Yini i-Citalopram: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Citalopram iyimithi elotshwe ngudokotela elwa nokucindezeleka elingaphansi kweqembu lemithi ebizwa ngokuthi ama-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokusiza ukubuyisela ibhalansi ye-serotonin, ikhemikhali yemvelo ebuchosheni bakho ethinta imizwa nenhlalakahle engokomzwelo.

Uma ufunda lokhu, wena noma othile omkhathalelayo kungenzeka ucabangela le mithi, noma mhlawumbe udokotela wakho useyikhiphile kakade. Ukuqonda ukuthi i-citalopram isebenza kanjani nokuthi yini ongayilindela kungakusiza uzizwe unethemba elikhulu ngohambo lwakho lokwelashwa.

Yini i-Citalopram?

I-Citalopram iyimithi elwa nokucindezeleka elotshwa kakhulu esiza ukwelapha ukucindezeleka kanye nezifo ezithile zokukhathazeka. Iyingxenye yomndeni we-SSRI, okusho ukuthi isebenza ngokuqondile emazingeni e-serotonin ebuchosheni bakho.

Cabanga nge-serotonin njengomunye wabathunywa abakhulu bengqondo yakho bokulawula imizwa. Uma unokucindezeleka noma ukukhathazeka, la mazinga e-serotonin angase angalingani. I-Citalopram isiza ngokuqeda ubuchopho bakho ekumunceni i-serotonin ngokushesha kakhulu, ivumela okuningi ukuthi kuhlale kutholakala lapho kudingeka khona.

Le mithi isetshenziswe ngokuphepha nangempumelelo iminyaka eminingi. Ithathwa njengokwelashwa komugqa wokuqala wokucindezeleka, okusho ukuthi odokotela bavame ukuyincoma njengenye yezinketho zokuqala zokwelashwa ngenxa yomlando wayo oqinisekisiwe kanye nephrofayili yemiphumela eseceleni elawulekayo.

Isetshenziselwani i-Citalopram?

I-Citalopram ngokuyinhloko ilotshwa ukwelapha i-major depressive disorder, eyaziwa ngokuthi ukucindezeleka komtholampilo. Udokotela wakho angase futhi akulotsele izimo ezithile zokukhathazeka, nakuba lokhu kungathathwa njengokusebenzisa okungahambisani nemithetho.

Umuthi ungaba usizo olukhulu uma uzizwa njalo udabukile, ungenathemba, noma unovalo oluphazamisa impilo yakho yansuku zonke. Ungase futhi usize ngezimpawu ezinjengokulahlekelwa intshisekelo emisebenzini obuyithanda ngaphambili, izinguquko ekudleni noma emaphethini okulala, nobunzima bokugxilisa ingqondo.

Ngezinye izikhathi odokotela banikeza i-citalopram ngenxa yokukhathazeka, ukukhathazeka okujwayelekile, noma ukuphazamiseka okucindezelayo. Nakuba lokhu kungewona amakhambi avunyelwe ngumuthi, ucwaningo lukhombisile ukuthi lungasebenza ngempumelelo kulezi zimo kubantu abaningi.

Isebenza Kanjani I-Citalopram?

I-Citalopram isebenza ngokuvimba ukuthathwa kabusha kwe-serotonin ebuchosheni bakho. Ngamazwi alula, ivimbela amaseli akho obuchopho ukuthi angamunci i-serotonin ngokushesha kakhulu, ishiya amakhemikhali amaningi alawula imizwa atholakala ezindaweni eziphakathi kwamaseli ezinzwa.

Le nqubo ayenzeki ngobusuku obubodwa. Ngokuvamile kuthatha amasonto amaningana ukuthi uqaphele izinzuzo eziphelele ngoba ubuchopho bakho budinga isikhathi sokuzivumelanisa namazinga e-serotonin andisiwe. Ungase uqale ukuzwa ukuthuthuka ekulaleni, ekudleni, noma emazingeni amandla ngesonto lokuqala noma amabili.

I-Citalopram ithathwa njenge-antidepressant enamandla aphakathi nendawo ngaphakathi ekilasini le-SSRI. Akuyona inketho enamandla kunazo zonke etholakalayo, kodwa isebenza kubantu abaningi futhi ivame ukuba nemiphumela emincane kunamanye ama-antidepressants. Abantu abaningi bathola ukuthi idala ibhalansi enhle phakathi kokusebenza kahle nokubekezeleleka.

