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

I-Fluvoxamine iyimithi kadokotela eyilungu leqembu le-antidepressants elibizwa ngokuthi ama-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokwandisa amazinga e-serotonin, ikhemikhali yemvelo ebuchosheni bakho esiza ukulawula imizwa, ukukhathazeka, nezinye izimpawu zempilo yengqondo.

Le mithi isisize abantu ukuthi balawule izimo ezihlukahlukene zempilo yengqondo iminyaka engaphezu kwamashumi amathathu. Udokotela wakho angase akubhale uma ubhekene nokuphazamiseka okucindezelayo, ukucindezeleka, noma izimo ezithile zokukhathazeka ezingazange ziphendule kahle kwezinye izindlela zokwelapha.

Yini i-Fluvoxamine?

I-Fluvoxamine iyi-selective serotonin reuptake inhibitor (SSRI) esiza ukulinganisa amakhemikhali obuchopho ukuze kuthuthukiswe impilo yakho yengqondo. Cabanga ngayo njengomsizi ogcina i-serotonin eningi eqinisa imizwa itholakala ebuchosheni bakho ngokuyivimbela ukuthi ingangeni ngokushesha.

Ngokungafani namanye ama-antidepressants, i-fluvoxamine ithathwa njengemithi enamandla ngokulinganiselwe eqondise ngqo izindlela ze-serotonin. Iye yafundwa kabanzi futhi yavunywa yi-FDA ukwelapha izimo ezithile zempilo yengqondo, ikakhulukazi ukuphazamiseka okucindezelayo.

Umuthi uza ngesimo samaphilisi futhi uthathwa ngomlomo, ngokuvamile kanye noma kabili ngosuku kuye ngokuthi izincomo zikadokotela wakho. Iyingxenye yeqembu elisungulwe kahle lemithi ezigidi zabantu abayisebenzise ngokuphepha ngaphansi kokuqondiswa kwezokwelapha.

Yini i-Fluvoxamine Esetshenziselwa Yona?

I-Fluvoxamine ikakhulukazi ibhalelwe ukwelapha ukuphazamiseka okucindezelayo (OCD) kanye nokuphazamiseka okukhulu kokucindezeleka. Udokotela wakho angase akutuse uma uhlangabezana nemicabango engadingeki eqhubekayo noma ukuziphatha okuphindaphindwayo okuphazamisa impilo yakho yansuku zonke.

Umuthi usetshenziselwa nezinye izimo eziningi lapho umhlinzeki wakho wokunakekelwa kwezempilo enquma ukuthi kufanelekile. Ukuphatheka kabi komphakathi, ukuphatheka kabi kwesithukuthezi, kanye nokuphatheka kabi kwengcindezi ngemva kwesithwathwa yizinto ezivamile ezingasetshenziswa ngaphandle kwesitifiketi esivunyelwe, okucatshangelwa odokotela abaningi lapho ezinye izindlela zokwelapha zingasebenzi.

Kwezinye izimo, i-fluvoxamine ingase inikezwe i-bulimia nervosa noma izimo ezithile zobuhlungu obungapheli lapho i-serotonin idlala indima. Udokotela wakho uzoqapha ngokucophelela isimo sakho esithile ukuze anqume ukuthi lo muthi uyisinqumo esifanele yini sezimpawu zakho ezithile nomlando wezokwelapha.

Isebenza Kanjani I-Fluvoxamine?

I-Fluvoxamine isebenza ngokuvimba ukuthathwa kabusha kwe-serotonin ebuchosheni bakho, okusho ukuthi igcina le khemikhali ebalulekile elawula imizwa isebenza isikhathi eside. I-Serotonin injengomthunywa osiza amaseli ezinzwa ukuthi axhumane, futhi uma unayo eningi etholakalayo, imizwa yakho nezimpawu zokukhathazeka zivame ukuthuthuka.

Lo muthi ubhekwa njengonamandla ngokulinganisela uma uqhathaniswa nezinye izidakamizwa ze-SSRIs, okusho ukuthi kungase kusebenze kahle kodwa kungase kubangele nemiphumela emibi ebonakalayo ekuqaleni. Amandla awasho ukuthi angcono noma mabi - kusho nje ukuthi udokotela wakho uzokuqapha eduze, ikakhulu uma uqala ukuwuthatha.

Noma kunjalo, imiphumela ayenzeki ngobusuku obubodwa. Ngokuvamile kuthatha amasonto angu-4 kuya kwangu-6 ukuthi uqaphele izinzuzo eziphelele, futhi abanye abantu bangase badinge amasonto angu-12 ukuze bathole umphumela ophelele wokwelapha. Ubuchopho bakho budinga isikhathi sokuzivumelanisa nokulinganisela okusha kwamakhemikhali.

