Yini iMirtazapine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

IMirtazapine iyikhambi elilwa nokucindezeleka elisiza ukwelapha ukucindezeleka nokukhathazeka ngokulinganisela amakhemikhali athile ebuchosheni bakho. Ingaphansi kohlobo lwemithi ebizwa ngokuthi ama-tetracyclic antidepressants, asebenza ngendlela ehlukile kuma-antidepressants avamile afana nama-SSRI.

Lo muthi ubelokhu usiza abantu ukuthi balawule impilo yabo yengqondo amashumi eminyaka, futhi udokotela wakho angase akuphakamise uma ezinye izindlela zokwelapha zingasebenzi kahle kuwe. Ukuqonda ukuthi i-mirtazapine isebenza kanjani kungakusiza ukuthi uzizwe uqiniseka kakhulu ngohlelo lwakho lokwelapha.

Yini iMirtazapine?

IMirtazapine iyikhambi elilwa nokucindezeleka elinikezwa ngudokotela elithinta amakhemikhali obuchopho abizwa ngokuthi ama-neurotransmitters. Ikhomba ngqo i-serotonin ne-norepinephrine, izithunywa ezimbili ezibalulekile ezithonya imizwa yakho, ukulala, kanye nesifiso sokudla.

Ngokungafani namanye ama-antidepressants, i-mirtazapine ivame ukusiza ngezinkinga zokulala futhi ingakhuphula isifiso sokudla, okwenza kube usizo ikakhulukazi kubantu abalahlekelwe isisindo noma abahlushwa ukuqwasha kanye nokucindezeleka. Udokotela wakho angase akhethe lo muthi uma lezi zinzuzo ezengeziwe zingasiza ekululameni kwakho konke.

Umuthi uza ngamaphilisi avamile namaphilisi ancibilikayo owabeka olimini lwakho. Zombili lezi zinhlobo zisebenza kahle ngokulinganayo, ngakho udokotela wakho uzokusiza ukhethe ngokusekelwe kokuthandayo nezidingo zakho.

Yini iMirtazapine Esetshenziselwa Yona?

IMirtazapine ikakhulukazi inikezwa ukwelapha i-major depressive disorder, isimo esithinta izigidi zabantu emhlabeni jikelele. Ingasiza ukuqeda usizi oluqhubekayo, ukungabi nathemba, nokulahlekelwa intshisekelo okubonisa ukucindezeleka.

Ngaphandle kokucindezeleka, odokotela ngezinye izikhathi banikeza i-mirtazapine kwezinye izimo. Lokhu kuhlanganisa izifo zokukhathazeka, i-post-traumatic stress disorder, nezifo zokulala, ikakhulukazi uma lezi zimo zenzeka kanye nokucindezeleka.

Ngezinye izikhathi abahlinzeki bezempilo basebenzisa i-mirtazapine ukusiza ngezinkinga zesifiso sokudla noma ukuncipha okukhulu kwesisindo, ikakhulukazi kubantu abadala noma abantu abanezifo ezingapheli. Ikhono lomuthi lokwandisa isifiso sokudla lingaba usizo lapho ukudla okubi kuba yinkinga yezempilo.

Isebenza Kanjani I-Mirtazapine?

I-Mirtazapine isebenza ngokwandisa amazinga e-serotonin kanye ne-norepinephrine ebuchosheni bakho. Lawa makhemikhali asiza amangqamuzana ezinzwa ukuthi axhumane omunye nomunye futhi adlale indima ebalulekile ekulawuleni imizwa, ukulala, nesifiso sokudla.

Kucabange njengokusiza uhlelo lwemiyalezo lobuchopho bakho ukuthi lusebenze ngempumelelo. Uma lawa ma-neurotransmitters elinganisela, ungase uqaphele ukuthuthuka emizweni yakho, emazingeni amandla, kanye nomuzwa jikelele wokuzizwa kahle.

Lo muthi uthathwa njengomuthi oqinile phakathi kwama-antidepressants. Ivame ukuqala ukusebenza emasontweni ambalwa okuqala, nakuba izinzuzo eziphelele zingathatha amasonto angu-6 kuya kwangu-8 ukuthi zivele. Imiphumela yokuthulisa ngokuvamile yenzeka ngokushesha, yingakho abantu abaningi beqaphela ukulala okungcono ngokushesha.

Kufanele Ngiyithathe Kanjani I-Mirtazapine?

