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

I-Hydroxyzine iyisidakamizwa esiyisihlungi esitholakala ngemvume kadokotela esisiza ukuthulisa ukusabela komzimba wakho okungahambisani nokujwayelekile futhi singanciphisa nokukhathazeka. Cabanga ngayo njengomsizi omnene ovimba i-histamine, ikhemikhali umzimba wakho oyikhiphayo ngesikhathi sokusabela okungahambisani nokujwayelekile, kuyilapho futhi inemiphumela ethulisayo ohlelweni lwakho lwezinzwa.

Lo muthi ukhona amashumi eminyaka futhi uthathwa njengophephe futhi usebenza kahle ezimweni zokungahambisani nokujwayelekile kanye nezimpawu ezihlobene nokukhathazeka. Udokotela wakho angase akubhalele uma udinga ukukhululeka ekulunyeni, imihuzuko, noma uma uzizwa ukhathazekile.

Yini i-Hydroxyzine?

I-Hydroxyzine ingeyeqembu lemithi ebizwa ngokuthi ama-antihistamines, kodwa isebenza ngendlela ehlukile emaphilisi okungahambisani nokujwayelekile ongase uwathenge ngaphandle kwemvume kadokotela. Kuyisidakamizwa esitholakala ngemvume kadokotela kuphela esiqondise kokubili ukusabela okungahambisani nokujwayelekile nezimpawu zokukhathazeka.

Lo muthi uza ngezindlela ezimbili eziyinhloko: i-hydroxyzine hydrochloride (Atarax) kanye ne-hydroxyzine pamoate (Vistaril). Zombili zisebenza ngendlela efanayo emzimbeni wakho, kodwa zicutshungulwa ngendlela ehlukile kancane. Udokotela wakho uzokhetha ifomu elifanele ngokuya ngezidingo zakho ezithile.

Okuhlukanisa i-hydroxyzine ukusebenza kwayo okubili. Ivimba ama-histamine receptors ukuze imise ukusabela okungahambisani nokujwayelekile kuyilapho futhi ithinta amakhemikhali obuchopho alawula ukukhathazeka nokulala. Lokhu kuyenza ibe usizo ikakhulukazi kubantu ababhekene nezimpawu zomzimba nezingokomzwelo.

Isetshenziselwani i-Hydroxyzine?

I-Hydroxyzine iphatha izimo eziningana, nokulunywa nokukhathazeka kuyizizathu ezivame kakhulu odokotela abayibhala ngazo. Lo muthi usebenza kahle kubantu abadinga ukukhululeka ekusabeleni kwesikhumba okungakhululeki noma ukukhathazeka okukhulu.

Nazi izimo eziyinhloko i-hydroxyzine esiza ngazo, kusukela kokuvamile kakhulu kuya ekusetshenzisweni okungavamile:

• Izinduna ezingamahlala-khona nokulunywa: Kunikeza ukukhululeka ekusabeleni kwesikhumba okuqhubekayo okungaphenduli kuma-antihistamines avamile
• Izifo zokukhathazeka: Kusiza ukuthulisa imicabango egijimayo nezimpawu zokukhathazeka ngokomzimba ngaphandle kokwakha imikhuba
• Ukusabela kwesikhumba okungalungi: Kunciphisa ukuvuvukala, ububomvu, nokulunywa okuvela ku-dermatitis yokuthintana noma ezinye izifo zokungezwani komzimba nesikhumba
• Ukukhathazeka ngaphambi kokuhlinzwa: Kuthulisa imizwa ngaphambi kwezinqubo zezokwelapha uma kunikezwa ezindaweni zasemtholampilo
• Ubunzima bokulala obuhlobene nokukhathazeka: Kukusiza ukuthi ulale lapho ukukhathazeka kukugcina uvukile
• Ukusekela ukuhoxiswa kotshwala: Ngezinye izikhathi kusetshenziswa ezindaweni zezokwelapha ukudambisa izimpawu zokuhoxiswa

Udkt wakho angase futhi anqume i-hydroxyzine kwezinye izimo ezilumayo njengokuqubuka kwe-eczema noma ukusabela kokulunywa yizinambuzane. Okubalulekile ukuthi kusebenza kahle kakhulu uma izimpawu zakho zihilela kokubili ukungakhululeki ngokomzimba nokucindezeleka ngokomzwelo.

Isebenza Kanjani I-Hydroxyzine?

I-Hydroxyzine isebenza ngokuvimba ama-histamine receptors emzimbeni wakho, okumisa ukuchitheka kokusabela kokungezwani komzimba okubangela ukulunywa, ukuvuvukala, nezinduna. Ngesikhathi esifanayo, ithinta amakhemikhali athile obuchopho alawula ukukhathazeka nokuqapha.

