Created at:1/13/2025
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I-Zolpidem iyisidakamizwa sokulala esinikezwa ngudokotela esikusiza ukuthi ulale ngokushesha uma ukhathazekile ngokuqwasha. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-sedative-hypnotics, asebenza ngokunciphisa umsebenzi wobuchopho ukuze kukhuthazwe ukulala. Lo muthi uvame ukunikezwa ngezinkinga zokulala zesikhashana futhi wenzelwe ukukusiza ukuthi uthole ukuphumula okudingayo ngaphandle kokwakha ukuncika kwesikhathi eside.
I-Zolpidem iyisiza sokulala esinikezwa udokotela wakho ngokuqondile ngokuqwasha. Yilokho esikubiza ngokuthi i-
Le mithi ngezinye izikhathi isetshenziselwa ukulala ngoba ukulala kunzima, lapho ulala kodwa uvuka kaningi ebusuku. Uhlobo olukhishwe isikhathi eside lungakusiza ukuthi uhlale ulele isikhathi eside, kukunikeze ukuphumula okwengeziwe.
I-Zolpidem isebenza ngokuthuthukisa imiphumela yekhemikhali yobuchopho yemvelo ebizwa nge-GABA, esiza ukuthulisa uhlelo lwakho lwezinzwa. Cabanga nge-GABA njenge "pedali yamabhuleki" yobuchopho bakho yemvelo enciphisa imicabango egijimayo nemizwa yokukhathazeka.
Le mithi ithathwa njengeqinile ngokulinganisela uma iqhathaniswa nezinye izindlela zokulala. Inamandla kunezinketho ezingaphezu kwe-counter ezifana ne-melatonin kodwa ithambile kunezithako zokulala ezindala ezinjenge-barbiturates. Umphumela uvame ukuhlala amahora angu-6 kuya kwangu-8, okuhambisana kahle nokulala okuvamile ebusuku.
Ngokungafani nemithi ethile yokulala engakushiya ubuthuntu ngosuku olulandelayo, i-zolpidem yenzelwe ukuthi isuke ohlelweni lwakho ngokushesha. Lokhu kusho ukuthi maningi amathuba okuthi uvuke uzizwe uqabulekile kunokuthi ukozela, nakuba izimpendulo zomuntu ngamunye zingahluka.
Thatha i-zolpidem ngendlela udokotela wakho ayichazayo, ngokuvamile kanye ebusuku ngaphambi nje kokulala. Isikhathi sibalulekile ngoba le mithi isebenza ngokushesha, futhi udinga ukulungela ukulala phakathi kwemizuzu engu-15 kuya kwengu-30 ngemva kokuyithatha.
Kufanele uthathe i-zolpidem esiswini esingenalutho ukuze uthole imiphumela engcono kakhulu. Ukuba nokudla esiswini sakho kunganciphisa ukuthi imithi isebenza ngokushesha kangakanani, okungenzeka ikushiye ulale isikhathi eside kunokuba kudingekile. Uma udle ukudla okukhulu, linda okungenani amahora angu-2 ngaphambi kokuthatha umthamo wakho.
Qiniseka ukuthi unamahora okungenani angu-7 kuya kwangu-8 atholakalayo okulala ngaphambi kokuthatha i-zolpidem. Ukuyithatha uma ungenakuthola ukuphumula okugcwele ebusuku kungakushiya uzizwa ukozela futhi ukhubazekile ngosuku olulandelayo. Njalo yithathe nengilazi yamanzi egcwele, futhi ungaligayi noma ulilume amaphilisi.
Gwema utshwala ngokuphelele uma usebenzisa i-zolpidem, ngoba le nhlanganisela ingaba yingozi futhi ingakhuphula ingozi yakho yemiphumela emibi. Futhi, ungaluthathi i-zolpidem neminye imithi ekwenza ubuthongo ngaphandle uma udokotela wakho ekugunyaza ngqo lokhu kuhlanganiswa.
I-Zolpidem yenzelwe ukusetshenziswa kwesikhashana, ngokuvamile izinsuku eziyi-7 kuya kweziyi-10, futhi ngokuvamile akudluli amasonto ama-4. Udokotela wakho uzoqala ngesikhathi esifushane sokwelashwa esisebenzayo ukusiza ukuxazulula izinkinga zakho zokulala ngokushesha.
Isizathu salo mkhawulo wesikhathi ukuthi umzimba wakho ungakha ukubekezelelana ne-zolpidem, okusho ukuthi ungase udinge imithamo ephezulu ukuze uzuze umphumela ofanayo wokulala. Ukusetshenziswa okwandisiwe kungaholela ekuthembekeni ngokomzimba, okwenza kube nzima ukulala ngokwemvelo ngaphandle komuthi.
Uma usenezinkinga zokulala ngemuva kokusebenzisa i-zolpidem isikhathi esinqunyiwe, udokotela wakho uzofuna ukuhlola ezinye izindlela. Lokhu kungabandakanya ukuphenya izimbangela eziyisisekelo ze-insomnia yakho, ukuzama imithi ehlukene, noma ukufaka izindlela zokuhlanzeka zokulala kanye nokwelashwa kokuziphatha.
