Wenda wowe cyangwa umuntu wo mu muryango wawe mwahawe Citalopram na muganga wanyu nk'umuti wo kuvura indwara yo kwiheba. Ni ibisanzwe kumva ufite ubwoba no guhangayika gato mu gihe utangiye umuti mushya. None rero uyu munsi, reka tuganire muri make ku cyo Citalopram ari cyo, uko bigira ingaruka ku mibiri yacu, n'icyo tugomba kumenya mu gihe dukoresha uyu muti.
Iyi Citalopram ni iki?
Muri make, Citalopram ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nko kwiheba . Uri mu bwoko bw'imiti yitwa SSRI (Selective Serotonin Reuptake Inhibitor).
None se, SSRI ni iki? Ubwonko bwacu bufite serotonin. Ibi bifasha cyane mu kugenzura ibintu nk'ibyiyumvo byacu, ibyishimo, n'ituze. Mu bihe nk'iby'agahinda, uru rugero rwa serotonin rushobora kugabanuka. Umuti nka Citalopram ufasha kugumana uru rugero rwa serotonin mu bwonko igihe kirekire. Binyuze muri ibi, uyu muti ufasha kunoza ibyiyumvo byawe.
Abaganga bashobora kukwandikira uyu muti ku zindi ndwara zitari iy'agahinda. Ni byiza kubaza muganga wawe amakuru arambuye.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira Citalopram, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Menya neza ko wabibwiye muganga wawe niba wowe cyangwa undi muntu wo mu muryango wawe afite imwe muri izi ndwara zavuzwe haruguru.
| Ubwoko bw'amakuru | Icyo ukeneye kumenyesha |
|---|---|
| Amateka y'ubuzima bwo mu mutwe | Kuba ufite indwara ya bipolar cyangwa amateka yo mu muryango wawe mu bitekerezo, imigambi, cyangwa kugerageza kwiyahura. |
| Ibibazo by'umutima n'amaraso | Indwara z'umutima, umutima utera nabi, kuva amaraso, gufata imiti yo kwirinda kuziba kw'amaraso. |
| Izindi ndwara | Glaucoma, indwara z'impyiko, indwara y'umwijima, ibibyimba, indwara ya tiroyide. |
| Urugero rw'amaraso n'uburyo bwo kuyavura | Urugero ruto rwa manyeziyumu cyangwa potasiyumu mu maraso, ukorerwa ubuvuzi bushingiye ku ikoranabuhanga (ECT). |
| Amakuru bwite hamwe n'ubwivumbure | Niba ufite ikibazo cy'ubwivumbure kuri Citalopram, Escitalopram cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi. Niba utwite, ugerageza gutwita, cyangwa wonsa. |
Uyu muti nkwiye kuwukoresha nte?
- Kurikiza inama za muganga: Buri gihe fata ingano yatanzwe, ku gihe cyatanzwe, nk'uko byategetswe na muganga wawe.
- Pima neza: Niba wahawe iki gipimo, koresha ikiyiko cyabugenewe cyangwa igikombe cyatanzwe kugira ngo upime umuti. Ntugakoreshe ibiyiko byo mu rugo cyangwa ibiyiko , kuko ibi atari ibipimo nyabyo.
- Mbere cyangwa nyuma yo kurya?: Uyu muti ushobora gufatwa n'ibiryo cyangwa utabirya. Nta tandukaniro rinini bitanga.
- Ntureke gufata uyu muti mu buryo butunguranye: Ibi ni ingenzi cyane. Ntureke gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutera ingaruka mbi nko kuzungera, kugira isesemi, no gucika intege. Cyangwa se indwara yawe ishobora kwiyongera. Nubireka, bikore uyobowe na muganga wawe, ugabanya buhoro buhoro urugero rw'umuti.
- Kunywa imiti irenze urugero: Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe. Ntutinde.
- Bite ho nindamuka ntafashe dose?: Niba wibagiwe gufata umuti wawe, fata vuba ubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose ibura hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri icyarimwe kugira ngo wishyure dose ibura.
Uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Citalopram ni umuti ushobora kugira ingaruka ku yindi miti, ibiryo n'inyongeramusaruro, bityo rero ni ngombwa kubwira muganga wawe ibyo ufata byose.
Imiti itari myiza na gato gufata
Niba ufata imiti ikurikira, ntibyemewe gukoresha Citalopram.
