Okuqukethwe
Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.
Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.
I-Bioxetin isidakamizwa esilwa nokucindezeleka. Iqukethe i-fluoxetine engu-20 mg kuthebhulethi eyodwa. Ithengiswa ngephakethe lezingcezu ezingu-30. Iwumuthi obuyiselwe yiNational Health Fund.
Isebenza kanjani i-Bioxetin futhi isetshenziswa kanjani?
Isithako esisebenzayo sokulungiselela I-Bioxetine kukhona i-fluoxetine. Le nto ingeyeqembu lemithi ebizwa ngokuthi ama-SSRIs – selective serotonin reuptake inhibitors. I-Serotonin, evame ukubizwa ngokuthi i-hormone yenjabulo, iyi-neurotransmitter ukuntula kwayo kungabangela ukudangala, ukukhathala noma ulaka. I-Fluoxetine iyasebenza phakathi kokunye, ngokuvimbela isithuthi se-serotonin (SERT). Ngenxa yomshini wayo izenzo iyisidakamizwa esetshenziswa ezinkingeni ezinjengalezi: iziqephu zokucindezeleka okukhulu (ezigulini ezinokucindezeleka ukwelashwa kufanele kuhlale okungenani izinyanga eziyi-6), ukuphazamiseka kwengqondo okuphoqelekile, okungukuthi imicabango engathandeki, ukuziphatha okuphoqelekile - ngaphambili okwakwaziwa ngokuthi i-obsessive compulsive disorder (ukwelashwa ubuncane bamaviki angu-10, uma kungekho ukuthuthukiswa ngemva kwalesi sikhathi, ukuguqulwa kwesinye izidakamizwa kufanele kucatshangelwe), i-bulimia nervosa - i-bulimia nervosa - kulokhu njenge-adjunct ye-psychotherapy. Ngokuvamile ezifweni ezimbili zokuqala kuyasebenza umthamo ngu-20 mg - ithebhulethi engu-1 ngosuku, futhi uma kwenzeka i-bulimia nervosa 60 mg - amaphilisi ama-3 ngosuku, kodwa umthamo kufanele ukhethwe ngudokotela ngamunye. Umdidiyeli Lena indawo ka-Bioxetin i-sanofi-aventis.
Sicela uqaphele ukuthi umphumela wokwelapha ungase ungabonakali kuze kube amasonto ambalwa ngemva kwalokho ukusetshenziswa umuthi. Kuze kube yileso sikhathi, iziguli kufanele zihlale ngaphansi kokuqondisa kodokotela, ikakhulukazi uma zicindezelekile futhi zinemicabango yokuzibulala. Uma isiqedile ukwelashwa akufanele ibekwe eceleni i-fluoxetine ngokuzumayo kodwa kancane kancane wehlise umthamo njengoba ungase ube nezimpawu zokuhoxa, ikakhulukazi isiyezi nekhanda, ukuphazamiseka kokulala, i-asthenia (ubuthakathaka), ukuyaluza noma ukukhathazeka, isicanucanu, ukuhlanza, nokuphazamiseka kwezinzwa.
Contraindication kanye nezinyathelo zokuphepha lapho uthatha i-Bioxetin
abanonya i-contraindication do isicelo Umuthi uzwela kakhulu entweni yawo esebenzayo noma kunoma yiziphi izinto ezisizayo (ziqukethe i-lactose).
Ukusetshenziswa komuthi akunconywa I-Bioxetine ngesikhathi sokukhulelwa nokuncelisa. Ngenxa yedatha enganele, kuphephile ukuthi ungayenzi Sebenzisa i-Bioxetinu nasezinganeni ezifika eminyakeni eyi-18.
Umuthi uthinta ukusebenza kwe-psychomotor futhi ungakhinyabeza ukusabela kokushayela.
I-Fluoxetine inokusebenzisana okuningi neminye imithi eminingi, sicela ufunde leli pheshana ngokucophelela futhi wazise udokotela wakho uma uthatha noma yimiphi eminye imithi. Akufanele neze ukusetshenziswa nama-MAO inhibitors – elinye ikilasi lezidakamizwa, futhi esetshenziswa w ukwelashwa ukucindezeleka. Ukwelashwa i-fluoxetine ingaqalwa kuphela ezinsukwini eziyi-14 ngemuva kokuyekiswa kwe-MAO inhibitors.
Thatha ukunakekelwa okukhethekile ukwelashwa nge-fluoxetine iziguli ezinesifo sokuwa, isifo sikashukela, ukuphazamiseka kwenhliziyo, ukuphazamiseka kwegazi.
I-Bioxetinenjengomuthi osebenza ohlelweni lwezinzwa, ungabangela imiphumela emibi eminingi. Ezinye zazo ziyizimpawu ze-hypersensitivity, ukuphazamiseka kwamathumbu, ikhanda kanye nesiyezi, ukuphazamiseka kokulala, umlomo owomile. Noma nini lapho ubona noma isiphi uphawu okuphazamisayo, kufanele ubikele udokotela wakho.