Imiphumo emibi, ukusebenzisana kunye neengozi
Iprozac yi-anti-depressant eyayisungulwa kuqala eUnited States ukuphatha ukudandatheka kwi-1980s. Inxalenye yeklasi yamayeza eyaziwa ngokuba yi-seleotonin reuptake inhibitors (SSRIs). Iprozac isetyenziselwa ukunyanga ukuxinezeleka okukhulu, ukuphazamiseka okunyanzelekileyo, kunye nokuphazamiseka kwengxaki (ukusetyenziswa okuvunywe yi-US Food and Drug Administration) kodwa ngamanye amaxesha kusetyenziswa i-ilebula ukuphatha ezinye iingxaki zokuxhalabisa.
Indlela iPzac eyasinceda ngayo ngokuxhalabisa
Indlela yokuSebenza
Njengesi-SSRI, i-Prozac isebenza ngokuthintela ingqondo ukuba ibuye ibuyise i-serotonin ngokwemvelo. I-Serotonin ibandakanyeka kwimimiselo yemoya. Ngale ndlela, i-Prozac inceda ingqondo ukuba igcine i-serotonin eyaneleyo ukuze ube nesimo senhlalakahle, okubangelwa kukunxibelelana okuphuculweyo phakathi kweeseli zengqondo.
Uphando lubonakalisa nendlela amayeza anjengeProzac anokunceda ngayo ngokudibanisa ne-psychotherapy. Ngophando luka-2008 olupapashwe kwiNzululwazi, kuboniswe ukuba kwiimicebe, i-Prozac yasiza ingqondo ukuba ingene kwiimeko ezingapheliyo kunye ne-plastiki, mhlawumbi yenza kube lula ukuba unyango lube nefuthe. Siyazi ukuba ukudibanisa amachiza afana neprozac kunye nokunyanga kwentetho kusebenza ngokuxhalabisa, kwaye esi sifundo sibonisa isizathu esenza isizathu.
Yintoni evezwayo njengokuthatha iPzac
Ukuba ufumana impendulo enhle ku-Prozac, unokubona ukuhla kweempawu zakho zokuxhalabisa.
Ngokuxhomekeka kwiimpawu zakho ezithile, unokuziva ukhululekile kwaye ungakhathazeki kakhulu, uphuculo lokulala kunye nesondlo, inomdla ebomini, ukwandisa amandla, ukuphucula amandla okugxila kunye nokuziva ufana nawe ngokwakho.
Khumbula ukuba kungathatha ixesha lezi phuculo ziza kubonakala-kude kube kwiiveki ezili-12 kwezinye iimeko.
Unokuva nemiphumo emibi ekuqaleni, ngoko kunokuba kunzima ukuphawula ukuphucula kude kube neziphumo ezingaphantsi.
Ukusebenzisa iprozac yokuxhalabisa
Ukufumana umyalelo
Iprozac idlalwa ngokuba yinkqubo yokuqala yonyango lweengxaki zokuxhalabisa. Nangona kunjalo, kukho amanyathelo athile abandakanyekayo ekufumaneni umrhumo. Ngokuqhelekileyo, ukuxilongwa kweengxaki zempilo yengqondo kufuneka kunikwe ngaphambi kokuba u-Prozac utyunjwe. Nangona ugqirha wentsapho unakho ukubhala isigqirha, umgaqo uphethwe kakuhle ngumqeqeshi wezezempilo yengqondo onokumisela amayeza, njengengqondo.
Isistim nokuLawula
Iprozac ivame ukumiselwa kwi dose ephantsi ukuqala, kwaye ngokuthe ngcembe kwanda ukuya kuma-20 mg ngosuku. Isixa esiphezulu se-80 mg ngosuku. Kuthathwa njengelwelo okanye i-capsule, kwaye kufuneka lisetyenziswe njengoko kuchaziwe. Ingathatha iiveki eziliqela ukuba iziphumo zibonise, ngoko kubalulekile ukuba ungayinqumi ukuthatha iPzac ngokukhawuleza ukuba ucinga ukuba ayisebenzi. Thatha kuphela amachiza njengoko kuchazwe ngugqirha wakho okanye ngophilisi. Ukuyeka ubusika obandayo kubungozi kwaye kubangele iimpawu zokuhoxisa.
