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

I-Ethchlorvynol iyimithi yokulala kadokotela eyayivame ukusetshenziselwa ukwelapha ukuqwasha okukhulu. Le mithi yokuthulisa umzimba isebenza ngokwehlisa umsebenzi wobuchopho ukukusiza ukuthi ulale futhi uhlale ulele ebusuku bonke.

Ngenkathi i-ethchlorvynol yayisebenza kahle ezinkingeni zokulala, ayisetshenziswa kakhulu namuhla ngenxa yokukhathazeka ngokuphepha kanye nokutholakala kwezinye izindlela ezintsha, eziphephe kakhulu. Ukuqonda le mithi kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nezinketho zakho zokwelashwa kokulala.

Yini i-Ethchlorvynol?

I-Ethchlorvynol ingeyeqembu lemithi ebizwa ngokuthi ama-sedative-hypnotics. Kuyinhlanganisela yokwenziwa esebenza ohlelweni lwakho lwezinzwa oluphakathi nendawo ukukhiqiza ukozela nokulala.

Le mithi yaqala ukuthuthukiswa ngeminyaka yama-1950 futhi yaba ethandwa kakhulu ekwelapheni ukuqwasha okungapheli. Kodwa-ke, odokotela bathola izingozi ezinkulu ezihlobene nokusetshenziswa kwesikhathi eside, okuhlanganisa ukuncika nokuxhumana okuyingozi nezinye izinto.

Namuhla, i-ethchlorvynol ihlukaniswa njengento elawulwayo ngenxa yamandla ayo okuhlukunyezwa nokulutheka. Abahlinzeki bezempilo abaningi bayekile ukuyincoma befuna imithi yokulala ephephe kakhulu.

Isetshenziselwani i-Ethchlorvynol?

I-Ethchlorvynol yayinconywa ikakhulukazi ukuqwasha okukhulu okungazange kuphendule kwezinye izindlela zokwelapha. Yasiza abantu ababezabalaza ukulala noma ukuhlala belele isikhathi eside.

Imithi yayivame ukugcinelwa ukusetshenziswa kwesikhashana ezimweni lapho ukungalali kwakuthinta kakhulu ukusebenza komuntu kwansuku zonke. Abanye odokotela babesebenzisa futhi iziguli ezingakwazanga ukubekezelela eminye imithi yokulala.

Kodwa-ke, ukuqonda kwezokwelapha kuye kwashintsha kakhulu kusukela ekusetshenzisweni okuphezulu kwe-ethchlorvynol. Imithi yokulala yesimanje iyaqaphela ukuthi ukubhekana nezimbangela eziyisisekelo zokuqwasha kuvame ukusebenza kangcono kunokuncika emithini yokuthulisa umzimba kuphela.

Isebenza Kanjani i-Ethchlorvynol?

I-Ethchlorvynol isebenza ngokuthuthukisa imiphumela yekhemikhali yobuchopho ebizwa nge-GABA, eyenza ukuphumula nokulala ngokwemvelo. Uma umsebenzi we-GABA ukhula, ubuchopho bakho buqala ukungasebenzi kakhulu, okwenza kube lula ukulala.

Lo muthi uthathwa njenge-sedative enamandla, evame ukukhiqiza ubuthongo kungakapheli imizuzu engu-15 kuya kwengama-30 ngemva kokuwuthatha. Imiphumela ivamise ukuhlala amahora angu-6 kuya kwangu-8, okuhambisana nomjikelezo wokulala ojwayelekile ebusuku.

Ngokungafani nezinye izindlela zokulala zanamuhla eziqondiswe ezinqamuzini ezithile zokulala, i-ethchlorvynol ithinta amasistimu amaningi obuchopho. Lesi senzo esibanzi sichaza kokubili ukusebenza kwayo kanye namandla ayo emiphumeleni emibi engathí sina.

Kufanele Ngiyithathe Kanjani I-Ethchlorvynol?

Uma unikezwe i-ethchlorvynol, yithathe ngendlela eqondile udokotela wakho akuyala ngayo, ngokuvamile imizuzu engu-15 kuya kwengama-30 ngaphambi kokulala. Umuthi kufanele uthathwe nengilazi yamanzi egcwele esiswini esingenalutho ukuze umzimba uwamukele kahle.

