Uma wena noma othile omaziyo enesifo sokucindezeleka, udokotela wakho kungenzeka ukuthi ukunike imithi ehlukahlukene. Nakuba imithi emisha ivame ukusetshenziswa kulezi zinsuku, ngezinye izikhathi kufanele usebenzise imithi emidala, kodwa ebaluleke kakhulu. Kunabantu abathola imiphumela kuyo. Namuhla sizokhuluma ngemithi ethile enjalo, endala kancane, kodwa ebalulekile, imithi yokucindezeleka ye-tricyclic kanye ne-tetracyclic.
Ziyini lezi zidakamizwa zokucindezeleka ze-tricyclic kanye ne-tetracyclic?
Kalula nje, lezi ezinye zezidakamizwa zokuqala ezitholakale zokwelapha ukucindezeleka. Zisetshenziswe kusukela ngawo-1950. Umehluko phakathi kwala magama amabili ukwakheka kwawo kwamakhemikhali. Ama-Tricyclic anezindandatho ezintathu (tri = ezintathu) esakhiweni sawo samakhemikhali, kanti ama-tetracyclic anezindandatho ezine (tetra = ezine). Kodwa zombili zisebenza emzimbeni ngendlela efanayo.
Odokotela abawuncomi kakhulu lo muthi kulezi zinsuku. Lokhu kungenxa yokuthi imithi emisha efana ne -SSRIs (Selective Serotonin Reuptake Inhibitors) iye yavela enemiphumela emibi embalwa. Kodwa, ake sithi uzame imithi emisha engaphezu kweyodwa kodwa ayisebenzanga. Uma kunjalo, udokotela wakho angase akuzame komunye wale mithi emidala.
Le mithi ithinta kanjani ubuchopho?
Kunamakhemikhali akhethekile ebuchosheni bethu alawula isimo sengqondo. Siwabiza ngokuthi ama-neurotransmitter. I-Serotonin ne -norepinephrine ziyizimbili ze-neurotransmitter eziyinhloko. Amazinga alawa angaba phansi ebuchosheni bomuntu onesifo sokucindezeleka.
Ama-antidepressant e-Tricyclic (TCA) asebenza ngokwandisa amazinga e-serotonin ne-norepinephrine ebuchosheni. Kodwa-ke, ngoba le mithi ithinta nezinye izinzwa, inengozi ephezulu yemiphumela emibi kunemithi emisha efana nama-SSRI. Futhi, ukudlula ngokweqile kuyingozi kakhulu.
| Ama-antidepressant e-tricyclic (ama-TCA) asetshenziswa kakhulu |
|---|
| I-Amitriptyline |
| I-Amoxapine |
| I-Clomipramine |
| I-Desipramine |
| I-Doxepin |
| I-Imipramine |
| I-Nortriptyline |
| I-Protriptyline |
| I-Trimipramine |
Iyini imiphumela emibi yalo muthi?
Njengoba sixoxile ngaphambili, le mithi inemiphumela emibi eminingi. Yingakho abantu abaningi bengafuni ukuyisebenzisa. Kodwa akubona bonke abantu abathola yonke le miphumela emibi.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho nganoma yimiphi imiphumela emibi oyitholayo. Ungayeki ukuthatha imithi ngokuzumayo.
Nazi ezinye zemiphumela emibi evamile:
- Ukozela
- Umbono ofiphele
- Ukuqunjelwa
- Umlomo owomile
- Ukwehla komfutho wegazi uma usukuma ngokuzumayo usuka endaweni yokuma (lokhu kungabangela ukuthi uzizwe unesizungu)
- Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo
- Ukudideka kubantu asebekhulile, ikakhulukazi uma kuthathwa imithamo ephezulu
- Ukuchama okungaphelele (Ukugcinwa komchamo)
- Ukwanda kwesifiso sokudla kanye nokwanda kwesisindo
- Ukujuluka
- Ukuthuthumela
- Ukuvuka kocansi noma ukuncipha kwesifiso
- Abantu abanezinkinga zokuxhuzula basengozini enkulu yokuxhuzula .
