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

I-Paroxetine iyisidambisi sokucindezeleka esitholakala ngemiyalelo kadokotela esingaphansi kweqembu lemithi ebizwa ngokuthi ama-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokusiza ubuchopho bakho ukuthi bugcine amazinga angcono e-serotonin, umlayezo wamakhemikhali othinta imizwa, imizwelo, kanye nenhlalakahle yengqondo iyonke.

Cabanga nge-serotonin njengokuzinza kwemizwa yobuchopho bakho. Uma ungenayo ngokwanele, ungaqala ukucindezeleka, ukukhathazeka, noma ezinye izinselelo zempilo yengqondo. I-Paroxetine ngobumnene isiza ukugcina i-serotonin eningi isebenza ebuchosheni bakho, okungasiza ukuthuthukisa izimpawu zakho ngokuhamba kwesikhathi.

Isetshenziselwani i-Paroxetine?

I-Paroxetine ngokuyinhloko inikezwa ukwelapha ukucindezeleka kanye nezimo eziningana ezihlobene nokukhathazeka. Udokotela wakho angase ayincomise uma ubhekene nemizwa eqhubekayo yokudabuka, ukukhathazeka, noma ezinye izimpawu eziphazamisa impilo yakho yansuku zonke.

Lo muthi uvame ukusetshenziselwa ukusiza abantu ukuthi baphathe i-major depressive disorder, lapho ungase uzizwe uphansi njalo, ungenathemba, noma ulahlekelwe intshisekelo emisebenzini obuyijabulela. Ingaletha imiphumela emihle kakhulu ekukhathazekeni okujwayelekile, okubandakanya ukukhathazeka ngokweqile ngezimo zansuku zonke.

Ngaphandle kwalokhu okusetshenziswa kakhulu, i-paroxetine ingasiza ngokuphazamiseka kokwesaba, lapho uhlangabezana neziqephu ezingazelelwe, ezinzima zokwesaba noma ukungakhululeki. I-Social anxiety disorder ngesinye isimo esisiphatha kahle, sisiza abantu ukuthi bazizwe bekhululekile ezimweni zomphakathi ezazibangela ukucindezeleka okukhulu.

Udokotela wakho angase futhi anikeze i-paroxetine ye-post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), noma premenstrual dysphoric disorder (PMDD). Ngasinye salezi zimo sihilela izimpawu ezihlukene, kodwa zonke zingazuza ngendlela i-paroxetine esiza ngayo ukulinganisela amakhemikhali obuchopho.

Isebenza Kanjani i-Paroxetine?

I-Paroxetine isebenza ngokuvimba ukumuncwa kabusha kwe-serotonin ebuchosheni bakho. Lokhu kusho ukuthi i-serotonin eningi ihlala itholakala phakathi kwamaseli ezinzwa, okusiza ukuthuthukisa ukuxhumana ezindaweni ezilawula imizwa nemizwelo.

Njenge-SSRI, i-paroxetine ithathwa njenge-antidepressant enamandla amaphakathi. Inamandla kakhulu kunezinye izidakamizwa ezinjenge-sertraline kodwa ngokuvamile inobungane kune-tricyclic antidepressants. Lokhu kuyenza ibe yindlela enhle ephakathi nendawo kubantu abaningi.

Umuthi awusebenzi ngokushesha njengoba umbulali wezinhlungu engenza. Kunalokho, yakha kancane kancane ohlelweni lwakho emavikini amaningana. Abantu abaningi baqala ukuqaphela ukuthuthuka okuthile ezimpawini zabo ngemva kwamasonto angu-2-4, nakuba kungathatha amasonto angu-6-8 ukuzwa izinzuzo eziphelele.

Ubuchopho bakho budinga isikhathi sokuzivumelanisa namazinga e-serotonin andisiwe futhi bakhe amaphethini amasha, anempilo okucabanga nokuzizwa. Yingakho ukubekezela kubaluleke kakhulu lapho uqala i-paroxetine.

