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

I-Atomoxetine iyimithi kadokotela esetshenziselwa ikakhulukazi ukwelapha i-attention deficit hyperactivity disorder (ADHD) kubantwana nakubantu abadala. Ngokungafani neminye imithi eminingi ye-ADHD, i-atomoxetine akuyona i-stimulant, okwenza ibe yindlela ewusizo kubantu abangakwazi ukuthatha noma abangayiphenduli kahle imithi ye-stimulant.

Le mithi isebenza ngokuthinta amakhemikhali athile obuchopho asiza ngokugxila nokunaka. Uma wena noma othandiweyo wakho unikezwe i-atomoxetine, cishe unemibuzo mayelana nokuthi isebenza kanjani, okulindelekile, nokuthi uyithatha kanjani ngokuphepha.

Yini i-Atomoxetine?

I-Atomoxetine ingeyeqembu lemithi ebizwa ngokuthi ama-selective norepinephrine reuptake inhibitors. Yenzelwe ukusiza abantu abane-ADHD ukuthi balawule kangcono izimpawu zabo ngokulinganisa amakhemikhali obuchopho athinta ukunaka nokulawula ukuziphatha.

Le mithi ithathwa njengokwelashwa kwe-ADHD okungeyona i-stimulant, okuyenza ihluke emithini ye-ADHD eyaziwa kakhulu njenge-methylphenidate noma ama-amphetamine. Imvelo engenziwa yi-stimulant iyenza ibe wusizo ikakhulukazi kubantu abahlangabezana nemiphumela emibi evela kuma-stimulants noma abanezimo ezithile zezokwelapha ezenza ama-stimulants angafaneleki.

I-Atomoxetine iza ngesimo se-capsule futhi ithathwa ngomlomo kanye noma kabili ngosuku. Imithi iyatholakala ngamandla ahlukahlukene ukuvumela odokotela ukuthi bathole umthamo ofanele wezidingo zomuntu ngamunye.

Isetshenziselwani i-Atomoxetine?

I-Atomoxetine ivunywe yi-FDA ngokuqondile ukwelapha i-ADHD ezinganeni ezineminyaka engu-6 nangaphezulu, intsha, nabantu abadala. Isiza ukuthuthukisa izimpawu eziyinhloko ezenza impilo yansuku zonke ibe yinselele kubantu abane-ADHD.

Imithi ingasiza ukunciphisa ukunganaki, okungase kuvele njengobunzima bokugxila emisebenzini, ukukhohlwa izinto ezibalulekile, noma ukuphazamiseka kalula. Futhi isiza ngezimpawu ze-hyperactivity njengokungazinzi, ukuzithinta, noma ukuzizwa

Ngaphezu kwalokho, i-atomoxetine ingathuthukisa ukulawulwa kokushaywa ngamandla, isize abantu ukuthi bacabange ngaphambi kokwenza, balinde ithuba labo, noma bagweme ukuphazamisa abanye. Abanye odokotela bangase bayibhale ngaphandle kwesitifiketi sezimo ezinye, kodwa i-ADHD ihlala iyona esetshenziswa kakhulu futhi efundwe kahle.

Isebenza Kanjani I-Atomoxetine?

I-Atomoxetine isebenza ngokuvimba ukuthathwa kabusha kwe-norepinephrine ebuchosheni bakho. I-Norepinephrine iyi-neurotransmitter edlala indima ebalulekile ekunakekeleni, ukuqapha, kanye nomsebenzi ophezulu.

Lapho i-atomoxetine ivimba inqubo yokuthathwa kabusha, ivumela i-norepinephrine eningi ukuthi ihlale itholakala ezindaweni zobuchopho ezinomthwalo wokunaka nokugxila. Lokhu kwanda kokutholakala kusiza ukuthuthukisa ikhono lobuchopho lokulawula ukunaka nokunciphisa izimpawu ze-ADHD.

Ngokungafani nemithi ekhuthazayo esebenza ngokushesha, i-atomoxetine ithathwa njengemithi enamandla aphakathi nendawo eyakha ohlelweni lwakho ngokuhamba kwesikhathi. Ungase ungaboni izinzuzo ezigcwele amasonto amaningana, okuyinto evamile ngokuphelele futhi elindelekile.

Kufanele Ngiyithathe Kanjani I-Atomoxetine?

Thatha i-atomoxetine ngendlela udokotela wakho ayichaza ngayo, ngokuvamile kanye noma kabili ngosuku. Ungayithatha ngokudla noma ngaphandle kokudla, nakuba ukuyithatha ngokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uhlangabezana nalowo mphumela.

