Yini i-Lorazepam: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Lorazepam iyimithi kadokotela eyisigaba semithi ebizwa ngokuthi ama-benzodiazepines, asiza ukuthulisa isimiso sakho sezinzwa uma uzizwa ukhathazekile noma wesaba. Cabanga ngayo njengebhegi elithambile engqondweni yakho uma imicabango yokukhathazeka igijima ngokushesha kakhulu. Le mithi isisize abantu ukuthi baphathe izifo zokukhathazeka, izinkinga zokulala, nezinqubo ezithile zezokwelapha amashumi eminyaka, futhi uma isetshenziswa ngendlela efanele ngaphansi kokuqondisa kwezokwelapha, inganikeza ukukhululeka okukhulu kulabo abayidingayo.

Yini i-Lorazepam?

I-Lorazepam iyimithi ye-benzodiazepine esebenza ngokuthuthukisa imiphumela yokuthulisa yekhemikhali yobuchopho yemvelo ebizwa ngokuthi i-GABA. Lapho ubuchopho bakho buveza i-GABA, kusiza ukunciphisa amasignali ezinzwa ezingaphezu kwamandla angabangela ukukhathazeka, ukungazinzi, noma ukwethuka.

Le mithi ithathwa njenge-benzodiazepine enamandla aphakathi nendawo, okusho ukuthi iyasebenza ngaphandle kokuba iqede kakhulu abantu abaningi. Ngokuvamile iqala ukusebenza ngemizuzu engama-30 kuya ehora elilodwa ngemva kokuyithatha, futhi imiphumela yayo yokuthulisa ingahlala amahora amaningi. Udokotela wakho unquma i-lorazepam lapho ekholelwa ukuthi izinzuzo zokunciphisa ukukhathazeka kwakho noma ezinye izimpawu zidlula noma yiziphi izingozi ezingaba khona.

Isetshenziselwani i-Lorazepam?

I-Lorazepam iphatha izimo eziningana lapho isimiso sakho sezinzwa sidinga ukusekelwa okuthulisa. Ngokuvamile, odokotela bayinquma ngezifo zokukhathazeka eziphazamisa impilo yakho yansuku zonke nokuphila kahle.

Nawa amakhondishini amakhulu i-lorazepam esiza ngawo, futhi ukuqonda lokhu kungakusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngemithi yakho:

• Ukuphathwa kokukhathazeka okujwayelekile: Lapho ukukhathazeka okuqhubekayo kuthinta ikhono lakho lokusebenza ngokujwayelekile
• Ukuphathwa kokukhathazeka: Ukuphatha izigameko ezingazelelwe, ezinzima zokwesaba noma ukuhlaselwa ukwethuka
• Ukuqwasha kwesikhashana: Lapho ukukhathazeka noma ukucindezeleka kwenza kube nzima ukulala noma ukuhlala ulele
• Ukukhathazeka ngaphambi kokuhlinzwa: Ukukusiza ukuthi uzizwe uzolile ngaphambi kwezinqubo zezokwelapha noma ukuhlinzwa
• Ukuhoxiswa kotshwala: Ngaphansi kokuqondisa kwezokwelapha, ukuvimbela izimpawu eziyingozi zokuhoxiswa
• Ukuphathwa kokuhlaselwa yisithuthwane: Njengengxenye yokwelashwa okuphuthumayo kwezinhlobo ezithile zokuhlaselwa yisithuthwane

Udokotela wakho ucabangela ngokucophelela izimpawu zakho ezithile kanye nomlando wakho wezokwelapha ngaphambi kokunquma i-lorazepam. Bafuna ukuqinisekisa ukuthi lo muthi uzohlinzeka ngezinga elifanele lokukhululeka esimweni sakho esithile.

Isebenza Kanjani I-Lorazepam?

I-Lorazepam isebenza ngokuthuthukisa uhlelo lwakho lwemvelo lokuzola ebuchosheni, ngokuqondile iqondise izamukeli ze-GABA ezisiza ukulawula ukukhathazeka nokusabela kokucindezeleka. Uma uthatha i-lorazepam, yenza lezi zimpawu zokuzola zibe namandla futhi zisebenze kahle.

