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

I-Nortriptyline iyimithi kadokotela eyingxenye yeqembu lemithi ebizwa ngokuthi ama-tricyclic antidepressants. Ngenkathi yaqala ukuthuthukiswa ukwelapha ukucindezeleka, odokotela manje bayayisebenzisela izimo ezihlukahlukene ezihlanganisa ubuhlungu obungapheli, ubuhlungu bemizwa, kanye nokuvimbela i-migraine.

Le mithi isebenza ngokulinganisa amakhemikhali athile ebuchosheni bakho, ikakhulukazi i-norepinephrine ne-serotonin. Lezi zinto zemvelo zisiza ukulawula imizwa, izimpawu zobuhlungu, kanye namaphethini okulala. Cabanga nge-nortriptyline njengomsizi omuhle onika uhlelo lokuxhumana lobuchopho bakho ukusekelwa oludingayo ukuze lusebenze kahle.

Yini i-Nortriptyline?

I-Nortriptyline iyi-tricyclic antidepressant esize abantu amashumi eminyaka. Ithathwa njengemithi enamandla aphakathi nendawo esebenza kancane kancane ukuthuthukisa izimpawu kunokunikeza ukukhululeka ngokushesha.

Umuthi uza ngesimo samaphilisi futhi uthathwa ngomlomo, ngokuvamile kanye ngosuku. Udokotela wakho uzoqoka umthamo oqondile olungile ngesimo sakho esithile nezidingo zempilo. I-Nortriptyline iyatholakala njengemithi ejwayelekile, okuyenza ibe yindlela engabizi kubantu abaningi.

Ngokungafani nama-antidepressants amasha, i-nortriptyline ithinta amakhemikhali amaningi obuchopho ngesikhathi esisodwa. Lesi senzo esibanzi sichaza ukuthi kungani singasebenza kahle ezinhlotsheni ezahlukene zezimo ezingaphezu kokucindezeleka.

Yini i-Nortriptyline Esetshenziselwa Yona?

I-Nortriptyline isiza ngezimo eziningana zempilo ezihlukene. Udokotela wakho angase ayiqokele ukucindezeleka, izimo zobuhlungu obungapheli, noma ukuvimbela i-migraine.

Ngokucindezeleka, i-nortriptyline ingasiza ukuphakamisa imizwa yakho futhi ibuyisele intshisekelo emisebenzini yansuku zonke. Ilusizo ikakhulukazi kubantu abahlangabezana nezinkinga zokulala noma izimpawu zomzimba kanye nokucindezeleka kwabo.

Odokotela abaningi bancoma i-nortriptyline ngezimo zobuhlungu bemizwa ezinjenge-diabetic neuropathy noma ubuhlungu obulandela i-shingles. Umuthi unganciphisa ukusha, ukuluma, noma ubuhlungu obuqhumayo obuhambisana nemizwa elimele. Isebenza ngokushintsha indlela uhlelo lwakho lwezinzwa olucubungula ngayo izimpawu zobuhlungu.

Uma uhlushwa yi-migraines evame ukwenzeka, i-nortriptyline ingasiza ekuvikeleni ukuthi zingenzeki. Akuyona imithi yokudambisa ubuhlungu oyithathayo ngesikhathi se-migraine, kodwa kunalokho umuthi wansuku zonke onganciphisa ukuthi ama-migraines enzeka kaningi kangakanani.

Abanye odokotela basebenzisa i-nortriptyline kwezinye izimo ezinjengokukhathala okungapheli, i-fibromyalgia, noma izifo ezithile zokulala. Lokhu kuthathwa njengokusebenzisa

Thatha i-nortriptyline ngendlela eqondile udokotela wakho ayikuyala ngayo, ngokuvamile kanye ngosuku ngesikhathi sokulala. Umuthi ungakwenza ukozela, ngakho ukuwuthatha ngaphambi kokulala kuvame ukusebenza kangcono futhi kusiza ukunciphisa ukozela emini.

Ungayithatha i-nortriptyline ngaphandle noma ngaphandle kokudla, kodwa ukuyithatha nesnakhi esilula kungasiza ekuvikeleni isisu esibuhlungu. Gwema ukuyithatha notshwala, njengoba le nhlanganisela ingakhuphula ukozela neminye imiphumela emibi kakhulu.