Gwinya amaphilisi wonke ngamanzi noma olunye uketshezi. Ungavuli, uchoboze, noma uhlafune amaphilisi, njengoba lokhu kungathinta indlela umuthi okhululwa ngayo emzimbeni wakho. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izindlela.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukuze usize ukusungula umkhuba. Uma uyithatha kabili ngosuku, hlukanisa imithamo ngokulinganayo usuku lonke njengoba udokotela wakho encoma. Ukuyithatha njalo kusiza ukugcina amazinga aqinile ohlelweni lwakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Atomoxetine?

Isikhathi sokwelashwa nge-atomoxetine siyahluka kumuntu nomuntu futhi sincike ekuphenduleni kwakho kanye nezidingo zakho. Abantu abaningi bayayithatha izinyanga noma iminyaka njengengxenye yokuphathwa kwabo kwe-ADHD okuqhubekayo.

Udkt wakho ngokuvamile uzoqala ngomthamo ophansi bese ewunyusa kancane kancane emasontweni ambalwa ukuze athole inani elikusebenzela kangcono. Kuvame ukuthatha amasonto angu-4 kuya kwangu-6 ukuzwa izinzuzo ezigcwele, ngakho ukubekezela ngalesi sikhathi sokuqala kubalulekile.

Ukuqokwa okuvamile kokulandela nodokotela wakho kubalulekile ukuqapha ukuthi umuthi usebenza kahle kangakanani nokulungisa umthamo uma kudingeka. Abanye abantu bangase badinge ukuthatha i-atomoxetine isikhathi eside, kanti abanye bangase bayisebenzise izikhathi ezimfushane kuye ngezimo zabo kanye nemigomo yokwelashwa.

Yiziphi Imiphumela Eceleni ye-Atomoxetine?

Njengayo yonke imithi, i-atomoxetine ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imild kuya phakathi nendawo futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi evame kakhulu ongase uyibone, ikakhulukazi lapho uqala umuthi noma ukhuphula umthamo:

• Ukuncipha kwesifiso sokudla noma ukuncipha kwesisindo
• Ukucasuka kwesisu noma isicanucanu
• Ukukhathala noma ukozela
• Isiyezi
• Ushintsho lwemizwa noma ukucasuka
• Ubunzima bokulala
• Ukuqunjelwa
• Umlomo owomile

Le miphumela emibi evamile ivame ukuba ngaphansi kokukhathaza njengoba umzimba wakho ujwayela umuthi. Ukuthatha i-atomoxetine nokudla kungasiza ukunciphisa isicanucanu nokucasuka kwesisu.

Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Lokhu kuhlanganisa izinguquko ezinkulu zemizwa, imicabango yokuzilimaza, ukusabela okukhulu komzimba, noma izinkinga zesibindi eziboniswa ukuphuzi kwesikhumba noma amehlo.

Ngokuvamile, i-atomoxetine ingabangela izinkinga zenhliziyo ezinzima noma ukulimala kwesibindi okukhulu. Nakuba lezi zinkinga ezingavamile zingavamile, udokotela wakho uzokuqapha nganoma yiziphi izimpawu zalezi zinkinga, ikakhulukazi uma uqala ukuthatha umuthi.

Ubani Ongafanele Athathwe I-Atomoxetine?

I-Atomoxetine ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma imithi ingenza ingaphephile. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinikeza.

Akufanele uthathe i-atomoxetine uma njengamanje uthatha noma usanda kuthatha ama-monoamine oxidase inhibitors (MAOIs), njengoba le nhlanganisela ingabangela ukwanda okuyingozi kwengcindezi yegazi. Kuzodingeka ulinde okungenani izinsuku eziyi-14 ngemva kokuyeka i-MAOI ngaphambi kokuqala i-atomoxetine.

Abantu abanezimo ezithile zenhliziyo, njengezinkinga ezinkulu zesigqi senhliziyo, isifo senhliziyo esibi, noma ingcindezi yegazi ephezulu ngendlela eyingozi, kungenzeka bangabi ngabantu abafanelekayo be-atomoxetine. Umuthi ungathinta izinga lokushaya kwenhliziyo nengcindezi yegazi, ngakho udokotela wakho uzohlola impilo yakho yenhliziyo nemithambo kuqala.

Uma une-glaucoma ye-narrow-angle, isifo sesibindi esibi, noma umlando wokungezwani komzimba okukhulu ku-atomoxetine, lo muthi cishe awukulungele. Ngaphezu kwalokho, uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa ngezinhlobo zengozi nezinzuzo ngokucophelela nodokotela wakho.

Amagama Omkhiqizo we-Atomoxetine

I-Atomoxetine itholakala ngaphansi kwegama lomkhiqizo elithi Strattera, okuyilona uhlobo lokuqala lomkhiqizo walo muthi. I-Strattera yenziwa yi-Eli Lilly and Company futhi itholakala kusukela ngo-2002.

Izinhlobo ezivamile ze-atomoxetine manje ziyatholakala ezinkampanini ezihlukahlukene zemithi. Lezi zinhlobo ezivamile ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo ne-Strattera yegama lomkhiqizo, kodwa ngokuvamile zibiza kancane.

Noma ngabe uthola i-Strattera yegama lomkhiqizo noma i-atomoxetine ejwayelekile, ukusebenza kahle komuthi kanye nephrofayili yokuphepha kuhlala kufana. Ikhemisi lakho lingashintsha ngokuzenzakalelayo i-atomoxetine ejwayelekile ngaphandle uma udokotela wakho echaza ngqo igama lomkhiqizo.

Ezinye Izindlela Zokwelapha Nge-Atomoxetine

Uma i-atomoxetine ingasebenzi kahle kuwe noma ibangela imiphumela engemihle, eminye imithi eminingi ye-ADHD iyatholakala. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho ngokusekelwe ezidingweni zakho ezithile kanye nomlando wakho wezokwelapha.

Imithi ekhuthazayo efana ne-methylphenidate (Ritalin, Concerta) noma ama-amphetamine (Adderall, Vyvanse) ngokuvamile yizona zindlela zokwelapha zokuqala ze-ADHD. Lezi zisebenza ngendlela ehlukile kune-atomoxetine futhi zingase zisebenze kahle kwabanye abantu, nakuba zingase futhi zibangele imiphumela ehlukene.

Ezinye izinketho ezingezona ezikhuthazayo zihlanganisa i-bupropion (Wellbutrin), okuyilapho i-antidepressant engasiza ngezimpawu ze-ADHD, noma i-guanfacine (Intuniv), eyayithuthukiswe ekuqaleni ngenxa yegazi eliphezulu kodwa manje isetshenziselwa i-ADHD. Ngayinye yalezi zindlela inezinzuzo zayo kanye nezinkinga ezingaba khona.

Ngezinye izikhathi odokotela batusa ukuhlanganisa imithi noma ukwengeza ukwelashwa kokuziphatha ekwelashweni ngemithi. Indlela engcono kakhulu incike ezimpawini zakho ngazinye, indlela yokuphila, nokuthi usabela kanjani ekwelashweni okuhlukene.

Ingabe i-Atomoxetine Ingcono Kune-Methylphenidate?

I-Atomoxetine ne-methylphenidate yomibili iyindlela yokwelapha i-ADHD esebenzayo, kodwa zisebenza ngendlela ehlukile futhi zinezinzuzo ezihlukile. Akukho noyedwa ongcono kunomunye, njengoba ukukhetha okungcono kuncike ezidingweni zakho ngazinye kanye nezimo.

I-Methylphenidate iyisikhuthazi esivame ukusebenza ngokushesha kune-atomoxetine, nabantu abaningi beqaphela ukuthuthuka kungakapheli amahora noma izinsuku zokuqala ukwelashwa. Kodwa-ke, izikhuthazi zingabangela ukucindezelwa okwengeziwe kwesifiso sokudla, izinkinga zokulala, futhi azifanele abantu abanezimo ezithile zenhliziyo noma umlando wokusebenzisa izidakamizwa.

I-Atomoxetine ithatha isikhathi eside ukukhombisa imiphumela ephelele kodwa inikeza ukulawulwa kwezimpawu kwamahora angama-24 ngokuthatha kanye noma kabili ngosuku. Akungenzeki ukuthi ibangele izinkinga zokulala noma ukulahlekelwa isifiso sokudla, futhi ayinayo indlela yokuhlukunyezwa njengoba kwenza izithasiselo.

Udokotela wakho uzocabangela izinto ezinjengomlando wakho wezokwelapha, eminye imithi oyithathayo, indlela yakho yokuphila, nanoma yiziphi izinto ezedlule ngemithi ye-ADHD lapho ekusiza ukuthi ukhethe phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Atomoxetine

Ingabe i-Atomoxetine iphephile ezigulini zenhliziyo?

I-Atomoxetine ingathinta izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho-ke abantu abanezifo zenhliziyo badinga ukuhlolwa ngokucophelela ngaphambi kokuqala lo muthi. Udokotela wakho uzohlola isimo sakho senhliziyo esithile kanye nempilo yonke yenhliziyo nemithambo ukuze anqume ukuthi i-atomoxetine iphephile yini kuwe.

Uma unezifo zenhliziyo ezilawulwa kahle, udokotela wakho angase akwazi ukukuchazela i-atomoxetine kodwa uzokuqapha eduze. Bangase batusa ukuhlolwa komfutho wegazi njalo kanye nokuqapha izinga lokushaya kwenhliziyo, ikakhulukazi lapho uqala umuthi noma ukhuphula umthamo.

Abantu abanezinkinga ezinkulu zokushaya kwenhliziyo, ukuhluleka kwenhliziyo okukhulu, noma umfutho wegazi ophezulu ongagadiwe ngokuvamile akufanele bathathe i-atomoxetine. Hlala uxoxa ngomlando wakho ophelele wempilo yenhliziyo nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi omusha we-ADHD.

Ngingenzani uma ngithatha i-Atomoxetine eningi ngengozi?

Uma ngengozi uthatha i-atomoxetine eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungabangela imiphumela emibi, okuhlanganisa umfutho wegazi ophezulu oyingozi, izinkinga zokushaya kwenhliziyo, noma izinguquko ezinzima zemizwa.

Ungalindi ukubona ukuthi uzizwa ulungile yini, njengoba ezinye izimpawu zokweqisa umthamo zingase zingaveli ngokushesha. Shayela i-Poison Control Center ku-1-800-222-1222 noma funa ukunakekelwa kwezimo eziphuthumayo uma uhlangabezana nezimpawu ezinjengokuquleka okukhulu, ukuquleka, ubuhlungu besifuba, noma ubunzima bokuphefumula.

Ukuvimbela ukweqisa imithi ngengozi, gcina imithi yakho esitsheni sayo sokuqala enezinqamulelo ezicacile, yithathe ngesikhathi esifanayo nsuku zonke, futhi usebenzise umhleli wamaphilisi uma unzima ukukhumbula ukuthi ngabe uyithathile yini umthamo wakho.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Atomoxetine?

Uma uphuthelwa umthamo we-atomoxetine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabanga ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kubangele izinkinga ezinkulu, kodwa zama ukugcina ukuthatha imithi nsuku zonke ukuze uthole ukulawulwa okungcono kakhulu kwezimpawu. Uma uphuthelwa imithamo kaningi, khuluma nodokotela wakho ngamasu okuthuthukisa ukunamathela emithini.

Ngingayeka nini ukuthatha i-Atomoxetine?

Ungayeka ukuthatha i-atomoxetine uma wena nodokotela wakho ninquma ukuthi ayisadingeki noma ayinanzuzo. Lesi sinqumo kufanele senziwe ngaso sonke isikhathi kanye nomhlinzeki wakho wezempilo kunokuyeka kungazelelwe wedwa.

Udokotela wakho angase ancome ukuyeka i-atomoxetine uma uhlangabezana nemiphumela emibi engathi sína, uma imithi ingasizi izimpawu zakho ze-ADHD, noma uma izimo zakho zempilo zishintsha kakhulu. Abanye abantu futhi bathatha amakhefu emithi ngezinyanga zasehlobo noma ezinye izikhathi lapho izimpawu ze-ADHD zingakhathazi kangako.

Ngokungafani neminye imithi, i-atomoxetine ngokuvamile ayidingi inqubo yokunciphisa kancane kancane, kodwa udokotela wakho uzohlinzeka ngemiyalelo ethile yokuyeka ngokuphepha. Bazophinde baxoxe ngezindlela zokwelapha ezingezinye uma usadinga ukuphathwa kwe-ADHD ngemva kokuyeka i-atomoxetine.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Atomoxetine?

Ngokuvamile kungcono ukugwema utshwala ngenkathi uthatha i-atomoxetine, njengoba le nhlanganisela ingakhuphula ingozi yakho yemiphumela emibi futhi inciphise ukusebenza kahle komuthi. Utshwala bungenza izimpawu ze-ADHD zibe zimbi futhi ziphazamise ikhono lomuthi lokukusiza ukuthi ugxile futhi ugxilise ingqondo.

Kokubili utshwala ne-atomoxetine kungathinta isibindi sakho, futhi ukuzihlanganisa kungase kwandise ingozi yezinkinga zesibindi. Ngaphezu kwalokho, utshwala bungakhuphula imiphumela emibi efana nesiyezi, ukozela, kanye nezinguquko zemizwa abanye abantu abazithola nge-atomoxetine.

Uma ukhetha ukuphuza utshwala ngezikhathi ezithile, kwenze ngokulinganisela futhi unake indlela le nhlanganisela ekuthinta ngayo. Njalo xoxa ngokusebenzisa kwakho utshwala ngobuqotho nodokotela wakho ukuze bakwazi ukukunikeza isiqondiso esiqondene nawe esisekelwe esimweni sakho esithile nempilo yakho.