Ngingayithatha kanjani i-Paroxetine?

Thatha i-paroxetine ngendlela eqondile udokotela wakho ayikuyala ngayo, ngokuvamile kanye ngosuku ekuseni nokudla noma ngaphandle kokudla. Ukuyithatha ekuseni kungasiza ekuvikeleni ukuthi ingaphazamisi ukulala kwakho, nakuba abanye abantu benza kangcono ngokuyithatha kusihlwa.

Ungathatha i-paroxetine ngamanzi, ubisi, noma ijusi. Ukudla akuthinti ngendlela ebalulekile indlela umzimba wakho ogcina ngayo umuthi, ngakho-ke ungaqala ukuyithatha ekuseni noma esiswini esingenalutho ngokusekelwe kulokho okuzizwa ukhululekile ngakho.

Uma uhlangabezana nesisu esibuhlungu, zama ukuyithatha nokudla noma ukudla okulula. Abanye abantu bathola ukuthi ukudla okuthile okungenambitheki njengosinkwa noma ama-crackers kusiza ukunciphisa noma yikuphi ukuphatheka kabi kokuqala kokugaya.

Gwinya ithebhulethi noma ikhaphula yonke ngaphandle kokuyichoboza, ukuyihlafuna, noma ukuyiqhekeza. Uma uthatha uhlobo oluwuketshezi, sebenzisa idivayisi yokulinganisa ehambisana nomuthi wakho ukuze uqinisekise ukuthi uthola umthamo ofanele.

Zama ukuthatha imithi yakho ngesikhathi esifanayo nsuku zonke. Lokhu kusiza ukugcina amazinga aqhubekayo egazini lakho futhi kwenza kube lula ukukhumbula umthamo wakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Paroxetine?

Ubude bokwelashwa nge-paroxetine buhlukahluka kakhulu kuye ngesimo sakho somuntu ngamunye nokuthi usabela kanjani emuthini. Abantu abaningi badinga ukuyithatha okungenani izinyanga eziyi-6-12 ukuze babone izinzuzo ezihlala njalo.

Ngokucindezeleka, odokotela abaningi batusa ukuqhubeka nokwelashwa izinyanga eziyi-6-9 ngemuva kokuthi izimpawu zakho zithuthuke. Lokhu kusiza ukuvimbela ukucindezeleka ukuthi kungabuyi futhi kunike ubuchopho bakho isikhathi sokusungula amaphethini anempilo.

Uma unezifo zokukhathazeka, ungase udinge ukuthatha i-paroxetine unyaka noma ngaphezulu. Abanye abantu abanezimo zempilo yengqondo eziphindaphindayo bayithatha iminyaka eminingi noma isikhathi eside ukuze bagcine inhlalakahle yabo.

Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngobunzima bezimpawu zakho, ukuthi usabela kahle kangakanani ekwelashweni, nokuthi ngabe uke waba neziqephu ezedlule. Ungayeki ukuthatha i-paroxetine ngokuzumayo ngaphandle kokukhuluma nomhlinzeki wakho wezempilo kuqala.

Yiziphi Imiphumela Eceleni Ye-Paroxetine?

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

Imiphumela emibi evame kakhulu ongase uyibone ihlanganisa isicanucanu, ukozela, isiyezi, nomlomo owomile. Lokhu kuvamile ukwenzeka ngesonto lokuqala noma lesibili lokwelashwa futhi ngokuvamile kuba ngaphansi kokukhathaza njengoba uqhubeka nokuthatha umuthi.