Gwinya ikhaphule ngokugcwele ngenkomishi yamanzi egcwele. Ungayichobozi, uhlafune, noma uvule ikhaphule, njengoba lokhu kungathinta indlela umuthi ogxiliswa ngayo emzimbeni wakho. Uma unenkinga yokugwinya amakhaphule, khuluma nodokotela wakho mayelana nezinketho ezingezinye.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukuze usize umzimba wakho ukugcina amazinga aqhubekayo. Ukusetha isikhumbuzi sefoni noma ukugcina umuthi eduze kombhede wakho kungakusiza ukukhumbula umthamo wakho wansuku zonke.

Ungayeki ukuthatha i-nortriptyline ngokuzumayo, ngisho noma uzizwa ungcono. Udokotela wakho uzodinga ukunciphisa kancane umthamo wakho ngokuhamba kwesikhathi ukuze avimbele izimpawu zokuhoxisa njengokugajeka, isicanucanu, noma imizwa efana nomkhuhlane.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nortriptyline?

Ubude bokwelashwa nge-nortriptyline buxhomeke esimweni sakho esithile nokuthi usabela kahle kangakanani emuthini. Ngokucindezeleka, abantu abaningi badinga ukuyithatha okungenani izinyanga eziyisithupha kuya ngonyaka ngemuva kokuthi izimpawu zithuthuke.

Uma usebenzisa i-nortriptyline ngobuhlungu obungapheli noma ukuvimbela i-migraine, ungase udinge ukuyithatha izinyanga eziningana noma ngisho nangaphezulu. Udokotela wakho uzohlola njalo ukuthi umuthi usasiza yini nokuthi udinga yini ukuqhubeka nokwelashwa.

Kuvamile ukuthatha amasonto angu-2-4 ukuqaphela izinzuzo ezigcwele ze-nortriptyline. Abanye abantu bangase bazwe ukuthuthuka okuncane ngaphambili, kodwa umuthi udinga isikhathi sokwakha ohlelweni lwakho futhi udale izinguquko eziqhubekayo ekhemistri yobuchopho.

Udokotela wakho angase akuqale ngomthamo ophansi bese ewunyusa kancane kancane uze ufinyelele inani elisebenzayo kakhulu lezimpawu zakho. Le ndlela ehamba kancane isiza umzimba wakho ukuthi ujwayele futhi inciphisa ingozi yemiphumela emibi.

Ungayeki ukuthatha i-nortriptyline ngaphandle kokukhuluma nodokotela wakho kuqala. Noma ngabe uzizwa ungcono ngokuphelele, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa ezingakhululekile futhi kungavumela isimo sakho sokuqala ukuthi sibuye.

Yini Imiphumela Emibi ye-Nortriptyline?

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

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukozela, umlomo owomile, ukuqunjelwa, nombono ongacacile. Le miphumela yenzeka ngoba i-nortriptyline ithinta izinhlelo ezihlukahlukene emzimbeni wakho, hhayi nje amakhemikhali obuchopho bakho.

Nansi imiphumela emibi ongase uhlangabezane nayo:

• Ukozela noma ukukhathala emini
• Umlomo owomile okwenza ufune ukuphuza amanzi amaningi
• Ukuqunjelwa noma izinguquko ekuhambeni kwamathumbu
• Umbono ongacacile noma ubunzima bokugxilisa amehlo akho
• Isiyezi lapho usukuma ngokushesha
• Ukukhuluphala ngokuhamba kwesikhathi
• Ubunzima bokuchama noma ukuzwa sengathi awukwazi ukukhipha umchamo wakho ngokuphelele

Le miphumela emibi ejwayelekile ivame ukulawuleka futhi ivame ukuba ngaphansi kokuphazamisa njengoba umzimba wakho ujwayela imithi.

Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Lokhu kufaka phakathi izinguquko ezinkulu ekushayeni kwenhliziyo, ukudideka okukhulu, noma ubunzima bokuphefumula.

Nansi imiphumela emibi engathi sína edinga ukunakekelwa kwezokwelapha ngokushesha:

• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ukudideka okukhulu noma izinkinga zenkumbulo
• Ubunzima bokuphefumula noma ukuphelelwa umoya
• Isiyezi esikhulu noma ukuquleka
• Ukuphuma kwegazi okungajwayelekile noma ukulimala
• Ukuphuzi kwesikhumba noma amehlo
• Ubuhlungu obukhulu besisu

Uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo.

