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

I-Imipramine iyimithi kadokotela eyingxenye yeqembu lemithi ebizwa ngokuthi ama-tricyclic antidepressants. Udokotela wakho angase ayibhalele ukusiza ukwelapha ukucindezeleka, izinhlobo ezithile zobuhlungu obungapheli, noma ukuchamela embhedeni ezinganeni. Le mithi isebenza ngokulinganisa amakhemikhali athile emvelo ebuchosheni bakho athinta imizwa nezimpawu zobuhlungu.

Ngenkathi i-imipramine isetshenziswe ngokuphepha amashumi eminyaka, kubalulekile ukuqonda ukuthi isebenza kanjani, okulindelekile, nokuthi uyithatha kanjani ngendlela efanele. Ake sihambe kukho konke okudingeka ukwazi ngale mithi ngamagama alula, acacile.

Yini i-Imipramine?

I-Imipramine iyi-tricyclic antidepressant eyathuthukiswa okokuqala ngeminyaka yawo-1950. Ingenye yama-antidepressants amadala, kodwa isasebenza ekwelapheni izimo eziningana ezingaphezu kokucindezeleka. Umuthi uza ngesimo samaphilisi futhi uthathwa ngomlomo.

Le mithi ingeyeqembu lezidakamizwa ezisebenza ngendlela ehlukile kuma-antidepressants amasha. Ngenkathi ama-antidepressants anamuhla afana nama-SSRIs agxila kwelinye ikhemikhali lobuchopho, i-imipramine ithinta ama-neurotransmitters amaningi ebuchosheni bakho. Lesi senzo esibanzi senza sibe usizo ezimweni ezihlukahlukene kodwa futhi kusho ukuthi singabangela imiphumela eminingi eceleni kunezidakamizwa ezintsha.

Udokotela wakho angase akhethe i-imipramine lapho ezinye izindlela zokwelapha zingasebenzi kahle, noma uma unezimo ezithile ezisabela kangcono kulolu hlobo lomuthi. Kuthathwa njengenketho yokwelapha ethembekile, efundwe kahle enomlando omude wokusiza abantu bazizwe bengcono.

Yini i-Imipramine Esetshenziselwa Yona?

I-Imipramine iphatha ukucindezeleka njengokusetshenziswa kwayo okuyinhloko, kodwa odokotela bayibhala nangezinye izimo eziningana futhi. Umuthi ungasiza ngezimo zobuhlungu obungapheli, izifo zokwesaba, nokuchamela embhedeni ezinganeni ezineminyaka engaphezu kwengu-6.

Ngokucindezeleka, i-imipramine isiza ukubuyisela ibhalansi yama-neurotransmitters ebuchosheni bakho athinta imizwa, ukulala, namandla. Abantu abaningi bathola ukuthi izimpawu zabo ziyathuthuka kancane kancane emasontweni amaningana okwelashwa. Umuthi ungaba usizo ikakhulukazi uma uzamile ezinye izidambisi zokucindezeleka ngaphandle kwempumelelo.

Uma kuziwa ebuhlungwini obungapheli, i-imipramine inganciphisa ubuhlungu bemizwa ngisho nasemithini ephansi kunezo ezisetshenziselwa ukucindezeleka. Izimo ezinjenge-fibromyalgia, i-diabetic neuropathy, nezinhlobo ezithile zekhanda zingase zisabele kahle kulokhu kwelashwa. Ukukhululeka kobuhlungu kuvame ukuqala ngaphambi kokuba imiphumela yemizwa ibonakale.

Ngokuchamela embhedeni kwasebuntwaneni, i-imipramine isebenza ngokuthinta imisipha nemizwa elawula isinye. Lokhu kusetshenziswa kuvame ukugcinwa ezinganeni ezingazange zisabele kwezinye izindlela zokwelapha futhi okungenani ezineminyaka engu-6 ubudala.

Isebenza Kanjani I-Imipramine?