Ubuchopho bakho ngokwemvelo buveza i-GABA ukukusiza ukuthi uzizwe ukhululekile futhi unokuthula. Kodwa-ke, uma ubhekene nokuphathwa kokukhathazeka noma ukucindezeleka okuphezulu, lolu hlelo lwemvelo ngezinye izikhathi ludinga ukwesekwa okwengeziwe. I-Lorazepam ingena ukuze iqhubise le miphumela yokuzola, isize ukubuyisela umuzwa wokulinganisela ohlelweni lwakho lwezinzwa.

Lo muthi ubhekwa njengonamandla ngokulinganisela phakathi kwama-benzodiazepines. Inamandla ngokwanele ukuhlinzeka ngokuqeda okukhulu ezimpawini zokukhathazeka, kodwa ayinamandla kangako kangangokuthi ibangela ukuthuliswa ngokweqile kubantu abaningi uma ithathwa njengoba kunqunyiwe.

Kufanele Ngiyithathe Kanjani I-Lorazepam?

Thatha i-lorazepam ngendlela udokotela wakho ayincomayo ngayo, ngokuvamile ngenkomishi yamanzi egcwele. Ungayithatha ngaphandle kokudla, nakuba ukuyithatha nokudla okulula kungasiza ekuvikeleni noma yikuphi ukuphazamiseka kwesisu.

Abantu abaningi bakuthola kuwusizo ukuthatha i-lorazepam ngezikhathi ezifanayo nsuku zonke uma beyisebenzisa njalo. Ngenxa yokukhathazeka, lokhu kungasho ukuyithatha ekuseni noma kusihlwa, kuye ngokuthi izimpawu zakho zivame ukuba yini ekhathaza kakhulu. Uma uyithatha ngenxa yokulala, udokotela wakho cishe uzokuncoma ukuyithatha cishe imizuzu engama-30 ngaphambi kokulala.

Gwema ukuphuza utshwala ngenkathi uthatha i-lorazepam, njengoba le nhlanganisela ingaba yingozi futhi yandise ukozela kakhulu. Futhi, ijusi le-grapefruit lingathinta indlela umzimba wakho oqhubula ngayo imithi, ngakho-ke kungcono ukuyigwema noma ukuxoxa ngayo nodokotela wakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Lorazepam?

I-Lorazepam ivame ukunqunywa ukuthi isetshenziswe isikhathi esifushane, ngokuvamile kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Udokotela wakho uklama lo mgomo wesikhathi ukukusiza ngamaphutha okukhathazeka okukhulu noma izimo zokucindezeleka zesikhashana.

Ezimweni eziningi zokukhathazeka, odokotela bakhetha ukusebenzisa i-lorazepam njengebhuloho ngenkathi uqala ezinye izindlela zokwelapha njengokwelashwa noma imithi yesikhathi eside. Le ndlela ikusiza ukuthi uthole ukukhululeka ngokushesha ngenkathi wakha amasu okubhekana nezinkinga aqhubekayo. Udokotela wakho uzohlola njalo ukuthi ubhekana kanjani nokuthi ngabe kudingeka yini izinguquko.

Uma ubuthatha i-lorazepam amasonto amaningana, udokotela wakho uzokwakha uhlelo lokunciphisa kancane kancane kunokuyeka kungazelelwe. Le ndlela eqaphelayo isiza ekuvikeleni izimpawu zokuhoxisa futhi iqinisekisa ukuthi ukuguquka kwakho emithini kukhululeka ngangokunokwenzeka.

Yiziphi Imiphumela Eceleni Ye-Lorazepam?