Imiphumela emibi engavamile kodwa ebucayi ingabandakanya ukusabela okukhulu komzimba, izinguquko ezinkulu emfuthe yegazi, noma izinkinga ngesigqi senhliziyo yakho. Noma lezi zinto ezingavamile, kubalulekile ukuzazi, ikakhulukazi uma unezimo zenhliziyo ezikhona.

Ubani Ongafanele Athatha I-Nortriptyline?

Abantu abathile kufanele bagweme i-nortriptyline ngenxa yengozi eyengeziwe yezinkinga ezinkulu. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuchazela lo muthi.

Uma uke wahlaselwa yinhliziyo muva nje, i-nortriptyline ayiphephile kuwe. Lo muthi ungathinta isigqi senhliziyo nomfutho wegazi, okungaba yingozi ngesikhathi sokululama ekuhlaselweni yinhliziyo. Udokotela wakho uzoncoma ezinye izindlela zokwelapha eziphephe kakhulu enhliziyweni yakho.

Abantu abanezimo ezithile zenhliziyo badinga ukuqapha okwengeziwe noma bangase badinge ukugwema i-nortriptyline ngokuphelele. Lokhu kufaka phakathi isigqi senhliziyo esingajwayelekile, ukuvinjelwa kwenhliziyo, noma ukuhluleka kwenhliziyo okukhulu. Udokotela wakho angase ayalele ukuhlolwa kwenhliziyo ngaphambi kokuqala umuthi.

Nawa amaphuzu amakhulu enza i-nortriptyline ingafaneleki noma idinga ukuqapha okukhethekile:

• Ukuhlaselwa yinhliziyo kwakamuva (ngaphakathi kwenyanga edlule)
• Izinkinga ezinkulu zesigqi senhliziyo
• I-glaucoma ye-narrow-angle
• Isifo sesibindi esibi kakhulu
• Izinkinga zokugcinwa komchamo
• Isifo sezinso esibi kakhulu
• Ukuphazamiseka okusebenzayo kokuthuthumela

Lezi zimo zidinga ukuthi udokotela wakho akhethe omunye umuthi noma akuqaphe eduze kakhulu uma i-nortriptyline iyindlela yakho engcono yokwelapha.

Uma ukhulelwe noma uhlela ukukhulelwa, xoxa ngezingozi nezinzuzo nodokotela wakho. I-Nortriptyline ingawela i-placenta futhi ingase imthinte umntwana wakho osakhula, nakuba ngezinye izikhathi izinzuzo zidlula izingozi.

Abantu abadala ngokuvamile badinga imithamo ephansi ye-nortriptyline ngoba bazwela kakhulu emiphumeleni yayo. Ushintsho oluhlobene nobudala endleleni umzimba oqhubula ngayo imithi lungakhuphula ingozi yemiphumela emibi efana nokuwa, ukudideka, noma izinkinga zenhliziyo.

Amagama Omkhiqizo we-Nortriptyline

I-Nortriptyline iyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile ivame kakhulu ukunqunywa. Igama lomkhiqizo elaziwa kakhulu yi-Pamelor, ebelitholakala iminyaka eminingi.

Amanye amagama omkhiqizo afaka i-Aventyl HCl, nakuba lokhu kungasetshenziswa kakhulu namuhla. Amakhemisi amaningi agcina inguqulo ejwayelekile ye-nortriptyline, equkethe isithako esifanayo esisebenzayo futhi esebenza ngendlela efanayo nezinguqulo zamagama omkhiqizo.

I-nortriptyline ejwayelekile ngokuvamile ibiza kakhulu kunezinguqulo zamagama omkhiqizo. Izinhlelo zomshuwalense zivame ukukhetha inguqulo ejwayelekile, futhi odokotela abaningi bayincoma kuqala ngaphandle uma kunesizathu esithile sokusebenzisa igama lomkhiqizo.

Noma ngabe uthola i-nortriptyline ejwayelekile noma yegama lomkhiqizo, ukusebenza kahle komuthi kanye nephrofayili yokuphepha kuhlala kufana. Umehluko omkhulu uvame ukuba ekubukekeni kwe-capsule nasezindlekweni.

Ezinye izindlela ze-Nortriptyline

Imithi eminingi ehlukile ingelapha izimo ezifanayo ne-nortriptyline. Udokotela wakho angase acabangele lezi zinketho uma i-nortriptyline ingakulungele noma uma uhlangabezana nemiphumela emibi ekhathazayo.