Kufanele Ngiyithathe Kanjani I-Citalopram?

Thatha i-citalopram ngendlela udokotela wakho ayikuyala ngayo, ngokuvamile kanye ngosuku ekuseni noma kusihlwa. Ungayithatha nokudla noma ngaphandle kokudla, nakuba ukuyithatha nokudla kungasiza ukunciphisa isisu uma uzwa noma yini.

Abantu abaningi bakuthola kuwusizo ukuthatha i-citalopram ngesikhathi esifanayo nsuku zonke ukuze bagcine amazinga aqhubekayo emzimbeni wabo. Uma uqaphela ukuthi kukwenza uzizwe ukozile, ukuyithatha kusihlwa kungase kusebenzele kangcono. Uma kubonakala kukunika amandla noma kuphazamisa ukulala, ekuseni kungase kube ngcono.

Gwinya ithebhulethi yonke ngamanzi. Ungayichobozi, uhlafune, noma uyiphule ithebhulethi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Uma uthatha ikhambi lomlomo, sebenzisa idivayisi yokulinganisa eliza nayo ukuze uqinisekise ukuthi uthola umthamo ofanele.

Akukho ukudla okuthile okudingeka ukudle ngaphambi kokuthatha i-citalopram, kodwa ukugcina ukudla okuvamile, okulinganiselayo kungasiza umzimba wakho ukuthi uqhubekise imithi ngendlela efanayo. Gwema utshwala ngenkathi uthatha lo muthi, njengoba kungakhuphula ingozi yemiphumela emibi futhi kungase kuphazamise ukusebenza komuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Citalopram?

Abantu abaningi badinga ukuthatha i-citalopram okungenani izinyanga eziyi-6 kuya kweziyi-12 ukuze bathole inzuzo ephelele futhi bavimbele izimpawu ukuthi zingabuyi. Udokotela wakho uzosebenza nawe ukunquma ubude obufanele ngokuya ngesimo sakho esithile nokuthi usabela kanjani ekwelashweni.

Ngesigameko sakho sokuqala sokucindezeleka, ungase udinge ukuqhubeka nokwelashwa izinyanga eziyi-6 kuya kweziyi-9 ngemuva kokuqala ukuzizwa ungcono. Uma uke waba nokucindezeleka ngaphambili, udokotela wakho angase ancome ukuhlala emuthini isikhathi eside ukuze asize ekuvimbeleni izigameko zesikhathi esizayo.

Into ebalulekile okufanele uyikhumbule ukuthi ukuyeka ngokushesha kungaholela ekubuyeni kwezimpawu, ngisho noma uzizwa ungcono kakhulu. Ukwelashwa kokucindezeleka kufana nokwelashwa komfutho wegazi ophezulu - umuthi usebenza ngenkathi uwuthatha, kodwa isimo esingaphansi singase sibe khona.

Lapho sekuyisikhathi sokuyeka i-citalopram, udokotela wakho uzokusiza ukuthi unciphise kancane kancane. Ukuyeka kungazelelwe kungadala izimpawu zokuhoxisa, ngakho-ke kubalulekile ukulandela isiqondiso sikadokotela wakho sokunciphisa umthamo kancane kancane ngokuhamba kwesikhathi.

Ziziphi Izimo Ezingezinhle Zomuthi i-Citalopram?

Njengayo yonke imithi, i-citalopram ingabangela imiphumela engemihle, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Ake sihlole imiphumela emibi evame kakhulu ongase uyithole, sikhumbula ukuthi abantu abaningi bayawuthwala kahle lo muthi:

• Isicanucanu nokungahambi kahle kwesisu (ngokuvamile kuthuthuka phakathi kwamasonto angu-1-2)
• Umlomo owomile
• Ukozela noma ukukhathala
• Isiyezi
• Ukujuluka okungaphezu kokujwayelekile
• Ukuqunjelwa
• Ushintsho esifisweni sokudla
• Imiphumela emibi yezocansi, njengokwehla kwesifiso sobulili noma ubunzima bokufinyelela i-orgasm

Le miphumela emibi ejwayelekile ngokuvamile iba ngaphansi kokukhathaza njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziphazamisa kakhulu impilo yakho yansuku zonke, khuluma nodokotela wakho mayelana nokulungisa umthamo wakho noma isikhathi.

