Ngabe uCelexa uyimbangela yesisindo?

-Delile

• Ama-anti-depressants nokuzuza kwesisindo
• Ezinye izimbangela zokuzuza kwesisindo
• Ongakwenza mayelana nokuzuza kwesisindo
• Khuluma nodokotela wakho
• I-Q & A: Ukuzivocavoca nokudangala
• Q:
• A:

Ukubuka konke

Ukuzuza kwesisindo kuyinto ebakhathaza kakhulu abantu abacabanga ngemithi elwa nokudangala, ikakhulukazi i-serotonin reuptake inhibitors (SSRIs) ekhethiwe njenge-escitalopram (Lexapro) ne-sertraline (Zoloft).

UCelexa, uhlobo lomkhiqizo we-citalopram yezidakamizwa, olunye uhlobo lwe-SSRI. Ithinta abantu abehlukene ngezindlela ezingafani. Kungakudalela inzuzo encane noma ukulahleka okuncane kwesisindo somzimba, noma kungadala ushintsho lwesisindo nhlobo.

Uma uthola isisindo, kungaba umphumela wezici eziningi ezahlukahlukene. Nakhu okudingeka ukwazi.

Ama-anti-depressants nokuzuza kwesisindo

Imithi esetshenziselwa ukwelapha ukudangala ingathinta isifiso sakho sokudla kanye nemethabolism yakho. Kwezinye izimo, le miphumela ingadala ukuthi uzuze noma wehle isisindo.

UCelexa uhlotshaniswe nokuzuza okuncane kwesisindo, kodwa kucatshangwa ukuthi umuthi uqobo awubangeli lo mphumela. Esikhundleni salokho, ukwanda kwesisindo kungenzeka ngenxa yesifiso esithuthukisiwe ekuthatheni umuthi. Isifiso sokudla esingcono singadala ukuthi udle kakhulu, okuholela ekukhuleni kwesisindo somzimba.

Ngakolunye uhlangothi, uCelexa anganciphisa nokudla kwakho, okuholele ekwehliseni isisindo esincane. Ucwaningo luye lwabonisa yomibili imiphumela. Kunzima ukusho ukuthi kufanele ulindele ukuzuza kwesisindo noma ukwehla kwesisindo.

Ocwaningweni lwango-2014 lwamarekhodi eziguli angaphezu kuka-22,000, i-amitriptyline, i-bupropion (i-Wellbutrin SR, i-Wellbutrin XL), ne-nortriptyline (i-Pamelor) idale ukuzuza kwesisindo esincane kune-citalopram phakathi nezinyanga eziyi-12.

Gcina ukhumbula ukuthi izinguquko zesisindo ngenxa yokuthatha imishanguzo yokuvikela ukucindezela zivame ukuba zincane, imvamisa zingaphakathi kwamakhilogremu ambalwa. Uma uCelexa ethinta isisindo sakho nhlobo, kungaba ukukhuluphala noma ukwehlisa isisindo, kungenzeka kube kuncane.

Uma ucabanga ukuthi uCelexa ubangela ukuthi ukhuluphale, ungayeki ukuthatha ngaphandle kokukhuluma nodokotela wakho. Ukumisa uCelexa ngokungazelelwe kungadala izinkinga ezinjengokukhathazeka, imood, ukudideka, nenkinga yokulala.

Udokotela wakho angasebenza nawe ukuthola umthamo wakho ukunciphisa noma ukuvimbela imiphumela emibi.

Ezinye izimbangela zokuzuza kwesisindo

Khumbula ukuthi ukuzuza kwesisindo kungabangelwa ezinye izinto ngaphandle komuthi owuthathayo.

Isibonelo, ukucindezeleka uqobo kungaholela ekushintsheni kwesisindo. Abanye abantu abanengcindezi abanaso isifiso sokudla, kanti abanye badla ngaphezu kokujwayelekile. Kungaba nzima ukusho ukuthi izinguquko zesisindo zibangelwa ukudana noma imithi esetshenziswayo ukuyelapha.

Ezinye izinto eziningi zingathinta isisindo sakho. Khuluma nodokotela wakho uma wenza noma iyiphi yalezi zinto ezilandelayo:

• Ukwamukela imikhuba engenampilo, efana:
  • ukuphila impilo yokuhlala phansi, noma ukuchitha isikhathi esiningi sosuku uhleli, ulele phansi, noma wenza umsebenzi omncane womzimba
  • ukungazivocavoci umzimba
  • kudla ukudla noma iziphuzo eziningi ezinoshukela omningi noma amafutha
• Ukuthatha imithi ethile, njenge:
  • amaphilisi okuvimbela inzalo
  • i-corticosteroids efana ne-prednisone (i-Rayos) noma i-methylprednisolone (i-Medrol)
  • ama-antipsychotic asetshenziselwa ukwelapha ukuphazamiseka kwe-bipolar, schizophrenia, kanye nokudangala
  • imithi ethile esetshenziselwa ukwelapha isifo sikashukela, kufaka phakathi i-insulin
• Ukuba nezimo ezithile zezempilo nokukhathazeka kwezempilo yengqondo, njenge:
  • i-hypothyroidism
  • ukuhluleka kwenhliziyo
  • izinkinga zohlelo lokugaya ukudla
  • ukutheleleka okungamahlalakhona
  • ukoma komzimba
  • ukuphazamiseka kokudla njenge-bulimia
  • ukucindezeleka
• Ukuhlangabezana nezinguquko kumahomoni abesifazane okubangelwa ukukhulelwa noma ukuya esikhathini

