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Yini i-Ativan futhi isetshenziselwani?

Imininingwane Yezidakamizwa

Uma ungomunye we Izigidi ezingama-40 Abantu base-United States ababhekane nenkinga yokukhathazeka, kungenzeka uyazi ukuthi kunemithi eminingi etholakalayo yokunciphisa izimpawu. I-Ativan, noma i-lorazepam, ingenye yemithi esetshenziselwa ukwelapha ukuphazamiseka kokukhathazeka. Ingasetshenziswa futhi ngabantu ababhekene nokuhoxa ekusebenziseni kabi utshwala, isicanucanu ekwelashweni ngomdlavuza, nasezinkingeni zokulala. Sihlanganise lo mhlahlandlela ukukusiza uqonde i-Avitan — ukuthi iyini, kungani ibekiwe, imiphumela emibi ejwayelekile, nokuthi iqhathaniswa kanjani nezinye izidakamizwa emakethe.





Yini i-Ativan?

I-Avitan igama lomkhiqizo le-lorazepam. Isetshenziswa kakhulu ukwelapha ukuphazamiseka kokukhathazeka, kepha ingasetshenziswa futhi kubantu abanesicanucanu, ukuphazamiseka kwemisipha, nobunzima bokulala.



I-Ativan ingeyesigaba sezidakamizwa esaziwa njenge-benzodiazepines, esidala umphumela wokuthambisa ngokunciphisa ukusebenza kobuchopho.

Qaphela: I-Ativan akuyona i-narcotic. Ngokuvamile, ama-benzodiazepines abangela imiphumela yokuthambisa, kanti ama-narcotic anciphisa ukuqonda kobuhlungu. Kodwa-ke, banemiphumela emibi efanayo, kufaka phakathi izimfanelo eziluthayo uma zithathwa ngokunganaki noma ukuze zisetshenziswe isikhathi eside. Kuyinto elawulwayo ngenxa yamandla ayo okulutha.

I-Ativan ngumuthi kadokotela futhi itholakala ngendlela ejwayelekile (i-lorazepam) ngentengo ephansi. Ayitholakali ukuthengwa phezu kwekhawunta ngaphandle kwemithi kadokotela.



Isetshenziselwani i-Ativan?

I-Ativan isetshenziselwa ukuphatha izinkinga zokukhathazeka, kepha isebenza kwezinye izimo zezimpawu nezimpawu ezibandakanya:

  • Isicanucanu ekwelashweni komdlavuza noma ekuhoxisweni kotshwala
  • Ukudumba kwemisipha
  • Ubunzima bokuqwasha nokulala, imvamisa kuhlobene nengcindezi nokukhathazeka
  • Isimo se-epilepticus (ukuqubuka okukhulu)
  • Ukuhlala ngaphambi kokuhlinzwa noma inqubo

Uma othile ebhekene nokukhathazeka okujwayelekile (GAD), izimpawu zokukhathazeka zingabandakanya:

  • Ukungahlaliseki
  • Ukungezwani kwemisipha
  • Ukuthukuthela
  • Ukungalali kahle
  • Kunzima ukugxila
  • Ukuhlaselwa ukwethuka

Wenzani u-Ativan ngokukhathazeka?

I-Ativan iyisistimu yezinzwa ephakathi ecindezelayo. Isithako sayo esisebenzayo, i-lorazepam, sinciphisa ukusebenza kwezinzwa ebuchosheni ezibhekele ukukhathazeka, ukungezwani, ukuquleka nezinye izimpawu. Ukwenza kanjalo, kuthuthukisa imiphumela ye-neurotransmitter ebuchosheni ebizwa nge-gamma-aminobutyric acid ( NGAPHAMBILI ), yona enciphisa ukusebenza kwezinzwa ezithile zobuchopho ezingadala ukukhathazeka.



Ingabe i-Ativan iyakusiza ukulala?

I-Ativan iyinsiza yokulala kadokotela, futhi, ngenxa yemiphumela yayo yokwehlisa umoya. Kodwa-ke, abanye odokotela bangangabaza ukubeka i-benzodiazepines kuphela yokulala futhi ukuqwasha. Banganciphisa isikhathi esichithwa ebuthongweni obukhulu — isigaba sokulala esibalulekile sokuzizwa uphumule ngakusasa ekuseni. Ngokwengeziwe, ukumisa ngokungazelelwe i-benzodiazepine kungadala ukuthi isiguli siphinde sibuyele enkingeni yokulala engaba yimbi kakhulu kunangaphambili ngaphambi kokuthatha umuthi.

