So wubetumi aboa ma w’awerɛhow no so atew? (Imipramine) Momma yensua aduru no ho ade?

Ɛyɛ ade a ɛfata sɛ ɛtɔ mmere bi a yedi awerɛhow ne dadwen. Nanso sɛ saa tebea yi kɔ so, sɛ yɛte nka sɛ adesoa ahyɛ yɛn so araa ma yentumi nyɛ yɛn da biara da dwumadi mpo a, yɛfrɛ no adwenemhaw. Enti, nnuru bi wɔ hɔ a ebetumi aboa yɛn wɔ nsɛm a ɛtete saa mu. Ɛnnɛ yɛrebɛka nnuru a ɛte saa no biako ho asɛm, a ɛne Imipramine.

Dɛn ne saa aduru yi (Imipramine)?

Sɛ yɛbɛka no tiawa a, Imipramine yɛ aduru a wɔde sa adwenemhaw. So wunim sɛ nnuru bi wɔ yɛn amemene mu a ɛboa ma yɛhyɛ yɛn adwene so, te sɛ abɔfo? Yɛfrɛ wɔn Serotonin ne Norepinephrine. Nea Imipramine yɛ ne sɛ ɛma saa abɔfo yi dodow yɛ kɛse wɔ amemene no mu, na ɛboa ma yɛn awerɛhow ne dadwen nkate so tew, na ɛma yɛn adwene tu mpɔn. Ɛka nnuru ahorow bi a wɔfrɛ no Tricyclic Antidepressants (TCAs) ho .

Ɛtɔ mmere bi a nnuruyɛfo betumi akyerɛw saa aduru yi ama tebea afoforo nso. Enti, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo no nea enti a wɔakyerɛw aduru yi ama wo, anaasɛ sɛ wowɔ nsɛmmisa foforo bi fa ho a.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi?

Ansa na wubefi ase anom saa aduru yi (Imipramine) no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa. Efisɛ saa nneɛma yi na ɛbɛkyerɛ sɛ saa aduru yi fata wo anaasɛ ɛnsɛ, ne sɛnea ɛsɛ sɛ wɔde ma. Enti momma yɛnhwɛ nneɛma yi mu:

• So woanya aduru yi (Imipramine), aduru foforo biara, aduan, aduan a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano ho adwenemhaw pɛn?
• So worehwɛ akokoaa kwan? Anaasɛ wowɔ anidaso sɛ wobɛwo akokoaa?
• So woyɛ ɛna a ɔma nufu?
• So nsanom ayɛ wo dɛ?
• So wowɔ anaasɛ woanya tebea bi te sɛ ‘bipolar disorder’ pɛn - tebea a mpofirim ara w’ani gye kɛse na mpofirim ara wudi awerɛhow kɛse (adwene mu nsakrae) - anaasɛ ‘schizophrenia’ - yare a wo ne nokwasɛm ntam kwan ware, wunya nsusuwii hunu, na wunya adwene mu haw ahorow?
• So ɛyɛ den ma wo sɛ wobɛtow nsu? Sɛ woyɛ ɔbarima a, so wowɔ prostate haw ?
• So wowɔ koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa ?
• So wowɔ glaucoma – yare a ɛma nhyɛso a ɛwɔ aniwa no mu no kɔ soro?
• So wowɔ komayare anaasɛ woanya komayare nnansa yi ara ?
• So wowɔ asaabo mu yare ?
• So wowɔ mmerɛbo mu yare ?
• So wowɔ ɔhome mu nyarewa bi a ɛfa ahurututu ho te sɛ ayamtu ?
• So woanya akisikuru pɛn?
• So woanya akisikuru ?
• Nea ɛho hia paa ne sɛ, so wote nka sɛ wobɛpira wo ho? So woanya nsusuwii a ɛte saa pɛn? So obi wɔ w’abusua mu a wanya eyi pɛn? Akyinnye biara nni ho sɛ ɛsɛ sɛ woka eyi ho asɛm kyerɛ wo duruyɛfo.
• So wowɔ thyroid ho haw ahorow ?

Sɛ wowɔ saa nneɛma yi bi a, ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ wo duruyɛfo.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Okay, enti momma yɛnhwɛ sɛnea wɔde saa aduru yi (Imipramine) bedi dwuma.

