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

I-Meprobamate iyimithi kadokotela eyingxenye yeqembu lezidakamizwa ezibizwa ngokuthi ama-carbamates, asetshenziselwa ikakhulukazi ukwelapha ukukhathazeka nokungezwani. Le mithi isebenza ngokuthulisa uhlelo lwakho lwezinzwa, okusiza ukunciphisa imizwa yokukhathazeka nokucindezeleka okungaphazamisa impilo yansuku zonke.

Ngenkathi i-meprobamate yayike yanconywa kakhulu ngezifo zokukhathazeka, manje isetshenziswa kaningi ngenxa yokutholakala kwezinye izindlela eziphephile. Udokotela wakho angase akucabangele ezimweni ezithile lapho ezinye izindlela zokwelapha zingasebenzi.

Yini i-Meprobamate?

I-Meprobamate iyisidakamizwa esicindezela uhlelo lwezinzwa olusiza ukuphatha ukukhathazeka nokungezwani kwemisipha. Kwakungenye yezidakamizwa zokuqala ezisetshenziswa kakhulu zokulwa nokukhathazeka, ezathuthukiswa ngeminyaka yawo-1950 njengenye indlela ephephile kuma-barbiturates.

Umuthi usebenza ngokuthuthukisa imiphumela yekhemikhali yobuchopho yemvelo ebizwa ngokuthi i-GABA, esiza ukuthulisa umsebenzi wemizwa. Cabanga ngakho njengokwehlisa ivolumu yezimpawu ze-alamu yohlelo lwakho lwezinzwa.

Namuhla, i-meprobamate ithathwa njengento elawulwayo ngoba ingaba umlutha. Lokhu kusho ukuthi udokotela wakho uzoqapha ukusetshenziswa kwakho ngokucophelela futhi akuyalele kuphela uma izinzuzo zidlula izingozi.

Yini i-Meprobamate Esetshenziselwa Yona?

I-Meprobamate ikakhulukazi inikezwa ukwelapha izifo zokukhathazeka nokuhlinzeka ngokuqeda isikhashana ekungezwaneni okukhulu nokucindezeleka. Udokotela wakho angase akutuse uma uhlangabezana nokukhathazeka okukhulu okuphazamisa ikhono lakho lokusebenza ngokujwayelekile.

Umuthi ungasiza ngezimo eziningana ezihlobene nokukhathazeka. Lokhu kufaka phakathi isifo sokukhathazeka esivamile, lapho uzizwa ukhathazekile njalo ngezimo zansuku zonke, kanye nokusabela okukhulu kokucindezeleka ngemva kwezimo ezinzima.

Ngesinye isikhathi odokotela bangase bakunikeze i-meprobamate njengomuthi okhulula imisipha ezimweni ezibandakanya imisipha eqinile noma ukungezwani. Ingasetshenziswa futhi njengosizo lokulala uma ukukhathazeka kukuvimbela ekutholeni ukuphumula okwanele.

Kodwa-ke, i-meprobamate ivame ukugcinelwa izimo lapho imithi emisha, ephephile ingazange inikeze ukukhululeka okwanele. Umhlinzeki wakho wezempilo uzohlola ngokucophelela ukuthi lo muthi ukhetho olufanele yini esimweni sakho esithile.

Isebenza Kanjani I-Meprobamate?

I-Meprobamate isebenza ngokuthinta uhlelo lwakho lobuchopho lwe-neurotransmitter, ikakhulukazi ithuthukisa umsebenzi wama-GABA receptors. I-GABA iyisistimu yakho yobuchopho yemvelo "yebhuleki" esiza ukunciphisa amasignali emizwa futhi ikhuthaze imizwa yokuzola.

Uma uthatha i-meprobamate, yandisa imiphumela ye-GABA yokuzola kuyo yonke imizwa yakho. Lokhu kuholela ekunciphiseni ukukhathazeka, ukuphumula kwemisipha, kanye nomuzwa ojwayelekile wokuthula okungahlala amahora amaningi.

