Bigenda bite iyo uhagaritse gufata imiti igabanya ubukana bw'indwara zo kwiheba mu buryo butunguranye? (Syndrome yo Kureka Kwiheba) Reka tubiganireho!

Ushobora kuba ufata imiti igabanya ubukana bw'indwara yo kwiheba cyangwa guhangayika. Hari igihe twibwira tuti: "Oh, ndimo ndumva meze neza ubu, ngomba guhagarika gufata uyu muti." Ariko guhagarika iyi miti mu buryo butunguranye bishobora gutuma ugira ibibazo byinshi. Ibyo nibyo tuvuga uyu munsi.

Indwara yo guhagarika indwara yo kwiheba (Antidepressant Disorder Syndrome) ni iki?

Mu magambo make, niba ufata imiti igabanya ubukana bw'indwara zo kwiheba mu gihe cy'ibyumweru bitandatu, hanyuma ukayihagarika mu buryo butunguranye, cyangwa ukayihagarika utayigabanyije nk'uko muganga agusaba, ushobora kugira ubu burwayi. Hari abantu bayita 'syndrome yo kwiheba'. Iyi yitwa Antidepressant Discontinuation Syndrome , cyangwa ADS mu magambo ahinnye.

Muri iki gihe (ADS), ushobora kugira ibimenyetso bitandukanye, nko kubura ibitotsi, kugira isesemi, no kumva ufite intege nke. Ariko ntugahangayike, ibi bimenyetso akenshi bishira mu gihe kitarenze amezi abiri. Ibi si ibintu bitera ingaruka mbi ku mubiri, ariko bishobora kubabaza cyane. Nanone, ikintu cy'ingenzi ugomba kwibuka ni uko iyo uhagaritse gufata imiti igabanya ubukana, indwara yo mu mutwe wafashe (urugero, kwiheba cyangwa guhangayika) ishobora kongera kugaragara.

Bityo rero, niba utekereza guhagarika imiti igabanya ubukana bw'indwara zo kwiheba, ugomba kubanza kuvugana na muganga wawe . Hanyuma ushobora kugerageza kwirinda iki kibazo cyitwa (ADS).

Iyi ndwara (ADS) ikunze kugaragara gute?

Ubushakashatsi bwagaragaje ko hagati ya 27% na 86% by'abantu bagerageza kureka gufata imiti igabanya ubukana, haba ku giti cyabo cyangwa bagiriwe inama na muganga, bagira ibimenyetso byo kureka kunywa imiti (ADS). Urabona rero ko ibi atari ibintu by’ingenzi cyane.

Ni ibihe bimenyetso by'indwara yo guhagarika kwiheba igabanya umuvuduko w'ihungabana?

Ibi bimenyetso bikunze kugaragara mu minsi ibiri cyangwa ine uhereye igihe umuti wo kwiheba uhagaze. Ibi ni byo bimenyetso by'ingenzi bishobora kugaragara:

• Ibimenyetso bisa n'ibicurane: umunaniro, kuribwa umutwe, kubabara umubiri, no kubira ibyuya. Hari igihe ushobora kurota inzozi zidasanzwe kandi ziteye ubwoba.
• Isesemi: Hari igihe kuruka nabyo bishobora kubaho.
• Kuzungera no kumva ufite umutwe mwiza.
• Gushya, gushyuha, cyangwa kumva utuntu dusa n'utwo mu mubiri (paresthesia). Ibi bishobora kuba ibintu bidasanzwe.
• Ihindagurika ry'amarangamutima: Guhangayika, kurakara, kubura amahoro, ndetse no gukaza umurego bishobora kubaho.

Niba ufite ibi bimenyetso, ugomba kujya kwa muganga wawe . Ubukana bw'ibi bimenyetso bushobora gutandukana bitewe n'umuntu ku wundi, ariko ku bantu benshi, ntabwo ari ubukana cyane. Ubushakashatsi bumwe bwagaragaje ko abantu bagira ibi bimenyetso byo kureka ibiyobyabwenge:

• 7% bamaze amezi abiri bafite ibimenyetso.
• 6% bamaze umwaka bafite ibimenyetso.
• 2% bamaze imyaka irenga itatu bafite ibimenyetso.

