Ese wumva urambiwe isi yose mu gihe cy'icyumweru kimwe cyangwa bibiri mbere yuko imihango yawe itangira? Ese urakazwa n'ibintu bito cyane, amaso yawe ararira nta mpamvu, wumva ubabaye cyane kandi wihebye? Ese ibyo byiyumvo rimwe na rimwe biba bikomeye ku buryo udashobora kwifata? Iyi ni indwara ikomeye cyane kurusha indwara isanzwe ya 'Premenstrual Syndrome - PMS'. Mu buvuzi, iyi ni 'Premenstrual Dysphoric Disorder' cyangwa '(PMDD)'. Niba rero iyi ndwara ya '(PMDD)' ibangamiye akazi kawe ka buri munsi, akazi, n'ubuzima bw'umuryango, muganga ashobora kukwandikira umuti witwa 'Fluoxetine' nk'igisubizo. Reka tuvuge kuri uyu muti mu buryo burambuye uyu munsi.
Mu magambo make, Fluoxetine ni iki?
'Fluoxetine' ni umuti ukoreshwa mu kuvura 'PMDD'. Uri mu bwoko bw'imiti yitwa 'SSRI' (Selective Serotonin Reuptake Inhibitors). Noneho, ushobora kuba wibaza icyo aya magambo asobanura.
Tekereza muri ubu buryo. Hari imiti ikoreshwa mu bwonko bwacu idufasha kuvugana hagati y’uturemangingo tw’imitsi. Tuyita "Neurotransmitters". "Serotonin" ni imwe muri iyo miti. Iyi "Serotonin" ifasha cyane mu kugenzura amarangamutima yacu, ni ukuvuga, kumva dufite ibyishimo, agahinda, no gutuza. Niyo mpamvu hari n’abantu bayita "hormone y'ibyishimo."
Bikekwa ko abagore barwaye PMDD baba bafite urugero ruto rwa serotonin mbere y’imihango yabo. Niyo mpamvu bumva bafite agahinda kenshi muri iyo minsi. Bityo, umuti wa Fluoxetine ukora mu kongera ingano ya serotonin mu bwonko no gufasha kuringaniza urwo rugero. Hanyuma, ibimenyetso bikomeye nk'agahinda, uburakari, n'agahinda biragenzurwa.
Abaganga batanga inama y'uyu muti atari uwo kwa muganga w'indwara ya PMDD gusa, ahubwo no ku zindi ndwara zo mu mutwe nko kwiheba no guhangayika.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Fluoxetine si umuti ushobora kugura muri farumasi gusa. Mbere yo kuwukoresha, muganga wawe agomba kumenya amateka y’ubuzima bwawe bwose. Menya neza ko wabwiye muganga wawe niba wowe cyangwa undi muntu wo mu muryango wawe afite kimwe muri ibi bikurikira:
Guhisha aya makuru ni ugushyira ubuzima bwawe mu kaga. Bityo rero ganira na muganga wawe ku bintu byose mu buryo busobanutse neza.
- Ibibazo by'ubuzima bwo mu mutwe: Niba wowe cyangwa umuntu wo mu muryango wawe afite indwara ya bipolar, cyangwa niba warigeze gutekereza kwiyahura, imigambi, cyangwa kugerageza kwiyahura, ugomba kubivuga.
- Ubundi bwoko bw'imiti:Bwira muganga wawe niba urimo gufata umuti witwa MAOI (urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate). Gufata iyi miti yombi hamwe ni akaga gakomeye.
- Ibibazo by'amaraso: Niba ufata imiti igabanya amaraso (urugero: Warfarin) cyangwa niba ufite ikibazo cyo kuva amaraso.
- Izindi ndwara: Indwara z'umutima, indwara y'umwijima, ibicurane, glaucoma, indwara ya tiroyide, cyangwa urugero ruke rwa sodium mu mubiri.
- Allergie: Niba ufite allergie kuri Fluoxetine cyangwa undi muti, ibiryo, cyangwa irangi.
- Gutwita no konsa: Niba utwite, ugerageza gutwita, cyangwa konsa, ugomba kuvugana na muganga mbere yo gutangira uyu muti.
Nigute nkwiye gukoresha uyu muti?
Uburyo bwo gukoresha uyu muti ni bworoshye cyane, ariko ni ingenzi cyane gukurikiza amabwiriza neza.
1. Uko ufata: Uyu muti uza mu ishusho ya capsule cyangwa ikinini. Uwunywe n'ikirahure cy'amazi. Ushobora kuwunywa uri kumwe n'ibiryo cyangwa utabirya. Ariko, niba urwaye igifu, ni byiza kuwunywa uri kumwe n'ibiryo.
2. Igihe gikwiye: Fata igipimo cyagenwe buri munsi, mu gihe muganga wawe akubwira. Ntugasimbuze igihe.
3. Irinde guhagarika gutunguranye: Iki ni cyo kintu cy'ingenzi cyane. Ntugahagarike gufata uyu muti gitunguranye utabanje kugirwa inama na muganga. Iyo ubikoze, ushobora kugira ububabare nko kuzungera umutwe, kuribwa umutwe, no kugira isesemi. Bishobora kandi gutuma ibimenyetso bya PMDD birushaho kwiyongera. Iyo uhagaritse, ugomba kubikora ugabanya buhoro buhoro urugero nk'uko muganga yabigutegetse.