• Eyi yɛ aduru a ɛba wɔ capsules mu. Ɛsɛ sɛ wɔnom no anom de nsu kuruwa biako ka ho.
• Ɛsɛ sɛ wonom aduru no sɛnea oduruyɛfo no akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, ne dodow a ɛfata mu. Mfa pii anaa nea ennu nea oduruyɛfo no ka kyerɛ wo sɛ fa no.
• Eyi ne ade a ɛho hia sen biara: Nnyae aduru yi nom mpofirim a wunnya wo duruyɛfo afotu. Sɛ wugyae mpofirim a, wubetumi anya sɛnkyerɛnne a ɛkyerɛ sɛ woagyae, anaasɛ wo tebea no betumi asɛe kɛse. Enti, sɛ wugyae a, yɛ saa nkakrankakra, di wo duruyɛfo afotu akyi.
• Sɛ nnurutɔnbea no ma wo saa aduru yi a, ebia ɛde akwankyerɛ krataa titiriw bi bɛba (MedGuide) . Hwɛ hu sɛ wobɛkenkan no yiye bere biara a wobɛnom aduru no. Nsɛm a ɛho hia wom.
• Sɛ wɔde aduru yi ma mmofra a, ɛho hia sɛ wɔhwɛ yiye titiriw. Wo ne wo duruyɛfo nka ho asɛm na nya afotu.
• Sɛ wonom nnuru pii wɔ akwanhyia mu, kyerɛ sɛ, sɛ wonom boro so a, kɔ ayaresabea dan a ɛhwɛ ntɛmpɛ a ɛbɛn wo no mu ntɛm ara, anaa frɛ beae a wɔhwɛ awuduru so, a wontwentwɛn wo nan ase.

Saa aduru yi yɛ nea wode bedi dwuma nkutoo. Mfa saa aduru yi mma w’adamfo anaa w’abusua muni bi a ɔwɔ yare no ho sɛnkyerɛnne te sɛ wo.

Sɛ woankɔ bere a wopɛ sɛ wonom nnuru a, dɛn na woyɛ?

Fa no sɛ wo werɛ afi sɛ wobɛnom nnuru dodow bi. Sɛ eyi ba a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, wɔ nnɔnhwerew kakraa bi mu) a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien anaa nea ɛboro so. Saa a wobɛyɛ no betumi ama nnuru dodow a wonom no akɔ soro na ɛde ɔhaw ahorow aba.

Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?

Saa aduru yi (Imipramine) tumi ne nnuru afoforo, nhabannuru, anaa nneɛma afoforo a worenom no adi nkitaho. Sɛ ɛba saa a, ebetumi de ɔhaw aba. Enti ɛho hia paa sɛ wohu eyi.

Mfa Imipramine nka nnuru yi ho:

• (Amoxapine) .
• (Arsenic trioxide a wɔde yɛ aduru) .
• Nnuru bi a wɔde siw koma a ɛbɔ a ɛnteɛ anaa komayare afoforo ano
• (Cisapride) .
• (Cocaine) (Eyi yɛ nnubɔne) .
• (Grepafloxacin) a wɔde di dwuma wɔ ɔkwan a ɛfata so.
• (Halofantrine) .
• (Levomethadyl) a wɔfrɛ no .
• (Linezolid) .
• Nnuru a ɛwɔ kuw a wɔfrɛ no ‘MAOI’ (Monoamine Oxidase Inhibitors) (nhwɛso ahorow: (Carbex), (Eldepryl), (Marplan), (Nardil), (Parnate)). Ɛnyɛ papa sɛ wubefi ase (Imipramine) kosi sɛ anyɛ yiye koraa no, adapɛn abien wɔ bere a woagyae MAOI nnuru yi akyi.
• (Methylene blue) (Eyi yɛ aduru a wɔde gu ntini mu) .
• Nnuru afoforo bi a wɔde sa adwenemhaw (bisa wo duruyɛfo eyi ho asɛm) .
• Nnuru a ɛwɔ kuw a wɔfrɛ no ‘Phenothiazines’ mu (nhwɛso: (perphenazine), (thioridazine), (chlorpromazine)) .
• (Pimozide) .
• (Procarbazine) a wɔde yɛ aduru .
• (Sparfloxacin) a wɔde di dwuma wɔ ɔkwan a ɛfata so.
• (St. John’s Wort) (Ɛwom sɛ eyi yɛ nhabannuru de, nanso ebetumi ne (Imipramine) adi nkitaho)

Afei nso, nea edidi so yi betumi ne Imipramine adi nkitaho:

Sɛ worenom eyinom a, ɛsɛ sɛ woka kyerɛ oduruyɛfo no.

