Yini i-Fluoxetine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Fluoxetine iyikhambi elibhalwe ngudokotela elingelaphi ukucindezeleka elingelakuhlu lwemithi ebizwa ngokuthi ama-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokwandisa amazinga e-serotonin, ikhemikhali yemvelo ebuchosheni bakho esiza ukulawula imizwa, ukulala, nemizwelo. Ungase uyazi i-fluoxetine kangcono ngegama layo lomkhiqizo i-Prozac, futhi ingenye yezinto ezivame ukubhalwa ngudokotela emhlabeni wonke.

Yini i-Fluoxetine?

I-Fluoxetine uhlobo lomuthi olungelaphi ukucindezeleka olusiza ukulinganisa amakhemikhali obuchopho ukuze kuthuthukiswe imizwa yakho nenhlalakahle yomzwelo. Iyingxenye yomndeni wemithi ebizwa ngokuthi ama-SSRIs, athathwa njengaphephile futhi anezinkinga ezimbalwa eceleni kune-antidepressants endala.

Lo muthi uza ngesimo samaphilisi, amaphilisi, kanye namafomu oketshezi owathatha ngomlomo. Ibesiza abantu ukulawula ukucindezeleka nezinye izimo zempilo yengqondo iminyaka engaphezu kwengama-30, nezigidi zabantu ezithola ukukhululeka ngokusebenzisa kwayo.

Isetshenziselwani i-Fluoxetine?

I-Fluoxetine iphatha izimo eziningana zempilo yengqondo, ukucindezeleka kuyisizathu esivamile odokotela abasibhalela ngaso. Kodwa-ke, lo muthi ohlukahlukene ungasiza nangezinye izimo ezihlukahlukene.

Nazi izimo eziyinhloko i-fluoxetine engasiza ukuzelapha:

• Ukucindezeleka okukhulu (ukucindezeleka komtholampilo)
• I-Obsessive-compulsive disorder (OCD)
• Ukukhathazeka nokuhlaselwa ukwethuka
• I-Bulimia nervosa (ukuphazamiseka kokudla)
• I-Premenstrual dysphoric disorder (PMDD)
• I-Generalized anxiety disorder
• I-Social anxiety disorder
• I-Post-traumatic stress disorder (PTSD)

Udkt wakho angase futhi akubhalele i-fluoxetine ezinye izimo ezingabaliwe lapha, njengoba ingasiza ngezinkinga ezihlukahlukene ezihlobene nemizwa nokukhathazeka. Okubalulekile ukuthi isiza ukulawula amazinga e-serotonin, ethinta izici eziningi zempilo yakho yengqondo.

Isebenza kanjani i-Fluoxetine?

I-Fluoxetine isebenza ngokuvimba ukumuncwa kabusha kwe-serotonin ebuchosheni bakho, ivumela amakhemikhali amaningi alawula imizwa ukuthi ahlale etholakala. Cabanga nge-serotonin njengomthunywa osiza amangqamuzana emizwa ukuthi axhumane ngemizwa, ubuthongo, isifiso sokudla, nemizwelo.

Uma unokucindezeleka noma ukukhathazeka, ubuchopho bakho bungase bungenayo i-serotonin eyanele etholakalayo, noma bungase buyisuse ngokushesha kakhulu. I-Fluoxetine isebenza njengebhethri elithambile kulolu hlelo lokususa, lisiza ukugcina amazinga angcono e-serotonin.

Lo muthi uthathwa njengomuthi oqinile ngokulinganisela phakathi kwemithi yokucindezeleka. Akuyona inketho eqine kakhulu etholakalayo, kodwa iyasebenza kubantu abaningi futhi ivame ukubekezelelwa kahle. Imiphumela yakha kancane kancane phakathi namasonto amaningana njengoba ubuchopho bakho buvumelana namazinga angcono e-serotonin.

Kufanele Ngiyithathe Kanjani I-Fluoxetine?

