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

I-Escitalopram iyimithi yokulwa nokucindezeleka ebekwe ngudokotela eyingxenye yeqembu lemithi ebizwa ngokuthi ama-selective serotonin reuptake inhibitors (SSRIs). Isebenza ngokusiza ukulinganisela i-serotonin, ikhemikhali yemvelo ebuchosheni bakho ethinta imizwa, ukulala, nokuphila kahle ngokomzwelo. Le mithi ivame ukunqunywa ukusiza abantu ukulawula ukucindezeleka kanye nezifo zokukhathazeka, futhi ithathwa njengenye yezinketho ezithambileyo ekilasini layo.

Yini i-Escitalopram?

I-Escitalopram iyimithi yesimanje yokulwa nokucindezeleka eqondise ngqo amazinga e-serotonin ebuchosheni bakho. Cabanga nge-serotonin njengomgqugquzeli wemizwa yemvelo yobuchopho bakho - lapho amazinga elinganiselwe, maningi amathuba okuthi uzizwe uzinzile ngokomzwelo futhi unomqondo omuhle.

Le mithi yilokho odokotela abakubiza ngokuthi i-SSRI, okusho ukuthi ivimbela ubuchopho bakho ukuthi bungamunci i-serotonin ngokushesha kakhulu. Ngokugcina i-serotonin etholakalayo, i-escitalopram isiza ukuthuthukisa ukuxhumana phakathi kwamaseli obuchopho alawula imizwa nokukhathazeka.

Ngokungafani nemithi endala yokulwa nokucindezeleka, i-escitalopram yakhelwe ukuthi ikhetheke kakhulu endleleni esebenza ngayo. Lokhu kusho ukuthi igxila ikakhulukazi ku-serotonin ngaphandle kokuthinta kakhulu amanye amakhemikhali obuchopho, okuyinto evame ukuholela emiphumeleni embalwa eceleni kubantu abaningi.

Isetshenziselwani i-Escitalopram?

I-Escitalopram ikakhulukazi inqunyelwe ukwelapha isifo esikhulu sokucindezeleka kanye nesifo sokukhathazeka esivamile. Udokotela wakho angase akutuse uma uhlangabezana nosizi oluqhubekayo, ukukhathazeka, noma ezinye izimpawu eziphazamisa impilo yakho yansuku zonke.

Ngokucindezeleka, le mithi ingasiza ukuphakamisa imizwa enzima yosizi, ukungabi nathemba, nokulahlekelwa intshisekelo emisebenzini obuyijabulela. Abantu abaningi baqaphela ukuthuthuka emazingeni abo wamandla, amaphethini okulala, kanye nekhono lokugxila ngemva kwamasonto ambalwa okwelashwa.

Uma welapha ukukhathazeka, i-escitalopram isiza ukunciphisa ukukhathazeka ngokweqile, ukukhathala, nezimpawu zomzimba ezinjengokushaya kwenhliziyo okusheshayo noma ukungezwani kwemisipha. Isebenza kahle ikakhulukazi ekuphazamisekeni kokukhathazeka okujwayelekile, lapho ukukhathazeka kuzizwa kungaphezu kwamandla futhi kunzima ukukulawula.

Ngezinye izikhathi odokotela banikeza i-escitalopram kwezinye izimo ezinjengokuphazamiseka kokwesaba, ukuphazamiseka kokukhathazeka komphakathi, noma ukuphazamiseka okucindezelayo. Ngenkathi lokhu kungewona amakhambi avunyelwe ngokuyinhloko, ucwaningo lubonisa ukuthi lungasiza nalezi zimo futhi.

Isebenza Kanjani I-Escitalopram?

I-Escitalopram isebenza ngokuvimba ukuthathwa kabusha kwe-serotonin ebuchosheni bakho, okusho ukuthi isiza ukugcina amakhemikhali amaningi alawula imizwa etholakalayo. Le nqubo yenzeka kancane kancane, yingakho ungase ungazizwa izinzuzo ezigcwele ngokushesha.

Njengomuthi, i-escitalopram ithathwa njengeqinile ngokulinganisela - isebenza kahle ngokwanele ukwelapha ukucindezeleka okukhulu nokukhathazeka, kodwa ithambile ngokwanele ukuthi abantu abaningi bayayibekezelela kahle. Ivame ukukhethwa njengokwelashwa kokuqala ngoba ithola ibhalansi enhle phakathi kokusebenza kahle nemiphumela emibi elawulekayo.

Umuthi awusebenzi ngokushesha njengoba umelaphi wezinhlungu engasebenza. Kunalokho, yakha ohlelweni lwakho emavikini amaningana, isiza kancane kancane ukubuyisela ibhalansi yemvelo yamakhemikhali alawula imizwa yakho kanye namazinga okukhathazeka.

