Yini i-Selegiline Transdermal: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Selegiline transdermal iyisichibi somuthi esinikezwa ngudokotela esiletha imithi ngesikhumba sakho ukwelapha ukucindezeleka okukhulu. Lesi sichibi esiyingqayizivele esisekelwe ekwelapheni ukucindezeleka sisebenza ngendlela ehlukile emaphilisi ngoba sidlula ohlelweni lwakho lokugaya ukudla, sivumela umuthi ukuthi ungene ngqo emithanjeni yakho yegazi ngesikhumba sakho.

Isichibi singesigaba semithi ebizwa ngokuthi ama-MAO inhibitors, asebenza ngokwandisa amakhemikhali athile obuchopho asiza ukuthuthukisa imizwa yakho. Ungase wazi lo muthi ngegama lawo lomkhiqizo i-Emsam, futhi yakhelwe ukuthi igqokwe esikhumbeni sakho amahora angama-24 ngaphambi kokuthi ithathelwe indawo ngesichibi esisha.

Isetshenziselwani i-Selegiline Transdermal?

Izichibi ze-Selegiline transdermal zivame ukunqunyelwa ukwelapha ukucindezeleka okukhulu kubantu abadala. Udokotela wakho angase ancome lo muthi uma ezinye izidambisi zokucindezeleka zingasebenzi kahle kuwe noma uma uhlangabezane nemiphumela eceleni ekhathazayo emithini yomlomo.

Lolu hlobo lwesichibi lungaba usizo ikakhulukazi uma unzima ukugwinya amaphilisi noma uma ukhetha inketho yokwelashwa kanye ngosuku. Abanye odokotela bayayicabangela futhi uma iziguli zidinga umuthi osebenza ngendlela ehlukile ezinhlotsheni ezivamile zezidambisi zokucindezeleka ezifana nama-SSRIs noma ama-SNRIs.

Indlela ye-transdermal inikeza ukulethwa okuqhubekayo, okuqhubekayo komuthi usuku lonke. Lokhu kulinganisa okuqhubekayo kungasiza ukugcina amazinga azinzile omuthi ohlelweni lwakho uma kuqhathaniswa nokuthatha amaphilisi izikhathi eziningi ngosuku.

Isebenza Kanjani i-Selegiline Transdermal?

I-Selegiline transdermal isebenza ngokuvimba i-enzyme ebizwa ngokuthi i-monoamine oxidase (MAO) ebuchosheni bakho. Le enzyme ngokuvamile yehlisa amakhemikhali abalulekile okulawula imizwa afana ne-serotonin, i-norepinephrine, ne-dopamine.

Ngokuvimbela le enzyme, isiqeshana sivumela lawa makhemikhali obuchopho

Abantu abaningi badinga ukusebenzisa iziqeshana ze-selegiline transdermal izinyanga eziningana kuya onyakeni noma ngaphezulu, kuye ngokuthi basabela kanjani emithini. Udokotela wakho ngokuvamile uzofuna ukuthi uqhubeke nokuthatha imithi okungenani izinyanga eziyi-6-12 ngemuva kokuthi izimpawu zakho zokucindezeleka zithuthuke.

Kuvamile ukuthatha amasonto angu-4-6 ukuze uqaphele izinzuzo eziphelele zale mithi, nakuba abanye abantu bangaqala ukuzizwa ngcono ngokushesha. Ungadangali uma ungaboni imiphumela esheshayo - imithi yokucindezeleka ivame ukusebenza kancane kancane.

Udokotela wakho uzoqapha inqubekela phambili yakho futhi angase alungise uhlelo lwakho lokwelashwa ngokusekelwe ekutheni usabela kanjani kahle. Abanye abantu bangase badinge ukusebenzisa iziqeshana isikhathi eside ukuze bagcine impilo yabo yengqondo, kanti abanye bangase bakwazi ukuziyeka ngemuva kwesikhathi sokuzinza.

Ungayeki ukusebenzisa iziqeshana kungazelelwe ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa futhi kungaholela ekubuyeni kokucindezeleka kwakho.

Yiziphi Imiphumela Eceleni Ye-Selegiline Transdermal?

Njengayo yonke imithi, i-selegiline transdermal ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi.

