Ukuthatha i-Cymbalta ne-Gabapentin Ngokuhlangene: Okudingeka Ukwazi

Uma udokotela wakho ekuphe chazele zombili i-Cymbalta ne-gabapentin, ungase uzibuze ukuthi kuphephile yini ukuzithatha ngesikhathi esisodwa. Impendulo emfushane ithi yebo, abantu abaningi bathatha le mithi ndawonye ngaphansi kokuqondiswa kwezempilo. Zombili izidakamizwa zisebenza ngezindlela ezihlukene ukusiza ukuphatha ubuhlungu nezinye izimo zengqondo, futhi lapho zisetshenziswa kahle, zingaqediselana kahle.

Yini i-Cymbalta?

I-Cymbalta yigama lomkhiqizo le-duloxetine, umuthi ongoka hlobo olubizwa ngokuthi ama-SNRI. I-SNRI yigama elifushane le-serotonin norepinephrine reuptake inhibitor, okungase kuzwakale kuyinkimbinkimbi kodwa okusho nje ukuthi kusiza ukulinganisa izithunywa ezimbili ezibalulekile zamakhemikhali ebuchosheni bakho.

Lezi zithako, i-serotonin ne-norepinephrine, zidlala indima ebalulekile ekulawuleni imizwa nezimpawu zobuhlungu. Lapho amazinga azo elingana kakhulu, ungase uzizwe kancane ukudangala, ukukhathazeka, noma ubuhlungu obungapheli. Odokotela bavame ukuphe chazela i-Cymbalta izimo ezinjengokudangala okukhulu, isifo sokukhathazeka esijwayelekile, i-fibromyalgia, nobuhlungu bezinzwa obubangelwa ushukela.

Umuthi usebenza kancane kancane emavikini ambalwa. Ungase ungazwa umehluko omkhulu ngaso leso sikhathi, futhi lokho kuvamile. Ubuchopho bakho budinga isikhathi sokujwayela izinguquko kulezi zithunywa zamakhemikhali.

Yini i-Gabapentin?

I-Gabapentin yaqala yenzelwa ukuvimbela ukuzalwa yizifo, kodwa odokotela bathola ukuthi futhi kusiza ngobuhlungu bezinzwa. Umuthi usebenza ngokudambisa izimpawu ezidlulele zezinzwa ezibangela ubuhlungu, ukutunyelelwa, noma ukushisa. Lokhu ukwenza ngokuthinta indlela iziteshi ezithile zekhalsiyamu ezinzweni zakho ezisebenza ngayo.

Namuhla, odokotela bavame ukuphe chazela i-gabapentin izimo ezinjenge-postherpetic neuralgia, okuyibuhlungu obuhlala ngemuva kokugula okubizwa ngokuthi i-shingles. Futhi kusiza ngobuhlungu bezinzwa obubangelwa ushukela, isifo sezinyawo ezihlanganayo, nezinye izinhlobo zezimo ezibuhlungu ezingapheli. Odokotela abanye bayalelwe ukuyisebenzisa ngokungekho emthethweni ukukhathazeka, yize lokhu kungasebenzi ngokusemthethweni kwi-FDA.

Njenge-Cymbalta, i-gabapentin ayisebenzi ngaso leso sikhathi. Kungase kuthathe izinsuku ezimbalwa kuya emavikini ambalwa ngaphambi kokuba ubone intuthuko ezimpawini zakho. Udokotela wakho cishe uzokuqala ngomthamo ophansi bese uwukhulisa kancane kancane ukuze uthole okusebenza kahle kuwe.

Kungani Udokotela Angalalele Zombili Lezi Zidakamizwa Ndawonye?

Udokotela wakho angase akulalele zombili lezi zidakamizwa ngoba ziqeda ubuhlungu nokungakhululeki ngezindlela ezihlukene. I-Cymbalta isebenza kumakhemikhali obuchopho bakho ukuze ishintshe indlela owuqonda ngayo ubuhlungu. I-Gabapentin isebenza ngqo ezinzweni ukuze idambise imiyalezo edlulele yobuhlungu.