Rero, urabona ko ibi bishobora kuba ikintu cy'igihe kirekire kuri bamwe.

Ni iki gitera iki (Indwara yo Kureka Kwiheba)?

Mu by’ukuri, abashakashatsi ntibaramenya neza icyateye iyi "Discontinuation Syndrome". Ariko batekereza ko bifitanye isano no kugabanuka gutunguranye kw'urugero rw'ikinyabutabire cyitwa "Serotonin" mu bwonko iyo uhagaritse gufata imiti nka "SSRI ​​- selective serotonin reuptake inhibitor" cyangwa "SNRI - serotonin na norepinephrine reuptake inhibitor". Iyo imibiri yacu itakaje iyi serotonin mu buryo butunguranye, ihita itera ibi bimenyetso by'umubiri n'ibyo mu mutwe.

Ni ibihe bintu bishobora gutera indwara yo guhagarika ihungabana?

Iyo uhagaritse gufata umuti ugabanya ubukana bw'indwara, uba ufite amahirwe menshi yo kugira ibimenyetso byo kureka gufata imiti (ADS) mu bihe bikurikira:

• Iyo uhagaritse gufata umuti mu buryo butunguranye (utawugabanyije buhoro buhoro).
• Niba umaze igihe kinini ufata uwo muti (imyaka).
• Niba ufata dose nyinshi y'imiti igabanya ubukana bw'indwara (ibi biratandukanye bitewe n'ubwoko bw'umuti).
• Niba warigeze kugira ibimenyetso byo kureka imiti igihe waburaga dose y'imiti mu gihe cyashize (ariko byagiye bishira ubwo wongeraga kuyifata).

Nanone, ubwoko bw'imiti igabanya ubukana ufata bushobora kongera cyangwa kugabanya ibyago byo kurwara ADS. Ibi bifitanye isano ahanini n'igihe umuti umara mu mubiri wawe. Imiti ivugururwa (igahindurwa) vuba n'umubiri ishobora gutera ADS nyuma yo kuyihagarika kurusha imiti iguma mu mubiri igihe kirekire.

Noneho reka turebe ubwoko bumwe na bumwe bw'imiti n'ingaruka zayo:

Urwego rw'ibyago ku miti ya SSRI:

• Imiti ifite ibyago byinshi byo kurwara (ADS): `(Paroxetine)` (igurishwa nka ``Paxil®``, ``Pexeva®``) na `(fluvoxamine)``.
• Imiti ifite ibyago biri hagati ya (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) na `(sertraline)` (`Zoloft®`).
• Imiti ifite ibyago bike kuri (ADS): `(Fluoxetine)` (`Prozac®`).

Urwego rw'ibyago ku miti yo mu bwoko bwa (SNRI):

• Imiti ifite ibyago byinshi byo kurwara (ADS): `(Venlafaxine)` (`Effexor®`) na `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Imiti ifite ibyago biri hagati ya (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Imiti ifite ibyago bike byo kurwara (ADS): `(Milnacipran)` (`Savella®`) na `(levomilnacipran)` (`Fetzima®`).

Uretse ibi, `(MAOIs - monoamine oxidase inhibitors)` , `(tricyclic antidepressants)` na `(tetracyclic antidepressants)`Imiti ikurikira nayo muri rusange ifatwa nk'ifite ibyago byinshi byo kurwara ASD. Bityo rero ni ngombwa kumenya imiti ufata.

Ni izihe ngorane zishobora guterwa n'indwara yo guhagarika kwiheba?

Mu bihe bimwe na bimwe, guhagarika imiti igabanya ubukana bw'indwara zo kwiheba bishobora guteza ingaruka mbi zikomeye. Izi ni zo z'ingenzi:

• Igitekerezo cyo kwiyahura.
• Kwiyahura.
• Ubusa.

Niba wowe cyangwa umwana wawe mufite ibitekerezo byo kwiyahura cyangwa imyitwarire nk'iyo, nyamuneka hamagara umurongo w'ubufasha ku buzima bwo mu mutwe ku 1926 ako kanya. Hari umuntu uhari amasaha 24 ku munsi wo kugufasha. Ntugahangane n'ibi bintu wenyine.

