Yini i-Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, kanye ne-Sodium Oxybate? Ukusetshenziswa, Imiphumela, & Ukuphepha

I-Calcium oxybate, magnesium oxybate, potassium oxybate, kanye ne-sodium oxybate yimithi esiza ukwelapha i-narcolepsy nezinye izifo zokulala. Lezi zonke ziyizinhlobo zesithako esisebenzayo esifanayo esibizwa nge-gamma-hydroxybutyric acid (GHB), kodwa zihlanganiswe ngosawoti abahlukene ukuzenza ziphephe futhi zisebenze kahle ekusetshenzisweni kwezokwelapha.

Udokotela wakho angase akunikeze omunye wale mithi uma une-narcolepsy, isimo esibangela izigameko ezingazelelwe zokuwa ubuthongo emini. Le mithi isebenza ngokukusiza ukuthi ulale ngokujula, ubuthongo obuningi ebusuku, obunganciphisa ukozela emini kanye nezinye izimpawu ze-narcolepsy.

Ziyini le mithi ye-oxybate?

Le mithi yimithi yokulala kadokotela equkethe isithako esisebenzayo esifanayo ngezindlela ezihlukene. Ingxenye esebenzayo yi-gamma-hydroxybutyric acid, okuyinto engokwemvelo ubuchopho bakho obuyenza ngamanani amancane ukusiza ukulawula ukulala.

Uhlobo ngalunye luxutshwe ngosawoti abahlukene njenge-calcium, magnesium, potassium, noma i-sodium. Lokhu kuhlanganiswa kuthinta indlela umzimba wakho osebenza ngayo umuthi futhi kungathinta imiphumela emibi. Udokotela wakho uzokhetha uhlobo oluthile olususelwe ezidingweni zakho zempilo ngazinye kanye nanoma yiziphi ezinye izimo ongase ube nazo.

Yini le mithi ezizwa ngayo uma uyithatha?

Uma uthatha le mithi njengoba kunqunywe, cishe uzozizwa ukozela phakathi kwemizuzu engu-15 kuya kwengama-30. Lokhu kozela kuza kancane kancane futhi kukusiza ukuthi ulale ngokujula okuthatha amahora amaningi.

Abantu abaningi abakhumbuli okuningi ngesikhathi esiphakathi kokuthatha umuthi nokuvuka, okujwayelekile ngokuphelele. Ungase uzizwe uqhaqhazela noma ungazinzile isikhashana ngemva kokuvuka, ikakhulukazi emasontweni ambalwa okuqala okwelashwa njengoba umzimba wakho uzivumelanisa.

Abanye abantu baqaphela amandla athuthukisiwe nokuqapha emini ngemva kokuthatha le mithi njalo amasonto ambalwa. Lokhu kwenzeka ngoba ekugcineni uthola ukulala okujulile, okuqeda ukulala okudingwa umzimba wakho.

Yini ebangela odokotela ukuba babhale le mithi?

Odokotela babhala le mithi ikakhulukazi nge-narcolepsy, isimo sezinzwa esithinta ikhono lobuchopho bakho lokulawula ukulala nokuvuka. Abantu abane-narcolepsy bavame ukuzwa ukozela okukhulu emini okuphazamisa imisebenzi yansuku zonke.

Udkt wakho angase futhi abhale le mithi uma une-cataplexy, okuyizigameko ezingazelelwe zobuthakathaka bemisipha obuqaliswa imizwa enamandla efana nokuhleka noma ukumangala. Lesi simo sivame ukwenzeka kanye ne-narcolepsy futhi singesabisa kakhulu uma kwenzeka ngokungalindelekile.

Ngokuvamile, odokotela bangase bacabangele le mithi kwezinye izifo zokulala lapho ukwelashwa okujwayelekile kungasebenzi kahle. Kodwa-ke, lezi yimithi ekhethekile edinga ukuqapha ngokucophelela futhi ayisetshenziswa njengokwelashwa kokuqala kwe-insomnia ejwayelekile.

Yiziphi izimo le mithi esiza ukuzelapha?

Isimo esiyinhloko le mithi eliphatha ngaso i-narcolepsy uhlobo 1 nohlobo 2. Uhlobo 1 lwe-narcolepsy luhlanganisa izigameko ze-cataplexy, kanti uhlobo 2 alunjalo. Zombili izinhlobo zihilela ukozela okukhulu emini okuthinta kakhulu izinga lempilo yakho.