Gwema ukudla ukudla okukhulu kungakapheli amahora angu-2 ngemva kokuthatha i-ethchlorvynol, njengoba ukudla kungahlehlisa imiphumela yayo. Noma kunjalo, ukudla okulula njengama-crackers noma isinkwa esosiwe kwamukelekile uma uzwa isisu singakhululekile.

Ungalokothi uchoboze, uphule, noma uhlafune amaphilisi, ngoba lokhu kungakhulula umuthi omningi ngesikhathi esisodwa. Njalo qiniseka ukuthi unesikhathi esingama-7 kuya kwangu-8 sokulala ngaphambi kokuthatha lo muthi ukuze ugweme ukuzwa ukozela ekuseni.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Ethchlorvynol?

I-Ethchlorvynol kufanele isetshenziswe kuphela isikhathi esifushane, ngokuvamile kungabi ngaphezu kwezinsuku ezingu-7 kuya kwezingu-10. Ukusetshenziswa isikhathi eside kungaholela ekuthembekeni ngokomzimba kanye nokubekezelelana, okusho ukuthi uzodinga imithamo ephezulu ukuze uzuze umphumela ofanayo.

Udokotela wakho uzoqapha ngokucophelela inqubekela phambili yakho futhi asebenze nawe ukubhekana nezinkinga zokulala ezingaphansi. Umgomo uwukuthuthukisa amaphethini akho okulala ngaphandle kokudala ukuthembela emithini.

Uma ubuthatha i-ethchlorvynol isikhathi esingaphezu kwamasonto ambalwa, ungalokothi uyeke ngokuphazima kweso. Umhlinzeki wakho wezempilo uzokwenza uhlelo lokunciphisa kancane kancane ukuvimbela izimpawu zokuhoxisa, ezingabandakanya ukukhathazeka, ukuthuthumela, kanye ne-rebound insomnia.

Yiziphi Imiphumela Eceleni ye-Ethchlorvynol?

Njengayo yonke imithi, i-ethchlorvynol ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda le miphumela engaba khona kukusiza ukuthi wazi ukuthi yini okufanele uyibheke nokuthi nini okufanele uthinte umhlinzeki wakho wezempilo.

Imiphumela emibi ejwayelekile abantu abaningi abayitholayo ihlanganisa ukozela ngosuku olulandelayo, isiyezi, kanye nesicanucanu esincane. Le miphumela ivame ukuba yesikhashana futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi.

• Ukozela emini noma umuzwa "we-hangover"
• Isiyezi noma ukungazinzi
• Isicanucanu noma isisu esibuhlungu
• Ikhanda elibuhlungu
• Umbono ongacacile
• Umlomo owomile

Le miphumela ejwayelekile ivame ukushabalala kungakapheli amahora ambalwa ngemva kokuvuka. Nokho, ingathinta ikhono lakho lokushayela noma ukusebenzisa imishini ngokuphepha.

Imiphumela emibi engathi sína idinga ukunakekelwa kwezempilo ngokushesha futhi ihlanganisa ukudideka, ubunzima bokuphefumula, noma izimpawu zokungezwani komzimba nezinto ezithile. Nakuba lokhu kungavamile, kungaba yingozi uma kungalungiswa ngokushesha.

• Ukudideka okukhulu noma izinkinga zenkumbulo
• Ubunzima bokuphefumula noma ukuphefumula kancane
• Ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Ukuqubuka kwesikhumba noma imihuzuko
• Ukuvuvukala kobuso, izindebe, noma umphimbo

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha. Ungalindi ukubona ukuthi izimpawu ziyathuthuka yini zodwa.

Ubani Ongafanele Athathwe i-Ethchlorvynol?

Abantu abathile kufanele bagweme i-ethchlorvynol ngenxa yengozi eyengeziwe yezinkinga ezingathi sína. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokucabangela le mithi.

Abantu abanezifo zesibindi noma izinso kungenzeka bangakwazi ukucubungula i-ethchlorvynol ngendlela efanele, okuholela ekuqongeleleni okuyingozi emzimbeni. Labo abanezinkinga zokuphefumula njenge-sleep apnea babhekene nengozi eyengeziwe yokucindezeleka kokuphefumula.

