Ese wowe cyangwa umuntu wo mu muryango wawe mwahawe umuti witwa Clomipramine na muganga wanyu? Niba ari byo, ushobora kuba ufite ibibazo byinshi kuri uyu muti. Ushobora kuba wibaza ibintu nk'ibi, "Uyu muti ukora iki?", "Ingaruka mbi ni izihe?", "Ni ibihe bintu ugomba kwitondera mu gihe uwukoresha?" Ntugahangayike, tuzabiganiraho byose mu buryo bworoshye kandi bwiza uyu munsi.
Ni ubuhe bwoko bw'umuti Clomipramine?
Muri make, clomipramine ni umuti w'ingenzi ukoreshwa mu kuvura indwara yo kwiheba no guhangayika (OCD) , indwara yo mu mutwe irangwa no gutekereza kenshi no gushaka gukora ikintu nk'icyo. Hari igihe abaganga bashobora no kuwutanga ku zindi ndwara zo mu mutwe.
Uyu muti uri mu bwoko bw'imiti yitwa tricyclic antidepressants (TCAs) . Imiti imwe n'imwe isanzwe iboneka mu bwonko bwacu ifasha mu kugenzura uko twumva tumeze. Uyu muti ukora mu kuringaniza urugero rw'iyi miti, yitwa serotonin na norepinephrine, kandi ugafasha mu kugenzura ibimenyetso bya OCD. Muri Sri Lanka, rimwe na rimwe ushobora kubona uyu muti ku izina rya Anafranil.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira clomipramine, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye by'ubuzima bwawe. Menya neza ko wamubwiye niba ufite imwe muri izi ndwara zikurikira.
- Niba ufite ikibazo cy'inzoga .
- Asima cyangwa izindi ngorane zo guhumeka .
- Izindi ndwara zo mu mutwe, nka bipolar disorder cyangwa schizophrenia .
- Kugorwa no kunyara cyangwa ibibazo bya prostate.
- Glaucoma ni indwara y'amaso.
- Niba ufite indwara y'umutima cyangwa warigeze kugira indwara y'umutima.
- Indwara z'umwijima .
- Niba ufite ikibazo cyo gukora cyane kwa tiroyide.
- Niba ufite indwara itera ibisebe .
- Niba ufite ibitekerezo byo kwiyahura, ibitekerezo byo kwiyahura, cyangwa amateka y'umuryango wawe ufite ibitekerezo nk'ibyo.
- Niba ufite ubwivumbure kuri clomipramine cyangwa indi miti, ibiryo, cyangwa amarangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa .
Guha muganga wawe aya makuru bizamufasha kugufasha mu buryo bwizewe bushoboka.
Ni gute neza neza nkoresha uyu muti?
- Fata uyu muti n'ikirahure cy'amazi.
- Ni byiza kuyifata hamwe n'ifunguro cyangwa nyuma y'ifunguro kugira ngo wirinde kuribwa mu gifu.
- Fata igipimo cyagenwe na muganga wawe mu gihe muganga wawe yakwandikiye. Ntukigere ufata igipimo kirenze icyo wakwandikiye.
- Icy'ingenzi kurushaho: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutera ibimenyetso byo kureka imiti cyangwa bigatuma indwara yawe irushaho kuba mbi.
Ese uyu muti uhabwa abana?
Yego, mu bihe bimwe na bimwe byihariye, uyu muti ushobora kwandikirwa abana barengeje imyaka 10 bafite OCD. Ariko ugomba gukorwa gusa witonze cyane kandi ukurikiranwe na muganga.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe urugero rurenze urwo wategetswe, jya ku bitaro bikuru by’ubutabazi bw’ibanze (ETU) bikwegereye . Cyangwa, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo. Iki ni ikintu kidakwiye gutinda.
Bite ho nintakaza urugero rw'umuti?
Fata dose yabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri clomipramine (Imikorere y'imiti)
Iki ni ingenzi cyane. Clomipramine ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata, harimo na vitamine n'imiti y'ibimera.