Ongakwenza mayelana nokuzuza kwesisindo

Uma uzuze isisindo futhi ukhathazekile ngakho, zama lawa macebiso okuthuthukisa indlela odla ngayo nokuvivinya umzimba osukwini lwakho:

• Nciphisa amaswidi neziphuzo ezinoshukela.
• Faka esikhundleni sokudla okunama-kilojoule amaningi ngezithelo nemifino emnandi.
• Zinike izingxenye ezincane futhi udle kaningi usuku lonke.
• Yidla kancane.
• Thatha izitebhisi esikhundleni selifthi.
• Phumela ngaphandle uhambe uhambe.
• Qala uhlelo lokuzivocavoca ngokuholwa udokotela wakho.

Kuhlale kungumqondo omuhle ukuthola ukuqondiswa kochwepheshe lapho uzama ukunciphisa isisindo.

Qiniseka ukuthi ubuza nodokotela wakho ngaphambi kokuqala noma yimuphi umsebenzi womzimba. Uma udinga usizo ekulawuleni indlela odla ngayo, cela udokotela wakho ukuthi akudlulisele kusazi sokudla esibhalisiwe. Ukuze uthole iziphakamiso eziningi zokuthi unganciphisa kanjani isisindo ngokuphepha, bheka lawa amanye amasu okunciphisa isisindo.

Khuluma nodokotela wakho

Uma uzuza noma ulahlekelwa isisindo esiningi ngemuva kokuqala uCelexa, khuluma nodokotela wakho ukuze nixoxe ngokuthi yini okungenzeka ibangele ushintsho. Ukuzuza kwamaphesenti ayishumi noma ngaphezulu kwesisindo somzimba wakho kungaba yisizathu sokukhathazeka, ikakhulukazi uma kwenzeka ngaphezu kwamasonto ambalwa nje.

Uma udokotela wakho ecabanga ukuthi ukuzuza kwesisindo kuhlobene nokusebenzisa kwakho uCelexa, buza ukuthi ukwehlisa isilinganiso sakho noma ukuzama i-anti-depressant ehlukile kungasiza.

Uma udokotela wakho engacabangi ukuthi ukukhuluphala kwakho kuhlobene nokusebenzisa kwakho uCelexa, xoxani ngokuthi kungaba yini imbangela yangempela. Uma wenza ukukhetha kokuphila okunempilo kepha usathola isisindo esingadingeki, qiniseka ukuthi wazise udokotela wakho.

Kunoma ikuphi, zizwe ukhululekile ukukhuluma nodokotela wakho mayelana nokukhathazeka kwesisindo sakho nokubuza noma yimiphi imibuzo ongayithola. Lokhu kungafaka:

• Ngabe ucabanga ukuthi ukukhuluphala kwami ​​kubangelwe ukuthatha uCelexa?
• Uma kunjalo, kufanele ngiphuze umthamo ophansi noma ngishintshele komunye umuthi?
• Yisiphi iseluleko onaso ukungisiza ukunciphisa umzimba?
• Ungangidlulisela kuchwepheshe wezokudla obhalisiwe ukuthola usizo ngokudla engikudlayo?
• Yiziphi ezinye izindlela eziphephile kimi zokuba ngisebenze ngokwengeziwe?

I-Q & A: Ukuzivocavoca nokudangala

Q:

Kuyiqiniso yini ukuthi ukuzivocavoca umzimba kungasiza ekucindezelekeni?

A:

Ukuzivocavoca umzimba kuyithuluzi elihle lomzimba. Inemiphumela emihle eminingi ebhaliwe kufaka phakathi ukukhipha amakhemikhali enza ubuchopho nomzimba wakho uzizwe kamnandi. Ukuvivinya umzimba njalo kungasiza ekunciphiseni izimpawu ezimbalwa zokucindezeleka futhi kwesinye isikhathi kungaphumelela kukodwa ekwelapheni izimpawu zokucindezeleka zesizini. Uma uzwa ukuthi unezimpawu zokucindezeleka eziphazamisa impilo yakho, kufanele ukhulume nodokotela wakho ukubona ukuthi ukuzivocavoca kukodwa noma inhlanganisela yokuzivocavoca kanye nemithi kungasiza ekwelapheni izimpawu zakho.