Kukhona nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Ukuphuma kwegazi okungavamile noma ukulimala
• Ikhanda elibuhlungu elibuhlungu
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukuhlaselwa
• Isiyezi esibuhlungu noma ukuquleka
• Izimpawu zamazinga aphansi e-sodium (ukudideka, ubuthakathaka, ukungazinzi)
• Iziqephu ze-manic (imood ephakeme ngokungavamile, ukuncipha kwesidingo sokulala, imicabango egijimayo)

Ngokungavamile kakhulu, i-citalopram ingabangela isimo esibucayi esibizwa nge-serotonin syndrome, ikakhulukazi uma ihlanganiswe neminye imithi ethinta i-serotonin. Qaphela izimpawu ezinjengokukhathazeka, ukudideka, ukushaya kwenhliziyo okusheshayo, umkhuhlane ophezulu, noma ukuqina kwemisipha, futhi funa usizo lwezokwelapha ngokushesha uma lokhu kwenzeka.

Ubani Ongafanele Athathe i-Citalopram?

I-Citalopram ayilungelwe wonke umuntu, futhi zikhona izimo ezithile lapho udokotela wakho engathatha khona imithi ehlukile. Akufanele uthathe i-citalopram uma unenkinga yokungezwani nayo noma uma uthathe uhlobo lwe-antidepressant olubizwa nge-monoamine oxidase inhibitor (MAOI) ezinsukwini eziyi-14 ezedlule.

Udokotela wakho uzodinga ukucabangela ngokucophelela ukuthi i-citalopram iphephile yini kuwe uma unezimo ezithile zezokwelapha. Izinkinga zenhliziyo zibaluleke kakhulu ukuthi zixoxwe, njengoba i-citalopram ingathinta ukushaya kwenhliziyo kwabanye abantu, ikakhulukazi ngemithamo ephezulu.

Nazi ezinye izimo ezidinga ukucatshangelwa okukhethekile ngaphambi kokuqala i-citalopram:

• Izinkinga zokushaya kwenhliziyo noma umlando womndeni wezifo zokushaya kwenhliziyo
• Isifo sesibindi noma sezinso
• Izifo zokuphuma igazi noma ukuthatha imithi yokunciphisa igazi
• Izifo zokuvuvukala noma umlando wokuvuvukala
• Isifo se-Bipolar
• I-narrow-angle glaucoma
• Amazinga aphansi e-sodium egazini lakho

Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa lokhu ngokucophelela nodokotela wakho. Ngenkathi i-citalopram ingasetshenziswa ngesikhathi sokukhulelwa lapho izinzuzo zidlula izingozi, idinga ukuqapha ngokucophelela nokucatshangelwa kwezinye izindlela.

Ubudala obunye obunye obalulekile. Abantu abadala bangase bazwe kalula imiphumela emibi, ikakhulukazi ingozi yamazinga aphansi e-sodium nokuwa ngenxa yesiyezi. Udokotela wakho angase aqale ngomthamo ophansi futhi akuqaphe eduze.

Amagama Omkhiqizo we-Citalopram

I-Citalopram itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Celexa iyona eyaziwa kakhulu e-United States. Inguqulo ejwayelekile, ebizwa nje ngokuthi i-citalopram, iqukethe isithako esifanayo esisebenzayo futhi isebenza ngempumelelo njengenguqulo yegama lomkhiqizo.

Ungase futhi ubone i-citalopram ithengiswa ngaphansi kwamanye amagama omkhiqizo afana ne-Cipramil kwamanye amazwe. Kungakhathaliseki igama lomkhiqizo, zonke izinhlobo ze-citalopram ziqukethe umuthi ofanayo osebenzayo futhi zilawulwa yizindinganiso zokuphepha ezifanayo.

Abantu abaningi bathola ukuthi i-citalopram ejwayelekile isebenza kahle njengenguqulo yegama lomkhiqizo futhi ibiza kakhulu. Uma njengamanje usebenzisa inguqulo yegama lomkhiqizo futhi ucabangela ukushintshela kwejwayelekile, noma okuphambene nalokho, khuluma nodokotela wakho noma usokhemisi mayelana nokwenza ushintsho ngokuphepha.