Ngeminyaka yokucindezeleka, ama-antidepressants amasha afana ne-sertraline (Zoloft) noma i-escitalopram (Lexapro) angase abekezelelwe kangcono. Le mithi ngokuvamile ibangela imiphumela emibi embalwa, nakuba ingase ingasebenzi kahle ezinhlotsheni ezithile zokucindezeleka noma izimo zobuhlungu.

Uma usebenzisa i-nortriptyline ngenxa yobuhlungu bemizwa, ezinye izindlela zihlanganisa i-gabapentin, i-pregabalin, noma i-duloxetine. Le mithi isebenza ngendlela ehlukile kune-nortriptyline kodwa ingasebenza ngokulinganayo ekuphatheni izimo zobuhlungu ezingapheli.

Ukuvimbela i-migraine, ezinye izinketho zihlanganisa i-topiramate, i-propranolol, noma imithi emisha eyenzelwe ngqo ukuvimbela i-migraine. Udokotela wakho uzocabangela ezinye izimo zakho zempilo lapho ekhetha enye indlela engcono kakhulu.

Ngezinye izikhathi udokotela wakho angase ancome ukuhlanganisa umthamo ophansi we-nortriptyline nomunye umuthi ukuze kuncishiswe imiphumela emibi ngenkathi kugcinwa ukusebenza kahle. Le ndlela ingasiza ikakhulukazi ezimweni eziyinkimbinkimbi ezihilela kokubili imizwa nezimpawu zobuhlungu.

Ingabe i-Nortriptyline Ingcono Kune-Amitriptyline?

I-Nortriptyline ne-amitriptyline zombili ziyizidambisi zokucindezeleka ze-tricyclic, kodwa i-nortriptyline ngokuvamile ithathwa njengenenani elincane lemiphumela emibi. Yomibili le mithi isebenza ngendlela efanayo, kodwa i-nortriptyline ivame ukubekezelelwa kangcono ngabantu abaningi.

Inzuzo enkulu ye-nortriptyline phezu kwe-amitriptyline ukuthi ngokuvamile ibangela ukulala okuncane, umlomo owomile, nokuqunjelwa. Lokhu kwenza kube lula ngabantu ukuqhubeka nemisebenzi yabo yansuku zonke ngaphandle kokuzizwa belale kakhulu noma bengakhululekile.

I-Amitriptyline ingasebenza kangcono kancane ezinhlotsheni ezithile zokucindezeleka okukhulu noma ubuhlungu obungapheli, kodwa umehluko uvame ukuba mncane. Odokotela abaningi bakhetha ukuqala nge-nortriptyline ngoba iziguli zivame ukuyibekezelela kahle futhi ziqhubeke nokwelashwa.

Yomibili le mithi ithatha isikhathi esifanayo ukusebenza futhi inokusebenza okufanayo ezimweni eziningi. Ukukhetha phakathi kwazo kuvame ukwehla emiphumeleni emibi ozimisele ukuyiphatha nokuthi umzimba wakho usabela kanjani emithini ngayinye.

Udkt wenu uzocabangela izimpawu zakho ezithile, eminye imithi oyithathayo, kanye nempilo yakho yonke lapho enquma phakathi kwe-nortriptyline ne-amitriptyline. Ngezinye izikhathi ukuzama eyodwa bese ushintshela kwenye kusiza ukuthola okungcono kakhulu okuhambisana nezidingo zakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Nortriptyline

Ingabe i-Nortriptyline iphephile ezimweni zenhliziyo?

I-Nortriptyline idinga ukuhlolwa ngokucophelela uma unezimo zenhliziyo. Umuthi ungathinta ukushaya kwenhliziyo nomfutho wegazi, ngakho udokotela wakho uzodinga ukuhlola impilo yakho yenhliziyo ethile ngaphambi kokuwubhala.

Uma unezimo zenhliziyo ezilula, udokotela wakho angase akwazi ukukubhala i-nortriptyline kodwa uzokuqapha eduze. Lokhu kungabandakanya ukuhlolwa okujwayelekile kokushaya kwenhliziyo noma ukuqapha umfutho wegazi ukuze kuqinisekiswe ukuthi umuthi awubangeli izinkinga.

Kubantu abanezimo zenhliziyo ezinzima njengokuhlaselwa yinhliziyo kwakamuva, ama-arrhythmias amakhulu, noma ukuvinjelwa kwenhliziyo, i-nortriptyline ngokuvamile ayinconyelwe. Udokotela wakho uzohlola ezinye izindlela eziphephile ezingelapha isimo sakho ngaphandle kokufaka engozini izinkinga zenhliziyo.

