Hari igihe, ntabwo ari ibisanzwe kumva ubabaye, uhangayitse, cyangwa udashaka gukora ikintu icyo ari cyo cyose. Iyi ishobora kuba indwara yo mu mutwe yitwa depression. Niba rero muganga wawe yakwandikiye umuti witwa Citalopram kuri iyi ndwara, ushobora kugira ubwoba gato kandi ukaba ufite amatsiko yo kubimenya. Ushobora kuba ufite ibibazo byinshi nka "Bizagenda bite kuri ibi?", "Hari ingaruka mbi?". Niyo mpamvu nafashe iyi ngingo uyu munsi kugira ngo nsubize ibyo bibazo byose. Reka tuvuge kuri uyu muti mu buryo bworoshye kandi busobanutse.
Citalopram ni iki?
Muri make, Citalopram ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nk'indwara yo kwiheba. Reka dusobanukirwe icyo ibi bikora.
Tekereza ko hari agace gato k'intuma mu bwonko bwacu kadufasha kumva twishimye, dutuje kandi dufite umutima mwiza. Izina ryako ni serotonin. Mu bihe nk'iby'agahinda, akazi k'iyi ntuma yitwa serotonin karahungabanye. Icyo Citalopram ikora ni ukongera urugero rwa serotonin mu bwonko no kunoza ibyiyumvo byawe.
Uyu muti uri mu bwoko bw'imiti yitwa SSRI (Selective Serotonin Reuptake Inhibitor) . Nubwo izina rigoye gato, ryerekeza ku buryo bumwe navuze mbere, aribwo bwo kongera urugero rwa serotonin. Hari igihe abaganga bashobora gutanga uyu muti no ku zindi ndwara.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Nubwo Citalopram ari umuti wizewe cyane, ushobora kugira ingaruka ku zindi ndwara ushobora kuba ufite. Kubwibyo, mbere yo gutangira uyu muti, banza ubwire muganga wawe niba ufite imwe muri izi ndwara zikurikira:
| Indwara iyo ari yo yose ufite wowe cyangwa umuntu wo mu muryango wawe | Kuki ugomba kubimenyesha muganga? |
|---|---|
| Indwara ya Bipolar cyangwa amateka y'umuryango | Uyu muti rimwe na rimwe ushobora kongera indwara ya bipolar, bityo gusuzuma neza ni ingenzi cyane. |
| Indwara zo kuva amaraso cyangwa gufata imiti ibuza amaraso kuzura | Citalopram ishobora kongera gato ibyago byo kuva amaraso, bityo ni ngombwa kumenyesha muganga wawe iby'iyi ndwara. |
| Amateka y'indwara y'umutima cyangwa umutima utera nabi | Mu bihe bimwe na bimwe, uyu muti ushobora kugira ingaruka ku mikorere y'umutima, bityo ni ngombwa kumenya amakuru yerekeye indwara z'umutima. |
| Indwara ya Glaucoma | Ibi bishobora kugira ingaruka kuri glaucoma, indwara yongera umuvuduko w'amaso. |
| Indwara y'umwijima cyangwa impyiko | Izi ndwara zigira ingaruka ku gikorwa cyo gukura imiti mu mubiri, bityo ingano yayo ishobora gukenera guhindurwa. |
| Ingano nke ya manyeziyumu cyangwa potasiyumu mu maraso | Ibi ni ingenzi kubimenya, kuko bishobora kugira ingaruka ku muvuduko w'umutima. |
| Kuba narigeze kugira ibisebe mbere | Nubwo iyi miti idakunze kugaragara, ishobora kugira ingaruka ku ndwara yo gukubita. |
| Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura | Ibi ni ingenzi cyane. Muganga agomba kwitonda cyane kuri ibi. |
| Niba utwite cyangwa ugerageza gutwita | Ni ngombwa gushaka inama kwa muganga mbere yo gufata umuti uwo ari wo wose mu gihe utwite. |
| Niba uri umubyeyi wonsa | Ibintu biri muri uwo muti bishobora kwerekeza ku mwana binyuze mu mashereka, bityo ni ngombwa kuvugana na muganga wawe. |
| Niba ufite aleriji ku yindi miti, ibiryo cyangwa ibindi bintu | Ibi ni ingenzi kugira ngo wemeze niba ufite ubwivumbure kuri Citalopram cyangwa ikindi kintu kirimo. |
Ni gute nkwiye gufata umuti?