Nawa amanye imiphumela emibi evame kakhulu abanye abantu abayitholayo:

• Isicanucanu noma isisu esibuhlungu
• Ukozela noma ukukhathala
• Isiyezi, ikakhulukazi uma usukuma
• Umlomo owomile
• Ukuqunjelwa
• Ukujuluka okungaphezu kokujwayelekile
• Ushintsho ekudleni
• Izinkinga zokulala noma amaphupho acacile

Imiphumela emibi yezocansi nayo ingenzeka, okuhlanganisa ukwehla kwentshisekelo yezocansi noma ubunzima bokufinyelela i-orgasm. Le miphumela ivamise ukuba yesikhashana kodwa ingakhathaza. Unganqikazi ukuxoxa ngalokhu nodokotela wakho uma kuba nenkinga.

Abanye abantu bahlangabezana nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezokwelapha. Lokhu kufaka phakathi izinguquko ezinzima zemizwa, imicabango yokuzilimaza, ukuphuma kwegazi okungavamile noma ukuqina, noma izinhlungu zekhanda ezinzima.

Imiphumela emibi engavamile kodwa ebucayi ihlanganisa i-serotonin syndrome, engenzeka uma uthatha i-paroxetine neminye imithi ethile. Izimpawu zihlanganisa ukudideka, ukushaya kwenhliziyo okusheshayo, umkhuhlane ophezulu, nokuqina kwemisipha. Lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Uma uhlangabezana nanoma yimiphumela emibi ekukhathazayo noma ephazamisa impilo yakho yansuku zonke, xhumana nomhlinzeki wakho wezempilo. Bavame ukukwazi ukulungisa umthamo wakho noma baphakamise izindlela zokuphatha imiphumela emibi.

Ubani Ongafanele Athathwe I-Paroxetine?

I-Paroxetine ayifanele wonke umuntu, futhi kunezimo ezithile lapho udokotela wakho engatusa omunye umuthi. Abantu abathatha ama-monoamine oxidase inhibitors (MAOIs) akufanele bathathe i-paroxetine ngenxa yengozi yokusebenzisana okuyingozi.

Uma ukhulelwe noma uhlela ukukhulelwa, xoxa ngezingozi nezinzuzo nodokotela wakho. I-Paroxetine ingase ibangele ukukhubazeka kokuzalwa, ikakhulukazi ngesikhathi sokukhulelwa kokuqala, ngakho ukwelashwa okuhlukile kungase kuphephe.

Abantu abanezimo ezithile zezokwelapha badinga ukuqapha okwengeziwe nge-paroxetine. Lokhu kufaka phakathi izinkinga ezinzima zezinso noma zesibindi, isifo senhliziyo, izifo zokuvuvukala, noma umlando weziqephu ze-manic.

Uma unomlando wezifo zokuphuma kwegazi noma uthatha imithi yokunciphisa igazi, udokotela wakho uzodinga ukukuqapha eduze. I-Paroxetine ingandisa ingozi yokuphuma kwegazi, ikakhulukazi esiswini sakho noma emathunjini.

Abantu abadala abangaphansi kweminyaka engama-25 badinga ukuqashwa ngokucophelela lapho beqala i-paroxetine, njengoba kunengozi encane yokucabanga ngokuzibulala ezinyangeni ezimbalwa zokuqala zokwelashwa. Lokhu akusho ukuthi umuthi uyingozi, kodwa kusho ukuthi uzodinga ukuhlolwa njalo nodokotela wakho.

Amagama Omkhiqizo we-Paroxetine

I-Paroxetine itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Paxil iyona eyaziwa kakhulu. Ungase futhi uyibone ibhalwe njenge-Paxil CR, okuyinguqulo elawulwayo ekhulula umuthi kancane usuku lonke.

Amanye amagama omkhiqizo afaka i-Pexeva ne-Brisdelle. I-Brisdelle ivunyelwe ngokuqondile ukwelapha ukushisa okukhulu kwabesifazane abayekile ukuya esikhathini futhi iqukethe umthamo omncane we-paroxetine kunalowo osetshenziselwa ukucindezeleka noma ukukhathazeka.

