Ungase uphuze imithi oyinikezwe udokotela yokucindezeleka okukhulu. Kodwa ngezinye izikhathi, ingabe uzizwa sengathi imithi yodwa ayanele, futhi ukudabuka kwakho, ukukhathala, kanye nokungabi nandaba nanoma yini kusakulawula? Ungakhathazeki, awuwedwa. Ngezinye izikhathi, imithi eyinhloko yokucindezeleka oyiphuzayo yokucindezeleka idinga usizo olwengeziwe. Yilapho sikhuluma khona ngokwelashwa okwengeziwe okusetshenziswa odokotela.
Kungani imithi yokucindezeleka ngezinye izikhathi inganele?
Ukucindezeleka okukhulu, noma lokho esikubiza ngokwezokwelapha ngokuthi "i-Major Depression Disorder (MDD)", kungaphezu nje kokudabuka. Kuyisimo sempilo yengqondo. Kungabonakala ngokudabuka okuqhubekayo, ukukhathala ngokweqile, imizwa yokungabi nalutho, ukulahlekelwa intshisekelo emisebenzini obuyijabulela, izinguquko ezindleleni zokulala, izinguquko ekufiseni ukudla, futhi ngezinye izikhathi ngisho nemicabango yokuqeda impilo yakho.
Ngokuvamile, udokotela wakho uzokunikeza umuthi wokucindezeleka. Kodwa kwabanye abantu, lowo muthi wodwa awunikezi impumuzo ephelele. Cabanga ngawo njengenjini eyinhloko yemoto. Kodwa ngezinye izikhathi leyo njini idinga ukukhuthazwa okwengeziwe ukuze isebenze kahle kakhulu. I-Vraylar (ebizwa ngokuthi: వ్రే-లర్) umuthi owengeziwe onikeza lolo hlobo losizo.
Yini eyenziwa yilesi sidakamizwa esibizwa ngokuthi i-Vraylar emzimbeni?
Umuthi i-'Vraylar' uqukethe isithako esisebenzayo i-'cariprazine'. Ungowesigaba semithi ebizwa ngokuthi i-'antipsychotics yesizukulwane sesibili'. Lena uhlobo lomuthi osetshenziselwa ukwelapha izifo zengqondo. Le mithi 'yesizukulwane sesibili' ihlukile kwemithi emidala ngoba ayinawo amathuba amaningi okubangela imiphumela emibi ehlobene nokunyakaza (izimpawu ze-extrapyramidal), njengokuthuthumela nokungaphumuli.
Akukaziwa kahle ukuthi lo muthi usebenza kanjani. Kodwa esikwaziyo ukuthi usebenza ngokushintsha umsebenzi we -serotonin ne-dopamine, izithunywa ezimbili zamakhemikhali ebuchosheni bethu ezilawula isimo sengqondo. Njengokulungisa umsakazo ukuze uthole umsindo ocacile, lo muthi usebenza ngokulungisa imiyalezo yamakhemikhali ebuchosheni bakho nokusiza ekuthuthukiseni isimo sakho sengqondo.
Uyisebenzisa kanjani le mithi?
I-'Vraylar' iza ngama-capsule. Ingathathwa kanye ngosuku, noma ngabe kudliwa noma cha. Into ebaluleke kakhulu ukuyithatha njengoba nje udokotela wakho ekuyalele, ngesikhathi osinqunyelwe.
Ngokuvamile, udokotela uzoqala ngomthamo omncane we-1.5mg. Bese kuthi, kuye ngokuthi ubekezelela kanjani umuthi kanye nemiphumela, ungandisa umthamo ube yi-3mg ngemva kwamasonto amabili.Uma welapha ukucindezeleka, khumbula ukuthi umthamo omkhulu walo muthi u-3mg ngosuku. Ungawandisi noma unciphise umthamo noma uwuyeke ngokuzumayo, ucabanga ukuthi kungcono kuwe. Konke kufanele kwenziwe kuphela ngokweseluleko sikadokotela wakho.
Kubaluleke kakhulu: Qiniseka ukuthi uyaqaphela lokhu
Ingozi yemicabango nezenzo zokuzibulala inganda kancane ezinyangeni ezimbalwa zokuqala zokuthatha i-Vraylar kanye nalapho kushintsha umthamo. Lokhu kuyinto okufanele ithathwe ngokungathi sína kakhulu.
Uma wena noma othile oseduze nawe eba nalezi zimpawu , kufanele uthathe isinyathelo ngokushesha.
