Citalopram ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Citalopram ni umuti wandikirwa na muganga ugabanya ububabare bwo mu mutwe, ukaba mu itsinda ry'imiti yitwa selective serotonin reuptake inhibitors (SSRIs). Ukora ufasha kugarura uburinganire bwa serotonin, umuti kamere mu bwonko bwawe ugira uruhare mu myumvire n'imibanire yawe.

Niba urimo gusoma ibi, wenda wowe cyangwa umuntu ukunda ashobora kuba atekereza kuri uyu muti, cyangwa wenda muganga wawe yamaze kuwukwandikira. Kumva uko citalopram ikora n'icyo witegura bishobora kugufasha kumva ufite icyizere cyinshi ku rugendo rwawe rwo kuvurwa.

Citalopram ni iki?

Citalopram ni umuti ugabanya ububabare bwo mu mutwe wandikwa cyane ufasha kuvura umubabaro wo mu mutwe n'indwara zimwe na zimwe ziterwa n'ubwoba. Ni igice cy'umuryango wa SSRI, bivuze ko ikora by'umwihariko ku rwego rwa serotonin mu bwonko bwawe.

Tekereza serotonin nk'umwe mu ntumwa z'ingenzi z'ubwonko bwawe zigenzura imyumvire. Iyo ufite umubabaro wo mu mutwe cyangwa ubwoba, uru rwego rwa serotonin rushobora kutagira uburinganire. Citalopram ifasha mu kubuza ubwonko bwawe kumira serotonin vuba cyane, ikemerera ko nyinshi zikomeza kuboneka aho zikenewe.

Uyu muti wakoreshejwe mu buryo bwizewe kandi neza mu myaka myinshi. Ufatwa nk'ubuvuzi bwa mbere ku mubabaro wo mu mutwe, bivuze ko abaganga bakunze kuwusaba nk'imwe mu nzira zo kuvura z'ibanze kubera amateka yayo yemejwe kandi akenshi ingaruka ziterwa n'iyo miti zishobora kugenzurwa.

Citalopram ikoreshwa mu kuvura iki?

Citalopram ahanini yandikirwa kuvura indwara ikomeye yo mu mutwe, izwi cyane nka clinical depression. Muganga wawe ashobora no kuyikwandikira kubera indwara zimwe na zimwe ziterwa n'ubwoba, nubwo ibi byafatwa nk'ikoreshwa "ridasanzwe".

Uyu muti ushobora gufasha cyane niba ufite amarangamutima yo kumva ubabaye, kutagira icyizere, cyangwa kumva nta cyo umariye bikubuza gukora imirimo yawe ya buri munsi. Ushobora no gufasha mu bimenyetso nk'uko kutagira inyota y'ibikorwa wari ukunda, impinduka mu buryo bwo kurya cyangwa gusinzira, no kugorana kwitonda.

Rimwe na rimwe abaganga bandikira citalopram ku bantu bafite indwara yo guhagarika umutima, indwara yo guhangayika rusange, cyangwa indwara yo kwikunda cyane. Nubwo ibi atari byo byemewe by'ibanze by'uyu muti, ubushakashatsi bwagaragaje ko ushobora kugira akamaro kuri izi ndwara ku bantu benshi.

Citalopram ikora ite?

Citalopram ikora ibuza serotonin gusubira mu bwonko bwawe. Mu magambo yoroheje, birinda selile zo mu bwonko bwawe gufata serotonin vuba cyane, bigatuma imisemburo myinshi igenzura amarangamutima iboneka mu mwanya uri hagati y'uturemangingo tw'imitsi.

Iyi nzira ntibaho mu ijoro rimwe. Bisaba ibyumweru byinshi kugirango ubone inyungu zose kuko ubwonko bwawe bukenera igihe cyo kumenyera urwego rwa serotonin ruzamutse. Ushobora gutangira kumva hariho impinduka nziza mu gusinzira, kurya, cyangwa urwego rw'imbaraga mu cyumweru cya mbere cyangwa icya kabiri.

Citalopram ifatwa nk'umuti ukomeye wo kurwanya depression mu cyiciro cya SSRI. Ntabwo ari wo muti ukomeye cyane uboneka, ariko ufitiye akamaro abantu benshi kandi akenshi ugira ingaruka nke ugereranije n'indi miti imwe yo kurwanya depression. Abantu benshi basanga ifite urugero rwiza hagati y'akamaro n'ubushobozi bwo kwihanganirwa.

