I-Tricyclic Antidepressants

-Delile

• Ama-TCA amanje
• Basebenza kanjani
• Okuqhamuka uma udla imishanguzo
• Ukusebenzisana
• Mayelana nokusetshenziswa nezinye izimo
• Khuluma nodokotela wakho

Ukubuka konke

I-Tricyclic antidepressants, eyaziwa manje njenge-cyclic antidepressants noma ama-TCAs, yethulwa ngasekupheleni kweminyaka yama-1950. Babengomunye wemithi yokudambisa ukucindezeleka, futhi basabhekwa njengabaphumelelayo ekwelapheni ukucindezeleka. Le mithi iyisinqumo esihle kwabanye abantu abanokudangala okungazweli kweminye imishanguzo. Yize ama-cyclic antidepressants angasebenza, abanye abantu bakuthola kunzima ukubekezelela imiphumela yabo emibi. Yingakho le mithi ingasetshenziswa kaningi njengokwelapha kokuqala.

Ama-TCA amanje

Ama-anti-depressants e-cyclic ahlukene akhona njengamanje afaka:

• amithole
• yerlisikisi
• i-desipramine (Norpramin)
• doxepin
• imipramine (Tofranil)
• imaprotiline
• i-nortriptyline (Pamelor)
• i-protriptyline (Vivactil)
• i-trimipramine (iSurmontil)

Abanye odokotela bangaphinde banikeze i-cyclic drug clomipramine (Anafranil) ukwelashwa kwengcindezi ekusetshenzisweni kwelebula.

Basebenza kanjani

Odokotela bavame ukunquma kuphela ama-tricyclic antidepressants ngemuva kokuthi ezinye izidakamizwa zehlulekile ukuqeda ukucindezeleka. I-Tricyclic antidepressants isiza ukugcina i-serotonin ne-norepinephrine engaphezulu kutholakala ebuchosheni bakho. Lawa makhemikhali enziwa ngokwemvelo ngumzimba wakho futhi kucatshangwa ukuthi athinta imizwa yakho. Ngokugcina okuningi kutholakala ebuchosheni bakho, ama-tricyclic antidepressants asiza ukukhulisa imizwa yakho.

Amanye ama-tricyclic antidepressants nawo asetshenziselwa ukwelapha ezinye izimo, ikakhulukazi ekusetshenzisweni kwelebula. Lezi zimo zibandakanya ukuphazamiseka kokucindezela ngokweqile (OCD) kanye nokuminza okungapheli kombhede. Emithini ephansi, ama-cyclic antidepressants asetshenziselwa ukuvimbela i-migraines nokwelapha ubuhlungu obungapheli. Futhi kwesinye isikhathi zisetshenziselwa ukusiza abantu abane-panic disorder.

Ama-anti-depressants e-Tricyclic aphatha ukudangala, kepha aneminye imiphumela nasemzimbeni wakho. Zingathinta ukunyakaza kwemisipha okuzenzakalelayo kwemisebenzi ethile yomzimba, kufaka phakathi uketshezi nokugaya. Zivimba nemiphumela ye-histamine, ikhemikhali elitholakala emzimbeni wakho wonke. Ukuvimba i-histamine kungadala imiphumela efana nokuzela, ukungaboni kahle, umlomo owomile, ukuqunjelwa, ne-glaucoma. Lokhu kungasiza ekuchazeni eminye yemiphumela emibi kakhulu ehlotshaniswa nale mithi.

Okuqhamuka uma udla imishanguzo

Ama-anti-depressants e-Tricyclic maningi amathuba okubangela ukuqunjelwa, ukukhuluphala, kanye nokuthambisa kunamanye ama-anti-depressants. Kodwa-ke, izidakamizwa ezahlukahlukene zinemiphumela ehlukile. Uma unomphumela wecala onenkinga ku-tricyclic antidepressant eyodwa, tshela udokotela wakho. Ukushintshela kwenye i-cyclic antidepressant kungasiza.

Imiphumela emibi engaba khona ye-tricyclic antidepressants ifaka:

• umlomo owomile
• amehlo omile
• ukungaboni kahle
• isiyezi
• ukukhathala
• ikhanda
• ukudideka
• ukubanjwa (ikakhulukazi nge-maprotiline)
• ukozela
• ukuqunjelwa
• ukugcinwa komchamo
• ukungasebenzi ngokocansi
• umfutho wegazi ophansi
• ukuzuza kwesisindo (ikakhulukazi nge-amitriptyline, imipramine, ne-doxepin)
• isicanucanu

Ukusebenzisana

Abantu abaphuza utshwala njalo kufanele bagweme ama-tricyclic antidepressants. Utshwala buyanciphisa isenzo sokulwa nokucindezelwa kwalezi zidakamizwa. Iphinde inyuse imiphumela yabo yokuhlala.

I-Tricyclic antidepressants ingadala imiphumela emibi uma uyiphuza nemithi ethile, kufaka phakathi i-epinephrine (Epi-Pen) ne-cimetidine (Tagamet). Ama-anti-depressants e-Tricyclic angakhuphula imiphumela ye-epinephrine enhliziyweni yakho. Lokhu kungaholela ekutheni umfutho wegazi ophakeme nezinkinga ngesigqi senhliziyo yakho. I-Cimetidine ingakhuphula amazinga e-tricyclic antidepressant emzimbeni wakho, okwenza imiphumela engemihle ibekhona.

Ezinye izidakamizwa nezinto kungasebenzisana ne-tricyclic antidepressants. Kubalulekile ukuthi utshele udokotela wakho ngazo zonke izidakamizwa nezinto ozisebenzisayo. Udokotela wakho angakusiza ukuthi ugweme noma yikuphi ukuxhumana.

Mayelana nokusetshenziswa nezinye izimo

Le mithi ingenza ezinye izimo zibe zimbi kakhulu. Abantu abanezimo ezilandelayo kufanele bagweme i-tricyclic anti-depressants:

• i-angle-ukuvalwa kwe-glaucoma
• i-prostate ekhulisiwe
• ukugcinwa komchamo
• izinkinga zenhliziyo
• Izinkinga ze-thyroid

Ama-anti-depressants e-Tricyclic nawo athinta amazinga kashukela egazini, ngakho-ke abantu abanesifo sikashukela abathatha le mithi bangadinga ukuhlola izinga labo likashukela egazini kaningi.

Abesifazane abakhulelwe noma abesifazane abancelisayo kufanele bakhulume nodokotela ngaphambi kokusebenzisa i-tricyclic anti-depressants. Udokotela uzosiza ukukala noma iziphi izingozi ezingaba khona kumama noma enganeni ngokumelene nenzuzo yokusebenzisa le mithi.

Khuluma nodokotela wakho

Ama-anti-depressants e-Tricyclic ayasebenza, kepha hhayi wonke umuntu. Cishe ngeke babe owokuqala ukucindezela udokotela wakho ozamile. Lokhu kungenxa yamandla abo emiphumela emibi.

Uma unikezwe le mithi, khuluma nodokotela wakho nganoma yimiphi imiphumela emibi onayo. Kufanele utshele udokotela wakho uma uzizwa ukuthi awukwazi ukubekezelela imiphumela emibi ngaphambi kokushintsha umthamo wakho noma ukumisa ukwelashwa ngalezi zidakamizwa. Ukumisa ngokungazelelwe ukwelashwa kwe-tricyclic antidepressant kungadala:

• isicanucanu
• ikhanda
• isiyezi
• ukukhathala
• izimpawu ezinjengomkhuhlane

Udokotela wakho uzothatha umthamo wakho ngokuhamba kwesikhathi ukugwema le miphumela.