Lo muthi ubhekwa njengonamandla ngokulinganisela uma uqhathaniswa neminye imithi elwa nokukhathazeka. Inamandla kunezinye izindlela zokwelapha ngamakhambi kodwa ngokuvamile ithambile kune-benzodiazepines efana ne-Xanax noma i-Ativan.

Imiphumela ngokuvamile iqala phakathi kwemizuzu engama-30 kuya kwengama-60 ngemva kokuthatha umuthi futhi ingahlala amahora angu-6 kuya kwangu-8. Isikhathi esiqondile sincike ezintweni ezinjengokuthi umzimba wakho usebenza kanjani, iminyaka yakho, kanye nesimo sempilo yakho esiphelele.

Kufanele Ngiyithathe Kanjani I-Meprobamate?

Thatha i-meprobamate ngendlela eqondile njengoba uyalelwe udokotela wakho, ngokuvamile izikhathi ezi-2 kuya kwezi-4 ngosuku ngemva kokudla noma ngaphandle kokudla. Ungayithatha ngamanzi, ubisi, noma ijusi ukusiza ukuvimbela isisu ukuthi singakhathazeki uma uhlangabezana nanoma yikuphi ukuphatheka kabi kokugaya ukudla.

Ngokuvamile kungcono ukuthatha i-meprobamate ngokudla okulula noma ukudla okulula ukuze kuncishiswe ukucasuka kwesisu okungenzeka. Gwema ukuyithatha esiswini esingenalutho ngokuphelele, njengoba lokhu kungase kwandise ingozi yesicanucanu noma isiyezi.

Zama ukuthatha imithamo yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho. Lokhu kusiza ekuqinisekiseni ukukhululeka kokukhathazeka okuqhubekayo futhi kunciphisa amathuba okuba khona kwezimpawu zokuphuma.

Ungagxobi, uhlafune, noma uphule amaphilisi ngaphandle uma uqondiswe ngqo ngumhlinzeki wakho wezempilo. Gwinya wonke ngamanzi amaningi ukuze uqinisekise ukumuncwa okufanele.

Gwema utshwala ngokuphelele ngenkathi uthatha i-meprobamate, njengoba ukuhlanganisa kungaba yingozi futhi kungase kube yingozi ekuphileni. Inhlanganisela ingabangela ukozela okukhulu, izinkinga zokuphefumula, nokulahlekelwa ukwazi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Meprobamate?

I-Meprobamate ivame ukunqunyelwa ukusetshenziswa kwesikhashana, ngokuvamile kungaphezu kwezinyanga ezi-2 kuya kwezi-4. Udokotela wakho uzoqoka ubude obufanele ngokuya ngesimo sakho esithile nokuthi usabela kahle kangakanani ekwelashweni.

Ukusetshenziswa kwesikhathi eside kwe-meprobamate kungaholela ekuthembekeni ngokomzimba nokubekezelelana, okusho ukuthi ungase udinge imithamo ephezulu ukuze ufinyelele umphumela ofanayo. Yingakho abahlinzeki bezempilo bekhetha ukuyisebenzisa njengokwelashwa kwebhuloho ngenkathi bekhuluma ngezimbangela eziyisisekelo zokukhathazeka.

Udokotela wakho uzohlola njalo inqubekela phambili yakho futhi anganciphisa kancane kancane umthamo wakho uma sekuyisikhathi sokuyeka. Ungalokothi uyeke ukuthatha i-meprobamate ngokuzumayo, ngoba lokhu kungabangela izimpawu zokuhoxisa njengokukhathazeka, ukuqwasha, futhi ezimweni ezingavamile, ukuquleka.

Uma ubuthatha i-meprobamate amasonto amaningana, umhlinzeki wakho wezempilo uzokwenza isimiso sokunciphisa ukukusiza ukuthi uyeke ngokuphepha. Le nqubo ngokuvamile ithatha izinsuku eziningana kuya emavikini, kuye ngokuthi ubuthatha isikhathi esingakanani umuthi.

Yiziphi Imiphumela Eceleni ye-Meprobamate?

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

Imiphumela eseceleni evame kakhulu ongase uhlangabezane nayo ihlanganisa ukozela, isiyezi, nesicanucanu esincane. Le miphumela ivamise ukuba yesikhashana futhi ivame ukwehla ngemva kwezinsuku ezimbalwa zokwelashwa.

