wakho angakunikeza lo muthi kwezinye izimo ezingekho kulolu hlu. Ngakho-ke, cacisa kudokotela wakho ukuthi kungani unikezwa lo muthi.
Yimiphi imiphumela emibi evamile yale mithi yomibili?
Njenganoma yimuphi umuthi, imiphumela emibi ingenzeka. Kodwa lokho akusho ukuthi uzoyithola yonke. Esikhathini esiningi, le miphumela emibi yenzeka emavikini ambalwa okuqala bese iyanyamalala njengoba umzimba wakho ujwayela umuthi.
- Imiphumela emibi evamile yeLexapro neProzac:
- Umlomo owomile
- Isicanucanu
- Ikhanda elibuhlungu
- Ukungalali
- Uhudo
- Ukujuluka ngokweqile
- Ukuzizwa ungakhululekile
- Ukukhathazeka
- Ukozela noma ukukhathala
- Ezinye izinto ezingase zibe nomthelela othile ku-Prozac:
- Ukucasuka kwesikhumba, ukulunywa, noma ukuqubuka
- Ukuzizwa ubanda noma umkhuhlane
- Ubuhlungu bamalunga noma bemisipha
Ngaphezu kwale miphumela emibi evamile, yomibili le mithi ingabangela izinkinga zempilo yocansi (isb., ukwehla kwesifiso sobulili) ngokuhamba kwesikhathi. Kukhona nemiphumela emibi engavamile kodwa emibi kakhulu, njengamazinga aphansi e-sodium noma ingozi eyengeziwe yokopha. Uma uhlangabezana nanoma yini engavamile, tshela udokotela wakho ngokushesha.
Izinto ezibalulekile okufanele uziqaphele kakhulu
Kunezinto ezimbalwa okufanele uziqaphele uma usebenzisa lo muthi.
Isimo esiyingozi esibizwa ngokuthi i-Serotonin Syndrome
Lokhu kungathi sína kancane, kodwa kubalulekile ukukuqaphela. Uma uthatha izinhlobo ezimbili zalezi mithi ndawonye, noma uma uthatha eminye imithi ethile (ikakhulukazi imithi yokubulala izinhlungu, imithi ye-migraine) noma izithasiselo zamakhambi njenge-St. John's wort kanye nalo muthi, inani le-serotonin emzimbeni wakho linganda ngendlela eyingozi. Lokhu kubizwa ngokuthi i-serotonin syndrome.Lesi yisimo esiphuthumayo sezokwelapha. Izimpawu zifaka:
- Ukukhathazeka okukhulu nokukhungatheka
- Umkhuhlane omkhulu nokujuluka
- Ukudideka
- Ukuthuthumela
- Ukungahlaliseki
- Ukulahlekelwa yibhalansi yomzimba
- Izinguquko ezinkulu ekucindezelweni kwegazi kanye nesilinganiso senhliziyo
Ukusebenzisana neminye imithi kanye notshwala
Lokhu kubaluleke kakhulu: Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi yezinye izimo, amavithamini, kanye nemikhiqizo yamakhambi). Futhi, gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi.
Ukukhulelwa kanye nokuyeka imithi ngokuzumayo
Uma uhlela ukukhulelwa noma usuvele ukhulelwe, khuluma nodokotela wakho mayelana nokuphuza le mithi, njengoba ingandisa ingozi yokuzalwa unesisindo esiphansi noma ukuzalwa ngaphambi kwesikhathi.
Futhi, kungakhathaliseki ukuthi uzizwa ungcono kangakanani, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa ezifana nesicanucanu namaphupho amabi. Izimpawu zakho zengqondo nazo zingase zibuye.
Imicabango yokuzibulala kubantu abasha
Lokhu futhi kuyinto ebucayi kakhulu kodwa ebalulekile okufanele uyazi. Kukhona ingozi encane yemicabango yokuzibulala noma ukuziphatha lapho umuntu osemusha ongaphansi kweminyaka engu-25 esebenzisa lolu hlobo lomuthi, ikakhulukazi emasontweni ambalwa okuqala okuqala umuthi noma lapho umthamo ushintshwa. Ngakho-ke, abazali nabanakekeli kufanele baqaphele kakhulu ngalokhu. Uma kuvela imicabango enjalo, yazisa udokotela ngokushesha.
Indlela yokuthola imithi namanani
Yomibili le mithi itholakala ngesimo samaphilisi kanye nesimo soketshezi. Ivame ukuthathwa kanye ngosuku. I-Prozac nayo iza ngesimo sesonto elilodwa (ukukhishwa okulibazisekile). Udokotela wakho uzonquma umthamo kanye nohlobo olufanele kuwe.
Uma sikhuluma ngentengo, i-Prozac ne-Lexapro yizinhlobo zomkhiqizo. Zombili lezi mithi zinezinhlobo ezijwayelekile, okuyi -Fluoxetine (ye-Prozac) ne -Escitalopram (ye-Lexapro) . Le mithi ejwayelekile ishibhile kakhulu kunemithi edumile. Akukho mehluko ekhwalithini. Ngakho-ke, khuluma nodokotela wakho ngale mithi ejwayelekile bese ubuza ukuthi iphephile yini ukuyisebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- I-Prozac ne-Lexapro ziyimithi ephumelela kakhulu yokwelapha izimo ezifana nokucindezeleka nokukhathazeka, kodwa kufanele zithathwe kuphela ngaphansi kokuqashwa ngudokotela.
- Kungakhathaliseki ukuthi uzizwa kahle kangakanani, ungalokothi uyeke ukuthatha le mithi ngaphandle kwemvume kadokotela wakho.
- Nikeza udokotela wakho incazelo ephelele yayo yonke eminye imithi, amavithamini, kanye nezithasiselo zemithi ozithathayo.
- Qaphela ingozi yemiphumela emibi kakhulu njenge-serotonin syndrome kanye nemicabango yokuzibulala, ikakhulukazi entsheni, futhi wazise udokotela wakho ngokushesha uma ubona noma yiziphi izimpawu ezinjalo.
- Kunezinhlobo ezishibhile zale mithi ejwayelekile, ngakho-ke khuluma nodokotela wakho mayelana namathuba okonga imali.
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