Created at:1/13/2025
I-Quazepam iyisidakamizwa sokulala esinconywayo esingaphansi kohlu lwemithi ebizwa ngokuthi ama-benzodiazepines. Yenzelwe ngqo ukusiza abantu abahlushwa ukuqala ukulala noma ukuhlala belele ebusuku bonke. Lo muthi usebenza ngokuthulisa umsebenzi wobuchopho bakho, okwenza kube lula ngomzimba wakho ukushintshela ekuphumuleni okujulile.
Uma ubhekene nezinkinga zokulala eziqhubekayo, udokotela wakho angase acabangele i-quazepam njengengxenye yohlelo lwakho lokwelapha. Ngokuvamile kunconywa ukusetshenziswa kwesikhashana uma amanye amaqhinga okulala engasebenzi kahle wodwa.
I-Quazepam iyisidakamizwa esithulisa umzimba esisiza ukulawula umjikelezo wakho wokulala. Iyingxenye yomndeni we-benzodiazepine, okusho ukuthi isebenza ngokuthuthukisa imiphumela yekhemikhali yobuchopho yemvelo ebizwa nge-GABA ekhuthaza ukuphumula nokulala.
Lo muthi uhluke kweminye imithi yokulala ngoba unesikhathi eside sokusebenza. Lokhu kusho ukuthi kungakusiza hhayi kuphela ukuthi ulale kodwa futhi uhlale ulele ubusuku obugcwele bokuphumula. Kodwa-ke, lesi senzo eside futhi sisho ukuthi sidinga ukusetshenziswa ngokucophelela ukuze kugwenywe ukozela ngosuku olulandelayo.
I-Quazepam iza ngesimo samaphilisi futhi ithathwa ngomlomo, ngokuvamile ngaphambi nje kokulala. Itholakala kuphela ngemvume kadokotela wakho, ozonquma ukuthi iyona yini ekufanele izinkinga zakho zokulala.
I-Quazepam ngokuyinhloko inconywa nge-insomnia, okuyigama lezokwelapha lokuba nenkinga yokuqala ukulala noma ukuhlala ulele. Udokotela wakho angase ancome lo muthi uma uhlangabezana nobunzima bokulala obuqhubekayo obuthinta impilo yakho yansuku zonke nokuphila kahle.
Umuthi ulusizo ikakhulukazi kubantu abavuka kaningi ebusuku noma abavuka ekuseni kakhulu. Isimo sawo esisebenza isikhathi eside senza ukuthi usebenze kahle ekugcineni ukulala ubusuku bonke, kunokuba usize nje ekuqaleni kokulala.
Ngezinye izikhathi, odokotela banikeza i-quazepam ngezinkinga zokulala zesikhashana ezihlobene nezigameko zokuphila ezinengcindezi, izinguquko zeshejuli, noma ukuphazamiseka kwesikhashana emsebenzini wakho ovamile wokulala. Kubalulekile ukuqonda ukuthi lo muthi uvame ukuhloselwe ukusetshenziswa kwesikhashana, ngokuvamile kungabi ngaphezu kwamasonto ambalwa ngesikhathi.
I-Quazepam isebenza ngokuthuthukisa umsebenzi we-GABA, ikhemikhali yemvelo ebuchosheni bakho esiza ukuthulisa umsebenzi wemizwa. Cabanga nge-GABA njenge-
Gwinya ithebhulethi yonke ngengilazi yamanzi. Ungayichobozi, uhlafune, noma uyiphule ithebhulethi, ngoba lokhu kungathinta indlela umuthi ogwinywa ngayo futhi ukhishwe emzimbeni wakho. Qiniseka ukuthi usulungele ukulala uma uyithatha, ngoba imiphumela yokuthulisa ingaqala ngokushesha.
Gwema utshwala ngokuphelele ngenkathi uthatha i-quazepam, ngoba ukuhlanganisa kungaba yingozi futhi kwandise ingozi yemiphumela emibi engathí sina. Futhi, gwema ijusi le-grapefruit, elingakhuphula amazinga omuthi egazini lakho futhi okungenzeka kubangele imiphumela eqinile kunaleyo ehlosiwe.
I-Quazepam ivame ukunqunyelwa ukusetshenziswa kwesikhashana, ngokuvamile kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Odokotela abaningi batusa ukuyisebenzisa isikhathi esingaphezu kwamasonto angu-2 kuya kwangu-4 ukunciphisa ingozi yokuncika nokubekezelela.
Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngezinkinga zakho zokulala nokuthi usabela kanjani emuthini. Abanye abantu bangase bayidinge ubusuku obumbalwa nje ngesikhathi esinzima kakhulu, kanti abanye bangase bayisebenzise amasonto ambalwa ngenkathi besebenza ezinkingeni zokulala ezingaphansi.