OKUSHIWO: Ama-opioid okulala: Ingozi yokusebenzisa izidakamizwa ngenxa yokuqwasha

Imithamo ye-Ativan

Uma umhlinzeki wakho wezokunakekelwa kwezempilo ethatha isinqumo sokuthi uzongenela ukhetho olufanele lwe-Ativan, bangahle bakunikeze uhlobo lwethebhulethi yomlomo noma isisombululo somjovo. Udokotela noma umhlengikazi kufanele aphathe ifomu elifaka imijovo le-Ativan.



Njengemithi eminingi yokukhathazeka, udokotela wakho kungenzeka akuqale kumthamo ophansi futhi akhuphule lapho kudingeka. Kubalulekile ukuthatha ama-benzodiazepines kuphela njengoba kunqunyiwe. Ungalokothi uthathe amanani aphezulu we-Ativan ngaphandle kokuholwa ngumhlinzeki wakho wezokunakekelwa kwempilo.

I-Ativan imvamisa iza ngemithamo elandelayo, yomibili etholakala njenge-lorazepam ejwayelekile:



  • 0.5 mg, 1 mg, noma 2 mg ithebhulethi
  • 2 mg nge-mL noma i-4 mg nge-mL isisombululo somjovo

Imvamisa, isilinganiso sakho esigcwele sihlukaniswe futhi sithathwe phakathi kwezikhathi ezimbili noma ezintathu nsuku zonke. Kodwa-ke, uma uyithatha ukulala, umthamo ophelele uvame ukuthathwa ngasikhathi sinye kusihlwa ngaphambi kokulala.

Udokotela wakho uzonquma ukuthi imuphi umthamo nefomu okungcono kakhulu kuwe ngokuya ngezici eziningi, kufaka phakathi:



  • Umlando wakho wezokwelapha
  • Isimo ozama ukuselapha kanye nobulukhuni baso
  • Iminyaka yakho nendlela ophila ngayo
  • Uma uthatha noma imuphi omunye umuthi wokugwema ukuxhumana nezidakamizwa

I-Ativan iqala ukusebenza ngokushesha, nemiphumela yayo iqhamuka cishe emahoreni amabili. Le khwalithi esebenza ngokushesha iyibeka njengemithi yokuqala esheshayo. Imvamisa ihlala emahoreni ayisithupha kuya kwayisishiyagalombili; kodwa-ke, ubude bemiphumela yako buyahluka kuye ngomuntu nomuntu.

I-Xanax (alprazolam) enye i-benzodiazepine esetshenziselwa ukwelapha ukukhathazeka. Isebenza ngokufana ne-Ativan, kepha ngokuqhathanisa ihlanganiswa futhi isuswe emzimbeni ngokushesha.



Ukuqhathaniswa kweBenzodiazepine

Nakhu ukuqhathanisa okusheshayo phakathi kwe-Ativan namanye ama-benzodiazepines:

Igama Lesidakamizwa Umzila Wokuphatha Isilinganiso esijwayelekile Isikhathi Esithathwa Sisebenza Kuhlala Isikhathi Eside Kangakanani
I-Ativan (lorazepam) Ngomlomo noma ngomjovo 0.5, 1, noma 2 mg tablet 15-30 imizuzu Amahora angu-8
I-Xanax (alprazolam) Ngomlomo 0.25, 0.5, 1, noma 2 mg tablet 15-30 imizuzu Amahora ama-5 (ukukhishwa ngokushesha) noma amahora ayi-11 (ukukhishwa okude)
I-Valium (diazepam) Ngomlomo 2, 5, noma 10 mg tablet Imizuzu engu-15 Amahora 32-48
I-Klonopin (clonazepam) Ngomlomo 0.5, 1, noma 2 mg tablet 15-30 imizuzu 6-24 amahora

OKUSHIWO: IValium vs Ativan

Ngabe kukhona ovinjelwe ekusebenziseni i-Ativan?

Akuvamile ukuthi imikhawulo yemithi isebenze kwezinye iziguli ngenxa yemiphumela emibi engaba khona emibi. La maqembu alandelayo kufanele aqaphele ukuthatha i-Ativan futhi axoxisane nodokotela wabo ngezinye izindlela zokwelashwa.