Njengayo yonke imithi, i-zolpidem ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda okulindelekile kungakusiza ukuthi usebenzise lo muthi ngokuphephile futhi wazi ukuthi ungaxhumana nini nodokotela wakho.
Imiphumela evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi:
Le miphumela evamile ivame ukunyamalala ezinsukwini ezimbalwa njengoba umzimba wakho uzivumelanisa nomuthi. Uma ziqhubeka noma ziba zimbi, yazisa udokotela wakho ukuze akwazi ukulungisa uhlelo lwakho lokwelapha.
Abanye abantu bahlangabezana nemiphumela emibi ekhathazayo edinga ukunakekelwa kwezempilo ngokushesha. Lokhu akuvamile kodwa kubalulekile ukuqaphela:
Uma uhlangabezana nanoma yimiphi yale miphumela emibi engathi sína, yeka ukuthatha i-zolpidem ngokushesha futhi ufune usizo lwezempilo. Lezi zimo, nakuba zingavamile, zingaba yingozi futhi zidinga ukuhlolwa kochwepheshe.
Abantu abathile kufanele bagweme i-zolpidem ngenxa yengozi eyengeziwe yezinkinga ezingathi sína. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi ukuze aqinisekise ukuthi uphephile kuwe.
Akufanele uthathe i-zolpidem uma unesifo esibi sesibindi, njengoba umzimba wakho ungase ungakwazi ukucubungula umuthi ngendlela efanele. Lokhu kungaholela ekwakhekeni okuyingozi komuthi ohlelweni lwakho. Abantu abanezinkinga ezinkulu zokuphefumula, okuhlanganisa i-sleep apnea enkulu, kufanele futhi bagweme i-zolpidem ngoba ingenza izinkinga zokuphefumula zibe zimbi kakhulu.
Abesifazane abakhulelwe akufanele basebenzise i-zolpidem, ikakhulukazi ngesikhathi sokukhulelwa kokuqala, njengoba ingalimaza ingane esakhula. Uma uncelisa, xoxa ngezindlela ezingezinye nodokotela wakho ngoba i-zolpidem ingadlulela obisini lwebele futhi ithinte ingane yakho.
Abantu abanomlando wokusebenzisa kabi izidakamizwa noma ukulutheka badinga ukucatshangelwa okukhethekile, njengoba i-zolpidem ingaba umlutha. Udokotela wakho uzohlola izinzuzo ngokumelene nezingozi futhi angase ancome ukwelashwa okuhlukile uma umlando wakho wokulutheka wenza i-zolpidem ibe yingozi kakhulu.
I-Zolpidem itholakala ngaphansi kwamagama amaningi emakethe, i-Ambien iyona eyaziwa kakhulu. Amanye amagama emakethe ajwayelekile afaka i-Ambien CR (inguqulo yokukhishwa isikhathi eside), i-Zolpimist (isifutho somlomo), kanye ne-Edluar (ithebhulethi encibilika ngaphansi kolimi lwakho).
Izinhlobo ezijwayelekile ze-zolpidem zitholakala kabanzi futhi zisebenza ngempumelelo njengezinhlobo zamagama emakethe. Umkhemisi wakho angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi aqinisekise ukuthi uyithatha ngendlela efanele.
Izinhlobo ezahlukene zenzelwe izinkinga ezahlukene zokulala. Izinhlobo ezikhishwa ngokushesha zikusiza ukuthi ulale ngokushesha, kuyilapho izinhlobo ezikhishwa isikhathi eside zikusiza ukuthi uhlale ulele ubusuku bonke. Udokotela wakho uzokhetha uhlobo olufanele ngokusekelwe endleleni yakho ethile yokungalali.
Uma i-zolpidem ingakulungele, ezinye izindlela ezingasiza ngezinkinga zokulala. Udokotela wakho angase ancome eminye imithi yokulala kadokotela efana ne-eszopiclone (Lunesta) noma i-zaleplon (Sonata), esebenza ngendlela efanayo kodwa inesikhathi esihlukile sokusebenza.
Izindlela ezingezona imithi zivame ukuba umugqa wokuqala wokwelashwa kokungalali okungapheli. Lokhu kufaka phakathi i-cognitive behavioral therapy for insomnia (CBT-I), ekufundisa amasu okuthuthukisa ukulala ngokwemvelo. Imikhuba yenhlanzeko yokulala, amasu okuphumula, nokubhekana nokucindezeleka noma ukukhathazeka okuyisisekelo nakho kungase kusebenze kahle kakhulu.
Kwabanye abantu, izithasiselo ze-melatonin noma ezinye izinsiza zokulala ezingaphandle kwekhawunta zingase zinikeze usizo olwanele. Kodwa-ke, kubalulekile ukuxoxa nganoma iyiphi insiza yokulala nodokotela wakho ukuze uqinisekise ukuthi ngeke ihlangane neminye imithi oyithathayo.