Le mithi ingasiza ekuphatheni izimpawu eziningana ezihambisana ne-narcolepsy. Nakhu okungase kukuthuthukise:

• Ukozela okukhulu emini okwenza kube nzima ukuhlala uvukile ngesikhathi semisebenzi ejwayelekile
• Ukuhlaselwa kwe-Cataplexy lapho imisipha yakho iba buthakathaka noma iqine ngokuzumayo
• Izigameko zokukhubazeka kokulala lapho ungenakwazi ukunyakaza lapho ulala noma uvuka
• Amaphupho acacile, asabisayo noma imibono lapho ulala
• Ukuqhekeka kokulala ebusuku okukushiya uzizwa ungaphumulanga

Lezi zimpawu zingaba buhlungu kakhulu futhi ziphazamise emsebenzini, ebudlelwaneni, nasemisebenzini yansuku zonke. Izindaba ezinhle ukuthi le mithi ingathuthukisa kakhulu izinga lokuphila kwakho uma isetshenziswa ngendlela efanele.

Ingabe imiphumela yale mithi ingaphela ngokwemvelo?

Imiphumela esheshayo yale mithi ivamise ukuhlala amahora angu-3 kuya kwangu-4 ngomthamo ngamunye, yingakho uvame ukuyithatha kabili ebusuku. Ukulala ngantambama nemiphumela yokukhuthaza ukulala kuzophela ngokwemvelo njengoba umzimba wakho usebenza ngemithi.

Noma kunjalo, izimo eziyisisekelo le mithi eziphatha, njenge-narcolepsy, ziyizimo ezingapheli ezingehli zodwa. Abantu abaningi badinga ukuqhubeka nokuthatha le mithi isikhathi eside ukuze bagcine izinzuzo zokulala kwabo nokusebenza emini.

Uma uyeka ukuthatha le mithi ngokuzumayo, izimpawu zakho ze-narcolepsy cishe zizobuya ezinsukwini noma emasontweni. Udokotela wakho uzosebenza nawe ukuthola uhlelo olufanele lokwelashwa isikhathi eside olugcina izimpawu zakho zilawulwa kahle.

Kufanele le mithi ithathwe kanjani ngokuphepha?

Ukuthatha le mithi ngokuphepha kudinga ukulandela imiyalelo kadokotela wakho ngqo. Ngokuvamile uzothatha umthamo wokuqala lapho ulala futhi usethe i-alamu ukuze uvuke emva kwamahora angu-2.5 kuya kwangu-4 ukuze uthole umthamo wesibili.

Nawa amanyathelo okuphepha abalulekile okudingeka uwalandele:

1. Thatha imithi yakho kuphela uma ungahlala embhedeni okungenani amahora angu-7
2. Xuba imithi namanzi ezitsheni ezinikeziwe
3. Phuza ingxube ngokushesha ngemva kokuyilungisa
4. Gcina umthamo wesibili eceleni kombhede wakho ngamanzi elungile
5. Setha i-alamu ethembekile yomthamo wakho wesibili
6. Ungadli lutho okungenani amahora angu-2 ngaphambi komthamo wakho wokuqala

Lezi zinyathelo zisiza ukuqinisekisa ukuthi imithi isebenza kahle futhi inciphisa ingozi yakho yemiphumela emibi. Ungalokothi uthathe imithamo eyengeziwe noma ushintshe isikhathi sakho ngaphandle kokukhuluma nodokotela wakho kuqala.

Iyini indlela yokwelashwa ngemithi le?

Udokotela wakho uzoqala ngomthamo ophansi bese ewunyusa kancane kancane emavikini ambalwa ukuze athole okusebenzela wena. Le ndlela eqaphelayo isiza ukunciphisa imiphumela emibi ngenkathi ikhuphula izinzuzo zokulala kwakho nezimpawu zosuku.

Ukwelashwa ngokuvamile kuhilela ukuqokwa okulandelayo njalo ukuze kuqashwe ukuthi usabela kanjani emuthini. Udokotela wakho uzohlola izinga lokulala kwakho, ukuqapha kwemini, kanye nanoma yimiphumela emibi ongase uyithole.