Kufanele Ngiyithathe Kanjani I-Escitalopram?

Thatha i-escitalopram ngendlela udokotela wakho ayala ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ungayithatha ngokudla noma ngaphandle kokudla, nakuba abanye abantu bethola ukuthi ukuyithatha nokudla kusiza ukuvimbela ukuqunjelwa kwesisu.

Abantu abaningi benza kahle ngokuthatha i-escitalopram ekuseni, njengoba lokhu kungasiza ukunciphisa noma yikuphi ukuphazamiseka kokulala okungenzeka. Kodwa-ke, uma uhlangabezana nobuthongo, udokotela wakho angase asikisele ukuyithatha kusihlwa esikhundleni salokho.

Ungayithatha le mithi ngamanzi, ijusi, noma ubisi - noma yini ozizwa ukhululekile ngayo. Akunasidingo sokugwema ukudla okuthile ngenkathi uthatha i-escitalopram, nakuba kunconywa ukunciphisa utshwala ngoba kungaphazamisa ukusebenza kahle komuthi.

Zama ukuthatha umthamo wakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho. Ukusetha isikhumbuzi sansuku zonke ocingweni lwakho kungakusiza ukuthi umise le nqubo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Escitalopram?

Abantu abaningi badinga ukuthatha i-escitalopram okungenani izinyanga eziyi-6-12 ukuze bathole inzuzo ephelele, nakuba abanye bengase bayidinge isikhathi eside. Ubude besikhathi buxhomeke esimweni sakho somuntu ngamunye, ukuthi usabela kahle kangakanani ekwelashweni, nomlando wakho wokucindezeleka noma ukukhathazeka.

Kungenzeka uzoqala ukuqaphela ukuthuthuka okuthile phakathi kwamasonto ama-2-4, kodwa ngokuvamile kuthatha amasonto ayi-6-8 ukuzwa imiphumela ephelele yomuthi. Lolu hlu lwesikhathi oluqhubekayo luvamile ngokuphelele futhi akusho ukuthi umuthi awusebenzi.

Ezikhathini zokuqala zokucindezeleka noma ukukhathazeka, odokotela bavame ukuncoma ukuqhubeka nokwelashwa izinyanga eziyi-6-12 ngemva kokuba izimpawu zithuthuke. Lokhu kusiza ekuvikeleni izimpawu ukuthi zingabuyi futhi kunikeza ubuchopho bakho isikhathi sokuzinza.

Uma uke waba nezikhathi eziningi zokucindezeleka noma ukukhathazeka, udokotela wakho angase aphonse ukwelashwa kwesikhathi eside. Abanye abantu bayazuza ekuthathweni kwe-escitalopram iminyaka eminingana, futhi lokho kuphephile ngokuphelele uma kuqashwe ngumhlinzeki wakho wezempilo.

Yiziphi Imiphumela Eceleni Ye-Escitalopram?

Njengayo yonke imithi, i-escitalopram ingabangela imiphumela emibi, nakuba abantu abaningi behlangabezana nembalwa noma ethambile. Imiphumela emibi evame kakhulu ivame ukuthuthuka emasontweni ambalwa okuqala njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi ongase uyithole njengoba umzimba wakho ujwayela i-escitalopram:

• Ukucanuzela kwenhliziyo noma ukuphathwa yisisu (ngokuvamile kuthuthuka ngokuthatha nokudla)
• Ukuqaqamba kwekhanda noma isiyezi
• Ukozela noma ukukhathala
• Umlomo owomile
• Ushintsho esifisweni sokudla
• Ushintsho lokulala (ukozela noma ubunzima bokulala)
• Ukujuluka okuningi kunokujwayelekile

Imiphumela emibi yezocansi nayo ingenzeka, okuhlanganisa ukwehla kwentshisekelo yocansi noma ubunzima bokufinyelela i-orgasm. Le miphumela ingeyesikhashana kwabanye abantu kodwa ingaqhubeka kwabanye.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nezinguquko ezinzima zemizwa, imicabango yokuzilimaza, ukuphuma kwegazi okungajwayelekile, ukuquleka, noma izimpawu ze-serotonin syndrome njengomkhuhlane ophezulu, ukushaya kwenhliziyo okusheshayo, noma ukudideka okukhulu.

Abantu abasha abangaphansi kweminyaka engu-25 bangase babe nengozi eyengeziwe yemicabango yokuzibulala lapho beqala ama-antidepressants. Ukuqapha eduze ezinyangeni ezimbalwa zokuqala kubalulekile kulolu hlu lweminyaka.

Ubani Ongafanele Athole I-Escitalopram?