Izimo ezilandelayo zenza i-ethchlorvynol ibe yingozi kakhulu futhi ngokuvamile iphikisana nokusetshenziswa kwayo:

• Isifo esibi sesibindi noma izinso
• I-Sleep apnea noma ezinye izifo zokuphefumula
• Umlando wokusebenzisa izidakamizwa noma ukulutheka
• Ukukhulelwa noma ukuncelisa
• Ukucindezeleka okukhulu nemicabango yokuzibulala
• I-Porphyria (isifo segazi esingavamile)

Ngaphezu kwalokho, abadala bazwela kakhulu emiphumeleni ye-ethchlorvynol futhi babhekene nezingozi eziphezulu zokuwa, ukudideka, nokuxhumana okuyingozi neminye imithi abangase bayithathe.

Amagama Omkhiqizo we-Ethchlorvynol

I-Ethchlorvynol yayiqale ukuthengiswa ngaphansi kwegama lomkhiqizo elithi Placidyl yi-Abbott Laboratories. Leli kwakuyigama lomkhiqizo elaziwa kakhulu lemithi phakathi neminyaka yayo yokuqala yokusetshenziswa.

Nokho, i-Placidyl yayekwa e-United States ngo-1999 ngenxa yokukhathazeka ngokuphepha nokwehla kokusetshenziswa. Izinhlobo ezivamile ze-ethchlorvynol azitholakali kakhulu namuhla, futhi imithi ayivami ukunqunywa.

Uma uhlangana nezinkomba ze-Placidyl emibhalweni yakudala yezokwelapha noma ezingxoxweni, yazi ukuthi lokhu kubhekisela emuthini ofanayo ne-ethchlorvynol. Ukuyekiswa kubonisa ukushintsha komphakathi wezokwelapha ekuqondeni izindlela zokulala eziphephe kakhulu.

Ezinye izindlela ze-Ethchlorvynol

Imithi yokulala yanamuhla inikeza ezinye izindlela eziphephe kakhulu nezisebenzayo ze-ethchlorvynol. Izinketho zanamuhla zinezinkinga ezimbalwa ezingezinhle kanye nengozi ephansi yokuncika ngenkathi zisanikeza ukusekelwa kokulala okusebenzayo.

Izinsiza zokulala ezingezona ze-benzodiazepine njenge-zolpidem (Ambien) noma i-eszopiclone (Lunesta) zisebenza ngokuqondile ezinzwaneni zokulala. Le mithi ngokuvamile ibangela ukulala kancane ekuseni futhi inokuncika okuphansi kunemithi endala efana ne-ethchlorvynol.

Kubantu abafuna izindlela ezingasebenzisi imithi, i-cognitive behavioral therapy for insomnia (CBT-I) ibonakale isebenza kahle kakhulu. Le ndlela ibhekana nemicabango nokuziphatha okuneqhaza ezinkingeni zokulala ngaphandle kwezingozi zemithi.

• Zolpidem (Ambien) - isebenza ngokushesha futhi idala ukulala kancane ekuseni
• Eszopiclone (Lunesta) - isebenza isikhathi eside ukuze kulondolozwe ukulala
• Ramelteon (Rozerem) - isebenza ngemijikelezo yokulala yemvelo
• Izithasiselo ze-Melatonin - ukusekela amahomoni emvelo
• I-cognitive behavioral therapy for insomnia (CBT-I)
• Ukuthuthukiswa kwenhlanzeko yokulala

Umhlinzeki wakho wezempilo angakusiza ukuthi uhlole lezi zindlela ezingezinye futhi uthole indlela ekufanela kahle izinselelo zakho zokulala kanye nephrofayili yakho yonke yezempilo.

Ingabe i-Ethchlorvynol ingcono kune-Zolpidem?

I-Zolpidem (Ambien) ngokuvamile ithathwa njengephephile futhi isebenza kahle kune-ethchlorvynol ekwelapheni ukuqwasha. Ucwaningo lwanamuhla lubonisa ukuthi i-zolpidem inemiphumela emincane, ingozi encane yokuncika, kanye nephrofayili ephephile engcono.

I-Ethchlorvynol ithinta izinhlelo eziningi zobuchopho ngokubanzi, kuyilapho i-zolpidem isebenza ngokuqondile ezinqamulelweni ezihlobene nokulala. Lesi senzo esiqondiwe sisho ukuthi i-zolpidem ngokuvamile idala ukulala okuncane ekuseni kanye nemiphumela emincane yokucabanga.

Amathuba okuba umlutha nawo aphansi kakhulu nge-zolpidem uma kuqhathaniswa ne-ethchlorvynol. Ngenkathi yomibili imithi ingadala ukuncika ekusetshenzisweni kwesikhathi eside, indlela ye-zolpidem eqondile yenza le ngozi iphatheke kalula.

