I-Zoloft (i-sertraline) yile klasi yamachiza ebizwa ngokuthi i-serotonin e-reuptake inhibitors, okanye i-SSRIs. Le misebenzi yonyango ngokunyusa izinga le-serotonin kwingqondo. Amanqanaba aphantsi e-serotonin kwingqondo adibene nomoya ogxininisekile kwongezelela ubunzima beengcamango ezinjengememori engafanelekanga.
Ngaphandle kwenkxalabo enkulu yokudandatheka, uZoloft uphinde wavunyelwa yi-FDA ukuphatha ezi zimo zengqondo ezilandelayo:
- PTSD
- Ukuphazamiseka kwintlungu
- OCD
- Uxinzelelo lwentlalo
- Isifo sokugula esasisifo se-Premenstrual
Ukufunda indlela uZoloft asebenza ngayo kunye nokubheka ntoni xa uthabatha kunokukunceda ukujamelana nokugula kwakho kangcono kwaye unamathela kwisicwangciso sonyango lwakho.
Ukuqala iZoloft
Kubalulekile ukuba ungalindelanga iziphumo ngokukhawuleza xa uthatha iZoloft. Abantu baqaphela ukuphucula phakathi kweveki okanye ezimbini, kodwa kungathatha iiveki ezimbalwa de ube uzive ziphumo ezipheleleyo zeziyobisi.
Kwakhona, xa uqala ukuthatha iZoloft, unokufumana ezinye iziphumo . Ezi ziqhelekileyo zibandakanya isicupunu okanye isisu esicasulayo, isifo sohudo, ukujuluka, ukuthuthumela, okanye ukunciphisa ukutya. Iziphumo zecala zesondo nazo ziyakwenzeka, ngokukodwa ukuhluleka kwe-ejaculation kunye nokunciphisa i-libido.
Ukuba kukho nayiphi na yeziphumo ezichaphazelekayo ezingahambi okanye zikunika iingxaki ezibalulekileyo, qiniseka ukuba uqhagamshelane nogqirha wakho. Ngamanye amaxesha amanyathelo amancinci anganciphisa imiphumo emibi yokuthatha i-Zoloft njengokuthatha ngexesha elithile okanye ukutshintsha idosi.
Ngamanye amaxesha, ukuba iziphumo ezisecaleni zixhalabisa, ugqirha wakho unokuncoma ukuba aguqule kwi-SSRI eyahlukeneyo okanye iklasi epheleleyo yeyeza.
Yintoni omele uyibukele xa uthatha iZoloft
Ukongeza kwimiphumo echaphazelekayo ekhankanywe ngasentla, kukho imiphumo emibi ekufuneka ilindele ukuba uthatha iZoloft.
Iingcamango zokuzibulala nokuziphatha
I-"bhokisi ebomnyama-isilumkiso" ibhekisela kwisaziso esibalulekileyo esenziwa ngu-US Food and Drug Administration malunga nale nyanga. Isixwayiso sebhokisi emnyama kwiZoloft sibonisa ukuba kunokubangela okanye kwandise iingcamango zokuzibulala kubantwana kunye nabantu abadala. Jonga umhlobo wakho, okanye wena xa ulapha kweli qela leminyaka, nangayiphi na imiqondiso yengcinga, kwaye uqhagamshelane nodokotela wakho ngokukhawuleza ukuba zikhona.
Serotonin Syndrome
Ukuthatha i-Zoloft kunokubeka ingozi kwizinto ezinqabileyo, kodwa mhlawumbi imeko esongela ubomi ebizwa ngokuba yi- serotonin syndrome . Lo mngcipheko uphakamileyo xa umntu ethatha namanye amayeza enxulumene neserotonin njengamayeza e-migraine, i-tricyclic antidepressants, okanye imithi yeentlungu, i-Ultram (tramadol), kodwa ingenzeka ngokuthatha iZoloft yodwa.
Ezinye zeempawu kunye neempawu zalo mqathango zixakeka, ukudideka, intliziyo ephezulu, ukunyuka kwengcinezelo yegazi, iisiphako ezinzima kunye / okanye iingxaki zokudibanisa, ukugubha, kunye neengxaki zesisu ezinjenge-diarrhea.
Ukuze usebenze ekukhuseleni le syndrome engavumelekanga ukuba isenzeke, qi niqiniseke ukuba uxelele ugqirha wakho onke amayeza owathathayo, kuquka naliphi na iziyobisi ezingaphezulu kweyantlawulo.
Umngcipheko wokunyuka
Kukhona ithuba elongeziweyo lokuphuma kwegazi xa uthatha iZoloft kunye nemichiza evimba iiplatelet okanye amayeza anciphisa igazi lakho.
Imizekelo ibandakanya i-aspirin, izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID) kunye neCoumadin (warfarin).
Nceda uxelele ugqirha wakho ngokukhawuleza kwiphina imicimbi ephumayo njengeempumlo okanye i-bruising eyanda. Funa uncedo lwonyango ngokukhawuleza ukuba ubona iziganeko ezinjengegazi egazini lakho.
Mania okanye Hypomania
I-Zoloft ingabangela isiqhelo somntu okanye isiqhelo somntu kumntu onenkinga yokuguquguquka kwengqondo. Khumbula ukuxelela ugqirha ukuba ngaba ufumaniswe okanye ukhangelwe ukuba une-bipolar disorder, okanye unembali yentsapho yayo.