Abantu abaningi badinga ukuqhubeka nokuthatha le mithi isikhathi eside ukuze bagcine izinzuzo zabo. Udokotela wakho angase alungise umthamo wakho ngezikhathi ezithile ngokusekelwe ekutheni izimpawu zakho zishintsha kanjani ngokuhamba kwesikhathi noma uma uthola noma yiziphi izimo ezintsha zempilo.

Kufanele ngithintane nini nodokotela wami ngale mithi?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nanoma yimiphumela emibi ekhathazayo noma uma umuthi ungasebenzi njengoba bekulindelekile. Ungalindi ukuqokwa kwakho okulandelayo okuhleliwe uma unezinkinga.

Shayela udokotela wakho ngokushesha uma uqaphela noma yiziphi lezi zimpawu ezimbi:

• Ukuphefumula kanzima noma ukuphefumula kancane, okungashoni
• Ukudideka noma ukulahlekelwa yisikhombisi esihlala ngemva kokuvuka
• Ukucindezeleka, ukukhathazeka, noma imicabango yokuzilimaza
• Ukuhamba ulele noma ezinye izindlela ezingavamile ngesikhathi sasebusuku
• Isicanucanu esibi, ukuhlanza, noma ubuhlungu besisu

Futhi thintana nodokotela wakho uma izimpawu zakho ze-narcolepsy zingathuthuki ngemva kwamasonto ambalwa okwelashwa, noma uma unenkinga yokulandela isimiso somthamo. Bangasiza ukulungisa uhlelo lwakho lokwelashwa ukuze lusebenze kangcono ngendlela yakho yokuphila.

Yiziphi izici eziyingozi zezinkinga ngale mithi?

Izimo ezithile zempilo nezici zokuphila zingakhuphula ingozi yakho yezinkinga lapho uthatha le mithi. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinikeza.

Ungase ube sengozini enkulu yezinkinga uma unezinye zalezi zimo:

• Isifo sezinso noma sesibindi esithinta indlela umzimba wakho oqhubula ngayo imithi
• Izinkinga zenhliziyo noma umfutho wegazi ophezulu
• Ukucindezeleka, ukukhathazeka, noma ezinye izimo zempilo yengqondo
• I-Sleep apnea noma ezinye izinkinga zokuphefumula ngesikhathi sokulala
• Umlando wokusebenzisa kabi izidakamizwa noma utshwala
• Ezinye izimo zofuzo ezithinta ukukhishwa kwemithi

Ubudala bungaba yisici, njengoba abadala bengase bazwele kakhulu kule mithi. Udokotela wakho uzocabangela zonke lezi zici lapho enquma ukuthi le mithi ilungele yini wena.

Ziyini izinkinga ezingaba khona zale mithi?

Ngenkathi le mithi ingaba usizo olukhulu ku-narcolepsy, ingabangela imiphumela engemihle esukela kokuncane kuya kokukhulu. Abantu abaningi bahlangabezana nemiphumela emibi ekuqaleni, kodwa abaningi bathuthuka njengoba umzimba wakho ujwayela umuthi.

Imiphumela emibi ejwayelekile abantu abaningi abayitholayo ihlanganisa:

• Isicanucanu noma isisu esibuhlungu, ikakhulukazi emasontweni ambalwa okuqala
• Isiyezi noma ukuzizwa ungaqinile lapho uhamba
• Ikhanda elibuhlungu noma ukuzizwa ubuthuntu ngosuku olulandelayo
• Ubunzima bokugxilisa ingqondo noma ukucabanga kahle
• Ushintsho esifisweni sokudla noma isisindo

Izinkinga ezingathi sína zingenzeka, nakuba zingavamile. Lokhu kuhlanganisa izinkinga zokuphefumula, ukucindezeleka okukhulu, noma ukuziphatha okuyingozi kokuhamba ngesikhathi sokulala. Udokotela wakho uzokuqapha eduze ukuze abone le miphumela engathi sína.

Ingabe le mithi inenzuzo noma iyingozi ekuphazamisekeni kokulala?

Kubantu abane-narcolepsy, le mithi ngokuvamile inenzuzo enkulu uma isetshenziswa ngendlela efanele ngaphansi kokuqondisa kwezokwelapha. Zingathuthukisa kakhulu ikhwalithi yokulala ebusuku futhi zinciphise ukulala ngokweqile emini.

