Ese ushobora kugabanya agahinda kawe? (Imipramine) Reka twige ku bijyanye n'umuti?

Ni ibisanzwe ko rimwe na rimwe twumva tubabaye kandi tugahangayika. Ariko iyo iyi mimerere ikomeje, iyo twumva dufite umutwaro mwinshi ku buryo tudashobora no gukora imirimo yacu ya buri munsi, tuyita ihungabana. Rero, hari imiti ishobora kudufasha muri bene ibyo bihe. Uyu munsi tugiye kuvuga ku muti umwe nk'uwo, ari wo Imipramine.

Uyu muti (Imipramine) ni uwuhe?

Muri make, Imipramine ni umuti ukoreshwa mu kuvura indwara yo kwiheba. Ese wari uzi ko hari imiti mu bwonko bwacu ifasha mu kugenzura amarangamutima yacu, nk'intumwa? Tuyita Serotonin na Norepinephrine. Icyo Imipramine ikora ni ukongera ingano y'izo ntumwa mu bwonko, bifasha kugabanya agahinda n'imihangayiko, no kunoza amarangamutima yacu. Ni mu bwoko bw'imiti yitwa Tricyclic Antidepressants (TCAs) .

Hari igihe abaganga bashobora kukwandikira uyu muti no ku zindi ndwara. Kubwibyo, ni byiza kubaza muganga wawe cyangwa umufarumasiye impamvu yatumye uhabwa uyu muti, cyangwa niba ufite ikindi kibazo kuri wo.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gufata uyu muti?

Mbere yo gutangira gufata uyu muti (Imipramine), hari ibintu bike ugomba kubwira muganga wawe. Kuko ibi bintu bizagena niba uyu muti ukubereye cyangwa utagukwiriye, n'uko ukwiye gutangwa. Reka turebe ibi bintu:

• Ese wigeze ugira ikibazo cy’ubwivumbure kuri uyu muti (Imipramine), undi muti, ibiryo, irangi ry’ibiribwa, cyangwa imiti irinda ubushyuhe?
• Urategereje umwana? Cyangwa wifuza kubyara umwana?
• Ese uri umubyeyi wonsa?
• Ese waba waratwawe n'inzoga?
• Ese wigeze ugira cyangwa wigeze ugira indwara nk' 'bipolar disorder' - indwara aho uhita wishima cyane ugahita ugira agahinda gakomeye (mood changes) - cyangwa 'schizophrenia' - indwara aho ubura aho uhurira n'ukuri, ukumva ibintu bitagaragara, kandi ukagira ibibazo bitandukanye byo mu mutwe?
• Ese ufite ikibazo cyo kunyara? Niba uri umugabo, ufite ibibazo bya prostate ?
• Ese umutima wawe utera vuba cyangwa utera nabi ?
• Ese urwaye glaucoma - indwara ituma umuvuduko w'ijisho wiyongera?
• Ese urwaye indwara y'umutima cyangwa uherutse kugira indwara y'umutima ?
• Urwaye impyiko ?
• Urwaye umwijima ?
• Ese ufite indwara ziterwa no guhumeka mu bihaha nka asima ?
• Ese wigeze ugira ibisebe mbere?
• Warigeze kugira ikibazo cyo gucika imitsi yo mu bwonko (stroke )?
• Igikuru ni iki, ese wumva ushaka kwiyangiza? Ese wigeze ugira ibitekerezo nk'ibyo? Ese hari umuntu wo mu muryango wawe wigeze agira ibi? Ugomba kubimenyesha muganga wawe.
• Ufite ikibazo cya tiroyide ?

Niba ufite kimwe muri ibi bintu, ni ngombwa cyane ku mutekano wawe kubibwira muganga wawe.

Uyu muti nkwiye kuwukoresha nte?

Noneho reka turebe uko uyu muti (Imipramine) wakoreshwa.

• Uyu ni umuti uza mu tunyangingo. Ugomba gufatwa unyobwa n'ikirahure cy'amazi.
• Ugomba gufata umuti neza neza nk'uko muganga yabigutegetse, mu gihe gikwiye, kandi mu gipimo gikwiye. Ntugafate urenze cyangwa munsi y'uwo muganga akubwira gufata.
• Iki ni cyo kintu cy'ingenzi: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Iyo uhagaritse mu buryo butunguranye, ushobora kugira ibimenyetso byo kureka, cyangwa se ubuzima bwawe bugakomera. Kubwibyo, niba uhagaritse, bikora buhoro buhoro, ukurikiza inama za muganga.
• Iyo farumasi iguhaye uyu muti, ushobora kuza uri kumwe n'agapapuro k'amabwiriza yihariye (MedGuide) . Menya neza ko uwusoma witonze igihe cyose ufata umuti. Urimo amakuru y'ingenzi.
• Hakenewe ubwitonzi bwihariye niba uyu muti uhawe abana. Vugana na muganga wawe ku bijyanye nawo kandi ugire inama.
• Niba wafashe imiti myinshi ku bushake, ni ukuvuga niba urenze urugero, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe ako kanya, cyangwa uhamagare ikigo gishinzwe kurwanya uburozi, bidatinze.