Amanqanaba eSodium
Amanqanaba e-sodium ephantsi kwigazi (elibizwa ngokuba yi-hyponatremia) lingahle lenzeke ngeZoloft, ngaphezu kweminye i-SSRIs.
Iimpawu neempawu ze-hyponatremia ziquka:
- Intloko
- Iingxaki zijolise
- Ubunzima bokukhumbula
- Ukudideka
- Ubuthathaka
- Ukungazinzi kunye nokuwa
Kwiimeko ezinzima kakhulu, i-hyponatremia inokukhokelela ekubanjweni, ukuhlaselwa kunye nokufa. Kubalulekile ukuba ugqirha wakho akulandele ngokukhawuleza ngelixa ethatha i-antidepressant yakho. Unokufuna ukujonga izinga lakho le-sodium emva kokuba u-Zoloft.
Ukunyuka kwegazi
Ngelixa lingaqhelekanga, ukuba uthabatha iZoloft kwaye uhlakulele iimpawu okanye iimpawu zempembelelo ezinjenge-rash, imihlathi, ukuvuvukala, okanye iingxaki zokuphefumula, qha ga mshelana nodokotela wakho.
Ukukhulelwa
I-Zoloft yinkqubo ye-C yokukhulelwa, ngoko xelela ugqirha wakho ukuba ukhulelwe kwiZoloft okanye uceba ukukhulelwa. Ukusetyenziswa kweZoloft kwi-trimester yesithathu kunokunyusa ithuba lomntwana lokuhlakulela ingozi yomshumbululwazi onokuqhubekayo ongabangela iingxaki zokuphefumla. Ukongezelela, ukusetyenziswa kwe-Zoloft yesithathu kwintathu kungabangela iimpawu zokurhoxiswa kwe-neonatal ezifana nokungazinzi kokushisa, ukunyanga iingxaki kunye nokukhala rhoqo.
Nangona kunjalo, abanye besetyhini bangadinga ukuqhubeka bethatha iZoloft ngexesha lokukhulelwa kuba inzuzo yokuphatha isigulo sabo siphumelele ingozi. Ngokubanzi, esi sigqibo sifuna ingxoxo ngokucokisekileyo nangengqiqo kunye nomsebenzi wesigqirha kunye neengcali zempilo yengqondo.
Ukungaphumeleli kwiDose yeZoloft
Zama ukuthatha iZoloft yakho ngexesha elinye ngosuku. Ukubeka i-timer kwifowuni kunokunceda ukuze ungalibali. Kodwa ukuba uyaphuthelwa umthamo, thatha ngokukhawuleza ukuba ukhumbule, ngaphandle kokuba kusondele kakhulu kwi dose elandelayo. Ngamanye amagama, ungalokothi uthathe amayeza amabini kaZoloft ngexesha elinye. Zithatha nje idilesi yakho elandelayo kwaye ubuyele kwishedyuli yakho evamile.
Qhagamshelana noLawulo lweTyhefu kunye nogqirha wakho ukuze ukhokele ukuba unokwenjenjalo kwi-Zoloft. Iimpawu eziqhelekileyo kunye neempawu ezinxulumene no-Zoloft ukugqithisa zibandakanya ukulala, ukuhlanza, ukukhawuleza kwentliziyo, isisonguluko, ukuxakeka, ukuthuthumela, kunye nokugubha.
Ukuyeka iZoloft
Ukuyeka i-sertraline kunokubangela iimpawu zokurhoxisa, eyaziwa ngokuba yi-SSRI yokuyeka ukugula. Esi sizathu esinye sokuba kubalulekile ukuba ungavumi ukuthatha iZoloft ngokwakho. Ukuba wena kunye nogqirha wakho nisenza isigqibo sokuba unqande iZoloft, unokukunika isicwangciso sokuguqula ukunciphisa naziphi na iimpawu zokurhoxisa ezinjengekrakra, ukuxhalabisa okanye ukudideka.
ILizwi
Ngaphambi kokumisela iZoloft, ugqirha wakho uya kwenza imbali yonyango. Nangona kunjalo, kubalulekile ukuba udlale indima echaphazelekayo kwiinkonzo zakho zempilo. Ngamanye amagama, xelela ugqirha wakho kuzo zonke iinkcukacha zembali yakho yempilo, kungakhathaliseki ukuba ucinga ukuba awubalulekile.
Ngokubanzi, i-Zoloft yipilisi ekhuselekileyo kwaye ikhuselekile kwaye iye yanceda kakhulu abantu abaninzi ukuba babhekane nesimo sabo sengqondo. Ufanelwe ukuba uphile kakuhle, kwaye iindaba ezilungileyo kukuba ukuba emva kokuzama uZoloft ukuba awufumani uncedo, kukho ezinye iindlela ezininzi ezikhoyo.
> Imithombo:
> FDA. (2015). Zoloft (sertraline HCI) Ukuchaza ulwazi.
> Jenkins TA, Nguyen JCD, Polglaze KE, uBertrand PP. Impembelelo ye-tryptophan kunye ne-serotonin kwimoya kunye nokuqonda ngokubambisana nenxaxheba ekhoyo ye-axis-brain axis. Amanzi . 2016 Jan; 8 (1): 56.