Isingeniso: Kuyini iMaprotiline?
I-Maprotiline umuthi osetshenziswa kakhulu ukwelapha ukucindezeleka. Ingowesigaba semithi eyaziwa ngokuthi ama-antidepressants e-tetracyclic. Ngokungafani neminye imithi eminingi yokucindezeleka, i-Maprotiline isebenza ngokuthinta ibhalansi yama-neurotransmitter ebuchosheni, okungamakhemikhali asiza ukudlulisa izimpawu phakathi kwamangqamuzana ezinzwa. Lo muthi uvame ukunikezwa lapho ezinye izindlela zokwelapha zingasebenzi kahle, okuhlinzeka impumuzo kulabo ababhekene nezinkinga zokucindezeleka.
Ukusetshenziswa kweMaprotiline
I-Maprotiline isetshenziswa kakhulu ekwelapheni isifo sokucindezeleka okukhulu. Ingasetshenziswa futhi ngaphandle kwemithi yezinye izimo, njenge:
- ukukhathazeka iziyaluyalu
- Ukuhlaselwa ukwethuka
- Izinhlobo ezithile zobuhlungu obungapheli
Ukusebenza kwayo kahle ekunciphiseni izimpawu zokucindezeleka kwenza kube yindlela ewusizo ezigulini ezingasabelanga kahle kweminye imithi yokucindezeleka.
Indlela Esebenza
I-Maprotiline isebenza ngokuvimbela ukuthathwa kabusha kwe-norepinephrine kanye ne-serotonin, ama-neurotransmitter amabili abalulekile ahilelekile ekulawuleni imizwa. Kalula nje, iyasiza ukwandisa amazinga ala makhemikhali ebuchosheni, angathuthukisa imizwa futhi anciphise imizwa yokudabuka noma yokuphelelwa yithemba. Ngokuthuthukisa ukuxhumana phakathi kwamaseli ezinzwa, i-Maprotiline ingasiza ekubuyiseleni umuzwa wokulinganisela kanye nenhlalakahle kubantu abahlushwa ukucindezeleka.
Isilinganiso nokuphathwa
Umthamo ojwayelekile we-Maprotiline kubantu abadala uvame ukuqala ku-75 mg ngosuku, okungahlukaniswa ngemithamo emincane. Kuye ngempendulo yesiguli kanye nokubekezelelana kwaso, umthamo ungandiswa kancane kancane ufike ku-150 mg ngosuku. Ezinganeni ezigulayo, umthamo uvame ukunqunywa umhlinzeki wezempilo ngokusekelwe esisindweni sengane nezidingo ezithile. I-Maprotiline itholakala ngesimo sethebhulethi futhi ivame ukuthathwa kanye ngosuku, okungcono ngesikhathi sokulala ukuze kuncishiswe ukozela emini.
Imiphumela Engemihle ye-Maprotiline
Njengayo yonke imithi, iMaprotiline ingabangela imiphumela emibi. Imiphumela emibi evamile ihlanganisa:
- Ukulala
- Umlomo omile
- ukuqunjelwa
- Umbono ophundlekile
- Inzuzo yesisindo
Imiphumela emibi kakhulu, nakuba ingajwayelekile kakhulu, ingase ihlanganise:
- ukuquleka
- Isigqi senhliziyo siyashintsha
- Ukungezwani komzimba okukhulu
- Imicabango yokuzibulala noma ukuziphatha
Iziguli kufanele zithinte umhlinzeki wazo wezempilo uma zithola noma yimiphi imiphumela emibi kakhulu noma ephathelene nemiphumela engemihle.
Ukusebenzisana kwezidakamizwa
I-Maprotiline ingasebenzisana neminye imithi eminingana, okungase kwandise ingozi yemiphumela emibi noma kunciphise ukusebenza kahle kokwelashwa. Ukusebenzisana okukhulu kwemithi kufaka phakathi:
- I-Monoamine oxidase inhibitors (MAOIs)
- Amanye ama-antidepressants
- Ama-Antihistamine
- Utshwala
- Imithi ethile yomfutho wegazi
Kubalulekile ukuthi iziguli zazise umhlinzeki wazo wezempilo ngayo yonke imithi, izithasiselo, kanye nemikhiqizo yamakhambi eziyisebenzisayo ukuze zigweme ukusebenzisana okungenzeka.
Izinzuzo zeMaprotiline
Inzuzo eyinhloko yeMaprotiline ukusebenza kwayo kahle ekwelapheni isifo sokucindezeleka okukhulu, ikakhulukazi ezigulini ezingakatholi impumuzo ngezinye izidakamizwa zokucindezeleka. Ngaphezu kwalokho, ingase iqale ukusebenza ngokushesha uma iqhathaniswa nezinye izidakamizwa zokucindezeleka. Indlela yayo ehlukile yokusebenza inganikeza impumuzo ezigulini ezinezimpawu zokukhathazeka, okwenza kube inketho eguquguqukayo ekwelapheni izifo zemizwa.
