Hari igihe bigorana cyane kurwanya indwara yitwa depression. Iyo nta gihindutse mu buzima bwawe ndetse no nyuma yo gufata imiti no gukora ibyo muganga avuze byose, agahinda n'irungu bikugeraho ntibishobora kugaragazwa mu magambo. Niba nawe uri umuntu ufite ikibazo nk'iki, iyi nkuru izaba ingenzi cyane kuri wewe. Uyu munsi turimo kuvuga ku buvuzi bwihariye bukoreshwa mu bihe aho imiti isanzwe ivura indwara zo kwiheba itatanze ubutabazi, ni ukuvuga Esketamine Nosal Spray.
Mu magambo make, Esketamine ni iki?
Esketamine (izwi kandi ku izina rya Spravato) ni umuti ukoreshwa mu kuvura indwara yo kwiheba. Ariko si uburyo bumwe bwo kuvura. Muganga wawe azasuzuma ubu buryo gusa niba ufite indwara yo kwiheba kandi ukaba waragerageje nibura indi miti ibiri yo kwiheba ariko ntibagufashe uko ubyifuza. Ibyo bivuze ko ari uburyo bwihariye bwo kuvura abantu batakiriye ubundi buryo bwo kuvura .
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira ubu buvuzi, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Niba ufite imwe muri izi ndwara zikurikira, menya neza ko uyimubwiye.
| Imiterere | Ibisobanuro |
|---|---|
| Umutima n'umuvuduko w'amaraso | Kuba ufite amateka yo kugira umuvuduko ukabije w'amaraso, indwara z'umutima, indwara z'umutima, cyangwa umutima utera nabi. |
| Ubwonko n'imitsi y'amaraso | Kugira amaraso mu bwonko, gucika imitsi mu bwonko, gukomereka mu mutwe, cyangwa indwara y'imitsi ijyana amaraso mu bwonko, mu gituza, mu maguru, cyangwa ahandi hantu. |
| Ubuzima bwo mu mutwe | Izindi ndwara zo mu mutwe nka schizophrenia, dementia, ibitekerezo byo kwiyahura cyangwa kugerageza kwiyahura (muri wowe cyangwa mu wundi muntu wo mu muryango wawe). |
| Ibindi bihe | Indwara z'umwijima, amateka yo kuba imbata y'ibiyobyabwenge cyangwa inzoga, ingaruka z'ubwivumbure kuri Esketamine, Ketamine cyangwa indi miti, ibiryo, cyangwa amarangi. |
| Gutwita | Niba utwite ubu, ugerageza gutwita, cyangwa wonsa, menya neza ko ubitumenyesha. |
Ukoresha uyu muti ute? Uyu ni umwihariko cyane!
Ikintu cy'ingenzi ugomba gusobanukirwa hano ni uko uyu atari umuti ushobora kujyana mu rugo . Uyu muti ukoreshwa gusa uyobowe na muganga, mu bitaro cyangwa ivuriro.
- Uyobowe na muganga: Ugomba gukoresha iyi spray yo mu mazuru uyobowe na muganga cyangwa abakozi b'abaganga bahuguwe. Bazakwigisha neza uburyo bwo kuyikoresha n'ingano yayo.
- Igihe cyo kwitegereza amasaha abiri: Nyuma yo gufata umuti, abakozi bo kwa muganga bazagukurikirana nibura amasaha abiri . Bazagusuzuma umuvuduko w'amaraso n'izindi ndwara hanyuma bafate icyemezo niba umeze neza bihagije kugira ngo utahe.
- Gutwara imodoka birabujijwe cyane: Ibi ni ingenzi cyane. Ntushobora gutwara imodoka ku mpamvu iyo ari yo yose ku munsi wafashe umuti. Si ibyo gusa, ahubwo ntugomba gukoresha imashini cyangwa ngo ukore ikintu cyose gisaba kwitonda. Kubwibyo, ni ngombwa ko uzana umuntu wo mu muryango cyangwa inshuti kugira ngo agujyane mu rugo. Nyuma yo gusinzira neza nijoro, uzabasha gusubira mu mirimo isanzwe ku munsi ukurikiyeho.
- Witondere ibiryo n'ibinyobwa: Uyu muti ushobora gutera isesemi no kuruka. Kugira ngo wirinde ibi, ntukarye ikintu icyo ari cyo cyose amasaha 2 mbere yo gufata umuti. Nanone, hagarika kunywa ibinyobwa birimo n'amazi , iminota 30 mbere yo gufata umuti.