Ungathatha i-fluoxetine ngaphandle kokudla, nakuba ukuyithatha nokudla kungasiza ukunciphisa isisu uma uhlangabezana nanoma yini. Abantu abaningi bakuthola kulula ukuthatha umthamo wabo ngesikhathi esifanayo nsuku zonke, ngokuvamile ekuseni.

Gwinya amaphilisi noma amaphilisi wonke ngenkomishi yamanzi egcwele. Uma uthatha uhlobo oluwuketshezi, linganisa umthamo wakho ngokucophelela usebenzisa idivayisi yokulinganisa enikeziwe, hhayi isipuni sasekhaya.

Ukuphuza i-fluoxetine ekuseni kuvame ukunconywa ngoba ngezinye izikhathi kungabangela ukuphazamiseka okulula kokulala uma kuthathwa sekwephuzile emini. Kodwa-ke, abanye abantu bayathola ukuthi kubenza balale futhi bakhetha ukuyithatha kusihlwa.

Akudingeki udle ukudla okuthile ngaphambi kokuthatha i-fluoxetine, kodwa ukugcina ukudla okuvamile, okulinganiselayo kungasiza umzimba wakho ukuthi uqhubekisele phambili imithi ngokuqhubekayo. Gwema utshwala ngenkathi uthatha lo muthi, njengoba ungakhuphula imiphumela emibi futhi unciphise ukusebenza komuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Fluoxetine?

Abantu abaningi badinga ukuthatha i-fluoxetine okungenani izinyanga eziyi-6 kuya kweziyi-12 ukuze bathole inzuzo ephelele, nakuba abanye bengase bayidinge isikhathi eside. Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngesimo sakho esithile nokuthi usabela kahle kangakanani emithini.

Kuvamile ukuthatha amasonto ama-4 kuya kwayi-6 ukuzwa imiphumela ephelele ye-fluoxetine, ngakho ukubekezela kubalulekile ngesikhathi sokuqala sokwelashwa. Ungase uqaphele ukuthuthuka kokulala, isifiso sokudla, noma amazinga wamandla phakathi namasonto okuqala angu-1-2, kodwa ukuthuthuka kwemizwa kuvame ukuthatha isikhathi eside.

Ezimweni ezithile njenge-OCD noma i-panic disorder, ungase udinge ukuthatha i-fluoxetine unyaka noma ngaphezulu ukuze ugcine ukuzinza. Udokotela wakho uzobuyekeza njalo inqubekela phambili yakho futhi angase anciphise kancane umthamo wakho uma kufanele ukuyeka.

Ungalokothi uyeke ukuthatha i-fluoxetine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokushesha kungabangela izimpawu zokuhoxisa, ngakho udokotela wakho uzokusiza ukuthi unciphise imithi kancane kancane uma isikhathi sifanele.

Yiziphi Izimo Ezingezinhle Ze-Fluoxetine?

Njengayo yonke imithi, i-fluoxetine ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi emasontweni okuqala ambalwa.

Nawa amanye amiphumela emibi evamile ongase uyithole:

• Isicanucanu noma isisu esibuhlungu
• Ukukhathazeka kwekhanda
• Ukuhluleka ukulala noma ukozela
• Umlomo owomile
• Ukulahlekelwa isifiso sokudla
• Isiyezi
• Ukukhathazeka noma ukukhathazeka
• Ushintsho esifisweni sobulili noma ukusebenza
• Ukujuluka okuningi kunokujwayelekile
• Ukuthuthumela noma ukuzamazama

Le miphumela emibi evamile ivame ukuncipha njengoba umzimba wakho ujwayela imithi. Uma ziqhubeka noma ziba yinkinga, udokotela wakho angakwazi ukulungisa umthamo wakho noma asikisela izindlela zokuphatha zona.

