Uma udokotela ekubhalela umuthi omusha wempilo yakho yengqondo, kuvamile ukuzizwa unelukuluku, futhi mhlawumbe novalo, ngawo. Ikakhulukazi uma kukhulunywa ngomuthi osetshenziswa kabanzi njengeSertraline, kunezindaba eziningi ezahlukene ongaxoxa ngazo. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini iSertraline, ukuthi yenzani, nokuthi yini okudingeka uyiqaphele, kalula nje, njengokungathi ukhuluma nomngane.
Kuyini i-Sertraline?
Kalula nje, i-Sertraline umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo njengokucindezeleka nokukhathazeka. Ingowesigaba semithi ebizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitor) .
Cabanga nje, ubuchopho bethu bunesithunywa samakhemikhali esilawula imizwa yenjabulo nokuzola. Igama laso yi -serotonin . Kwezinye izimo zengqondo, leli zinga le-serotonin lingancipha. I-Sertraline isebenza ngokwandisa umsebenzi walesi sithunywa se-serotonin ebuchosheni. Njengokushaja ibhethri uma liphansi, lo muthi usiza ukulinganisela isimo sethu sengqondo.
Odokotela bavame ukunikeza lo muthi kulezi zimo ezilandelayo:
- Ukucindezeleka
- Izinkinga Zokukhathazeka
- Isifo Sokucindezeleka Okungapheli (OCD)
- Isifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD)
- Isifo Sokuphazamiseka Kwengqondo Nengqondo Sangaphambi Kokuya Esikhathini (PMDD) yisifo esibi kakhulu sengqondo nesomzimba esenzeka kwabesifazane ngaphambi kokuba baye esikhathini.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ukuze uqinisekise ukuphepha kwakho, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala i-Sertraline. Qiniseka ukuthi utshela udokotela wakho uma kukhona okulandelayo okukusebenzelayo.
| Isimo noma umkhuba osebenza kuwe | Kungani kufanele sinikeze ulwazi ngakho? |
|---|---|
| Umlando wempilo yengqondo: Isifo se-bipolar, imicabango yokuzibulala noma ukuzama ukuzibulala (okwakho noma othile emndenini wakho). | Ngenxa yokuthi i-sertraline ingadala ezinye izimo zengqondo ezimbi, ukuxilongwa nokuqapha okufanele kuyadingeka. |
| Ukopha: Izinkinga zokopha, ukusetshenziswa kwemithi yokunciphisa igazi (isib. i-Warfarin). | Lo muthi ungandisa kancane ingozi yokopha, ngakho-ke kubalulekile ukuthi udokotela akuqaphele lokhu. |
| Isifo senhliziyo: umfutho wegazi ophakeme, ukungalingani kwesigqi senhliziyo. | Ngenxa yokuthi i-sertraline ingathinta izinga lokushaya kwenhliziyo yakho, ezimweni ezingavamile, kubalulekile ukuqaphela impilo yenhliziyo yakho. |
| Ezinye izimo zezokwelapha: Isifo sesibindi, ukuquleka, i-glaucoma, isifo se-thyroid. | Uma lezi zimo zikhona, kungadingeka ukulungiswa kwesilinganiso semithi noma ukuqapha okukhethekile. |
| Ukukhulelwa nokuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Kufanele kucatshangelwe ngokukhethekile ukusetshenziswa kwalomuthi ngesikhathi sokukhulelwa nokuncelisa. |
| Ukungezwani komzimba: Uma une-allergy ku-sertraline noma eminye imithi noma ukudla. | Lokhu kubalulekile ukuvimbela noma yikuphi ukusabela kokungezwani komzimba ongase ube nakho. |
Ngiyisebenzisa kanjani ngempela le mithi?
- Gwinya iphilisi ngengilazi yamanzi. Ungayithatha nokudla noma ngaphandle kokudla.
- Thatha umthamo onqunyiwe nsuku zonke, ngesikhathi esinqunyiwe ngudokotela wakho.