- Uma unemicabango yokuzilimaza, sicela uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Uma kungenjalo, shayela iNational Institute of Mental Health (NIMH) ngo-1926.
- Khuluma nomuntu omethembayo ngalokhu bese ubona udokotela wakho ngokushesha okukhulu.
Hlala uqaphile ngalezi zimpawu:
- Imicabango emisha noma eminingi ifika engqondweni ukuze yonakalise impilo yakho.
- Ukuzama ukwenza into efana naleyo.
- Ukukhathazeka okusha noma okwandisiwe, ukucindezeleka, noma ezinye izinguquko ezingavamile ekuziphatheni.
Imiphumela emibi engaba khona yemithi nokuthi ungayibhekana kanjani nayo
Njenganoma yimuphi umuthi, i-Vraylar ingabangela imiphumela emibi kwabanye abantu. Njengoba lo muthi uhlala emzimbeni isikhathi eside, eminye imiphumela emibi ingavela ngemva kwamasonto ambalwa. Nansi imiphumela emibi eyinhloko engabonakala nokuthi ungayiphatha kanjani.
| Umphumela ongemuhle | Indlela yokuphatha? |
|---|---|
| Ukungaphumuli (akathisia) kanye nokungaphumuli | Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho ngokushesha. Angase akwazi ukwehlisa umthamo wakho, akunike omunye umuthi wokulawula lezi zimpawu, noma akushintshele komunye umuthi. |
| Ukukhathala noma isiyezi | Gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi umuthi uthinta kanjani wena. |
| Ukuqunjelwa | Phuza amanzi amaningi. Yidla ukudla okune-fiber eningi, njengezithelo, imifino, ubhontshisi, kanye nokusanhlamvu okuphelele. Zivocavoce. Nciphisa ukudla inyama enamafutha kanye noshizi. Uma lokhu kungasizi, khuluma nodokotela wakho. |
| Isicanucanu | Phuza amanzi amaningi ukuze uvimbele ukuphelelwa amanzi emzimbeni. Yidla ukudla okuthambile njengesinkwa nobhanana. Ungadli kakhulu ngesikhathi esisodwa, yidla ukudla okuncane okuningana. Gwema iphunga elinamandla. Uma kuqhubeka, tshela udokotela wakho. |
| Ukungalali | Uma unenkinga yokulala ebusuku noma ukuhlala ulele, khuluma nodokotela wakho ngalokhu futhi. |
| Ukwanda kwesifiso sokudla kanye nokuzuza isisindo | Yidla ukudla okulinganiselayo nokuzivocavoca umzimba. Udokotela wakho uzokuqapha lokhu. Cishe uzohlola isisindo sakho, ushukela wegazi kanye namazinga e-cholesterol. |
Ake sifunde nangokusebenzisana kwemithi neminye.
Eminye imithi oyithathayo (imithi yezinye izimo, amavithamini, imithi yendabuko) ingase ihlangane nalo muthi we-'Vraylar'. Eminye imithi ingandisa imiphumela emibi ye-'Vraylar', kanti eminye inganciphisa ukusebenza kwe-'Vraylar'.
Ngakho-ke, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho noma yimaphi amavithamini owaphuzayo. Angabe eselungisa umthamo noma akunike iseluleko esifanele uma kudingeka.
Ukucindezeleka kuyimpi. Kodwa khumbula, kunezindlela zokwelapha ezifanele kanye nezeluleko zezokwelapha ezifanele ezizokusiza kule mpi.
Umlayezo Wokuya Nawe Ekhaya
- I-'Vraylar' umuthi onikezwa ngaphezu kwemithi yakho eyinhloko yokucindezeleka, ukuze uthuthukise ukusebenza kwawo.
- Lokhu kufanele kusetshenziswe kuphela njengoba kuqondiswe udokotela. Ungalokothi ushintshe noma uyeke umthamo ngokwakho.
- Kungathatha isikhathi ukuthi umuthi usebenze ngokugcwele, ngakho-ke yiba nesineke futhi uqhubeke uwusebenzisa njengoba uqondiswe udokotela wakho.
- Kubaluleke kakhulu: Kukhona ingozi yemicabango yokuzibulala ezigabeni zokuqala zokuthatha umuthi. Uma kuvela imicabango enjalo, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha noma ushayele ku-1926.
- Imiphumela emibi ingase ivele. Ungesabi ukukhuluma ngayo ngokukhululekile nodokotela wakho.
- Kubalulekile ukuthi wazise udokotela wakho ngayo yonke eminye imithi oyithathayo.
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