Iyi ndwara (Antidepressant Discontinuation Syndrome) ipimwa ite?

Nta bipimo byihariye bya muganga bihari kugira ngo hamenyekane indwara yo kwiheba igabanya umuvuduko w'ihungabana. Ahubwo, muganga wawe azakubaza ibibazo bijyanye n'ibimenyetso byawe, amateka y'uburwayi bwawe, n'igihe waretse gufata imiti yo kwiheba igabanya umuvuduko w'ihungabana.

Ibimenyetso bya ADS bishobora gusa n'iby'izindi ndwara, nko kwiheba no guhangayika. Kubwibyo, ni byiza kubwira muganga wawe ibisobanuro birambuye bishoboka ku bimenyetso byawe n'uko byatangiye.

Indwara yo guhagarika indwara yo kwiheba ivurwa ite?

Uburyo bwiza bwo kuvura iyi ndwara (ADS) ni ugusubiza umuti ugabanya ubukana ku rugero rumwe n’urwa mbere . Ibi akenshi bikemura ibimenyetso byawe mu masaha 24. Ariko, niba ugishaka guhagarika gufata umuti, muganga wawe azaguha amabwiriza yihariye y’uburyo wagabanya buhoro buhoro urugero no kuwuhagarika.

Bitewe n'uburemere bw'ibimenyetso byawe n'igihe bimara, muganga wawe ashobora no kukwandikira indi miti yo kugufasha kubigenzura. Urugero:

• Imiti igabanya ububabare ku mutwe, nka "Ibuprofen" cyangwa "acetaminophen".
• Ikintu nka ``ondansetron`` (cyamamazwa nka ``Zofran®``), umuti ugabanya isesemi .
• Imiti nka `(hydroxyzine)` cyangwa `(benzodiazepines)` yo kuvura imihangayiko no kudasinzira.

Ni iki giteganijwe kuri iyi ndwara (Antidepressant Discontinuation Syndrome)?

Uko iyi ndwara ihagaze (ADS) iratandukanye. Inshuro nyinshi ntabwo ikabije kandi ntimara ibyumweru birenga umunani. Ariko, hari abarwayi bashobora kuba bakomeye kandi ibimenyetso bishobora kumara umwaka cyangwa irenga. Niyo mpamvu ari ngombwa gushaka inama kwa muganga.

Twakwirinda dute iki kibazo (Antidepressant Discontinuation Syndrome)?

Ikibabaje ni uko iyi "Antidepressant Discontinuation Syndrome (ADS)" idakunze kwirindwa. Ariko, ikintu cy'ingenzi ushobora gukora kugira ngo uyirinde ni ukuganira na muganga wawe mbere yo guhagarika imiti igabanya ubukana. Kuhagarika imiti igabanya ubukana mu buryo bwizewe bishobora gufata igihe kinini - ushobora gukenera kugabanya dose yawe buhoro buhoro uko igihe kigenda gihita.

Buri muti wo kurwanya indwara yo kwiheba uratandukanye, bityo umuntu mwiza wo kugufasha guhagarika kuwufata ni muganga wawe. Azakubwira neza uko wabikora mu mutekano.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Yego, rero kubabara mu guhagarika imiti igabanya ubukana bw'imitsi, izwi nka "Antidepressant Discontinuation Syndrome (ADS)``, bishobora kuba ibintu bidashimishije cyane. Uburyo bwiza bwo kubyirinda ni ukugabanya buhoro buhoro no guhagarika imiti yawe igabanya ubukana bw'imitsi uyobowe na muganga wawe.

Wibuke ko niba ufite ikibazo cyangwa impungenge ku miti yawe, vugana na muganga wawe. Barahari kugira ngo bagufashe.

Imiti ishobora kudufasha cyane iyo ikoreshejwe neza. Ariko ni ngombwa cyane ko tumenya uburyo bwo kuyikoresha n'uburyo bwo kuyihagarika. Ndizera ko ubyumva. Niba ufite ikibazo icyo ari cyo cyose, ntutinye kubaza muganga.

Imiti igabanya kwiheba, Indwara yo guhagarika kwiheba, ADS, Serotonin, Ubuzima bwo mu mutwe, Kureka imiti, Ibimenyetso