Amachiza anikezelweyo yindlela eqhelekileyo yokonyango kwintlungu yokuphazamiseka. Ukuxilongwa kwamayeza okuxhatshazwayo kudlalwa ukuba kuncede ukunciphisa iimpawu zesifo sokuphazamiseka. I-Cymbalta ( duloxetine ) luhlobo olulodwa lwe-antidepressant edlalwa rhoqo kwi-panic disorder patients.
Yintoni iCymbalta?
I-Cymbalta yipilisi engowesigaba se-antidepressants esibizwa ngokuthi i-serotonin kunye ne-norepinephrine reuptake inhibitors (i- SNRIs ).
Ukusetyenziswa kwasekuqaleni ukuphazamiseka kwezifo zengqondo ezifana nokudandatheka kunye ne- bipolar disorder , i-SNRIs yafunyanwa kamva kwindlela yokwenza unyango olufanelekileyo, njengengxaki yokuphazamiseka, i-phobias ethile, ingxaki yokunyanzelisa i- OCD ), i-disadvant disorder disorder ( SAD ) kunye ne- agoraphobia .
Ukongezelela, la mayeza ayalelwe ukuba aphathe ezinye iimeko zempilo yengqondo ezifana nesifo sengqondo esisemva kwengxaki ( PTSD ) kunye nokuphazamiseka kokutya. I-SNRI inokusebenza ngokufanelekileyo ekunyanga iintlungu ezinxulumene nezimo ezithile zonyango ezifana ne-fibromyalgia kunye nesifo esingapheliyo sokugula (CFS).
I-SNRI ithathwa njengendlela ekhuselekileyo neyobuchule yokuphatha ingxaki yokuphazamiseka. Kananjalo banokuba neempembelelo ezimbalwa kunezinye iindidi zokuxhatshazwa. Ngenxa yezi zizathu, i-SNRI iye yaqhubeka ikhula ekuthandweni kwonyango lweengxaki kunye neengxaki zokuxhalabisa. Ngaphandle kweCymbalta, enye i-SNRIS eqhelekileyo ibandakanya i-Effexor (venlafaxine) ne-Pristiq ( desvenlafaxine ).
I-Cymbalta Yenza Njani Ingxaki Yeengxaki?
Ama-neurotransmitters ayenzeka ngamakhemikhali akwiqondo. Ezi zithunywa zeekhemikhali zinoxanduva lokubuyisela imiyalezo kuyo yonke ingqondo kunye nempembelelo yemisebenzi eminingi yomzimba. Kucingelwa ukuba ukungalingani kwamanye ama-neurotransmitters kunokukhokelela kwimiba yokuxhalabisa nokukhathazeka.
I-Cymbalta isebenza ukubuyisela umlinganiselo kwi-neurotransmitters serotonin kunye ne-norepinephrin. Bobabini aba bathunywa beekhemikhali baxhomekeke kwintlungu yesifo. I-Serotonin ibandakanyeka ekulawuleni imizwa kunye nokulala kunye ne- norepinephrine ilawula ukuphendula ngokunyanzela ukulwa-okanye-ukuphazamiseka nokuphendula kwixhala. I-Cymbalta inokubuyisela ukulinganisela ngokuthintela iiseli zengqondo ukuba zixakeke ngokukhawuleza ezi zintsholongwane. Ngokubuyisela ukulingana kwala ma-neurotransmitters, i-Cymbalta inokunceda ekunciphiseni ukuxhalabisa, ukunciphisa ukuhlaselwa, kunye nokuphucula imizwa.
Imiphumela
Zonke iilwimi ezinqunyiwe zinokubangela iziphumo ezibi kunye neCymbalta ayikho into. Iziphumo eziqhelekileyo zeCymbalta ziquka:
- Isihlunu okanye ukuhlanza
- Umlomo omile
- Ukulala nokukhathala
- Intloko
- Iziphumo zecala lezesondo
- Ukwandisa ukwesaba
- Ubuhlungu besisu okanye isisu esiswini
- Izifo zokulala
Unokufumana ezinye, akukho, okanye zonke ezi ziphumo zecala. Imiphumo emibi iyahluka kubantu abahlukeneyo. Ngokuqhelekileyo, ezi ziphumo zecala ziya kuphelisa ixesha elide umzimba wakho ulungele ukuthatha iCymbalta. Qiniseka ukuba uqhagamshelane nodokotela wakho ukuba unemiphumo emibi engabonakali ukuba ihambe okanye ibe yimbi. Ukuphendula ngokutsha kweziyobisi kunokukwenzeka xa uthatha iCymbalta.