Abanye abantu bangase bathole imiphumela emibi engathi sína kodwa engavamile. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Ushintsho olukhulu lwemizwa noma imicabango yokuzibulala (ikakhulukazi kubantu abangaphansi kweminyaka engama-25)
• Ukuphuma kwegazi okungajwayelekile noma ukulimala
• Isicanucanu esikhulu, ukuhlanza, noma isifo sohudo
• Ukushaya kwenhliziyo okungajwayelekile
• Ikhanda elibuhlungu elikhulu noma ukudideka
• Ukuquleka
• Izimpawu ze-serotonin syndrome (umkhuhlane ophezulu, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha)

Uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezempilo okuphuthumayo. Khumbula, udokotela wakho unikeze lo muthi ngoba bakholelwa ukuthi izinzuzo zidlula izingozi esimweni sakho esithile.

Ubani Ongafanele Athathe I-Fluoxetine?

I-Fluoxetine ayifanele wonke umuntu, futhi zikhona izimo ezithile lapho udokotela wakho angase akhethe omunye umuthi. Ukuvinjelwa okubaluleke kakhulu ukuthi awukwazi ukuthatha i-fluoxetine uma njengamanje uthatha noma usanda kuthatha ama-MAOI (monoamine oxidase inhibitors).

Kufanele utshele udokotela wakho uma unanoma yiziphi zalezi zimo ngaphambi kokuqala i-fluoxetine:

• I-Bipolar disorder noma izigameko ze-manic
• Umlando wokuquleka noma isithuthwane
• Isifo sesibindi noma sezinso
• Izinkinga zenhliziyo noma ukushaya kwenhliziyo okungajwayelekile
• Ukuphazamiseka kokopha noma ukuthatha ama-blood thinners
• I-Glaucoma (ukwanda kwengcindezi yamehlo)
• Umlando wemicabango yokuzibulala noma imizamo
• Ukukhulelwa noma ukuncelisa

Iminyaka nayo iyinto okufanele icatshangelwe. Abantu abasha abangaphansi kweminyaka engama-25 bangase babe nengozi eyengeziwe yemicabango yokuzibulala lapho beqala ama-antidepressants, ngakho badinga ukuqashwa eduze ezinyangeni ezimbalwa zokuqala zokwelashwa.

Uma ukhulelwe noma uhlela ukukhulelwa, xoxa ngalokhu nodokotela wakho. Ngenkathi i-fluoxetine ingasetshenziswa ngesikhathi sokukhulelwa kwezinye izimo, izinzuzo nezingozi zidinga ukucatshangelwa ngokucophelela kuwe nakumntwana wakho.

Amagama Omkhiqizo we-Fluoxetine

I-Fluoxetine iyatholakala ngaphansi kwamagama amaningi emikhiqizo, i-Prozac iyona eyaziwa kakhulu. Amanye amagama emikhiqizo afaka i-Sarafem, ethengiswa ngqo ngokuphazamiseka kwangaphambi kokuya esikhathini (PMDD).

Ungathola futhi i-fluoxetine njengomuthi ojwayelekile, oqukethe isithako esifanayo esisebenzayo njengalezo ezinamagama emikhiqizo kodwa ngokuvamile zibiza kancane. I-Fluoxetine ejwayelekile isebenza ngempumelelo njenge-Prozac noma amanye amagama emikhiqizo.

Ezinye izindlela zokwakheka zihlanganisa i-fluoxetine neminye imithi, njenge-Symbyax (i-fluoxetine kanye ne-olanzapine) yokucindezeleka kwe-bipolar. Udokotela wakho uzokhetha ukwakheka okufanele kakhulu ngokusekelwe ezidingweni zakho ezithile nesimo sakho.

Ezinye Izindlela Zokwelapha Nge-Fluoxetine

Uma i-fluoxetine ingakulungele, ziningi ezinye izindlela zokwelapha ezisebenzayo ezitholakalayo. Ezinye izidambisi zokucindezeleka ze-SSRI zisebenza ngendlela efanayo ne-fluoxetine futhi zingase zikulungele kangcono izidingo zakho.

