Ese hari igihe uhura n'ihindagurika ry'amarangamutima rikabije ku buryo uhita wumva wishimye cyane kandi ukora cyane (mania) ubundi ukumva ubabaye cyane kandi wihebye (depression)? Ibi nibyo twita Bipolar I Disorder mu buvuzi. Uyu munsi turimo kuvuga ku inshinge zidasanzwe zitangwa rimwe mu kwezi kugira ngo zigabanye iryo hindagurika rikomeye ry'amarangamutima. Uwo ni Abilify Maintena.
Bipolar I ni iki? Abilify Maintena ikora ite?
Mu magambo make, indwara ya bipolar ni indwara yo mu mutwe aho ibyiyumvo by'umuntu, imbaraga ze, n'imikorere ye bihinduka mu buryo butunguranye kandi bukabije. Ishobora kuba irimo ibihe by'amarangamutima, iyo yishimye cyane kandi akora cyane, ibihe by'ihungabana, iyo ababaye cyane kandi yihebye, hamwe n'ibihe bivanze, iyo byombi bivanze. Umuntu ufite indwara ya bipolar I aba yarigeze kugira nibura igice kimwe cy'amarangamutima. Ariko ibuka ko uburyo iyo ndwara igira ingaruka kuri buri muntu, uburemere bw'ibimenyetso, n'igihe zimara biratandukanye.
Nubwo nta muti wuzuye w’indwara ya bipolar, birashoboka rwose kugenzura ibimenyetso no kugumana ubuzima bwiza hamwe n’imiti ikwiye n’ubuvuzi bukwiye .
Urushinge rwa Abilify Maintena rurimo umuti witwa `aripiprazole`. Uyu uri mu bwoko bw'imiti yitwa `imiti yo mu bwoko bwa kabiri yo kurwanya indwara zo mu mutwe`. Ubu bwoko bw'imiti butandukanye n'imiti ishaje kuko idakunze gutera ingaruka mbi ziterwa no kugenda (` ibimenyetso bya extrapyramidal` ) nko gutigita no kubura umutuzo.
Uburyo uyu muti ukora mu bwonko ntabwo burasobanuka neza, ariko ubu bikekwa ko ufasha kuringaniza imikorere y'ibinyabutabire byo mu bwonko bya serotonin na dopamine, bigenzura ibyiyumvo byacu.
Uru rukingo narubona nte?
Abilify Maintena si umuti ushobora gufata wenyine. Ni urushinge rutangwa rimwe mu kwezi na muganga wawe cyangwa umuganga wabyigiye. Akenshi ruterwa mu kuboko kwawe cyangwa mu kibuno.
Ubuvuzi bukunze gutangirira ku gipimo cya 400mg. Ariko, niba ugize ingaruka mbi, muganga wawe ashobora gufata icyemezo cyo kugabanya kugeza kuri 300mg.
Ibi bintu ni ingenzi mu gutangira kuvurwa.
- Niba usanzwe ufata indi miti ya bipolar:Nyuma yo guhabwa dose ya mbere ya Abilify Maintena, muganga wawe azakubwira gukomeza gufata dose imwe mu gihe cy'iminsi 14. Ibi ni ukugufasha kugenzura ibimenyetso kugeza igihe urugero rw'umuti mu maraso yawe ruzaba ruhagaze neza.
- Niba utarafata umuti w’indwara ya bipolar mbere: Muganga wawe azaguha ikinini cyitwa `aripiprazole` (Abilify) mu kanwa mu gihe cy’ibyumweru bibiri mbere yo kugutera urukingo rwa mbere kugira ngo arebe niba umubiri wawe ushobora kwihanganira umuti kandi niba ufite ingaruka mbi zikomeye. Hanyuma ushobora guhabwa ikinini kimwe mu byumweru bibiri nyuma yo kugutera urukingo rwa mbere. Nkuko byavuzwe mbere, ibi ni ukugira ngo umuti ugumane urugero mu maraso yawe kugeza igihe urukingo rugize ingaruka nziza.
Ni ingenzi cyane ko utabura itariki yagenwe yo gukingirwa kubera impamvu iyo ari yo yose. Niba ubuze itariki yagenwe yo gukingirwa, hamagara muganga wawe ako kanya. Nanone, ntushobora kubona inkingo itaha kugeza nibura iminsi 26 ishize uhereye igihe wakingiwe mbere.
Ni izihe nyungu z'uyu muti? Bitwara igihe kingana iki kugira ngo ukore?
Ubushakashatsi bwakorewe kuri Abilify Maintena bwagaragaje ko abantu bafashe Abilify Maintena bagiraga ibihe bikomeye byo kwishima kurusha abafashe placebo. Muri make, abantu bafashe uyu muti bashoboye kugumana ibyiyumvo byabo bihamye kandi bitekanye igihe kirekire.
