Iingeniso Mhlawumbi Ungathobekile, Isilumkiso kufuneka sithathwe kwezinye iimeko
I-drug drug trazodone yi-anti-depressant echazwe ngokuqhelekileyo ekwasetyenziselwa ngaphandle-ilebula njengengxaki yokuqalisa ukulala. Sekusetshenziselwe amashumi eminyaka njengoncedo lokulala, kodwa i-trazodone isebenza njani? Isebenza njani ngokuqhelekileyo ukuphucula ukulala okanye ukulala ngaphezulu ebusuku? Ziziphi iziphumo eziqhelekileyo? Funda ukuba i-trazodone ilungele wena kunye naziphi ezinye izinto ezingakunceda ukucinga ngazo, kubandakanywa nesidingo sokuvavanya ukulala ukuba unesifo esingapheliyo.
Ukusetyenziswa
I-Trazodone yisidakamizwa esidala esasetyenziselwa ukuphatha uxinzelelo kunye nokuxhalabisa okukhulu iminyaka emininzi. Ekubeni kunemiphumo yokuguqulwa okanye yokunyamezela, oku kuthetha ukuba kubangele ukulala, kuya kunceda ekuphatheni ukulala okanye ukulala .
Ingaba isebenza kanjani?
Ayaziwa kakuhle indlela i-trazodone esebenza ngayo. Yintoni eyaziwa kukuba iyenzeka kuma-neurotransmitters, ezizithunywa zeemichiza ngaphakathi kwengqondo. Ivumela i-neurotransmitter ethile ebizwa ngokuba yi-serotonin ekwakheni kwizikhala phakathi kweeseli zesisongulu ngokuvimba ukufunyanwa kwayo kwiiseli eziseduze. Kwakhona kubonakala ukusebenzisana ne-histamine (kunye nama-antihistamine afana ne- diphenhydramine ayaziwa ngokufanelekileyo njengezinto zokulala). Le miphumo ibonakala iqokelele ingqungquthela (okanye i-N3) yokulala.
I-American Academy ye-Sleep Medicine ayithethanga okwangoku ukusetyenziswa kwe-trazodone ukuphathwa ngongobunzima, ebonisa ukuba iingozi ezinobungozi kunye nezigwenxa ezigqithiseleyo ziphezulu.
Oku kusekelwe kuphando olubonisa ukuba ixesha elithathayo ukulala liyancitshiswa kuphela kwimitha eyi-10 ngokusetyenziswa kwe-trazodone xa kuthelekiswa ne-placebo. Ukongezelela, isixa sichithwa ebusuku siyancitshiswa ngemizuzu engama-8 ngomlinganiselo we-trazodone.
Ngubani Omele Asebenzise?
Ukuba unquma ukusebenzisa i-trazodone, kukho abantu abathile abamele baqwalasele kwakhona ukusebenzisa kwawo.
I-Trazodone ayifanele isetyenziswe kubantu ababuyiselwa kwisifo senhliziyo . Akufanele isetyenziswe ngabantu abangaphantsi kweminyaka eyi-25 ubudala, kwaye abantu abadala kufuneka basebenzise izilwanyana ngokulumkisa. I-Trazodone kufuneka igwenywe ukuba ukhulelwe okanye uncelisa.
I-Trazodone ayinakulungeleka abantu abanezifo zengqondo, kubandakanya izifo ze-bipolar kunye ne-schizophrenia, kunye nabo basengozini yokuzibulala. Sebenzisa i-trazodone ngokulumkisa ukuba unentliziyo okanye isifo se-cerebrovascular, i-seizures, okanye ingxaki yeengtso okanye isibindi.
I-Trazodone inokukwazi ukusebenzisana nezinye iziyobisi ezininzi, ngoko ke amayeza akho kufuneka ahlaziywe ngenyameko ngumboneleli wakho wezempilo ngaphambi kokuba uqale ukuthatha i-trazodone. Akukho ukufa okanye iintliziyo zengxaki eziye zabikwa kubantu abathatha i-trazodone yodwa. Ukuyeka imithi ngokukhawuleza kufuneka kugwenywe; Kunoko, kunokudinga ukuba ifakwe phantsi kolawulo lwegqirha.