Wakora iki iyo ubuze dose y'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose ibura hanyuma ufate dose ikurikira uko bisanzwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose ibura.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya mu ishami ryita ku buvuzi bwihutirwa (ETU) ry’ibitaro ako kanya cyangwa uhamagare Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo . Ntubifate nk’ibisanzwe.
Indi miti ishobora kugira ingaruka kuri Fluoxetine (Imikorere y'imiti)
Ni ngombwa cyane kubwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata, kuko fluoxetine ishobora kugira ingaruka mbi ku yindi miti.
| Ubwoko bw'ingaruka | Ingero n'ibisobanuro |
|---|---|
| Imiti idakwiye gufatwa hamwe | Gufata iyi miti hamwe na Fluoxetine bishobora gushyira ubuzima mu kaga.
|
| Ibintu ugomba kwitondera cyane mu gihe ufata imiti n'ibyo ugomba kumenyesha muganga wawe | Inama za muganga ni ngombwa kuko zishobora kugira ingaruka kuri Fluoxetine.
Uru rutonde ntirwuzuye, bityo bwira muganga wawe ibyo ufata byose . |
Ibintu ugomba kwitondera mu gihe ufata umuti
Menya neza impinduka mu byiyumvo.
Ibi ni ingenzi cyane. Hari ibyago bike byo kongera ibitekerezo cyangwa imyitwarire yo kwiyahura iyo utangiye gufata umuti nka Fluoxetine, cyane cyane mu rubyiruko. Niba wowe cyangwa undi muntu uzi abibonye, vugana na muganga wawe vuba.
- Niba wumva agahinda kawe n'ihungabana ryawe biri kwiyongera.
- Niba wumva uhangayitse, udatuje, cyangwa urakaye.
- Niba ubonye impinduka zitunguranye kandi zikomeye mu myitwarire cyangwa mu byiyumvo.
Bishobora gufata ibyumweru bike kugira ngo uyu muti ugire ingaruka nziza. Rero, ntugahangayike niba ibimenyetso byawe bitaragabanuka na gato. Komeza gufata umuti nk'uko muganga wawe abikubwira.
Izindi ngaruka zisanzwe
- Gusinzira no kuzungera: Uyu muti ushobora gutuma wumva usinziriye, ukagira ikibazo cyo kwibanda ku bintu, cyangwa ukumva uzungera. Kubwibyo, irinde gutwara imodoka cyangwa gukoresha imashini ziteje akaga kugeza igihe umenye ingaruka uyu muti ukugiraho.
- Umunwa wumye: Ushobora kumva nk'aho umunwa wawe wumye. Guhekenya shimmon idafite isukari no kunywa amazi menshi bishobora gufasha.
- Diyabete: Niba urwaye diyabete, uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso yawe, bityo vugana na muganga wawe kuri ibyo.
Ingaruka mbi z'umuti
Kimwe n'indi miti iyo ari yo yose, Fluoxetine ishobora gutera ingaruka mbi. Ariko, si buri wese uzibona. Hari abantu bashobora kugira ububabare buke gusa. Icy'ingenzi ni ukumenya ingaruka mbi zikomeye n'ingaruka mbi zisanzwe.
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
|---|---|
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Indwara ya Serotonin | Kubura amahoro, urujijo, umutima utera cyane, imitsi ikomera cyangwa ihinda umushyitsi, ibyuya byinshi, umuriro, kuribwa mu nda, kuruka, impiswi. Iyi ni indwara iteje akaga cyane. |
| Kuva amaraso ku buryo budasanzwe | Amasambu y'umukara cyangwa amaraso, inkari zitukura/iz'umukara wijimye, kuruka amaraso, utudomo dutukura/iz'umuhengeri ku ruhu, n'ibisebe bidasobanutse. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, kumva nta cyo ushoboye, ububabare mu gatuza. |
| Ibibazo by'amaso | Kubabara amaso mu buryo butunguranye, kutabona neza, no kubona indorerwamo zikikije amatara. |
| Kugabanuka k'umunyu wa sodium mu mubiri | Ubunebwe bw'imitsi, umunaniro ukabije, kuribwa umutwe, urujijo. |
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje) | |
| Ibibazo by'igogora | Isesemi, impiswi, kubabara mu nda. |
| Ibindi bibazo bikunze kugaragara | Kumunga umunwa, kuribwa umutwe, kubira ibyuya byinshi, kudasinzira cyangwa gusinzira, guhinda umushyitsi, guhangayika, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina. |
Ubutumwa bwo kujyana mu rugo
- Fluoxetine ni umuti mwiza ku ndwara ikomeye yo kwiheba uzwi nka PMDD. Ugomba gukoreshwa gusa iyo muganga agusabye.
- Bwira muganga wawe indi miti yose, vitamine, n'indwara zose urimo gufata mbere yo gutangira imiti.
- Irinde guhagarika uyu muti mu buryo butunguranye. Kubikora bishobora gutera ububabare. Nubihagarika, bikora nk'uko muganga wawe yabigutegetse.
- Mu gihe cyo gutangira gufata imiti, witondere cyane impinduka mu mitekerereze yawe, cyane cyane ibitekerezo byo kwiyahura. Nubona impinduka, bwira muganga wawe ako kanya.
- Iyo habayeho ingaruka mbi zikomeye (nk'ubwivumbure, serotonin syndrome, kuva amaraso ku buryo budasanzwe), shaka ubufasha kwa muganga byihutirwa.
- PMDD si ikosa ryawe. Ni indwara ivurwa. Ntukigere utinya gusaba ubufasha.











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