Ezinye izindlela ezivamile zifaka:

• I-Sertraline (Zoloft) - ngokuvamile inokuxhumana okumbalwa kwemithi
• I-Escitalopram (Lexapro) - ingase ibangele imiphumela emibi embalwa
• I-Citalopram (Celexa) - enye inketho ebekezelelekayo
• I-Paroxetine (Paxil) - isebenza kahle ekuphazamisekeni kokukhathazeka

Udokotela wakho angase futhi acabangele ezinye izinhlobo zezidambisi zokucindezeleka njenge-SNRIs (izithiyo zokuthatha kabusha i-serotonin-norepinephrine) njenge-venlafaxine (Effexor) noma i-duloxetine (Cymbalta), kuye ngezimpawu zakho nomlando wakho wezokwelapha.

Ukwelashwa okungekona okwemithi njenge-cognitive behavioral therapy (CBT), ukuzivocavoca, kanye nezinguquko zokuphila kungaba ezinye izindlela ezisebenzayo noma ukwelashwa okwengezelelwe emithini.

Ingabe i-Fluoxetine Ingcono Kune-Sertraline?

Kokubili i-fluoxetine ne-sertraline ziyizidambisi zokucindezeleka ze-SSRI ezisebenzayo, futhi akukho noyedwa othi “ungcono” kunomunye. Ukukhetha phakathi kwazo kuvame ukuncika ezimweni zakho ngazinye, iphrofayili yemiphumela emibi, nokuthi umzimba wakho usabela kanjani emithini ngayinye.

I-Fluoxetine inesikhathi eside sokuphila, okusho ukuthi ihlala esimisweni sakho isikhathi eside. Lokhu kungasiza uma ngezinye izikhathi uphuthelwa imithamo, kodwa futhi kusho ukuthi kuthatha isikhathi eside ukuthi iphume emzimbeni wakho uma udinga ukuyeka noma ukushintsha imithi.

I-Sertraline ingase ibangele ukuxhumana okuncane kwemithi futhi ingase ithandwe kangcono ngabanye abantu, ikakhulukazi labo ababa nemiphumela emibi yezocansi. Kodwa-ke, i-fluoxetine ingase isebenze kangcono ezimweni ezithile njengokuphazamiseka okucindezelayo.

Udokotela wakho uzocabangela izinto ezifana nezimpawu zakho ezithile, eminye imithi oyithathayo, umlando wakho wezokwelapha, nezintandokazi zakho siqu lapho ekhetha phakathi kwale mithi. Okusebenza kahle kumuntu oyedwa kungase kungabi yisinqumo esingcono komunye.

Imibuzo Evame Ukubuzwa Mayelana ne-Fluoxetine

Ingabe i-Fluoxetine iphephile ezinkingeni zenhliziyo?

I-Fluoxetine ngokuvamile iphephile kubantu abanezimo zenhliziyo, kodwa udokotela wakho udinga ukuhlola isimo sakho esithile. Ngokungafani neminye imithi yokucindezeleka endala, i-fluoxetine ngokuvamile ayibangeli izinkinga ezinkulu zesigqi senhliziyo noma izinguquko zomfutho wegazi.

Kodwa-ke, uma unomlando wesifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma uthatha imithi yenhliziyo, udokotela wakho angase akufune ukukuqapha eduze. Bangase bakuqale ngomthamo ophansi noma ba-ode ezinye izivivinyo ukuze baqinisekise ukuthi inhliziyo yakho ihlala iphilile ngesikhathi sokwelashwa.

Njalo yazisa udokotela wakho nganoma yiziphi izinkinga zenhliziyo ngaphambi kokuqala i-fluoxetine, futhi ubike noma yikuphi ukukhathala okungavamile esifubeni, ukushaya kwenhliziyo okusheshayo, noma ukuphefumula kanzima ngenkathi uthatha umuthi.