Iziphumo eziPhakathi
Kukho imiphumo emininzi yemiphumo yonyango. Nangona umntu akanakulindelwa ukuba abe nemiphumo emibi yecala (kwaye ingenayo nayiphi na enye), kodwa ezinye ezinokuthi zenzeke nge-trazodone ziquka:
- Ukulala
- Utywala
- Lightheadedness
- Umlomo omile
- Intloko
- Umbono ongezantsi
- Isihlunu okanye ukuhlanza
- Ukhathazeka
- Ukukhathala
- Ukutyunjwa
- Iipilpitations
- Iqondo lentliziyo ekhawulezayo
- Uxinzelelo lwegazi oluphantsi
- Ukuguquka kwesikhumba, njengokugqithisa
- Ukudideka
- Ubuhlungu besisu
- Ukunyusa utshintsho
- Uhudo
- Ukugubha (ukutshintsha)
- Ubunzima bokuhamba okanye ukusebenzisana
Ingxaki Ebonakalayo
Xa kusetyenziswe nasiphi na iziyobisi, kukho iingozi zemiphumo emibi. Ezi zenzeka ngokungaqhelekanga. Xa usebenzisa i-trazodone, ezi ziquka:
- Ukuzikhethela (ukulungiswa okuqhubekayo okubuhlungu)
- I-Orthostatic hypotension (uxinzelelo oluphantsi lwegazi xa limi)
- Iimpawu zentliziyo ezingavamile
- Uxinzelelo oluphezulu (uxinzelelo lwegazi oluphezulu)
- Ukutyhafa
- Stroke
- Ukuhlaselwa yintliziyo
- Izimpawu ze-Extrapyramidal
- Tardive dyskinesia
- Hypomania / mania
- Ukunyanzeliswa kwengqondo
- Ukuxinezeleka
- Iingcamango zokuzibulala
- Hallucinations
- Ukuxhamla
- I-Neutropenia (inani elisezantsi legazi legazi)
- IAnemia
- I-hepatitis (ukuvutha kwesibindi)
- I-SIADH (Isifo se-Hormone esingafanelekiyo se-Anti-Diuretic Hormone)
Ukhuselo lokuThatha ukuthatha
Njengoko kuphawuliwe ngasentla, abantu abathile kufuneka basebenzise amayeza ngokulumkisa okanye kungekhona. Kubalulekile ukuba uhlolwe ngugqirha wakho njengoko unyango luqalisiwe okanye utshintsho kwi dose zenziwe. Ngokukodwa, iimpawu zokuzibulala okanye ukuguquka kokuziphatha okungavamile kufuneka zijongwe.
Ukuba ufumana ubunzima, kufuneka ube kunye nobudlelwane obusondeleyo nomboneleli wezempilo oyintloko. Ukuba ukulala kungapheli, cinga ukuba unyango ngokusetyenziswa kwengqondo yokuziphatha yokungazinzi (CBTI) .
ILizwi
Ukuba ufumene ukuba ulele ukulala, ukubangela ukuqwalaselwa kwezibonelelo zokulala kuquka ukuchithwa kwamachiza afana ne-trazodone, qwa lasela imfuno yokuvavanywa ngongcali yokulala ebungqiniweyo. Ukuphazamiseka kokulala, kubandakanywa ne-apnea yokulala, ngokuqhelekileyo kunokufaka isandla ekubuneni ukulala ubusuku. Unyango lwalo mqathango lungavumela ukungazinzi ukulungisa. Ukongezelela, iimeko ezinjenge-apnea yokulala zinganciphisa ukuphumelela kwamachiza kwaye zikhokelela kwimiphumo emide engapheliyo xa zingashiywanga okanye zingagxininiswa ziziyobisi. Ngethamsanqa, unyango olusebenzayo lunokuvumela ukuphuculwa ngelixa uphephe imfuno eqhubekayo yemithi eyingozi.
Imithombo:
Cooper, DH et al . Umqulu waseWashington wezoNyango zeZonyango. I-32nd edition, 2007. 14. uLippencott, Williams & Wilkins . Inew york.
> Katzung, BG. I-Basic & Clinical Pharmacology . I-9th edition, 2004. I-McGraw-Hill Companies, Inc. eNew York.
> -Sateia MJ et al . "Isikhokelo seKliniki yoLwazi lwe-Pharmacologic Treatment of Insolnia engapheliyo kubantu abadala: i-American Academy yoLondolozo lwezeNtsholongwane." I- Journal of Clinical Sleep Medicine . 2017; 13 (2): 307-349.
> "Trazodone." Epocrates Rx Pro . I-16.4, i-2016. i- Epocrates, Inc. i- San Mateo, eCalifornia.