Nkwiriye gufata Citalopram nte?

Fata citalopram uko umuganga wawe abikwandikiye, akenshi rimwe ku munsi mu gitondo cyangwa nimugoroba. Urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, nubwo kuyifata hamwe n'ibiryo bishobora gufasha kugabanya ibibazo byo mu nda niba hari icyo ubona.

Abantu benshi babona ko bifasha gufata citalopram ku gihe kimwe buri munsi kugira ngo bakomeze urwego ruri hejuru mu mubiri wabo. Niba ubonye ko bigutera gusinzira, kubifata nimugoroba bishobora kugukorera neza. Niba bisa nkaho biguha imbaraga cyangwa bikabangamira gusinzira, mu gitondo birashobora kuba byiza.

Mimina ikinini cyose hamwe n'ikirahure cy'amazi. Ntugasenya, ntukomere, cyangwa ucagagure ikinini keretse muganga wawe akubwiye kubikora. Niba ufata umuti wo kunywa, koresha igikoresho cyo gupima kizana nawo kugira ngo wemeze ko ubona urugero rukwiye.

Nta funguro ryihariye ugomba kurya mbere yo gufata citalopram, ariko kurya ibiryo bisanzwe kandi bikungahaye ku ntungamubiri birashobora gufasha umubiri wawe gutunganya imiti neza. Irinde inzoga mugihe ufata uyu muti, kuko bishobora kongera ibyago byo kugira ingaruka mbi kandi bishobora kubangamira imikorere y'umuti.

Mbona Citalopram Mfata Igihe Kingana Gite?

Abantu benshi bakeneye gufata citalopram byibuze amezi 6 kugeza kuri 12 kugira ngo babone inyungu yuzuye kandi birinde ko ibimenyetso bisubira. Muganga wawe azakorana nawe kugira ngo amenye igihe gikwiye gishingiye ku miterere yawe yihariye n'uburyo witwara ku buvuzi.

Kubijyanye n'icyorezo cyawe cya mbere cyo kwiheba, ushobora gukenera gukomeza kuvurwa mu gihe cy'amezi 6 kugeza kuri 9 nyuma yo gutangira kumva umeze neza. Niba warigeze kugira kwiheba mbere, muganga wawe ashobora kugusaba kuguma ku muti igihe kirekire kugira ngo bifashe kwirinda ibyorezo bizaza.

Ikintu cyingenzi cyo kwibuka nuko guhagarika kare bishobora gutuma ibimenyetso bisubira, nubwo wumva umeze neza cyane. Kuvura kwiheba ni nko kuvura umuvuduko w'amaraso mwinshi - umuti ukora mugihe uwufata, ariko ikibazo cyibanze kirashobora kuba kigihari.

Igihe kigeze cyo guhagarika citalopram, muganga wawe azagufasha kugabanya buhoro buhoro. Guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho, bityo ni ngombwa gukurikiza ubuyobozi bwa muganga wawe kugira ngo ugabanye urugero buhoro buhoro uko igihe kigenda.

Ni Ibihe Bikorwa Bigaragara ku Citalopram?

Kimwe n'imiti yose, citalopram ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Ibikorwa bigaragara byinshi ni bike kandi bikunda gukira uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Reka turebe ibikorwa bigaragara cyane ushobora guhura nabyo, twibuka ko abantu benshi bafata uyu muti neza:

• Urugimbu no kuribwa mu nda (muri rusange bikira mu byumweru 1-2)
• Umunwa wumye
• Gusinzira cyangwa kunanirwa
• Kuribwa umutwe
• Kuvuza ibyuya cyane
• Kugorana kwituma
• Impinduka mu rwego rwo kurya
• Ibikorwa bigaragara ku bijyanye n'imibonano mpuzabitsina, nk'uko kugabanuka k'urukundo cyangwa kugorana kugera ku byishimo

Ibi bikorwa bigaragara bisanzwe bikunda kugabanuka uko umubiri wawe umenyera umuti. Niba bikomeje cyangwa bikabangamira cyane ubuzima bwawe bwa buri munsi, ganira na muganga wawe ku bijyanye no guhindura urugero rwawe cyangwa igihe cyo gufata umuti.

