Ngaba ugqirha wakho ukunike iyeza elibizwa ngokuba yiCitalopram lokudakumba? Okanye ngaba umhlobo wakho usebenzisa eli yeza? Mhlawumbi unemibuzo emininzi malunga neli yeza. Liqhelekile ngokwenene. Ungakhathazeki, siza kuthetha ngeli yeza, ukuba lenza ntoni, kunye noko kufuneka ukuqaphele, ngokulula, ngokucacileyo, kanye njengokuba sixelela umhlobo.
Yintoni le Citalopram?
Ngamafutshane, iCitalopram liyeza elisetyenziselwa ukunyanga uxinzelelo. Likwiqela lamayeza abizwa ngokuba yiSSRI (Selective Serotonin Reuptake Inhibitor). Kulungile, oko kuvakala ngathi yisayensi, akunjalo? Masiyenze ibe lula nangakumbi.
Kukho iikhemikhali ezikwiingqondo zethu ezilawula iimvakalelo zethu, nto leyo ethetha ulonwabo nokuzola. I-Serotonin yenye yeekhemikhali ezibalulekileyo. Xa unesifo soxinzelelo, amanqanaba akho e-serotonin anokwehla. I-Citalopram isebenza ngokunyusa ubungakanani be-serotonin engqondweni yakho, inceda ukuphucula iimvakalelo zakho.
Ukongeza kwi-depression, oogqirha ngamanye amaxesha banokunika eli yeza kwezinye iimeko zempilo yengqondo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale iCitalopram, kubaluleke kakhulu ukuxoxa ngembali yakho yempilo epheleleyo nogqirha wakho. Oku kungenxa yokuba ezinye iimeko zonyango zifuna unonophelo olukhethekileyo xa usebenzisa eli yeza. Ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Isifo okanye imeko | Amanqaku akhethekileyo ekufuneka axelelwe |
|---|---|
| Iingxaki zempilo yengqondo | Ukuba wena okanye umntu kusapho lwakho unesifo sengqondo esibizwa ngokuba yi-bipolar disorder. Ukuba ukhe wacinga, waceba, okanye wazama ukuzibulala ngaphambili. |
| Isifo sentliziyo | Ukuba unembali yalo naluphi na uhlobo lwesifo sentliziyo, ingakumbi ukubetha kwentliziyo okungahambelaniyo. |
| Ezinye iimeko zonyango | Isifo sesibindi, isifo sezintso, iglaucoma, ukuxhuzula, isifo se-thyroid, iingxaki zokopha. |
| Ukukhulelwa kunye nokuncancisa | Oku kubaluleke kakhulu ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
| Ezinye iindlela zonyango kunye namayeza | Ukuba uthatha amayeza okunciphisa igazi. Ukuba ufumana unyango lwe-electroconvulsive. Ukuba usebenzisa naliphi na elinye iyeza, iivithamini, okanye imveliso yezityalo. |
| Ii-aleji | Ukuba une-aleji kwi-Citalopram, i-Escitalopram, okanye nayiphi na enye iyeza, ukutya, okanye umbala. |
Ulisebenzisa njani eli yeza?
- Ginya eli yeza ngeglasi yamanzi. Musa ukuliqhekeza, ukulityumza, okanye ukulihlafuna. Liginye lonke.
- Zama ukusela amayeza akho ngexesha elifanayo yonke imihla , njengoko ugqirha wakho ekuyalele. Oku kuya kunceda ukugcina amayeza esebenza kakuhle.
- Ungayithatha le nto ngaphambi okanye emva kokutya.
- Eyona nto ibalulekileyo: Musa ukuyeka ukuthatha amayeza akho ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenjenjalo.
Nokuba sele uzive ungcono, qhubeka nokusela amayeza kangangoko ugqirha wakho ekuxelele kona. Ukuba uyeka ukuwasela ngequbuliso la mayeza, iimpawu zakho zinokuba mandundu kwaye unokufumana ezinye iziphumo ebezingalindelekanga ezingathandekiyo (iimpawu zokurhoxa).