Lapho zisetshenziswa ndawonye, zingabonelela ubuhlungu obungcono kunezidakamizwa ezisetshenziswa zodwa. Le ndlela yokuhlanganisa ivame kakhulu ezimweni ezibuhlungu ezingapheli ezinjenge-fibromyalgia, i-diabetic neuropathy, noma i-complex regional pain syndrome. Abantu abathile abanezimo ezinjalo bathola ukuthi isidakamizwa esisodwa sodwa asikwazi ukwenza umsebenzi.

Ukuhlanganiswa kungasiza futhi uma ubhekana nobuhlungu obungapheli nezimo zengqondo ezinjengokudangala noma ukukhathazeka. I-Cymbalta iqeda ingxenye yengqondo ngenkathi i-gabapentin igxila ekungakhululeki okuhlobene nezinzwa. Le ndlela emibili ingathuthukisa ikhwalithi yakho yokuphila ngokujwayelekile.

Kuphephile Yini Ukuthatha i-Cymbalta ne-Gabapentin Ngokuhlangene?

Yebo, ukuthatha le mithi ndawonye ngokuvamile kubhekwa njengokuphephile kakhulu kwabaningi lapho kuqondiswa umnakekeli wezempilo. Izinkulungwane zeziguli zithatha le ngxube nsuku zonke ngaphandle kwezinkinga ezinkulu. Kodwa-ke, njenganoma iyiphi inhlanganisela yemithi, kunezinto okufanele uzazi.

Ukukhathazeka okukhulu odokotela abakubhekayo kubizwa ngokuthi ukucindezeleka kohlelo lokujula lokujula. Lokhu kusho ukuthi zombili izidakamizwa zingakwenza uzizwe ukozela, ukhubazeke, noma ungabi naluthando, ikakhulukazi lapho uqala ukuzithatha. Lapho zithathwa ndawonye, le mthelela ingaba sekuphawuleke kakhulu.

Abaningi bajwayela le miqondo emibi phakathi namaviki ambalwa. Umzimba wakho ujwayela izidakamizwa, futhi ukuzola kuvame ukuncipha. Okwamanje, kubalulekile ukuba nesiqalo ezintweni ezidinga ukunakekelwa okuphelele, njengokushayela noma ukusebenzisa imishini.

Yimiphi Imiphumela Engingayizwa?

Lapho uphuza zombili lezi zidakamizwa, ungase uqaphele imiphumela ethile, ikakhulukazi emavikini okuqala. Umzimba wakho uyazijwayela izimiso ezintsha zamakhemikhali, futhi le nqubo ithatha isikhathi. Ukuqonda ukuthi kuyini okuvamile kungakusiza uzizwe ulungile futhi ungabi nokukhathazeka.

Nansi imiphumela evamile ongase uyizwe nale ngxube:

• Ukuzola noma ukuzwa ukukhathala ngokungajwayelekile emini

• Isiyezi, ikakhulukazi lapho uphakama ngokushesha

• Umlomo omile okwenza ufune ukuphuza amanzi kaningi

• Ukuzwelana noma isisu esithambile

• Ubunzima bokugxila noma ukuzwa sengathi ubhekene

• Ukuvuvukala okuthambile ezandleni noma ezinyaweni zakho

• Izinguquko ekudleni

• Ukuqina kwesisu

Le miqondo ivame ukuba mithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela. Uma zihlala noma zizwakala ziphazamisa, ungabambezeleki ukuxhumana nodokotela wakho.