Khu seleko lwe Prozac
Kukho ukuphikisana ngokukhuselekileyo kweprozac, ngenxa yokukhutshwa kwesixwayiso sokhuseleko yi-US Food and Drug Administration ngo-2007 malunga nomngcipheko weengcinga zokuzibulala phakathi kwamaqela athile.
Nangona le ngcebiso, iPzac iyaqhubeka icetywayo kwaye ingasetyenziselwa ngokukhuselekileyo (okanye ikhutshwe ukuba iziphumo ezimbi ziphuhliswa) xa ziphantsi kolawulo lugqirha. Ukuba unenkxalabo malunga nokukhutshwa kokuthatha iPzac, zizise oku kugqirha wakho.
Ulwalamano lweMithi
Iprozac ayifanele idibaniswe ne- monoamine oxidase inhibitors (ii-MAOIs) okanye ithathwe ezinsukwini ezili-14 zokuyeka i-MAOI. Vumela okungenani iiveki ezi-5 emva kokumisa iPzac ngaphambi kokuqala i-MAOI. Ukusetyenziswa kwe-pimozide kunye ne-thioridazine kwandisa umngcipheko wokuthatha iPzac. Isiphumo sokusebenzisana kwamachiza sinokuthi sinzulu kwaye sinokubulala, ngoko kufuneka uxoxe ngawo onke amayeza owathathayo kunye nogqirha wakho okanye ugqirha wezifo zengqondo ukuze unqume ukuba ngaba kukho ukusebenzisana.
Imiphumela
Ezinye iziphumo zecala leprozac zininzi ngaphezu kwamanye. Ezinye iziphumo eziqhelekileyo zibandakanya iingxaki zokulala, iintloko, ukukhathala, ukuxakeka, isisulu, isisu, ukunyuka, ukuxhala, iingxaki zezesondo, umlomo oomileyo, ukutshisa intliziyo, isifo sohudo kunye nombono ongezantsi. Abanye abantu bayaqaphela ukuba iziphumo eziphantsi zinciphisa ixesha elide, okanye ziba nzima.
Ezinye iziphumo ezinobungozi ezingabonakali ziquka ukuhlanza, ukuxhamla, ukuxhamla / ukuvuthwa, umkhuhlane, ukuvuvukala, ukudideka, ukhathazeka kakhulu, ukuphefumula ukuphefumla okanye ukugwinya, ukuphaphaza okanye ukulimaza, kunye neengcinga zokuziphatha okanye ukuzibulala. Ukuba ufumana naluphi na olu, qiniseka ukuba uzazisa ugqirha wakho okanye ugqirha.
Ngubani ongafanele athathe iPzac
Iprozac inokudluliselwa kwiintsana ngexesha lokukhulelwa kunye nobisi lwebele. Xhumana nogqirha wakho ukuba ukhulelwe okanye unonesi ngaphambi kokuba uthathe iPzac, ukugqiba ukuba ngaba iinzuzo zigqithise ingozi.
Kukho ezinye iingozi ezibangelwa abantu abaneminyaka engama-65 okanye ngaphezulu abafanele baxoxwe nodokotela wakho. Ukhuseleko kunye nokusebenza kweprozac ekusebenziseni nabantwana abaneminyaka engaphantsi kwe-18 ubudala ayilwanga.
Ukusebenzisana kweziyobisi
Iprozac ayifanele idibaniswe notywala, i-anti-counter-counter (umzekelo, i-aspirin, ngenxa yengozi yokuphuma kwegazi) kunye nemithi yonyango, kunye nezongezelelo zondlo okanye izityalo (umzekelo, iSt. John's Wort). Qiniseka ukuxelela ugqirha wakho malunga nento enokuyithatha.