I-Imipramine isebenza ngokuvimba ukuthathwa kabusha kwamakhemikhali amabili abalulekile ebuchosheni: i-serotonin ne-norepinephrine. Lokhu kusho ukuthi la makhemikhali alawula imizwa ahlala esebenza ebuchosheni bakho isikhathi eside, okungasiza ukuthuthukisa izimpawu zokucindezeleka futhi kunciphise izinhlobo ezithile zobuhlungu.

Cabanga ngakho njengokulungisa ivolumu eziteshini zomsakazo ezihlukene ebuchosheni bakho. Uma ucindezelekile noma uhlangabezana nobuhlungu obungapheli, ezinye zalezi

Kufanele Ngiyithathe Kanjani I-Imipramine?

Thatha i-imipramine ngendlela eqondile udokotela wakho ayikuyala ngayo, ngokuvamile kanye noma kabili ngosuku ngaphandle noma ngaphandle kokudla. Abantu abaningi bakuthola kuwusizo ukuyithatha nokudla ukunciphisa ukuphazamiseka kwesisu. Ungayithatha ngamanzi, ubisi, noma ijusi - noma yini ozizwa ukhululekile ngayo.

Uma uyithatha kanye ngosuku, udokotela wakho cishe uzoncoma ukuyithatha ngesikhathi sokulala njengoba kungase kubangele ukozela. Lesi sikhathi singasiza ngempela uma unenkinga yokulala. Ukuze uthole umthamo kabili ngosuku, thatha umthamo owodwa ekuseni nomunye ngesikhathi sokulala ngaphandle uma udokotela wakho esikisela okunye.

Ungagayi, uhlafune, noma uphule amaphilisi - ngawagwinye wonke. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izindlela. Abanye abantu bakuthola kulula ukuthatha umuthi ngobuningi obuncane bokudla njenge-applesauce noma i-pudding.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho. Lokhu kuvumelana kusiza umuthi ukuthi usebenze ngempumelelo futhi kunciphisa ithuba lokulahlekelwa imithamo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Imipramine?

Abantu abaningi badinga ukuthatha i-imipramine okungenani amasonto angu-4 kuya kwangu-6 ngaphambi kokuzwa izinzuzo ezigcwele zokucindezeleka. Abanye abantu baqaphela ukuthuthuka ekulaleni nasesifisweni sokudla ngesonto lokuqala noma lesibili, kodwa ukuthuthuka kwemizwa kuvame ukuthatha isikhathi eside ukuthuthuka.

Ngokucindezeleka, odokotela bavame ukuncoma ukuqhubeka nokwelashwa okungenani izinyanga eziyi-6 kuya kweziyi-12 ngemuva kokuthi izimpawu zakho zithuthuke. Lokhu kusiza ukuvimbela ukucindezeleka ukuthi kungabuyi. Abanye abantu bangase badinge ukwelashwa isikhathi eside, ikakhulukazi uma beke baba neziqephu eziningi zokucindezeleka.

Lapho welapha ubuhlungu obungapheli, umugqa wesikhathi ungahluka kakhulu. Abanye abantu bathola ukukhululeka kobuhlungu ezinsukwini noma emasontweni, kanti abanye bangase badinge izinyanga eziningana ukuze babone inzuzo ephelele. Udokotela wakho uzosebenza nawe ukuthola ubude obufanele ngokuya ngempendulo yakho.

Ungayeki ukuthatha i-imipramine ngokuzumayo, ngisho noma uzizwa ungcono. Udokotela wakho uzokwenza isimiso sokunciphisa kancane kancane umthamo wakho ngokuhamba kwesikhathi. Lokhu kuvimbela izimpawu zokuhoxisa futhi kunciphisa ingozi yokuthi izimpawu zakho zokuqala zibuye.

Ziyini Imiphumela Eceleni ye-Imipramine?