Kubalulekile ukungayeki ukuthatha i-quazepam ngokuzumayo uma ubusuyisebenzisa njalo isikhathi esingaphezu kwezinsuku ezimbalwa. Udokotela wakho cishe uzoncoma ukunciphisa umthamo kancane kancane ngokuhamba kwesikhathi ukuvimbela izimpawu zokuhoxiswa njenge-rebound insomnia, ukukhathazeka, noma ukungazinzi.
Ngesikhathi sokwelashwa kwakho, udokotela wakho uzoqapha ukuthi umuthi usebenza kahle kangakanani nokuthi ngabe uhlangabezana nemiphumela emibi ekhathazayo. Bazokusiza futhi ukuthi uthuthukise amasu esikhathi eside okugcina ukulala okunempilo ngaphandle kokuncika emuthini.
Njengayo yonke imithi, i-quazepam ingabangela imiphumela emibi, nakuba kungathi akubona bonke abantu abayitholayo. Imiphumela emibi evame kakhulu ihlobene nezakhiwo zokuthulisa zomuthi futhi ngokuvamile iyathuthuka njengoba umzimba wakho ujwayela ukwelashwa.
Nawa amanye amaphutha ongase uhlangabezane nawo, uqala ngala ajwayelekile abantu abaningi abawaqaphelayo ezinsukwini zokuqala zokwelashwa:
Le miphumela evamile ngokuvamile iba ngaphansi kokuqashelwa njengoba umzimba wakho ujwayela umuthi. Kodwa-ke, uma ziqhubeka noma ziphazamisa kakhulu imisebenzi yakho yansuku zonke, kufanelekile ukuxoxa nodokotela wakho.
Abanye abantu bangase bahlangabezane nemiphumela engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Lokhu kungabandakanya ukudideka, izinguquko ezingavamile zokuziphatha, noma imizwa yokucindezeleka noma ukukhathazeka okubonakala kubi kakhulu ngaphambi kokuqala umuthi.
Ezimweni ezingavamile, abanye abantu bahlangabezana nalokho okubizwa ngokuthi
Abantu abanomlando wokusebenzisa izidakamizwa noma ukulutheka kufanele baqaphele kakhulu nge-quazepam, njengoba ama-benzodiazepines engaba umlutha. Udokotela wakho uzoqaphela ngokucophelela izinzuzo uma ziqhathaniswa nezingozi uma unalo mlando.
Uma ukhulelwe noma uhlela ukukhulelwa, i-quazepam ngokuvamile ayinconyelwe njengoba ingalimaza ingane esakhula. Ngokufanayo, uma uncelisa, imithi ingadlulela ebeleni futhi ithinte ingane yakho.
Abantu abadala badinga ukucatshangelwa okukhethekile lapho bethatha i-quazepam ngoba bazwela kakhulu emiphumeleni yayo futhi banengozi enkulu yokuwa, ukudideka, nezinye izinkinga. Udokotela wakho angase aqale ngomthamo ophansi noma acabangele ezinye izindlela zokwelapha.
Abantu abanezifo ezinzima zesibindi kufanele bagweme i-quazepam ngoba isibindi sicubungula le mithi, futhi ukungasebenzi kahle kwesibindi kungaholela ekuqongeleleni okuyingozi komuthi emzimbeni wakho.
I-Quazepam itholakala ngaphansi kwegama lomkhiqizo elithi Doral kwamanye amazwe, nakuba ingatholakali kabanzi njengoba yayinjalo ngaphambili. Ezindaweni eziningi, itholakala ikakhulukazi njengomuthi ojwayelekile obizwa ngokuthi i-quazepam.
Ukutholakala kwe-quazepam kuyahlukahluka ngokuya ngezwe nesifunda. E-United States, ayinconyelwa kakhulu manje uma iqhathaniswa nalapho yaqala ukwethulwa, njengoba imithi emisha yokulala isithandwa kakhulu.
Uma udokotela wakho ekunika i-quazepam, bazokwazisa ukuthi yiluphi uhlobo oluthile lomkhiqizo noma inguqulo ejwayelekile etholakalayo endaweni yakho. Isithako esisebenzayo sihlala sifana kungakhathaliseki ukuthi ngubani umenzi, nakuba kungase kube khona umehluko omncane ezithakweni ezingasebenzi.
Uma i-quazepam ingakulungele, kunezindlela eziningana zokwelapha zokulala kanye nezindlela udokotela wakho angase azicabangele. Inketho ngayinye inezinzuzo zayo kanye nokucatshangelwa kwayo, futhi okusebenza kahle kakhulu kuyahlukahluka kumuntu nomuntu.
Eminye imithi yokulala ebekwayo ihlanganisa izinketho ezintsha njenge-zolpidem (Ambien), i-eszopiclone (Lunesta), noma i-zaleplon (Sonata). Le mithi isebenza ngendlela ehlukile kune-quazepam futhi ingase ibe nemiphumela emincane yosuku olulandelayo kwabanye abantu.
