Yini i-Chlordiazepoxide ne-Amitriptyline: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Chlordiazepoxide ne-amitriptyline iyinhlanganisela yemithi ehlanganisa izinhlobo ezimbili ezihlukene zemithi yezempilo yengqondo epilini elilodwa. Le nhlanganisela ihlanganisa i-benzodiazepine (chlordiazepoxide) ne-tricyclic antidepressant (amitriptyline) ukusiza ukwelapha izimo ezithile lapho kokubili ukukhathazeka nokucindezeleka kukhona ndawonye.

Udokotela wakho angase akubhalele le nhlanganisela uma ubhekene nezimpawu zokukhathazeka nokucindezeleka okuxubile ezingazange zisabele kahle emithini eyodwa. Le mithi emibili isebenza njengeqembu, ngalinye liqondise izici ezihlukene zezinkinga zakho zempilo yengqondo ngendlela ehleliwe.

Yini i-Chlordiazepoxide ne-Amitriptyline?

Le mithi ihlanganisa imithi emibili yezengqondo esungulwe kahle ibe yifomula eyodwa. I-Chlordiazepoxide ingeyodwa yezinhlobo zemithi ebizwa ngokuthi ama-benzodiazepines, asebenza ngokushesha ukuthulisa ukukhathazeka futhi akhuthaze ukuphumula. I-Amitriptyline iyi-tricyclic antidepressant esiza ukulinganisa amakhemikhali athile obuchopho ngokuhamba kwesikhathi ukuze kuthuthukiswe imizwa futhi kunciphise ukucindezeleka.

Le nhlanganisela yakhelwe ngqo abantu ababa nokukhathazeka nokucindezeleka ngesikhathi esisodwa. Esikhundleni sokuthatha amaphilisi amabili ahlukene, le mithi ikuvumela ukuthi ubhekane nazo zombili izimo ngomuthi owodwa, okwenza ukwelashwa kube lula futhi kube lula.

Lena akuyona imithi esebenza ngokushesha kuzo zonke izimpawu. Ngenkathi ingxenye ye-chlordiazepoxide ingasiza ngokukhathazeka ngokushesha, imiphumela ye-antidepressant evela ku-amitriptyline ngokuvamile ithatha amasonto amaningana ukuthi ivele ngokugcwele.

Isetshenziselwani i-Chlordiazepoxide ne-Amitriptyline?

Le mithi ehlanganisiwe ngokuyinhloko inikezwa ukwelapha ukukhathazeka okuphakathi nendawo kuya kokukhulu okuhambisana nokucindezeleka. Udokotela wakho angase ayincomise uma uhlangabezana nalezi zimo zombili kanyekanye, ikakhulukazi uma imithi eyodwa ingazange inikeze ukukhululeka okwanele.

Le mithi ilusizo ikakhulukazi kubantu abanokuthi odokotela bakubiza ngokuthi

Thatha lo muthi ngendlela eqondile udokotela wakho ayala ngayo, ngokuvamile izikhathi ezi-3 kuya kwezi-4 ngosuku ngaphandle kokudla noma ngokudla. Ungawuthatha ngobisi noma ngamanzi, futhi ukudla ngaphambi kokuwuthatha kungasiza ukunciphisa noma yikuphi ukuphathwa yisisu ongase ukuzwe.

Ngokuvamile kungcono ukuthatha imithamo yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Abantu abaningi bakuthola kuwusizo ukuthatha umthamo omkhulu ngesikhathi sokulala njengoba umuthi ungabangela ukozela, futhi lokhu kungasiza ngempela ukuthuthukisa ikhwalithi yokulala.

Uma uhlangabezana nokucasuka kwesisu, ukuthatha umuthi ngokudla noma ubisi kungasiza. Ukudla okulula noma ukudla okulula kusebenza kahle, futhi akudingeki udle ukudla okukhulu ngaphandle uma lokho kuyilokho okuzizwa ukhululekile ngakho.

Ungalokothi uchoboze, uhlafune, noma uqhekeze amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo. Gwinya wonke ngamanzi amaningi ukuze uqinisekise ukuthi asebenza njengoba kuhloswe ngayo futhi ukugwema noma yikuphi ukunambitheka okubabayo.

Kufanele Ngithathe Isikhathi Esingakanani I-Chlordiazepoxide ne-Amitriptyline?

Ubude bokwelashwa buhlukahluka kakhulu kumuntu nomuntu, kodwa abantu abaningi bathatha lo muthi izinyanga eziningana kuya ngaphezu konyaka. Udokotela wakho uzoqala ngesikhathi esifushane futhi alungise ngokusekelwe ekutheni usabela kahle kangakanani kanye nanoma yimaphi imiphumela emibi oyitholayo.