• (Atropine) ne nnuru a ɛka ho (sɛ nhwɛso no (hyoscyamine), (scopolamine), (tolterodine)) .
• Nnuru a ɛte sɛ barbiturate (e.g., phenobarbital) a ɛboa wo ma woda anaasɛ wosa akisikuru
• (Cimetidine) .
• (Clonidine) .
• Nnuru a wɔde kum sẽ (e.g., aduru a ɛma obi ho yɛ no yaw a wɔde ma ansa na wɔayiyi sẽ) .
• Aduru a wɔde sa mogya mmoroso
• Nnuru a wɔde kum ɛyaw a oduruyɛfo bi akyerɛw ama obi
• Nnuru a wɔde ko tia akisikuru (sɛ nhwɛso no, carbamazepine anaa phenytoin) .
• Nnuru a ɛkanyan adwene (sɛ nhwɛso no, dexmethylphenidate anaa methylphenidate) .
• Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma
• (Ziprasidone) a wɔde di dwuma .

Ebia saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo (a vitamin, nnuru a wɔde yɛ nhabannuru, nnuru a wɔmfa nkyerɛw, ne nnuru a wɔde ka aduan ho), ne sɛ ebia wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma. Nneɛma bi betumi ne aduru yi adi nkitaho, enti ɛyɛ w’ankasa ahobammɔ nti.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom aduru yi?

Sɛ worenom (imipramine) a, ɛyɛ papa sɛ wobɛhwɛ nsakrae a ɛba wo nipadua ne wo nkate mu no yiye kakra.

• Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo. Ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn bere ne bere mu de hwɛ sɛnea wo ho te.
• Ebia ebegye adapɛn pii ansa na woahu sɛnea aduru yi tumi yɛ adwuma nyinaa. Enti,Sɛnea oduruyɛfo no kae no, ɛho hia yiye sɛ wobɛkɔ so anom aduru no bere a wɔakyerɛw ama wo no. Nnyae mpofirim esiane sɛ wususuw sɛ biribiara nni hɔ a efi mu ba nti.
• Eyi ho hia yiye: Sɛ wo anaa w’abusua mufo hu sɛ worenya adwene foforo anaasɛ ɛrenya nkɔanim wɔ wo ho a wubekum ho, anaasɛ w’adwenemhaw no reyɛ kɛse, anaasɛ sɛ wowɔ adwene mu nsakrae biara mpofirim (sɛ nhwɛso no, wote nka sɛ wo ho yeraw wo, wo ho yeraw wo, wo ho yeraw wo, wo bo fuw, wo ho yɛ wo hyew, wo ho yɛ wo hyew, wo ho nyɛ wo hyew kɛse, w’ani gye dodo na woyɛ ade tra so, anaasɛ worehyia ɔhaw wɔ nna ho a), frɛ wo duruyɛfo ntɛm ara, titiriw bere a edi kan a wufi ase nom saa aduru yi anaasɛ bere a woasesa wo dodow awie no.
• Ebia wobɛte nka sɛ woada anaasɛ wo ho ayɛ wo hyew . Enti, kosi sɛ wubehu sɛnea aduru yi ka wo ankasa no, nka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ɛhwehwɛ sɛ w’adwene mu da hɔ. Nnyina hɔ anaa ntra ase mpofirim, titiriw sɛ woabɔ akwakoraa a. Eyi bɛtew asiane a ɛwɔ hɔ sɛ obi bɛbɔ ne tirim na wahwe ase no so. Nsã betumi asiw ɔkwan a aduru yi fa so yɛ adwuma no kwan na ebetumi ama woada nso. Enti, kwati nsa a wobɛnom.
• Sɛ wowɔ ɔfe, atiridiinini, anaasɛ wo ho yɛ wo hyew a, ntɔ nnuru a wɔmfa nnuru nhyɛ mu a wunni kan mmisa wo duruyɛfo. Nneɛma a ɛwɔ nnuru a wɔtɔn no aduruyɛ mu no bi betumi ama saa (Imipramine) aduru yi mu nsunsuanso bɔne ayɛ kɛse.
• Ebia w'ano ayɛ nwunu . Sɛ eyi ba a, wubetumi atew eyi so denam aduru a asikre nnim a wobɛwe, ahwiesa a ɛyɛ den a asikre nnim a wobɛnom, ne nsu pii a wobɛnom so. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo.
• Saa aduru yi betumi ama aniwa ayɛ kusuu na aniwa nhu ade yiye . Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wo ho bɛtɔ wo kakra. Ebia nnuru a wɔde srade gu aniwa so a wode bedi dwuma no bɛboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, kɔ aniwa ho oduruyɛfo nkyɛn.
• Saa aduru yi betumi ama nnipa binom akisikuru . Di fiber pii sɛnea wubetumi na nom nsu pii. Bɔ mmɔden sɛ anyɛ yiye koraa no, wobɛkɔ wo dwensɔtwaa mu pɛnkoro nnansa biara. Sɛ woankɔ wo dwensɔtwaa mu nnansa akyi a, frɛ wo duruyɛfo.
• Ebia wo honam ani bɛyɛ mmerɛw kɛse wɔ owia ho bere a worenom aduru yi no. Enti twe wo ho fi owia ho sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wupue kɔ owia mu a, hyɛ ntade a ɛkata wo honam ani, hyɛ kyɛw, na fa aduru pa a ɛbɔ wo ho ban di dwuma. Mfa owia akanea anaa mpa/ntanning beds nni dwuma.