Ukuba uneminyaka engaphezu kwama-60 ubudala, udla ngokuqala ngedosi ephantsi kuba isiphumo seyeza sinokuba sikhulu kancinci.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Kuthekani ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba uthathe eli yeza lininzi ngempazamo, yingxamiseko. Yiya kwiSebe leNgxamiseko lesibhedlele esikufutshane (i-ETU) ngoko nangoko. Ungafowunela neZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenzisana neCitalopram (Interactions)
I-Citalopram inokunxibelelana namanye amayeza amaninzi. Ngoko ke, kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo. Lumka ngakumbi ngamayeza adweliswe ngezantsi.
| Amayeza angafanele asetyenziswe ngeCitalopram | |
|---|---|
| Ii-MAOI (udidi oludala lwamayeza okudakumba) | I-Pimozide, i-Thioridazine, i-Cisapride, i-Escitalopram (eli liyeza elifana kakhulu ne-Citalopram) |
| Amayeza ekufuneka axelwe kugqirha xa esetyenziswa | |
| Izinto zokunciphisa igazi | I-Aspirin, iWarfarin, iClopidogrel |
| Izibulali-ntlungu | Ii-NSAID ezifana ne-Ibuprofen, i-Naproxen, ne-Tramadol |
| Amanye amayeza empilo yengqondo | Ezinye izinto zokudakumba, amayeza okulwa nokuxhalaba, iipilisi zokulala |
| Iimifuno kunye nezongezo | I-St. John's Wort, i-Tryptophan |
| Utywala | Ukusela utywala kunokunyusa iziphumo ebezingalindelekanga zamayeza (ezifana nokozela), ngoko ke kuphephe ukusela utywala. |
Iziphumo ebezingalindelekanga ezinokubakho ngelixa usela iyeza
Njengalo naliphi na iyeza, iCitalopram inokubangela iziphumo ebezingalindelekanga. Uninzi lwexesha, ezi azibi zimbi kwaye ziya kuphela njengoko umzimba uqhelana neyeza. Kodwa kukho izinto ekufuneka siziqaphele.
| 🚨 Yazisa ugqirha wakho ngoko nangoko | |
|---|---|
| Iimpawu ze-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Utshintsho kwiingcinga | Uxinzelelo olukhulayo, iingcinga zokuzibulala, ukungazinzi kakhulu, ukucaphuka, okanye ubundlobongela. |
| Isifo seSerotonin | Ukudideka, ukubetha kwentliziyo ngokukhawuleza, ukuqina kwemisipha okanye ukuxhuzula, ukubila okugqithisileyo, umkhuhlane, ukuhlanza, urhudo. |
| Ezinye iimpawu ezinzulu | Ukopha okungaqhelekanga (indle emnyama, ukuhlanza igazi), utshintsho kwisantya sentliziyo, iintlungu zamehlo ngequbuliso, ukubona okufipheleyo. |
| 🙂 Ukuba iyaqhubeka, yazisa ugqirha. | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Umlomo owomileyo, isicaphucaphu, urhudo, isisu esibuhlungu, ukubila okugqithisileyo, ukungcangcazela, utshintsho kwiminqweno okanye umsebenzi wesondo. |
Ezinye izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Kuthatha ixesha ukubona iziphumo: Kungathatha iiveki ezininzi (mhlawumbi iiveki ezi-4-6) ukubona iziphumo ezipheleleyo zale mithi. Ngoko ke ungoyiki, qhubeka nokuthatha amayeza njengoko ugqirha wakho ekuxelela.
- Ukozela/Ukudinwa: Usenokuziva ulele okanye unesizungu xa uqala ukusela eli yeza. Kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani.
- Umlomo owomileyo: Ukuba unomlomo owomileyo, ungafumana isiqabu ngokuhlafuna itshungama engenaswekile, ukufunxa iilekese ezingenaswekile, nokusela amanzi amancinci imini yonke.
Umyalezo Wokuya Ekhaya
- I-Citalopram liyeza lokudakumba elilinganisela amanqanaba e-serotonin engqondweni.
- Kuphephe ukuyeka amayeza ngequbuliso nangaliphi na ixesha ngaphandle kwengcebiso kagqirha.
- Xelela ugqirha wakho malunga nawo onke amanye amayeza, iivithamini, iimveliso zezityalo ozithathayo, kunye nazo naziphi na iingxaki zempilo onazo.
- Lumka kakhulu malunga naluphi na utshintsho kwindlela ovakalelwa ngayo, ingakumbi iingcinga zokuzibulala, xa uqala ukuthatha amayeza. Ukuba ufumana nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
- Ukuba usela amayeza amaninzi kakhulu, yingxamiseko. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
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