Ukuze imiphumela yokulwa nokucindezeleka ithuthuke ngokugcwele, ngokuvamile uzodinga ukuthatha umuthi ngokuqhubekayo amasonto ama-4 kuya kwangu-6. Ngesikhathi lesi, ungase uqaphele ukuthuthuka okuthile ezimpawini zokukhathazeka ngaphambili, kodwa izinzuzo ezigcwele zokucindezeleka zivame ukuthatha isikhathi eside ukuthi zivele.

Udokotela wakho uzobuyekeza njalo inqubekela phambili yakho futhi angase anciphise kancane umthamo uma sekuyisikhathi sokuyeka. Lokhu kubalulekile ngoba ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa, ikakhulukazi engxenyeni ye-benzodiazepine. Inqubo yokunciphisa ngokuvamile ithatha amasonto amaningana ukuze iqede ngokuphepha.

Yiziphi Imiphumela Eceleni ye-Chlordiazepoxide ne-Amitriptyline?

Njengazo zonke izidakamizwa, le nhlanganisela ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Lezi ezivamile ongase uzibone zihlanganisa ukozela, isiyezi, umlomo owomile, nokudideka okuthile, ikakhulukazi uma uqala ukuyithatha.

Nawa amanye amiphumela emibi ebikwa kaningi evame ukulawuleka:

• Ukozela nokukhathala emini
• Isiyezi, ikakhulukazi uma usukuma ngokushesha
• Umlomo owomile nokwanda komuzwa wokoma
• Ukuqunjelwa nezinguquko esifisweni sokudla
• Ukubona okungacacile okuvame ukuthuthuka ngokuhamba kwesikhathi
• Ukukhuluphala noma ukuncipha
• Ubunzima bokugxila ekuqaleni

Le miphumela emibi evamile ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala. Ukuhlala unamanzi, ukuhamba kancane uma ushintsha izikhundla, nokugcina inhlanzeko enhle yomlomo kungasiza ekuphatheni eminingi yale miphumela.

Kukhona nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Ukuphendula okubi okukhulu komzimba okunzima ukuphefumula noma ukuvuvukala
• Ushintsho olungavamile esigqi senhliziyo noma ubuhlungu besifuba
• Ukudideka okukhulu noma izinkinga zenkumbulo
• Imicabango yokuzilimaza noma ukuzibulala
• Ukuthuthumela okukhulu noma ukunyakaza okungalawuleki
• Ukuphuzi kwesikhumba noma amehlo (i-jaundice)
• Ukuqunjelwa okukhulu okuthatha isikhathi esingaphezu kwesonto elilodwa

Uma uhlangabezana nanoma iyiphi yale miphumela emibi ebucayi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Lezi zimpawu zidinga ukuhlolwa kwezokwelapha ngokushesha futhi akufanele zinganakwa.

Ubani Ongafanele Athathwe I-Chlordiazepoxide ne-Amitriptyline?

Lo muthi awulungele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunikeza. Abantu abanezimo ezithile zenhliziyo, isifo esibucayi sesibindi, noma labo abaye bahlaselwa yinhliziyo yamuva ngokuvamile akufanele bathathe le nhlanganisela.

Kufanele utshele udokotela wakho uma unomlando wokusebenzisa izidakamizwa, njengoba ama-benzodiazepines engaba umlutha. Ngaphezu kwalokho, abantu abane-narrow-angle glaucoma, izinkinga ezinkulu zokuphefumula, noma izinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile bangase badinge ezinye izindlela zokwelapha.

Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa okukhethekile, njengoba womabili amakhambi angadluliselwa enganeni. Udokotela wakho uzohlola izinzuzo nezingozi ngokucophelela uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.

Abantu abadala bangase bazwe kalula imiphumela yalo muthi, ikakhulukazi ingozi yokuwa ngenxa yesiyezi nokudideka. Udokotela wakho angase aqale ngemithamo ephansi noma ancome ezinye izindlela zokwelapha uma uneminyaka engaphezu kwengama-65.

Amagama Omkhiqizo we-Chlordiazepoxide ne-Amitriptyline

Igama elivamile lomkhiqizo walo muthi ohlanganisiwe yi-Limbitrol, eza ngamandla ahlukene ngokuya ngezidingo zakho. Amanye amakhemisi angase futhi athwale izinguqulo ezivamile eziqulathe izithako ezifanayo ezisebenzayo kodwa zibiza kancane.

