Izinzuzo Kungenzeka Zizithobe, Ukuqapha Kumelwe Kuthathwe Kwamanye Amacala
I-trazodone yemithi yokwelapha imithi iyinhlangano evame ukucindezeleka eyasetshenziswayo futhi isetshenzisiwe ngaphandle kwelebuli njengendlela yokukhohlisa ukuqala ukulala. Sekusetshenziswe amashumi eminyaka njengesizo sokulala, kodwa i-trazodone isebenza kanjani? Isebenza kahle kangakanani isilinganiso sokuthuthukisa ukulala noma ukulala ngaphezulu ebusuku? Yimiphi imiphumela emibi ejwayelekile? Funda ukuthi i-trazodone ikulungele wena nokuthi yiziphi ezinye izinto ezingasiza ekucabangeni, kuhlanganise nesidingo sokuhlolwa kokulala uma kuqhubeka ukuleleka okungapheli.
Ukusetshenziswa
I-Trazodone yisidakamizwa esidala esetshenziselwe ukuphatha ukucindezeleka nokukhathazeka okukhulu iminyaka eminingi. Njengoba inemiphumela yokuguqula noma yokwehlisa, okusho ukuthi ibangela ukulala, kuyasiza futhi ekunakekeleni ukulala noma ukulala okungavamile .
Isebenza kanjani?
Ayaziwa ukuthi i-trazodone isebenza kanjani. Yini eyaziwa ukuthi isebenza kuma-neurotransmitters, okuyizithunywa zamakhemikhali ngaphakathi kwengqondo. Ivumela i-neurotransmitter ethiwa okuthiwa i-serotonin ekwakheni izikhala phakathi kwamaseli we-nerve ngokuvimbela ukufakwa kwayo kuma-cell eseduze. Kubuye kubonakale ukuxhumana ne-histamine (futhi ama-antihistamine afana ne- diphenhydramine awaziwa njengezinsiza zokulala). Le miphumela ibonakala ibumbene iphakamisa ukulala kwe-wave-noma (N3).
I-American Academy of Sleep Medicine okwamanje ayincoma ukusetshenziswa kwe-trazodone ukuphatha ukuleleka, okuphakamisa ukuthi izingozi ezingase zibe khona kanye nezimo ezilimazayo zingaphezu kwezinzuzo.
Lokhu kusekelwe ocwaningweni okubonisa ukuthi isikhathi esithatha ukulala siyancishiswa ngokulinganiselwa kwemizuzu eyi-10 ngokusetshenziswa kwe-trazodone kuqhathaniswa ne-placebo. Ngaphezu kwalokho, isikhathi esichitha siphapheme ebusuku sinciphisa imizuzu engu-8 ngokwesilinganiso nge-trazodone.
Ubani Okufanele Awusebenzise?
Uma unquma ukusebenzisa i-trazodone, kunabantu abathile okufanele babuye babuyeke kabusha ukusetshenziswa kwawo.
I-Trazodone akumele isetshenziswe kubantu abaphulukisayo kusuka ekuhlaselweni kwenhliziyo . Akufanele futhi isetshenziswe abantu abangaphansi kweminyaka engu-25 ubudala, futhi asebekhulile kufanele basebenzise lesi sidakamizwa ngokuqapha. I-Trazodone kufanele igwenywe uma ukhulelwe noma uncelisa.
I-Trazodone ingase ingabi kufanelekile kubantu abanezifo zengqondo, kuhlanganise nesifo se-bipolar kanye ne-schizophrenia, kanye nalabo abasengozini yokuzibulala. Sebenzisa i-trazodone ngokuqapha uma unesifo senhliziyo noma isifo se-cerebrovascular, i-seizures, noma izinkinga zezinso noma zesibindi.
I-Trazodone inekhono lokusebenzisana nezinye izidakamizwa eziningi, ngakho imithi yakho kufanele ibuyekezwe ngokucophelela ngumhlinzeki wakho wezempilo ngaphambi kokuba uqale ukuthatha i-trazodone. Akukho ukuhlupheka noma izinkinga zenhliziyo kuye kwabikwa kubantu abathatha i-trazodone kuphela. Ukuyeka imithi ngokuzumayo kufanele kugwenywe; esikhundleni salokho, kungase kudingeke ukuba kuphethwe ngaphansi kokuqondiswa kwedokotela.