Ezinye Izindlela Zokwelapha I-Citalopram

Uma i-citalopram ingasebenzi kahle kuwe noma idala imiphumela engathandeki, kunezinketho eziningana zokwelapha ezitholakalayo. Udokotela wakho angakusiza ukuthi uhlole lezi zindlela ezinye ngokusekelwe ezidingweni zakho ezithile kanye nomlando wakho wezokwelapha.

Ezinye izinhlobo ze-SSRIs ezisebenza ngendlela efanayo ne-citalopram zihlanganisa i-sertraline (Zoloft), i-fluoxetine (Prozac), kanye ne-escitalopram (Lexapro). I-Escitalopram empeleni iyinguqulo ethuthukisiwe ye-citalopram abanye abantu abayibekezelela kangcono ngemiphumela emincane.

Udokotela wakho angase futhi acabangele amanye amakilasi e-antidepressants, njengala:

• SNRIs (serotonin-norepinephrine reuptake inhibitors) njenge-duloxetine noma i-venlafaxine
• Atypical antidepressants njenge-bupropion noma i-mirtazapine
• Tricyclic antidepressants, nakuba lezi zivame ukusetshenziswa ngenxa yemiphumela eminingi

Ngaphandle kwemithi, ukwelashwa kungasebenza ngempumelelo enkulu ekucindezelekeni nasekukhathazekeni, kungaba yodwa noma kuhlanganiswe nemithi. Ukwelashwa kokuziphatha okucatshangelwayo (CBT) kanye nokwelashwa okuhlobene nabantu kunokusekelwa okunamandla kocwaningo lokwelapha ukucindezeleka.

Ushintsho lwendlela yokuphila njengokuzivocavoca njalo, imikhuba emihle yokulala, ukuphatha ingcindezi, nokusekelwa komphakathi nakho kunendima ebalulekile ekuphatheni ukucindezeleka futhi kungagcwalisa ukwelashwa ngemithi kahle.

Ingabe i-Citalopram Ingcono Kune-Sertraline?

Kokubili i-citalopram ne-sertraline ziyizinto eziphumelelayo ze-SSRIs, futhi akukho noyedwa othi ngokuqinisekile "ungcono" kunomunye. Ukukhetha phakathi kwazo kuvame ukuncika ezintweni zomuntu ngamunye njengemiphumela emibi, ukuxhumana kwemithi, nokuphendula komuntu siqu emuthini.

I-Citalopram ivame ukuba ne-sedating kune-sertraline, okungenzeka ukuthi kuyenza ibe yindlela engcono uma unenkinga yokulala. Ngakolunye uhlangothi, i-sertraline ingase ithandwe uma uzizwa ukhathele kakhulu noma udinga amandla engeziwe emini.

Ngokuqondene nemiphumela emibi, yomibili imithi inamaphrofayili afanayo, kodwa izimpendulo zomuntu ngamunye zingahluka kakhulu. Abanye abantu bayayibekezelela kangcono i-citalopram, kanti abanye benza kangcono nge-sertraline. Imiphumela emibi yezocansi ingenzeka kokubili, nakuba ezinye izifundo zikhomba ukuthi ingase ingavamile kancane nge-sertraline.

I-Sertraline ifundwe kabanzi ezimweni ezithile njengokuphazamiseka kokwesaba kanye ne-PTSD, ngakho udokotela wakho angase ayithande kulezi zimo ezithile. I-Citalopram, nokho, inokuxhumana okuncane kwemithi, okungaba kubalulekile uma uthatha imithi eminingi.

Imibuzo Evame Ukubuzwa Mayelana ne-Citalopram

Ingabe i-Citalopram iphephile ezigulini zenhliziyo?

I-Citalopram ingathinta isigqi senhliziyo, ikakhulukazi ngemithamo ephezulu, ngakho idinga ukucatshangelwa ngokucophelela kubantu abanezifo zenhliziyo. Udokotela wakho cishe uzo-oda i-electrocardiogram (ECG) ngaphambi kokuqala ukwelashwa futhi angase aqaphe isigqi senhliziyo yakho ngezikhathi ezithile.

Umthamo omkhulu onconyiwe uphansi kubantu abanezinkinga zenhliziyo, ngokuvamile i-20mg nsuku zonke esikhundleni se-40mg ejwayelekile. Uma unomlando wezinkinga zesigqi senhliziyo, udokotela wakho angase akhethe i-antidepressant ehlukile engayithinti inhliziyo ngendlela efanayo.