Uburyo bwo gukoresha uyu muti ni bworoshye cyane, ariko ni ingenzi cyane gukurikiza amabwiriza neza.
- Mirira kapsule yose hamwe n'ikirahure cy'amazi.
- Ntukavune, ntukajanjagure, cyangwa ngo uhekenya kapsule.
- Ushobora kubifata uri mu biryo cyangwa utabiriye.
- Igire akamenyero ko gufata imiti yawe ku gihe kimwe buri munsi. Muri ubwo buryo, ntuzibagirwa kandi ushobora gutuma urugero rw'imiti mu mubiri wawe rugumana ubuziranenge.
Igikuru ni uko utareka gufata uyu muti mu buryo butunguranye keretse muganga wawe abikubwiye. Kubikora bishobora kugutera kubabara no gutuma ubuzima bwawe burushaho kuba bubi.
Ibirori byihariye
- Abana: Iyo uyu muti uhawe abana bato, hakenewe ubugenzuzi bwihariye butangwa na muganga.
- Abantu barengeje imyaka 60: Muganga ashobora kuguha dose nke kuko umubiri ushobora kugira ingaruka zitandukanye ku bantu bakuze.
Wakora iki niba urenze urugero rw'imiti?
Niba ubona ko wafashe uyu muti urenze urugero, ni ukuvuga urenze urugero rwatanzwe, ntuwufate nk'aho ari muto. Jya mu bitaro bikuru byita ku butabazi bw'ibanze (ETU) by'ibitaro bikwegereye ako kanya. Cyangwa uhamagare Ikigo cy'Igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo bakugire inama.
Uyu muti wanditswe kuri wewe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, uyifate ako kanya wibuka. Ariko, niba iri hafi cyane y'umuti wawe ukurikira (urugero, amasaha make gusa), jya usimbuka dose yabuze hanyuma ufate dose ikurikira uko byagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Indi miti ishobora kugira ingaruka kuri Citalopram (Interactions)
Indi miti ufata ishobora kugira ingaruka kuri Citalopram. Ibi bishobora gutera ingaruka mbi cyangwa guhindura uburyo umuti ukora. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata.
| Imiti idakwiye gufatwa na Citalopram | |
|---|---|
| |
| Ibintu byo gukoresha witonze n'ibintu bishobora gutera imikoranire | |
| Inzoga | Bishobora kongera gusinzira no kuzerera. Ni byiza kwirinda inzoga mu gihe ufata uyu muti. |
| Imiti igabanya ububabare (NSAIDs ) | Imiti nka Ibuprofen, Naproxen, na Aspirine. Iyi miti ishobora kongera ibyago byo kuva amaraso iyo uyifashe hamwe na Citalopram. |
| Umuti ugabanya amaraso mu mubiri | Imiti nka Warfarin, Dalteparin, Enoxaparin. Ibyago byo kuva amaraso bishobora kwiyongera cyane. |
| Imiti ivura izindi ndwara zo mu mutwe | Indi miti igabanya ubukana bw'imitsi, nka lithium, ishobora kongera ibyago byo kurwara serotonin syndrome iyo ifashwe hamwe. |
| Imiti imwe n'imwe irwanya indwara zandura n'imiti yica udukoko | Imiti nka Clarithromycin na Ketoconazole. |
| Inyongeramusaruro zimwe na zimwe | Inyongeramusaruro z'ibimera nka St. John's wort. |
Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe buri muti, ibyatsi na vitamine ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Ukwihangana ni ingenzi: Bishobora gufata ibyumweru byinshi (wenda 4-6) kugira ngo ubone ingaruka zose z'uyu muti. Ntugahagarike kuwufata kuko gusa utabona itandukaniro rinini mu minsi mike ya mbere. Ntugatinye, kandi ukomeze kuwukoresha nk'uko muganga wawe yabikubwiye.
- Ibizamini by'ubuvuzi: Jya ku mavuriro buri gihe nk'uko muganga wawe yabigutegetse kandi urebe uko umerewe.