I-Amitriptyline, i-Doxepin, i-Imipramine, kanye ne-Trimipramine ngokuvamile zingabangela ukozela kanye nokukhuluphala. Kodwa-ke, i-Nortriptyline kanye ne-Desipramine zinemiphumela emibi embalwa kuneminye.
Ezinye izimo zezokwelapha kanye nemithi ye-TCA
Uma unezinye zezimo zezokwelapha ezilandelayo, kufanele utshele udokotela wakho ngaphambi kokuthatha lo muthi.
- I-Glaucoma
- Indlala yesinye ekhulisiwe
- Isifo senhliziyo
- Isifo sikashukela
- Izifo zesibindi
- Uma i-mesentery yakheke ngaphambili
Nawe futhiUma ukhulelwe noma uhlela ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho.
Ukweqisa umthamo kanye nezingozi zako
Lena yinto ebaluleke kakhulu okudingeka siyiqaphele ngale mithi. Ngisho nokuphuza ngokweqile ama-TCA kungaba yingozi kakhulu empilweni. Ngakho-ke, odokotela bavame ukungathandi ukunikeza le mithi kumuntu ocabanga ukuzibulala. Ngisho noma beyinikeza, bayinikeza ngemithamo emincane kakhulu, kanye ngesonto.
| Izimpawu Zokudlula I-TCA | |
|---|---|
| Ukuphazamiseka kwenhliziyo | Umfutho wegazi ophansi (i-Hypotension) |
| Ukoma ngokweqile komlomo | Ukungakwazi ukuchama |
| Ukuphefumula kancane | Ukuthuthumela nokuxhuzula |
| I-Coma | |
Qaphela: Uma usola ukuthi othile uthathe lo muthi omningi kakhulu, kuyisimo esiphuthumayo sezokwelapha. Shayela i-1990 Ambulance Service ngaphandle kokulibala, noma umyise esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) ngokushesha. Futhi, uma kungenzeka, shayela i-National Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko. Uma uya esibhedlela, ungakhohlwa ukusho igama lomuthi umuntu awuthathile.
Ingabe kuyingozi ukuyeka ukuthatha umuthi ngokuzumayo?
Yebo, impela. Kungakhathaliseki ukuthi uzizwa ungcono noma ukhathazwa yimiphumela emibi, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho.Uma wenza kanjalo, ungase uzizwe ungakhululekile ngenxa yendlela umzimba wakho osabela ngayo kukho (izimpawu zokuhoxa).
Lokhu akusikho ngoba uyisigqila salesi sidakamizwa. Lo muthi awusigqilazi. Kodwa, umzimba wakho kanye nobuchopho bakho sebajwayele lelo khemikhali, ngakho-ke uma seliphelile ngokuzumayo, kuthatha isikhathi ukuthi umzimba uzivumelanise.
Izimpawu ezingase zivele lapho umuthi umiswa
- Ukucasuka, ukucasuka
- Isicanucanu
- Ukujuluka
- Ubuhlungu bomzimba, uzizwa ushisa
- Ukungalali
- Umzimba ongenampilo
- Ikhanda elibuhlungu
Ngakho-ke, uma udinga ukuyeka ukuthatha umuthi, kufanele wenze kanjalo ngokunciphisa kancane kancane umthamo, ulandela imiyalelo kadokotela wakho .
Umlayezo Wokuya Nawe Ekhaya
- Ama-antidepressant e-Tricyclic (TCAs) ayiklasi elidala lemithi yokucindezeleka, kodwa ayasiza kakhulu kwabanye abantu.
- Lezi zinobungozi obukhulu kancane bemiphumela emibi kunemithi emisha. Khuluma nodokotela wakho ngokukhululekile ngalokhu.
- Uma unezinye izimo zezokwelapha (njengesifo senhliziyo, i-glaucoma), qiniseka ukuthi wazisa udokotela wakho ngaphambi kokuthatha lo muthi.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungabangela ukungakhululeki emzimbeni wakho.
- Ukweqisa umthamo kuyingozi kakhulu. Kuyisimo esiphuthumayo sezokwelapha. Uma usola into enjalo, hamba esibhedlela ngokushesha.
- Nakekela impilo yakho yengqondo. Khuluma nodokotela wakho uma unenkinga.
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