Uyu muti ni uwo gukoresha ubwawe gusa. Ntugahe uyu muti inshuti cyangwa umuntu wo mu muryango ufite ibimenyetso nk'ibyawe.

Wakora iki iyo usibye gahunda yo gufata imiti?

Tekereza ko wibagiwe gufata umuti. Ibi nibibaho, fata vuba ubyibuka. Ariko, niba igihe cyo gufata umuti ukurikira kigeze hafi (urugero, mu masaha make), rekeraho gufata umuti wabuze hanyuma ufate umuti ukurikira ku gihe cyagenwe. Ntugafate imiti ibiri cyangwa myinshi. Kubikora bishobora kongera ingano y'umuti ufata kandi bigatera ingaruka mbi.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?

Uyu muti (Imipramine) ushobora kugira ingaruka ku yindi miti, ibyatsi, cyangwa ibindi bintu ufata. Iyo bigenze bityo, bishobora guteza ibibazo. Bityo rero ni ngombwa cyane kubimenya.

Ntugafate Imipramine hamwe n'iyi miti:

• (Amoksapine)
• (Arsenic trioxide)
• Imiti imwe n'imwe yo kugenzura indwara z'umutima zidatera neza cyangwa izindi ndwara z'umutima
• (Cisapride)
• (Cocaine) (Iki ni ikiyobyabwenge)
• (Grepafloxacin)
• (Halofantrine)
• (Levomethadil)
• (Linezolide)
• Imiti iri mu itsinda ryitwa 'MAOI' (Monoamine Oxidase Inhibitors) (ingero: (Carbex), (Eldepryl), (Marplan), (Nardil), (Parnate)). Ntibyemewe gutangira (Imipramine) kugeza nibura ibyumweru bibiri nyuma yo guhagarika iyi miti ya MAOI.
• (Methylene y'ubururu) (Uyu ni umuti uterwa mu mitsi)
• Indi miti ivura indwara yo kwiheba (baza muganga wawe ibi)
• Imiti iri mu itsinda ryitwa 'Phenothiazines' (ingero: (perphenazine), (thioridazine), (chlorpromazine))
• (Pimozide)
• (Procarbazine)
• (Sparfloxacin)
• (Umuti wa Mutagatifu Yohani) (Nubwo uyu ari umuti w'ibimera, ushobora kugira ingaruka kuri (Imipramine))

Nanone, ibi bikurikira bishobora kugira ingaruka kuri Imipramine:

Niba ufata ibi, ugomba kubimenyesha muganga.

• (Atropine) n'imiti ifitanye isano nayo (urugero: (hyoscyamine), (scopolamine), (tolterodine))
• Imiti yo mu bwoko bwa barbiturate (urugero: phenobarbital) igufasha gusinzira cyangwa kuvura indwara zo mu mutwe
• (Cimetidine)
• (Clonidine)
• Imiti igabanya ububabare mu gace runaka (urugero, umuti ugabanya ububabare utangwa mbere yo gukura amenyo)
• Umuti uvura umuvuduko ukabije w'amaraso
• Imiti igabanya ububabare yanditswe na muganga
• Imiti igabanya ububabare bw'imitsi (urugero: carbamazepine cyangwa phenytoin)
• Ibitera imbaraga (urugero: dexmethylphenidate cyangwa methylphenidate)
• Imisemburo ya tiroyide
• (Ziprasidone)

Uru rutonde rushobora kuba rudahagije. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo vitamine, imiti ikomoka ku bimera, imiti idasaba muganga, n'inyongeramusaruro), kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka kuri uyu muti, bityo ni ku bw'umutekano wawe.

Ni ibihe bintu ugomba kwitondera mu gihe ufata uyu muti?

Mu gihe ufata (imipramine), ni byiza kumenya neza impinduka mu mubiri wawe no mu byiyumvo byawe.