Iprozac ayifanele ithathwe ngexesha elifanayo ne-monoamine oxidase inhibitors (ii-MAOIs) (i-pimozide ne-thioridazine), i-tricyclic antidepressants (TCAs), okanye iziyobisi zichithwe yi-CYP2D6.
Ukunyamekela kufuneka kuthatyathwe nokuba kusetyenziswa kunye neziyobisi ezichaphazela inkqubo ye-nervous central (CNS), njenge-benzodiazepines.
Izilumkiso
Ukusetyenziswa kweProzac kunokukwazi ukubeka ingozi, kubandakanywa nokukhwabanisa kweeklinikhi kwaye kwiimeko ezinqabileyo, ukwanda kweengcinga zokuzibulala. I-Serotonin syndrome nayo iya kwenzeka, ingakumbi xa isetyenziselwa nezinye iyeza. Ukuvavanya ukuvavanywa ngongqondo wakho okanye ugqirha kubalulekile.
Iprozac iphinda ifikelele ngebhokisi leMnyama ukuba inokunyusa ingozi yokuzibulala kubantu abangaphantsi kweminyaka engama-25 ubudala. Kula bantu, kunokukhokelela ekucingeni ukuzibulala, okanye ukugqithisa kwezi ntlobo zengcamango. Ukuba ungowalesi sigqeba, ugqirha wakho kufuneka akubekele iliso, ngokukodwa kumanyathelo okuqala, kule micimbi ebalulekileyo.
Iprozac inokuphinda isebenze i-mania kubantu abaxhomekeke kuyo.
Ukurhoxiswa
Iprozac kufuneka ihlale ichithwe ukukhusela impembelelo. Ukuba uyeka ukuthatha iPzac ngokukhawuleza, unokwazi ukubonakalisa iimpawu ezinjengezondlo, ukudideka, ubusuku, ukulala, ukuthukuthela, ukukhala, ukukhala. Ngenxa yesi sizathu, ungalokothi unqabe unyango ngaphandle kokubonisana nodokotela wakho.
Ezinye iindlela
Ukuba i-Prozac ayinyamezelwanga kakuhle, amanye ama-SSR anamaxesha athile amiselwe ukukhathazeka aquka i- Paxil (paroxetine), i- Lexapro (escitalopram), i- Luvox CR (i-fluvoxamine) ne- Zoloft (i-sertraline). I-Exexor XR (venlafaxine) yenye enye i-anti-depressant ebizwa ngokuba yi-serotonin-norepinephrine reuptake inhibitor (i-SNRI) nayo inokusebenza ekuphatheni uxhalaba lwakho.
Ekugqibeleni, i-benzodiazepines enye iklasi yamayeza esoloko esetyenziselwa ukuxhalabisa, kodwa ngokuqhelekileyo isisombululo esifutshane ngenxa yengozi yokuxhomekeka. Amachiza athile kule ndawo afaka iValium (diazepam), iXanax (alprazolam), i- Klonopin (i-clonazepam) ne- Ativan (lorazepam).
ILizwi
Ukuba unqunyelwe iPzac ukuba uxhalabe, unokuziva uxhalabele ngemiphumo emibi nokuba ingaba unyango luya kunceda. Yabelana ngogqirha wakho kunye noogqirha kwaye uhlale uqhagamshelana malunga nendlela oyenzayo xa uqala ukufumana unyango. Unxibelelwano luyintloko ekuqinisekiseni ukuba eli gama lisetyenziswe ngendlela efanelekileyo yokusebenza ngokukhulu.
Imithombo:
> Eli Lilly. Iprozac yeMicrosoft Guide.
> Eli Lilly. Prozac Ukuchazela Ulwazi .
> Maya Vetencourt JF, Ukuthengisa A, Viegi A, et al. I-anti-depressant fluoxetine ibuyisela iplastiki kwi-cortex yabantu abadala. Sayensi . 2008; 320 (5874): 385-388.
> Medline Plus. Fluoxetine. I-American Society of Health-System Pharmacists, Inc. US National Library of Medicine.