Nansi imiphumela emibi ongase uhlangabezane nayo, iqala ngaleyo evame kakhulu:

• Ukuvuvukala kwesikhumba, ukubomvu, noma ukuluma lapho ufaka khona isiqeshana
• Ikhanda nokugajwa
• Ukuhluleka ukulala noma amaphupho angavamile
• Isicanucanu noma isisu esibuhlungu
• Ukuqunjelwa noma ukuqunjelwa
• Umlomo owomile
• Ukukhathala noma ukuzizwa ukhathele ngokungavamile

Le miphumela emibi evamile ivame ukuba ngaphansi kokuphazamisa emasontweni ambalwa okuqala kokwelashwa. Uma ukuvuvukala kwesikhumba kuqhubeka, zama ukushintshanisa izindawo zokubeka iziqeshana kaningi.

Abanye abantu bangase babe nemiphumela emibi ekhathazayo edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Umfutho wegazi ophezulu kakhulu onezimpawu ezinjengobuhlungu bekhanda obukhulu, ubuhlungu besifuba, noma izinguquko embonweni
• Izimpawu ze-serotonin syndrome: ukudideka, ukushaya kwenhliziyo okusheshayo, umkhuhlane ophezulu, noma ukuqina kwemisipha
• Ushintsho olungavamile emzweleni noma ekuziphatheni, okuhlanganisa imicabango yokuzilimaza
• Ukungezwani komzimba okukhulu okunezinduna, ukuvuvukala, noma ubunzima bokuphefumula
• Ukuquleka noma isiyezi esikhulu lapho usukuma

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi. Abantu abaningi bayakwazi ukumelana kahle ne-selegiline transdermal, kodwa ukuhlala uqaphele lezi zimpawu zokuxwayisa kusiza ekuqinisekiseni ukuphepha kwakho.

Ubani Ongafanele Athathe I-Selegiline Transdermal?

I-Selegiline transdermal ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyibhala. Ezinye izimo zezokwelapha nemithi kungadala ukusebenzisana okuyingozi nale patch.

Akufanele usebenzise i-selegiline transdermal uma unanoma yiziphi zalezi zimo:

• Ukusetshenziswa kwamanje kwamanye ama-antidepressants, ikakhulukazi ama-SSRI, ama-SNRI, noma ezinye izithiyo ze-MAO
• Isifo senhliziyo esibi noma umfutho wegazi ophezulu ongagadiwe
• Umlando wokushaywa unhlangothi noma imithombo yobuchopho
• Isifo sesibindi noma sezinso esibi
• Izifo zokudla njenge-anorexia noma i-bulimia
• Isifo se-Bipolar (ngaphandle uma siqashwe ngokuqondile)
• Ukungezwani komzimba ku-selegiline noma izingxenye ze-patch

Lezi zimo zingase zibe zimbi ngokusebenzisa i-selegiline noma zikhuphule ingozi yakho yemiphumela emibi. Udokotela wakho udinga lolu lwazi ukuze akugcine uphephile.

Ngaphezu kwalokho, eminye imithi kumele iyekwe ngaphambi kokuqala i-selegiline transdermal. Isikhathi sokulinda phakathi kwemithi sibalulekile ekuphepheni kwakho:

• Ama-antidepressant amaningi adinga ikhefu lamasonto ama-2 ngaphambi kokuqala i-selegiline
• I-Fluoxetine (Prozac) idinga ikhefu lamasonto ama-5 ngenxa yemiphumela yayo ehlala isikhathi eside
• Imithi yokwelapha ubuhlungu equkethe i-meperidine, i-tramadol, noma i-methadone
• Imithi ethile yokukhwehlela nokubanda equkethe i-dextromethorphan
• Imithi ekhuthazayo ye-ADHD

Udokotela wakho uzokwenza uhlelo lokushintsha oliphephile uma ushintsha usuka kwenye i-antidepressant. Ungayeki imithi yakho yamanje noma uqale i-selegiline ngaphandle kokuqondiswa ochwepheshe.

Igama Lomkhiqizo le-Selegiline Transdermal

Igama lomkhiqizo le-selegiline transdermal yi-Emsam, ekhiqizwa yi-Somerset Therapeutics. Lolu okwamanje yilona kuphela uhlobo lwe-transdermal lwe-selegiline olugunyazwe yi-FDA olutholakala e-United States.

