Mwina inuyo kapena munthu wina m'banja mwanu mwapatsidwa Citalopram ndi dokotala wanu ngati mankhwala ochizira kuvutika maganizo. Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukayamba kumwa mankhwala atsopano. Lero, tiyeni tikambirane mwachidule komanso moona mtima za Citalopram, momwe imakhudzira matupi athu, komanso zomwe tiyenera kudziwa tikamagwiritsa ntchito mankhwalawa.
Kodi Citalopram iyi ndi chiyani?
Mwachidule, Citalopram ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga kuvutika maganizo . Ali m'gulu la mankhwala otchedwa SSRI (Selective Serotonin Reuptake Inhibitor).
Chabwino, tsopano SSRI ndi chiyani? Ubongo wathu uli ndi mankhwala otchedwa serotonin. Izi zimathandiza kwambiri kulamulira zinthu monga momwe timamvera, chisangalalo, ndi bata. Mu matenda monga kuvutika maganizo, kuchuluka kwa serotonin kumeneku kumatha kuchepa. Mankhwala monga Citalopram amathandiza kusunga kuchuluka kwa serotonin muubongo kwa nthawi yayitali. Kudzera mu izi, mankhwalawa amathandiza kukonza momwe mumamvera.
Madokotala angapereke mankhwalawa pa matenda ena kupatula kuvutika maganizo. Ndi bwino kufunsa dokotala wanu kuti akupatseni malangizo ambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kugwiritsa ntchito Citalopram, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu. Onetsetsani kuti mwauza dokotala wanu ngati inu kapena wina aliyense m'banja mwanu ali ndi vuto lililonse lomwe latchulidwa pansipa.
| Mtundu wa chidziwitso | Zomwe muyenera kudziwa |
|---|---|
| Mbiri ya thanzi la maganizo | Kukhala ndi matenda a bipolar kapena mbiri ya banja lomwe linaganiza zodzipha, mapulani, kapena kuyesa kudzipha. |
| Mavuto okhudzana ndi mtima ndi magazi | Matenda a mtima, kugunda kwa mtima kosakhazikika, matenda otuluka magazi, kumwa mankhwala oletsa magazi kuundana. |
| Matenda ena | Glaucoma, matenda a impso, matenda a chiwindi, khunyu, matenda a chithokomiro. |
| Kuchuluka kwa magazi ndi chithandizo | Kuchepa kwa magnesium kapena potaziyamu m'magazi, kuchitidwa chithandizo cha electroconvulsive (ECT). |
| Zambiri zaumwini ndi ziwengo | Ngati muli ndi vuto la chifuwa chifukwa cha Citalopram, Escitalopram kapena mankhwala ena aliwonse, chakudya, kapena utoto. Ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Tsatirani malangizo a dokotala: Nthawi zonse imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera.
- Muyeso woyenera: Ngati mwalandira izi ngati yankho, gwiritsani ntchito supuni yapadera kapena chikho chokhacho chomwe chaperekedwa kuti muyese mankhwalawo. Musagwiritse ntchito supuni zapakhomo kapena supuni , chifukwa izi si miyezo yolondola.
- Musanadye kapena mutadya?: Mankhwalawa akhoza kumwedwa ndi chakudya kapena ayi. Sizikusiyana kwenikweni.
- Musasiye kumwa mankhwalawa mwadzidzidzi: Izi ndizofunikira kwambiri. Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita izi kungayambitse zotsatirapo zina monga chizungulire, nseru, ndi kufooka. Kapena vuto lanu lingaipireipire. Ngati musiya, chitani izi moyang'aniridwa ndi dokotala wanu, pang'onopang'ono kuchepetsa mlingo.
- Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Musazengereze.
- Nanga bwanji ngati ndaphonya mlingo?: Ngati mwaiwala kumwa mankhwala anu, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Citalopram ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, zakudya, ndi zowonjezera, kotero ndikofunikira kuuza dokotala wanu zonse zomwe mukumwa.
Mankhwala omwe si abwino kumwa
Ngati mukumwa mankhwala otsatirawa, sikoyenera kugwiritsa ntchito Citalopram.