Nsunsuanso bɔne bɛn na ebia menya afi aduru yi mu?

Te sɛ aduru biara no, Imipramine betumi anya nkɛntɛnso bɔne. Nanso ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Ebinom nyɛ aniberesɛm saa, nanso sɛ ɛhaw adwene a, ɛsɛ sɛ woka kyerɛ wɔn.

Sɛ wunya saa nsunsuanso bɔne yi bi a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi :

• Nneɛma a ɛma obi ho yɛ no yaw - honam ani akisikuru, ɛyaw, ɛho ahonhon (anim, anofafa, tɛkrɛma, menewa a ɛho ahonhon, a ebetumi ama ayɛ den sɛ ɔbɛhome) .
• Koma mu nnyigyei sesa - wo te nka se wo koma rebɔ ntɛmntɛm, wo te nka sɛ ɛrebɔ ntɛmntɛm, adwenemhaw, wo ho totɔ wo, wo koko mu yaw, ɛyɛ den sɛ wobɛhome
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare - atiridiinini, atiridiinini, ɔfe, menewam yaw
• Serotonin yare no ho sɛnkyerɛnne betumi ayɛ: abufuw, adwene a ɛyɛ basaa, koma bɔ ntɛmntɛm anaasɛ ɛnyɛ daa, ntini a ɛyɛ den, ntini a ɛtwetwe, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, atiridiinini, ɔfe, akisikuru.
• Mogya mmoroso a ɛba fam - adwenemhaw, adwenemhaw, anisoadehu a ɛyɛ kusuu
• Akisikuru a ɛma obi ho kyere no
• Nkate a ɛwɔ hann ho
• Aniwa mu yaw mpofirim anaasɛ aniwa a ɛsakra (e.g., aniwa a ɛyɛ kusuu, halos a atwa akanea ho ahyia, aniwa a ɛyera) .
• Adwene a ɛne sɛ obekum ne ho, adwene a ɛne sɛ obepira ne ho, adwene a ɛyɛ den, adwenemhaw a ɛkɔ soro
• Ɛyɛ den sɛ wobɛtow nsu (e.g., nsu a ɛrepue nkakrankakra, te nka sɛ ɛnyɛ nea ɛrepue bere a worekɔtow wo ho) .