Noma kunjalo, le mithi ayifaneleki kuwo wonke umuntu onezinkinga zokulala. Zenzelwe ngqo i-narcolepsy nezimo ezihlobene nayo, hhayi i-insomnia ejwayelekile noma ezinye izinkinga ezivamile zokulala.

Okubalulekile ukuthi le mithi kufanele isetshenziswe ngendlela enembile njengoba inikezwe udokotela onguchwepheshe wezifo zokulala. Uma isetshenziswa ngendlela engafanele noma ngaphandle kokuqashwa kwezokwelapha, ingaba yingozi kakhulu futhi ilimaze.

Yini le mithi engase ididaniswe nayo?

Le mithi kadokotela ngezinye izikhathi ididaniswa nezinto ezingekho emthethweni ngoba iqukethe i-gamma-hydroxybutyric acid. Kodwa-ke, izinguqulo zokwelapha zilungiswa ngokucophelela, zilawulwe, futhi ziqashwe ukuze zivikeleke.

Abantu bangase futhi badide imiphumela yale mithi nezinye izimo. Ukulala okujulile nokuzizwa ubuthuntu okubangelwa yiyo kujwayelekile futhi kulindelekile, hhayi izimpawu zokweqisa imithi noma ezinye izimo eziphuthumayo zezokwelapha.

Ngezinye izikhathi amalungu omndeni akhathazeka lapho ebona umuntu ethatha le mithi ngoba umuntu ulala kakhulu futhi kungaba nzima ukuvuka. Lokhu kuyisiphumo esihloswe ngaso futhi kusiza ukwelapha isifo sokulala esingaphansi.

Imibuzo evame ukubuzwa ngale mithi

Q1: Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha le mithi?

Cha, kufanele ugweme ngokuphelele utshwala ngenkathi uthatha le mithi. Utshwala bungandisa ngendlela eyingozi imiphumela yokuthulisa futhi kubangele izinkinga ezinkulu zokuphefumula noma ukulahlekelwa ukwazi. Ngisho namanani amancane otshwala angaba yingozi uma ehlanganiswe nale mithi.

Q2: Kuthatha isikhathi esingakanani ukuthi le mithi iqale ukusebenza?

Uzozwa imiphumela esheshayo yokukhuthaza ukulala kungakapheli imizuzu eyi-15 kuya kwengama-30 ngemva kokuthatha umthamo ngamunye. Kodwa-ke, izinzuzo eziphelele zezimpawu zakho ze-narcolepsy ngokuvamile zithuthuka emasontweni amaningana okusetshenziswa okuqhubekayo. Abantu abaningi baqaphela ukuthuthuka okukhulu ekuqwashiseni emini ngemva kwamasonto angu-4 kuya kwangu-6 okwelashwa.

Q3: Kwenzekani uma ngiphuthelwa umthamo?

Uma uphuthelwa umthamo wakho wokuqala, ungawuthatha uma nje usenaso okungenani amahora angu-7 okulala. Uma uphuthelwa umthamo wakho wesibili, weqa nje bese uqhubeka neshejuli yakho ejwayelekile ngobusuku obulandelayo. Ungalokothi uthathe imithamo eyengeziwe ukuze ulungise lezo eziphuthelwe, ngoba lokhu kungaba yingozi.

Q4: Ngingahamba ngale mikhiqizo yemithi?

Yebo, ungahamba ngale mikhiqizo yemithi, kodwa uzodinga ukuyithwala ezitsheni zabo zokuqala zekhemisi ezinamalebula afanele. Ohambweni lomoya, cabangela ukuletha incwadi evela kudokotela wakho echaza imiyalelo yakho. Hlola imithetho yezwe oya kulo, njengoba ezinye izindawo zinezithiyo kule mikhiqizo yemithi.

Q5: Ingabe le mikhiqizo yemithi iyakhuthaza ukuluthwa?

Le mikhiqizo yemithi inethuba lokuncika, yingakho iyizinto ezilawulwayo ezidinga imiyalelo ekhethekile. Kodwa-ke, uma isetshenziswa ngqo njengoba kunqunywe i-narcolepsy, ingozi yokuluthwa iphansi kakhulu. Udokotela wakho uzokuqapha nganoma yiziphi izimpawu zokusebenzisa kabi noma ukuncika.