Manje, ake sikhulume ngemiphumela engavamile kodwa emibi kakhulu edinga ukunakekelwa kwezempilo ngaso leso sikhathi. Noma ingavamile, ukwazi ngayo kukusiza ukuba wazi ukuthi nini kufanele ufune usizo:

• Izinhlanhla ezimbi kakhulu njengokukhwela, izindlu, noma ubunzima bokuphefumula

• Ukopha noma ukuphukuka okungajwayelekile okubonakala ngaphandle komonakalo

• Umchamo omnyama noma ukujikijela kwesikhumba sakho noma amehlo

• Ukudideka okukhulu noma ukungazizwa kahle

• Imicabango yokuzilimaza

• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile

• Ubuhlungu obukhulu bemisipha noma ubuthakathaka

• Ukuzalwa yizifo, ikakhulukazi uma ungakaze ube nazo ngaphambili

• Isifo se-serotonin, esihlanganisa ukukhathazeka, izithunzi, umkhuhlane, nokushaya kwenhliziyo okusheshayo

Le miqondo emibi ingavamile, kodwa ukwazi ngayo kukwenza ukwazi ukwenza ngokushesha uma kudingeka. Ithimba lakho lezempilo likhona ukukuxhasa kunoma yiziphi izinkinga.

Yini i-Serotonin Syndrome futhi Ngiyifanele Ngikhathazeke?

I-Serotonin syndrome yisimo esingavamile kodwa esibi esingenzeka lapho izidakamizwa zandisa amazinga e-serotonin kakhulu. Njengoba i-Cymbalta ithinta i-serotonin, futhi i-gabapentin ingaba nemithelela emincane emizileni efanayo, kukhona ingozi encane yomcabango lapho uzihlanganisa.

Izimpawu zesifo se-serotonin zihlanganisa ukukhathazeka, ukudideka, ukushaya kwenhliziyo okusheshayo, umfutho wegazi ophakeme, izinkomo ezikhanyayo, ukuqina kwemisipha, kanye nokujuluka ngokweqile. Ezimweni ezimbi, kungadala umkhuhlane omkhulu, izifo, noma ukushaya kwenhliziyo okungajwayelekile. Lesi simo sivelaphakathi ngokushesha, ngokuvamile ngaphakathi kwamahora emva kokuphuza umuthi.

Ngaphandle kwalokho, i-serotonin syndrome kusuka kule ngxube ethile ingavamile kakhulu. Ingozi yakho iyanda uma uphuza izidakamizwa ezingezansi ezithinta i-serotonin, njengama-antidepressants athile noma imithi yezinhlungu zekhanda. Udokotela wakho uzobuyekeza zonke izidakamizwa zakho ukuze anciphise le ngozi.

Uma uzwa izimpawu ezingajwayelekile noma ezisabisa, xhumana nodokotela wakho ngaso leso sikhathi. Isenzo esisheshayo singavikela izinkinga futhi sikunikeze ukuthula kwengqondo.

Yini Okufanele Ngiyigweme Ngenkathi Ngithatha Lezi Zidakamizwa?

Izinto ezithile nemisebenzi ingaphazamisa indlela lezi zidakamizwa ezisebenza ngayo noma yenyise ingozi yakho yemiphumela. Ukucabangela lezi zingakusiza uhlale uphephile futhi uzizwe kangcono.

Utswala bufuna ukunakwa okukhethekile. Zombili i-Cymbalta ne-gabapentin zingakwenza ukozela, futhi utshwala bugcwalisa le mthelela kakhulu. Ukuphuza ngenkathi uphuza lezi zidakamizwa kungaholela ekuzoleni okukhulu, isiyezi esiyingozi, noma ukwahlulela okungalungile. Futhi kungaba kubi kakhulu ukudangala nokunciphisa ukusebenza kwezibakamizwa.

Ezinye izidakamizwa ezingathengwa ngaphandle ezitolo kanye nezandiso zingaxubana nezindlela zakho. Abadambisi abanjenge-NSAIDs ezithathwa ne-Cymbalta zingandisa ingozi yokuphuma kwegazi. I-St. John's Wort, isandiso semvelo esithandwayo, ingaphazamisa indlela i-Cymbalta esebenza ngayo. Njalo tshelani umgoma wakho yonke into oyiphuzayo, okuhlanganisa namavithamini nezimila.

