Yintoni iAtivan kwaye isetyenziselwa ntoni?

Ulwazi lweziyobisi

Ukuba ungomnye 40 yezigidi Abantu baseUnited States abaye bafumana ingxaki yokuxhalabisa, mhlawumbi uyazi ukuba kukho amayeza amaninzi afumanekayo ukunciphisa iimpawu. I-Ativan, okanye i-lorazepam, yenye yeyeza elisetyenziselwa ukunyanga ukuphazamiseka koxinzelelo. Ingasetyenziswa ngabantu abafumana ukurhoxa ekusetyenzisweni gwenxa kotywala, isicaphucaphu kunyango lomhlaza, kunye nokuphazamiseka kokulala. Sibeke ndawonye esi sikhokelo ukukunceda uqonde i-Avitan-yintoni, kutheni imiselwe, iziphumo ebezingalindelekanga eziqhelekileyo, kwaye ithelekiswa njani nezinye iziyobisi kwintengiso.

Yintoni iAtivan?

I-Avitan ligama lophawu lwelorazepam. Iqheleke kakhulu ukunyanga ukuphazamiseka koxinzelelo, kodwa inokusetyenziselwa abantu abanesicaphucaphu, ukudumba kwezihlunu, kunye nobunzima bokulala.

I-Ativan yeyiklasi yeziyobisi eyaziwa ngokuba yi-benzodiazepines, edala isiphumo sokuthomalalisa ukunciphisa ukusebenza kwengqondo.

Qaphela: I-Ativan ayisiyo narcotic. Ngokubanzi, i-benzodiazepines ibangela iziphumo zokuthomalalisa, ngelixa ii-narcotic zinciphisa imbono yentlungu. Banazo, nangona kunjalo, baneziphumo ebezingalindelekanga ezifanayo, kubandakanya neempawu ezikhobokisayo ukuba zithathwa ngokungakhathali okanye ukusetyenziswa kwexesha elide. Yinto elawulwayo ngenxa yobukho bayo.

I-Ativan sisiyobisi sikagqirha kwaye iyafumaneka kwifom yayo yohlobo oluqhelekileyo (lorazepam) ngexabiso eliphantsi. Ayifumaneki ukuba ithengwe ngaphandle kwekhawuntara ngaphandle kommiselo.

Isebenziselwa ntoni iAtivan?

I-Ativan isetyenziselwa ikakhulu ukunyanga ukuphazamiseka koxinzelelo, kodwa isebenza kwezinye iimeko zonyango kunye neempawu kubandakanya:

• Isicaphucaphu kunyango lomhlaza okanye ukurhoxiswa kotywala
• Ukudumba kwezihlunu
• Ukuphuthelwa kunye nobunzima bokulala, zihlala zihambelana noxinzelelo kunye noxinzelelo
• Isimo sokuxhuzula (ukuxhuzula kakhulu)
• Ukuhlala ngaphambi koqhaqho okanye inkqubo

Xa umntu ejongene nengxaki yoxinzelelo ngokubanzi (GAD), iimpawu zoxinzelelo zinokubandakanya:

• Ukungazinzi
• Ukuxhatshazwa kwezihlunu
• Ukucaphuka
• Ukulala kakubi
• Kunzima ukugxila
• Uloyiko

Wenza ntoni uAtivan ngexhala?

I-Ativan yinkqubo ye-nervous system edandathekisayo. Isithako sayo esisebenzayo, i-lorazepam, inciphisa ukusebenza kwemithambo-luvo kwingqondo ejongene noxinzelelo, uxinzelelo, ukuxhuzula, kunye nezinye iimpawu. Ukwenza njalo, kuphucula iziphumo ze-neurotransmitter kwingqondo ebizwa ngokuba yi-gamma-aminobutyric acid ( NGAPHAMBILI ), ethi yona ithi yehlise umsebenzi wee-brain ezithile ezinokubangela uxinzelelo.

Ngaba iAtivan iyakunceda ulale?

I-Ativan sisixhobo sokulala sokuyalela, nayo, ngenxa yeziphumo zayo zokuthomalalisa. Nangona kunjalo, abanye oogqirha banokuba mathidala ukumisela i-benzodiazepines ngokukodwa yokulala kunye ukuphuthelwa. Bangalinciphisa ixesha abalichithe ebuthongweni obunzulu — inqanaba lokulala elibalulekileyo lokuziva uphumle ngentsasa elandelayo. Ukongeza, ukumisa ngesiquphe i-benzodiazepine kunokubangela ukuba isigulana siphinde sibe yingxaki yokulala enokuba mbi ngakumbi kunokuba yayinjalo ngaphambi kokuba uthathe amayeza.