Ama-patch e-Emsam eza ngamandla amathathu ahlukene: 6 mg/24 amahora, 9 mg/24 amahora, kanye no-12 mg/24 amahora. Udokotela wakho uzonquma ukuthi yiliphi iqina elikulungele ngokusekelwe ezidingweni zakho zomuntu ngamunye kanye nokuphendula ekwelashweni.

Ngokungafani nezinhlobo ezivamile zemithi eminingi, okwamanje akukho uhlobo olujwayelekile lwe-selegiline transdermal patch olutholakalayo. Lokhu kusho ukuthi uzothola i-Emsam yegama lomkhiqizo lapho umuthi wakho ugcwaliswa.

Ezinye Izindlela ze-Selegiline Transdermal

Uma i-selegiline transdermal ingakulungele, ama-antidepressant amaningana ahlukile angasiza ekwelapheni ukuphazamiseka okukhulu kokucindezeleka. Udokotela wakho angase acabangele lezi zinketho ngokusekelwe ezimpawini zakho ezithile kanye nomlando wezokwelapha.

Ezinye izigaba ze-antidepressant ezisebenza ngendlela ehlukile zihlanganisa:

• Ama-SSRIs afana ne-sertraline (Zoloft) noma i-escitalopram (Lexapro)
• Ama-SNRIs afana ne-venlafaxine (Effexor) noma i-duloxetine (Cymbalta)
• Ama-antidepressant angajwayelekile afana ne-bupropion (Wellbutrin) noma i-mirtazapine (Remeron)
• Ama-antidepressant e-Tricyclic ezimweni ezithile
• Ezinye izithiyo ze-MAO ngesimo somlomo, nakuba lezi zidinga imikhawulo yokudla eqinile

Ngamunye walokhu okuhlukile unezinzuzo ezihlukene nemiphumela engemihle engase ibe khona. Udokotela wakho angakusiza ukuthi ulinganise izinzuzo nobubi benketho ngayinye.

Ukwelashwa okungasebenzisi imithi kungase futhi kusebenze kahle ngaphandle noma kuhlangene nama-antidepressants. Lokhu kungase kuhlanganise ukwelashwa kokuziphatha okungokwengqondo, ezinye izinhlobo ze-psychotherapy, noma izinguquko zokuphila njengokuzivivinya njalo kanye namasu okulawula ukucindezeleka.

Ingabe i-Selegiline Transdermal ingcono kunezinye izidambisi zokucindezeleka?

I-Selegiline transdermal akudingeki ukuthi “ingcono” kunezinye izidambisi zokucindezeleka, kodwa inikeza izinzuzo eziyingqayizivele kubantu abathile. Ifomu le-patch linikeza ukulethwa kwemithi okuqhubekayo futhi lingasebenza lapho ezinye izidambisi zokucindezeleka zingasebenzi.

Uma kuqhathaniswa nama-MAO inhibitors omlomo, i-selegiline transdermal ngokuvamile idinga imikhawulo yokudla embalwa, ikakhulukazi ngemithamo ephansi. Lokhu kwenza kube lula ekuphileni kwansuku zonke ngenkathi kusahlinzeka ngezinzuzo ze-MAO inhibition.

Uhlelo lokulethwa kwe-transdermal lungaba usizo ikakhulukazi uma unezinkinga zesisu ngemithi yomlomo noma ukhetha ukulinganisa kanye ngosuku. Abanye abantu futhi bathola ukumuncwa okuqhubekayo kusiza ukunciphisa ukuguquguquka kwemizwa okubonakala ngezinye izikhathi ngamaphilisi.

Nokho, ezinye izidambisi zokucindezeleka ezifana ne-SSRIs noma i-SNRIs zingase zibe izinqumo zokuqala ezingcono kubantu abaningi ngoba zinezinto ezimbalwa eziphazamisana nemithi futhi azidingi izinyathelo zokuphepha ezifanayo. Udokotela wakho uzocabangela isithombe sakho esiphelele sezokwelapha lapho encoma ukwelashwa okungcono kakhulu kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Selegiline Transdermal

Ingabe i-Selegiline Transdermal iphephile ezimweni zenhliziyo?

I-Selegiline transdermal idinga ukucatshangelwa ngokucophelela uma unezinkinga zenhliziyo. Nakuba ingase iphephe kune-MAO inhibitors yomlomo kwezinye izimo zenhliziyo, ingase isathinta umfutho wegazi nesigqi senhliziyo.