Kufanele Ngiyithathe Kanjani I-Fluvoxamine?

Thatha i-fluvoxamine ngendlela udokotela wakho ayichaza ngayo, ngokuvamile kanye ngosuku kusihlwa noma ihlukaniswe ngemithamo emibili usuku lonke. Ungayithatha ngokudla noma ngaphandle kokudla, kodwa ukuyithatha ngokudla kungasiza ukunciphisa isisu uma uhlangabezana nanoma yikuphi ukungakhululeki kokugaya ukudla.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele - ungayichobozi, uyihlafune, noma uyiphule. Uma uthatha inguqulo yokukhishwa okwandisiwe, lokhu kubaluleke kakhulu ngoba ukuyiphula kungakhipha imithi eningi kakhulu ngesikhathi esisodwa.

Zama ukuthatha imithi yakho ngesikhathi esifanayo nsuku zonke ukuze usize ukugcina amazinga aqhubekayo ohlelweni lwakho. Uma uyithatha kabili ngosuku, hlukanisa imithamo ngokulinganayo. Ukusetha isikhumbuzi sefoni kungakusiza ukuthi uthuthukise umkhuba oqhubekayo.

Njengoba ngishilo lokho, uma uzwa isicanucanu noma isisu esibuhlungu, ukuthatha i-fluvoxamine ngokudla okulula noma ukudla okulula kuvame ukusiza. Gwema utshwala ngenkathi uthatha lo muthi, njengoba kungakhuphula ukozela futhi kungase kuphazamise ukusebenza komuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Fluvoxamine?

Ubude bokwelashwa nge-fluvoxamine buhlukahluka kakhulu kuye ngesimo sakho nokuthi usabela kahle kangakanani emuthini. Kubantu abaningi, ukwelashwa kuvame ukuhlala okungenani izinyanga eziyi-6 kuya kweziyi-12 ngemuva kokuthi izimpawu zithuthuke, kodwa abanye bangase badinge ukwelashwa isikhathi eside.

Udokotela wakho uzohlola njalo inqubekela phambili yakho futhi alungise uhlelo lokwelashwa ngokufanele. Ezimweni ezinjenge-OCD, abantu abaningi bayazuza ekuthathweni komuthi unyaka noma ngaphezulu ukuvimbela izimpawu ukuthi zingabuyi. Ukwelashwa kokucindezeleka kuvame ukulandela umugqa wesikhathi ofanayo.

Ungayeki ukuthatha i-fluvoxamine ngokuzumayo, ngisho noma uzizwa ungcono. Udokotela wakho uzokwenza isimiso sokunciphisa kancane kancane ukuze unciphise kancane umthamo wakho emasontweni amaningana noma izinyanga. Lokhu kusiza ukuvimbela izimpawu zokuhoxisa futhi kunciphisa ingozi yokuthi izimpawu zakho zokuqala zibuye.

Abanye abantu bangase badinge ukuthatha i-fluvoxamine isikhathi eside ukuze bagcine ukuzinza kwempilo yabo yengqondo. Lokhu kujwayelekile ngokuphelele futhi akusho ukuthi uthembele emuthini - kumane nje kusho ukuthi ubuchopho bakho buyazuza ekusekelweni kwamakhemikhali okuqhubekayo.

Yiziphi Imiphumela Eceleni Ye-Fluvoxamine?

Njengazo zonke izidakamizwa, i-fluvoxamine ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imilde noma imodareyithi futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Nawa amanye emiphumela emibi evame kakhulu ongase uyithole, ikakhulukazi emasontweni ambalwa okuqala okwelashwa:

• Ukucasuka kwesisu nokucasuka kwesisu
• Ukozela noma ukuzizwa ukhathele
• Ikhanda
• Isiyezi
• Umlomo owomile
• Ushintsho esifisweni sokudla
• Izinkinga zokulala noma amaphupho acacile
• Imiphumela emibi yocansi, njengokwehla kwesifiso socansi

Le miphumela emibi evamile ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi. Ukuthatha i-fluvoxamine nokudla nokuhlala unamanzi kahle kungasiza ekunciphiseni eminye yale miphumela.

