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

I-Sertraline iyisidakamizwa esibhalwe ngudokotela esilwa nokucindezeleka esingaphansi kweqembu elibizwa ngokuthi ama-selective serotonin reuptake inhibitors (SSRIs). Udokotela wakho angase akubhalele ukukusiza ngokuqeda ukucindezeleka, ukukhathazeka, noma ezinye izimo zempilo yengqondo ngokulinganisela ngobumnene amakhemikhali athile ebuchosheni bakho.

Lo muthi usebenza ngokwandisa inani le-serotonin elitholakala ebuchosheni bakho. I-Serotonin iyikhemikhali yemvelo esiza ukulawula imizwa yakho, ukulala, kanye nomuzwa wakho wokuzinza.

Yini i-Sertraline Esetshenziselwa Yona?

I-Sertraline isiza ukwelapha izimo eziningana zempilo yengqondo ezithinta izigidi zabantu emhlabeni jikelele. Udokotela wakho uyayibhala lapho ukulinganisela kwe-serotonin ebuchosheni bakho kudinga ukusekelwa ngobumnene ukukusiza ukuthi uzizwe njengawe futhi.

Izimo ezivame kakhulu i-sertraline eziphatha ngayo zihlanganisa ukucindezeleka okukhulu, lapho ungase uzizwe udabukile ngokuqhubekayo noma ulahlekelwe intshisekelo emisebenzini obuyijabulela ngaphambili. Iphinde isize ngokuphazamiseka kokukhathazeka okujwayelekile, ukuphazamiseka kokukhathazeka komphakathi, kanye nokuphazamiseka kokwesaba.

Ngaphandle kokusetshenziswa okuyinhloko, i-sertraline ingelapha ngempumelelo ukuphazamiseka okucindezelayo-okucindezelayo (OCD), ukuphazamiseka kokucindezeleka ngemva kwengozi (PTSD), kanye nokuphazamiseka kwe-premenstrual dysphoric (PMDD). Ngasinye salezi zimo zihilela ukungalingani kwamakhemikhali obuchopho okufanayo okungasizwa yi-sertraline.

Isebenza Kanjani i-Sertraline?

I-Sertraline isebenza ngokuvimba ukumuncwa kabusha kwe-serotonin ebuchosheni bakho, okusho ukuthi okuningi kwaleli khemikhali elilawula imizwa lihlala litholakala ukukusiza ukuthi uzizwe ungcono. Cabanga ngakho njengokugcina okuningi kwesizinzisi semvelo semizwa yakho ebuchosheni ekusakazeni.

Lo muthi ubhekwa njenge-antidepressant enamandla aphakathi nendawo esebenza kancane kancane futhi ngobumnene. Ngokungafani neminye imithi enamandla yezengqondo, i-sertraline ngokuvamile ibangela imiphumela emibi embalwa ngelixa isahlinzeka ngokuphumula okuphumelelayo kubantu abaningi.

Ushintsho lwenzeka kancane kancane emavikini amaningana njengoba ubuchopho bakho bujwayela ukuba ne-serotonin eningi etholakalayo. Abantu abaningi baqala ukuqaphela ukuthuthuka kwemizwa yabo, ukukhathazeka, noma ezinye izimpawu ngemva kwamasonto angu-2 kuya kwangu-4 okusetshenziswa njalo.

Kufanele Ngiyithathe Kanjani I-Sertraline?

Kufanele uthathe i-sertraline ngendlela eqondile udokotela wakho ayiyalayo, ngokuvamile kanye ngosuku ekuseni noma kusihlwa. Abantu abaningi bakuthola kulula ukuyithatha ngesikhathi esifanayo nsuku zonke ukuze bagcine amazinga aqhubekayo ohlelweni lwabo.

Ungayithatha i-sertraline ngaphandle noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ukunciphisa isisu uma uhlangabezana nanoma yini. Abanye abantu bakhetha ukuyithatha ngesidlo sasekuseni, kanti abanye bathola ukuthi isikhathi sokulala sisebenza kangcono uma sibenza balale.

Gwinya ithebhulethi noma ikhaphule ngokugcwele ngengilazi yamanzi egcwele. Uma uthatha uhlobo oluwuketshezi, sebenzisa idivayisi yokulinganisa eza nomuthi wakho ukuze uqinisekise ukuthi uthola umthamo oqondile odokotela bakho abawuyalile.

Ungalokothi uchoboze, uhlafune, noma uphule amathebhulethi e-sertraline ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Umuthi wenzelwe ukuba umuncwe kahle uma ugwinywe wonke.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Sertraline?

Abantu abaningi bathatha i-sertraline okungenani izinyanga eziyi-6 kuya kweziyi-12 uma sebeqala ukuzizwa ngcono, nakuba abanye bengase bayidinge isikhathi eside. Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngesimo sakho esithile nokuthi usabela kahle kangakanani ekwelashweni.

Ngeminyaka yokucindezeleka nokukhathazeka, odokotela abaningi batusa ukuqhubeka nomuthi izinyanga eziningana ngemva kokuba izimpawu zakho zithuthuke. Lokhu kusiza ekuvikeleni ukuthi isimo singabuyi futhi sinikeza ubuchopho bakho isikhathi sokusungula amaphethini anempilo.

Abanye abantu abanezimo ezingapheli njenge-OCD noma i-PTSD bangazuza ekwelashweni kwesikhathi eside. Udokotela wakho uzohlola njalo nawe ukuze ahlulele ukuthi usawudinga yini umuthi nokuthi umthamo usakulungele yini.

Ungayeki ukuthatha i-sertraline ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa ezingakhululekile, ngakho udokotela wakho uzokusiza ukuthi unciphise kancane umthamo lapho sekuyisikhathi sokuyeka.

Yiziphi Imiphumela Eceleni ye-Sertraline?

Njengayo yonke imithi, i-sertraline ingabangela imiphumela emibi, nakuba abantu abaningi behlangabezana naleyo emnene kuphela ethuthukayo njengoba umzimba wabo uzivumelanisa. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke futhi uqiniseke ngemithi yakho.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa isicanucanu, ikhanda elibuhlungu, isifo sohudo, umlomo owomile, kanye nesiyezi. Lokhu kuvamile ukwenzeka emasontweni ambalwa okuqala futhi ngokuvamile kuba ngaphansi kokuqashelwa njengoba umzimba wakho ujwayela imithi.

Imiphumela emibi yezocansi nayo ingenzeka, okuhlanganisa ukuncipha kwentshisekelo yocansi noma ubunzima bokufinyelela i-orgasm. Ushintsho lokulala luvamile futhi, nabanye abantu bezizwa belala kanti abanye behlangabezana nokuqwasha noma amaphupho acacile.

Imiphumela emibi engavamile kodwa esengenzeka ihlanganisa ukujuluka okwengeziwe, ukuthuthumela, izinguquko zesibalo somzimba, nokuzizwa ungenakuzinza noma uvuselekile. Abanye abantu baqaphela izinguquko esifisweni sabo sokudla noma bahlangabezane nokuphazamiseka kwesisu okuncane.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Lokhu kufaka phakathi imicabango yokuzibulala (ikakhulukazi kubantu abangaphansi kweminyaka engu-25), ukusabela okukhulu komzimba, ukuphuma kwegazi okungajwayelekile, noma izimpawu ze-serotonin syndrome njengomkhuhlane ophezulu, ukushaya kwenhliziyo okusheshayo, nokudideka.

Uma uhlangabezana nanoma yimiphumela emibi ekukhathazayo noma ephazamisa impilo yakho yansuku zonke, xhumana nodokotela wakho. Bavame ukulungisa umthamo wakho noma baphakamise izindlela zokulawula le miphumela.

Ubani Ongafanele Athathwe I-Sertraline?

Abantu abathile kufanele bagweme i-sertraline noma bayisebenzise ngokucophelela okwengeziwe ngaphansi kokugadwa kwezempilo okuseduze. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nemithi yamanje ngaphambi kokuyinika.

Akufanele uthathe i-sertraline uma njengamanje uthatha ama-monoamine oxidase inhibitors (MAOIs) noma uke wawathatha phakathi nezinsuku eziyi-14 ezedlule. Lokhu kuhlanganiswa kungabangela ukusabela okuyingozi okubizwa nge-serotonin syndrome.

Abantu abanezimo ezithile zenhliziyo, izinkinga zesibindi, noma isifo sezinso bangase badinge imithamo elungisiwe noma ukuqapha okuvame kakhulu. Udokotela wakho uzoqaphela ukuthi i-sertraline iphephile yini kuwe ngokusekelwe esimweni sakho sempilo esithile.

Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa ngezingozi nezinzuzo nodokotela wakho. Ngenkathi i-sertraline ingasetshenziswa ngesikhathi sokukhulelwa uma kudingeka, idinga ukucatshangelwa ngokucophelela kwemiphumela engaba khona kumntwana wakho.

Abantu abanomlando we-bipolar disorder kufanele basebenzise i-sertraline ngokucophelela, njengoba ingase iqale izigameko ze-manic kwabanye abantu. Udokotela wakho angase anikeze imithi eyengeziwe ukuvimbela lokhu.

Amagama e-Brand e-Sertraline

I-Sertraline itholakala ngaphansi kwamagama amaningana e-brand, i-Zoloft iyona eyaziwa kakhulu. Ikhemisi lakho lingase linikeze imithi ngaphansi kwamagama ahlukene kuye ngomkhiqizi kanye nomshwalense wakho.

Amanye amagama e-brand afaka i-Lustral kwamanye amazwe, nakuba inguqulo ejwayelekile ebizwa ngokuthi

Eminye imithi ye-SSRI efana ne-fluoxetine (Prozac), citalopram (Celexa), kanye ne-escitalopram (Lexapro) isebenza ngendlela efana ne-sertraline kodwa ingase ibe nemiphumela ehlukile. Abanye abantu basabela kangcono ku-SSRI eyodwa kunenye.