I-Zolpidem inikeza izinzuzo eziningi ngaphezu kwemithi yokulala endala, ikakhulukazi mayelana nokuphepha nokulala ngosuku olulandelayo. Uma iqhathaniswa nama-benzodiazepines afana ne-lorazepam noma i-temazepam, i-zolpidem mancane amathuba okuthi ibangele ukuthuliswa isikhathi eside noma izinkinga ezinkulu zenkumbulo.
Uma kuqhathaniswa neminye imithi yokulala emisha efana ne-eszopiclone, i-zolpidem ngokuvamile isebenza ngokushesha kodwa ingase ingahlali isikhathi eside. Lokhu kuyenza ilungele abantu abanobunzima bokulala kodwa abangakhathazeki ngempela ngokuhlala belele. Ukukhetha phakathi kwemithi yokulala ehlukene kuvame ukuncika endleleni yakho yokulala ethile nokuthi umzimba wakho usabela kanjani enkokhelo ngayinye.
Udokotela wakho uzocabangela izinto ezinjengobudala bakho, eminye imithi oyithathayo, nanoma yiziphi izimo zempilo ezingaphansi lapho ekhetha umuthi wokulala ongcono kakhulu kuwe. Okusebenza kahle kakhulu kuyahlukahluka kumuntu nomuntu, ngakho-ke ukuthola okufanele kungase kuthathe ukulingwa nokuqapha ngokucophelela.
Abantu abadala bangasebenzisa i-zolpidem, kodwa ngokuvamile badinga imithamo ephansi ngoba bayayicubungula imithi kancane. Abantu abadala basengozini enkulu yokuwa nokudideka ngemithi yokulala, ngakho odokotela bavame ukuqala ngengxenye yomthamo ojwayelekile wabantu abadala.
Ingozi yokulala ngosuku olulandelayo nokungahleleki kahle kwemvelo iphezulu ezigulini ezindala, okungaholela ekuweni noma ezingozini eziyingozi. Udokotela wakho uzokuqapha eduze futhi angase ancome izinyathelo zokuphepha ezengeziwe njengokususa izingozi zokukhubeka ekamelweni lakho lokulala nasekamelo lokugezela.
Uma ngengozi uthatha i-zolpidem eningi kunaleyo ebekiwe, funa ukunakekelwa kwezempilo ngokushesha, ikakhulukazi uma uthathe okuningi kakhulu kunomthamo wakho ovamile. Ukweqisa kungabangela ukozela okuyingozi, ukudideka, nezinkinga zokuphefumula.
Ungazami ukuhlala uvukile noma ukuzishayela ukuze uthole usizo. Shayela izinsiza eziphuthumayo noma ucele othile ukuthi akuqhubele esibhedlela ngokushesha. Letha ibhodlela lemithi nawe ukuze ochwepheshe bezokwelapha bazi kahle ukuthi yini nokuthi ungakanani okuthathile.
Uma uphuthelwa umthamo we-zolpidem, ungawuthathi ngaphandle uma usenesikhathi esingama-7 kuya kwangu-8 ngaphambi kokuba kudingeke uvuke. Ukuwuthatha sekwephuze kakhulu kungabangela ukozela oluyingozi ngosuku olulandelayo nokukhubazeka.
Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise lowo ophuthelwe, ngoba lokhu kwandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho mayelana nokusetha izikhumbuzi noma ukuthi i-zolpidem iyona engcono yokuphila kwakho.
Ungayeka ukuthatha i-zolpidem lapho udokotela wakho enquma ukuthi izinkinga zakho zokulala zithuthukile noma lapho usufinyelele esikhathini esiphezulu sokwelashwa esinconyiwe. Abantu abaningi bangayeka i-zolpidem kungazelelwe ngaphandle kwezinkinga ezinkulu, ikakhulukazi uma beyithatha isikhathi esingaphansi kwamasonto ambalwa.
Uma ubuthatha i-zolpidem amasonto amaningana, udokotela wakho angase ancome ukunciphisa umthamo kancane kancane ukuze kuvinjelwe i-rebound insomnia. Lokhu kwanda okwesikhashana kwezinkinga zokulala kungenzeka lapho uyeka imithi yokulala kungazelelwe, kodwa ngokuvamile kulungiswa ezinsukwini ezimbalwa.
Njalo tshela udokotela wakho ngayo yonke imithi oyithathayo ngaphambi kokuqala i-zolpidem, okuhlanganisa imithi etholakala ngaphandle kwe-oda kanye nezithasiselo zemithi yama-herbal. Eminye imithi ingasebenzisana ne-zolpidem, iyenze ibe namandla noma yandise ingozi yemiphumela emibi.
Imithi engandisa ukozela, njenge-antihistamines, ama-muscle relaxants, noma imithi yokukhathazeka, kufanele isetshenziswe ngokucophelela kakhulu nge-zolpidem. Udokotela wakho kungase kudingeke alungise imithamo noma ancome ezinye izindlela zokwelapha ukuze agweme ukusebenzisana okuyingozi.