Abanye abantu bangase babe nemiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Nakuba lokhu kungavamile, kubalulekile ukukwazi ukuze ukwazi ukuxhumana nodokotela wakho uma kwenzeka:

• Ukuthukuthela okukhulu noma ukungazinzi
• Ukuphuma kwegazi okungavamile noma ukulimala
• Ikhanda elibuhlungu kakhulu noma izinguquko embonweni
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukuhlaselwa
• Ukuphendula kwesikhumba okukhulu noma ukuqubuka
• Imicabango yokuzilimaza (ikakhulukazi kubantu abasha abadala)

Uma uhlangabezana nanoma yimiphi yale miphumela emibi, xhumana nomhlinzeki wakho wezempilo ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Ukuphepha kwakho kuyinto eza kuqala, futhi udokotela wakho angathanda ukuzwa kuwe ngezinkathazo kunokuthi uhlupheke buthule.

Ubani Ongafanele Athathwe I-Fluvoxamine?

I-Fluvoxamine ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Akufanele uthathe lo muthi uma njengamanje uthatha eminye imithi ethile noma unezimo ezithile zezokwelapha.

Kufanele ukugweme i-fluvoxamine uma usebenzisa ama-monoamine oxidase inhibitors (MAOIs) noma uke wawasebenzisa ezinsukwini eziyi-14 ezedlule. Ukuhlanganiswa kungadala isimo esiyingozi esibizwa nge-serotonin syndrome, esingaba yingozi empilweni.

Izimo ezithile zezokwelapha zidinga ukuqapha okwengeziwe noma zingenza i-fluvoxamine ingafaneleki kuwe. Udokotela wakho uzodinga ukwazi ngalezi zimo ngaphambi kokukuyalela umuthi:

• Isifo sesibindi noma izinkinga ezinzima zezinso
• Ukuphazamiseka kwesigqi senhliziyo
• Ukuphazamiseka kokuhlaselwa noma isithuthwane
• Isifo se-Bipolar (ngaphandle kwezithuthukisi zemizwa)
• I-Glaucoma
• Ukuphazamiseka kokopha
• Ukuhlaselwa yinhliziyo noma unhlangothi lwakamuva

Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa okukhethekile. Ngenkathi i-fluvoxamine ingasetshenziswa ngesikhathi sokukhulelwa kwezinye izimo, udokotela wakho uzolinganisela izinzuzo ngokumelene nezingozi ezingaba khona kuwe nakumntwana wakho.

Abantu abadala abangaphansi kweminyaka engu-25 badinga ukuqapha okwengeziwe lapho beqala i-fluvoxamine, njengoba kukhona ingozi encane yokucabanga ngokuzibulala ezinyangeni zokuqala zokwelashwa. Lokhu akusho ukuthi umuthi uyingozi - kusho nje ukuthi udokotela wakho uzohlola nawe kaningi.

Amagama Omkhiqizo we-Fluvoxamine

I-Fluvoxamine itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Luvox iyona eqashelwa kakhulu. Inguqulo yokukhishwa okwandisiwe ivame ukuthengiswa njenge-Luvox CR, evumela ukuthi kuthathwe umthamo kanye ngosuku.

Ungase futhi uthole izinguqulo ezivamile ze-fluvoxamine, eziqulathe isithako esifanayo esisebenzayo kodwa ngokuvamile zibiza kancane. Imithi ejwayelekile isebenza kahle njengezinguqulo zegama lomkhiqizo futhi kufanele ihlangabezane nezindinganiso ze-FDA ezifanayo zokuphepha nokusebenza kahle.

Ikhemisi lakho lingase lithathele indawo i-fluvoxamine ejwayelekile ngegama lomkhiqizo ngaphandle uma udokotela wakho ebhalela ngqo ukuthi "igama lomkhiqizo kuphela" emiyalweni yakho. Lokhu kushintshwa kungasiza ukunciphisa izindleko zemithi yakho ngenkathi kunikezwa izinzuzo ezifanayo zokwelapha.

Ezinye izindlela ze-Fluvoxamine

Uma i-fluvoxamine ingakufaneli, imithi eminingi ehlukile ingelapha izimo ezifanayo. Ezinye izidakamizwa ze-SSRIs ezifana ne-sertraline (Zoloft), i-fluoxetine (Prozac), kanye ne-paroxetine (Paxil) zisebenza ngendlela efanayo kodwa zingase zibe nemiphumela ehlukile.

Udkt wakho angase futhi acabangele ama-SNRIs (serotonin-norepinephrine reuptake inhibitors) afana ne-venlafaxine (Effexor) noma i-duloxetine (Cymbalta). Le mithi ithinta kokubili i-serotonin ne-norepinephrine, okungasiza ngezinhlobo ezithile zokucindezeleka nokukhathazeka.