| Ntugafate clomipramine hamwe n'iyi miti! | |
|---|---|
| Cisapride | Dronedarone |
| Linezolide | Pimozide |
| Thioridazine | Methylene y'ubururu (ishyirwa mu mitsi) |
| Imiti ya MAOI: nka Carbex, Eldepryl, Marplan, Nardil, Parnate. | |
| Iyi miti ishobora kandi kugira ingaruka kuri clomipramine (bimenyesha muganga wawe). | |
|---|---|
| Imiti ivura allergie, inkorora, n'ibicurane | Imiti imwe n'imwe ivura umuvuduko w'amaraso n'indwara z'umutima |
| Imiti imwe ikoreshwa mu kuvura migraine | Imiti ivura gusinzira no guhangayika |
| Imiti igabanya ububabare (cyane cyane ibiyobyabwenge) | Indi miti igabanya ubukana bw'indwara zo mu mutwe cyangwa imiti ivura indwara zo mu mutwe |
| Imiti itangwa ku ndwara yo gushyuha (urugero: Phenobarbital, Phenytoin) | Imiti igabanya amaraso nka Warfarin |
| Digoxin, Lithium, Cimetidine, Haloperidol | Imiti imwe ikoreshwa mu gutera ikinya mu gihe cyo kubaga |
Ibintu ugomba kuzirikana mu gihe ufata umuti
- Impinduka mu byiyumvo: Hari abantu bashobora kugira impinduka mu byiyumvo igihe batangira gufata uyu muti cyangwa igihe igipimo cyahinduwe. Niba ufite ibimenyetso bishya cyangwa bikomeje kwiyongera nko kwiheba, guhangayika, kubura amahoro, gusinzira nabi, cyangwa gutekereza kwiyahura , bwira muganga wawe cyangwa umuryango wawe ako kanya.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Kubwibyo , irinde ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye ingaruka uyu muti ukugiraho.Kugira ngo ugabanye ibyago byo kuzungera no kugwa, cyane cyane niba uri umuntu ugeze mu za bukuru, bikore buhoro buhoro iyo wicaye uhagaze no iyo uhagurutse uhagaze.
- Inzoga: Irinde kunywa inzoga burundu mu gihe ufata clomipramine. Inzoga zishobora kongera ingaruka mbi z'umuti.
- Umunwa wumye: Umunwa wumye ni ingaruka zikunze kugaragara. Ibi bishobora kugenzurwa no guhekenya ishinya ridafite isukari, gukaraba no kunywa amazi menshi.
- Ingaruka ku maso: Amaso yumye, kutabona neza, nibindi bishobora kubaho. Abambaye lensi zo mu bwoko bwa contact lens bashobora kumererwa nabi. Hashobora gukoreshwa ibitonyanga byo kwisiga. Niba ikibazo kigikomeje, reba abaganga b'amaso.
- Kwihagarika: Uyu muti ushobora gutera impatwe. Gerageza kwihagarika nibura rimwe mu minsi 2-3. Niba udafite impatwe nyuma y'iminsi 3, hamagara muganga wawe.
- Kumva izuba riva: Uyu muti ushobora gutuma uruhu rwawe rworohera izuba. Kubwibyo, niba ugiye ku zuba, ambara imyenda ipfuka uruhu rwawe kandi ukoreshe amavuta akingira izuba.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, clomipramine ishobora gutera ingaruka mbi, nubwo atari buri wese uzibona.
| Ubwoko bw'ingaruka mbi | Ibimenyetso |
|---|---|
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Indwara ya Serotonin | Kujijinganya, umutima utera cyane, imitsi igakomera cyangwa igahinda umushyitsi, ibyuya byinshi, umuriro mwinshi, gushyuha, kuruka, impiswi. |
| Impinduka mu mikorere y'umutima | Umutima utera vuba cyangwa utari mwiza, isereri, ububabare mu gituza, guhumeka bigoranye. |
| Ibindi bimenyetso bikomeye | Gufatwa n'icyorezo, kubabara amaso cyangwa guhinduka k'amaso, kugorwa no kunyara, gutekereza kwiyahura. |
| Ingaruka mbi nke zigomba kumenyeshwa muganga mu gihe zikomeje cyangwa zibangamiye | |
| Ibibazo bisanzwe | Kumunga umunwa, gusinzira, kuzungera, kuribwa mu nda, guhinda umushyitsi, kwiyongera ibiro, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina. |
Ubutumwa bwo kujyana mu rugo
- Fata umuti neza neza nk'uko muganga wawe yabigutegetse, mu gipimo gikwiye kandi mu gihe gikwiye.
- Ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Bwira muganga wawe indi miti yose, vitamine, ndetse n'imiti gakondo ufata.
- Witondere ingaruka mbi zikomeye (cyane cyane impinduka zo mu mutwe, ingaruka z'ubwivumbure, impinduka mu muvuduko w'umutima). Niba ubonye kimwe muri ibi, shaka ubufasha kwa muganga byihutirwa.
- Uyu muti wanditswe kuri wewe gusa. Ntukigere uwusangira n'abandi.
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