I-Paroxetine ejwayelekile itholakala kabanzi futhi isebenza ngempumelelo njengenguqulo yegama lomkhiqizo. Ikhemisi lakho lingase lithathele indawo yenguqulo ejwayelekile ngokuzenzakalelayo ngaphandle uma udokotela wakho ecela ngokuqondile igama lomkhiqizo.

Ezinye izindlela ze-Paroxetine

Uma i-paroxetine ingasebenzi kahle kuwe noma ibangela imiphumela emibi, ezinye izindlela ziyatholakala. Ezinye izinhlobo ze-SSRIs njenge-sertraline (Zoloft), i-fluoxetine (Prozac), noma i-citalopram (Celexa) zisebenza ngendlela efanayo kodwa zingase zikulungele kangcono.

Udokotela wakho angase futhi acabangele ama-SNRIs (ama-serotonin-norepinephrine reuptake inhibitors) njenge-venlafaxine (Effexor) noma i-duloxetine (Cymbalta). Le mithi ithinta kokubili i-serotonin ne-norepinephrine, okungasiza abanye abantu.

Ngokukhathazeka ngokuqondile, imithi efana ne-buspirone noma ama-benzodiazepines athile angase abe yizinketho. Kodwa-ke, lezi zisebenza ngendlela ehlukile kune-paroxetine futhi zinezinzuzo nezingozi zazo.

Ukwelashwa okungekona okwemithi kungasebenza kahle kakhulu, kungaba ngokuqondile noma kuhlanganiswe nemithi. Ukwelashwa kokuziphatha okucatshangelwayo, imikhuba yokuqaphela, kanye nezinguquko zokuphila kungathuthukisa kakhulu izimpawu zokucindezeleka nokukhathazeka.

Ingabe i-Paroxetine ingcono kune-Sertraline?

Kokubili i-paroxetine ne-sertraline ziyizinto eziphumelelayo ze-SSRIs, kodwa zinezinye izinto ezingenza enye ikufanele kangcono kunenye. Akukho noyedwa 'ongcono' ngokujwayelekile - kuncike ezidingweni zakho ngazinye nokuthi usabela kanjani emuthini ngamunye.

I-Paroxetine ivame ukuba ne-sedating kakhulu, okungaba usizo uma ukhathazeka ngokukhathazeka noma izinkinga zokulala. Kodwa-ke, kungenzeka futhi ukuthi kubangele ukuzuza isisindo kanye nemiphumela emibi yezocansi uma kuqhathaniswa ne-sertraline.

I-Sertraline ivame ukucatshangwa ukuthi inohlu olungcono kancane lwemiphumela emibi futhi mancane amathuba okuthi ibangele izimpawu zokuhoxisa uma udinga ukuyeka ukuyithatha. Iphinde ibhekwe njengephephile ngesikhathi sokukhulelwa nokuncelisa.

Udokotela wakho uzocabangela izinto ezinjengezimpawu zakho ezithile, umlando wezokwelapha, eminye imithi oyithathayo, nendlela yakho yokuphila lapho unquma phakathi kwalezi zinketho. Kwesinye isikhathi kuthatha ukuzama imithi engaphezu kweyodwa ukuze uthole okukulungele kakhulu.

Imibuzo Evame Ukubuzwa Mayelana ne-Paroxetine

Ingabe i-Paroxetine iphephile ezigulini ezinokugula kwenhliziyo?

I-Paroxetine ingasetshenziswa ngokuphepha kubantu abaningi abanokugula kwenhliziyo, kodwa idinga ukuqapha ngokucophelela. Umuthi ngezinye izikhathi ungathinta ukushaya kwenhliziyo noma uhlanganyele nemithi yenhliziyo, ngakho udokotela wakho uzodinga ukubukeza umlando wakho wezokwelapha ophelele.

Uma unokugula kwenhliziyo, udokotela wakho angase akuqale ngomthamo ophansi futhi akuqaphe eduze, ikakhulukazi ngesikhathi samasonto ambalwa okuqala okwelashwa. Bazofuna futhi ukwazi ngayo yonke imithi yakho yenhliziyo ukuze bahlole ukuthi akukho yini ukusebenzisana okungenzeka.

