Mhlawumbi wena okanye umntu osapho lwakho unikwe iCitalopram ngugqirha wakho njengonyango lokudakumba. Kuqhelekile ukuba novalo kwaye uxhalabe kancinci xa uqala amayeza amatsha. Ngoko ke namhlanje, masithethe ngokufutshane nangokunyanisekileyo malunga nokuba yintoni iCitalopram, indlela eyichaphazela ngayo imizimba yethu, kunye noko kufuneka sikuqaphele xa usebenzisa la mayeza.
Yintoni le Citalopram?
Ngamafutshane, iCitalopram liyeza elisetyenziselwa ukunyanga izifo zengqondo ezifana nokudakumba . Likwiqela lamayeza abizwa ngokuba yiSSRI (Selective Serotonin Reuptake Inhibitor).
Kulungile, ngoku yintoni i-SSRI? Ingqondo yethu inesithunywa sekhemikhali esibizwa ngokuba yi-serotonin. Oku kunceda kakhulu ekulawuleni izinto ezifana neemvakalelo zethu, ulonwabo, kunye nokuzola. Kwiimeko ezifana nokudakumba, eli nqanaba le-serotonin linokwehla. Iyeza elifana neCitalopram linceda ukugcina eli nqanaba le-serotonin engqondweni ixesha elide. Ngale ndlela, eli yeza linceda ukuphucula iimvakalelo zakho.
Oogqirha banokukunika eli yeza kwezinye iimeko ngaphandle koxinzelelo. Kungcono ubuze ugqirha wakho ngolwazi oluthe kratya.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale iCitalopram, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo. Qiniseka ukuba uxelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho unezinye zezi meko zidweliswe ngezantsi.
| Uhlobo lolwazi | Oko kufuneka ukwazise |
|---|---|
| Imbali yempilo yengqondo | Ukuba nesifo sengqondo esibizwa ngokuba yi-bipolar disorder okanye imbali yosapho lwakho eneengcinga, izicwangciso, okanye imizamo yokuzibulala. |
| Iingxaki ezinxulumene nentliziyo negazi | Isifo sentliziyo, ukubetha kwentliziyo okungahambelaniyo, iingxaki zokopha, ukuthatha amayeza okuthintela ukuqhekeka kwegazi. |
| Ezinye iimeko zonyango | I-glaucoma, isifo sezintso, isifo sesibindi, ukuxhuzula, isifo se-thyroid. |
| Amanqanaba egazi kunye nonyango | Amanqanaba aphantsi e-magnesium okanye i-potassium egazini, afumana unyango lwe-electroconvulsive (ECT). |
| Ulwazi lomntu kunye nee-aleji | Ukuba une-allergy kwi-Citalopram, i-Escitalopram okanye naluphi na olunye unyango, ukutya, okanye idayi. Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Ndingayisebenzisa njani le yeza?
- Landela icebiso lezonyango: Soloko uthatha idosi emiselweyo, ngexesha elimiselweyo, njengoko ugqirha wakho ekuyalele.
- Linganisa ngokuchanekileyo: Ukuba ufumene oku njengesisombululo, sebenzisa kuphela icephe okanye indebe ekhethekileyo enikiweyo ukulinganisa iyeza. Musa ukusebenzisa iitisipuni zasekhaya okanye iitisipuni , kuba ezi azizozilinganiso zichanekileyo.
- Ngaphambi okanye emva kokutya?: Eli yeza lingasetyenziswa kunye nokutya okanye ngaphandle kokutya. Akunamahluko makhulu.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso: Oku kubaluleke kakhulu. Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga ezifana nesiyezi, isicaphucaphu, kunye nobuthathaka. Okanye imeko yakho isenokuba mandundu. Ukuba uyeka, yenza njalo phantsi kweliso likagqirha wakho, unciphise kancinci umthamo.
- I-Overdose: Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Musa ukulibazisa.
- Kuthekani ukuba ndiphoswa yidosi?: Ukuba ulibele ukusela amayeza akho, thatha kwangoko ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe ngawo uze uthathe umthamo olandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iidosi ezimbini ngaxeshanye ukuze ubuyisele umthamo ophoswe ngawo.
Eli yeza limiselwe wena wedwa. Musa ukulinika omnye umntu, nokuba uneempawu ezifanayo nezakho.
Ezinye izinto ezinokusebenzisana nale mithi
I-Citalopram liyeza elinokunxibelelana namanye amayeza, ukutya, kunye nezongezo, ngoko ke kubalulekile ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Amayeza angalunganga kwaphela ukuwasela
Ukuba usebenzisa la mayeza alandelayo, akukhuthazwa ukusebenzisa iCitalopram.