Lo muthi uthathwa njengomuthi oqinile ngokulinganisela uma uqhathaniswa namanye ama-antihistamines. Inamandla kakhulu kunezinketho ezingaphezu kwe-counter njenge-Benadryl yokukhululeka ekukhathazekeni, kodwa ithambile kunezithako zokukhathazeka ezibhalwe ngemithi kadokotela njenge-benzodiazepines. Le ndlela ephakathi nendawo yenza kube yisinqumo esihle kubantu abadinga usizo olwengeziwe kunama-antihistamines ayisisekelo.

Umphumela wokuthulisa ngokuvamile uqala phakathi kwemizuzu engama-30 kuya ehora elilodwa ngemva kokuyithatha. Ngokungafani neminye imithi yokukhathazeka, i-hydroxyzine ayibangeli ukuncika ngokomzimba, okusho ukuthi ngeke uzwe izimpawu zokuhoxiswa uma uyeka ukuyithatha njengoba kuqondisiwe.

Kufanele Ngiyithathe Kanjani I-Hydroxyzine?

Thatha i-hydroxyzine ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile ngengilazi yamanzi egcwele. Ungayithatha nokuthi ngaphandle kokudla, nakuba ukuyithatha nokudla okulula kungasiza ekuvikeleni isisu esibuhlungu uma unesifo sesisu esizwelayo.

Isikhathi sokuthatha imithamo yakho sincike esimweni osilaphayo. Ngenxa yokukhathazeka, ungase uyithathe izikhathi ezi-2-3 ngosuku noma uma nje uzwa izimpawu ziqala. Ngenxa yokuluma noma ukusabela komzimba, cishe uzoyithatha njalo usuku lonke ukuze ugcine ukukhululeka okungaguquki.

Uma uthatha i-hydroxyzine ngenxa yokulala noma ukukhathazeka, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi ikuthinta kanjani. Umuthi ungabangela ukozela, ikakhulukazi ezinsukwini zakho zokuqala zokwelashwa. Lo muzwa wokulala uvame ukuba ngaphansi kokuqashelwa njengoba umzimba wakho uzivumela.

Gcina imithi yakho ekamelweni lokushisa, kude nomswakama nokushisa. Yigcine esitsheni sayo sokuqala futhi ingafinyeleleki ezinganeni nasezilwaneni ezifuywayo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Hydroxyzine?

Ubude bokwelashwa nge-hydroxyzine buhlukahluka kakhulu ngokuya ngesimo sakho nokuthi usabela kanjani emuthini. Ngenxa yokusabela komzimba okukhulu noma ukukhathazeka kwesikhashana, ungase uyidinge izinsuku ezimbalwa kuya emavikini ambalwa.

Ngenxa yezimo ezingapheli njengezinduna eziqhubekayo noma ukukhathazeka okuqhubekayo, udokotela wakho angase ayinikeze izinyanga eziningana. Abanye abantu abanezimo zokuluma ezingapheli bathatha i-hydroxyzine isikhathi eside ngokuhlolwa njalo nomhlinzeki wabo wezempilo.

Udokotela wakho cishe uzoqala ngomthamo ophansi osebenzayo futhi awulungise ngokuya ngokuthi uzizwa kanjani. Bazophinda bahlele ama-aphoyintimenti okulandelayo ukuze baqaphe inqubekela phambili yakho futhi banqume ukuthi usayidinga yini imithi. Ungayeki ukuthatha i-hydroxyzine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala, ikakhulukazi uma ubuthatha amasonto amaningana.

Yiziphi Imiphumela Eceleni Ye-Hydroxyzine?

Abantu abaningi bayakwazi ukumelana kahle ne-hydroxyzine, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathí sina ayivamile, futhi imiphumela eminingi emibi emincane iyathuthuka njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi evame kakhulu ongase uyithole, ehlukaniswe kusukela kokuvame kakhulu kuya kokungavamile:

• Ukozela: Lena imiphumela emibi evame kakhulu, ikakhulukazi ezinsukwini ezimbalwa zokuqala zokwelashwa
• Umlomo owomile: Ukuhlala unamanzi futhi uhlafuna uswidi ongenashukela kungasiza ngalokhu
• Isiyezi: Ngokuvamile kulula futhi kuthuthuka njengoba umzimba wakho ujwayela umuthi
• Ikhanda: Ngokuvamile okwesikhashana futhi kuhlobene nesikhathi sokujwayela
• Isisu esibuhlungu: Ukuthatha umuthi nokudla kungasiza ekuvikeleni lokhu
• Ukubona okungacacile: Ngokuvamile okwesikhashana futhi kulungisa ngokwako
• Ukuqunjelwa: Ukwandisa i-fiber kanye nokuthatha amanzi kungasiza