Ngingenzani uma ngiphuzile i-Nortriptyline eningi ngengozi?

Uma ngengozi uphuze i-nortriptyline eningi, xhumana nokulawulwa ngobuthi noma funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha. Izimpawu zokweqisa zingaba zinkulu futhi zihlanganisa ukozela okukhulu, ukudideka, ukushaya kwenhliziyo okungajwayelekile, noma ubunzima bokuphefumula.

Ungazami ukuzenza uhlanze noma ulinde ukubona ukuthi uzizwa ulungile yini. Ukweqisa kwe-Nortriptyline kungaba yingozi, futhi ochwepheshe bezokwelapha badinga ukukuhlola ngisho noma uzizwa ulungile ekuqaleni. Izimpawu zingase zingaveli ngokushesha kodwa zingathuthuka emahoreni amaningana.

Letha ibhodlela lomuthi nawe egumbini eliphuthumayo ukuze odokotela bazi kahle ukuthi yini oyithathile nokuthi nini. Lolu lwazi lubasiza ukuthi banikeze ukwelashwa okufanele kakhulu esimweni sakho esithile.

Ngingenzani uma ngiphuthelwa umthamo we-Nortriptyline?

Uma uphuthelwa umthamo we-nortriptyline, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi.

Uma ukhumbula umthamo ophuthelwe ngesikhathi esiseduze nokulala futhi uvamise ukuthatha i-nortriptyline ebusuku, qhubeka uyithathe. Kodwa-ke, uma ukhumbula ekuseni ngakusasa futhi sekudlule amahora angaphezu kuka-12, vele weqe umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina ukuthatha imithi nsuku zonke ukuze uthole imiphumela engcono kakhulu. Ukusetha isikhumbuzi sansuku zonke ocingweni lwakho noma ukugcina umuthi endaweni ebonakalayo kungakusiza ukuthi ukhumbule.

Ngingayeka nini ukuthatha i-Nortriptyline?

Ungayeki ukuthatha i-nortriptyline kungazelelwe ngaphandle kokukhuluma nodokotela wakho kuqala. Noma ngabe uzizwa ungcono ngokuphelele, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa ezingakhululekile njengokuphatheka kabi ikhanda, isicanucanu, ikhanda elibuhlungu, noma imizwa efana nomkhuhlane.

Udokotela wakho uzokwenza isimiso sokunciphisa kancane kancane esinciphisa kancane umthamo wakho emasontweni amaningana noma izinyanga. Lokhu kunika umzimba wakho isikhathi sokuzivumelanisa futhi kunciphisa izimpawu zokuhoxisa ngenkathi kunciphisa ingozi yokuthi isimo sakho sokuqala sibuye.

Isikhathi sokuyeka i-nortriptyline sincike esimweni sakho nokuthi usithatha isikhathi esingakanani. Ngokucindezeleka, odokotela bavame ukuncoma ukuqhubeka nokwelashwa okungenani izinyanga eziyisithupha ngemuva kokuthi izimpawu zithuthuke ukuvimbela ukuphindeka.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Nortriptyline?

Kungcono ukugwema utshwala ngenkathi uthatha i-nortriptyline noma ukulinganisele ezingxenyeni ezincane kakhulu ngemvume kadokotela wakho. Utshwala bungakhuphula kakhulu ukozela nokuphatheka kabi ikhanda okubangelwa yi-nortriptyline, okwenza kube yingozi ukushayela noma ukusebenzisa imishini.

Ukuhlanganiswa kotshwala ne-nortriptyline kungakhuphula nengozi yokuwa, ikakhulukazi kubantu abadala. Zombili lezi zinto zinganciphisa umfutho wegazi futhi zithinte ukuxhumana, okudala umphumela okhuphula ingozi yezingozi.

Uma ukhetha ukuphuza utshwala ngezikhathi ezithile, qala ngamanani amancane kakhulu ukuze ubone ukuthi umzimba wakho usabela kanjani. Ungalokothi uphuze utshwala uma usuvele uzwa ukozela okukhulu noma isiyezi esivela ku-nortriptyline, futhi ngaso sonke isikhathi ube nomshayeli oqokiwe noma ezinye izindlela zokuhamba ezilungile.