- Amayeza okudakumba abizwa ngokuba yi-MAOIs (umz. iCarbex, iEldepryl)
- I-Linezolid, i-Methylene blue (efakwa emthanjeni)
- I-Pimozide, i-Thioridazine
- I-Escitalopram (eli liyeza elifana kakhulu neCitalopram)
- ICisapride, iDronedarone
- Amanye amayeza osulelo lwefungus (umz. i-fluconazole, i-ketoconazole)
Izinto ekufuneka uzilumkele kakhulu xa usebenzisa
Thetha nogqirha wakho ngezi zinto zilandelayo, kuba zinokubangela iingxaki xa zithathwa ngeCitalopram:
- Utywala
- I-Aspirin kunye ne-NSAID-type painkillers (umz. i-Ibuprofen, i-Naproxen)
- Amanye amayeza athintela ukujiya kwegazi (umz. iWarfarin)
- Amanye amayeza okulwa noxinzelelo, amayeza okulwa nokuxhalaba
- Amanye amayeza e-migraine (uhlobo lweTriptan)
- Izongezo zezityalo - umz. iSt. John's wort
- Iipilisi zokunciphisa iintlungu ezinamandla ezifana neTramadol kunye neFentanyl
Olu luhlu aluphelelanga, ngoko xelela ugqirha wakho malunga nayo yonke imithi, iivithamini, okanye amayeza esintu owasebenzisayo.
Yintoni endifanele ndiyilumkele xa ndithatha iyeza?
- Yiba nomonde: Kungathatha iiveki ezininzi ukuba eli yeza libonise iziphumo zalo ezipheleleyo. Ngoko ke ungayeki ukulithatha kuba nje ungaziva mahluko ungako kwiintsuku zokuqala ezimbalwa. Qhubeka ulisebenzisa njengoko ugqirha wakho eyalele.
- Lumka xa kukho utshintsho kwimo yakho: Lumka xa kukho iimpawu zeengcinga zokuzibulala okanye ukudakumba, ingakumbi xa uqala unyango okanye emva kokutshintsha umthamo wamayeza akho. Ukuba ubona naluphi na utshintsho olukhawulezileyo kwimo yakho, ekuziphatheni, okanye kwiimvakalelo zakho (umz., ukuphazamiseka, ukucaphuka, ukungazinzi), tsalela umnxeba ugqirha wakho ngoko nangoko.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba likuchaphazela njani. Ingakumbi ukuba ukhulile, musa ukuvuka okanye uhlale ngequbuliso.
- Umlomo owomileyo: Umlomo owomileyo uxhaphakile. Oku kunokulawulwa zizinto ezifana nokuhlafuna itshungama engenaswekile kunye nokusela amanzi amaninzi.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengayo nayiphi na iyeza, iCitalopram inokubangela iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Ukusabela kwi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Ukopha okungaqhelekanga | Indle emnyama/engavuthwanga, umchamo obomvu/omdaka omnyama, ukuhlanza okufana nekofu egayiweyo, amabala abomvu/amfusa eluswini. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza, ukubetha kwentliziyo okungahambelaniyo, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Isifo seSerotonin | Ukudideka, ukungazinzi, ukubila kakhulu, umkhuhlane, ukuqina/ukushukuma kwemisipha, ukuhlanza, urhudo. |
| Ukuncipha kwe-sodium egazini | Ubuthathaka bemisipha, ukudinwa kakhulu, iintloko ezibuhlungu, ukudideka. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Iziphumo ebezingalindelekanga ezincinci | Umlomo owomileyo, isicaphucaphu, urhudo, isisu esibuhlungu, ukubila okugqithisileyo, ukungcangcazela, utshintsho kwiminqweno okanye umsebenzi wesondo. |
Umyalezo Wokuya Ekhaya
- I-Citalopram liyeza lokudakumba. Hlala ulandela imiyalelo kagqirha wakho ngokuchanekileyo.
- Kuthatha iiveki ezininzi ukuba eli yeza lisebenze ngokupheleleyo, ngoko ke yiba nomonde ngonyango.
- Kuphephe ukuyeka amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
- Xelela ugqirha wakho malunga nazo zonke ezinye iziyobisi, izongezo zemifuno, kunye nazo naziphi na iimeko zempilo onokuba nazo.
- Lumka utshintsho kwisimo sengqondo (ingakumbi iingcinga zokuzibulala) kwasekuqaleni konyango. Ukuba ubona nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
- Ukuba usela amayeza amaninzi kakhulu okanye unemiphumo emibi kakhulu, yiya kwicandelo lezonyango ezingxamisekileyo (ETU) ngokukhawuleza.
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