Ukucindezeleka, noma njengoba sonke sikwazi, akusona ubuthakathaka engqondweni, kuyisimo sezokwelapha esidinga ukwelashwa. Ezimweni ezinjalo, kanye nokwelashwa kwengqondo, ngezinye izikhathi kuyadingeka imithi. Olunye uhlobo lomuthi olunikezwa ukwelapha ukucindezeleka okunjalo yi-Trimipramine. Uma udokotela wakho ekunikeze lo muthi, kubaluleke kakhulu ukuba nolwazi oluphelele ngawo. Ake sixoxe ngalokhu kalula.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Trimipramine ingeyesigaba semithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs). Amakhemikhali athile ebuchosheni asiza ekulawuleni imizwa yethu. Ngokukhethekile, abizwa ngokuthi i-serotonin ne-norepinephrine. Ibhalansi yala makhemikhali ingashintsha ezimweni zokucindezeleka.
Lokho okwenziwa yilesi sidakamizwa ukwandisa amazinga alawo makhemikhali amabili ebuchosheni, okuthuthukisa isimo sakho sengqondo. Kufana nokuvula amaswishi amabili alawula injabulo nokuzola.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, udinga ukuba nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngaphandle kokufihla lutho. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
| Ukugula noma ezinye izinto | Kungani udinga ukutshela udokotela ? |
|---|---|
| Uma umlutha wotshwala | Ukuhlanganisa utshwala nalo muthi kungandisa imiphumela emibi. |
| Izifo zengqondo ezifana ne-bipolar noma i-schizophrenia | Lomuthi ungashintsha lezo zimpawu. |
| Ubunzima bokuchama, izinkinga ze-prostate | Lo muthi ungandisa ukugcinwa komchamo. |
| Isifo senhliziyo, ukungalingani kwesigqi senhliziyo, ukuhlaselwa yinhliziyo kwakamuva | Lo muthi ungathinta ukusebenza kwenhliziyo. |
| Isifo se-Glaucoma | Kukhona ithuba lokwanda komfutho wamehlo. |
| Isifo sesibindi noma sezinso | Inqubo yokususa imithi emzimbeni ingase ithinteke. |
| Izifo zamaphaphu noma zokuphefumula ezifana ne-asthma | Ingozi yemiphumela ethile emibi inganda. |
| Ukuquleka noma isifo sohlangothi | Izingozi zalezi zimo zingahluka. |
| Izifo ze-thyroid | Kungase kube nobudlelwano phakathi kwamazinga ama-hormone nokusebenza kahle komuthi. |
| Imicabango yokuzibulala, imizamo, noma umlando womndeni walokho | Le micabango ingase ikhule ekuqaleni komuthi, ngakho-ke kudingeka ukunakwa okuseduze. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kufanele ukhulume nodokotela wakho ngemiphumela engaba khona enganeni. |
| Uma umntwana enceliswa ibele | Kufanele kucatshangelwe ukuthi umuthi ungadluliselwa yini enganeni ngobisi lwebele. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Ukuthola ukuthi kukhona yini ukungezwani komzimba nomuthi noma izithako zawo. |
Ngingawusebenzisa kanjani umuthi?
Thatha lo muthi nengilazi yamanzi. Thatha umthamo onqunywe udokotela wakho, ngesikhathi esinqunyiwe. Ungalokothi uthathe okungaphezu kwenani elinqunywe udokotela wakho.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho noma kubangele eminye imiphumela emibi kakhulu. Uma uyeka ukuthatha lo muthi, yenza lokho njengoba uqondiswe udokotela wakho, wehlise kancane kancane umthamo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, kuyisimo esiphuthumayo. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lokhu akuwona umdlalo.
Khumbula, lo muthi unikezwe wena kuphela. Unganiki omunye umuntu lo muthi ngoba nje enezimpawu ezifanayo nezakho.
Eminye imithi engase ihlangane nalo muthi
Lokhu kubaluleke kakhulu. Uma uthatha lo muthi, ungahlangana neminye imithi. Lokhu kungabangela imiphumela emibi eyingozi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amakhambi, namavithamini owathathayo.
| Ungalokothi uthathe i-Trimipramine nalezi zinto | |
|---|---|
| I-MAOIs (isb. Marplan, Nardil, Parnate) | I-Linezolid |
| I-Methylene eluhlaza okwesibhakabhaka (engena emthanjeni) | I-Pimozide |
| Ama-phenothiazine afana ne-Thioridazine | Eminye imithi elawula izinga lokushaya kwenhliziyo |
| I-Cisapride | I-St. John's Wort (i-extract yamakhambi) |
| Izinkinga zingavela nangalo muthi (tshela udokotela wakho). | |
| Imithi yokucindezeleka kwegazi okuphezulu (isib. i-Clonidine) | Imithi yesifo sokuwa (isib. i-Carbamazepine) |
| Ama-Barbiturates (isib. i-Phenobarbital) | I-Cimetidine |
| Ama-hormone e-thyroid | Imithi yobuhlungu enikezwa ngodokotela |
Izinto okufanele uziqaphele lapho uthatha umuthi
Ukushintsha kwesimo sengqondo kanye nemicabango yokuzibulala
Lena yinto ebaluleke kakhulu. Ngezinye izikhathi, ikakhulukazi emavikini ambalwa okuqala okwelashwa noma lapho umthamo ushintshwa, izimpawu zokucindezeleka zinganda noma kuvele imicabango emisha yokuzibulala. Uma wena noma amalungu omndeni wakho niqaphela lezi zinto , khuluma nodokotela wakho ngokushesha.