Imithi ye-SNRI efana ne-venlafaxine (Effexor) kanye ne-duloxetine (Cymbalta) ithinta kokubili i-serotonin ne-norepinephrine, okungenzeka ukuthi isiza abantu abangasabeli kahle kuma-SSRI kuphela.

Ezimweni ezithile, udokotela wakho angase ancome ezinye izinhlobo zokulwa nokucindezeleka njenge-bupropion (Wellbutrin) noma ama-tricyclic antidepressants, kuye ngezimpawu zakho ezithile kanye nomlando wezokwelapha.

Ukwelashwa okungekona imithi njenge-cognitive behavioral therapy, imikhuba yokucabanga, kanye nezinguquko zokuphila nazo zingaba ezinye izindlela eziphumelelayo noma izithasiselo ekwelashweni ngemithi.

Ingabe i-Sertraline ingcono kune-Fluoxetine?

Akukho i-sertraline noma i-fluoxetine engcono kunenye. Zombili ziyimithi ye-SSRI esebenzayo, kodwa zisebenza ngendlela ehlukile kubantu abahlukene ngokusekelwe ekhemistri yobuchopho bomuntu ngamunye kanye nezici zempilo.

I-Sertraline ivame ukubangela ukuxhumana okuncane kwemithi futhi ingase ithandwe kangcono ngabantu abanezimo ezithile zezokwelapha. Futhi inesigamu sokuphila esifushane, okusho ukuthi isuka ohlelweni lwakho ngokushesha uma udinga ukuyeka ukuyithatha.

I-Fluoxetine ihlala ohlelweni lwakho isikhathi eside, okungaba usizo kubantu abangephuthelwa imithamo ngezikhathi ezithile, kodwa kungase futhi kuthathe isikhathi eside ukuzivumelanisa uma kwenzeka imiphumela emibi. Abanye abantu bathola i-fluoxetine isebenza kakhulu, kanti abanye bathola i-sertraline idambisa kakhulu.

Udokotela wakho uzocabangela izimpawu zakho ezithile, umlando wezokwelapha, eminye imithi, kanye nezici zokuphila lapho ekhetha phakathi kwalezi zinketho. Okubaluleke kakhulu ukuthola umuthi osebenza kahle kakhulu esimweni sakho esiyingqayizivele.

Imibuzo Evame Ukubuzwa Mayelana ne-Sertraline

Ingabe i-Sertraline iphephile ezigulini zenhliziyo?

I-Sertraline ngokuvamile ithathwa njengephephile kubantu abaningi abanezinkinga zenhliziyo futhi ingase ibe nezinzuzo ezithile zenhliziyo nemithambo yegazi. Ngokungafani neminye imithi yokucindezeleka endala, i-sertraline ngokuvamile ayibangeli izinguquko ezinkulu esigqi senhliziyo noma umfutho wegazi.

Kodwa-ke, uma unesifo senhliziyo esibi, udokotela wakho uzokuqapha eduze lapho uqala ukuthatha i-sertraline. Bangase balungise umthamo wakho noma bahlole ukusebenza kwenhliziyo yakho kaningi ukuze baqinisekise ukuphepha kwakho.

Kufanele Ngenzeni Uma Ngithatha I-Sertraline Ngengozi Ngokweqile?

Uma ngengozi uthatha i-sertraline ngokweqile, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukuthatha okuningi kungaholela ezimpawini ezinzima njengokucasuka okukhulu, isiyezi, ukuthuthumela, noma izinguquko esigqi senhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ochwepheshe bezokwelapha. Gcina ibhodlela lemithi nawe ukuze ukwazi ukutshela abahlinzeki bezempilo ukuthi uthathe ini nokuthi uthathe malini.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Sertraline?

Uma uphuthelwa umthamo we-sertraline, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

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

Ngingayeka Nini Ukuthatha I-Sertraline?

Kufanele uyeke kuphela ukuthatha i-sertraline ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Odokotela abaningi batusa ukunciphisa kancane umthamo emasontweni amaningana kunokuyeka kungazelelwe.

Udokotela wakho uzokusiza ukuthi unqume isikhathi esifanele sokuyeka ngokusekelwe ekutheni usuthatha isikhathi esingakanani, ukuthi wenza kahle kangakanani, kanye nengozi yakho yokubuyela kwezimpawu. Abanye abantu bangase badinge ukuhlala ku-sertraline isikhathi eside ukuze bagcine ukuzinza kwabo kwempilo yengqondo.

Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Sertraline?

Ngenkathi amanani amancane otshwala engase angabangeli izinkinga ezinkulu nge-sertraline, ngokuvamile kungcono ukunciphisa noma ukugwema utshwala ngenkathi uthatha lo muthi. Utshwala bungenza ngcono izimpawu zokucindezeleka nokukhathazeka futhi bungase landise ukozela noma isiyezi.

Uma ukhetha ukuphuza ngezikhathi ezithile, xoxa ngalokhu nodokotela wakho kuqala. Bangakunikeza iseluleko ngemikhawulo ephephile esekelwe esimweni sakho esithile futhi bakusize uqonde ukuthi utshwala bungase bulithinte kanjani iqhubekela phambili kokwelashwa kwakho.