Ingabe udokotela wakho uke wakunikeza umuthi obizwa ngokuthi i-Sertraline wesifo sengqondo esifana nokucindezeleka noma i-Obsessive-Compulsive Disorder (OCD)? Uma kunjalo, kuvamile ukuba nemibuzo eminingi ngalo muthi. Ungase uzibuze izinto ezinjengokuthi, "Lokhu kwenzani ngempela?", "Ingabe lokhu kuphephile?", "Yimiphi imiphumela emibi?" Ungakhathazeki, sizoxoxa ngakho konke lokhu ngendlela elula kakhulu nenobungane namuhla.
Iyini ngempela i-Sertraline?
Kalula nje, i-Sertraline umuthi osiza ekuthuthukiseni impilo yakho yengqondo. Isetshenziswa kakhulu ekwelapheni izimo ezinjengokucindezeleka kanye ne-OCD (Obsessive-Compulsive Disorder).
Cabanga ukuthi kukhona "isithunywa" ebuchosheni bethu esilawula imizwa yethu. Lokhu sikubiza ngokuthi i-serotonin yesithunywa. Ngezinye izikhathi lapho leli zinga le-serotonin lehla, singazizwa sidabukile, sikhathazekile, futhi sesaba. I-Sertraline isebenza ngokwandisa inani le-serotonin ebuchosheni futhi isize ekuqiniseni imizwa yakho. Lolu hlobo lomuthi lubizwa ngezokwelapha ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitors) .
Ngezinye izikhathi udokotela angase anikeze lo muthi nakwezinye izimo zempilo.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-sertraline, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isimo/umkhuba | Incazelo |
|---|---|
| Izinkinga zempilo yengqondo | Uma wena noma othile emndenini wakho eke waba nesifo sokuphazamiseka kwengqondo, imicabango noma imizamo yokuzibulala. |
| Isifo senhliziyo kanye nomfutho wegazi | Izimo ezifana nesifo senhliziyo, umfutho wegazi ophakeme, kanye nokushaya kwenhliziyo okungajwayelekile. |
| Izinkinga ezihlobene negazi | Uma unenkinga yokopha, thatha imithi yokunciphisa igazi (isib. i-Warfarin). Uma unomlando wamazinga aphansi e-calcium, i-magnesium, noma i-potassium egazini. |
| Ezinye izifo | Izimo ezifana nesifo sesibindi, izinkinga ze-thyroid, i-glaucoma, kanye nokuquleka. |
| Imikhuba kanye nokwelashwa | Uma uphuza utshwala njalo, noma uma uthola ukwelashwa nge-electroconvulsive (ECT). |
| Ukungezwani komzimba | Uma une-allergy ku-sertraline noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani lo muthi?
- Thatha nengilazi yamanzi: Lo muthi ungowokusetshenziswa ngomlomo. Njalo thatha nengilazi yamanzi.
- Thatha njengoba kuqondiswe udokotela wakho: Thatha umthamo owunikezwe udokotela wakho, ngesikhathi esifanayo nsuku zonke. Ukuwuthatha ngesikhathi esifanayo ngaphandle kokushintsha isikhathi kuzokusiza uthole imiphumela engcono.
- Ungawaphuli, uwachoboze, noma uwahlafune: Lawa ma-capsule kufanele agwinywe wonke. Ungawaphuli, uwachoboze, noma uwahlafune.
- Ungayeki ngokuzumayo: Lena yinto ebaluleke kakhulu. Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu futhi kwenze isimo sakho sibe sibi kakhulu.
Kuthiwani uma uyinika izingane?
Lo muthi unganikezwa ezinye izimo ngisho nasezinganeni ezingaphezu kweminyaka engu-6. Kodwa-ke, kufanele kuthathwe ukunakekelwa okukhethekile, ngakho khuluma nodokotela wakho ngokucophelela ngaphambi kokunikeza ingane yakho lo muthi.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma eSikhungweni Sikazwelonke Solwazi Ngezipoyi eSibhedlela Sikazwelonke saseColombo.Khuluma futhi uthole iseluleko.
Lo muthi unikezwe wena wedwa. Ungalokothi unike omunye umuntu umuthi wakho.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane ne-Sertraline
I-Sertraline ingasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye notshwala, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
| Ungalokothi uthathe i-Sertraline nalezi! | |
|---|---|
| |
| Qaphela kakhulu uma uthatha i-Sertraline nalezi. | |
| Utshwala | Ukuthatha lo muthi notshwala kungandisa imiphumela emibi. |
| Ama-Painkiller | Imithi ye-NSAID efana ne-Aspirin, i-Ibuprofen, i-Naproxen. Iziqeda-buhlungu ezifana ne-Tramadol. |
| Eminye imithi yezifo zengqondo | Eminye imithi yokucindezeleka, imithi yokulwa nokukhathazeka, i-Lithium. |
| Izinto zokunciphisa igazi | Imithi efana neWarfarin ne-Enoxaparin. |
| Amakhambi kanye nezithasiselo | Izinto ezifana ne-St. John's wort, i-Kava kava, i-Valerian. |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, imikhiqizo yamakhambi, kanye nezidakamizwa ezingekho emthethweni ozithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Bekezela: Kungathatha amasonto ambalwa ukubona imiphumela ephelele yalo muthi. Ngakho-ke, ungayeki ukuwuthatha ngoba nje izimpawu zakho azikathuthuki ngokushesha. Qhubeka uwuthatha njengoba uqondiswe udokotela wakho.
- Qaphela izinguquko zokuziphatha: Uma wena noma amalungu omndeni wakho nibona izinguquko ekuziphatheni kwenu—isibonelo, uma kubonakala sengathi nicindezeleka kakhulu, uma unemicabango yokuzilimaza, uma unokukhathazeka okukhulu, uma unezinkinga ezingavamile —shayela udokotela wakho ngokushesha.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho usukuma ngokuzumayo noma uvuka endaweni yokuhlala, ikakhulukazi uma ungumuntu osekhulile.
- Umlomo owomile: Umlomo owomile uvamile. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-Sertraline ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Indle emnyama noma enegazi, umchamo obomvu/onsundu omnyama, ukuhlanza okufana nokudla okucoliwe, kanye namabala amancane abomvu/onsomi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukukhathazeka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuxhuzula, ukuhlanza, isifo sohudo. |
| Ezinye izimpawu ezinkulu | Amazinga aphansi e-sodium egazini (ubuthakathaka bemisipha, ikhanda elibuhlungu, ukudideka), ubuhlungu bamehlo noma izinguquko embonweni, imicabango yokuzibulala. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
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Umlayezo Wokuya Nawe Ekhaya
- I-Sertraline umuthi okufanele usetshenziswe ngaphansi kokuqondisa kukadokotela. Yithathe njengoba uyalelwe, isikhathi esinqunyiwe.
- Gwema ukuyeka umuthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho. Kungaba yingozi.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, imikhiqizo yamakhambi oyiphuzayo, kanye nazo zonke izimo zakho zezokwelapha.
- Funa iseluleko sezokwelapha ngokushesha uma ubhekana nezinguquko ezinkulu esimweni sakho sengqondo noma ekuziphatheni kwakho, ikakhulukazi imicabango yokuzibulala, ngenkathi uthatha umuthi.
- Kungathatha amasonto ambalwa ukuthi imiphumela ephelele yomuthi ibonakale, ngakho-ke yiba nesineke futhi uqhubeke nokwelashwa.
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