Uru ni urukingo "rworoshye". Ibi bivuze ko umuti usohorwa mu mubiri buhoro buhoro kandi ugakora igihe kirekire. Kubwibyo, ushobora kutabona itandukaniro rinini nyuma yo guterwa urushinge. Niyo mpamvu uhabwa imiti yo kunywa mu byumweru bibiri bya mbere. Niba ibimenyetso byawe bitarushijeho kumera neza nyuma y'amezi make, menya neza ko wabiganiriyeho na muganga wawe.
Ingaruka mbi n'uburyo bwo kuzirwanya?
Kimwe n'indi miti yose, Abilify Maintena ishobora gutera ingaruka zimwe na zimwe, nubwo atari buri wese uzibona. Dore ingaruka mbi zikunze kugaragara n'icyo wakora kuri zo.
| Ingaruka mbi | Uburyo bwo gucunga |
|---|---|
| Kutuza (akathisia) no kugenda mu buryo butagenzurwa (ibimenyetso byo hanze ya piramidi) | Niba ufite ibi bimenyetso, bwira muganga wawe ako kanya . Ashobora kugabanya ingano cyangwa kuguha undi muti w'ibyo bimenyetso. |
| Kwiyongera ibiro, isukari nyinshi mu maraso na cholesterol nyinshi | Muganga wawe azakurikirana ibiro byawe n'ibipimo by'amaraso yawe buri gihe. Ni ingenzi cyane gukurikiza indyo yuzuye no gukora imyitozo ngororamubiri . |
| Guhangayika | Gabanya ibinyobwa birimo kafeyine nka kawa. Gira ibitotsi bihagije. Humura mu mutwe wawe ukoresheje ibintu nka yoga n'imyitozo ngororamubiri. Niba bikomeje, bwira muganga wawe. |
| Gusinzira nabi | Komeza amasaha yo kuryama n'ayo kubyuka ahoraho. Irinde gukoresha telefoni yawe cyangwa kureba televiziyo mbere yo kuryama. Vugana na muganga wawe kuri ibi. |
| Umunaniro ukabije n'ibitotsi | Irinde gutwara imodoka no gukora ikintu cyose gisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka. |
| Ububabare aho umuntu atewe urushinge | Ubu bubabare buzashira mu masaha make cyangwa iminsi mike. Ushobora gusaba muganga wawe gushyiramo agapaki k'urubura cyangwa agakoresho gashyushye ko gukaraba. Niba ububabare bukabije cyangwa bukomeje, bwira muganga wawe . |
Ikoreshwa ry'ibiyobyabwenge
Indi miti ufata ishobora kugira ingaruka ku ngaruka za Abilify Maintena. Abilify Maintena ishobora no guhindura ingaruka z'indi miti. Kubwibyo , ni ngombwa kubwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti igurishwa mu kigo, vitamine, ndetse n'imiti karemano.
| Ubwoko bw'umuti | Ingaruka zishoboka |
|---|---|
| Imiti igabanya ubwivumbure (nka `ketoconazole`) hamwe n'imiti imwe n'imwe igabanya ubukana bw'indwara (nka `paroxetine`, `fluoxetine`) | Bishobora kongera urugero rwa Abilify mu maraso, bikongera ibyago byo kugira ingaruka mbi. |
| Imiti ivura igicuri n'ububabare bw'imitsi (nk'umuti wa carbamazepine) | Bishobora kugabanya urugero rwa Abilify mu maraso, bikagabanya imikorere y'umuti. |
| Umuti uvura umuvuduko ukabije w'amaraso | Umuvuduko w'amaraso yawe ushobora kuba uri hasi cyane. Muganga wawe azagusuzuma buri gihe. |
| Imiti igabanya ububabare (benzodiazepines) | Gusinzira cyane no kugabanuka k'umuvuduko w'amaraso iyo uhagaze mu buryo butunguranye (orthostatic hypotension). |
Ubutumwa bwo kujyana mu rugo
- Abilify Maintena ni urushinge rwa buri kwezi rukoreshwa mu kuvura indwara ya Bipolar I.
- Ibi bikorwa kugira ngo bigabanye ihindagurika rikomeye ry'amarangamutima no kugufasha kuguma mu mwuka uhamye. Uyu ni umuti ugenzura indwara, ntabwo ari umuti wuzuye.
- Ntucikwe n'amatariki yagenwe yo gukingirwa. Niba ufite ikibazo, menyesha muganga wawe ako kanya.
- Menya ingaruka mbi nko kongera ibiro, kubura umutuzo no gusinzira. Vugana na muganga wawe nta guhisha ikintu cyose kigutera kumva utameze neza.
- Ushobora kwirinda ingaruka mbi umenyesha muganga wawe indi miti yose ufata.
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