Mhlawumbe wena noma othile emndenini wakho unikezwe i-Citalopram ngudokotela wakho njengendlela yokwelapha ukucindezeleka. Kuvamile ukuzizwa ukhathazekile kancane lapho uqala umuthi omusha. Ngakho-ke namuhla, ake sixoxe kafushane nangokwethembeka ngokuthi iyini i-Citalopram, ukuthi iyithinta kanjani imizimba yethu, nokuthi yini okudingeka siyiqaphele lapho sisebenzisa lo muthi.
Iyini le Citalopram?
Kalula nje, i-Citalopram iyisidakamizwa esisetshenziselwa ukwelapha izifo zengqondo ezifana nokucindezeleka . Iyingxenye yeqembu lemithi ebizwa ngokuthi i-SSRI (Selective Serotonin Reuptake Inhibitor).
Kulungile, manje iyini i-SSRI? Ubuchopho bethu bunesithunywa samakhemikhali esibizwa ngokuthi i-serotonin. Lokhu kusiza kakhulu ekulawuleni izinto ezifana nesimo sethu sengqondo, injabulo, kanye nokuzola. Ezimweni ezifana nokucindezeleka, leli zinga le-serotonin lingancipha. Umuthi ofana ne-Citalopram usiza ukugcina leli zinga le-serotonin ebuchosheni isikhathi eside. Ngalesi, lo muthi usiza ukuthuthukisa isimo sakho sengqondo.
Odokotela bangase bakunike lo muthi kwezinye izimo ngaphandle kokucindezeleka. Kungcono ukucela udokotela wakho ulwazi olwengeziwe.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala i-Citalopram, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enanoma yiziphi izimo ezibalwe ngezansi.
| Uhlobo lolwazi | Okudingayo ukukwazisa |
|---|---|
| Umlando wezempilo yengqondo | Ukuba nesifo sokuphazamiseka kwengqondo noma umlando womndeni wemicabango, amacebo, noma imizamo yokuzibulala. |
| Izinkinga ezihlobene nenhliziyo negazi | Isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, izinkinga zokopha, ukuthatha imithi yokuvimbela ukujiya kwegazi. |
| Ezinye izimo zezokwelapha | I-glaucoma, isifo sezinso, isifo sesibindi, ukuquleka, isifo se-thyroid. |
| Amazinga egazi kanye nokwelashwa | Amazinga aphansi e-magnesium noma i-potassium egazini, athola ukwelashwa nge-electroconvulsive (ECT). |
| Ulwazi lomuntu siqu kanye nokungezwani komzimba | Uma une-allergy ku-Citalopram, i-Escitalopram noma yimuphi omunye umuthi, ukudla, noma idayi. Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani lo muthi?
- Landela iseluleko sezokwelapha: Njalo thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho.
- Kala kahle: Uma uthole lokhu njengesixazululo, sebenzisa kuphela isipuni noma indebe ekhethekile enikeziwe ukuze ulinganise umuthi. Ungasebenzisi izipuni noma izipuni zasekhaya , njengoba lokhu kungezona izilinganiso ezinembile.
- Ngaphambi noma ngemva kokudla?: Lo muthi ungathathwa nokudla noma ngaphandle kokudla. Akunamehluko omkhulu.
- Ungayeki ukuthatha lo muthi ngokuzumayo: Lokhu kubaluleke kakhulu. Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi efana nokuzumeka, isicanucanu, kanye nobuthakathaka. Noma isimo sakho singase sibe sibi kakhulu. Uma uyeka, yenza kanjalo ngaphansi kokuqondisa kukadokotela wakho, unciphise kancane kancane umthamo.
- Ukweqisa umthamo: Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Ungalibali.
- Kuthiwani uma ngiphuthelwa umthamo?: Uma ukhohlwa ukuphuza umuthi wakho, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.
Ezinye izinto ezingase zihlangane nalo muthi
I-Citalopram iyisidakamizwa esingasebenzisana neminye imithi, ukudla, kanye nezithasiselo, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
Imithi engalungile nhlobo ukuyithatha
Uma uthatha imithi elandelayo, akukhuthazwa ukusebenzisa i-Citalopram.