Umthamo wakho ungase ubonise igama lomkhiqizo noma igama elivamile elithi "chlordiazepoxide-amitriptyline." Zombili lezi zinhlobo zisebenza ngendlela efanayo, nakuba abanye abantu bekhetha ukunamathela kumkhiqizi oyedwa ukuze kuvumelane.

Uma ikhemisi lakho lishintsha phakathi kwezinhlobo zomkhiqizo nezivamile, yazisa udokotela wakho uma uqaphela noma yikuphi ukungafani endleleni umuthi okuthinta ngayo. Nakuba lokhu kungavamile, abanye abantu bazwela kakhulu ekuhlukeni okuncane phakathi kwabakhiqizi.

Ezinye izindlela ze-Chlordiazepoxide ne-Amitriptyline

Kukhona ezinye izindlela uma le nhlanganisela ingasebenzi kahle kuwe noma idala imiphumela engathandeki. Udokotela wakho angase asikisele ukuzama imithi ehlukene yokukhathazeka nokucindezeleka, okuvumela ukulinganisa okwenzelwe umuntu ngamunye kwesithako ngasinye.

Ezinye izidakamizwa ezihlanganisiwe njenge-selective serotonin reuptake inhibitors (SSRIs) ezihambisana nemithi yokukhathazeka yesikhashana kungenzeka zifanele. Izibonelo zifaka i-sertraline noma i-escitalopram ehlanganiswe ne-lorazepam noma i-alprazolam uma kudingeka.

Kwabanye abantu, ama-antidepressants amasha asiza futhi ngokukhathazeka, njenge-venlafaxine noma i-duloxetine, angase asebenze njengemithi yokwelapha eyodwa. Le mithi ingabhekana nezimo zombili ngaphandle kwesidingo se-benzodiazepine component.

Izindlela ezingezona zemithi ezifana ne-cognitive behavioral therapy, amasu okucabanga, noma izinguquko zokuphila nazo zingafakwa ohlelweni lwakho lokwelapha. Udokotela wakho uzosebenza nawe ukuthola inhlanganisela engcono kakhulu yokwelashwa esimweni sakho esithile.

Ingabe i-Chlordiazepoxide ne-Amitriptyline Zingcono Kune-Xanax?

Ukuqhathanisa le nhlanganisela ne-Xanax (alprazolam) akulula ngoba zenzelwe izinjongo ezihlukene. I-Xanax iyi-benzodiazepine esebenza ngokushesha esebenza ngokushesha ekukhathazekeni kodwa ayibhekeli ukucindezeleka, kuyilapho le nhlanganisela iqondise zombili izimo ngasikhathi sinye.

I-Xanax ngokuvamile isebenza ngokushesha ngezimpawu zokukhathazeka ezinzima, ngokuvamile phakathi kwemizuzu engama-30 kuya ehora elilodwa. Kodwa-ke, ayinikezi ukuzinza kwemizwa yesikhathi eside okunikezwa yi-amitriptyline component, futhi idinga ukuthathwa kaningi usuku lonke.

Umuthi ohlanganisiwe ungase ube ngcono uma ubhekene nokukhathazeka nokucindezeleka ndawonye. Inikeza ukwelashwa okubanzi kodwa kungase kuthathe isikhathi eside ukukhombisa izinzuzo ezigcwele futhi kungabangela imiphumela eminingi eceleni ekuqaleni.

Udokotela wakho uzocabangela izimpawu zakho ezithile, umlando wezokwelapha, kanye nemigomo yokwelapha lapho enquma phakathi kwalezi zinketho. Akukho ngisho okukodwa okungcono ngokujwayelekile - kuncike ngokuphelele kulokho ozama ukukwelapha nokuthi umzimba wakho usabela kanjani emithini ehlukene.

Imibuzo Evame Ukubuzwa Mayelana ne-Chlordiazepoxide ne-Amitriptyline

Ingabe i-Chlordiazepoxide ne-Amitriptyline iphephile ezigulini zenhliziyo?

Lo muthi udinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo, njengoba i-amitriptyline ingathinta ukushaya kwenhliziyo nomfutho wegazi. Udokotela wakho ngokuvamile uzo-oda i-electrocardiogram (EKG) ngaphambi kokuqala ukwelashwa ukuze ahlolisise ukusebenza kukagesi kwenhliziyo yakho.

Abantu abanesifo senhliziyo esanda kwenzeka, izinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile, noma ukuhluleka kwenhliziyo okukhulu kungenzeka bangabi ngabantu abafanelekayo kulo muthi. Kodwa-ke, uma isimo senhliziyo yakho sizinzile futhi silawulwa kahle, udokotela wakho angase akunikeze umuthi ngokuqapha eduze.