Njengayo yonke imithi, i-imipramine ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ivamise ukuba milde futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Nansi imiphumela emibi ongase uyithole njengoba umzimba wakho ujwayela umuthi:

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

Le miphumela emibi ejwayelekile ivamise ukulawuleka futhi ivame ukushabalala njengoba umzimba wakho uzivumelanisa. Ukuhlala unamanzi, ukudla ukudla okunothile ngemfucumfucu, nokuvuka kancane kungasiza ekunciphiseni eminye yale miphumela.

Abanye abantu bathola imiphumela emibi ekhathazayo edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukubona:

• Isiyezi esibi noma ukuquleka
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukuqunjelwa okukhulu noma ukungakwazi ukuchama
• Ukudideka noma izinkinga zenkumbulo
• Ukuthuthumela okukhulu noma ukuzamazama
• Ukuphuzi kwesikhumba noma amehlo
• Ukuqubuka kwesikhumba okukhulu noma ukuluma

Xhumana nodokotela wakho ngokushesha uma uthola noma iyiphi yale miphumela emibi ebucayi. Abantu abaningi bayayibekezelela i-imipramine kahle, kodwa umhlinzeki wakho wezempilo udinga ukwazi nganoma yiziphi izimpawu ezikhathazayo.

Ezimweni ezingavamile, abanye abantu bangase babe nemicabango yokuzibulala, ikakhulukazi emasontweni ambalwa okuqala okwelashwa noma lapho kushintshwa imithamo. Lokhu kuvamile kubantu abangaphansi kweminyaka engu-25 ubudala. Uma unayo imicabango yokuzilimaza, xhumana nodokotela wakho ngokushesha noma shayela ucingo olusiza abantu abanezinkinga.

Obani okungafanele basebenzise i-Imipramine?

I-Imipramine ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Abanye abantu kufanele bagweme lo muthi ngokuphelele, kanti abanye bangase badinge ukuqashwa okukhethekile noma ukulungiswa komthamo.

Akufanele usebenzise i-imipramine uma usanda kuba nesifo senhliziyo, unezinkinga ezithile zokushaya kwenhliziyo, noma usebenzisa imithi ebizwa ngokuthi ama-MAO inhibitors. Inhlanganisela ingaba yingozi futhi ingase ibe yingozi ekuphileni.

Izimo eziningana zezokwelapha zidinga ukuqapha okwengeziwe lapho kucatshangelwa ukwelashwa nge-imipramine. Udokotela wakho uzodinga ukulinganisa izinzuzo nezingozi uma unanoma yiziphi zalezi zimo:

• Isifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile
• I-Glaucoma (ukwanda kwengcindezi yamehlo)
• Ukwanda kwendlala yesinye noma izinkinga zokuchama
• Isifo sesibindi noma sezinso
• Izifo zokuvuvukala
• Isifo se-Bipolar
• Izinkinga ze-Thyroid

Uma ukhulelwe noma uncelisa, xoxa ngezingozi nezinzuzo nodokotela wakho. I-Imipramine ingadlulela enganeni yakho, kodwa ngezinye izikhathi izinzuzo zokwelashwa zidlula izingozi ezingaba khona.

Ubudala nabo buyisici - abadala kanye nezingane badinga ukucatshangelwa okukhethekile. Abantu abadala bangase bazwe kalula imiphumela emibi, kanti izingane ezingaphansi kweminyaka engu-6 akufanele zithole i-imipramine yokuchamela embhedeni.

Amagama e-Brand e-Imipramine

I-Imipramine itholakala ngaphansi kwamagama amaningana e-brand, nakuba inguqulo ejwayelekile ivame ukunqunywa namuhla. Igama elaziwa kakhulu le-brand yi-Tofranil, ebelitholakala amashumi eminyaka.

Amanye amagama ebhrendi afaka i-Tofranil-PM (ifomula ehlukile) kanye nezinhlobo ezahlukahlukene ze-generic ezenziwe yizinkampani ezahlukene zemithi. Zonke ziqukethe isithako esifanayo esisebenzayo - i-imipramine hydrochloride - futhi zisebenza ngendlela efanayo emzimbeni wakho.