- Ama-antidepressants abizwa ngokuthi ama-MAOI (isib. i-Carbex, i-Eldepryl)
- I-Linezolid, i-Methylene eluhlaza okwesibhakabhaka (efakwa emthanjeni)
- I-Pimozide, i-Thioridazine
- I-Escitalopram (lesi isidakamizwa esifana kakhulu ne-Citalopram)
- I-Cisapride, i-Dronedarone
- Eminye imithi yokwelapha izifo zesikhunta (isb. i-fluconazole, i-ketoconazole)
Izinto okufanele uziqaphele kakhulu uma usebenzisa
Khuluma nodokotela wakho ngezinto ezilandelayo, njengoba zingase zibangele izinkinga uma zithathwa nge-Citalopram:
- Utshwala
- I-aspirin kanye ne-NSAID-type painkillers (isib. i-Ibuprofen, i-Naproxen)
- Eminye imithi evimbela ukujiya kwegazi (isib. i-Warfarin)
- Eminye imithi yokucindezeleka, imithi yokulwa nokukhathazeka
- Eminye imithi ye-migraine (uhlobo lwe-Triptan)
- Izithasiselo zemithi - isib. i-St. John's wort
- Izinhlungu zobuhlungu ezinamandla njengeTramadol neFentanyl
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, noma imithi yendabuko oyithathayo.
Yini okufanele ngiyiqaphele lapho ngithatha umuthi?
- Bekezela: Kungathatha amasonto ambalwa ukuthi lo muthi ubonise imiphumela yawo ephelele. Ngakho-ke ungayeki ukuwuthatha ngoba nje ungezwanga mehluko omkhulu ezinsukwini ezimbalwa zokuqala. Qhubeka uwusebenzisa njengoba uqondiswe udokotela wakho.
- Qaphela ukushintshashintsha kwemizwelo: Qaphela izimpawu zemicabango yokuzibulala noma ukucindezeleka, ikakhulukazi ekuqaleni kokwelashwa noma ngemva kokushintsha umthamo wemithi yakho. Uma ubona noma yiziphi izinguquko ezisheshayo esimweni sakho sengqondo, ekuziphatheni, noma emizweni (isib., ukucasuka, ukucasuka, ukungahlaliseki), shayela udokotela wakho ngokushesha.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke ungashayeli noma usebenzise imishini uze wazi ukuthi kukuthinta kanjani. Ikakhulukazi uma usukhulile, ungavuki noma uhlale phansi ngokuzumayo.
- Umlomo owomile: Umlomo owomile uvamile. Lokhu kungalawulwa izinto ezifana nokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Citalopram ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Umphumela Ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukopha okungavamile | Indle emnyama/engasheshi, umchamo obomvu/onsundu omnyama, ukuhlanza okufana nekhofi eligayiwe, amabala abomvu/onsomi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukudideka, ukungahlaliseki, ukujuluka ngokweqile, umkhuhlane, ukuqina/ukushukuma kwemisipha, ukuhlanza, isifo sohudo. |
| Ukwehla kwe-sodium egazini | Ubuthakathaka bemisipha, ukukhathala okukhulu, ikhanda elibuhlungu, ukudideka. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Imiphumela emibi emincane | Umlomo owomile, isicanucanu, isifo sohudo, ukucasuka kwesisu, ukujuluka ngokweqile, ukuthuthumela, izinguquko esifisweni socansi noma ekusebenzeni. |
Umlayezo Wokuya Nawe Ekhaya
- I-Citalopram iyimithi yokucindezeleka. Landela imiyalelo kadokotela wakho njalo.
- Kuthatha amasonto amaningana ukuthi lo muthi usebenze ngokugcwele, ngakho-ke yiba nesineke ngokwelashwa.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi, izithasiselo zamakhambi, kanye nanoma yiziphi izimo zezokwelapha ongase ube nazo.
- Qaphela izinguquko esimweni sengqondo (ikakhulukazi imicabango yokuzibulala) ekuqaleni kokwelashwa. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Uma uphuza umuthi omningi kakhulu noma unemiphumela emibi kakhulu, hamba uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha.
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