Hariho kandi ibikorwa bigaragara bitari ibisanzwe ariko bikomeye bisaba ubufasha bwihuse bwa muganga. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya:

• Gusohoka amaraso cyangwa gukomeretsa bidasanzwe
• Kuribwa umutwe cyane
• Umutima utera vuba cyangwa utari ku murongo
• Kugira ibibazo byo gufatwa
• Kuribwa umutwe cyane cyangwa guta ubwenge
• Ibimenyetso byo kugabanuka kw'isodiyumu (urujijo, intege nke, kutagira umutuzo)
• Ibyiciro bya manic (imitekerereze isanzwe yazamutse, kutagira icyo ukenera gusinzira, gutekereza vuba)

Gahoro cyane, citalopram ishobora gutera ikibazo gikomeye cyitwa serotonin syndrome, cyane cyane iyo ihujwe n'indi miti igira ingaruka kuri serotonin. Reba ibimenyetso nk'uburakari, urujijo, umutima utera vuba, umuriro mwinshi, cyangwa gukakara kw'imitsi, kandi usabe ubufasha bwihuse bwa muganga niba bibaye.

Ni Bande Batagomba Gufata Citalopram?

Citalopram ntabwo ikwiriye kuri buri wese, kandi hariho ibintu bimwe na bimwe aho muganga wawe yagusaba umuti utandukanye. Ntugomba gufata citalopram niba urwaye allergie cyangwa niba umaze gufata ubwoko bwa antidepressant yitwa monoamine oxidase inhibitor (MAOI) mu minsi 14 ishize.

Muganga wawe azakenera gusuzuma neza niba citalopram ikwiriye kuri wowe niba ufite indwara zimwe na zimwe. Ibibazo by'umutima ni ngombwa cyane kubiganiraho, kuko citalopram ishobora kugira ingaruka ku mutima wa bamwe, cyane cyane ku doze ndende.

Dore ibintu bimwe na bimwe bisaba kwitonderwa mbere yo gutangira citalopram:

• Ibibazo by'umutima cyangwa amateka y'umuryango y'indwara z'umutima
• Indwara y'umwijima cyangwa impyiko
• Indwara z'amaraso cyangwa gufata imiti ituma amaraso atavura vuba
• Indwara z'ibihungabanyo cyangwa amateka y'ibihungabanyo
• Indwara ya bipolar
• Glaucoma ifite angle nto
• Urugero ruto rwa sodium mu maraso yawe

Niba utwite, ufite gahunda yo gutwita, cyangwa uri konjesha, biganireho neza na muganga wawe. Nubwo citalopram ishobora gukoreshwa mugihe cyo gutwita iyo inyungu ziruta ibyago, bisaba gukurikiranwa neza no gusuzuma izindi nzira.

Imyaka ni ikindi kintu cy'ingenzi. Abantu bakuze bashobora kwitwara neza ku ngaruka ziterwa n'umuti, cyane cyane ibyago byo kugabanya urugero rwa sodium no kugwa bitewe no kuribwa. Muganga wawe ashobora gutangira ku rugero ruto kandi akagukurikirana neza.

Amazina y'ubwoko bwa Citalopram

Citalopram iboneka munsi y'amazina menshi y'ubwoko, Celexa ikaba izwi cyane muri Leta Zunze Ubumwe z'Amerika. Urugero rusanzwe, rwitwa gusa citalopram, rukubiyemo ibikoresho bikora kimwe kandi bikora neza nk'ubwoko bw'amazina.

Ushobora kandi kubona citalopram igurishwa mu mazina y'ubundi bwoko nka Cipramil mu bihugu bimwe na bimwe. Hatitawe ku izina ry'ubwoko, ubwoko bwose bwa citalopram burimo umuti umwe ukora kandi ukurikizwa n'amabwiriza amwe y'umutekano.

Abantu benshi basanga citalopram rusange ikora neza nk'ubwoko bw'izina kandi igiciro cyayo kiragabanuka cyane. Niba uri gukoresha ubwoko bw'izina kandi ukaba utekereza guhindura ukajya ku rusange, cyangwa ibinyuranye, ganira na muganga wawe cyangwa umufarumasitiere ku bijyanye no guhindura neza.