Xhagamshelana nogqirha okanye ikhemisi ngokukhawuleza ukuba ufumana iimiphumo ezivakalayo zokuhlanza, ukuvuvukala emlonyeni, ulwimi, kunye nobuso, ukukhawuleza, ukuvumba, okanye ukuphefumula.
Kuze kube nini iCymbalta iza kusebenza?
Ungalindelanga ukuba iCymbalta ibe nefuthe ngokukhawuleza iimpawu zakho zesifo sengxaki . Unokwazi ukubona ukuphuculwa kweentsuku zokuqala ukuya kwiiveki zokuthatha le mayeza. Nangona kunjalo, kungathatha iinyanga eziliqela ukufumana ngokupheleleyo izibonelelo zeCymbalta. Ungadinga ukunika amayeza akho ixesha elide ngaphambi kokugqiba ukuba kusebenza kuwe.
Ukuqapha
Isilumkiso seBlack Black. Ngo-2007, iDiary Food and Drug Administration (i-FDA) yanquma ukubandakanya isilumkiso kwi-SNRIs nakweminye i-antidepressants.
Eyaziwayo njengesixwayiso sebhokisi emnyama , i-FDA ilumkisa ukuba la mayeza angabangela iingcinga kunye nezenzo zokuzibulala. Abaselula nabaselula bafunyaniswa ukuba basemngciphekweni wale miphumo emibi. Ukucacisa oogqirha kufuneka baqaphele kwaye bajonge ngokukhawuleza abo bathatha i-SNRIs ukwenzela ukuhla kweengcinga kunye nokuzibulala.
Ukusetyenziswa kotywala. Ukutywala utywala ngelixa uthabatha iCymbalta akukhuthazwa. Ukusetyenziswa kotywala kubangela umngcipheko wokunyusa ubuthi beCymbalta, onokuba nefuthe ekusebenzeni kwayo.
IiNdawo eziZodwa. Abafazi abakhulelwe kunye nabancinci mabaxelele ugqirha malunga nokuthatha iCymbalta ngelixa bekhulelwe okanye kunika, kuba kunokwenzeka ukuba udlulise eli gciwane kumntwana. Abantu abadala kufuneka baphinde baxoxe ngeengxaki kunye neengxaki zokuthatha iCymbalta kunye noogqirha wabo, njengoko abadala abadala beengozini enkulu yokufumana imiphumo emibi yeCymbalta.
Qaphela: Iinkcukacha ezinikezelwe apha zenzelwe ukuba yiphononongo yokusetyenziswa kweCymbalta ngenxa yesifo sengxaki. Ulwazi oluqhelekileyo oluchazwe kweli nqaku alunakucwangcisa zonke iimeko ezibonakalayo, ezinokuthi iziphumo ezimbi zingabikho, izilumkiso kunye nokuchasene. Njalo qhagamshelana nomboneleli wakho wezokwelapha malunga nayiphi na imibuzo kunye / okanye iingxaki ozifumanayo malunga nomyalelo wakho we-Cymbalta.
Imithombo:
Dell'Osso, B., Buoli, M., Baldwin, DS, & Altamura, A. (2010). I-Serotonin norepinephrine reuptake inhibitors (i-SNRIs) kwiingxaki zokukhathazeka: ukuhlaziywa okubanzi kokusebenza kwabo kliniki. I-Psychopharmacology yabantu: iCliniki kunye noVavanyo , 25 (1), 17-29.
Silverman, uHarold M. (2012). Incwadi yePilisi. 15. ENew York, NY: Iincwadi zeBantam.