Ezinxulumene: Iiopioids zokulala: Umngcipheko wokusebenzisa iziyobisi ukulala

Iidosi zeAtivan

Ukuba umboneleli wakho wezempilo uthatha isigqibo sokuba ungumgqatswa ofanelekileyo we-Ativan, banokumisela ngohlobo lwethebhulethi yomlomo okanye isisombululo esinokujova. Ugqirha okanye umongikazi kufuneka alawule ifom ye-Ativan ejoyiweyo.

Njengamayeza amaninzi oxinzelelo, ugqirha wakho uya kukuqala kumthamo osezantsi kwaye awonyuse njengoko kufuneka. Kubalulekile ukuthatha i-benzodiazepines kuphela njengoko kumiselwe. Ungaze uthathe iidosi eziphezulu ze-Ativan ngaphandle kwesikhokelo somboneleli wakho wezempilo.

I-Ativan ihlala iza kula madosi alandelayo, omabini afumaneka njenge-generic lorazepam:

• 0.5 mg, 1 mg, okanye 2 mg ithebhulethi
• 2 mg nge-mL nganye okanye nge-4 mg nge-mL yesisombululo esinokujova

Rhoqo, idosi yakho epheleleyo yahlulwe kwaye yathathwa phakathi kwamaxesha amabini ukuya kwamathathu yonke imihla. Nangona kunjalo, ukuba uthatha ukungalali, idosi epheleleyo ihlala ithathwa kwangokuhlwa ngaphambi kokulala.

Ugqirha wakho uya kugqiba ukuba yeyiphi imilinganiselo kunye nefom efanelekileyo kuwe ngokusekelwe kwizinto ezininzi, kubandakanywa:

• Imbali yakho yezonyango
• Imeko ozama ukuyinyanga kunye nobunzima bayo
• Iminyaka yakho kunye nendlela ophila ngayo
• Ukuba uthatha nawaphi na amanye amayeza ukunqanda ukuhlangana kweziyobisi

I-Ativan ngoko nangoko iqala ukusebenza, kunye nefuthe layo kwiiyure ezimbini. Lo mgangatho wokusebenza ngokukhawuleza ukwahlula njengeyeza lokuqala ngokukhawuleza. Ihlala ihlala kwiiyure ezintandathu ukuya kwezisibhozo; Nangona kunjalo, ubude bempembelelo zayo buyahluka kuye ngomntu.

IXanax (alprazolam) yenye ye-benzodiazepine esetyenziselwa ukunyanga uxinzelelo. Isebenza ngokufanayo neAtivan, kodwa ngokuthelekisa iyenziwa kwaye isuswe emzimbeni ngokukhawuleza.

Uthelekiso lweBenzodiazepine

Nalu uthelekiso olukhawulezayo phakathi kweAtivan kunye nezinye i-benzodiazepines:

Igama leziyobisi	Umgaqo woLawulo	Isisombululo esisezantsi	Ixesha elithathiweyo ukuSebenza	Ihlala ixesha elide kangakanani
Ativan (ilorazepam)	Ngomlomo okanye ngenaliti	0.5, 1, okanye 2 mg ithebhulethi	15-30 imizuzu	Iiyure eziyi-8
Xanax (alprazolam)	Ngomlomo	0.25, 0.5, 1, okanye 2 mg ithebhulethi	15-30 imizuzu	Iiyure ezingama-5 (ukukhutshwa kwangoko) okanye iiyure ezili-11 (ukukhutshwa okude)
Valium (diazepam)	Ngomlomo	2, 5, okanye 10 mg tablet	Imizuzu eli-15	Iiyure 32-48
IKlonopin (clonazepam)	Ngomlomo	0.5, 1, okanye 2 mg ithebhulethi	15-30 imizuzu	6-24 iiyure

Ezinxulumene: IValium vs Ativan

Ngaba ukhona umntu othintelwe ekusebenziseni iAtivan?

Akuqhelekanga kwizithintelo zamayeza ukufaka kwezinye izigulana ngenxa yeziphumo ebezingalindelekanga ezinokubakho. La maqela alandelayo kufuneka alumkele ukuthatha i-Ativan kwaye axoxe ngezinye iindlela zonyango ezinokukhetha kunye nogqirha wabo.