Njengayo yonke imithi, i-lorazepam ingabangela imiphumela emibi, yize abantu abaningi behlangabezana nezinkinga ezimbalwa noma ezingekho lapho beyithatha njengoba kunqunyiwe. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi ejwayelekile ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi:

• Ukozela noma ubuthongo: Lona umphumela ovamile kakhulu, ikakhulukazi ezinsukwini zokuqala
• Isiyezi: Ungase uzizwe ungazinzile kancane, ikakhulukazi uma usukuma ngokushesha
• Ubuthakathaka noma ukukhathala: Abanye abantu bazizwa bengenamandla kunokujwayelekile
• Ukungazinzi: Ukuxhumana kwakho kungase kuzizwe kungahambisani kahle
• Izinkinga zenkumbulo: Inkumbulo yesikhashana ingase ithinteke okwesikhashana
• Ukudideka: Ikakhulukazi kungenzeka kubantu abadala

Le miphumela ejwayelekile ivamise ukwehla njengoba umzimba wakho ujwayela umuthi. Kodwa-ke, uma ziqhubeka noma ziphazamisa imisebenzi yakho yansuku zonke, yazisa udokotela wakho ukuze akwazi ukulungisa umthamo wakho uma kudingeka.

Imiphumela engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha, yize ingavamile uma umuthi usetshenziswa ngendlela efanele:

• Ukungezwani komzimba okukhulu: Ukuqubuka, ukuvuvukala, noma ubunzima bokuphefumula
• Ushintsho olungajwayelekile lwemizwa: Ukwanda kokukhathazeka, ukucasuka, noma imicabango yokuzilimaza
• Ukudideka okukhulu noma ukulahlekelwa yisikhundla: Ukuzizwa udideke kakhulu ngesikhathi, indawo, noma ubunikazi
• Ubunzima bokuphefumula: Ikakhulukazi uma kuhlangene neminye imithi
• Ubuthakathaka obukhulu bemisipha: Ubunzima bokuhambisa noma ukulawula imisipha yakho

Uma uhlangabezana nanoma yimiphi yale miphumela emibi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo. Khumbula, ithimba lakho lezempilo likhona ukukusiza ukuthi ubhekane nanoma yikuphi ukukhathazeka okuvelayo ngesikhathi sokwelashwa kwakho.

Ubani Ongafanele Athathe I-Lorazepam?

Izimo ezithile zezokwelapha nezimo zenza i-lorazepam ingaphephile noma idinga izinyathelo zokuphepha ezikhethekile. Udokotela wakho uhlola umlando wakho wezokwelapha ophelele ukuze aqinisekise ukuthi lo muthi ukufanele.

Akufanele uthathe i-lorazepam uma unezinye zalezi zimo, njengoba zingenza imithi ibe yingozi:

• Izinkinga ezinkulu zokuphefumula: Kuhlanganisa i-sleep apnea, i-COPD, noma ezinye izimo zokuphefumula
• I-Myasthenia gravis: Isimo esibangela ubuthakathaka obukhulu bemisipha
• Isifo esibi sesibindi: Isibindi sakho singase singakwazi ukucubungula imithi kahle
• I-Narrow-angle glaucoma: Imithi ingenza lesi simo samehlo sibe sibi kakhulu
• Ukungezwani okwaziwayo nama-benzodiazepines: Noma iyiphi impendulo yokungezwani komzimba emithini efanayo

Ezinye izimo eziningi zidinga ukucatshangelwa ngokucophelela futhi mhlawumbe zilungiswe umthamo, yize zingakhiphi ngokuzenzakalelayo ukusetshenziswa kwe-lorazepam:

• Izinkinga zezinso noma zesibindi: Kungase kudingeke imithamo ephansi noma ukuqapha kaningi
• Umlando wokusebenzisa kabi izinto: Kudinga ukuqapha ngokucophelela ngenxa yamandla okulutha
• Ukucindezeleka noma imicabango yokuzibulala: Kungase kudingeke ukusekelwa okwengeziwe kwempilo yengqondo
• Ukukhulelwa noma ukuncelisa: Kudinga ukulinganisa izinzuzo nezingozi ezingaba khona kumntwana
• Iminyaka engaphezu kwengama-65: Abantu abadala bangase bazwe kalula imiphumela emibi

Udokotela wakho ucabangela zonke lezi zici lapho enquma ukuthi i-lorazepam ilungele yini wena. Bafuna ukuqinisekisa ukuthi uthola ukwelashwa okuphephile, okuphumelelayo okuthuthukisa izinga lakho lempilo.