Nawa amanye amaphutha avamile abantu abathile abahlangabezana nawo:

• Ukozela noma ukukhathala emini
• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma
• Isicanucanu noma ukuphazamiseka kwesisu okuncane
• Ikhanda elibuhlungu noma ukudideka okuncane
• Ubuthakathaka noma ukungazinzi
• Ukubona okungacacile noma ubunzima bokugxila

Le miphumela eseceleni ejwayelekile ngokuvamile iyazixazulula njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziba yisicefe, xoxa ngazo nomhlinzeki wakho wezempilo.

Imiphumela eseceleni engathi sína ingenzeka kodwa ayivamile. Lokhu kudinga ukunakekelwa kwezempilo ngokushesha futhi akufanele kungashaywa mkhuba.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi lezi zimpawu ezikhathazayo:

• Ukuphendula okukhulu komzimba okune-rash, ukuvuvukala, noma ubunzima bokuphefumula
• Ushintsho olungavamile lwemizwa noma imicabango yokuzilimaza
• Ukudideka okukhulu noma izinkinga zenkumbulo
• Ubunzima bokuphefumula noma ukuphefumula okuhamba kancane
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Isiyezi esikhulu noma ukuquleka

Imiphumela eseceleni engavamile kodwa engathi sína ingabandakanya izifo zegazi, izinkinga zesibindi, noma ukusabela okukhulu kwesikhumba. Nakuba lokhu kungavamile, kubalulekile ukukwazi futhi ufune ukunakekelwa kwezempilo ngokushesha uma kwenzeka.

Ubani Ongafanele Athatha I-Meprobamate?

Abantu abathile kufanele bagweme i-meprobamate ngenxa yengozi eyengeziwe yezinkinga ezingathi sína. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyala lo muthi.

Akufanele uthathe i-meprobamate uma wazi ukuthi unokungezwani komzimba emithini ye-carbamate noma kunoma yiziphi izithako zayo. Ukusabela komzimba okwedlule emithini efanayo nakho kwenza i-meprobamate ingakulungele.

Izimo eziningi zezokwelapha zenza i-meprobamate ibe yingozi. Lezi zimo zidinga ukuqapha okwengeziwe futhi zivame ukudinga ezinye izindlela zokwelapha.

Abantu abanezimo ezinjalo ngokuvamile kufanele bagweme i-meprobamate:

• Isifo esibi sesibindi noma sezinso
• Umlando wokusebenzisa izidakamizwa noma ukulutheka
• Izinkinga ezinkulu zokuphefumula noma i-sleep apnea
• Ukukhulelwa noma ukuncelisa
• Ukucindezeleka okukhulu okunezinkomba zokuzibulala
• I-Porphyria (isifo esingavamile segazi)

Ubudala nabo bungaba yisici ekunqumeni ukuthi i-meprobamate ifanele yini. Abantu abadala bangase babe nobuzwela obukhulu emiphumeleni yayo futhi babhekane nezingozi eziphakeme zokuwa, ukudideka, nezinye izinkinga.

Uma usebenzisa eminye imithi ethile, i-meprobamate kungenzeka ingakuphephile. Njalo yazisa udokotela wakho ngayo yonke imithi kadokotela, imithi etholakala ngaphandle kwemvume kadokotela, kanye nezithasiselo ozisebenzisayo njengamanje.

Amagama e-Brand e-Meprobamate

I-Meprobamate itholakala ngaphansi kwamagama amaningi e-brand, nakuba amaningi engasasetshenziswa kakhulu. Igama elaziwa kakhulu le-brand kwakuyi-Miltown, eyayisetshenziswa kakhulu ngeminyaka yawo-1950 nawo-1960.

Amanye amagama e-brand afaka i-Equanil ne-Meprospan, nakuba lezi zindlela zokulungiselela zivame ukungasetshenziswa namuhla. Iningi le-meprobamate etholakalayo manje isesimweni esivamile, esisebenza ngendlela efanayo futhi ngokuvamile eshibhile.