• Niba ibimenyetso byawe bitaragabanuka cyangwa bisa n'aho birushaho kwiyongera, bwira muganga wawe. Ni ngombwa kujya kureba muganga wawe buri gihe kugira ngo arebe uko umeze.
• Bishobora gufata ibyumweru byinshi kugira ngo uyu muti ubone ingaruka zose. Kubwibyo,Nk'uko muganga yabivuze, ni ingenzi cyane gukomeza gufata umuti mu gihe cyagenwe. Ntugahagarike bitunguranye kuko ubona ko nta musaruro uhari.
• Ibi ni ingenzi cyane: Niba wowe cyangwa abagize umuryango wawe mubonye ko mufite ibitekerezo bishya cyangwa byiyongera byo kwiyahura, cyangwa niba ihungabana ryanyu ririmo kwiyongera, cyangwa niba mufite impinduka zitunguranye mu byiyumvo (urugero, kumva muhangayitse, mufite ubwoba, murakaye, mufite uburakari, mufite uburakari, mufite ubwoba, mufite umushiha, mutagira amahoro, mufite akanyabugabo gakabije, mufite akanyabugabo gakabije, cyangwa mufite ingorane zo gusinzira), hamagara muganga wawe ako kanya, cyane cyane iyo utangiye gufata uyu muti bwa mbere cyangwa nyuma yo guhindura urugero rwawe.
• Ushobora kumva usinziriye cyangwa uzumva . Rero, kugeza igihe uzaba umenye neza uko uyu muti ukugiraho ingaruka, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba ubwenge bwiza. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu zabukuru. Ibi bizagabanya ibyago byo kuzumva no kugwa. Inzoga zishobora kubangamira uburyo uyu muti ukora kandi zishobora no gutuma wumva uzumva uzumva. Rero, irinde kunywa inzoga.
• Niba ufite inkorora, ibicurane, cyangwa aleriji, ntukagure imiti igurishwa ku iduka utabanje kubaza muganga wawe. Bimwe mu bigize imiti igurishwa ku iduka bishobora kongera ingaruka mbi z'uyu muti (Imipramine).
• Mu kanwa kawe ushobora kuba wumye . Ibi nibibaho, ushobora kugabanya ibi ukoresheje gum idafite isukari, ukanywa bombo ikomeye idafite isukari, kandi ukanywa amazi menshi. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira muganga wawe.
• Uyu muti ushobora gutera amaso yumye no kutabona neza . Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Gukoresha ibitonyanga by'amaso bisiga amavuta bishobora gufasha. Niba iki kibazo gikomeje cyangwa gikomeye, gana muganga w'amaso.
• Uyu muti ushobora gutera impatwe ku bantu bamwe. Rya fibre nyinshi uko bishoboka kose kandi unywe amazi menshi. Gerageza kwiyuhagira nibura rimwe mu minsi ibiri cyangwa itatu. Niba udafite impatwe nyuma y'iminsi itatu, hamagara muganga wawe.
• Uruhu rwawe rushobora kwangirika cyane ku zuba mu gihe ufata uyu muti. Rero irinde izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda ipfuka uruhu rwawe, wambare ingofero, kandi ukoreshe amavuta meza yo kwisiga izuba. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two kwisiga.

Ni izihe ngaruka mbi nagira kuri uyu muti?

Nk’uko bimeze ku muti uwo ari wo wose, Imipramine ishobora kugira ingaruka mbi. Ariko si buri wese uzibona. Zimwe ni mbi kandi ugomba kuzibwira muganga wawe ako kanya. Zimwe si mbi cyane, ariko niba zigutera ikibazo, ugomba kuzimubwira.

Niba ugize imwe muri izi ngaruka mbi, ugomba kubimenyesha muganga wawe vuba bishoboka :

• Indwara zo kugira ubwivumbure bw'uruhu - uduheri two ku ruhu, kuribwa, kubyimba (kubyimba mu maso, iminwa, ururimi, mu muhogo, bishobora gutera kugorwa no guhumeka)
• Imiterere y'umutima irahinduka - kumva umutima wawe utera vuba, kumva utera nabi, kuzungera, gucika intege, kubabara mu gituza, no guhumeka bigoranye
• Ibimenyetso by'ubwandu - umuriro, ubukonje, inkorora, kubabara mu muhogo
• Ibimenyetso bya serotonin syndrome bishobora kuba: kurakara, urujijo, umutima utera vuba cyangwa utari umeze neza, imitsi ikomera, imitsi ihindagura, ibyuya byinshi, umuriro mwinshi, kuribwa mu nda, gukonja, kuruka, impiswi.
• Umuvuduko w'amaraso uri hasi - isereri, gucika intege, kutabona neza
• Indwara zo mu mutwe
• Gusobanukirwa urumuri
• Ububabare bw'amaso cyangwa impinduka mu buryo butunguranye (urugero: kutabona neza, kureba neza hafi y'amatara, guta ubwenge)
• Ibitekerezo byo kwiyahura, ibitekerezo byo kwiyangiza, kugabanuka k'imitekerereze, kwiheba kwiyongera
• Kugorwa no kunyara (urugero: inkari zisohoka buhoro buhoro, ukumva nk'aho zitava iyo ugiye kunyara)