- Uma uzizwa ukhathazekile noma ukhathazekile
- Uma uzizwa ungakhululekile futhi uthukuthele kakhulu,
- Uma ngokuzumayo uqala ukusebenza ngokweqile
- Uma ungakwazi ukulala
- Uma uzizwa sengathi ukucindezeleka kwakho kuya ngokuya kuba kubi
Ukozela kanye nesiyezi
Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Ungavuki ngokuzumayo uhleli, ikakhulukazi uma usukhulile. Lokhu kungakwenza uzizwe unesizungu futhi uwe. Gwema ukuphuza utshwala. Lokhu kungakwenza uzizwe unesizungu nakakhulu.
Umlomo owomile, ukuqunjelwa kanye nezinye izinto
- Umlomo owomile:Lokhu kungalawulwa ngezinto ezifana nokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
- Ukuqunjelwa: Uma ungenawo umgudu wokugaya ukudla izinsuku ezingu-2-3, khuluma nodokotela wakho. Ukudla ukudla okune-fiber eningi nokuphuza amanzi amaningi kungasiza.
- Ukuzwela kwelanga: Isikhumba sakho singase sizwele elangeni ngenkathi uthatha lo muthi. Ngakho-ke, gqoka izingubo zokuzivikela futhi usebenzise isivikelo selanga uma uphuma elangeni.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Ake sibheke ukuthi iyini.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi) | Imicabango yokuzibulala , ukushintshashintsha kwemizwelo |
| Izinguquko ekushayeni kwenhliziyo (ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ubuhlungu besifuba, ubunzima bokuphefumula) | Ubuhlungu bamehlo obungazelelwe , ukubona okufiphele, ukubona indandatho ezungeze izibani |
| I-Serotonin Syndrome: Izimpawu ezingaba khona zifaka: ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane, ukuhlanza, kanye nesifo sohudo. | |
| Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. | |
| Umlomo owomile | Ukozela |
| Isiyezi | Ukuvinjelwa |
| Izinguquko esifisweni noma emsebenzini wocansi | Ukuthuthumela okuncane (Ukuthuthumela) |
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo. Eminye yayo ingase ihlangane nalo muthi.
- Tshela udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izinguquko ezisheshayo esimweni sakho sengqondo noma ekuziphatheni kwakho, noma imicabango yokuzibulala, ikakhulukazi ekuqaleni kokwelashwa.
- Gwema ukuphuza utshwala ngenkathi uthatha lo muthi.
- Gwema ukushayela noma ukwenza imisebenzi edinga ukuqaphela uze wazi ukuthi imithi ikuthinta kanjani.
- Ukweqisa umthamo kuyisimo esiphuthumayo. Uma lokhu kwenzeka, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Zisetshenziselwani ama-capsule e-Trimipramine / Surmontil?
Lona omunye wemithi yezifo zengqondo endala futhi enamandla kakhulu kwezokwelapha (i-TCA - isigaba se-Tricyclic Antidepressant) esingasetshenziswa ukulawula 'Ukucindezeleka' okukhulu! Isetshenziselwa iziguli ezingalapheki ezingakaze zibone ukuthuthuka/ushintsho naphezu kwayo yonke eminye imithi yezifo zengqondo emisha (i-SSRI/SNRI) futhi ikakhulukazi kulabo 'abanokungalali okukhulu nokucindezeleka okukhulu'.
💬 Lo muthi (i-Trimipramine) uqeda kanjani ukucindezeleka uma ungena ebuchosheni?
Ukucindezeleka kubangelwa ukwehla kwamakhemikhali enjabulo/amandla ebuchosheni (iSerotonin, iNorepinephrine). Lo muthi okwenziwa yilo muthi ukuvimba ngokuphelele ukuvimbela ukuthathwa kabusha kwamakhemikhali enjabulo akhishwa ubuchopho. Bese ubuchopho bugcwele lawo makhemikhali, futhi ukucindezeleka kwesiguli kuyaphela ngokuphelele. Futhi, ngoba kuvimbela i-histamine, inikeza 'umphumela wokudambisa'.
💬 Yimiphi imiphumela emibi ecasulayo kakhulu engaba khona uma uqhubeka nokuphuza la maphilisi (TCA)?
Lona umuthi omdala (i-TCA) ngakho unemiphumela emibi eminingi! Une-'anticholinergic' effect, ebangela umlomo owomile, ukuqunjelwa, ukubona okufiphele, kanye nobunzima bokuchama. Futhi, kunengozi enkulu yokuthi isigqi senhliziyo yesiguli sishintshe futhi sishaye ngendlela engavamile (i-Arrhythmia/QT Prolongation), okuyisimo esibulalayo, ngakho udokotela kufanele ahlole i-ECG njalo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho