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

I-Desipramine iyimithi yokucindezeleka kadokotela eyingxenye yeqembu elibizwa ngokuthi ama-tricyclic antidepressants. Udokotela wakho angase akubhalele ukukusiza ukwelapha ukucindezeleka, ubuhlungu obungapheli, noma ezinye izimo lapho imithi emisha ingasebenzi kahle kuwe.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka ukusiza abantu bazizwe ngcono futhi baphathe izimpawu zabo. Ngenkathi ithathwa njengohlobo oludala lwe-antidepressant, ingasebenza kahle kakhulu kubantu abaningi, ikakhulukazi lapho ezinye izindlela zokwelapha zingazange zinikeze usizo oludingayo.

Yini i-Desipramine?

I-Desipramine iyi-tricyclic antidepressant esebenza ngokushintsha amazinga amakhemikhali athile obuchopho. Ibesiza abantu abanokucindezeleka nezinye izimo iminyaka eminingi, futhi odokotela bavame ukuyisebenzisa lapho ama-antidepressants amasha engasebenzi.

Le mithi iza njengamaphilisi omlomo owathatha ngomlomo. Itholakala kuphela ngemvume kadokotela wakho, ozonquma ukuthi iyona yini ekufanele isimo sakho esithile.

Le mithi yaziwa nangegama layo lomkhiqizo elithi Norpramin, nakuba inguqulo ejwayelekile isebenza kahle. Umuthi wakho womuthi angase akunikeze igama lomkhiqizo noma inguqulo ejwayelekile ngokuya ngomshuwalense wakho nokuthi yini etholakalayo.

Isetshenziselwani i-Desipramine?

I-Desipramine ikakhulukazi ibhalelwe ukwelapha i-major depressive disorder, isiza ukuphakamisa imizwa yakho futhi ibuyisele intshisekelo yakho emisebenzini yansuku zonke. Udokotela wakho angase futhi akubhalele izimo zobuhlungu obungapheli, ikakhulukazi ubuhlungu bemizwa obungazange busabele kwezinye izindlela zokwelapha.

Ngezinye izikhathi odokotela basebenzisa le mithi ukusiza nezinye izimo futhi. Lokhu kungabandakanya izinhlobo ezithile zekhanda, i-fibromyalgia, noma ngisho nokusiza izingane ezinzima ukulala uma ezinye izindlela zingasebenzi.

Udktela wakho uzolicabangela ngokucophelela umlando wakho wezokwelapha nezimpawu zamanje ngaphambi kokunquma ukuthi i-desipramine ikufanele yini. Bazohlola izinzuzo ezingaba khona ngokumelene nanoma yiziphi izingozi ngokusekelwe kuphrofayili yakho yezempilo.

Isebenza Kanjani I-Desipramine?

I-Desipramine isebenza ngokuvimba ukuthathwa kabusha kwamakhemikhali athile obuchopho abizwa ngokuthi ama-neurotransmitters, ikakhulu i-norepinephrine ne-serotonin. Lokhu kusho ukuthi kusiza ukugcina amakhemikhali amaningi alawula imizwa etholakala ebuchosheni bakho isikhathi eside.

Kucabange njengokulungisa ivolumu kulezi zimpawu ezibalulekile zobuchopho. Uma unokucindezeleka, le miyalezo yamakhemikhali ingase ithule kakhulu, futhi i-desipramine isiza ukukhulisa ivolumu ukuze ubuchopho bakho bukwazi ukulawula kangcono imizwa nemizwelo.

Lo muthi ubhekwa njengomaphakathi phakathi kwama-antidepressants. Kuvame ukuthatha amasonto amaningana ukuzwa izinzuzo eziphelele, ngakho ukubekezela kubalulekile njengoba ubuchopho bakho buvumelana nezinguquko kula mazinga amakhemikhali.

Kufanele Ngiyithathe Kanjani I-Desipramine?

Thatha i-desipramine ngendlela udokotela wakho ayichaza ngayo, ngokuvamile kanye ngosuku noma ngemithamo ehlukaniswe usuku lonke. Ungayithatha ngokudla noma ngaphandle kokudla, kodwa ukuyithatha ngokudla kungasiza ukunciphisa noma yikuphi ukuphatheka kwesisu ongase ukuzwe.

Odokotela abaningi batusa ukuyithatha ngesikhathi sokulala ngoba ingabangela ukozela, okungase kube usizo uma ube nobunzima bokulala. Kodwa-ke, abanye abantu bayayithola iqeda amandla, ngakho-ke udokotela wakho angase alungise isikhathi ngokusekelwe endleleni ozosabela ngayo.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayigayi, uhlafune, noma uyiphule ithebhulethi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukuze ukusize ukhumbule futhi ugcine amazinga aqhubekayo ohlelweni lwakho. Ukusetha isikhumbuzi sefoni noma ukugcina amaphilisi akho eduze kwento oyisebenzisa nsuku zonke kungakusiza ukuthi uhlale uqhubeka.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Desipramine?

Abantu abaningi badinga ukuthatha i-desipramine okungenani izinyanga eziningana ukuze bathole izinzuzo eziphelele, futhi abaningi baqhubeka beyithatha unyaka noma ngaphezulu. Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngendlela ozosabela ngayo nesimo sakho.

Ngenxa yokucindezeleka, odokotela bavame ukuncoma ukuqhubeka nomuthi okungenani izinyanga eziyi-6 kuya kweziyi-12 ngemuva kokuqala ukuzizwa ungcono. Lokhu kusiza ukuvimbela izimpawu ukuthi zingabuyi futhi kunikeza ubuchopho bakho isikhathi sokuzinza.

Uma uthatha i-desipramine ngenxa yobuhlungu obungapheli, isikhathi singase sihluke. Abanye abantu bathola ukuthi bayayidinga isikhathi eside, kanti abanye bangagcina behlisa umthamo wabo noma bayeke ukuyithatha njengoba ubuhlungu babo buncipha.

Ungayeki ukuthatha i-desipramine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Bazokusiza ukuthi wehlise umthamo wakho kancane kancane ngokuhamba kwesikhathi ukuze ugweme izimpawu zokuhoxiswa futhi uvimbele izimpawu zakho zokuqala ukuthi zingabuyi ngokushesha.

Yiziphi Imiphumela Eceleni ye-Desipramine?

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

Nawa amanye imiphumela emibi ejwayelekile ongase uyibone njengoba umzimba wakho ujwayela umuthi:

• Umlomo owomile nokwanda komzwelo wokoma
• Ukozela noma ukuzizwa ukhathele emini
• Isiyezi, ikakhulukazi uma usukuma ngokushesha
• Ukuqunjelwa
• Ukubona okungacacile
• Ukukhuluphala
• Ubunzima bokuchama
• Ukujuluka okwengeziwe

Le miphumela ejwayelekile ivame ukulawuleka njengoba uqhubeka nokuthatha umuthi. Ukuphuza amanzi amaningi, ukudla ukudla okunothile ngemisoco, nokusukuma kancane ekuhlaliseni noma ekulaleni kungasiza ekunciphiseni ezinye zalezi zinkinga.

Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Ukudideka noma izinkinga zenkumbulo
• Ukuphefumula kanzima
• Ukuqunjelwa okukhulu noma ukungakwazi ukuchama
• Ukuphuma kwegazi okungajwayelekile noma ukulimala
• Ikhanda elibuhlungu elikhulu
• Ukuthuthumela noma ukuqina kwemisipha

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi. Bangakwazi ukukusiza ukuthi uthole ukuthi ngabe udinga ukulungisa umthamo wakho noma ushintshele emuthini ohlukile.

Ezimweni ezingavamile kakhulu, abanye abantu bangase bahlangabezane nokusabela okukhulu komzimba noma imicabango yokuzilimaza, ikakhulukazi emasontweni ambalwa okuqala okwelashwa. Uma unayo imicabango ekhathazayo noma ukusabela okukhulu, funa usizo lwezokwelapha ngokushesha.

Ubani Ongafanele Athathe I-Desipramine?

Abantu abathile akufanele bathathe i-desipramine ngenxa yokukhathazeka ngokuphepha noma ukusebenzisana okungenzeka nezinye izimo zempilo. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-desipramine uma usanda kuba nesifo senhliziyo noma uma uthatha eminye imithi ethile ebizwa ngokuthi ama-MAO inhibitors. Lezi zinhlanganisela zingaba yingozi futhi zibeke impilo engozini.

Abantu abanezimo ezithile zenhliziyo badinga ukucatshangelwa okukhethekile ngaphambi kokuqala i-desipramine. Lokhu kufaka phakathi labo abanomfutho wenhliziyo ongajwayelekile, ukuhluleka kwenhliziyo, noma izinkinga zenhliziyo zakamuva.

Udokotela wakho uzophinda aqaphele ngokuyalela i-desipramine uma unanoma yiziphi zalezi zimo:

• I-Glaucoma (ukwanda kwengcindezi yamehlo)
• Ukwanda kwendlala yesinye noma ubunzima bokuchama
• Izinkinga ezinkulu zesibindi noma izinso
• Ukuphazamiseka kokuhlaselwa
• Isifo se-Bipolar
• Ukuqunjelwa okukhulu noma izinkinga zamathumbu

Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa ngalokhu nodokotela wakho. Bazokusiza ukuthi ulinganise izinzuzo nezingozi ukuze uthole indlela ephephe kakhulu kuwe nomntwana wakho.

Amagama eBrand ye-Desipramine

I-Desipramine itholakala ngaphansi kwegama le-brand elithi Norpramin, nakuba le nguqulo ye-brand ingajwayelekile uku-odwa namuhla. Amakhemisi amaningi anesitoko senguqulo ejwayelekile, esebenza ngendlela efanayo futhi ibiza kakhulu.

Uhlelo lwakho lomshuwalense lungase lukhethe inguqulo ejwayelekile, futhi udokotela wakho cishe uzo-oda yona ngaphandle uma kunesizathu esithile sokuthi udinga igama le-brand. Zombili lezi zinhlobo ziqukethe isithako esifanayo esisebenzayo futhi zinomphumela ofanayo.

Uma njengamanje usebenzisa i-Norpramin futhi ikhemisi lakho lifuna ukukushintshela ku-desipramine ejwayelekile, lokhu kuphephile futhi kujwayelekile. I-FDA iqinisekisa ukuthi imithi ejwayelekile ihlangabezana nezindinganiso eziqinile ezifanayo njengemithi yegama le-brand.

Ezinye izindlela ze-Desipramine

Uma i-desipramine ingakulungeli, zikhona ezinye izinketho zemithi udokotela wakho angazicabangela. Ama-antidepressants amasha afana nama-SSRIs (njenge-sertraline noma i-fluoxetine) avame ukuzanywa kuqala ngoba ngokuvamile anezinye izinto ezingezinhle.

Ezinye izidakamizwa ze-tricyclic antidepressants ezifana ne-amitriptyline noma i-nortriptyline zingase zisebenze kangcono kwabanye abantu. Le mithi isebenza ngendlela efanayo ne-desipramine kodwa ingase ibe nemiphumela ehlukile.

Ngezinhlungu ezingamahlalakhona, udokotela wakho angase asikisele ezinye izinketho ezifana ne-gabapentin, i-pregabalin, noma ezinye izidakamizwa ze-antidepressants ezisebenza kahle kakhulu ngezinhlungu zemizwa.

Enye indlela engcono kakhulu incike ezimpawini zakho ezithile, umlando wakho wezokwelapha, nokuthi usabele kanjani kwezinye izindlela zokwelapha. Udokotela wakho uzosebenza nawe ukuthola umuthi onikeza ibhalansi engcono kakhulu yezinzuzo nemiphumela engalawuleki.

Ingabe i-Desipramine ingcono kune-Amitriptyline?

Kokubili i-desipramine ne-amitriptyline ziyi-tricyclic antidepressants ezisebenza ngendlela efanayo, kodwa zomehluko obalulekile. I-Desipramine ivame ukubangela ukulala okuncane nemiphumela emincane ye-anticholinergic efana nomlomo owomile nokuqunjelwa.

I-Amitriptyline ivame ukukhethwa kubantu abanobunzima bokulala ngoba inamandla okwenza ubuthongo. Kodwa-ke, i-desipramine ingase ibe ngcono uma ukhathazekile ngokuqwashisa emini noma ukukhuluphala.

Ukuze kuphathwe ukucindezeleka, yomibili imithi isebenza ngendlela efanayo. Ukukhetha kuvame ukwehla emiphumeleni eseceleni ozizwa ukhululekile ukuyiphatha nokuthi yiziphi ezinye izimo ongase ube nazo.

Udokotela wakho uzocabangela izinto ezinjengamaphethini akho okulala, eminye imithi oyithathayo, nomlando wakho wezokwelapha ukuze anqume ukuthi iyiphi inketho engasebenza kangcono kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Desipramine

Ingabe i-Desipramine iphephile ezigulini zenhliziyo?

I-Desipramine idinga ukuqashwa ngokucophelela kubantu abanezimo zenhliziyo ngoba ingathinta ukushaya kwenhliziyo nomfutho wegazi. Udokotela wakho cishe uzo-oda i-EKG (ukuhlolwa kokushaya kwenhliziyo) ngaphambi kokuqala ukukusebenzisa lo muthi uma unokukhathazeka ngenhliziyo.

Abantu abanezimo zenhliziyo ezithile, ikakhulukazi ukuhlaselwa yinhliziyo kwakamuva noma izinkinga ezinkulu zokushaya kwenhliziyo, akufanele bathathe i-desipramine. Kodwa-ke, abantu abaningi abanezimo zenhliziyo ezizinzile, ezingathí sina bangayithatha ngokuphepha ngokuqashwa okufanele.

Uma unesifo senhliziyo, udokotela wakho uzoqala ngomthamo ophansi futhi akuqaphele eduze, ikakhulukazi emasontweni ambalwa okuqala okwelashwa.

Ngingenzani uma ngithatha i-Desipramine eningi ngengozi?

Uma uthathe i-desipramine eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kungabangela izinkinga ezinkulu zenhliziyo, ukuquleka, noma eminye imiphumela eyingozi.

Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo. Izimpawu zokweqisa zingabandakanya ukozela okukhulu, ukushaya kwenhliziyo okusheshayo, ubunzima bokuphefumula, noma ukudideka.

Uma othile ewele noma engaphefumuli ngemuva kokuthatha i-desipramine eningi, shayela ku-911 ngokushesha. Gcina ibhodlela lomuthi nawe ukuze ubonise abasebenzi bezokwelapha ukuthi yini ngqo eyathathwa.

Kumele Ngenzeni Uma Ngeqe Umthamo We-Desipramine?

Uma ugeqa umthamo bese ukhumbula ngemva kwamahora ambalwa, yithathe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuseduze isikhathi somthamo wakho olandelayo, weqa umthamo ogeqiwe bese uqhubeka neshejuli yakho evamile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ogeqiwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Kunalokho, qhubeka nje neshejuli yakho yokuthatha imithi evamile.

Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yefoni noma usebenzise umhleli wamaphilisi ukukusiza ukhumbule. Ukuthatha imithi ngokuqhubekayo kusiza ukugcina amazinga aqinile omuthi ohlelweni lwakho.

Ngingayeka Nini Ukuthatha I-Desipramine?

Kufanele uyeke kuphela ukuthatha i-desipramine ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa futhi kungavumela izimpawu zakho zokuqala ukuthi zibuye.

Udokotela wakho uzokusiza ukuthi unciphise kancane umthamo wakho emasontweni amaningana noma izinyanga uma sekuyisikhathi sokuyeka. Le nqubo yokunciphisa isiza ubuchopho bakho ukuthi bujwayele kancane izinguquko.

Izimpawu zokuthi kungase kube yisikhathi sokucabangela ukuyeka zihlanganisa ukuzizwa ungcono njalo izinyanga eziningana, ukuzwa imiphumela emibi ekhathazayo, noma uma usukulungele ukuzama indlela ehlukile yokwelapha. Hlala uxoxa ngalesi sinqumo nomhlinzeki wakho wezempilo kuqala.

Ngingakwazi Ukuphuza Utywala Ngenkathi Ngithatha I-Desipramine?

Kungcono ukugwema utshwala noma ukululinganisa kakhulu ngenkathi uthatha i-desipramine ngoba zombili lezi zinto zingathinta uhlelo lwakho lwezinzwa. Ukuzihlanganisa kungakhuphula ukozela, isiyezi, kanye nemiphumela emibi engaba yingozi.

Ngisho namanani amancane otshwala angase akuthinte ngaphezu kokujwayelekile ngenkathi uthatha lo muthi. Abanye abantu bathola ukuthi utshwala benza izimpawu zabo zokucindezeleka zibe zimbi, okungaphikisana nezinzuzo zomuthi.

Uma ukhetha ukuphuza ngezikhathi ezithile, khuluma nodokotela wakho ngobuningi obungase buphephe kuwe. Bangakunikeza isiqondiso esiqondene nawe ngokusekelwe emthozweni wakho, eminye imithi, kanye nempilo yakho iyonke.