Izi ngaruka mbi akenshi si ikintu cyo guhangayikisha. Ariko, niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:

• Impinduka mu byifuzo by'imibonano mpuzabitsina cyangwa imikorere yayo
• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Kubona ibintu bitabaho (delucinations)
• Kubura ubushake bwo kurya
• Guhinda umushyitsi cyangwa kunyeganyega

Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikintu kidasanzwe uretse ibi, vugana na muganga wawe kuri ibyo.

Uyu muti nawubika he?

• Bika uyu muti ahantu hatekanye kure y'abana n'amatungo yo mu rugo.
• Bika ahantu hari ubushyuhe bw'icyumba, hagati ya dogere selisiyusi 20 na 25 (dogere selisiyusi 68 na 77). Ntukashyire ahantu hari ubushyuhe bwinshi cyangwa ubushuhe bwinshi.
• Ntugakoreshe imiti yarengeje igihe. Igomba gutabwa neza.

Ni gute wajugunya imiti itarakoreshejwe n'iyarengeje igihe?

Si byiza kujugunya imiti itarakoreshwa mu myanda cyangwa kuyijugunya mu musarani. Ishobora kwangiza ibidukikije cyangwa igateza ibibazo iyo igeze mu maboko y'undi muntu. Noneho kora ibi:

• Amwe mu mafarumasi n'ibitaro bifite gahunda zo gufata imiti. Ushobora kumenya amakuru kuri bene ibyo bice ubaza farumasi yawe cyangwa inzego z'ubuzima zo mu gace utuyemo.
• Niba nta buryo bwo kuyisubiza, reba ipaki y'imiti cyangwa amabwiriza ari muri yo kugira ngo urebe niba igomba kujugunywa mu myanda cyangwa igashyirwa mu musarani. Niba utabizi neza, baza muganga wawe cyangwa umufarumasiye.
• Niba ivuga ko ari byiza gushyira mu myanda, kora ibi: Niba umuti uri mu bwoko bwa kapsule, uwukure mu gikoresho hanyuma uwuvange neza n'ikintu umuntu atatekereza kurya, nk'imyanda y'injangwe, ikawa yakoreshejwe, cyangwa ubutaka. Hanyuma, shyira uruvange mu gikapu cya pulasitiki cyangwa mu gikoresho gifunga, ugifunge, hanyuma ujugunye mu myanda. Ibi bizarinda abana cyangwa amatungo kwinjiramo.

Amaherezo, ibintu byo kwibuka

Nubwo Imipramine ari umuti ushobora gufasha mu ndwara nk'ihungabana, hari ibintu bimwe na bimwe ugomba kwitondera mu gihe uwukoresha.

• Buri gihe fata ingano yagenwe ku gihe cyagenwe, nk'uko muganga yabigutegetse.
• Ntugahagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga.
• Menya neza ko wabwiye muganga wawe indi miti yose ufata ndetse n'izindi ndwara zose ufite.
• Nyuma yo gutangira imiti, cyane cyane mu byumweru bike bya mbere, witondere cyane impinduka iyo ari yo yose mu byiyumvo byawe (cyane cyane ibitekerezo byo kwiyahura) cyangwa ingaruka nshya. Nubona kimwe muri ibi, bwira muganga wawe ako kanya.
• Menya gusinzira no kuzungera, kuko ibi bishobora kubaho.
• Niba ufite ikibazo cyangwa impungenge kuri uyu muti, nyamuneka ubiganireho na muganga wawe cyangwa umufarumasiye wawe.

Ubuzima bwawe bwo mu mutwe ni ingenzi cyane. Rero iyo urimo unyura muri ubu buryo bw'ubuvuzi, ibuka ko utari wenyine. Icy'ingenzi ni ukugirana umubano mwiza na muganga wawe no gukurikiza amabwiriza ye.

Imipramine , Ihungabana, Imiti igabanya ububabare mu mutwe, TCA, Ubuzima bwo mu mutwe, Ingaruka mbi