Qaphela izinto ezidinga ukunakwa okuphelele kuze kube yilapho wazi ukuthi lezi zidakamizwa zikuthinta kanjani. Ukushayela, ukusebenzisa amathuluzi amandla, noma ukukhuphuka izitebhisi kungase kuzwakale kuhluke emavikini okuqala. Akukho lutho okudumazayo ukucela usizo noma ukulungisa isimiso sakho isikhashana.

Ingabe Ngingayeka Lezi Zidakamizwa Ngokungazelelwe?

Cha, akufanele neze uyeke noma yisiphi isidakamizwa ngokungazelelwe ngaphandle kokuqondiswa kwezempilo. Zombili i-Cymbalta ne-gabapentin kudingeka zidlulwe kancane ukuze zigweme izimpawu zokuhoxa ezibuhlungu. Lokhu kubaluleke kakhulu empilweni yakho nasekuphathweni kahle.

Uma uyeka i-Cymbalta ngokungazelelwe, ungase uhlangane nesifo sokuyeka. Lokhu kungahlanganisa isiyezi, ukuzwelana, ubuhlungu bekhanda, ukucasuka, amaphupho amabi, kanye nemizwa abanye abantu abayichaza njengamashushu ebuhlungu noma imifutho yombane. Lezi zimpawu zingaba buhlungu kakhulu, noma ngabe azibanga ngozi.

Ukuyeka i-gabapentin ngokungazelelwe kungadala ukukhathazeka, ukulala, ukuzwelana, ukujuluka, futhi ezimweni ezingavamile, ukuzalwa yizifo, ikakhulukazi uma ubuzithatha ngemithamo ephezulu. Umzimba wakho ujwayele ukuba nesidakamizwa, futhi udinga isikhathi sokulungisa ukuba ngaphandle kwalo.

Uma ufuna ukuyeka ukuphuza lezi zidakamizwa, khuluma nodokotela wakho kuqala. Uzokwenza isimiso sokudlula kancane esizokwehlisa umthamo wakho kancane kancane emavikini noma ezinyangeni. Le nqubo ingeyethambile emzimbeni wakho futhi ikusiza ugweme izimpawu zokuhoxa.

Kuthiwani Uma Ngingakukhumbuli Ukuphuza?

Ukukhohlwa ukuphuza kwenzeka kimuntu wonke ngezinye izikhathi. Unganyakazi noma uzizwe unecala ngakho. Indlela engcono kakhulu incike esikhathini lapho ukhumbula khona.

Uma ukhumbula phakathi kwamahora ambalwa esikhathi sakho esivamile, phuza umthamo owukhunjwayo ngaso leso sikhathi. Bese uqhubeka nesimiso sakho esivamile. Uma isikhathi sokuthatha umthamo wakho olandelayo, yeqa lowo owukhunjwayo ngokuphelele. Ungalokothi uphuze imithamo emibili ukuze ubuyekeze umthamo owukhunjwayo.

Ngokwe-Cymbalta, uma ukhohlwa ukuphuza futhi ukhumbula ngosuku olulandelayo, phuza nje umthamo wakho ojwayelekile. Ungaphindisi kabili. Okufanayo kusasebenza ku-gabapentin. Ukuphuza imithamo ephindwe kabili kuyakwandisa ingozi yakho yemiphumela ngaphandle kokunikeza inzuzo eyengeziwe.

Uma uthola ukuthi ukhohlwa ukuphuza kaningi, zama ukubeka izikhumbuzi zefoni noma usebenzise umhlelisi wamaphilisi. Abanye abantu bahlobanisa ukuphuza imithi yabo nomsebenzi wansuku zonke njengokuxubha amazinyo noma ukudla kwasekuseni.

Kungakanani Isikhathi Esithathayo Ukubona Imiphumela?

Ukubekezela kubalulekile lapho uqala lezi zidakamizwa. Umzimba wakho udinga isikhathi sokujwayela, futhi izinzuzo zakheka kancane kancane kunokuba zivele ngobusuku bonke. Lokhu kungase kube nzima lapho ubuhlungu noma ulwa, kodwa ukuqonda uhla lwesikhathi kusiza ukusetha imibono eqotho.