- Izindi spray zo mu mazuru: Niba ukoresha izindi steroid zo mu mazuru (corticosteroids) cyangwa imiti igabanya ububabare bw'umubiri, zikoreshe nibura isaha imwe mbere yo gutera Esketamine spray.
Niba wabuze dose, bivuze ko udashobora kujya mu nama yawe yagenwe, nyamuneka menyesha muganga wawe ako kanya. Ni ngombwa cyane gukomeza ubu buvuzi nk'uko byategetswe.
Wakora iki niba ufashe imiti myinshi?
Ibi bitangwa hifashishijwe ubugenzuzi bw'abaganga bityo amahirwe yo kuba ibi bibaho aba make. Ariko, niba ikintu nk'iki kibaye, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry'ibitaro biri hafi.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Ni ingenzi cyane kubwira muganga wawe imiti yose, vitamine, inyongeramusaruro, n'ibikomoka ku bimera ufata. Hari ibintu bimwe na bimwe bishobora kugira ingaruka kuri uyu muti. Witondere cyane ibi bintu:
- Inzoga
- Imiti ituza ubwonko kandi igatera gusinzira
- Imiti imwe n'imwe ivura ibicurane, inkorora, na aleriji (Antihistamines)
- Indi miti igabanya ubukana bw'indwara zo mu mutwe (urugero: Amitriptyline, Fluoxetine, Sertraline)
- Imiti imwe n'imwe ivura igicuri (urugero: Phenobarbital)
- Imiti igabanya ububabare muri rusange
- Imiti igabanya imitsi ikoreshwa mu gihe cyo kubaga
- Imiti igabanya ububabare bukabije
- Imiti igabanya ubukana bw'ihungabana yitwa MAOIs
- Imiti itera imbaraga mu mutwe (urugero: Amphetamine, Methylphenidate)
Uru rutonde ntirwuzuye, bityo bwira muganga wawe ibyo ufata byose .
Ni izihe ngaruka mbi zishobora kubaho?
Nk’uko bigenda ku miti iyo ari yo yose, ingaruka mbi zishobora kubaho. Zimwe ni mbi cyane, izindi ni izisanzwe. Ni ngombwa kuzimenya.
| Ingaruka mbi zigomba kumenyeshwa itsinda ry'abaganga bawe ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Kwitandukanya | Kumva utandukanye n'ibitekerezo byawe, amarangamutima, umubiri, n'ibikukikije, nk'aho uri kure y'amazi. Kumva utandukanye n'ukuri. |
| Ubwiyongere bw'umuvuduko w'amaraso | Ubwiyongere bugaragara bw'umuvuduko w'amaraso nyuma yo gufata umuti. |
| Impinduka mu miterere y'imitekerereze | Ibitekerezo byo kwiyahura, kwiyongera k'agahinda, guhungabana. |
| Ibintu ugomba kubwira muganga wawe niba bikomeje cyangwa bikubangamiye | |
| Ibintu bikunze kumvikana | Kuzunguruka, gusinzira, isesemi, kuruka, guhangayika. |
| Izindi ngaruka | Kugorwa no gushyira ibintu ku murongo, ibibazo byo kwibuka cyangwa kuvuga, kugira ibinya mu mubiri, kumva ufite ibyishimo bikabije. |
Ubutumwa bwo kujyana mu rugo
- Esketamine ni uburyo bwihariye bwo kuvura indwara yo kwiheba gukomeye itarakira indi miti, kandi itangwa gusa munsi y’ubuyobozi bwa muganga.
- Uyu si umuti ushobora kujyana mu rugo ukawukoresha. Buri gihe utangwa mu bitaro cyangwa mu ivuriro.
- Ku munsi wo gufata umuti, ni ngombwa ko umuntu agutwara mu rugo. Irinde gutwara imodoka cyangwa gukora ikintu icyo ari cyo cyose gisaba kwitonda kugeza igihe usinziriye neza nijoro.
- Ha muganga wawe ibisobanuro byuzuye ku yindi miti yose ufata, indwara usanzwe ufite, ndetse n'ubwivumbure.
- Menya ingaruka mbi zikomeye (cyane cyane impinduka zo mu mutwe, umuvuduko ukabije w'amaraso, ubwivumbure) kandi umenyeshe itsinda ry'abaganga ako kanya niba ubonye ibimenyetso nk'ibyo.
- Buri gihe kurikiza amabwiriza ya muganga wawe. Ntugahagarike imiti hagati.
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