I-pharmacy yakho ingashintsha phakathi kwabakhiqizi abahlukene be-imipramine generic, kodwa lokhu akufanele kuthinte ukuthi umuthi usebenza kahle kangakanani. Uma uqaphela noma yiziphi izinguquko endleleni ozizwa ngayo ngemuva kokushintsha amabhrendi, yazisa udokotela wakho.

Ezinye izindlela ze-Imipramine

Uma i-imipramine ingakulungele, ezinye izindlela ziyatholakala ngokuya ngesimo sakho esithile. Ngokucindezeleka, ama-antidepressants amasha afana ne-SSRIs noma i-SNRIs avame ukuzanywa kuqala ngoba ngokuvamile banemiphumela emincane.

Ezinye izidakamizwa ze-tricyclic antidepressant ezifana ne-amitriptyline noma i-nortriptyline zisebenza ngendlela efanayo ne-imipramine kodwa zingase zibekezelelwe kangcono ngabanye abantu. Udokotela wakho angasiza ekunqumeni ukuthi iyiphi inketho engasebenza kangcono esimweni sakho.

Ngobuhlungu obungapheli, ezinye izindlela zifaka ezinye izidakamizwa ze-tricyclics, imithi ethile yokuhlaselwa njenge-gabapentin, noma ezinye izidakamizwa ze-antidepressants njenge-duloxetine. Ukukhetha kuncike ohlotsheni lwakho oluthile lobuhlungu nezinye izinto zempilo.

Ngokuchamela embhedeni kwasebuntwaneni, izindlela zokuziphatha, ama-alamu ochamela embhedeni, noma eminye imithi ingase icatshangelwe. Udokotela wakho uzoxoxa ngazo zonke izinketho futhi akusize ukhethe ukwelashwa okufanele kakhulu.

Ingabe i-Imipramine ingcono kune-Amitriptyline?

I-Imipramine ne-amitriptyline zombili ziyizidakamizwa ze-tricyclic antidepressant ezisebenza ngendlela efanayo, kodwa zinezinye izinto ezingenza enye ibe ngcono kuwe kunenye. Akukho noyedwa ovamile

Ezimweni zobuhlungu, womabili amakhambi angasebenza, kodwa i-amitriptyline ivame ukusetshenziselwa ubuhlungu bemizwa nekhanda. I-Imipramine ingase ikhethwe uma udinga ukwelashwa kokucindezeleka nokuchamela embhedeni, njengoba ivunyelwe ngokuqondile ukusetshenziswa kwale nto ezinganeni.

Imiphumela emibi ingahluka phakathi kwemithi emibili. Abanye abantu bayayibekezelela enye kangcono kunenye, yize zikwikhasi elifanayo lemithi. Udokotela wakho uzocabangela izimpawu zakho ezithile, umlando wezokwelapha, nendlela yokuphila lapho ekhetha phakathi kwazo.

Imibuzo Evame Ukubuzwa Mayelana ne-Imipramine

Ingabe i-Imipramine Iphephile Esimeni Senhliziyo?

I-Imipramine idinga ukucatshangelwa ngokucophelela uma unesifo senhliziyo. Le mithi ingathinta ukushaya kwenhliziyo yakho nomfutho wegazi, ikakhulukazi uma uqala ukuyithatha noma uma ushintsha imithamo.

Udokotela wakho cishe uzo-oda i-electrocardiogram (EKG) ngaphambi kokuqala i-imipramine uma unezinkinga zenhliziyo. Lolu vivinyo luhlola umsebenzi kagesi wenhliziyo yakho futhi lusiza ukunquma ukuthi imithi iphephile yini kuwe. Ukuqapha njalo kungase kudingeke ngesikhathi sokwelashwa.