Amagama e-Brand ye-Lorazepam

I-Lorazepam itholakala ngaphansi kwamagama amaningi e-brand, i-Ativan iyona eyaziwa kakhulu futhi eyamukelwa kabanzi. Ikhemisi lakho lingase linikeze inguqulo yegama le-brand noma elilinganayo elivamile, kokubili okune-ingredient efanayo esebenzayo.

Amagama ajwayelekile emakethe ahlanganisa i-Ativan, i-Loreev XR (inguqulo ekhishwe isikhathi eside), kanye nezinhlobo ezahlukahlukene ezingezona ezomkhiqizo. Izinhlobo ezingezona ezomkhiqizo zisebenza kahle njengamagama emakethe futhi zivame ukubiza kancane kakhulu. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo ngomehluko phakathi kwezinhlobo.

Ezinye izindlela ze-Lorazepam

Imithi eminingi ehlukile kanye nokwelashwa kungasiza ekuphatheni ukukhathazeka nezimo ezihlobene uma i-lorazepam ingakulungele. Udokotela wakho ucabangela lezi zinketho ngokusekelwe ezimpawini zakho ezithile, umlando wezokwelapha, kanye nemigomo yokwelashwa.

Eminye imithi ye-benzodiazepine esebenza ngendlela efana ne-lorazepam ihlanganisa:

• Alprazolam (Xanax): Ivame ukusetshenziselwa izifo zokwesaba, isebenza ngokushesha kodwa isikhathi esifushane
• Clonazepam (Klonopin): Inketho esebenza isikhathi eside engase idinge ukulinganiswa okungavamile
• Diazepam (Valium): Imiphumela ehlala isikhathi eside, ivame ukusetshenziselwa ama-muscle spasms futhi

Ezinye izindlela ezingezona ze-benzodiazepine ezingase zifanele ukuphathwa kokukhathazeka kwesikhathi eside zihlanganisa:

• SSRIs: Imithi efana ne-sertraline noma i-escitalopram yokwelashwa okuqhubekayo kokukhathazeka
• Buspirone: Umuthi wokulwa nokukhathazeka ongaluthayo osebenza ngendlela ehlukile kune-benzodiazepines
• Gabapentin: Ngezinye izikhathi isetshenziselwa ukukhathazeka, ikakhulukazi kubantu abanomlando wokuhlukunyezwa kwezinto
• Beta-blockers: Ingasiza ngezimpawu zomzimba zokukhathazeka njengokushaya kwenhliziyo okusheshayo

Udokotela wakho ukusiza ukuthi uhlole lezi zinketho futhi athole indlela yokwelapha esebenza kahle kakhulu esimweni sakho esiyingqayizivele.

Ingabe i-Lorazepam ingcono kune-Xanax?

Kokubili i-lorazepam ne-Xanax (i-alprazolam) ziyizidakamizwa ze-benzodiazepine ezisebenzayo zokwelapha ukukhathazeka, kodwa zinezici ezihlukene ezenza enye ibe ngcono kakhulu ezidingweni zakho ezithile. Akukho noyedwa 'ongcono' kunomunye.

I-Lorazepam ivame ukusebenza isikhathi eside uma isiqalile ukusebenza, ngokuvamile ihlala amahora angu-6-8 uma iqhathaniswa ne-Xanax's amahora angu-4-6. Lokhu kusho ukuthi ungase udinge imithamo embalwa usuku lonke nge-lorazepam. Ngaphezu kwalokho, i-lorazepam ivame ukukhethwa kubantu abadala ngoba icutshungulwa ngendlela elindelekile ngumzimba.

I-Xanax, ngakolunye uhlangothi, ivame ukusebenza ngokushesha, ngokuvamile inikeze ukukhululeka ngemizuzu engu-15-30 uma iqhathaniswa nemizuzu engu-30-60 ye-lorazepam. Lokhu kuqala okusheshayo kwenza i-Xanax ibe wusizo ikakhulukazi ekuhlaselweni ukwethuka okudinga ukukhululeka ngokushesha. Kodwa-ke, lesi senzo esisheshayo singenza i-Xanax ithambekele ebangela izinkinga zokuncika.