I-Escitalopram ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma imithi ingayenza ingaphephile. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ophelele ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-escitalopram uma njengamanje uthatha noma usanda kuyeka ukuthatha ama-MAOI (ama-monoamine oxidase inhibitors), njengoba le nhlanganisela ingabangela ukusabela okuyingozi okubizwa nge-serotonin syndrome.

Abantu abanezimo ezithile zenhliziyo, ikakhulukazi lezo ezithinta ukushaya kwenhliziyo, bangase badinge ukuqapha okukhethekile noma ukwelashwa okuhlukile. I-Escitalopram ngezinye izikhathi ingathinta umsebenzi kagesi wenhliziyo.

Uma unomlando wokuquleka, i-bipolar disorder, noma izifo zokuphuma kwegazi, udokotela wakho uzodinga ukukala izinzuzo nezingozi ngokucophelela. Lezi zimo akudingeki zikuvimbele ukuthatha i-escitalopram, kodwa zidinga ukuqapha okuseduze.

Ukukhulelwa nokuncelisa kufuna ukucatshangelwa okukhethekile. Ngenkathi i-escitalopram ingasetshenziswa ngesikhathi sokukhulelwa lapho izinzuzo zidlula izingozi, kubalulekile ukuxoxa lokhu ngokucophelela nodokotela wakho.

Amagama Omkhiqizo we-Escitalopram

I-Escitalopram itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Lexapro iyona eyaziwa kakhulu. Amanye amagama omkhiqizo afaka i-Cipralex, evame ukusetshenziswa emazweni amaningi ngaphandle kwe-United States.

I-escitalopram ejwayelekile nayo iyatholakala kabanzi futhi iqukethe isithako esifanayo esisebenzayo njengama-brand-name versions. Izinhlobo ezijwayelekile zisebenza kahle futhi ziphephile njengemithi yegama lomkhiqizo kodwa ngokuvamile zibiza kancane.

Noma ngabe uthatha i-escitalopram yegama lomkhiqizo noma ejwayelekile, umuthi usebenza ngendlela efanayo emzimbeni wakho. Ikhemisi lakho lingashintsha phakathi kwabakhiqizi abahlukene be-escitalopram ejwayelekile, kodwa lokhu ngeke kulithinte ukuthi umuthi usebenza kahle kangakanani kuwe.

Ezinye izindlela ze-Escitalopram

Uma i-escitalopram ingasebenzi kahle kuwe noma ibangela imiphumela emibi, ezinye izinketho zokwelapha ziyatholakala. Ezinye izi-SSRI ezifana ne-sertraline (Zoloft), i-fluoxetine (Prozac), noma i-paroxetine (Paxil) zisebenza ngendlela efanayo kodwa zingase zibekezelelwe kangcono ngabanye abantu.

Ama-SNRI (serotonin-norepinephrine reuptake inhibitors) afana ne-venlafaxine (Effexor) noma i-duloxetine (Cymbalta) athinta kokubili i-serotonin ne-norepinephrine. Lokhu kungase kube usizo uma ungazange uphendule kahle kuma-SSRI kuphela.

Ama-antidepressants amasha afana ne-bupropion (Wellbutrin) asebenza ngendlela ehlukile ngokuthinta i-dopamine ne-norepinephrine esikhundleni se-serotonin. Le nketho ingase ithandwe uma ukhathazekile ngemiphumela emibi yocansi noma ukukhuluphala.

Ukwelashwa okungekona okwemithi njenge-cognitive behavioral therapy (CBT) kungasebenza kahle kakhulu ekucindezelekeni nasekukhathazekeni, kungaba ngokuqondile noma kuhlangene nemithi. Abantu abaningi bathola imiphumela emihle kakhulu evela ekuhlanganiseni ukwelashwa nemithi.

Ingabe i-Escitalopram ingcono kune-Sertraline?

Kokubili i-escitalopram ne-sertraline ziyizinto eziphumelelayo ze-SSRIs, kodwa zinezinto ezithile ezingenza enye ikufanelekele ngaphezu kwenye. Akukho noyedwa 'ongcono' ngokujwayelekile - kuncike ezidingweni zakho ngazinye nokuthi umzimba wakho usabela kanjani.

I-Escitalopram ivame ukucatshangelwa ukuthi inokuxhumana okuncane kwemithi futhi ingase ibangele ukucasuka kwesisu okuncane kune-sertraline. Ezinye izifundo zikhomba ukuthi ingase isebenze ngokushesha kancane, nakuba yomibili imithi ivame ukuthatha amasonto amaningana ukukhombisa imiphumela ephelele.

I-Sertraline isinesikhathi eside ikhona futhi iyatholakala ngezindlela eziningi zokulinganisa, okuhlanganisa nenguqulo ewuketshezi. Ngokuvamile ibhekwa njengephephile ngesikhathi sokukhulelwa nokuncelisa, ngemininingwane eminingi yocwaningo etholakalayo ngalezi zimo.