• Abafazi abakhulelweyo: Gwema i-Ativan ngexesha lokukhulelwa, njengoko linokulimaza umntwana ongekazalwa. Ingadlula kubisi lwebele kumanqanaba asezantsi, ibangele akukho ziphumo zibi kwiintsana ezincancisayo. Nangona kunjalo, kungcono ukudibana nogqirha wakho ngaphambi kokuba uthathe i-Ativan ngelixa uncelisa.
• Ukuba uthatha iiopioids: I-Ativan kunye neeopioid, ezinjenge morphine, fentanyl, kunye neoxycodone, zinokubangela iziphumo ebezingalindelekanga ezimandundu, kubandakanya ikhoma. Kufuneka zichazwe kuphela kunye njengonyango lokugqibela.
• Abantu abathatha ii-antihistamines: Uninzi lwe-antihistamines luyanyibilikisa kwaye lunokubangela ukozela kakhulu kunye neengxaki zokuphefumla xa zidityaniswe neAtivan (nayo ikwenza uthomalalise).
• Abo bathatha ezinye i-benzodiazepines: Ukuthatha ngaphezulu kwamayeza okuthomalalisa akucebisi njengoko kunokubangela iziphumo ezibi njengokuwozela okugqithisileyo.
• Ukuba uthatha ezinye iindlela zokudambisa: Amachiza amaninzi, kubandakanya ezinye i-antipsychotic kunye ne-anticonvulsant amayeza, ziindlela zokuthomalalisa kwaye zinokukhokelela kumanqanaba aphakamileyo obubi xa edibene neAtivan.
• Ukusela utywala: Ukudityaniswa kotywala kunye neAtivan kunokukhokelela kwimicimbi yokuphefumla, ukozela okukhulu, isiqaqa kunye nokufa. Ukuthintela utywala kuyacetyiswa ngamandla, njengoko zombini zichaphazela i-GABA receptors.
• Abantwana abangaphantsi kweminyaka eli-12 ubudala: Nangona ngamanye amaxesha ukumiselwa kwelebheli yabantwana abancinci, iAtivan ayivunywanga luLawulo lwezoKutya kunye neDrug (FDA) ukuba isetyenziswe ngabantwana abangaphantsi kweminyaka eli-12 ubudala.
• Abadala: Abadala kunokwenzeka ngakumbi ukuba bafumane iziphumo ebezingalindelekanga, ke kufuneka isetyenziswe ngononophelo kwiidosi ezisezantsi kwaye, ukuba kunokwenzeka, kuthintelwe ngokupheleleyo.

Zithini iziphumo ebezingalindelekanga zeAtivan?

Nanini na xa uqala ukuthatha iyeza elitsha, kuhlala kubalulekile ukuba wazi naziphi na iziphumo ebezingalindelekanga ezinokubakho. Ugqirha wakho wokhathalelo oluphambili uya kuba nakho ukukunika uluhlu olubanzi lweziphumo ebezingalindelekanga ezinokubakho zeAtivan. Iziphumo eziqhelekileyo zibandakanya:

• Ukulala
• Ukuba nesiyezi
• Isicaphucaphu
• Uxinzelelo
• Ukudinwa kunye nobuthathaka bemisipha
• Ukudideka
• Ingxaki yokujonga
• Ukungazinzi
• Intloko ebuhlungu
• Ukuqunjelwa
• Ukuphuthelwa

Njengoninzi lwamayeza, iAtivan akufuneki idityaniswe notywala, kuba inokukhokelela kwiziphumo ebezingalindelekanga ezibi, kubandakanya ukusilela ekuphefumuleni kunye nokufa isiqaqa.

Iziphumo ebezingalindelekanga ezimandundu zeAtivan

Nxibelelana nengcali yezempilo kwangoko ukuba ucinga ukuba ufumana ezi mpendulo:

• Iingxaki zokuphefumla , kubandakanya uxinzelelo lokuphefumla kunye nokusilela. Ukuthatha iAtivan kunokubangela ukuphefumla komntu kuyehla ukuya kwinqanaba elingaphantsi kwesiqhelo, okukhokelela kumanqanaba ayingozi esiyezi kunye nokudinwa. Kwiimeko ezigqithileyo, ukuphefumla kungacotha ukuya kwinqanaba ukusilela ekuphefumuleni , apho inkqubo yakho yokuphefumla iyeka ukusebenza ngokupheleleyo. Abantu abasemngciphekweni wokungaphumeleli kokuphefumla xa bethatha iAtivan okanye i-genazepam eqhelekileyo ibandakanya abantu abadala, nabani na onesifo sokulala njenge-apnea yokulala, kunye nabo bathatha i-opioids okanye iidosi eziphezulu zeAtivan.
• Ukuxhomekeka kwengqondo kunye nomzimba. Ukusetyenziswa kwexesha elide kweAtivan akucebisi, kuba sisiyobisi esakha umkhwa. Ukuxhomekeka emzimbeni nasengqondweni kungakhokelela kwiimpawu ezinje ngoxinzelelo, uxinzelelo, ukugabha kunye neentlungu zomzimba. Ngenxa yobume bayo bokulutha, inokubangela neempawu zokurhoxa ezinzima ukuba ziyekwe ngesiquphe. Oku kubandakanya ukungcangcazela, intloko ebuhlungu, ukucaphuka, ukuphuthelwa kunye nokudakumba.
• Iziphumo ezibuyayo. Ukuba uthatha iAtivan ngoxinzelelo okanye ukulala, abanye abantu banokufumana ukonyuka kweempawu zabo zokuqala emva kokuthatha amayeza. Ngokwenza ukuba iimpawu zibe mandundu ngokuhamba kwexesha, ukuphinda ulale okanye uxinzelelo olunokubangela ukuba izigulana zithathe amayeza amaninzi kwaye zixhomekeke ngakumbi kwichiza.
• Impembelelo enkulu yokugula. Kwiimeko ezinqabileyo, abaguli banokufumana ukungahambi kakuhle komzimba kunyango lwabo. Yiya kwigumbi likaxakeka ngokukhawuleza ukuba oku kuyenzeka. Iimpawu zokungalungelani komzimba nezifo zibandakanya ukudumba komqala, imilebe, ulwimi, amehlo, nobuso, ingxaki yokuginya nokuphefumla, irhashalala elinzima okanye urhashalala, kunye nokubetha kwentliziyo okukhawulezayo.
• Iingcinga zokuzibulala. Abantu abanokudakumba akufuneki bathathe iAtivan, kuba inokunyusa amathuba okuzibulala.

Ezinye iziphumo ebezingalindelekanga ezinzulu zokukhumbula xa uthatha iAtivan zibandakanya:

• Ukuba nemibono
• Vertigo
• Iingxaki zememori, kubandakanya ukulahleka kwememori
• Ukudideka
• Ukutshintsha kwengqondo

I-FDA ayamkelanga iAtivan ukuba isetyenziswe kubantwana abangaphantsi kweminyaka eli-12 ubudala. Ayilulo unyango olucetyiswayo kubantu abadala nokuba. Bobabini abantwana kunye nabantu abadala kunokwenzeka ngakumbi ukuba bafumane iziphumo ebezingalindelekanga zeAtivan.

Kukuphi okungcono: Ativan vs. Xanax

Xa kumiselwe naliphi na iyeza, kuhlala kuluncedo ukwazi ukuba akhona na amanye amayeza asemarikeni, kwaye athelekisa njani. I-Ativan kunye neXanax zombini zihlelwa njenge-benzodiazepines kwaye zihlala zisetyenziselwa ukunyanga iingxaki zoxinzelelo. Nangona kunjalo, ayililo ichiza elifanayo.

Ukufana kweAtivan kunye neXanax:

• Ukuthintela umsebenzi ogqithileyo wobuchopho
• Ukubakho kwesiyobisi kunye nokusetyenziswa gwenxa kweziyobisi
• Phatha uxinzelelo kunye nokuphazamiseka kwengqondo
• Iziphumo ezifanayo zokudakumba, ukudideka, ukudinwa, isiyezi okanye ukungazinzi, kunye nokubetha kwentliziyo
• Ayinakuthathwa ngelixa ukhulelwe

Ezinxulumene: I-Ativan vs Xanax: Umahluko ophambili kunye nokufana

Umahluko phakathi kweAtivan kunye neXanax:

• IXanax isebenza ngokukhawuleza
• I-Xanax i-metabolism kunye nokususwa emzimbeni ngokukhawuleza
• I-Ativan ineendlela ezimbalwa zedosi
• I-Ativan ifikeleleka ngakumbi

Kuphela ngugqirha wakho oya kuba nakho ukufumanisa kwaye acebise ukuba loluphi ukhetho lonyango olulungele wena. Umboneleli wezempilo uya kuthatha imbali yakho yezonyango, indlela ophila ngayo, kunye namanye amayeza ngaphambi kokuba umisele i-Ativan.

Omabini la mayeza ayamkelwa yi-FDA kwaye ayasebenza ekunyangeni uxinzelelo xa esetyenziswe ngokuchanekileyo. Nangona kunjalo, zithathwa njengezinto ezinokhetho lwesibini lokukhetha uxinzelelo kwaye zinconyelwa kuphela ukukhululeka kwexesha elifutshane.