Ngokwe-Cymbalta, abantu abaningi baqala ukubona intuthuko emoyeni noma obuhlungwini emva kwamaviki amabili kuya kwayi-four. Nokho, kungase kuthathe amaviki ayisishiyagalombili kuya kwayi-twelve ukuze uzwe izinzuzo eziphelele. Abanye abantu baqaphela izinguquko ezincane kusenesikhathi, njengokulala kangcono kancane noma amandla engeziwe.

I-Gabapentin ivame ukusebenza ngokushesha kancane ukuze idambise ubuhlungu. Ungase uqaphele intuthuko ethile phakathi nesonto noma ezimbili, nakuba inzuzo enkulu ivame ukuza emva kwamaviki ambalwa. Udokotela wakho angalungisa umthamo wakho ngalesi sikhathi ukuze uthole inani elisebenza kangcono kuwe.

Lapho zithathwa ndawonye, umthelela ohlangene ungase uthathe inyanga ephelele noma ngaphezulu ukuze ubonakale ngokugcwele. Gcina irekhodi lokuthi uzizwa kanjani kuyi-journal elilula. Izintuthuko ezincane zingaba nzima ukuziqaphela usuku nosuku, kodwa ukubheka emuva emavikini kungabonisa inqubekela phambili yangempela.

Ubani Ongafanele Athathe Le Ngxube?

Nakuba abantu abaningi bephuza ngokuphepha i-Cymbalta ne-gabapentin ndawonye, le ngxube ayilungile kuye wonke umuntu. Ezinye izimo zezempilo noma izimo zenza lezi zidakamizwa zibe nezingozi noma zingafaneleki.

Kufanele utshele udokotela wakho uma une-uncontrolled narrow angle glaucoma ngaphambi kokuphuza i-Cymbalta. Lolu muthi ungaba kubi kuleli cala elithile lesifo samathukutheli. I-Cymbalta futhi iyalungiswa esibindini sakho, ngakho abantu abanesifo esibi sesibindi bangadinga umuthi ohlukile noma umthamo olungisiwe.

Uma une sifo esibi sezindlu, i-gabapentin ingase ingabi phephe ngemithamo ejwayelekile. Izindlu zakho ziyakhipha lo muthi emzimbeni wakho, futhi ukungasebenzi kahle kwezindlu kungabangela ukuthi iqoqeke ngezinga eliyingozi. Udokotela wakho angalungisa umthamo noma akhethe enye indlela uma kudingeka.

Abantu abaphuza ama-MAOI, uhlobo lwe-antidepressant, akufanele baphume i-Cymbalta. Kufanele kube nesikhathi esiphakathi kwamaviki amabili phakathi kokuyeka i-MAOI nokuqala i-Cymbalta ukuze kugwenywe ukuxubana okubucayi kwemithi. Udokotela wakho uzolawula ngokucophelela noma yikuphi ukuguqulelwa kwemithi.

Uma ukhulelwe, uhlela ukukhulelwa, noma ucabanga ukuncelisa, khuluma nodokotela wakho ngokwethembeka. Zombili izidakamizwa zingadlula kumntwana, futhi izingozi nezinzuzo kudingeka zicashiswe kakhulu. Ngezinye izikhathi izinzuzo zokwelashwa zidlula izingozi ezingase zibe khona, kodwa lesi sinqumo kufanele senziwe ndawonye nomnakekeli wakho wezempilo.

Ingabe Lezi Zidakamizwa Zingathinta Isisindo Sami?

Izinguquko zesifo zingenzeka zombili izidakamizwa, noma ngabe akubona bonke abazibonayo. Ukuqonda leli thuba kusiza ukuba uzizwe ulungile kunokuba umangale.

I-Cymbalta ingathinta ukudla nokugaya. Abanye abantu balahlekelwa isisindo, ikakhulukazi emavikini okuqala, ngokuvamile ngoba ukuzwelana kunciphisa ukudla kwabo. Abanye bakhulu isisindo ngokuhamba kwesikhathi, mhlawumbe ngenxa yezinguquko ekugayeni noma ekudleni okwandisiwe njengoba ukudangala kuthuthuka.