Odokotela abathile bangase batusa ezinye izinhlobo zemithi engasiza ngokulala, njengama-antidepressants athile afana ne-trazodone noma i-mirtazapine, ikakhulukazi uma futhi ubhekene nokucindezeleka noma ukukhathazeka kanye nezinkinga zakho zokulala.
Izindlela ezingezona zemithi zivame ukutuswa njengokwelashwa kokuqala noma kanye nemithi. Lokhu kuhlanganisa i-cognitive behavioral therapy for insomnia (CBT-I), okuye kwabonakala kuphumelela kakhulu ekuthuthukiseni ukulala kwesikhathi eside.
Ukuthuthukiswa kwenhlanzeko yokulala, amasu okuphumula, kanye nezinguquko zokuphila nazo zingamathuluzi anamandla okulala okungcono. Udokotela wakho angase asikisele ukuzama lezi zindlela kuqala noma azihlanganise nemithi ukuze uthole imiphumela engcono kakhulu.
Ukuqhathanisa i-quazepam ne-zolpidem (Ambien) akukhona ukuthi enye ingcono kunenye, kodwa kunalokho ukuthi iyiphi imithi evumelana kangcono nezidingo zakho nezimo zakho. Zombili ziyimithi yokulala esebenzayo, kodwa zisebenza ngezindlela ezihlukene.
I-Quazepam ivame ukuba nesikhathi eside sokusebenza, okungasiza uma unenkinga yokuhlala ulele ebusuku. Kodwa-ke, lesi senzo eside singaholela ekulaleni okuningi kosuku olulandelayo uma kuqhathaniswa ne-zolpidem, evame ukusuka emzimbeni wakho ngokushesha.
I-Zolpidem ivame ukukhethwa kubantu abanenkinga yokulala kodwa abangavuki ngempela ebusuku. Futhi mancane amathuba okuthi kubangele ukukhubazeka okukhulu kosuku olulandelayo, okungabaluleka uma udinga ukushayela noma ukusebenzisa imishini ngosuku olulandelayo.
Ukukhetha phakathi kwala machiza kuncike endleleni yakho yokulala, indlela yokuphila, eminye imithi oyithathayo, nokuthi usabela kanjani kunketho ngayinye. Udokotela wakho uzocabangela zonke lezi zinto lapho enza isincomo.
Omabili la machiza anezingozi ezifanayo mayelana nokuncika futhi kufanele asetshenziswe ekwelashweni kwesikhashana. Ubuchwepheshe bukadokotela wakho ekuqondeni isimo sakho ngasinye bubalulekile ekunqumeni ukuthi iyiphi inketho engasebenza kangcono kuwe.
I-Quazepam ingasiza ngempela ngezimpawu zokukhathazeka ngoba ingeyomndeni we-benzodiazepine, onempahla yokulwa nokukhathazeka. Abantu abaningi abanezinkinga zokulala nabo bayakhathazeka, futhi le mithi ingabhekana nazo zombili izinkinga ngasikhathi sinye.
Kodwa-ke, uma unokukhathazeka okukhulu noma ukuphazamiseka kokwesaba, udokotela wakho uzodinga ukucabangela ngokucophelela indlela engcono yokwelapha. Ngenkathi i-quazepam ingahlinzeka ngokuphumula kwesikhashana, ngokuvamile ayisetshenziswa njengokwelashwa okuyinhloko kokukhathazeka, futhi ukusetshenziswa kwesikhathi eside kwesinye isikhathi kungase kubhebhethekise izimpawu zokukhathazeka.
Imiphumela yokuthulisa ye-quazepam ingasiza ikakhulukazi uma izinkinga zakho zokulala zihlobene ngokuqondile nokukhathazeka noma imicabango egijimayo ngesikhathi sokulala. Udokotela wakho uzohlola ukuthi le mithi ingena yini ohlelweni lwakho lokulawula ukukhathazeka.
Uma ngengozi uthatha i-quazepam eningi kunaleyo ebekiwe, kubalulekile ukufuna usizo lwezokwelapha ngokushesha, ikakhulukazi uma uthathe okuningi kakhulu kunomthamo wakho ovamile. Ukweqisa kungabangela izimpawu eziyingozi ezihlanganisa ukozela okukhulu, ukudideka, nezinkinga zokuphefumula.
Ungazami ukuthi "ukulalele" noma ulinde ukubona ukuthi kwenzekani. Xhumana nodokotela wakho, shayela ukulawulwa kwe-poison, noma uye egumbini eliphuthumayo ngokushesha. Ukuba nebhodlela lemithi nawe kungasiza ochwepheshe bezokwelapha baqonde kahle ukuthi uthatheni ini nokuthi ungakanani.