  • Abesifazane abakhulelwe: Gwema i-Ativan ngesikhathi sokukhulelwa, ngoba ingalimaza umbungu. Ingadlulela obisini lwebele emazingeni aphansi, abangele ayikho imiphumela emibi ezinganeni ezincela ibele. Kodwa-ke, kungcono ukuxhumana nodokotela wakho ukuthola izeluleko zobuchwepheshe ngaphambi kokuthatha i-Ativan ngenkathi uncelisa.
  • Uma uthatha ama-opioid: I-Ativan kanye ne-opioid, efana ne-morphine, fentanyl, ne-oxycodone, kungadala imiphumela emibi kakhulu, kubandakanya ikhoma. Kufanele zinikezwe kuphela ndawonye njengezindlela zokwelashwa zokugcina.
  • Abantu abathatha ama-antihistamine: Ama-antihistamine amaningi athomalalisa umzimba futhi angadala ukozela ngokweqile nezinkinga zokuphefumula ezingaba khona lapho kuhlanganiswa ne-Ativan (nayo edambisa umzimba).
  • Labo abathatha amanye ama-benzodiazepines: Ukuphuza imishanguzo engaphezu kweyodwa akulaliswanga ngoba kungadala imiphumela emibi njengokuwozela ngokweqile.
  • Uma uthatha ezinye izindlela zokuthambisa: Izidakamizwa eziningi, kufaka phakathi ama-antipsychotic kanye nemithi elwa ne-anticonvulsant, ziyizidambisi futhi zingaholela emazingeni aphezulu okozela lapho zihlanganiswa ne-Ativan.
  • Ukuphuza utshwala: Inhlanganisela yotshwala ne-Ativan ingaholela ezinkingeni zokuphefumula, ukozela okukhulu, ikhoma nokufa. Ukugwema utshwala kunconywe kakhulu, ngoba zombili zithinta ama-GABA receptors.
  • Izingane ezingaphansi kweminyaka engu-12: Yize kwesinye isikhathi kunikezwa ilebula lezingane ezincane, i-Ativan ayivunyelwe yi-Food and Drug Administration (FDA) ukuthi isetshenziswe yizingane ezingaphansi kweminyaka eyi-12.
  • Abadala: Abadala maningi amathuba okuthi babe nemiphumela engemihle, ngakho-ke kufanele isetshenziswe ngokucophelela ngemithamo ephansi futhi, uma kungenzeka, igwenywe ngokuphelele.

Yini imiphumela emibi ye-Ativan?

Noma nini lapho uqala ukuthatha umuthi omusha, kuhlale kubalulekile ukuthi wazi noma yimiphi imiphumela emibi engaba khona. Udokotela wakho oyinhloko uzokwazi ukukunikeza uhlu olubanzi lwemiphumela emibi engaba khona ye-Ativan. Imiphumela evamile ifaka phakathi:

  • Ukulala
  • Isiyezi
  • Isicanucanu
  • Ukucindezeleka
  • Ukukhathala nobuthakathaka bemisipha
  • Ukudideka
  • Inkinga yokugxila
  • Ukungahlaliseki
  • Ukuphathwa ikhanda
  • Ukuqunjelwa
  • Ukuqwasha

Njengemithi eminingi, i-Ativan akufanele ihlanganiswe notshwala, ngoba ingaholela emiphumeleni emibi kakhulu, kufaka phakathi ukwehluleka ukuphefumula kanye ne-coma.

Imiphumela emibi ye-Ativan

Thinta uchwepheshe wezokunakekelwa kwezempilo ngokushesha uma ucabanga ukuthi uhlangabezana nokuphendula okunamandla okulandelayo:

  • Izinkinga zokuphefumula , kufaka phakathi ukudangala kokuphefumula nokwehluleka. Ukuthatha i-Ativan kungadala ukuphefumula komuntu kwehle kuya ezingeni elingaphansi kokujwayelekile, okuholela emazingeni ayingozi esiyezi nokukhathala. Ezimweni ezimbi kakhulu, ukuphefumula kungancipha kuze kube seqophelweni lokuthi ukwehluleka ukuphefumula , okuyilapho uhlelo lwakho lokuphefumula luyeka ukusebenza ngokuphelele. Abantu abasengozini yokwehluleka ukuphefumula lapho bethatha i-Ativan noma i-genazepam ejwayelekile bahlanganisa abantu abadala, noma ngubani onesimo sokulala njenge-apnea yokulala, nalabo abathatha ama-opioid noma amanani aphezulu we-Ativan.
  • Ukuncika ngokwengqondo nangokomzimba. Ukusetshenziswa kwesikhathi eside kwe-Ativan akunconyiwe, ngoba kuyisidakamizwa esakha umkhuba. Ukuncika ngokomzimba nangokwengqondo kungaholela ezimpawu ezifana nokudana, ukukhathazeka, ukugabha nobuhlungu bomzimba. Ngenxa yesimo sayo sokulutha, kungadala nezimpawu ezinzima zokuhoxa uma kumiswe ngokungazelelwe. Lokhu kufaka ukuthuthumela, ukuphathwa ikhanda, ukucasuka, ukuqwasha nokucindezeleka.
  • Imiphumela ebuyayo. Uma uthatha i-Ativan ngokukhathazeka noma ukuqwasha, abanye abantu bangathola ukwanda kwezimpawu zabo zangempela ngemuva kokuthatha umuthi. Ngokwenza izimpawu zibe zimbi kakhulu ngokuhamba kwesikhathi, ukuqwasha noma ukuphazamiseka emuva kungadala ukuthi iziguli zithathe imishanguzo ethe xaxa futhi zithembele kakhulu kumuthi.
  • Ukusabela okweqile komzimba. Ezimweni ezingavamile, iziguli zingathola ukusabela okweqile komzimba emithini yazo. Iya egumbini labezimo eziphuthumayo ngokushesha uma lokhu kwenzeka. Izimpawu zokuphendula okweqile zihlanganisa ukuvuvukala komphimbo, izindebe, ulimi, amehlo, nobuso, inkinga yokugwinya nokuphefumula, ukuqhuma okukhulu noma isifuba, nokushaya kwenhliziyo okusheshayo.
  • Imicabango yokuzibulala. Abantu abanokudangala akufanele bathathe i-Ativan, ngoba ingakhuphula amathuba emicabango yokuzibulala.

Eminye imiphumela emibi engajwayelekile futhi emibi okufanele uyikhumbule lapho uthatha i-Ativan ifaka:

  • Ukusangana
  • I-Vertigo
  • Izinkinga zememori, kufaka phakathi ukulahleka kwememori
  • Ukudideka
  • Isimo sengqondo esishintshile

I-FDA ayivumanga i-Ativan ukuthi isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-12. Akuyona ukwelashwa okunconyelwe abantu abadala noma. Zombili izingane nabantu abadala basemathubeni amaningi okuthola imiphumela emibi ye-Ativan.

Yikuphi okungcono: I-Ativan vs. Xanax

Uma kunqunywa noma imuphi umuthi, kuyasiza kakhulu ukwazi ukuthi ngabe kukhona yini okunye okunye ukwelashwa emakethe, nokuthi kuqhathaniswa kanjani. I-Ativan neXanax zombili zihlukaniswa njenge-benzodiazepines futhi zivame ukusetshenziselwa ukwelapha ukuphazamiseka kokukhathazeka. Kodwa-ke, azisona isidakamizwa esifanayo.

Ukufana kwe-Ativan neXanax:

  • Vimbela ukusebenza ngokweqile kobuchopho
  • Amandla okulutha nokusebenzisa kabi izidakamizwa
  • Phatha ukukhathazeka nokuphazamiseka kwengqondo
  • Imiphumela efanayo efanayo yokudana, ukudideka, ukukhathala, isiyezi noma ukungaqiniseki, kanye nokushaya kwenhliziyo okuphuzile
  • Ayikwazi ukuthathwa ngenkathi ukhulelwe

OKUSHIWO: I-Ativan vs Xanax: Umehluko omkhulu nokufana

Umehluko phakathi kwe-Ativan neXanax:

  • IXanax isebenza ngokushesha
  • I-Xanax ihlanganiswa futhi isuswe emzimbeni ngokushesha okukhulu
  • I-Ativan inezinhlobo ezimbalwa zokwenziwa komthamo
  • I-Ativan iyabiza kakhulu

Udokotela wakho kuphela ozokwazi ukunquma futhi ancome ukuthi iyiphi indlela yokwelashwa ekufanele kakhulu. Umhlinzeki wezokunakekelwa kwezempilo uzothatha umlando wakho wezokwelapha, indlela ophila ngayo, kanye neminye imithi ngaphambi kokuchaza i-Ativan.

Yomibili le mithi ivunyelwe yi-FDA futhi iyasebenza ekwelapheni ukukhathazeka uma isetshenziswe kahle. Kodwa-ke, zibhekwa njengezinketho zesibili zokukhetha ukukhathazeka futhi zinconyelwa kuphela ukukhululeka kwesikhashana.