Ngokuqondile i-OCD, ezinye izinketho zokwelapha zihlanganisa i-cognitive behavioral therapy, ikakhulukazi ukuchayeka kanye nokwelashwa kokuvimbela impendulo. Abantu abaningi bayazuza ekuhlanganiseni imithi nokwelashwa ukuze bathole imiphumela engcono yesikhathi eside.

Izindlela ezingezona zemithi ezinjengokucabanga, ukuzivocavoca njalo, kanye namasu okulawula ukucindezeleka nazo zingasekela uhambo lwakho lwempilo yengqondo. Udkt wakho angakusiza ukuthi uhlole zonke lezi zinketho ukuze uthole inhlanganisela engcono kakhulu yezidingo zakho ezithile.

Ingabe i-Fluvoxamine Ingcono Kune-Sertraline?

Kokubili i-fluvoxamine ne-sertraline bangama-SSRIs asebenzayo, kodwa ngamunye unezici eziyingqayizivele ezingenza enye ikufaneleke kakhulu kunenye. Akukho noyedwa

Udktela wakho uzocabangela izinto ezifana nezimpawu zakho ezithile, eminye imithi oyithathayo, nendlela yakho yokuphila lapho ekhetha phakathi kwalezi zinketho. Ngezinye izikhathi kuthatha ukuzama imithi engaphezu kweyodwa ukuze uthole okulungele isimo sakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Fluvoxamine

Ingabe i-Fluvoxamine Iphephile Ezimweni Zezinhliziyo?

I-Fluvoxamine ngokuvamile iphephile kubantu abanezimo zenhliziyo ezinzile, kodwa udokotela wakho uzodinga ukuhlola impilo yakho ethile yenhliziyo ngaphambi kokuyinika. Umuthi ngezinye izikhathi ungathinta isigqi senhliziyo, ngakho-ke abantu abanezinkinga zenhliziyo ezikhona badinga ukuqashwa ngokucophelela.

Uma unomlando wokuhlaselwa yinhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ezinye izinkinga ezinkulu zenhliziyo, udokotela wakho angase ancome ukuqala ngomthamo ophansi noma ukukhetha omunye umuthi. Ukuhlolwa okuvamile kanye nokungenzeka kwe-EKG kungase kudingeke ukuqinisekisa ukuthi inhliziyo yakho ihlala iphilile ngenkathi uthatha i-fluvoxamine.

Ngingenzani Uma Ngithatha i-Fluvoxamine eningi ngengozi?

Uma ngengozi uthatha i-fluvoxamine eningi kunaleyo ebekiwe, xhumana nodokotela wakho, usokhemisi, noma isikhungo sokulawula ubuthi ngokushesha. Ngenkathi ukweqisa kwe-fluvoxamine akuvamile ukuba kubulale, kungabangela izimpawu ezinzima ezidinga ukunakekelwa kwezokwelapha.

Izimpawu zokuthatha okuningi zingabandakanya isicanucanu esibi, ukuhlanza, isiyezi, ukozela, noma izinguquko zesigqi senhliziyo. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo yisazi sezempilo. Gcina ibhodlela lomuthi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi uthathe ini nokuthi uthathe malini.

Ngingenzani Uma Ngiphuthelwa Umthamo we-Fluvoxamine?

Uma uphuthelwa umthamo we-fluvoxamine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile - ungaqedi imithamo emibili.

Ukushoda umthamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina ukuqina ukuze uthole umphumela omuhle wokwelapha. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni ngomkhuba wakho wemithi.

Ngingayeka nini ukuthatha i-Fluvoxamine?

Kufanele uyeke kuphela ukuthatha i-fluvoxamine ngaphansi kokuqondisa kukadokotela wakho, ngisho noma uzizwa ungcono ngokuphelele. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa futhi kungaholela ekubuyeni kwezimpawu zakho zokuqala.

Udokotela wakho uzokwenza isimiso sokunciphisa kancane kancane, ngokuvamile anciphise umthamo wakho ngamanani amancane phakathi namasonto ambalwa noma izinyanga. Le nqubo ivumela ubuchopho bakho ukuthi buvumelane kancane kancane namazinga emithi anciphayo futhi isiza ekuvikeleni imiphumela yokuhoxisa engakhululeki.

Isinqumo sokuyeka i-fluvoxamine sincike ezintweni ezinjengokuthi usuyithatha isikhathi esingakanani, kungani yanikezwa, nokuthi impilo yakho yengqondo ibilokhu izinzile kangakanani. Abanye abantu bangase badinge ukuqhubeka nemithi isikhathi eside, kanti abanye bangayeka ngempumelelo ngemva kokuthi izimpawu zabo zibanjwe kahle isikhathi eside.