Thatha i-mirtazapine ngendlela eqondile udokotela wakho ayiyalayo, ngokuvamile kanye ngosuku kusihlwa ngaphambi kokulala. Isikhathi sisiza ukusebenzisa imiphumela yayo yokuthulisa, engathuthukisa ikhwalithi yakho yokulala.

Ungawuthatha lo muthi ngaphandle noma ngaphandle kokudla, nakuba abanye abantu bekuthola kulula esiswini sabo uma bethathwa nesnakhi esilula. Uma usebenzisa amaphilisi ancibilikayo, wawafake olwimini lwakho bese uwavumela ukuthi ancibilike ngokuphelele ngaphambi kokugwinya.

Nakhu okwenza ukuthatha i-mirtazapine kube lula futhi kuphumelele:

• Yithatha ngesikhathi esifanayo njalo kusihlwa ukuze ugcine amazinga aqhubekayo emzimbeni wakho
• Ungachobozi noma uhlafune amaphilisi avamile - ngawagwinye wonke ngamanzi
• Uma uzizwa ukozela ngakusasa ekuseni, khuluma nodokotela wakho mayelana nokulungisa isikhathi
• Gwema utshwala ngenkathi usebenzisa lo muthi, njengoba kungandisa ukozela
• Qhubeka ukuwuthatha ngisho noma uqala ukuzizwa ungcono, ngaphandle uma udokotela wakho ethi ngenye indlela

Lezi zinyathelo ezilula zingakusiza ukuthi uthole inzuzo enkulu emithini yakho ngenkathi unciphisa noma yikuphi ukungakhululeki.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Mirtazapine?

Abantu abaningi bathatha i-mirtazapine okungenani izinyanga eziyi-6 kuya kweziyi-12 ngemuva kokuthi izimpawu zabo zithuthuke. Lokhu kusiza ekuvikeleni ukucindezeleka ukuthi kungabuyi futhi kunike ubuchopho bakho isikhathi sokugcina izinguquko ezinhle.

Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngesimo sakho esithile. Izinto ezinjengokuthi ukucindezeleka kwakho kwakunzima kangakanani, ukuthi wake waba neziqephu ezedlule, nokuthi usabela kahle kangakanani emithini konke kunomthelela kulesi sinqumo.

Abanye abantu bangase badinge ukuthatha i-mirtazapine isikhathi eside, ngisho neminyaka, ikakhulukazi uma benokucindezeleka okuphindaphindayo. Lokhu kuvamile ngokuphelele futhi kuphephile uma kuqashwe ngumhlinzeki wakho wezempilo. Ungayeki ukuthatha i-mirtazapine ngokuzumayo, ngoba lokhu kungadala izimpawu zokuhoxisa.

Yiziphi Imiphumela Eceleni ye-Mirtazapine?

Njengayo yonke imithi, i-mirtazapine ingadala imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emithini emasontweni ambalwa okuqala.

Nawa imiphumela emibi evame kakhulu ongase uyibone:

• Ukozela noma ukuzola, ikakhulukazi emasontweni ambalwa okuqala
• Ukukhuphuka kwesifiso sokudla nokwanda kwesisindo
• Umlomo owomile ongase uthuthuke ngokuhamba kwesikhathi
• Isiyezi lapho usukuma ngokushesha kakhulu
• Ukuqunjelwa okuvame ukuphendula izinguquko ekudleni
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile

Le miphumela ngokuvamile iyalawuleka futhi ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi.

Abanye abantu bangase babe nemiphumela emibi engavamile kodwa ebalulekile. Lokhu kufaka phakathi amaphupho acacile, ukudideka okuncane, noma izinguquko emfuthe yegazi. Nakuba lokhu kungadingeki ukuthi kuyingozi, kufanelekile ukuxoxa ngakho nodokotela wakho uma kuqala ukukhathaza.

Ngokuvamile, i-mirtazapine ingabangela imiphumela emibi kakhulu edinga ukunakekelwa kwezempilo ngokushesha:

• Ukungezwani komzimba okukhulu okunezinduna, ukuvuvukala, noma ubunzima bokuphefumula
• Ushintsho olungavamile emzweleni noma ekuziphatheni, okuhlanganisa imicabango yokuzilimaza
• Izimpawu ze-serotonin syndrome uma zihlanganiswe neminye imithi
• Isiyezi esikhulu noma ukuquleka
• Ukulimala noma ukuphuma kwegazi okungavamile

Nakuba le miphumela emibi ingavamile, ukwazi ukuthi yini okufanele uyibheke kukusiza ukuthi uhlale uphephile futhi uthole ukunakekelwa okusheshayo uma kudingeka.