Mpɛn pii no, saa nsunsuanso bɔne yi nyɛ biribi a ɛsɛ sɛ ɛhaw adwene. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo sɛ:

• Nsakrae a ɛba wɔ nna ho akɔnnɔ anaa adwumayɛ mu
• Ayamtim
• Adwene a ɛyɛ basaa
• Dae a ɛma obi da
• Ano a ɛyɛ nwunu
• Hallucinations (nneɛma a enni hɔ a wohu) .
• Aduan ho akɔnnɔ a ɛyera
• Wosow anaasɛ wosow

Ebia nneɛma bɔne a ebetumi afi mu aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, wo ne wo duruyɛfo nka ho asɛm.

Ɛhe na ɛsɛ sɛ mede saa aduru yi sie?

• Fa saa aduru yi sie baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ.
• Fa sie wɔ dan mu hyew, digrii Celsius 20 kosi 25 (digrii Fahrenheit 68 kosi 77). Mfa wo ho nhyɛ ɔhyew anaa nwini a ɛboro so mu.
• Mfa nnuru a ne bere atwam nni dwuma. Ɛsɛ sɛ wɔtow gu sɛnea ɛsɛ.

Ɔkwan bɛn so na wotow nnuru a wɔmfa nni dwuma ne nea ne bere atwam gu?

Ɛnyɛ bere nyinaa na ɛyɛ adwene pa sɛ wobɛtow nnuru a wɔmfa nni dwuma a ne bere atwam agu nwura mu kɛkɛ anaasɛ wobɛhohoro akɔ tiafi mu. Sɛ ɛba obi foforo nsam a, ebetumi apira nneɛma a atwa yɛn ho ahyia anaasɛ ɛde ɔhaw ahorow aba. Enti yɛ eyi:

• Nnurutɔnbea ne ayaresabea ahorow bi wɔ nhyehyɛe ahorow a wɔde san fa nnuru. Wubetumi ahu mmeae a ɛtete saa ho asɛm denam wo nnurutɔnbea anaa mpɔtam hɔ akwahosan mpanyimfo a wubebisa so.
• Sɛ ɔkwan biara nni hɔ a wobɛfa so asan de a, hwɛ nnuru a wɔde ahyɛ mu anaa akwankyerɛ a ɛwɔ mu no mu hwɛ sɛ ɛsɛ sɛ wɔtow eyinom gu nwura mu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnye nni a, bisa wo duruyɛfo anaa nnuruyɛfo.
• Sɛ ɛka sɛ ɛyɛ nea asiane biara nni ho sɛ wode bɛhyɛ nwura mu a, yɛ eyi: Sɛ aduru no yɛ capsule a, yi fi ade no mu na fa fra yiye ne biribi a obiara rensusuw ho sɛ obebedi, te sɛ mpataa nwura, kɔfe a wɔde adi dwuma, anaa dɔte. Afei, fa afrafrade no gu plastic bag anaa ade a wotumi to mu mu, to mu, na tow gu nwura mu. Eyi remma mmofra anaa mmoa ntumi nkɔ mu.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Ɛwom sɛ Imipramine yɛ aduru a ebetumi aboa wɔ tebea horow te sɛ adwenemhaw mu de, nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a wode redi dwuma no.

• Fa dodow a wɔakyerɛw ama wo no bere nyinaa, sɛnea oduruyɛfo no kyerɛ no.
• Mma nnnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu.
• Hwɛ hu sɛ wobɛka nnuru foforo biara a wonom ne nyarewa foforo biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
• Sɛ wufi ase nom aduru no wie, titiriw wɔ adapɛn kakraa a edi kan no mu a, hwɛ yiye kɛse wɔ nsakrae biara a ɛbɛba wo adwene mu (titiriw sɛ wubekum wo ho) anaa nneɛma foforo a ɛbɛba no ho. Sɛ wuhu eyinom mu bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Hwɛ yiye wɔ nna ne adwenemhaw ho, efisɛ eyinom betumi aba.
• Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo anaa nnuruyɛfo nsusuw ho.

W’adwene mu akwahosan ho hia paa. Enti sɛ worefa ayaresa a ɛte sɛɛ mu a, kae sɛ ɛnyɛ wo nkutoo. Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo benya abusuabɔ pa na woadi wɔn akwankyerɛ akyi.

` Imipramine, Adwenemhaw, Tricyclic Antidepressants, TCA, Adwene mu Akwahosan, Nsunsuanso bɔne