Wakambonyorerwa mushonga nachiremba here wechirwere chakadai sekuora mwoyo kana kuzvidya mwoyo? Kana zvakadaro, ungave wakambonzwa nezvemishonga inonzi `Celexa` kana `Lexapro`. Iyi ndiyo miviri yemishonga inowanzonyorerwa zvirwere izvi pasi rose uye munyika medu. Saka, mubvunzo une vanhu vazhinji ndewekuti musiyano uripo pakati peizvi zviviri ndewei, zvakafanana here, uye ndeupi wakakodzera ini. Ngatitaurei nezvazvo nhasi kuti tibvise kusava nechokwadi kwese kwauinako mupfungwa dzako.
Kutanga, ngationei kuti Celexa naLexapro chii.
Zvichitaurwa zviri nyore, mishonga iyi yese iri muboka rinonzi mishonga inorwisa kushushikana kwepfungwa . Kutaura chokwadi, inobva muboka remishonga inonzi ``SSRIs`` (Selective Serotonin Reuptake Inhibitors). Kunyange zvazvo zita racho ringanzwika serakaoma, maitiro acho ari nyore kwazvo.
Fungidzira kuti kune vatumwa mukati meuropi hwedu vanotakura ruzivo vachidzokera nekudzoka. Tinodaidza vatumwa ava kuti neurotransmitters. Serotonin inhume inokosha kwazvo inodzora zvinhu zvakaita semanzwiro edu, maitiro, uye ndangariro. Mumamiriro ezvinhu akadai sekuora mwoyo, huwandu uhwu hweSerotonin hunogona kudzikira.
Zvinoitwa neSSRIs kudzivirira kuti serotonin iyi irege kutorwa nekukurumidza mushure mekunge yapera. Zvadaro serotonin inogara mumasero etsinga dzeuropi kwenguva yakareba. Izvi zvinoreva kuti meseji "yemufaro" inoramba ichishanda kwenguva yakareba. Apa ndipo patinotanga kunzwa zviri nani.
Celexa ndiro zita remushonga weCitalopram . Lexapro ndiro zita remushonga weEscitalopram . Ose anotenderwa kurapa chirwere chekushungurudzika kukuru (MDD) muvanhu vakuru, ukuwo Lexapro ichitenderwawo kurapa chirwere chekushushikana chakapararira (GAD).
Zvakanaka, saka musiyano mukuru ndeupi pakati pezviviri izvi?
Ichi ichokwadi chinonakidza zvikuru. `Citalopram` (Celexa) na`Escitalopram` (Lexapro), mukutaura kwemakemikari, mifananidzo yakafanana yemorekuru imwe chete. Kungofanana neruoko rwedu rweruboshwe neruoko rwedu rwerudyi. Ose maoko, asi akasiyana. Mukemikari, aya anonzi `enantiomers`.
- Citalopram (Celexa) musanganiswa wemhando dze "ruoko rweruboshwe" uye "ruoko rwerudyi" dzawataura.
- Escitalopram (Lexapro) ndiyo inonyanya kushanda pane mbiri idzi, zvichireva kuti mushonga unogadzirwa nechikamu chikuru chete, se "ruoko rwerudyi".
Ndosaka paine misiyano midiki pakushanda kwemishonga iyi miviri mumiviri yedu.
Zvichitaurwa zviri nyore, Escitalopram (Lexapro) yakafanana neCitalopram (Celexa) yakanatswa uye yakanangwa.
Ngatitarisei mimwe yemisiyano mikuru:
- Mashandisirwo Akatenderwa: Kunyange hazvo `Citalopram` ichingobvumidzwa chete pakuderedza kushushikana kwevanhu vakuru, `Escitalopram` inotenderwa pakuderedza kushushikana kwevanhu vakuru nevana vane makore anopfuura gumi nemaviri ekuberekwa, uye pakuzvidya mwoyo kuvanhu vakuru nevana vane makore anopfuura manomwe ekuberekwa.
- Kushanda: Dzimwe ongororo dzakaratidza kuti Escitalopram inoshanda zvishoma pane Citalopram mukuderedza zviratidzo zvekuora mwoyo.
