I-Tricyclic yoxinzelelo

Umxholo

• Ii-TCA zangoku
• Indlela abasebenza ngayo
• Imiphumela
• Unxibelelwano
• Malunga nokusetyenziswa kunye nezinye iimeko
• Thetha nogqirha wakho

Ushwankathelo

I-Tricyclic antidepressants, ekwabizwa ngoku njenge-cyclic antidepressants okanye i-TCAs, yaziswa ngasekupheleni kweminyaka yee-1950. Babengomnye wokuqala woxinzelelo, kwaye basajongwa njengokusebenza kunyango loxinzelelo. La machiza lukhetho olufanelekileyo kwabanye abantu abanokudakumba okunganyangekiyo kwamanye amachiza. Nangona i-cyclic antidepressants inokusebenza, abanye abantu bakufumanisa kunzima ukunyamezela iziphumo ebezingalindelekanga. Kungenxa yoko le nto la machiza engafane asetyenziswe njengonyango lokuqala.

Ii-TCA zangoku

I-cyclic antidepressants ezahlukeneyo ezikhoyo ngoku zibandakanya:

• mzantsiweb
• mocoxise
• desipramine (Norpramin)
• doxepin
• imipramine (Tofranil)
• imaprotiline
• Umda we-nortriptyline (Pamelor)
• umgca weprotocol (Vivactil)
• itrimipramine (iSurmontil)

Abanye oogqirha banokumisela i-cyclic drug clomipramine (Anafranil) kunyango loxinzelelo ekusebenziseni iilebheli ezingekhoyo.

Indlela abasebenza ngayo

Iiklinikhi zihlala zichaza kuphela i-tricyclic anti-depressants emva kokuba ezinye iziyobisi zisilele ukukhulula uxinzelelo. I-Tricyclic antidepressants inceda ukugcina i-serotonin kunye ne-norepinephrin engakumbi ekhoyo kwingqondo yakho. Ezi khemikhali zenziwe ngokwendalo ngumzimba wakho kwaye kucingelwa ukuba zichaphazela imeko yakho. Ngokugcina uninzi lwazo lufumaneka kwingqondo yakho, i-tricyclic antidepressants iyanceda ukuphakamisa imeko yakho.

Ezinye iitricclic antidepressants zikwasetyenziselwa ukunyanga ezinye iimeko, ubukhulu becala kukusetyenziswa kwelebheli engekhoyo. Ezi meko zibandakanya ukungakhathali okungafunekiyo okunyanzelekileyo (OCD) kunye nokubetheka okungapheliyo ebhedini. Kwiidosi ezisezantsi, ii-cyclic antidepressants zisetyenziselwa ukukhusela i-migraines kunye nokunyanga iintlungu ezingapheliyo. Ngamanye amaxesha zisetyenziselwa ukunceda abantu abanengxaki yokuphakuzela.

I-Tricyclic antidepressants inyanga uxinzelelo, kodwa inezinye iziphumo emzimbeni wakho. Banokuchaphazela ukushukumiseka okuzenzekelayo kwemisipha kwimisebenzi ethile yomzimba, kubandakanya ukhuseleko kunye nokwetyisa. Zikwathintela iziphumo ze-histamine, ikhemikhali efumaneka emzimbeni wakho wonke. Ukuthintela i-histamine kunokubangela ukozela, ukungaboni kakuhle, umlomo owomileyo, ukuqhina kunye ne-glaucoma. Oku kunokukunceda uchaze ezinye zeengxaki ezingalunganga ezinxulumene nala machiza.

Imiphumela

I-Tricyclic antidepressants inokubangela ukuqunjelwa, ukuzuza ubunzima, kunye nokudakumba kunezinye izinto ezichasayo. Nangona kunjalo, amayeza ahlukeneyo aneempembelelo ezahlukeneyo. Ukuba unesiphumo esibi kwicala elinye le-tricyclic antidepressant, xelela ugqirha wakho. Ukutshintshela kwenye i-cyclic antidepressant kunokunceda.