- Imiti igabanya ubukana bw'indwara yitwa MAOIs (urugero: Carbex, Eldepryl)
- Linezolide, Methylene y'ubururu (ishyirwa mu mitsi)
- Pimozide, Thioridazine
- Escitalopram (uyu ni umuti usa cyane na Citalopram)
- Cisapride, Dronedarone
- Imiti imwe n'imwe ivura indwara z'ibihumyo (urugero: fluconazole, ketoconazole)
Ibintu ugomba kwitondera cyane mu gihe ukoresha
Vugana na muganga wawe ku bintu bikurikira, kuko bishobora guteza ibibazo iyo bifashwe na Citalopram:
- Inzoga
- Aspirin na NSAID zigabanya ububabare (urugero: Ibuprofen, Naproxen)
- Indi miti ibuza amaraso kuzura (urugero: Warfarin)
- Indi miti igabanya ubukana bw'imihangayiko, imiti igabanya ubukana bw'imihangayiko
- Imiti imwe n'imwe ivura migraine (ubwoko bwa Triptan)
- Inyongeramusaruro z'ibimera - urugero nk'umuti wa St. John's
- Imiti igabanya ububabare ikomeye nka Tramadol na Fentanyl
Uru rutonde ntirwuzuye, bityo bwira muganga wawe buri muti, vitamine, cyangwa imiti gakondo ufata.
Ni iki nkwiye kwitondera mu gihe nfata umuti?
- Ihangane: Bishobora gufata ibyumweru byinshi kugira ngo uyu muti ugaragaze ingaruka zawo zose. Ntugahagarike kuwufata kuko nta gihinduka kinini wumva mu minsi mike ya mbere. Komeza kuwukoresha nk'uko muganga wawe yabigutegetse.
- Witondere impinduka mu byiyumvo: Witondere ibimenyetso by'ibitekerezo byo kwiyahura cyangwa kwiheba, cyane cyane mu ntangiriro z'ubuvuzi cyangwa nyuma yo guhindura ingano y'imiti yawe. Niba ubonye impinduka zitunguranye mu byiyumvo byawe, mu myitwarire yawe, cyangwa mu byiyumvo byawe (urugero: guhangayika, kurakara, kubura amahoro), hamagara muganga wawe ako kanya.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera cyangwa uzungera. Ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko bikugizeho ingaruka. Cyane cyane niba ugeze mu zabukuru, ntugahaguruke cyangwa ngo wicare giturumbuka.
- Kuma mu kanwa: Kuma mu kanwa ni ikintu gikunze kugaragara. Ibi bishobora kugenzurwa n'ibintu nko guhekenya ifuru idafite isukari no kunywa amazi menshi.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti yose, Citalopram ishobora gutera ingaruka mbi, nubwo atari buri wese uzibona.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Uburyo bwo kubabara umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, no kugorwa no guhumeka. |
| Kuva amaraso ku buryo budasanzwe | Amase y'umukara/atari, inkari zitukura/iz'umukara wijimye, kuruka bisa n'ikawa, uduheri dutukura/umuhengeri ku ruhu. |
| Impinduka mu gipimo cy'umutima | Umutima utera cyane, umutima utera nabi, isereri, ububabare mu gituza, guhumeka bigoranye. |
| Indwara ya Serotonin | Kujijinganya, kubura amahoro, kubira ibyuya byinshi, umuriro, kunangira imitsi/gutera, kuruka, impiswi. |
| Kugabanuka kwa sodiyumu mu maraso | Ubunebwe bw'imitsi, umunaniro ukabije, kuribwa umutwe, urujijo. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Ingaruka mbi nto | Kumunga umunwa, isesemi, impiswi, kubabara mu gifu, ibyuya byinshi, gutitira, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina. |
Ubutumwa bwo kujyana mu rugo
- Citalopram ni umuti uvura indwara yo kwiheba. Buri gihe kurikiza amabwiriza ya muganga wawe neza.
- Bifata ibyumweru byinshi kugira ngo uyu muti ugire ingaruka nziza, bityo rero ihangane n'ubuvuzi.
- Irinde guhagarika imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Bwira muganga wawe indi miti yose, inyongeramusaruro z'ibimera, n'indwara zose ushobora kuba ufite.
- Witondere impinduka mu miterere y'imitekerereze (cyane cyane ibitekerezo byo kwiyahura) mu ntangiriro z'ubuvuzi. Nubona kimwe muri ibi, bwira muganga wawe vuba.
- Niba ufashe imiti myinshi cyangwa ukagira ingaruka mbi zikomeye, jya kwa muganga wita ku barwayi b’inkeragutabara (ETU) vuba.
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