- Njodzi yekurova kwemoyo: Mishonga iyi yese inogona kukanganisa mashandiro emagetsi emwoyo. Izvi zvinonzi `QT prolongation`. Izvi zvine njodzi diki yekurova kwemoyo kusingawanzoitiki. Zvisinei, njodzi iyi yakakwira zvishoma ne`Citalopram` pane ne`Escitalopram`, kunyanya kana paine mishonga yakawanda.
Migumisiro nezvinhu zvekuziva
Sezvo mishonga iyi yese iri mumhuri imwe chete, migumisiro yacho yakafanana zvikuru. Havasi vese vanoiwana, asi inowanzopera mushure mechinguva muviri pawajaira mushonga wacho.
| Migumisiro inowanzoonekwa yeCelexa neLexapro | |
|---|---|
| Migumisiro yakajairika | |
| Matambudziko ekurara | Kunzwa hope masikati kana kusakwanisa kurara husiku |
| Kuneta kwemuviri | Kuneta, dzungu |
| Zvimwe zvinhu zvakajairika | Dzungu, musoro, kudikitira zvakanyanya, muromo wakaoma |
| Matambudziko ekugaya chikafu | Kusvotwa, kurutsa, kuzvimba, kana manyoka |
| Matambudziko ekushanda pabonde | Kudzikira kwechido chebonde, kuoma kusvika pakusvika pakupera kwegore, kunonoka kubuda kwemvura |
| Migumisiro isingawanzoitiki asi inogona kunge yakakomba | |
| Kuchinja kwekurova kwemoyo | Mamiriro e `QT Prolongation` ataurwa pamusoro apa (pane njodzi yakakura zvishoma neCitalopram) |
| Kuderera kwemazinga e sodium muropa | Inogona kukonzerwa nechirwere chinonzi "SIADH", kunyanya kuvanhu vane makore anopfuura makumi matanhatu nemashanu. |
'Serotonin Syndrome' chirwere chinoda kutarisirwa kwakakosha.
Ichi chinhu chaunofanira kuziva zvechokwadi . Serotonin Syndrome imhando yepamusoro ye serotonin mumuviri. Izvi zvinowanzoitika paunotanga kutora mushonga, paunowedzera dose, kana paunotora pamwe chete nemimwe mishonga inokanganisa huwandu hwe serotonin (semuenzaniso, mimwe mishonga yemigraine, mimwe mishonga inorwisa kushushikana kwepfungwa).
Kana iwe kana mumwe munhu waunoziva akasangana nezviratidzo izvi panguva imwe chete, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kusagadzikana, kusagadzikana
- Kusvotwa, kurutsa, manyoka
- Vadzidzi vakakura
- Kudedera, kugwinha kwetsandanyama, kuomarara
- Kudikitira zvakanyanya, kutonhorwa, uye kudedera
- Kuvhiringidzika kwakanyanya, kurasikirwa nepfungwa
- Kumhanya kwemwoyo kwakawedzera, kukwira kweropa kwakawedzera
- Fivha, pfari, kurasikirwa nepfungwa
Ziva pfungwa dzekuzviuraya.
Izvi zvakakoshawo zvikuru. Njodzi yekufunga kuzviuraya inogona kuwedzera zvishoma mumavhiki ekutanga ekutanga kushandisa mishonga yekuora mwoyo kana pakuchinja dose, kunyanya kune vechidiki nevana vari pasi pemakore makumi maviri nemana. Ngwarira zviratidzo zvinotevera.
- Kuora mwoyo kuri kuramba kuchikura.
- Kufunga nezvekugumisa hupenyu hwako.
- Kurwiswa nekutya.
- Kushaya hope.
- Kusagadzikana, hasha, kushatirwa.
- Kuita zvinhu usingafungi uye kufara zvisingawanzoitiki.
Kana iwe kana mwana wako mukaona chimwe chezviratidzo izvi, taurai nachiremba wenyu nekukurumidza .
Unogona kupindwa muropa nemishonga iyi here?