- Ungandisi umthamo wemithi yakho wedwa noma uthathe okungaphezu kwalokho okuyalelwe.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu noma kube kubi kakhulu isimo sakho.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma esibhedlela esiseduze.Yiya e-Emergency Treatment Unit (ETU) .
Kuthiwani uma ngiphuthelwa 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 umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe.
Eminye imithi engase ihlangane ne-Sertraline (Ukusebenzisana)
Ukuthatha eminye imithi nge-sertraline kungaba yingozi.
Ungalokothi uthathe kanyekanye: Uma usebenzisa imithi elandelayo, ukuthatha i-Sertraline akuvunyelwe ngokuphelele .
* Ama-antidepressant e-MAOI (isib. iMarplan, iNardil)
* I-Linezolid
* I-Pimozide
* I-Thioridazine
* I-Methylene blue (ifakwa nge-intravenously)
Ngaphezu kwalokho, eminye imithi eminingi ingasebenzisana ne-Sertraline. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nemithi yokunciphisa ubuhlungu (isib. i-ibuprofen, i-aspirin). Ukuphuza utshwala nakho akukhuthazwa kanye nalo muthi.
Yimiphi imiphumela emibi engalindelwa?
Njenganoma yimuphi umuthi, i-Sertraline ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ngisho noma iyithola, ivame ukuphela ngemva kwezinsuku ezimbalwa njengoba umzimba ujwayela umuthi.
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukuthuthumela, ukujuluka ngokweqile, umkhuhlane, ukuxhuzula. |
| Ushintsho esimweni sengqondo | Ukucindezeleka okwandayo, imicabango yokuzibulala, ukucasuka, ukusebenza ngokweqile, ukuqwasha. |
| Ukopha okungavamile | Indle emnyama, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, ukucasuka kwesisu, uhudo. |
| Ezinye izinkinga | Ukujuluka ngokweqile, ukuthuthumela, umlomo owomile, izinguquko zesifiso sobulili noma ukusebenza. |
Eminye imibuzo evame ukubuzwa
Ingabe i-Sertraline ibangela ukukhuluphala ngempela?
Lona umbuzo abantu abaningi abawubuzayo. Nakuba kungenzeka ukukhuluphala nge-sertraline, akwenzeki kuwo wonke umuntu. Ngezinye izikhathi kuba yinto ehlukile. Umuntu olahlekelwe isisindo ngenxa yokucindezeleka futhi olahlekelwe yisifiso sokudla, angase aphinde athole isifiso sokudla futhi abuyele esisindweni sakhe esivamile lapho umuthi uthuthukisa isimo sakhe sengqondo. Lokhu kuyisibonakaliso sesifo kunokuba kube umphumela omubi womuthi. Kodwa-ke, uma ukhathazekile ngalokhu, khuluma nodokotela wakho.
Ingabe kulungile ukuthatha i-Sertraline ngesikhathi sokukhulelwa?
Lesi yisihloko esibucayi kakhulu. Noma yimuphi umuthi kufanele uthathwe ngokucophelela okukhulu ngesikhathi sokukhulelwa. Kufanele ukhulume nodokotela wakho mayelana nokusebenzisa i-Sertraline. Udokotela wakho uzolinganisa umonakalo ongaba khona kumama nomntwana ngokungawuthathi umuthi nengozi encane kakhulu yokuwuthatha . Ukucindezeleka okungalashwanga kungaba yingozi nakakhulu kumama nomntwana. Ngakho-ke, lesi sinqumo kufanele senziwe nguwe nodokotela wakho ndawonye.
Umlayezo Wokuya Nawe Ekhaya
- I-Sertraline iwumuthi ophephile osiza ukulinganisela isimo sakho sengqondo futhi ulawule amazinga e-serotonin ebuchosheni.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Kungathatha amasonto ambalwa ukuzwa imiphumela ephelele yomuthi, ngakho-ke yiba nesineke futhi uqhubeke nokuwusebenzisa.
- Uma isimo sakho sengqondo siba sibi noma unemicabango yokuzibulala ngemva kokuqala umuthi, yazisa udokotela wakho noma umndeni wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bakhona ukuzokusiza.
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