Inkuru nziza ku bantu muri mwe muhanganye n'ihungabana!

Ihungabana ni ikibazo kigoye cyane kandi kirenze urugero. Iyo ugerageza kuva muri iki kibazo, wenda muganga yakwandikiye imiti igabanya ubukana bw'indwara zo mu mutwe cyangwa imiti igabanya ubukana bw'indwara zo mu mutwe. Ariko, ubu buryo bwo kuvura ntibukora kimwe kuri buri wese. Icyo ni kimwe mu bibazo bikomeye. Ubushakashatsi bumwe bwerekana ko umuntu umwe kuri batatu bafite ihungabana adahita abona ubutabazi bwihuse muri ubu buryo busanzwe bwo kuvura.

Kuki uburyo bumwe bwo kuvura budakora kuri buri wese?

Impamvu nyamukuru ibi ni uko imibiri yacu yose n'ubwonko bwacu bitandukanye cyane. Ndetse no ku kiyobyabwenge kimwe, uburyo ubwonko bwawe bubyitabira n'uburyo ubwonko bw'undi muntu bubyitabira bishobora gutandukana cyane. Tekereza, ndetse n'abavandimwe babiri bo mu muryango umwe bafite uburyohe butandukanye mu biribwa, ibinyobwa, n'imyenda. Uko ni ko bimeze. Imiti iri mu bwonko bwacu nayo ikora mu buryo butandukanye bitewe n'umuntu umwe.

Mu magambo make, biragoye ndetse n'abaganga kuvuga neza 100% bati “Sawa, uyu ni wo muti ukubereye” mu ntangiriro. Niyo mpamvu rimwe na rimwe bifata igihe kugira ngo ubone umuti ukubereye.

Imiti igezweho ya SSRI

Muri iki gihe, umuganga ashobora kubanza guha umuntu ufite indwara yo kwiheba (MDD) umuti witwa SSRIs (Selective Serotonin Reuptake Inhibitors) . Iyi miti iteye imbere cyane kurusha imiti ishaje.

Nubwo iri zina rishobora kumvikana nk'ikintu gikomeye, mu by'ukuri ni ikintu cyoroshye cyane. Ubwonko bwacu bufite neurotransmitter yitwa "Serotonin." Ibi bifasha mu kugenga ibintu nk'amarangamutima yacu, ibyishimo, no gusinzira. Abantu bafite ikibazo cyo kwiheba bashobora kuba bafite urugero ruto rw'iyi serotonin. Imiti ya SSRI ikora mu gutuma serotonin mu bwonko ikora igihe gito. Ni nko guhagarika amazi igihe gito no kuyagumana aho agomba kuba igihe kirekire.

Dore ubundi bwoko bw'imiti iri mu itsinda rya SSRI:

Kimwe mu byiza bikomeye by'iyi miti ya SSRI ni uko igira ingaruka nke cyane ugereranije n'imiti ishaje. Bityo ushobora gukomeza gukoresha iyi miti nta kibazo kugeza igihe ubonye umusaruro wifuza.

Ugereranyije, abantu bagera kuri batandatu ku icumi (6/10) bafata imiti ya SSRI bazabona impinduka zikomeye mu bimenyetso byabo mu mezi abiri. Ariko 40% basigaye bashobora kutabona ubutabazi bw'iyi miti gusa. Ni bwo tugomba gutekereza ku bundi buryo bwo kuvura.

Icyizere gishya ku batazi uburyo bwo kuvura: Ketamine

Ketamine ni umuti wazanye icyizere gikomeye ku bafite ikibazo cy'ihungabana ridashobora kuvurwa kandi ritakira imiti isanzwe.

Nubwo uyu muti wakoreshejwe bwa mbere nk'umuti ugabanya ububabare mu gihe cyo kubagwa, nyuma byaje kugaragara ko ushobora gutanga ihumure ryihuse cyane ku ndwara yo kwiheba. Ketoconazole ikora mu buryo butandukanye rwose na SSRIs. Ni ukuvuga ko igira ingaruka ku buryo butandukanye bw'imiti mu bwonko.

Ni iki kidasanzwe kuri ketamine?

• Ibisubizo byihuse: Ntabwo ugomba gutegereza ibyumweru byinshi nk'uko bigenda ku miti isanzwe. Ketamine ishobora gutanga ihumure ry'imitekerereze vuba cyane, rimwe na rimwe ndetse no mu masaha make.
• Bikwiriye ku bantu barwaye indwara zikomeye: Ibi bigira akamaro cyane ku bantu batitabira imiti nka SSRI. Binafasha mu kugenzura indwara zikomeye nko gutekereza kwiyahura.

Uburyo bwo kuvura Ketamine bushobora kuboneka mu buryo bubiri bw'ingenzi:

1. Spray yo mu mazuru: Iyi ni SpravatoIza munsi y'izina ry'ikirango "Esketamine." Irimo ikintu cyitwa "esketamine," ari na cyo gikomoka kuri ketamine. Yemejwe n'ibigo nka FDA (U.S. Food and Drug Administration), bityo ikaba iboneka binyuze mu bwishingizi.

2. Uburyo bwo guterwa umuti mu mitsi (IV): Ni uburyo bwo gushyira umuti mu mubiri mu buryo butaziguye binyuze mu mitsi. Nubwo ubu buryo butarakemerwa ku mugaragaro ku ndwara yo kwiheba (gukoresha imiti idakoreshejwe neza), bukoreshwa mu bihe bikomeye buyobowe na bamwe mu baganga.

Icy'ingenzi kurushaho, ubu buryo bwose bwo kuvura bugomba gukorwa munsi y'ubugenzuzi bukomeye bw'umuganga wujuje ibisabwa. Ntuzigere ugerageza ibi bintu wenyine. Muganga wawe ni we ugomba guhitamo uburyo bwiza bwo kuvura indwara yawe.