Ukuphikisana kweMaprotiline
Abantu abathile kufanele bagweme ukusebenzisa iMaprotiline, okuhlanganisa:
- Labo abanokungezwani komzimba okwaziwayo neMaprotiline noma imithi efanayo
- Iziguli ezinomlando wokuquleka
- Abantu abanesifo esibi kakhulu sesibindi noma sezinso
- Abesifazane abakhulelwe noma abancelisayo, ngaphandle uma kunqunywe umhlinzeki wezempilo
Kubalulekile ukuxoxa nganoma yiziphi izimo ezikhona kakade nomhlinzeki wezempilo ngaphambi kokuqala ukwelashwa.
Ukuqapha Nezexwayiso
Ngaphambi kokuqala iMaprotiline, iziguli kufanele zihlolwe ngokucophelela ngumhlinzeki wazo wezempilo. Izinyathelo ezikhethekile zokuqapha zingafaka:
- Ukuqapha izimpawu zokucindezeleka okubi noma imicabango yokuzibulala, ikakhulukazi kubantu abadala abasebasha
- Ukuhlolwa njalo ukuhlola ukusebenza kwesibindi nezinso
- Ukugwema utshwala, njengoba bungenza imiphumela emibi ibe mibi kakhulu
Iziguli kufanele futhi zazise udokotela wazo uma zinomlando wezinkinga zenhliziyo noma i-glaucoma.
Imibuzo Evame Ukubuzwa
1. Yini okufanele ngiyenze uma ngiphuthelwa umthamo we-Maprotiline?
Uma uphuthelwa umthamo, thatha ngokushesha lapho ukhumbula. Uma cishe sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ogejiwe futhi uqhubeke neshejuli yakho evamile. Ungaphindi.
2. Ngingayeka yini ukuthatha iMaprotiline ngokuzumayo?
Cha, akufanele uyeke ukuthatha iMaprotiline ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ngoba lokhu kungaholela ezimpawini zokuhoxa. Udokotela wakho uzokunikeza ishejuli yokunciphisa uma kudingeka ukuyeka.
3. Ingabe iMaprotiline iphephile ukusetshenziswa isikhathi eside?
I-Maprotiline ingaphephile ukusetshenziswa isikhathi eside ngaphansi kokuqondisa komhlinzeki wezempilo. Ukuqapha njalo kubalulekile ukuze kuhlolwe ukusebenza kwayo kanye nanoma yimiphi imiphumela emibi engaba khona.
4. Ngingayithatha yini iMaprotiline kanye neminye imithi?
Kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, njengoba eminye ingase ihlangane neMaprotiline. Udokotela wakho uzokusiza ekulawuleni noma yikuphi ukuhlangana okungenzeka.
5. Yini okufanele ngiyenze uma ngiba nemiphumela emibi?
Uma uhlangabezana nemiphumela emibi, ikakhulukazi emibi kakhulu, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangase balungise umthamo wakho noma basikisele enye indlela yokwelapha.
6. Ingabe iMaprotiline ingasetshenziswa ezinganeni?
I-Maprotiline inganikezwa izingane, kodwa umthamo uzonqunywa umhlinzeki wezempilo ngokusekelwe ezidingweni ezithile zengane kanye nesisindo sayo.
7. Ingabe iMaprotiline izothinta isisindo sami?
Ukwanda kwesisindo kungaba umphumela ongemuhle we-Maprotiline. Uma ubona izinguquko ezinkulu esisindweni sakho, xoxa ngalokhu nodokotela wakho.
8. Ingabe kuphephile ukuphuza utshwala ngenkathi usebenzisa iMaprotiline?
Ngokuvamile kuyalulekwa ukugwema utshwala ngenkathi uthatha iMaprotiline, ngoba kungandisa ingozi yemiphumela emibi futhi kuphazamise ikhono lakho lokusebenza.
9. Kuthatha isikhathi esingakanani ukuthi iMaprotiline isebenze?
Ezinye iziguli zingase ziqale ukuzwa imiphumela zingakapheli amasonto ambalwa, kodwa kungathatha amasonto ambalwa ukuqaphela izinzuzo ezigcwele zomuthi.
10. Yini okufanele ngiyenze uma ngiba nemicabango yokuzilimaza ngenkathi ngithatha iMaprotiline?
Uma uhlangabezana nemicabango yokuzilimaza noma yokuzibulala, funa usizo olusheshayo kumhlinzeki wezempilo noma ushayele izinsizakalo eziphuthumayo. Ukuphepha kwakho kuyinto eza kuqala.
Amagama Omkhiqizo
I-Maprotiline ikhangiswa ngaphansi kwamagama emikhiqizo eminingana, okuhlanganisa:
- I-Ludiomil
- I-Maprotiline Hydrochloride
Isiphetho
I-Maprotiline iwumuthi owusizo wokwelapha isifo sokucindezeleka okukhulu, ikakhulukazi ezigulini ezingakatholi impumuzo ngezinye izindlela zokwelapha. Indlela yayo yokusebenza ehlukile kanye nezinzuzo ezingaba khona zenza kube inketho ebalulekile emkhakheni wezokwelapha ngengqondo. Kodwa-ke, njengayo yonke imithi, iza nezingozi nemiphumela emibi okumele ilawulwe ngaphansi kwesiqondiso somhlinzeki wezempilo. Njalo xhumana nodokotela wakho ngaphambi kokuqala noma ukuyeka noma yimuphi umuthi.
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