Izimpawu zokweqisa umthamo ongase zihlanganisa ukozela okukhulu, ukudideka, inkulumo engacacile, ukungahambisani, noma ukuphefumula kancane noma okunzima. Lezi zimpawu zidinga ukungenelela kwezokwelapha ngokushesha ukuze kuqinisekiswe ukuphepha kwakho.
Ukuvimbela ukweqisa umthamo ngengozi, hlala ugcina imithi yakho ebhodleleni layo lokuqala, ungalokothi uthathe imithamo eyengeziwe ngisho noma unomuzwa wokuthi imithi ayisebenzi, futhi cabanga ukusebenzisa umhleli wamaphilisi uma uthatha imithi eminingi.
Uma uphuthelwa umthamo wakho we-quazepam wokulala, ungaluthatheli ebusuku noma ekuseni ngakusasa. Ukuluthatha sekwephuzile kungakwenza uzizwe ukozela usuku lonke olulandelayo, okungaba yingozi ekushayeleni noma kweminye imisebenzi.
Vele weqe umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile sokulala ngobusuku obulandelayo. Ungathathi umthamo ophindwe kabili ukuze ulungise lowo ophuthelwe, ngoba lokhu kwandisa ingozi yakho yemiphumela engemihle kanye nokweqisa umthamo okungenzeka.
Uma uzithola uvame ukukhohlwa imithamo, cabanga ukusetha i-alamu yokulala noma ukugcina imithi endaweni ebonakalayo eduze kombhede wakho. Kodwa-ke, khumbula ukuthi i-quazepam yenzelwe ukusetshenziswa kwesikhashana, ngakho ukuphuthelwa umthamo ngezikhathi ezithile akuyona into enkulu.
Uma unenkinga yokukhumbula imithi yakho noma uma izinkinga zakho zokulala zibuyela uma uphuthelwa imithamo, xoxa ngalokhu nodokotela wakho. Bangase badinge ukulungisa uhlelo lwakho lokwelashwa noma bahlole ezinye izinketho.
Ngokuvamile ungaqeda ukuthatha i-quazepam lapho izinkinga zakho zokulala zithuthukile futhi uzizwa ukulungele ukugcina ukulala okuhle ngokwakho. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngokubonisana nodokotela wakho, ongakusiza ukuthi unqume isikhathi esifanele.
Uma ubuthatha i-quazepam izinsuku ezingaphezu kwezithile, udokotela wakho cishe uzoncoma ukunciphisa umthamo kancane kancane kunokuyeka kungazelelwe. Lokhu kusiza ekuvikeleni izimpawu zokuhoxiswa njenge-rebound insomnia, ukukhathazeka, noma ukungazinzi.
Inqubo yokunciphisa imithi ngokuvamile ihlanganisa ukunciphisa umthamo wakho ngamanani amancane ezinsukwini ezimbalwa noma amasonto, kuye ngokuthi usunesikhathi esingakanani uthatha imithi. Udokotela wakho uzokwenza isimiso esiqondene nesimo sakho.
Ngaphambi kokuyeka i-quazepam, kuyasiza ukuba nezinye izindlela zokulala ezikhona, njengemikhuba emihle yokuhlanzeka kokulala, izindlela zokuphumula, noma izinguquko zokuziphatha ezingasiza ukugcina amaphethini akho okulala athuthukisiwe ngaphandle kwemithi.
Akufanele ushayele noma usebenzise imishini ngenkathi uthatha i-quazepam, ikakhulukazi ezinsukwini zokuqala zokwelashwa lapho usalungela imithi. Imiphumela yokuthulisa ingase iphazamise kakhulu isikhathi sakho sokuphendula kanye nokwahlulela.
Noma ngabe uzizwa uqaphile ekuseni ngemuva kokuthatha i-quazepam, imithi ingase isathinta ukuxhumana kwakho namakhono okwenza izinqumo. Lokhu kubaluleke kakhulu nge-quazepam ngoba inesikhathi eside sokusebenza uma kuqhathaniswa neminye imithi yokulala.
Linda ukushayela uze wazi ukuthi imithi ikuthinta kanjani wena uqobo futhi kuze kube yilapho udokotela wakho eqinisekisa ukuthi kuphephile. Abanye abantu bangase badinge ukugwema ukushayela ngesikhathi sokwelashwa kwabo, kanti abanye bangase bakwazi ukushayela ngokuphepha ngemuva kwesikhathi sokuqala sokulungisa.
Uma kufanele ushayele emsebenzini noma eminye imisebenzi ebalulekile, xoxa ngalokhu nodokotela wakho ngaphambi kokuqala i-quazepam. Bangase bancomise ezinye izindlela zokulala ezinemiphumela emifushane noma ezinye izindlela zokwelashwa ezingaphazamisi ikhono lakho lokushayela ngokuphepha.