Nakuba kungavamile, abanye abantu bangase bathole imiphumela emibi engathí sina edinga ukunakekelwa kwezempilo ngokushesha. Lokhu kuhlanganisa ukusabela okukhulu komzimba, ukushaya kwenhliziyo okungajwayelekile, noma ubunzima bokuphefumula. Uma uthola noma yiziphi zalezi zimpawu, xhumana nodokotela wakho ngokushesha.

Imiphumela eminingi emibi iyalawuleka futhi ayidingi ukuyeka umuthi. Umhlinzeki wakho wezempilo angase ancome izindlela zokunciphisa ukungakhululeki ngenkathi umzimba wakho ujwayela i-hydroxyzine.

Ubani Ongafanele Athatha I-Hydroxyzine?

I-Hydroxyzine ayiphephile kuwo wonke umuntu, futhi izimo ezithile zempilo noma imithi ingenza ingafaneleki kuwe. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-hydroxyzine uma wazi ukuthi unokungezwani komzimba ne-hydroxyzine, cetirizine (Zyrtec), noma levocetirizine (Xyzal). Le mithi ihlobene, futhi ukungezwani komzimba komunye ngokuvamile kusho ukuthi uzoba nokungezwani komzimba nakwabanye.

Abantu abanezimo zenhliziyo ezithile kufanele basebenzise i-hydroxyzine ngokucophelela okukhulu noma bayigweme ngokuphelele. Lokhu kuhlanganisa labo abane-long QT syndrome, ukuhlaselwa yinhliziyo kwakamuva, noma izinkinga ezinzima zokushaya kwenhliziyo. Umuthi ngezinye izikhathi ungathinta ukushaya kwenhliziyo, ikakhulukazi kubantu abanezimo zenhliziyo ezikhona.

Ngaphezu kwalokho, la maqembu adinga ukucatshangelwa okukhethekile ngaphambi kokuthatha i-hydroxyzine:

• Abesifazane abakhulelwe: Umuthi udlula ngesitho somzimba futhi awunconyelwe ngesikhathi sokukhulelwa
• Omama abancelisa: I-Hydroxyzine idlulela obisini futhi ingathinta izingane ezincelisayo
• Abantu abadala: Bangase babe nobucayi obukhulu emiphumeleni engemihle efana nesiyezi nokudideka
• Abantu abanezifo zesibindi: Umuthi ucutshungulwa yisibindi, ngakho ukulinganisa kungadingeka ukulungiswa
• Labo abanezinkinga zezinso: Bangase badinge imithamo ephansi noma ukulinganisa okungavamile
• Abantu abanezinkinga zokuphefumula: Kungase kuqhubeke izimo ezinjenge-asthma noma i-sleep apnea
• Labo abane-glaucoma: Kungase kwenyuse ingcindezi yamehlo ezinhlotsheni ezithile ze-glaucoma

Njalo tshela udokotela wakho ngayo yonke imithi, izithasiselo, nezimo zezempilo ngaphambi kokuqala i-hydroxyzine. Lokhu kusiza ukuqinisekisa ukuthi umuthi uphephile futhi ufanele isimo sakho esithile.

Amagama Omkhiqizo we-Hydroxyzine

I-Hydroxyzine itholakala ngaphansi kwamagama amaningana omkhiqizo, nakuba inguqulo ejwayelekile isebenza kahle njengoba izinketho zegama lomkhiqizo. Amagama omkhiqizo ajwayelekile yi-Atarax ne-Vistaril, equkethe amafomu kasawoti ahlukile kancane esithako esifanayo esisebenzayo.

I-Atarax iqukethe i-hydroxyzine hydrochloride, kuyilapho i-Vistaril iqukethe i-hydroxyzine pamoate. Zombili zisebenza ngokufanayo emzimbeni wakho, kodwa udokotela wakho noma usokhemisi angase akhethe enye ngaphezu kwenye ngokusekelwe ekutholakaleni noma ekuhlinzekweni kwakho komshwalense.

Amanye amagama emikhiqizo afaka i-Rezine, i-Histacalm, kanye ne-Hyzine, nakuba lokhu kungajwayelekile ukunqunywa. Ikhemisi lakho lingashintsha i-hydroxyzine ejwayelekile nganoma iyiphi yalawo magama emikhiqizo, okungonga imali yakho ngaphandle kokuthinta ukuthi umuthi usebenza kahle kangakanani.