Ikhemisi lakho lingase lithwale i-meprobamate ngaphansi kwegama layo elivamile noma ngezikhathi ezithile ngaphansi kwegama le-brand. Isithako esisebenzayo sihlala sifana kungakhathaliseki ukuthi ngumkhiqizi noma igama le-brand eliseyilebula.

Ezinye izindlela ze-Meprobamate

Ezinye izindlela eziphephile nezisebenza kahle kune-meprobamate ziyatholakala namuhla zokwelapha ukukhathazeka. Udokotela wakho cishe uzoqala acabangele lezi zinketho ngaphambi kokukuyalela i-meprobamate.

Imithi emisha yokulwa nokukhathazeka efana ne-SSRIs (ama-selective serotonin reuptake inhibitors) ivame ukukhethwa ngoba maningi amathuba okuthi angabangeli ukuncika. Izibonelo zihlanganisa i-sertraline, i-escitalopram, ne-paroxetine.

Ukuze kutholakale ukukhululeka okusheshayo kokukhathazeka, ama-benzodiazepines afana ne-lorazepam noma i-alprazolam angase anqunywe ukuthi asetshenziswe isikhathi esifushane. Lezi zisebenza ngokushesha kune-meprobamate kodwa futhi zithwala izingozi zokuncika uma zisetshenziswa isikhathi eside.

Izindlela ezingezona imithi nazo zingase zisebenze kakhulu ekuphathweni kokukhathazeka. Lokhu kuhlanganisa i-cognitive behavioral therapy, izindlela zokuphumula, ukuzivivinya njalo, kanye namasu okuphatha ukucindezeleka.

Umhlinzeki wakho wezempilo uzosebenza nawe ukuze athole ukwelashwa okufanele kakhulu ngokusekelwe ezimpawini zakho ezithile, umlando wezokwelapha, kanye nezintandokazi zakho.

Ingabe i-Meprobamate Ingcono Kune-Lorazepam?

I-Meprobamate ne-lorazepam yomibili imithi ephumelelayo yokulwa nokukhathazeka, kodwa isebenza ngendlela ehlukile futhi inezinzuzo ezihlukile kanye nobubi. Akukho noyedwa othi

IMeprobamate ingasetshenziswa ngokucophelela kubantu abanezifo zenhliziyo, kodwa idinga ukuqashwa ngokucophelela ngumhlinzeki wakho wezempilo. Umuthi unganciphisa umfutho wegazi futhi wehlise izinga lokushaya kwenhliziyo, okungase kube usizo kwezinye izimo zenhliziyo kodwa kube yinkinga kwezinye.

Uma unesifo senhliziyo, udokotela wakho uzodinga ukuhlola isimo sakho ngaphambi kokukuyalela i-meprobamate. Bazocabangela izinto ezinjengomsebenzi wenhliziyo yakho, umfutho wegazi, neminye imithi oyithathayo yesimo senhliziyo yakho.

Eminye imithi yenhliziyo ingasebenzisana ne-meprobamate, okungenzeka ukuthi ibangele ukwehla okuyingozi komfutho wegazi noma izinga lokushaya kwenhliziyo. Njalo yazisa udokotela wakho ngayo yonke imithi yenhliziyo oyithathayo, okuhlanganisa ama-blood thinners, ama-beta-blockers, nama-ACE inhibitors.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Meprobamate Eningi Kakhulu?

Uma ngengozi uthatha i-meprobamate eningi kakhulu, funa usizo oluphuthumayo lwezokwelapha ngokushesha, ikakhulukazi uma uhlangabezana nobuthongo obukhulu, ukudideka, noma ubunzima bokuphefumula. Ukweqisa kungaba yingozi empilweni futhi kudinga ukungenelela kwezokwelapha ngokushesha.

Izimpawu ze-meprobamate overdose zihlanganisa ukozela okukhulu, inkulumo engacacile, ukulahlekelwa ukuxhumana, ukuphefumula okuhamba kancane noma okungashoni, nokulahlekelwa ukwazi. Ungalindi ukubona ukuthi izimpawu ziyathuthuka zodwa.