Iziphumo ezinokubakho ze-tricyclic antidepressants zibandakanya:

• umlomo owomileyo
• amehlo owomileyo
• ukungaboni kakuhle
• isiyezi
• ukudinwa
• intloko ebuhlungu
• ukudideka
• ukuxhuzula (ngakumbi ngemaprotiline)
• ukozela
• ukuqhina
• ukugcinwa komchamo
• ukungasebenzi kakuhle ngokwesondo
• uxinzelelo lwegazi oluphantsi
• ukutyeba (ngakumbi nge-amitriptyline, imipramine, kunye ne-doxepin)
• isicaphucaphu

Unxibelelwano

Abantu abasela utywala rhoqo kufuneka baphephe i-tricyclic antidepressants. Utywala bunciphisa isenzo sokudakumba kwezi ziyobisi. Yonyusa neziphumo zabo zokuhlala.

I-Tricyclic antidepressants inokubangela iziphumo ebezingalindelekanga ezinobungozi ukuba uzithatha ngamayeza athile, kubandakanya i-epinephrine (Epi-Pen) kunye ne-cimetidine (Tagamet). I-Tricyclic antidepressants inokunyusa iziphumo ze-epinephrine entliziyweni yakho. Oku kunokukhokelela kuxinzelelo lwegazi kunye neengxaki ngentliziyo yentliziyo yakho. I-Cimetidine inokunyusa amanqanaba e-tricyclic antidepressant emzimbeni wakho, nto leyo enokubangela ukuba iziphumo ebezingalindelekanga zibekho.

Amanye amachiza kunye nezinto zinokusebenzisana ne-tricyclic antidepressants. Kubalulekile ukuba uxelele ugqirha wakho ngazo zonke iziyobisi nezinto ozisebenzisayo. Ugqirha wakho unokukunceda uphephe naluphi na unxibelelwano.

Malunga nokusetyenziswa kunye nezinye iimeko

La machiza anokwenza iimeko zibe mbi ngakumbi. Abantu abanezi meko zilandelayo kufuneka baphephe i-tricyclic anti-depressants:

• Ukuvalwa kwe-glaucoma
• iprostate eyandisiweyo
• ukugcinwa komchamo
• iingxaki zentliziyo
• iingxaki zedlala lengqula

I-Tricyclic antidepressants ikwachaphazela amanqanaba eswekile yegazi, ke abantu abanesifo seswekile abathatha la machiza banokufuna ukujonga iswekile yegazi rhoqo.

Abafazi abakhulelweyo okanye abasetyhini abancancisayo kufuneka bathethe nogqirha ngaphambi kokusebenzisa i-tricyclic antidepressants. Ugqirha uya kunceda ukulinganisa nayiphi na ingozi kumama okanye kusana ngokuchasene nokusebenzisa la machiza.

Thetha nogqirha wakho

I-Tricyclic antidepressants iyasebenza, kodwa ayinguye wonke umntu. Akunakuba kukuqala ukuba uxinzelelo kugqirha wakho. Oku ikakhulu kubangelwa ziziphumo ebezingalindelekanga.

Ukuba umiselwe la machiza, thetha nogqirha wakho malunga naziphi na iziphumo ebezingalindelekanga onazo. Kuya kufuneka uxelele ugqirha wakho ukuba uziva ngathi awungekhe uzinyamezele iziphumo ebezingalindelekanga ngaphambi kokutshintsha idosi okanye ukuyeka unyango ngala machiza. Ukuyekisa ngesiquphe unyango lwe-tricyclic antidepressant kunokubangela:

• isicaphucaphu
• intloko ebuhlungu
• isiyezi
• ukungakhathali
• Iimpawu ezinjengomkhuhlane

Ugqirha wakho uya kuyiphepha idosi yakho ngokuhamba kwexesha ukunqanda le miphumo.