Ezinye Izindlela Zokwelapha Nge-Hydroxyzine

Uma i-hydroxyzine ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, ezinye izindlela ezingase zikusize ngezimpawu ezifanayo. Udokotela wakho angakusiza ukuthi uthole inketho engcono kakhulu ngokusekelwe ezidingweni zakho ezithile kanye nezimo zempilo.

Ukuze uthole ukusabela komzimba nokuluma, ezinye izidakamizwa ezilwa nokungezwani komzimba njenge-cetirizine (Zyrtec), i-loratadine (Claritin), noma i-fexofenadine (Allegra) zingase zisebenze kangcono. Lezi izidakamizwa ezilwa nokungezwani komzimba ezingalali, okusho ukuthi mancane amathuba okuthi zikwenze ubuthongo.

Ngezimpawu zokukhathazeka, udokotela wakho angase acabange ezinye izinketho ezifana ne-buspirone, eyenzelwe ngokuqondile ukukhathazeka ngaphandle kokubangela ukozela. Kwezinye izimo, ama-selective serotonin reuptake inhibitors (SSRIs) afana ne-sertraline angase afaneleke kakhulu ekuphathweni kokukhathazeka kwesikhathi eside.

Ezinye izindlela zemvelo ezifana netiye le-chamomile noma amasu okuphumula angagcwalisa ukwelashwa ngemithi, nakuba kungafanele zithathe indawo yemithi enqunyiwe ngaphandle kwemvume kadokotela wakho. Umhlinzeki wakho wezempilo angakusiza ukuthi uhlole zonke izinketho ukuze uthole okusebenza kahle kakhulu esimweni sakho.

Ingabe i-Hydroxyzine Ingcono Kune-Benadryl?

I-Hydroxyzine ne-Benadryl (diphenhydramine) zombili ziyizidakamizwa ezilwa nokungezwani komzimba, kodwa zisebenza ngendlela ehlukile futhi zinezinzuzo ezihlukile ngokuya ngezidingo zakho. I-Hydroxyzine ngokuvamile ithathwa njengephumelela kakhulu ezimpawini ezihlobene nokukhathazeka, kuyilapho i-Benadryl isebenza ngokushesha ekusabeleni komzimba okukhulu.

Ukuze uthole ukukhululeka ekukhathazekeni, i-hydroxyzine ngokuvamile iyindlela engcono ngoba inqunyelwe ngokuqondile le njongo futhi ifundwe kabanzi ngezifo zokukhathazeka. I-Benadryl ingakwenza ubuthongo, kodwa ayenzelwe ukwelapha ukukhathazeka futhi ingase inganikezi umphumela ofanayo wokuthulisa.

Uma kuziwa ekusabeleni komzimba ngaphandle, yomibili imithi iyasebenza, kodwa isebenza ngamajubane ahlukene. I-Benadryl isebenza ngokushesha, okuyenza ibe ngcono ekusabeleni komzimba ngokushesha okufana nokulunywa izinyosi noma ukungezwani nokudla. I-Hydroxyzine ithatha isikhathi eside ukusebenza kodwa inikeza ukukhululeka okuhlala isikhathi eside, okuyenza ibe ngcono ezimweni ezingamahlala-khona njengama-hives aqhubekayo.

Amaphrofayili emiphumela emibi nawo ayahluka. I-Benadryl ivame ukubangela ukozela olukhulu futhi ingathinta inkumbulo nokugxila kakhulu kune-hydroxyzine. I-Hydroxyzine ngokuvamile itholakala kangcono ekusetshenzisweni kwesikhathi eside futhi ayiphazamisi imisebenzi yansuku zonke kangako uma umzimba wakho usujwayele.

Imibuzo Evame Ukubuzwa Nge-Hydroxyzine

Ingabe i-Hydroxyzine iphephile ezigulini zenhliziyo?

I-Hydroxyzine idinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo, ikakhulukazi izimo ezithinta ukushaya kwenhliziyo yakho. Umuthi ngezinye izikhathi ungabangela izinguquko emisebenzini kagesi yenhliziyo yakho, okungase kube yingozi kubantu abanezinkinga zenhliziyo ezikhona.

Uma unesifo senhliziyo, udokotela wakho cishe uzo-oda i-electrocardiogram (EKG) ngaphambi kokunquma i-hydroxyzine futhi angase aqaphe ukushaya kwenhliziyo yakho ngesikhathi sokwelashwa. Abantu abane-long QT syndrome, ukuhlaselwa kwenhliziyo kwamuva, noma izifo ezinzima zokushaya kwenhliziyo ngokuvamile akufanele bathathe lo muthi.