Ubani Ongafanele Athathwe I-Mirtazapine?

I-Mirtazapine ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile nemithi kungenza i-mirtazapine ingaphephile noma ingasebenzi kahle.

Akufanele uthathe i-mirtazapine uma njengamanje uthatha noma usanda kuyeka ukuthatha ama-MAO inhibitors, uhlobo lwe-antidepressant. Inhlanganisela ingabangela ukusebenzisana okuyingozi okuthinta umfutho wegazi lakho nomsebenzi wobuchopho.

Izimo eziningana zezempilo zidinga ukucatshangelwa okukhethekile ngaphambi kokuqala i-mirtazapine:

• Isifo sesibindi esibi noma izinso ezithinta indlela umzimba wakho oqhubula ngayo imithi
• Izimo zenhliziyo, ikakhulukazi ukushaya kwenhliziyo okungajwayelekile noma ukuhlaselwa yinhliziyo kwakamuva
• Umlando wokugula noma isithuthwane
• Isifo se-Bipolar, njengoba ama-antidepressants engabangela izigameko ze-manic
• I-Glaucoma, ngoba umuthi ungakhuphula ingcindezi yamehlo
• I-prostate enwetshiwe noma izinkinga zokugcinwa komchamo

Uma unezinye zalezi zimo, udokotela wakho uzohlola izinzuzo ngokumelene nezingozi futhi angakhetha ezinye izindlela zokwelapha noma akuqaphele eduze.

Ubudala nabo badlala indima ekusetshenzisweni kwe-mirtazapine. Abantu abasha abangaphansi kweminyaka engama-25 bangase babe nengozi ephakeme kancane yokucabanga ngokuzibulala lapho beqala ama-antidepressants, ngakho-ke ukuqapha eduze kubalulekile ezinyangeni zokuqala zokwelashwa.

Amagama Omkhiqizo we-Mirtazapine

I-Mirtazapine itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Remeron iyona eyaziwa kakhulu. Ungase futhi uyibone ithengiswa njenge-Remeron SolTab, okuyifomu lethebhulethi elincibilikayo.

Izinhlobo ze-generic ze-mirtazapine zisebenza kahle njengezinhlobo zegama lomkhiqizo futhi ziqukethe isithako esifanayo esisebenzayo. Ikhemisi lakho lingashintsha ngokuzenzakalelayo inguqulo ye-generic ukusiza ukunciphisa izindleko, okuyinto ephephile futhi esebenzayo.

Noma ngabe uthola i-mirtazapine yegama lomkhiqizo noma i-generic, umuthi uzoba nemiphumela efanayo yokwelapha. Umehluko omkhulu uvame ukuba ngentengo futhi ngezinye izikhathi ngezithako ezingasebenzi ezisetshenziswa kuthebhulethi.

Ezinye Izindlela ze-Mirtazapine

Uma i-mirtazapine ingakulungele, ama-antidepressants amaningi angasiza ekwelapheni ukucindezeleka nokukhathazeka. Udokotela wakho angase acabangele ama-SSRI afana ne-sertraline noma i-fluoxetine, asebenza ngendlela ehlukile futhi anezinhlobo ezihlukene zemiphumela emibi.

Ezinye izinketho zihlanganisa ama-SNRI afana ne-venlafaxine noma i-duloxetine, athinta kokubili i-serotonin ne-norepinephrine njenge-mirtazapine kodwa ngendlela ehlukile. Lokhu kungaba izinqumo ezinhle uma udinga imiphumela ye-antidepressant ngaphandle kokuthuliswa noma ukukhuluphala.

Kubantu abanezinkinga zocansi ngamanye ama-antidepressants, i-bupropion ingaba enye indlela. Isebenza kumakhemikhali ahlukene obuchopho futhi ngokuvamile ayibangeli izinkinga zocansi ezingabangelwa amanye ama-antidepressants.

Ngezinye izikhathi, udokotela wakho angase ancome ukuhlanganisa imithi noma ukwengeza ukwelashwa ohlelweni lwakho lokwelapha. Indlela engcono kakhulu incike ezimpawini zakho ezithile, umlando wakho wezokwelapha, nokuthi usabele kanjani ekwelashweni kwangaphambilini.

Ingabe i-Mirtazapine Ingcono Kune-Sertraline?