Uburyo bwo gusimbuza Citalopram

Niba citalopram itagukundiye cyangwa ikaba itera ingaruka zikomeye, hari ubundi buryo bwinshi bwo kuvura buriho. Muganga wawe ashobora kugufasha gushakisha izi nzira zindi zishingiye ku byo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Izindi SSRIs zikora kimwe na citalopram zirimo sertraline (Zoloft), fluoxetine (Prozac), na escitalopram (Lexapro). Escitalopram ni verisiyo isukuye ya citalopram abantu bamwe bakwihanganira neza bafite ingaruka nkeya.

Muganga wawe ashobora kandi gutekereza ku byiciro bitandukanye bya antidepressants, nk'ibi:

• SNRIs (serotonin-norepinephrine reuptake inhibitors) nka duloxetine cyangwa venlafaxine
• Atypical antidepressants nka bupropion cyangwa mirtazapine
• Tricyclic antidepressants, nubwo izi zitakoreshwa cyane kubera ingaruka nyinshi

Usibye imiti, imiti irashobora kugira akamaro gakomeye ku bwigunge no guhangayika, haba wenyine cyangwa uhujwe n'imiti. Imikorere y'imyitwarire ya cognitive (CBT) n'imiti yo gukorana ifite ubushakashatsi bukomeye bwo kuvura ibibazo by'agahinda.

Impinduka z'imibereho nk'imyitozo ngororamubiri ya buri gihe, imyitwarire myiza yo gusinzira, gucunga umunaniro, no gufashanya mu mibanire bifite uruhare runini mu gucunga ibibazo by'agahinda kandi bishobora guhuza neza imiti.

Ese Citalopram iruta Sertraline?

Citalopram na sertraline zombi zikora neza nka SSRIs, kandi nta n'imwe iruta iyindi. Guhitamo hagati yazo akenshi biterwa n'ibintu byihariye nk'ingaruka ziterwa n'imiti, uko imiti ivugana, n'uko umuntu yitwara ku muti.

Citalopram ikunda gutuma umuntu asinzira cyane kurusha sertraline, ibyo bishobora kuyigira nziza kurushaho niba ugira ikibazo cyo gusinzira. Ku rundi ruhande, sertraline ishobora gukundwa niba wumva unaniwe cyane cyangwa ukeneye imbaraga nyinshi ku manywa.

Mu bijyanye n'ingaruka ziterwa n'imiti, imiti yombi ifite imiterere isa, ariko uko umuntu yitwara birashobora gutandukana cyane. Abantu bamwe boroherwa na citalopram, mu gihe abandi boroherwa na sertraline. Ingorane zifitanye isano n'imibonano mpuzabitsina zishobora kubaho kuri byombi, nubwo ubushakashatsi bumwe buvuga ko zishobora kuba zitabaho cyane kuri sertraline.

Sertraline yagiye yigwaho cyane mu bintu bimwe na bimwe nk'indwara yo guhagarika umutima no guhungabana nyuma y'ihungabana, bityo muganga wawe ashobora kuyikunda muri ibyo bihe byihariye. Ariko, citalopram ifite imiti mike ivugana, ibyo bishobora kuba by'ingenzi niba ufata imiti myinshi.

Ibikunze Kubazwa Kuri Citalopram

Ese Citalopram irakwiriye abarwayi b'umutima?

Citalopram ishobora kugira ingaruka ku mutima, cyane cyane ku bipimo birebire, bityo bisaba kubitekerezaho neza ku bantu bafite indwara z'umutima. Muganga wawe ashobora gutegeka gukoresha electrocardiogram (ECG) mbere yo gutangira kuvurwa kandi ashobora gukurikirana uko umutima wawe utera buri gihe.

Icipimo ntarengwa gisabwa ni gito ku bantu bafite ibibazo by'umutima, akenshi ni 20mg ku munsi aho kuba 40mg isanzwe. Niba ufite amateka y'ibibazo by'umutima, muganga wawe ashobora guhitamo umuti wo kurwanya depression utagira ingaruka ku mutima mu buryo bumwe.

Nyamara, ntukemere ko ibyo bikubangamira cyane. Abantu benshi bafite indwara z'umutima bafata citalopram mu buryo bwizewe bayobowe n'abaganga. Ikintu cy'ingenzi ni ukuganira neza na muganga wawe ku bijyanye n'ubuzima bw'umutima wawe n'ibimenyetso byose ubona.

Nkwiriye gukora iki niba mfashwe citalopram nyinshi ku buryo butunganye?