Udokotela wakho ukhetha phakathi kwale mithi ngokusekelwe ezimpawini zakho ezithile, ukuthi udinga ukukhululeka ngokushesha kangakanani, ukuthi udinga isikhathi esingakanani imiphumela ukuthi ihlale isikhathi esingakanani, kanye nomlando wakho wezokwelapha ngamunye. Ukukhetha

Uma ngabe uthatha i-lorazepam eningi kunaleyo oyinikiwe, xhumana nodokotela wakho ngokushesha noma shayela i-poison control ku-1-800-222-1222. Ukuthatha okuningi kungadala ukozela okuyingozi, ukudideka, ukuphefumula kancane, noma ukulahlekelwa ukwazi.

Ungazami "ukuqina" noma ulinde ukubona ukuthi kwenzekani. Noma ngabe uzizwa ulungile ekuqaleni, imiphumela ingaba yimbi ngokuhamba kwesikhathi. Uma othile enenkinga yokuphefumula, engavuki, noma ekhombisa ukudideka okukhulu ngemuva kokuthatha i-lorazepam eningi, shayela u-911 ngokushesha. Gcina ibhodlela lemithi nawe ukuze ochwepheshe bezokwelapha bazi kahle ukuthi yini nokuthi kungakanani okuthathiwe.

Kufanele Ngenzeni Uma Ngeqe Umthamo We-Lorazepam?

Uma ugeja umthamo we-lorazepam, yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ongejwayelekile bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngasikhathi sinye ukuze ulungise umthamo ongejwayelekile, ngoba lokhu kungadala ukozela ngokweqile noma eminye imiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha ama-alamu ocingweni noma usebenzise umhleli wamaphilisi ukukusiza ukhumbule. Uma ungaqiniseki ngalokho okufanele ukwenze ngemuva kokugeja umthamo, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso.

Ngingayeka Nini Ukuthatha I-Lorazepam?

Kufanele uyeke kuphela ukuthatha i-lorazepam ngaphansi kokuqondisa kukadokotela wakho, ikakhulukazi uma ubelokhu uyithatha njalo isikhathi esingaphezu kwamasonto ambalwa. Ukuyeka kungazelelwe kungadala izimpawu zokuhoxiswa njengokukhathazeka, ukungazinzi, ukuhluleka ukulala, noma ezimweni ezingavamile, ukuquleka.

Udokotela wakho uzokwenza uhlelo lokunciphisa kancane kancane olunciphisa kancane umthamo wakho ezinsukwini noma emasontweni. Le ndlela isiza umzimba wakho ukuthi uzivumelanise futhi inciphisa izimpawu zokuhoxiswa. Isikhathi sokunciphisa sincike ekutheni ubelokhu uyithatha isikhathi esingakanani imithi nokuthi umzimba wakho usabela kanjani. Ungalokothi uyeke ukuthatha i-lorazepam kungazelelwe ngaphandle kokuqondiswa kwezokwelapha.

Ngingashayela Ngenkathi Ngithatha I-Lorazepam?

Akufanele ushayele noma usebenzise imishini uma uqala ukuthatha i-lorazepam noma ngemva kokunyuswa komthamo, njengoba umuthi ungabangela ukozela futhi unciphise isivinini sokuphendula kwakho. Uma usuyazi ukuthi umuthi ukuthinta kanjani, ungase ukwazi ukushayela ngokuphepha.

Qaphela ukuthi i-lorazepam ikwenza uzizwe kanjani ngaphambi kokungena ngemuva kwesondo. Uma uzizwa ukozela, unesiyezi, noma ungakhuthele njengenjwayelo, gwema ukushayela. Lokhu kubaluleke kakhulu ezinsukwini zokuqala zokwelashwa lapho imiphumela emibi ingenzeka kakhulu. Uma ungabaza, cela umngane noma ilungu lomndeni ukuthi likuyise, noma sebenzisa izithuthi zomphakathi uze uqiniseke ngezinga lakho lokuhlakanipha.