Kwete. Izvi hazvionekwe sezvinodhaka zvinopindwa muropa sezvinodhaka zvinodhaka. Zvisinei, pane dambudziko.Kana ukangoerekana warega kutora mushonga uyu kwemavhiki anopfuura matanhatu, unogona kunzwa kusagadzikana mumuviri. Izvi zvinonzi `antidepressant discontinuation syndrome`. Zviratidzo zvakaita sekuchinja-chinja kwemanzwiro, dzungu, uye kuzvidya mwoyo zvinogona kuitika.
Saka, usambofa wakarega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako. Kurega kunofanira kuitwa uchitungamirirwa nachiremba wako, nekuderedza zvishoma nezvishoma mushonga wacho.
Mamwe mashandisirwo eCelexa neLexapro (Mashandisirwo asina kunyorwa)
"Kushandisa mushonga usina kunyorerwa" zvinoreva kunyora mushonga wechirwere chisina kutenderwa zviri pamutemo chechirwere ichocho, asi vanachiremba vanoziva kubva pane zvakaitika kwavari kuti mushonga uyu unobatsira pachirwere ichocho. Mishonga yese iri miviri inoshandiswa kune zvimwe zvirwere zvakawanda, zvinosanganisira:
- Dzimwe nzvimbo apo Citalopram (Celexa) ingashandiswa:
- Dambudziko reObsessive Compulsive Disorder (OCD)
- Dambudziko rekutya
- Dambudziko reKunetseka Kwemagariro Evanhu
- Dambudziko rekushungurudzika mushure mekutambudzika (PTSD)
- Kubuda kwemvura nguva isati yakwana
- Dzimwe nguva apo Escitalopram (Lexapro) ingashandiswa:
- Dambudziko reKunetseka Kwemagariro Evanhu
- Dambudziko rekufunganya-kumanikidza (OCD)
- Dambudziko rekutya
- Zviratidzo zvinosanganisirwa nekuenda kumwedzi (semuenzaniso kupisa muviri)
Saka, ndeipi yekusarudza pakati pezviviri izvi?
Uyu ndiwo mubvunzo unonyanya kukosha. Uyu ndiwo mutongo unoitwa nachiremba wako mushure mekukuongorora uye kufunga nezvezvinhu zvakawanda, zvakaita sezviratidzo zvako, zera, nezvimwe zvirwere.
- Kana uine zvese zviri zviviri kuzvidya mwoyo uye kuora mwoyo, Lexapro ingave sarudzo iri nani.
- Kana wakamborwara nemoyo, Lexapro ingave sarudzo iri nani nekuti ine njodzi shoma.
- Kune vamwe vanhu, `Celexa` inoshanda zvakanaka. Kune vamwe, `Lexapro` ndiyo yakakodzera.
Saka, zvakanaka kutaura pachena nachiremba wako nezvenyaya iyi. Usaite sarudzo zvichibva pane zvaunoverenga pa internet. Chiremba wako ndiye achasarudza mushonga wakakodzera uye wakachengeteka kwauri.
Mharidzo Yekuenda Nayo Kumba
- Celexa (Citalopram) naLexapro (Escitalopram) mishonga yeSSRI inorapa kushungurudzika uye kuzvidya mwoyo nekuenzanisa huwandu hweserotonin muuropi.
- Lexapro imhando yeCelexa yakanatswa uye yakanangwa, saka pane misiyano midiki mumashandisirwo ayo uye mimwe migumisiro yakaipa.
- Zvakakosha zvikuru kungwarira pfungwa dzekuzviuraya paunotanga mushonga uyu, kunyanya kune avo vari pasi pemakore makumi maviri nemana. Kana ukaona shanduko, taurira chiremba wako nekukasika.
- Ziva zviratidzo zvechirwere chakakomba chinonzi `Serotonin Syndrome`. Kana ukaona zviratidzo zvakadaro, enda kuchipatara nekukasika.
- Usamborega kutora mushonga uyu kamwe kamwe usina kupiwa mazano nachiremba. Kuita izvi kunogona kukonzera kusagadzikana mumuviri.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye zvirwere zvauri kutora.
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