Ingabe wena noma othile omaziyo uke wanikezwa i-Citalopram ngudokotela ngenxa yokucindezeleka? Uma kunjalo, kubaluleke kakhulu ukuba nolwazi olufanele ngalo muthi. Ngoba njenganoma yimuphi umuthi, ukuze uthole okuningi kuwo, udinga ukwazi kahle ukuthi uwusebenzisa kanjani nokuthi yiziphi izinyathelo zokuphepha okufanele uzithathe. Ake sixoxe ngalokhu kalula nangokwethembeka namuhla.
Iyini le Citalopram?
I-Citalopram umuthi osetshenziselwa ukwelapha ukucindezeleka . Ngokukhethekile, iyingxenye yeqembu lemithi ebizwa ngokuthi i-"SSRI" (Selective Serotonin Reuptake Inhibitors).
Cabanga ngakho, ubuchopho bethu bunamakhemikhali ahlukahlukene (ama-neurotransmitter) alawula imicabango yethu, imizwa, injabulo kanye nokudabuka. I-Serotonin ingenye yamakhemikhali anjalo esiza ukugcina isimo sethu sengqondo sisesimweni esihle. Leli zinga le-serotonin ebuchosheni bomuntu onesifo sokucindezeleka lingaba liphansi. I-Citalopram, kafushane nje, ikhulisa izinga le-serotonin ebuchosheni futhi isiza ukuthuthukisa isimo sakho sengqondo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike i-Citalopram, kubalulekile ukuthi ube nolwazi oluphelele ngomlando wempilo yakho. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isimo sakho noma umkhuba wakho | Incazelo |
|---|---|
| Izinkinga zempilo yengqondo | Wena noma othile emndenini wakho unesifo sokuphazamiseka kwengqondo , noma umlando wemicabango, amacebo, noma imizamo yokuzibulala. |
| Isifo senhliziyo | Umlando wanoma yiluphi uhlobo lwesifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile. |
| Ezinye izimo zezokwelapha | Isifo sezinso, isifo sesibindi, isifo se-thyroid, i-glaucoma, ukuquleka. |
| Izinkinga ezihlobene negazi | Ukuthatha imithi yokunciphisa igazi, izinkinga zokopha, amazinga aphansi e-potassium noma i-magnesium egazini. |
| Ukungezwani komzimba | Ukuba ne-allergy ku-Citalopram, i-Escitalopram noma yimuphi omunye umuthi, ukudla, noma idayi. |
| Imicimbi ekhethekile | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngomuthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Phuza leli philisi nengilazi yamanzi. Akunandaba ukuthi uliphuza ngaphambi noma ngemva kokudla.
- Zenze umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke . Lokhu kuzosiza ukugcina amazinga omuthi emzimbeni wakho ehambisana.
- Ungathathi okungaphezu komthamo obekwe udokotela wakho.
- Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zakho zibe zimbi kakhulu noma ungase ube nezimpawu zokuhoxa. Uma uyeka, yenza lokho njengoba kuqondiswe udokotela wakho, wehlise kancane kancane umthamo.
Kuthiwani uma ngengozi ngithatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho okucabangayo, thatha isinyathelo ngokushesha. Uma kungenzeka, shayela i-National Poisons Information Centre e-Colombo National Hospital . Ngaphandle kwalokho, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yimiphi eminye imithi engasebenzisana ne-Citalopram?
I-Citalopram umuthi ongasebenzisana neminye imithi. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, kungakhathaliseki ukuthi uyinikwe udokotela, uyithenge ekhemisi, umuthi wendabuko, noma amavithamini.
| Ungalokothi uthathe i-Citalopram nalezi zidakamizwa. | |
|---|---|
| Ama-MAOI (isib. i-Carbex, i-Marplan) | I-Pimozide |
| I-Thioridazine | I-Linezolid |
| I-Escitalopram (lesi isidakamizwa esifana ne-Citalopram) | I-Methylene eluhlaza okwesibhakabhaka (engena emthanjeni) |
| Qaphela kakhulu uma uthatha lezi. | |
| I-aspirini kanye nama-NSAID (ama-painkiller - isib. i-Ibuprofen, i-Naproxen) | Eminye imithi evimbela ukujiya kwegazi (isib. i-Warfarin) |
| Eminye imithi yokucindezeleka kanye nemithi yokwelapha isifo sengqondo | Eminye imithi yokwelapha i-migraine (Triptans) |
| Utshwala | Izinhlungu zobuhlungu ezinamandla njengeTramadol neFentanyl |
| Imikhiqizo yamakhambi njenge-St. John's wort | Eminye imithi ethinta izinga lokushaya kwenhliziyo (elula isikhathi se-QT) |
Imiphumela emibi engaba khona ngenkathi uthatha umuthi
Njenganoma yimuphi umuthi, i-Citalopram ingabangela imiphumela emibi. Eminye yale mithi iyingozi kakhulu, kanti eminye ivamile. Into ebalulekile ukuqaphela lokhu futhi uthathe isinyathelo uma ubona noma yiziphi izimpawu eziyisixwayiso.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko emicabangweni | Imicabango yokuzibulala, imicabango yokuzilimaza, ukucindezeleka okukhulu. |
| I-Serotonin Syndrome | Ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane, ukuhlanza, isifo sohudo. |
| Ukopha okungavamile | Indle emnyama njenge-tar, umchamo onsundu/obomvu omnyama, ukuhlanza okufana nekhofi eligayiwe, kanye namabala amancane abomvu/onsomi esikhumbeni. |
| Izinkinga zenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Uma lokhu kuqhubeka noma kuba yinkinga, tshela udokotela wakho. | |
| Umlomo owomile | Ukujuluka ngokweqile |
| Isicanucanu, isisu esibuhlungu | Uhudo |
| Izinguquko esifisweni noma emsebenzini wocansi | Ukuthuthumela |
Umlayezo Wokuya Nawe Ekhaya
- I-Citalopram umuthi owelapha ukucindezeleka futhi ulawula amazinga e-serotonin ebuchosheni.
- Kungathatha amasonto ambalwa ukubona imiphumela ephelele yalo muthi, ngakho-ke yiba nesineke futhi uqhubeke nokuwusebenzisa njengoba uqondiswe udokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Qaphela imicabango nemizwa yakho ikakhulukazi lapho uqala ukuthatha lo muthi. Uma ubona noma yiziphi izinguquko eziyingozi, njengemicabango yokuzibulala, tshela udokotela wakho ngokushesha.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Uma uphuza ngokweqile, yiya ngokushesha eNational Poison Information Center noma e- ETU yesibhedlela.
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