Shayela u-911 noma inombolo yakho yezimo eziphuthumayo ngokushesha uma usola ukweqisa. Uma kungenzeka, letha ibhodlela lomuthi nawe egumbini lezimo eziphuthumayo ukuze abahlinzeki bezempilo bazi kahle ukuthi yini nokuthi kungakanani okuthathiwe.

Ngesikhathi ulinde usizo oluphuthumayo, zama ukugcina umuntu evukile futhi ephefumula. Ungabangeli ukuhlanza ngaphandle uma uqondiswe ngokuqondile ochwepheshe bezokwelapha, njengoba lokhu kungase kubangele ezinye izinkinga.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Meprobamate?

Uma uphuthelwa umthamo we-meprobamate, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile lokuthatha imithi.

Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise lowo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi futhi kungase kubangele ukweqisa umthamo. Ukuthatha i-meprobamate eningi ngesikhathi esisodwa kungaba yingozi.

Uma uvame ukukhohlwa imithamo, cabanga ukusetha izikhumbuzi ocingweni lwakho noma usebenzise umhleli wamaphilisi. Ukuthatha imithi ngokuqhubekayo kusiza ukugcina amazinga aqinile emithi emzimbeni wakho ukuze kulawulwe ukukhathazeka ngendlela efanele.

Uma uphuthelwa imithamo eminingi noma unemibuzo mayelana nohlelo lwakho lokuthatha imithi, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso. Bangase badinge ukulungisa uhlelo lwakho lokwelashwa noma banikeze amasu engeziwe okuthobela imithi.

Ngingayeka nini ukuthatha i-Meprobamate?

Kufanele uyeke kuphela ukuthatha i-meprobamate ngaphansi kokuqondisa komhlinzeki wakho wezempilo, ozokwenza uhlelo oluvikelekile lokunciphisa umthamo olusekelwe ekutheni usuwuthatha isikhathi esingakanani umuthi kanye nokuphendula kwakho ngakunye ekwelashweni.

Uma ubuthatha i-meprobamate isikhathi esingaphezu kwamasonto ambalwa, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa njengokukhathazeka, ukuqwasha, ukuthuthumela, futhi ezimweni ezingavamile, ukuquleka. Yingakho ukunciphisa kancane kancane kubalulekile.

Udkt wakho ngokuvamile uzonciphisa umthamo wakho ngama-25% njalo emva kwezinsuku ezimbalwa kuya evikini, kuye ngesimo sakho. Le nqubo ingase ithathe amasonto ambalwa kodwa isiza ukunciphisa izimpawu zokuhoxiswa futhi iqinisekisa ukuphepha kwakho.

Ngesikhathi senqubo yokunciphisa umthamo, umhlinzeki wakho wezempilo angase ancome ukusekelwa okwengeziwe njengokwelulekwa, amasu okuphumula, noma ukusetshenziswa okwesikhashana kweminye imithi ukusiza ukuphatha noma yiziphi izimpawu zokukhathazeka ezibuyayo.

Ngingashayela yini ngenkathi ngithatha i-Meprobamate?

I-Meprobamate inganciphisa kakhulu ikhono lakho lokushayela ngokuphepha, ikakhulukazi uma uqala ukuyithatha noma uma umthamo wakho ukhuphuka. Umuthi ubangela ukozela, isiyezi, futhi unganciphisa isikhathi sakho sokusabela.

Gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi i-meprobamate ikuthinta kanjani wena uqobo. Abanye abantu bajwayela imiphumela yokuthulisa ngaphakathi kwezinsuku ezimbalwa, kanti abanye bahlala bekhubazekile ngesikhathi sokwelashwa.

Noma ngabe uzizwa uqaphile, ukuxhumana kwakho nokwahlulela kungase kusaphazamiseke. Ucwaningo lubonisa ukuthi i-meprobamate ingaphazamisa ukusebenza kokushayela ngendlela efana notshwala, okwandisa ingozi yakho yezingozi.

Uma kumele ushayele, xoxa ngalokhu nodokotela wakho, ongase akwazi ukulungisa isimiso sakho sokulinganisa noma ancome ezinye izinketho zokuthutha uze ungabe usawuthatha umuthi.