Ungavumeli lokhu ukuthi kukuqede amandla kakhulu, nokho. Abantu abaningi abanezifo zenhliziyo bathatha i-citalopram ngokuphepha ngaphansi kokuqondiswa okufanele kwezokwelapha. Okubalulekile ukuxhumana okuvulekile nodokotela wakho mayelana nempilo yenhliziyo yakho nanoma yiziphi izimpawu ozibonayo.

Kumele Ngenzeni Uma Ngithatha I-Citalopram Eningi Ngengozi?

Uma ngengozi uthatha i-citalopram eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha i-citalopram eningi kungabangela imiphumela emibi, okuhlanganisa izinkinga zesigqi senhliziyo, ukuquleka, kanye ne-serotonin syndrome.

Ungalindi ukubona ukuthi ngabe uba nezimpawu. Shayela udokotela wakho ngokushesha noma uye egumbini eliphuthumayo eliseduze uma uthathe umthamo omkhulu kakhulu kunalowo onikiwe. Letha ibhodlela lemithi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi yini nokuthi ungakanani okuthathile.

Izimpawu zokweqisa kwe-citalopram zingabandakanya isicanucanu, ukuhlanza, ukozela, isiyezi, ukushaya kwenhliziyo okusheshayo, futhi ezimweni ezinzima, ukuquleka noma ukulahlekelwa ukwazi. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela lezi zinkinga ukuthi zingabi zimbi.

Kumele Ngenzeni Uma Ngedlula Umthamo We-Citalopram?

Uma udlula umthamo we-citalopram, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo odlulisiwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo odlulisiwe.

Ukuphuthelwa umthamo ngezikhathi ezithile akuyingozi, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu. Uma uvame ukukhohlwa imithamo, cabanga ukusetha isikhumbuzi sefoni noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule.

Uma udlula imithamo njalo, imithi ingase ingasebenzi kahle. Khuluma nodokotela wakho uma unenkinga yokukhumbula ukuthatha imithi yakho - bangase bakwazi ukusikisela amasu noma balungise uhlelo lwakho lokwelashwa.

Ngingayeka Nini Ukuthatha I-Citalopram?

Kufanele uyeke kuphela ukuthatha i-citalopram ngaphansi kokuqondisa kukadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Ukuyeka ama-antidepressants ngokushesha kungabangela izimpawu zokuhoxiswa futhi kungaholela ekubuyeni kwengcindezi yakho.

Udktela wakho ngokuvamile uzoncoma ukuthi uqhubeke nokuthatha imithi okungenani izinyanga eziyi-6 ngemuva kokuthi izimpawu zakho zithuthuke, futhi mhlawumbe isikhathi eside uma uke waba neziqephu eziningi zokucindezeleka. Uma sekuyisikhathi sokuyeka, uzokwehlisa kancane kancane umthamo emavikini amaningana noma izinyanga.

Ungayeki ukuthatha i-citalopram ngokuzumayo ngokwakho. Izimpawu zokuhoxiswa zingabandakanya isiyezi, izimpawu ezinjengomkhuhlane, ama-brain zaps (imizwa emifushane yokushaqeka kagesi), kanye nezinguquko zemizwa. Lezi zimpawu zesikhashana kodwa zingaba ngaphandle kokunethezeka futhi zibe yingozi.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Citalopram?

Kungcono ukugwema utshwala ngenkathi uthatha i-citalopram, njengoba kungakhuphula ingozi yemiphumela emibi futhi kungase kuphazamise ukusebenza kahle komuthi. Utshwala bungenza izimpawu zokucindezeleka nokukhathazeka zibe zimbi kakhulu, ziqede izinzuzo zomuthi wakho.

Uma ukhetha ukuphuza ngezikhathi ezithile, zinciphise ezinani elincane futhi unake indlela ozizwa ngayo. Abanye abantu bathola ukuthi utshwala bubathinta kakhulu ngenkathi bethatha i-citalopram, okuholela ekulaleni noma isiyezi esikhulu.

Uma ubhekene nokusetshenziswa kotshwala, kubaluleke kakhulu ukuxoxa ngalokhu nodokotela wakho. Bangakusiza ukuthi wakhe uhlelo lokwelashwa olubanzi olubhekana nokucindezeleka kwakho kanye nanoma yiziphi izinkinga ezihlobene notshwala ngokuphepha nangempumelelo.