Ngaphezu kwalokho, i-zolpidem ifundwe kabanzi ezivivinyweni zomtholampilo zanamuhla, kuyilapho idatha yokuphepha ye-ethchlorvynol ivela ezifundweni ezindala ezinendlela engahlelekile kakhulu. Lokhu kunikeza abahlinzeki bezempilo ukuzethemba okwengeziwe kuphrofayili ye-zolpidem yengozi-inzuzo.

Imibuzo Evame Ukubuzwa Mayelana ne-Ethchlorvynol

Ingabe i-Ethchlorvynol iphephile ezigulini ezigugile?

I-Ethchlorvynol ngokuvamile ayinconyelwe iziguli ezindala ngenxa yokwanda kokuzwela kanye nengozi enkulu yemiphumela emibi. Abantu abadala bacubungula imithi kancane, okuholela emiphumeleni ende kanye nengozi enkulu yokuwa, ukudideka, kanye nokuxhumana okuyingozi.

I-American Geriatrics Society ifaka i-ethchlorvynol ohlwini lwayo lwemithi engase ingafaneleki kubantu abadala. Ezinye izindlela eziphephile njenge-melatonin enezilinganiso eziphansi noma izinsiza zokulala eziqondiwe zivame ukukhethwa ezigulini ezindala ezinobunzima bokulala.

Kufanele ngenzeni uma ngithatha i-Ethchlorvynol eningi ngengozi?

Uma usola ukuthi udlulisele i-ethchlorvynol, funa usizo oluphuthumayo lwezokwelapha ngokushesha ngokushayela u-911 noma uya egumbini eliphuthumayo eliseduze. Ungalindi ukuthi izimpawu zibe zimbi noma uzame ukuzelapha ngokweqile.

Izimpawu zokweqisa zingabandakanya ukozela okukhulu, ukudideka, ukuphefumula kancane noma okunzima, nokulahlekelwa ukwazi. Le miphumela ingaba yingozi ekuphileni futhi idinga ukungenelela kwezokwelapha okusheshayo ngokunakekelwa okusekelayo nokuqapha.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Ethchlorvynol?

Uma uphuthelwa umthamo we-ethchlorvynol, weqe ngokuphelele bese uqhubeka neshejuli yakho ejwayelekile ngobusuku obulandelayo. Ungalokothi uthathe umthamo ophindwe kabili noma uthathe umuthi uma unamahora angaphansi kuka-7 kuya kwangu-8 atholakalayo okulala.

Ukuthatha i-ethchlorvynol sekwephuze kakhulu ebusuku kungabangela ukozela okuyingozi ekuseni futhi kuphazamise ikhono lakho lokusebenza ngokuphepha ngosuku olulandelayo. Kungcono ukuba nobusuku obubodwa bokulala okubi kunokubeka engozini imiphumela emibi evela esikhathini esingafanele.

Ngingayeka nini ukuthatha i-Ethchlorvynol?

Kufanele uyeke ukuthatha i-ethchlorvynol kuphela ngaphansi kokuqondisa kukadokotela wakho, ikakhulukazi uma ubusisebenzisa izinsuku ezingaphezu kwezithile. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa ezihlanganisa ukukhathazeka, ukuthuthumela, kanye ne-insomnia enkulu.

Umhlinzeki wakho wezempilo uzokwenza isimiso sokunciphisa kancane kancane esinciphisa kancane umthamo wakho ezinsukwini eziningana noma emasontweni. Le ndlela inciphisa izimpawu zokuhoxisa futhi isiza ekuvimbeleni izinkinga eziyingozi zokuyeka ngokushesha kakhulu.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Ethchlorvynol?

Ungalokothi uhlanganise i-ethchlorvynol notshwala, ngoba le nhlanganisela ingaba yingozi kakhulu futhi ingabulala. Zombili lezi zinto zicindezela uhlelo lwakho lwezinzwa oluphakathi, futhi uma zihlangene zingadala izinkinga ezinkulu zokuphefumula, ukulahlekelwa ukwazi, nokufa.

Ngisho namanani amancane otshwala angandisa kakhulu imiphumela ye-ethchlorvynol, okuholela ekusabeleni okungalindelekile nokuyingozi. Lokhu kusebenzisana kuhlala kuyingozi ngisho nangemva kwamahora okuphuza, ngakho-ke kuphephe kakhulu ukugwema utshwala ngokuphelele ngenkathi uthatha lo muthi.