I-Mirtazapine ne-sertraline zombili ziyizidambisi zokucindezeleka eziphumelelayo, kodwa zisebenza ngendlela ehlukile futhi zivumela izidingo zabantu abahlukene. Akukho noyedwa ongcono kunomunye - ukukhetha kuncike ezimpawini zakho ezithile kanye nezimo.

I-Mirtazapine ingaba yindlela engcono uma unenkinga yokulala, ulahlekelwe isisindo ngenxa yokucindezeleka, noma ube nezinkinga zocansi ngamanye ama-antidepressants. Imiphumela yayo yokuthulisa nokukhuthaza ukudla kungaba usizo kubantu abanalezi zinkinga ezithile.

I-Sertraline ingase ithandwe uma ukhathazekile ngokukhuluphala noma ukuthuliswa ngokweqile. Ivame futhi ukukhethwa njengokwelashwa komugqa wokuqala ngoba inokuxhumana okuncane neminye imithi futhi ivame ukubekezelelwa kahle.

Udokotela wakho uzocabangela izinto ezinjengendlela yakho yezimpawu, ezinye izimo zempilo, imithi oyithathayo, kanye nokuhlangenwe nakho kwakho kwangaphambilini ngama-antidepressants lapho wenza lesi sinqumo. Zombili lezi zithako zingasebenza kahle kakhulu uma zihambisana nomuntu ofanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Mirtazapine

Q1. Ingabe i-Mirtazapine iphephile ezigulini zenhliziyo?

IMirtazapine ingasetshenziswa ngokuphepha ngabantu abaningi abanezifo zenhliziyo, kodwa idinga ukuqashwa ngokucophelela ngudokotela wakho. Umuthi ungabangela izinguquko emfuthekweni wegazi nesigqi senhliziyo, ikakhulukazi uma uqala ukuwuthatha.

Uma unesifo senhliziyo, udokotela wakho cishe uzoqala ngomthamo ophansi futhi aqaphele ukusebenza kwenhliziyo yakho ngokucophelela. Bangase futhi ba-ode izivivinyo ezengeziwe njenge-EKGs ukuqinisekisa ukuthi inhliziyo yakho iyawusingatha kahle umuthi.

Q2. Kufanele Ngenzeni Uma Ngithatha I-Mirtazapine Engaphezu Kwemithamo Ngengozi?

Uma ngengozi uthatha i-mirtazapine eningi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kungabangela ukuthula okuyingozi, ukudideka, noma izinkinga zenhliziyo ezingase zingaveli ngokushesha.

Ngesikhathi ulinde iseluleko sezokwelapha, hlala uvukile futhi uqaphile uma kungenzeka. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo yisisebenzi sezempilo. Gcina ibhodlela lomuthi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi uthathe ini nokuthi uthathe malini.

Q3. Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Mirtazapine?

Uma uphuthelwa umthamo wakho wasemini we-mirtazapine, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela engemihle. Uma uvame ukukhohlwa imithamo, cabangela ukusetha isikhumbuzi sansuku zonke ocingweni lwakho noma usebenzise umhleli wamaphilisi.

Q4. Ngingayeka Nini Ukuthatha I-Mirtazapine?

Kufanele uyeke kuphela ukuthatha i-mirtazapine ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa njengokugajezwa, isicanucanu, ikhanda, kanye nezinguquko zemizwa.

Udkt wakho ngokuvamile uzokwehlisa umthamo wakho kancane kancane emasontweni amaningana noma izinyanga. Le nqubo yokunciphisa isiza ubuchopho bakho ukuthi bujwayele ushintsho futhi inciphisa izimpawu zokuhoxiswa. Isikhathi esiqondile sincike ekutheni usithathe isikhathi esingakanani umuthi nokuthi umzimba wakho usabela kanjani.

Q5. Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Mirtazapine?

Kungcono ukugwema utshwala ngenkathi uthatha i-mirtazapine, njengoba le nhlanganisela ingakhuphula kakhulu ukozela futhi iphazamise ukucabanga kwakho nokuxhumana. Lokhu kungenza imisebenzi efana nokushayela ibe yingozi.

Utshwala bungaphazamisa nokusebenza komuthi futhi bungase luqhubekisele phambili izimpawu zokucindezeleka. Uma ukhetha ukuphuza ngezikhathi ezithile, zinciphise ezingxenyeni ezincane futhi ungalokothi uphuze futhi ushayele noma usebenzise imishini.