Abanye abantu abanokugula kwenhliziyo empeleni bayazuza emiphumeleni ye-anti-anxiety ye-paroxetine, njengoba ukunciphisa ukucindezeleka nokukhathazeka kungaba kuhle empilweni yenhliziyo. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngokubonisana nomhlinzeki wakho wezempilo yengqondo kanye nodokotela wenhliziyo.

Ngingenzani uma ngithatha i-Paroxetine eningi ngengozi?

Uma ngabe uthathe i-paroxetine eningi ngengozi kunaleyo oyalelwe yona, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungaholela ezimpawini ezinzima njengokucasuka okukhulu, ukuhlanza, ukuthuthumela, noma izinguquko esigqi senhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ngumhlinzeki wezempilo. Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, ukuquleka, noma ukulahlekelwa ukwazi, shayela izinsiza eziphuthumayo ngokushesha.

Gcina ibhodlela lemithi nawe uma ufuna usizo, njengoba ochwepheshe bezokwelapha bazodinga ukwazi ngqo ukuthi uthathe malini nokuthi nini. Ukweqisa okuningi ngengozi kungalawulwa ngempumelelo ngokunakekelwa kwezokwelapha okusheshayo.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Paroxetine?

Uma udlula umthamo we-paroxetine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo odlulisiwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo odlulisiwe, njengoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi ukukusiza ukhumbule.

Ukudlula umthamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu. Uma udlula imithamo kaningi, khuluma nodokotela wakho mayelana namasu okukusiza ukhumbule noma ukuthi ngabe isimiso sokulinganisa esihlukile singasebenza kangcono kuwe.

Ngingayeka Nini Ukuthatha I-Paroxetine?

Akufanele uyeke ukuthatha i-paroxetine ngokuzumayo ngaphandle kwesiqondiso sikadokotela wakho. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa njengokugidagida, ukucasuka, ikhanda, kanye nezinguquko zemizwa ezingaba zimbi kakhulu.

Lapho wena nodokotela wakho ninquma ukuthi sekuyisikhathi sokuyeka i-paroxetine, ngokuvamile uzokwehlisa umthamo wakho kancane kancane emasontweni amaningana noma izinyanga. Lokhu kunika ubuchopho bakho isikhathi sokuzivumelanisa futhi kunciphisa izimpawu zokuhoxiswa.

Isikhathi sokuyeka sincike ekutheni usithathe isikhathi esingakanani, umthamo wakho, nokuthi izimpawu zakho zizinzile kangakanani. Abanye abantu bangayeka ngemva kwezinyanga eziningana, kanti abanye badinga ukwelashwa isikhathi eside ukuze bavimbele izimpawu zabo ukuthi zingabuyi.

Ngingakwazi Ukuphuza Ukuphuza Utshwala Ngenkathi Ngithatha I-Paroxetine?

Kungcono ukugwema utshwala noma uphuze amanani amancane kakhulu ngenkathi uthatha i-paroxetine. Utshwala bungakhuphula imiphumela yokuthulisa yomuthi futhi kungase kwenze izimpawu zokucindezeleka noma zokukhathazeka zibe zimbi kakhulu.

Ukuhlanganisa utshwala ne-paroxetine kungakhuphula ingozi yakho yemiphumela emibi efana nokozela, isiyezi, nobunzima bokugxilisa ingqondo. Lokhu kuhlanganiswa kungaba yingozi ikakhulukazi uma ushayela noma usebenzisa imishini.

Uma ukhetha ukuphuza ngezikhathi ezithile, zilinganisele esiphuzweni esisodwa futhi unake indlela ozizwa ngayo. Abanye abantu bathola ukuthi bazwela kakhulu utshwala ngenkathi bethatha i-paroxetine, ngakho ngisho namanani amancane angaba nemiphumela eqinile kunokujwayelekile.