Ngingenzani uma ngiphuthelwa ngengozi ngithatha i-Fluoxetine eningi kakhulu?

Uma ngengozi uthatha i-fluoxetine eningi kakhulu kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ikakhulukazi uma uthathe okuningi kakhulu kunomthamo wakho ovamile. Ungalindi ukubona ukuthi izimpawu ziyavela yini.

Izimpawu zokweqisa umthamo we-fluoxetine zingabandakanya isicanucanu esibi, ukuhlanza, ukuquleka, ukushaya kwenhliziyo okungajwayelekile, noma ukozela okukhulu. Ezimweni ezinzima, i-fluoxetine eningi kakhulu ingabangela i-serotonin syndrome, edinga ukunakekelwa kwezempilo ngokushesha.

Uma umuntu engazi lutho noma enobunzima bokuphefumula ngemva kokuthatha i-fluoxetine eningi kakhulu, shayela izinsiza eziphuthumayo ngokushesha. Gcina ibhodlela lomuthi nawe ukuze ubonise ochwepheshe bezokwelapha ukuthi yini ngempela eyathathwa.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Fluoxetine?

Uma uphuthelwa umthamo we-fluoxetine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho evamile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Ngenxa yokuthi i-fluoxetine ihlala ohlelweni lwakho isikhathi eside, ukuphuthelwa umthamo owodwa ngezikhathi ezithile ngokuvamile ngeke kubangele izinkinga.

Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule. Ukuthatha imithi nsuku zonke ngokuqhubekayo kusiza ukugcina amazinga emithi aqhubekayo emzimbeni wakho ukuze uthole imiphumela engcono kakhulu.

Ngingayeka nini ukuthatha i-Fluoxetine?

Kufanele uyeke kuphela ukuthatha i-fluoxetine ngaphansi kwesiqondiso sikadokotela wakho, ngokuvamile ngemva kokuba uzizwe kahle izinyanga eziningana. Odokotela abaningi batusa ukuqhubeka nokwelashwa okungenani izinyanga eziyi-6-12 ngemva kokuba izimpawu zakho zithuthuke ukuze kuvinjelwe ukuphindeka.

Udokotela wakho uzonciphisa kancane kancane umthamo wakho emasontweni amaningana noma izinyanga kunokuyeka kungazelelwe. Le nqubo yokunciphisa isiza ekuvikeleni izimpawu zokuhoxiswa njengokugajeka, izimpawu ezinjenge-flu, noma izinguquko zemizwa.

Isinqumo sokuyeka i-fluoxetine sincike ezintweni ezifana nokuthi usuyithatha isikhathi esingakanani, ukuthi ngabe lesi yisigameko sakho sokuqala sokucindezeleka, nokuzinza kwakho konke kwempilo yengqondo. Abanye abantu bangase badinge ukwelashwa kwesikhathi eside ukuze bagcine inhlalakahle yabo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Fluoxetine?

Kungcono ukugwema utshwala ngenkathi uthatha i-fluoxetine, njengoba utshwala bungenza ngcono izimpawu zokucindezeleka nokukhathazeka futhi bungase lande imiphumela ethile emibi efana nokozela nesiyezi. Utshwala bungaphazamisa nokuthi imithi isebenza kahle kangakanani.

Uma ukhetha ukuphuza ngezikhathi ezithile, zinciphise ezinqobeni ezincane futhi unake ukuthi uzizwa kanjani. Ungalokothi usebenzise utshwala ukubhekana nezimpawu zokucindezeleka noma zokukhathazeka, njengoba lokhu kungaholela ezinkingeni ezingathi sína.

Xoxa ngokukhululekile nodokotela wakho mayelana nokusetshenziswa kwakho utshwala. Bangakunikeza iseluleko esiqondene nawe esisekelwe esimweni sakho esithile futhi bakusize ukuthi uthuthukise amaqhinga okunqoba anempilo okusingatha impilo yakho yengqondo.