Imiphumela Ejwayelekile Ejwayelekile
Kunemiphumela emibi eminingi engase ibe yimuphi umuthi. Nakuba umuntu engalindelekile ukuba abe nemiphumela emibi kakhulu (futhi kungenzeka ukuthi angenayo noma yimuphi), kodwa okunye okungase kwenzeke nge-trazodone kufaka:
- Ukulala
- Isizungu
- Lightheadedness
- Umlomo omile
- Izinwele
- Umbono ophundlekile
- Ukudabuka noma ukuhlanza
- Ukwesaba
- Ukukhathala
- Ukuqokwa
- Amapulpitations
- Ukushaya kwenhliziyo okusheshayo
- Umfutho wegazi ophansi
- Ukuthinta isikhumba, njengokushona
- Ukudideka
- Ubuhlungu besisu
- Izinguquko zesisindo
- Uhudo
- Ukwesaba (shakiness)
- Izinkinga zokuhamba noma ukusebenzisana
Ukusabela Okubalulekile Okungenzeka
Ngokusetshenziswa kwanoma imuphi umuthi, kukhona nezingozi zemiphumela emibi kakhulu. Lokhu kwenzeka okungavamile kakhulu. Uma usebenzisa i-trazodone, lokhu kungafaka:
- I-Priapism (ukulungiswa okuqhubekayo okubuhlungu)
- I-Orthostatic hypotension (umfutho wegazi ophansi uma umile)
- Izinhliziyo ezingavamile
- I-hypertension (i-high blood pressure)
- Ukuphelelwa amandla
- Isibungu
- Isifo senhliziyo
- Izimpawu ze-Extrapyramidal
- I-Tardive dyskinesia
- I-Hypomania / i-mania
- Ukucindezeleka kwengqondo
- Ukucindezeleka okukhulu
- Imicabango yokuzibulala
- Ama-hallucinations
- Ukuzizwa
- I-Neutropenia (isibalo esincane se-white white)
- I-anemia
- I-hepatitis (ukuvuvuka kwesibindi)
- I-SIADH (Syndrome ye-Inappropriate Anti-Diuretic Hormone secretion)
Ukuphepha okuqapha ukuthatha
Njengoba kuphawuliwe ngenhla, abantu abathile kufanele basebenzise imithi ngokuqapha noma cha. Kubalulekile ukuthi uhlolwe udokotela wakho njengoba kuqaliswa imithi noma ushintsho kumthamo wenziwa. Ngokuyinhloko, izimpawu zokuzibulala noma izinguquko ezingavamile zokuziphatha kufanele zibukwe.
Uma uhlangabezana nanoma yikuphi ubunzima, kufanele uxhumane eduze nomhlinzeki wakho wezempilo oyinhloko. Uma ukulala kungaqhubeki, cabanga ukuthi uyayiphatha ngokusetshenziswa kokwelashwa kokuziphatha kwengqondo yokulala (CBTI) .
Izwi kusuka
Uma uthola ukuthi ubuthongo obunzima, obangela ukucubungula izinsiza zokulala ezibandakanya imithi kadokotela njenge-trazodone, cabanga ngesidingo sokuhlolwa ngesazi sokulala esiqinisekisiwe ebhodini. Ukuphazamiseka kokulala, kufaka phakathi i-apnea yokulala, kungase kube nomthelela ekubuneni ukulala ebusuku. Ukwelashwa kwalesi simo kungavumela ukungazinzi ukuxazulula. Ngaphezu kwalokho, izimo ezifana ne-apnea yokulala zingase zinciphise ukusebenza kwemithi futhi ziholele emiphumeleni yesikhathi eside uma zingashiywanga noma zingasindiswa izidakamizwa. Ngenhlanhla, ukwelashwa okuphumelelayo kungavumela ngcono ngenkathi kugwema isidingo esiqhubekayo semithi enokulimaza.
Imithombo:
Cooper, DH et al . Umqulu we-Washington we-Medical Therapeutics. I-32nd edition, 2007. 14. Lippencott, Williams & Wilkins . I-New York.
> Katzung, BG. I-Basic & Clinical Pharmacology . I-9th edition, 2004. I-McGraw-Hill Companies, Inc. eNew York.
> -Sateia MJ et al . "Umhlahlandlela Wokusebenza Ngokwemitholampilo we-Pharmacologic Treatment of Chronic Insomnia in Adult: I-American Academy of Sleep Medicine Guideline Practice Guideline." I- Journal of Clinical Sleep Medicine . 2017; 13 (2): 307-349.
> "I-Trazodone." I-Epocrates Rx Pro . Inguqulo 16.4, 2016. Epocrates, Inc. I- San Mateo, California.