Nokho, abantu abaningi abanezimo zenhliziyo ezingathí sina bangayithatha ngokuphepha i-hydroxyzine ngaphansi kokuqondisa kwezokwelapha. Udokotela wakho wenhliziyo nodokotela onqumayo bazosebenzisana ukuze banqume ukuthi izinzuzo zidlula yini izingozi esimweni sakho esithile.

Ngingenzani uma ngiphuzile i-Hydroxyzine eningi ngengozi?

Uma uthatha i-hydroxyzine eningi kunaleyo enqunyiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kungabangela imiphumela emibi engathí sina okuhlanganisa ukozela ngokweqile, ukudideka, ukuquleka, noma izinkinga zokushaya kwenhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo uchwepheshe wezempilo. Kunalokho, hlala uvukile uma kungenzeka futhi funa ukwelashwa ngokushesha. Uma omunye umuntu ethatha i-hydroxyzine eningi futhi engazi lutho noma enobunzima bokuphefumula, shayela ku-911 ngokushesha.

Gcina ibhodlela lemithi unawo lapho ufuna ukwelashwa ukuze abahlinzeki bezempilo bazi kahle ukuthi yini nokuthi kungakanani okuthathiwe. Isenzo esisheshayo singavimbela izinkinga ezingathi sína ezivela ekweqiseni kwe-hydroxyzine.

Kufanele Ngenzeni Uma Ngingaphuthelwa Umthamo We-Hydroxyzine?

Uma uphuthelwa umthamo we-hydroxyzine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uthatha i-hydroxyzine yokukhathazeka futhi uphuthelwa umthamo, ungase uqaphele ukuthi izimpawu zakho ziyabuya, kodwa lokhu okwesikhashana futhi kuzothuthuka uma uqala kabusha uhlelo lwakho olujwayelekile.

Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi. Ukulinganisa okuqhubekayo kusiza ukugcina amazinga aqinile omuthi ohlelweni lwakho ukuze uthole ukulawulwa okungcono kakhulu kwezimpawu.

Ngingayeka Nini Ukuthatha I-Hydroxyzine?

Ngokuvamile ungaqeda ukuthatha i-hydroxyzine lapho izimpawu zakho zithuthuka futhi udokotela wakho evuma ukuthi kufanelekile. Ngokungafani neminye imithi, i-hydroxyzine ayibangeli izimpawu zokuhoxiswa, ngakho ngeke uzwe imiphumela yokubuyela emuva uma uyeka ukuyithatha.

Ezimweni zesikhashana ezifana nokusabela okungazelelwe komzimba, cishe uzoyeka ukuyithatha uma izimpawu zakho zixazululwa. Ezimweni ezingapheli noma ukukhathazeka, udokotela wakho angase ancome ukunciphisa kancane kancane umthamo ukuze abone ukuthi usayidinga yini imithi.

Njalo xoxa ngokuyeka i-hydroxyzine nodokotela wakho kunokuba uthathe isinqumo wedwa. Bangakusiza ukuthi unqume isikhathi esifanele sokuyeka umuthi futhi baphakamise ezinye izindlela zokwelapha uma izimpawu zakho zibuyela.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Hydroxyzine?

Kufanele ugweme utshwala ngenkathi uthatha i-hydroxyzine ngoba zombili lezi zinto zingabangela ukozela futhi zinciphise ukusabela kwakho. Ukuzihlanganisa kungaholela emazingeni ayingozi okuqeda amandla, ukulahlekelwa ukwahlulela, kanye nokwanda kwengozi yezingozi.

Ngisho namanani amancane otshwala angathuthukisa imiphumela ye-hydroxyzine ekozela, okwenza uzizwe ukozela kakhulu kunokujwayelekile. Lokhu kuhlanganiswa kungase futhi kuthinte ukuphefumula kwakho kanye nezinga lokushaya kwenhliziyo, ikakhulu uma uthatha imithamo ephezulu ye-hydroxyzine.

Uma ukhetha ukuphuza utshwala ngezikhathi ezithile, linda amahora ambalwa ngemuva kokuthatha i-hydroxyzine bese uqala ngamanani amancane kakhulu ukuze ubone ukuthi usabela kanjani. Kodwa-ke, kuphephe kakhulu ukugwema utshwala ngokuphelele ngenkathi uthatha lo muthi, ikakhulukazi emasontweni ambalwa okuqala okwelashwa.