Uma unesifo senhliziyo esingesibi kakhulu, udokotela wakho angase akwazi ukukubhalela i-imipramine ngokubheka eduze. Kodwa-ke, uma unezinkinga zenhliziyo ezinzima, ukuhlaselwa yinhliziyo kwakamuva, noma iziyaluyalu ezithile zokushaya kwenhliziyo, ukwelashwa okuhlukile kuvame ukunconywa.

Ngingenzani uma ngiphuzile i-Imipramine eningi ngengozi?

Uma ngengozi uthatha i-imipramine eningi, xhumana nokulawulwa kwezinto ezinobuthi noma izinsiza eziphuthumayo ngokushesha. Izimpawu zokweqisa zingabandakanya ukozela okukhulu, ukudideka, ukushaya kwenhliziyo okusheshayo, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi.

Ungazami ukuzenza uhlanze noma ulinde ukubona ukuthi uzizwa ulungile yini. Ukweqisa kwe-Imipramine kungaba kubi futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Isikhathi sibalulekile, ngakho funa usizo ngokushesha noma ngabe awuqiniseki ukuthi uthathe okungakanani.

Gcina ibhodlela lemithi unawo uma uya emtholampilo ukuze abahlinzeki bezempilo bazi kahle ukuthi uthatheni ini. Uma kungenzeka, cela othile ahlale nawe kuze kufike usizo lwezempilo.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Imipramine?

Uma uphuthelwa umthamo we-imipramine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka nesheduli yakho yokuthatha imithi.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe. Lokhu kungandisa ingozi yakho yemiphumela engemihle futhi akunikezi imiphumela engcono yokwelashwa. Uma ungaqiniseki ngesikhathi, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso.

Uma uvame ukukhohlwa imithamo, cabanga ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi. Ukuthatha imithi ngokuqhubekayo kusiza ukugcina amazinga aqinile emithi emzimbeni wakho ukuze uthole umphumela omuhle wokwelapha.

Ngingayeka nini ukuthatha i-Imipramine?

Akufanele uyeke ukuthatha i-imipramine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokuphazima kungabangela izimpawu zokuhoxisa njengokuphatheka kabi ikhanda, isicanucanu, ikhanda, nezimpawu ezinjenge-flu. Kungabangela futhi ukuthi izimpawu zakho zokuqala zibuye.

Udokotela wakho uzokwenza isheduli yokunciphisa kancane kancane uma sekuyisikhathi sokuyeka imithi. Lokhu ngokuvamile kuhilela ukunciphisa umthamo wakho kancane kancane emasontweni amaningana noma izinyanga. Isikhathi esiqondile sincike ekutheni usuthatha isikhathi esingakanani imithi kanye nokuphendula kwakho ngakunye.

Noma ngabe uzizwa ungcono ngokuphelele, kubalulekile ukuqhubeka nokuthatha i-imipramine njengoba kunqunyiwe kuze kube yilapho udokotela wakho encoma ukuyeka. Abantu abaningi badinga ukuthatha ama-antidepressants izinyanga noma iminyaka ukuvimbela izimpawu ukuthi zingabuyi.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Imipramine?

Kungcono ukugwema utshwala ngenkathi uthatha i-imipramine, njengoba le nhlanganisela ingandisa ukozela nesiyezi kakhulu. Utshwala bungaphazamisa nokuthi imithi isebenza kahle kangakanani futhi ingase iqhubeke nezimpawu zokucindezeleka.

Uma ukhetha ukuphuza ngezikhathi ezithile, zinciphise ezinanini ezincane futhi uqaphele kakhulu ngemisebenzi edinga ukuqapha njengokushayela. Ungalokothi uphuze utshwala uma uqala ukuthatha i-imipramine noma ulungisa umthamo wakho.

Xoxa nodokotela wakho ngokusebenzisa utshwala ngaphambi kokuqala i-imipramine. Bangakunikeza iseluleko esiqondene nawe ngokusekelwe esimweni sakho esithile futhi bakusize ukuthi wenze izinqumo eziphephe kakhulu empilweni yakho.