- Ibitekerezo byo kwiyahura: Ibi ni ingenzi cyane. Witondere cyane niba ibitekerezo byawe byo kwiyahura cyangwa kwiheba birushaho kwiyongera , cyane cyane iyo utangiye gufata uyu muti bwa mbere cyangwa nyuma yo guhindura urugero rwawe. Niba uhuye n'impinduka zitunguranye mu byiyumvo byawe cyangwa mu myitwarire yawe (urugero: gushyuha, kurakara, guhangayika), bwira muganga wawe cyangwa umuntu wizeye ako kanya.
- Gutwara no gukoresha imashini: Uyu muti ushobora kugabanya igihe cyo kuba maso no kugira icyo ukora. Ushobora gutera gusinzira no kuzerera. Kubwibyo , irinde gutwara cyangwa gukoresha imashini ziteje akaga kugeza igihe umenye ingaruka zabyo.
- Kuma mu kanwa: Kuma mu kanwa ni ingaruka zikunze kugaragara . Guhekenya shim idafite isukari, kunywa bombo, no kunywa amazi make umunsi wose bishobora gufasha.
Reka twige ku ngaruka mbi.
Kimwe n'indi miti yose, Citalopram ishobora gutera ingaruka mbi. Ariko, si buri wese uzibona. Imwe ni ntoya, mu gihe indi ikeneye kwitabwaho byihuse.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, no kugorwa no guhumeka. |
| Kuva amaraso ku buryo budasanzwe | Imyanya y'umukara, kuruka bisa n'ikawa, inkari zitukura/iz'umukara wijimye, utudomo dutukura/iz'umuhengeri ku ruhu, n'ibisebe bidasobanutse. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, kumva nta cyo ushoboye, ububabare mu gatuza. |
| Indwara ya Serotonin | Kujijinganya, guhindagurika, ibyuya byinshi, umuriro, gukomera kw'imitsi cyangwa guhinda umushyitsi, kuruka, impiswi. |
| Kugabanuka k'umusemburo wa sodiyumu mu maraso | Ubunebwe bw'imitsi, umunaniro ukabije, kuribwa umutwe, urujijo. |
| Impinduka mu cyerekezo | Kubabara amaso mu buryo butunguranye, kutabona neza, kubona impeta zikikije amatara. |
| Ibitekerezo byo kwiyahura | Ibitekerezo byo kwigirira nabi, bikarushaho kumera nabi. |
| Ingaruka zisanzwe zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye: | |
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Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, vugana na muganga wawe ku byerekeye ibyo bimenyetso.
Ukwiye kubika gute imiti yawe?
- Bibike ahantu hatekanye kure y'abana n'amatungo .
- Bika ahantu hari ubushyuhe bw'icyumba (20-25°C) , kure y'izuba ryinshi n'ubushuhe bwinshi.
- Ntugakoreshe imiti yarengeje igihe cyo kuyikoresha .
- Baza muganga wawe uburyo bwo kujugunya neza imiti idakenewe cyangwa irengeje igihe. Kuyisukura mu musarani cyangwa kuyishyira mu myanda si byiza buri gihe.
Ubutumwa bwo kujyana mu rugo
- Citalopram ni umuti wa SSRI ukoreshwa mu kuvura indwara yo kwiheba. Wongera urugero rwa serotonin mu bwonko, bigatuma urushaho kugira amarangamutima meza.
- Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga ataguhaye inama.
- Bwira muganga wawe izindi ndwara zose ufite hamwe n'indi miti yose ufata.
- Menya neza impinduka iyo ari yo yose mu byiyumvo byawe cyangwa ibitekerezo byo kwiyahura, cyane cyane mu byumweru bike bya mbere ufata imiti. Niba ubonye kimwe muri ibi bimenyetso, shaka ubufasha kwa muganga byihutirwa.
- Bishobora gufata ibyumweru byinshi kugira ngo wumve ingaruka zose z'umuti, bityo ihangane ukomeze kuwukoresha.
- Niba ufite ikibazo, ubwoba, cyangwa gushidikanya kuri uyu muti, ntukabihishe, ahubwo vugana na muganga wawe ku mugaragaro.
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