Udokotela wakho uzodinga ukuhlola isimo senhliziyo yakho ngaphambi kokukwelapha ngalo muthi. Bangase batusa ukuqala ngomthamo ophansi futhi baqaphe umfutho wegazi lakho nesivinini senhliziyo ngesikhathi sokwelashwa.

Uma unesifo senhliziyo esibi, umfutho wegazi ophezulu ongagadiwe, noma umlando wokuhlaselwa yinhliziyo noma unhlangothi, udokotela wakho cishe uzokuncoma ukuthi usebenzise omunye umuthi wokucindezeleka. Njalo yazisa umhlinzeki wakho wezempilo nganoma yiziphi izinkinga zenhliziyo ngaphambi kokuqala ukwelashwa.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Selegiline Transdermal Eningi Kakhulu?

Uma ngengozi ufaka amapheshisi amaningi noma usebenzisa umthamo omkhulu kunalowo obekiwe, susa ipheshisi elengeziwe ngokushesha bese uthintana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini.

Izimpawu ze-selegiline eningi zingabandakanya ikhanda elibuhlungu kakhulu, umfutho wegazi ophezulu, ukushaya kwenhliziyo okusheshayo, ukudideka, noma ukuzizwa ucindezelekile kakhulu. Lezi zimpawu zingaba zimbi futhi zidinga ukunakekelwa kwezempilo ngokushesha.

Ungalokothi usebenzise amapheshisi amaningi ukuze wandise umphumela, ngisho noma ungazizwa ngcono okwamanje. Umuthi udinga isikhathi sokusebenza, futhi ukusebenzisa okuningi kunalokho okubekiwe kungaba yingozi kunokuba usizo.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Selegiline Transdermal?

Uma ukhohlwa ukufaka ipheshisi elisha, faka elilodwa ngokushesha lapho ukhumbula, bese uqhubeka nohlelo lwakho olujwayelekile ngosuku olulandelayo. Ungafaki amapheshisi amabili ukuze ulungise umthamo ophuthelwe.

Uma sekudlule amahora angaphezu kwayi-12 ukufaka ipheshisi lakho, lifake lapho ukhumbula bese ufaka ipheshisi elilandelayo ngesikhathi sakho esijwayelekile ngosuku olulandelayo. Lokhu kusiza ukugcina amazinga emithi aqhubekayo ohlelweni lwakho.

Zama ukusetha i-alamu yansuku zonke noma isikhumbuzi ocingweni lwakho ukukusiza ukuthi ukhumbule ukushintsha ipheshisi lakho. Ukuqina kubalulekile ukuze umuthi usebenze ngempumelelo.

Ngingayeka Nini Ukuthatha I-Selegiline Transdermal?

Kufanele uyeke kuphela i-selegiline transdermal ngaphansi kokuqondisa kukadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa futhi kungaholela ekubuyeni kwengcindezi yakho.

Udkt wakho ngokuvamile uzoncoma ukunciphisa kancane kancane umthamo wakho kunokuyeka konke ngesikhathi esisodwa. Le nqubo, ebizwa ngokuthi ukunciphisa, isiza umzimba wakho ukuthi ulungiswe futhi inciphisa ingozi yezimpawu zokuhoxiswa.

Odokotela abaningi batusa ukuqhubeka nokwelashwa ngama-antidepressant okungenani izinyanga eziyi-6-12 ngemuva kokuthi izimpawu zakho zithuthuke. Abanye abantu bangase badinge ukwelashwa isikhathi eside ukuze bagcine impilo yabo yengqondo, futhi lokho kuvamile.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngisebenzisa i-Selegiline Transdermal?

Kungcono ukugwema utshwala ngenkathi usebenzisa iziqeshana ze-selegiline transdermal. Utshwala bungandisa ingozi yemiphumela emibi efana nesiyezi, ukozela, nobunzima bokugxilisa ingqondo.

Utshwala bungase futhi lukhulise izimpawu zokucindezeleka futhi luphazamise ukululama kwakho. Ngisho namanani amancane angase athinte ukuthi umuthi usebenza kahle kangakanani noma enze imiphumela emibi ibonakale kakhulu.

Uma ukhetha ukuphuza ngezikhathi ezithile, khuluma nodokotela wakho ngobuningi obungase buphephe kuwe. Bangakunikeza isiqondiso esiqondene nawe esisekelwe esimweni sakho esithile neminye imithi ongase uyithathe.