I-Gabapentin ivame ukuhlotshaniswa nokukhulu isisindo. Lokhu kwenzeka ngoba umuthi ungandisa ukudla futhi ungabangela ukugcinwa koketshezi. Ukukhulu kwesisindo kuvame ukuba ngumlinganiselo, cishe amakhilogremu amahlanu kuya kwayi-ten, nakuba abanye abantu benza okwengeziwe.

Uma uqaphela izinguquko ezinkulu zesifo, xhumana nodokotela wakho. Ngezinye izikhathi ukulungisa umthamo noma isikhathi semithi kungasiza. Ukuzivocavoca njalo nokudla okunakekelayo kungaphinda kwenze umehluko, nakuba ubuhlungu obungapheli bungenza imisebenzi yomzimba ibe nzima. Zihlole kahle.

Ngiyodinga Ukuhlolwa Igazi Njalo Noma Ukuqondiswa?

Udokotela wakho angase alalele ukuhlolwa okuthile ngenkathi uphuza le mithi, nakuba ukuhlolwa okuningiliziwe ngokuvamile kungadingeki kakhulu kwabaningi. Izilingo ezithile zincike esimweni sakho sezempilo.

Lapho uqala i-Cymbalta, udokotela wakho angase ahlole umsebenzi wesibindi sakho, ikakhulukazi uma unezinkinga zesibindi noma uphuza utshwala njalo. Izilingo zesibindi ezijwayelekile zisiza ukuqinisekisa ukuthi umuthi awubangeli izinkinga. Ukuhlola umfutho wegazi kuvame kakhulu ngoba i-Cymbalta ingaphakamisa kancane umfutho wegazi.

Ngokwe-gabapentin, izilingo zomsebenzi wezindlu zingasetshenziswa uma unezinkinga zezindlu. Njengoba izindlu zakho ziyikhipha le mithi, ukwazi ukuthi zisebenza kanjani kusiza udokotela wakho ukuba akhethe umthamo olungile.

Ngaphambi kwezilingo zegazi, udokotela wakho uzokubona njalo, ikakhulukazi lapho uqala izidakamizwa. Lezi zokuhlangana zivumela ukuba bahlole ukuthi uyaphendula kanjani, balungise imithamo uma kudingeka, futhi babhekane nanoma yiziphi izinkinga. Cabanga ngalezi zivakashi njengeyingxenye yeqembu lakho lokunakekela elikusekelayo.

Ngingayibhekana Kanjani Nemiphumela?

Ukubhekana nemiphumela kungase kube okudumazayo, kodwa izindlela ezilula eziningi zingakusiza uzizwe ukhululekile kakhulu ngenkathi umzimba wakho ujwayela. Izinguquko ezincane zivame ukwenza umehluko omqondo.

Ngokuzola, zama ukuphuza i-gabapentin ngesikhathi sokulala uma udokotela wakho evuma. Ngale ndlela, ukulala kwenza umsebenzi wakho. Uma uphuza imithamo eminingi ngosuku, eyona enkulu ingasetshenziswa ebusuku. Gwema ikhofi ngasekupheleni kosuku, ngoba lingaphazamisa ikhwalithi yokulala le mithi ingase ikusize uyithole.

Isiyezi sivame ukuthuthuka uma ushintsha izikhundla kancane. Lapho uphakama ukusuka ekulaleni, hlala emaphethelweni embhedeni isikhashana kuqala. Bese uphakama kancane. Lokhu kunika umfutho wakho wegazi isikhathi sokulungisa. Ukuhlala u-hydrated kahle futhi kusiza ngesiyelwe.

Umlomo omile uphendula kahle ngokuphepha amanzi kuyo yonke imini. Ukunwaya noma ukunwaya okungenawo ushukela kungakhuphula ukukhiqizwa komlomo. Abanye abantu bathola ukusebenzisa i-humidifier ebusuku kusiza. Gwema izinto zokugeza umlomo ezinotshwala, ngoba zingaba kubi kakhulu ukoma.

