Ingabe wena noma othile omaziyo welashwa ngesifo sokuphazamiseka kwengqondo okuguquguqukayo? Uma kunjalo, kubalulekile ukuqaphela izinhlobo ezahlukene zemithi enikezwayo. Ngoba eminye imithi ayifanele lesi simo, futhi eminye kufanele isetshenziswe ngokuqapha okukhulu. Namuhla sikhuluma ngomunye wemithi enjalo, endala kancane, kodwa esasetshenziswa ezimweni ezahlukene, uhlobo lwemithi ebizwa ngokuthi ama-antidepressants e-tricyclic .
Okokuqala, ake sibone, ayini lawa ma-antidepressant e-tricyclic (TCAs)?
Kalula nje, lezi uhlobo lwemithi endala kancane kunaleyo esetshenziswa ekwelapheni ukucindezeleka. Kunamakhemikhali ebuchosheni bethu adlulisela imiyalezo phakathi kwezinzwa (ama-neurotransmitters). Lokho okwenziwa yile mithi ukwandisa umsebenzi wamakhemikhali amabili abizwa ngokuthi i-serotonin ne-norepinephrine . Ososayensi bakholelwa ukuthi la makhemikhali amabili abaluleke kakhulu kumasekethe obuchopho alawula imizwa yethu.
Kodwa-ke, le mithi inemiphumela emibi eminingi kunemithi emisha. Futhi, le mithi manje inikezwa odokotela kwezinye izimo ngaphandle kokucindezeleka. Isibonelo:
- Ubuhlungu be -Neuropathic
- Ukuvimbela i-migraines
- Ukungalali
- Ezinye izinkinga zamathumbu ( Irritable Bowel Syndrome )
Eminye imithi eminingana eyingxenye yalolu hlobo lwemithi ibhalwe kuthebula elingezansi.
| Igama lohlobo lomuthi | Amagama Omkhiqizo Avamile |
|---|---|
| i-amitriptyline | U-Elavil |
| i-imipramine | I-Tofranil |
| i-nortriptyline | I-Pamelor |
| i-desipramine | I-Norpramin noma i-Pertofrane |
Kungani kudingeka uqaphele kakhulu lapho unikeza lo muthi umuntu onesifo sokuphazamiseka kwengqondo okuguquguqukayo?
Lena yingxenye ebaluleke kakhulu yalesi sihloko. Isifo se-bipolar siyisimo sokushintshashintsha kwemizwelo, lapho ubhekana nezikhathi zokucindezeleka okukhulu kanye nezikhathi zamazinga aphezulu kakhulu enjabulo, okwaziwa ngokuthi i-mania.
Le mithi ye-tricyclic (TCA) isetshenziselwa ukwelapha ukucindezeleka. Ngakho-ke uma isiguli esinesifo sokuphazamiseka kwengqondo sinikezwa le mithi yodwa ngenxa yesimo saso sokucindezeleka, kunethuba elikhulu lokuthi isimo saso sengqondo sizoshintshela kolunye uhlangothi olubi kakhulu, okungukuthi, i-mania. Futhi, isimo esibizwa ngokuthi i-rapid cycling, lapho zishintsha khona phakathi kwezimo zokucindezeleka kanye ne-manic, singaba khona.
Cabanga nje ukuthi umuntu onesifo sokuphazamiseka kwengqondo usanda kuqala umuthi onjengalona wokucindezeleka. Uma, ezinsukwini ezimbalwa nje, elahlekelwa ubuthongo ngokuzumayo, ekhuluma ngokweqile, echitha imali ngokweqile, enza izinto ezibiza kakhulu, futhi ejabule ngendlela engavamile, lokho kungaba yisenzakalo esidabukisayo. Lokhu kungenxa yemiphumela yomuthi.
Ngakho-ke siyini ikhambi lalokhu?
Ukuze kuncishiswe le ngozi, odokotela batusa isithambisi-ndlela sokuzinza kwemizwa ngesikhathi esifanayo nomuthi wokucindezeleka njengalo kubantu abane-bipolar, ikakhulukazi labo abane-bipolar I.
Ochwepheshe bakholelwa ukuthi le mithi ye-tricyclic akufanele inikezwe yodwa iziguli ezine-bipolar ezingenayo into yokuzinzisa isimo sengqondo , njenge-lithium noma i-divalproex.
Ezinye izingozi nezinto okufanele uzicabangele
Ngaphezu kwengozi yokubangela i-mania, kunezinye izinto eziningana okudingeka siziqaphele ngale mithi.
1. Ingozi yesifo senhliziyo: Lo muthi ungabangela noma ubhebhethekise izinkinga zesigqi senhliziyo kwabanye abantu. Uma unesifo senhliziyo, kufanele utshele udokotela wakho ngalokhu.
2.Ukweqisa umthamo kuyingozi kakhulu: Lena ingozi enkulu yale mithi. Uma kuqhathaniswa nemithi emisha, ngisho nokweqisa umthamo omncane wemithi ye-tricyclic (TCA) kungaba yingozi empilweni. Ngakho-ke, uma usebenzisa le mithi, ungathathi ngaphezu komthamo obekwe udokotela nganoma yisiphi isizathu. Futhi, gcina le mithi kude nezingane ezincane endlini futhi uzigcine endaweni ephephile. Uma usola ukuthi othile uthathe lo muthi kakhulu ngengozi, myise ngokushesha e- Emergency Treatment Unit (ETU) yesibhedlela esiseduze . Uma kudingeka, ungashayela ne-National Poison Information Center e-Colombo National Hospital ukuze uthole iseluleko.
3. Imiphumela emibi eminingi: Lokhu kungenzeka kakhulu ukuthi kubangele imiphumela emibi njengobuthongo, umlomo owomile, ukubona okufiphele, ukuqunjelwa, kanye nobunzima bokuchama kunemithi emisha.
Ngenxa yalezi zizathu, odokotela banikeza le mithi kancane kakhulu futhi ngokucophelela okukhulu lapho belapha iziguli ezine-bipolar.
Umlayezo Wokuya Nawe Ekhaya
- Ama-antidepressant e-Tricyclic (TCA) ayiklasi elidala lemithi esetshenziselwa ukwelapha ukucindezeleka. Manje asetshenziswa futhi ekwelapheni ezinye izimo.
- Ukunikeza lo muthi wodwa iziguli ezine-bipolar kwandisa kakhulu ingozi yokuthi lesi sifo siqhubekele kolunye uhlangothi olubi kakhulu, i-mania.
- Ngakho-ke, uma unikezwa lolu hlobo lomuthi, kubalulekile ukuthatha umuthi wokuzinzisa isimo sengqondo ngesikhathi esifanayo.
- Ukuthatha le mithi ngokweqile kuyingozi kakhulu, ngakho-ke kubalulekile ukulandela iseluleko sezokwelapha nokugcina imithi yakho iphephile.
- Ungalokothi uqale, uyeke, noma ushintshe umthamo wanoma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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