Ingabe ngezinye izikhathi uzizwa ucindezelekile kakhulu, ukhathazekile, noma ukucindezeleka? Ngaleso sikhathi, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Escitalopram. Uma uzwa ngalomuthi, ungase uzizwe wesaba futhi unelukuluku. Lokho kuvamile. Ngakho-ke, namuhla sizokhuluma ngalomuthi obizwa ngokuthi i-Escitalopram, njengokungathi sikhuluma nomngane, futhi sizoxoxa ngakho konke kalula.
Iyini ngempela i-Escitalopram?
Kalula nje, i-Escitalopram umuthi osetshenziselwa ukwelapha izimo zempilo yengqondo njengokucindezeleka nokukhathazeka . I-Serotonin iyisithunywa samakhemikhali ebuchosheni esisiza ukulawula imizwa yenjabulo nokuzola. Ngezinye izikhathi, lapho amazinga e-serotonin ehla, siqala ukuzizwa sikhathazekile futhi sicindezelekile.
I-Escitalopram ingeyohlobo lwemithi ebizwa ngokuthi ama-SSRI (Selective Serotonin Reuptake Inhibitors). Lo muthi usebenza ngokwandisa inani le-serotonin ebuchosheni, okusiza ekuthuthukiseni isimo sakho sengqondo. Lokhu kusho ukuthi ungakusiza uzizwe ucindezelekile futhi uphumule kakhudlwana.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-Escitalopram, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enanoma yiziphi izimo ezibalwe ngezansi.
| Isimo sempilo noma iqiniso | Incazelo |
|---|---|
| Izinkinga zempilo yengqondo | Wena noma othile emndenini wakho unesifo sokuphazamiseka kwengqondo, imicabango yokuzibulala, amacebo, noma imizamo yokuzibulala. |
| Ezinye izifo | Isifo sikashukela, i-glaucoma, isifo senhliziyo, isifo sezinso noma sesibindi, ukuquleka. |
| Ukungezwani komzimba | Ukuba nokungezwani komzimba ne-Escitalopram, i-Citalopram (omunye umuthi kuleli klasi) noma yimuphi omunye umuthi, ukudla, noma idayi. |
| Ezinye izindlela zokwelapha | Uma uthola ukwelashwa nge-electroconvulsive (ECT). |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngingawusebenzisa kanjani lo muthi?
Kulula kakhulu. Thatha leli philisi njengoba nje udokotela wakho ekutshelile, ngesilinganiso esifanele, nengilazi yamanzi. Ungalithatha ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzizwa unesisu esibuhlungu, kungcono ukulithatha kanye nokudla. Kubaluleke kakhulu ukuphuza umuthi wakho ngesikhathi esifanele nsuku zonke. Ungathathi okungaphezu noma okungaphansi kwalokho udokotela wakho akutshelile.
Kubaluleke kakhulu: Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokukhuluma nodokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu noma kwenze isimo sakho sibe sibi kakhulu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
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 umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Escitalopram ingasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye notshwala. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini), nokuthi uyabhema noma uyaphuza utshwala.
Imithi elandelayo akufanele isetshenziswe ne-Escitalopram.
| Imithi okungafanele ithathwe ne-Escitalopram | |
|---|---|
| I-Citalopram (esinye isidakamizwa salolu hlobo) | I-Pimozide, i-Thioridazine (imithi yokugula kwengqondo) |
| Ama-MAOI (isib. uMarplan, uNardil) | I-Linezolid (i-antibiotic) |
| I-Methylene blue (umjovo onikezwa ngemithambo yegazi) | I-Dronedarone (umuthi wesifo senhliziyo) |
Futhi, i-aspirin, imithi yokunciphisa izinhlungu (ama-NSAID - isibonelo, i-ibuprofen), imithi yokunciphisa igazi (isib. i-warfarin), eminye imithi yokucindezeleka, imithi ye-migraine, kanye notshwala kungase kuhlangane nalo muthi. Ngakho nikeza udokotela wakho uhlu oluphelele.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Kuthatha isikhathi ukubona imiphumela: Kungathatha amasonto amaningana ukuthi lo muthi usebenze ngokugcwele. Ngakho-ke, ungayeki ukuwuthatha ngoba ucabanga ukuthi, "Akusekho mehluko okwamanje." Qhubeka uwuthatha njengoba uqondiswe udokotela wakho.
- Qaphela imicabango: Qaphela izinguquko emicabangweni yakho, ekuziphatheni kwakho, nasemizweni yakho, ikakhulukazi lapho uqala ukwelashwa noma lapho umthamo wakho wemithi ushintshwa. Uma unemicabango emisha noma emibi yokuzibulala, tshela udokotela wakho ngokushesha.
- Ezinye izinguquko zengqondo: Abanye abantu bangase babe nezimpawu ezifana nokungahlaliseki okukhulu, ukucasuka, ukucasuka, ukusebenza ngokweqile, noma ukuqwasha. Lokhu kufanele kubikwe nakudokotela .
- Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesiyezi lapho uthatha lo muthi. Ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka noma uhlala phansi ngokuzumayo, ikakhulukazi uma ungumuntu osekhulile.
- Umlomo owomile: Ungase uzizwe sengathi umlomo wakho womile. Lokhu kungancishiswa ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Escitalopram ingabangela imiphumela emibi kwabanye abantu. Esikhathini esiningi, lokhu akukubi kakhulu. Kodwa-ke, kunezimpawu ezithile okufanele siziqaphele ngokukhethekile.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Indle emnyama noma enegazi, umchamo onsundu noma obomvu, ukuhlanza okufana nokugayiwe kwekhofi, kanye namabala amancane abomvu noma onsomi esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukungaphumuli, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuhlanza, isifo sohudo. |
| Ezinye izimpawu ezinkulu | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, imicabango yokuzibulala, izimpawu zamazinga aphansi e-sodium (ubuthakathaka bemisipha, ikhanda elibuhlungu, ukudideka). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhlelo lokugaya ukudla | Uhudo, isicanucanu, ukucasuka kwesisu. |
| Okunye | Ukujuluka ngokweqile, ukuthuthumela, izinguquko esifisweni socansi noma ekusebenzeni. |
Uyigcina kanjani imithi yakho?
Gcina lo muthi kude nezingane nezilwane ezifuywayo . Kungcono ukuwugcina ezingeni lokushisa legumbi (phakathi kwama-degree Celsius angu-15-30). Ungasebenzisi umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Escitalopram umuthi owelapha izimo ezinjengokucindezeleka nokukhathazeka futhi usebenza ngokulawula amazinga e-serotonin ebuchosheni.
- Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezimo zezokwelapha ozisebenzisayo.
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Qaphela kakhulu imicabango nemizwa yakho ekuqaleni kokwelashwa. Tshela udokotela wakho ngokushesha uma ubona noma yiziphi izinguquko eziyingozi, njengemicabango yokuzibulala.
- Gwema ukushayela uze ujwayele imithi, ngoba ingabangela ukozela. Gwema ukuphuza utshwala ngokuphelele.
- Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukukhuluma nodokotela wakho.
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