- Mankhwala oletsa kuvutika maganizo otchedwa MAOIs (monga Carbex, Eldepryl)
- Linezolid, Methylene blue (yomwe imalowa m'mitsempha)
- Pimozide, Thioridazine
- Escitalopram (iyi ndi mankhwala ofanana kwambiri ndi Citalopram)
- Cisapride, Dronedarone
- Mankhwala ena a matenda a bowa (monga fluconazole, ketoconazole)
Zinthu zofunika kusamala kwambiri mukamagwiritsa ntchito
Lankhulani ndi dokotala wanu za zinthu zotsatirazi, chifukwa zingayambitse mavuto mukatenga Citalopram:
- Mowa
- Aspirin ndi mankhwala ochepetsa ululu a mtundu wa NSAID (monga Ibuprofen, Naproxen)
- Mankhwala ena omwe amaletsa magazi kuundana (monga Warfarin)
- Mankhwala ena oletsa kuvutika maganizo, mankhwala oletsa nkhawa
- Mankhwala ena a mutu waching'alang'ala (mtundu wa Triptan)
- Zowonjezera za zitsamba - mwachitsanzo wort wa St. John
- Mankhwala amphamvu ochepetsa ululu monga Tramadol ndi Fentanyl
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse, mavitamini, kapena mankhwala achikhalidwe omwe mumamwa.
Ndiyenera kusamala ndi chiyani ndikamamwa mankhwala?
- Khalani oleza mtima: Zingatenge milungu ingapo kuti mankhwalawa awonetse mphamvu zake zonse. Choncho musasiye kumwa chifukwa choti simukumva kusintha kwakukulu masiku oyamba. Pitirizani kugwiritsa ntchito monga momwe dokotala wanu wanenera.
- Samalani ndi kusintha kwa maganizo: Samalani ndi zizindikiro za maganizo ofuna kudzipha kapena kuvutika maganizo, makamaka kumayambiriro kwa chithandizo kapena mutasintha mlingo wa mankhwala anu. Ngati muwona kusintha kwadzidzidzi kwa maganizo anu, khalidwe lanu, kapena malingaliro anu (monga kusokonezeka maganizo, kukwiya, kusakhazikika), imbani dokotala wanu nthawi yomweyo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena chizungulire. Choncho musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke kapena kukhala pansi mwadzidzidzi.
- Pakamwa pouma: Pakamwa pouma ndi pofala. Izi zitha kuthetsedwa ndi zinthu monga kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Citalopram ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amazilandira.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda/chosaphika, mkodzo wofiira/wofiirira, masanzi ooneka ngati khofi, madontho ofiira/ofiirira pakhungu. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira, kugunda kwa mtima kosakhazikika, chizungulire, kupweteka pachifuwa, komanso kupuma movutikira. |
| Matenda a Serotonin | Kusokonezeka, kusakhazikika, thukuta kwambiri, kutentha thupi, kuuma kwa minofu/kugwedezeka, kusanza, kutsegula m'mimba. |
| Kuchepa kwa sodium m'magazi | Kufooka kwa minofu, kutopa kwambiri, mutu, komanso kusokonezeka. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Zotsatirapo zazing'ono | Pakamwa pouma, nseru, kutsegula m'mimba, kuvutika m'mimba, thukuta kwambiri, kunjenjemera, kusintha kwa chilakolako chogonana kapena ntchito. |
Uthenga Wopita Nawo Kunyumba
- Citalopram ndi mankhwala ochizira kuvutika maganizo. Nthawi zonse tsatirani malangizo a dokotala wanu molondola.
- Zimatenga milungu ingapo kuti mankhwalawa agwire ntchito mokwanira, choncho khalani oleza mtima ndi chithandizocho.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, zowonjezera zitsamba, ndi matenda aliwonse omwe mungakhale nawo.
- Yang'anirani kusintha kwa maganizo (makamaka maganizo ofuna kudzipha) kumayambiriro kwa chithandizo. Ngati muwona chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
- Ngati mwamwa mankhwala ochulukirapo kapena muli ndi zotsatirapo zoyipa kwambiri, pitani ku dipatimenti yazadzidzidzi ya chipatala (ETU) nthawi yomweyo.
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