Niba ufashwe citalopram nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe ubumara ako kanya, kabone n'iyo wumva umeze neza. Guhura na citalopram nyinshi bishobora gutera ingaruka zikomeye, harimo ibibazo by'umutima, gufatwa n'ibibazo bya serotonin.

Ntugategereze kureba niba ugira ibimenyetso. Hamagara muganga wawe ako kanya cyangwa ujye mu cyumba cy'ubutabazi cyegereye niba ufashwe urugero rwinshi cyane kurusha urwo wahawe. Zana urupapuro rw'imiti kugira ngo abaganga babone neza icyo wafashe n'urugero wafashe.

Ibimenyetso byo kurenza urugero rwa citalopram birimo isesemi, kuruka, gusinzira, isereri, umutima wihuta, kandi mu bihe bikomeye, gufatwa cyangwa gutakaza ubwenge. Ubufasha bwihuse bw'ubuvuzi bushobora gukumira izi ngorane kuba zikomeye.

Nkwiriye gukora iki niba nirengagije urugero rwa citalopram?

Niba wibagiwe urugero rwa citalopram, rufate ako kanya wibukire, keretse igihe kigeze cyo gufata urugero rwawe rukurikira. Muri icyo gihe, reka urugero wibagiwe ukoreshe urugero rwawe rukurikira ku gihe gisanzwe. Ntukigere ufata urugero ebyiri icyarimwe kugira ngo usubize urugero wibagiwe.

Kutagira urugero rimwe na rimwe ntibiteje akaga, ariko gerageza kugumana uburyo bumwe kugira ngo ubone ibisubizo byiza. Niba ukunda kwibagirwa urugero, tekereza gushyiraho umwanya kuri terefone cyangwa gukoresha umuteguro w'ibinyobwa kugira ngo ugufashe kwibuka.

Niba ukunda kwibagirwa urugero, umuti ntushobora gukora neza. Vugana na muganga wawe niba ufite ibibazo byo kwibuka gufata imiti yawe - bashobora gutanga ibitekerezo cyangwa guhindura gahunda yawe yo kuvurwa.

Nshobora guhagarika ryari gufata citalopram?

Ugomba guhagarika gufata citalopram gusa ukurikije ubuyobozi bwa muganga wawe, kabone n'iyo wumva umeze neza cyane. Guhagarika imiti igabanya umubabaro vuba cyane bishobora gutera ibimenyetso byo gukurwaho kandi bishobora gutuma umubabaro wawe ugaruka.

Muganga wawe akenshi azagusaba gukomeza gufata imiti byibuze amezi 6 nyuma y’uko ibimenyetso byawe bigabanutse, ndetse bishobora no kumara igihe kirekire niba waragize ibibazo byinshi byo kwiheba. Igihe kigeze cyo guhagarika, uzagabanya buhoro buhoro urugero rwawo mu byumweru byinshi cyangwa amezi.

Ntuzigere uhagarika citalopram mu buryo butunguranye ku giti cyawe. Ibimenyetso byo kuva mu miti birimo isereri, ibimenyetso bisa n'ibicurane, guturika mu bwonko (kumva nk'aho umuriro w'amashanyarazi uguturukamo), no guhinduka kw'amarangamutima. Ibi bimenyetso ni iby'igihe gito ariko bishobora kutagushimisha kandi bikaba bishobora guteza akaga.

Nshobora kunywa inzoga nkanwa citalopram?

Ni byiza kwirinda inzoga mugihe ufata citalopram, kuko bishobora kongera ibyago byo kugira ingaruka ziterwa n'iyo miti kandi bishobora kubangamira imikorere yayo. Inzoga irashobora gushimangira ibimenyetso byo kwiheba no guhangayika, igahindura ibyiza byo gufata imiti yawe.

Niba uhisemo kunywa rimwe na rimwe, wikwirirwa unywa nyinshi kandi witondere uko wumva. Abantu bamwe basanga inzoga zibagira ingaruka cyane mugihe bafata citalopram, bigatuma barushaho gusinzira cyangwa kugira isereri.

Niba urwana no gukoresha inzoga, ni ngombwa cyane kubiganiraho na muganga wawe. Ashobora kugufasha gukora gahunda yuzuye yo kuvura ikemura ibibazo byawe byo kwiheba n'ibibazo byose bifitanye isano n'inzoga mu buryo bwizewe kandi neza.