Ukuvakashelwa njalo kudokotela kubaluleke kakhulu uma unezinkinga zenhliziyo. Udokotela wakho uzoqapha umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye nempilo yakho yonke yenhliziyo nemithambo yegazi ngenkathi uthatha lo muthi ohlanganisiwe.

Ngingenzani Uma Ngithatha I-Chlordiazepoxide ne-Amitriptyline Ngokweqile Ngengozi?

Uma usola ukuthi uthathe umuthi omningi kakhulu, funa usizo oluphuthumayo lwezokwelapha ngokushesha, ngisho noma uzizwa ulungile okwamanje. Izimpawu zokweqisa zingase zithuthuke kancane kancane futhi zingase zihlanganise ukozela okukhulu, ukudideka, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo yi-poison control noma abasebenzi bezimo eziphuthumayo. Kunalokho, shayela izinsizakalo zakho zendawo eziphuthumayo noma i-hotline yokulawula ubuthi ngokushesha ukuze uthole isiqondiso.

Letha ibhodlela lomuthi esibhedlela ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi uthatheni ini nokuthi nini. Isikhathi sibalulekile ezimweni zokweqisa, ngakho-ke ungalibali ukufuna usizo ngenkathi ulindele ukubona ukuthi izimpawu ziyavela yini.

Ngingenzani Uma Ngiphuthelwa Umthamo We-Chlordiazepoxide ne-Amitriptyline?

Uma uphuthelwa umthamo, thatha ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile - unga-phindi ukuze ulungise umthamo ophuthelwe.

Ukushoda umthamo ngezikhathi ezithile akuyingozi, kodwa zama ukugcina ukuqina ukuze uthole umphumela omuhle wokwelapha. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni.

Uma ushoda imithamo eminingi noma udlula usuku olungaphezu kolulodwa ngaphandle kokuthatha umuthi, xhumana nodokotela wakho ukuze uthole isiqondiso. Bangase bafune ukulungisa isimiso sakho sokulinganisa noma banikeze imiyalelo ethile yokuqala kabusha umuthi ngokuphepha.

Ngingayeka nini Ukuthatha i-Chlordiazepoxide ne-Amitriptyline?

Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ngoba lokhu kungabangela izimpawu zokuhoxiswa kuzo zombili izingxenye. Udokotela wakho uzokwenza isimiso sokunciphisa kancane kancane esinciphisa kancane umthamo wakho emasontweni amaningana noma izinyanga.

Isinqumo sokuyeka ngokuvamile siza ngemva kokuthi ube uzinzile emuthini izinyanga eziningana futhi uthuthukise amanye amaqhinga okubhekana nezinkinga noma uxazulule izinkinga ezingaphansi. Udokotela wakho uzocabangela ukuthuthuka kwezimpawu zakho, imiphumela emibi, kanye nemigomo yokwelashwa iyonke.

Izimpawu zokuhoxiswa zingabandakanya ukukhathazeka, ukuqwasha, isicanucanu, kanye nezinguquko zemizwa. Ukulandela isimiso sokunciphisa kancane kancane sikadokotela wakho kusiza ukunciphisa le miphumela futhi kwenza ukuguquka ngaphandle komuthi kube lula kakhulu.

Ngingakwazi yini Ukuphuza Utywala Ngenkathi Ngithatha i-Chlordiazepoxide ne-Amitriptyline?

Utywala kufanele bugwenywe noma busetshenziswe kancane kakhulu ngenkathi uthatha lo muthi, ngoba kungakhuphula kakhulu ukozela futhi kuphazamise ukuxhumana kwakho nokwahlulela. Inhlanganisela ingakhuphula futhi ingozi yemiphumela emibi eyingozi njengobunzima bokuphefumula noma ukuthuliswa okukhulu.

Ngisho namanani amancane otshwala angaba nemiphumela eqinisiwe uma ihlanganiswe nalo muthi. Uma ukhetha ukuphuza ngezikhathi ezithile, zilinganisele kumanani amancane kakhulu futhi ungalokothi uphuze uma uzizwa ukozela noma ungazinzile.

Khuluma ngokusobala nodokotela wakho mayelana nokusebenzisa kwakho utshwala, njengoba bengakunikeza isiqondiso esiqondene nawe esisekelwe esimweni sakho esithile. Abanye abantu kungadingeka ukuthi bakugweme ngokuphelele utshwala ngenkathi bethatha lo muthi, kanti abanye bangase bakwazi ukuba ngezikhathi ezithile, amanani amancane kakhulu.