Ukuzwelana kudambisa ngokuvamile ngokuthatha imithi ngokudla, ngaphandle uma udokotela wakho ethi okunye. Itiye le-ginger noma izidlo ezincane, ezingavamile esikhundleni sezidlo ezinkulu zingasebenza esiswini sakho. Ukuzwelana kuvame ukuthuthuka emva kwamaviki okuqala.

Uma ukuqina kwesisu kuba inkinga, ukwandisa i-fiber ekudleni kwakho, ukuphuza amanzi amaningi, nokuhlala njengoba usebenza kakhulu kunakho konke kungasiza. Udokotela wakho angakukhombisa isihlanza esithambile uma kudingeka. Ungavumeli ukudangala kukwenze ungalizwa ukubika le mthelela evamile.

Kuthiwani Ngokusebenzisa Isikhathi Eside?

Abantu abaningi bathatha i-Cymbalta ne-gabapentin ndawonye izinyanga noma ngisho iminyaka lapho belapha izimo ezingapheli. Ukusebenzisa isikhathi eside kuvame ukuphepha ngaphansi kokuqondiswa kwezempilo, nakuba udokotela wakho uzofuna ukuqondisa njalo.

Nokusebenzisa isikhathi eside, umzimba wakho uyajwayela imithi. Lokhu akusho ukuthi bayayeka ukusebenza, kodwa ngezinye izikhathi odokotela balungisa imithamo ukuze balondoloze ukusebenza kahle. Abanye abantu bathola ukuthi bangakwazi ukunciphisa imithamo yabo njengoba isimo sabo sithuthuka, ngenkathi abanye bedinga imithamo eqhubekayo isikhathi eside.

Ukuhlangana okuvamile okuvamile kuba kubaluleke kakhulu ngokusebenzisa isikhathi eside. Lezi zivakashi zivumela udokotela wakho ukuba ahlole noma yiziphi izinkinga ezivelayo, ahlole ukuthi izidakamizwa kusadingeka yini ziyindlela engcono kakhulu, futhi aqinisekise ukuthi uthola inzuzo enkulu kancane kancane.

Ungakhathazeki ukuthi ukuphuza le mithi isikhathi eside kusho ukuthi uyazidinga ngendlela engekhona. Uma belapha isimo esingapheli futhi bethuthukisa ikhwalithi yakho yokuphila, yilokho kanye okufanele bakwenze. Ulawula isimo sezempilo, njengomuntu onesifo sikashukela olawula ushukela wakhe.

Isiphetho

Ukuthatha i-Cymbalta ne-gabapentin ndawonye kungase kuzwakale kunzima ekuqaleni, ikakhulukazi ngalo lonke ulwazi okumele ulufake. Khumbula ukuthi izigidi zabantu ziphatha ngokuyimpumelelo izimo zazo nale mithi. Awuwedwa kulolu hambo.

Gxila ekuxhumaneni neqembu lakho lezempilo. Bangabalingani bakho ekutholeni okusebenza kahle kuwe. Ungabambezeleki ukubuza imibuzo, ukubika izinkinga, noma ukucela ukucacisa. Akukho mbuzo ongafaneleke lapho kuza empilweni yakho.

Zibekezele wena nalenqubo. Ukululama nokuphatha izimo ezingapheli kuthatha isikhathi. Ezinye izinsuku zizoba ngcono kunezinye, futhi lokho kuvamile. Landelela inqubekela phambili yakho, jabulisa izintuthuko ezincane, futhi khumbula ukuthi ukubuyela emuva akusho ukuthi ukwenzile phambili.

Ufanele ukuzizwa kangcono, futhi ukuphuza le mithi kuyisinyathelo esihle sokuya kulowo mgomo. Ngosizo olufanele, ukuqondisa, nokuzinakekela, ungakwazi ukuphatha isimo sakho ngokuyimpumelelo futhi ubuyekeze impilo eningi oyifunayo.