Ukukhetha okungcono kuncike ezimpawini zakho ezithile, eminye imithi oyithathayo, nomlando wakho wezokwelapha. Udokotela wakho angakusiza ukuthi uhlole izinzuzo kanye nobubi bezinketho ngayinye ngokusekelwe esimweni sakho.

Imibuzo Evame Ukubuzwa Nge-Escitalopram

Ingabe i-Escitalopram iphephile ezigulini zenhliziyo?

I-Escitalopram ngokuvamile iphephile kubantu abaningi abanezifo zenhliziyo, kodwa idinga ukuqapha okucophelelayo. Imithi ngezinye izikhathi ingathinta ukushaya kwenhliziyo, ikakhulukazi kubantu asebenanezinkinga zenhliziyo noma abathatha eminye imithi ethinta inhliziyo.

Uma unomlando wesifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma uthatha imithi yenhliziyo, udokotela wakho cishe uzo-oda i-ECG (i-electrocardiogram) ngaphambi kokuqala i-escitalopram futhi angase aqaphe ukushaya kwenhliziyo yakho ngezikhathi ezithile ngesikhathi sokwelashwa.

Abantu abaningi abanezimo zenhliziyo ezinzile bangathatha i-escitalopram ngokuphepha, ikakhulukazi lapho izinzuzo zempilo yengqondo zidlula izingozi ezincane zenhliziyo nemithambo yegazi. Udokotela wakho wenhliziyo kanye nodokotela wengqondo bangasebenzisana ukuqinisekisa ukuthi ukwelashwa kwakho kuphephile.

Ngingenzani uma ngiphuzile i-Escitalopram eningi ngengozi?

Uma ngabe uthathe i-escitalopram eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kakhulu kungase kubangele imiphumela emibi engathi sína efana ne-serotonin syndrome.

Izimpawu ze-escitalopram overdose zihlanganisa isicanucanu esibi, ukuhlanza, isiyezi, ukozela, ukushaya kwenhliziyo okusheshayo, ukuquleka, noma izinguquko esimweni sengqondo. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha.

Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe ne-overdose. Ochwepheshe bezokwelapha bangakwazi ukunquma kangcono ukuthi yikuphi ukwelashwa okudingayo ngokuya ngokuthi uthathe okungakanani nokuthi nini.

Ngingenzani Uma Ngedlula Umthamo We-Escitalopram?

Uma udlula umthamo we-escitalopram, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo owudlulile bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owudlulile, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi ukukusiza ukhumbule.

Ukudlula umthamo ngezikhathi ezithile ngokuvamile ngeke kubangele izinkinga, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu. Uma udlula imithamo eminingana ilandelana, xhumana nodokotela wakho ngaphambi kokuqala ukwelashwa.

Ngingayeka Nini Ukuthatha I-Escitalopram?

Akufanele uyeke ukuthatha i-escitalopram ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa njengokuthi isiyezi, isicanucanu, ikhanda, kanye nezinguquko zemizwa.

Lapho wena nodokotela wakho ninquma ukuthi sekuyisikhathi sokuyeka i-escitalopram, ngokuvamile uzonciphisa umthamo kancane kancane phakathi namasonto amaningana noma izinyanga. Le nqubo yokunciphisa isiza ubuchopho bakho ukuthi buvumelane noshintsho futhi inciphisa izimpawu zokuhoxiswa.

Isikhathi sokuyeka sincike ekutheni usithathe isikhathi esingakanani umuthi, ukuthi izimpawu zakho zilawulwa kahle kangakanani, kanye nezici zakho eziyingozi. Abanye abantu bangase badinge ukuthatha i-escitalopram isikhathi eside ukuze bagcine impilo yabo yengqondo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Escitalopram?

Kungcono ukukhawulela noma ukugwema utshwala ngenkathi uthatha i-escitalopram, njengoba utshwala bungaphazamisa ukusebenza komuthi futhi kwenze izimpawu zokucindezeleka noma ukukhathazeka zibe zimbi. Utshwala bungakhuphula nengozi yemiphumela emibi efana nokozela nesiyezi.

Uma ukhetha ukuphuza ngezikhathi ezithile, yenza kanjalo ngokulinganisela futhi unake indlela ozizwa ngayo. Abanye abantu bathola ukuthi utshwala bubathinta ngamandla ngenkathi bethatha i-escitalopram, ngakho qala ngamanani amancane kunokujwayelekile.

Uma ukhathazeka ngokusebenzisa utshwala, kubalulekile ukuxoxa ngalokhu nodokotela wakho. Bangakusiza ukuthi uthuthukise uhlelo lokwelapha olubhekana nempilo yakho yengqondo kanye nanoma yikuphi ukukhathazeka ngokusebenzisa izinto.