Muganga wawe ashobora kuba yaragundikiye uyu muti witwa Imipramine mu rwego rwo kuvura indwara yo kwiheba . Cyangwa rimwe na rimwe utangwa no kugabanya kunyara ku buriri ku bana bato. Ntugatinye iyo ubonye izina ry'umuti. Ikintu cy'ingenzi ni ukumenya neza umuti uwo ari wo wose mbere yo kuwukoresha. None rero uyu munsi, reka tuganire kuri Imipramine mu magambo yoroheje.
Imipramine ni iki?
Muri make, Imipramine ni umuti uvura indwara yo kwiheba. Mu buvuzi, uri mu itsinda ry'imiti yitwa Tricyclic Antidepressants (TCAs) . Ubwonko bwacu bufite imiti igenzura ibyiyumvo byacu. Iyi miti twita neurotransmitters . Serotonin na Norepinephrine ni bibiri mu by'ingenzi. Umuntu ufite iyi ndwara yo kwiheba ashobora kugira ikibazo cyo kutumvikana muri iyi miti. Bityo uyu muti ukora usubiza urugero rw'imiti mu buryo busanzwe kandi ugafasha kunoza ibyiyumvo byawe.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira imipramine, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:
| Imiterere yawe cyangwa ingeso yawe | Kuki ukwiye kubimenyesha muganga? |
|---|---|
| Indwara z'umutima, umutima utera vuba cyangwa utari umeze neza, indwara y'umutima iherutse gutera | Imipramine rimwe na rimwe ishobora kugira ingaruka ku muvuduko w'umutima, bityo rero hakwiye kwitonderwa cyane mu kuyiha abantu bafite indwara z'umutima. |
| Izindi ndwara zo mu mutwe nka bipolar disorder na schizophrenia | Uyu muti ushobora guhindura ibimenyetso bimwe na bimwe byo mu mutwe, bityo gusuzuma neza no kuvura ni ingenzi. |
| Ibitekerezo byo kwiyahura, ibitekerezo byo kwiyahura cyangwa kugerageza kwiyahura (muri wowe cyangwa mu muryango wawe) | Imiti igabanya ububabare, cyane cyane mu ntangiriro, ishobora kongera ibi bitekerezo kuri bamwe. Menyesha muganga wawe ibi kugira ngo abashe kugukurikiranira hafi. |
| Indwara ya Glaucoma | Imipramine ishobora kongera umuvuduko w'amaso kandi ikongera glaucoma. |
| Indwara y'umwijima cyangwa impyiko | Izi ngingo niho ibiyobyabwenge bikurwa mu mubiri. Iyo bidakora neza, ibiyobyabwenge bishobora kwirundanya mu mubiri bigatera ingaruka mbi nyinshi. |
| Gufatwa n'indwara zo mu bwonko cyangwa gucika intege mu mubiri | Uyu muti ushobora kongera gato ibyago byo kugira ikibazo cyo kurwara indwara yo mu mutwe. |
| Akamenyero ko kunywa inzoga | Kunywa inzoga na Imipramine hamwe bishobora kongera cyane gusinzira no kuzerera. |
| Niba utwite, ugerageza gutwita, cyangwa wonsa | Kubera ko ingaruka z'imiti zishobora no kugira ingaruka ku mwana, ugomba kuvugana na muganga wawe hanyuma ugafata umwanzuro mwiza. |
Nigute nkwiye gukoresha uyu muti?
- Fata neza nk'uko muganga abivuga:Gerageza gufata igipimo cyatanzwe na muganga wawe, icyarimwe buri munsi, hanyuma unywe ikinini n'ikirahure cy'amazi.
- Ntugahagarike bitunguranye: Iki ni cyo kintu cy'ingenzi cyane. Iyo uhagaritse gufata uyu muti bitunguranye utabanje kugirwa inama na muganga, ushobora kugira ingaruka mbi nko kuzungera no kugira isesemi . Imiterere yawe yo mu mutwe ishobora no kwiyongera. Iyo uhagaritse, bikora buhoro buhoro, ugabanye dose, kandi ukurikiranwe na muganga wawe.
- Iyo ihawe abana: Iyi ihabwa abana barengeje imyaka 6 kubera indwara zimwe na zimwe. Ariko igomba kwitabwaho cyane. Kurikiza amabwiriza ya muganga neza.
- Kurenza urugero: Niba ubona ko wafashe urugero rurenze urugero rw’umuti wagenwe, jya ku bitaro bikuru by’ubutabazi bw’ibanze (ETU) bikwegereye ako kanya. Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo .
- Niba wabuze dose: Niba wibagiwe gufata umuti wawe, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Uyu muti wagenewe wowe gusa. Wagenewe ukurikije uko umerewe n'uko urwaye. Kubwibyo, ntukawusangire n'undi muntu uwo ari we wese.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Imipramine ishobora kugira ingaruka ku yindi miti, ibiryo bimwe na bimwe, ndetse n'ingeso zawe. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata (wandikiwe n'abandi baganga, imiti igurishwa mu kigo, imiti y'ibimera, vitamine).
Gufata Imipramine hamwe n'ibi bikurikira bishobora guteza akaga gakomeye.
- MAOIs: Ibiyobyabwenge nka Marplan, Nardil, na Parnate. Gufata ibi byombi hamwe bishobora gushyira ubuzima mu kaga.
- Imiti ivura izindi ndwara zo mu mutwe nka Thioridazine na Pimozide .
- Linezolid ni umuti uvura indwara zanduzanya.
- Igiti gakondo cyitwa St. John's Wort .
Nanone, ugomba kwitonda cyane mu gihe ufata Imipramine hamwe n'ibi bikurikira.
- Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso (urugero: Clonidine)
- Imiti itangwa ku ndwara yo gushyuha (urugero: Carbamazepine, Phenytoin)
- Ibinini bisinziriza, imiti igabanya ububabare
- Imisemburo ya tiroyide
- Inzoga n'ibiyobyabwenge
Ni ibihe bintu ugomba kwitondera mu gihe ufata imipramine?
Menya neza impinduka mu byiyumvo.
Ibi ni ingenzi cyane. Niba ugize impungenge, ubura umutuzo, umujinya, cyangwa utekereza kwiyahura, haba mu byumweru bike bya mbere ufata umuti cyangwa nyuma yo guhindura ingano yawo, vugana na muganga wawe vuba. Ni byiza kumenyesha umuryango wawe ibi, kuko bashobora kubona izi mpinduka kurusha wowe.
Gusinzira no kuzungera
Uyu muti ushobora gutuma usinzirira cyangwa uzungera. Rero , ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko bikugizeho ingaruka. Cyane cyane niba uri umuntu ugeze mu za bukuru, ushobora kumva uzungera ukagwa iyo uhagurutse giturumbuka cyangwa uvuye mu buriri. Bityo rero kora ibintu nk'ibyo witonze.
Umunwa wumye, impatwe, n'amaso yumye
- Ku munwa wumye: Guhekenya shinya idafite isukari, kunywa bombo idafite isukari, no kunywa amazi make umunsi wose bishobora gufasha.
- Ku bijyanye no kutagira impatwe: Reba niba urimo kwituma nibura rimwe mu minsi 2-3. Niba atari byo, bwira muganga wawe. Ni byiza kurya ibiryo birimo fibre nyinshi (imbuto, imboga) no kunywa amazi menshi.
- Ku maso yumye: Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo cy'amaso. Ibitonyanga byo kwisiga bishobora gukoreshwa. Niba ikibazo kigikomeje, gana muganga w'amaso.
Uburyo bwo kuvura izuba
Uruhu rwawe rushobora kuba rworoshye cyane ku zuba mu gihe ufata uyu muti. Rero irinde izuba ryinshi uko bishoboka kose. Niba ugiye hanze, ambara imyenda yo kwirinda kandi wirinde izuba .
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti yose, Imipramine ishobora gutera ingaruka mbi, nubwo atari buri wese uzibona.
| Niba ubonye ibi bimenyetso , hita ubibwira muganga wawe cyangwa ujye kwa muganga wita ku barwayi ba ETU. | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Impinduka mu gipimo cy'umutima | Umutima utera cyane, ububabare mu gituza, isereri, guhumeka bigoranye. |
| Indwara ya Serotonin | Guhangayika bidasanzwe, urujijo, ibyuya byinshi, guhinda umushyitsi, imitsi ikomera, umuriro mwinshi, kuruka. |
| Ibindi bimenyetso bikomeye | Gufatwa n'icyorezo, kubabara amaso mu buryo butunguranye, kutabona neza, kugorwa no kunyara, no gutekereza kwiyahura. |
| Izi ngaruka mbi akenshi ntabwo ziba zikomeye, ariko niba zikomeje, bwira muganga wawe. | |
| Ingaruka zisanzwe | Kumunga umunwa, gusinzira, kuzungera, kuribwa mu nda, kubura ubushake bwo kurya, gutitira, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina. |
Ubutumwa bwo kujyana mu rugo
- Imipramine ni umuti uvura indwara nko kwiheba no kuringaniza imiti mu bwonko.
- Ntukagire uhagarika gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Bwira muganga wawe indi miti yose ufata n'indwara zose ufite mbere yo gutangira imiti.
- Mu gihe cyo gutangira gufata umuti, witondere cyane imiterere yawe yo mu mutwe, cyane cyane ibitekerezo byo kwiyahura. Nubona impinduka, bwira muganga wawe ako kanya.
- Iyo habayeho ingaruka mbi zikomeye (nk'impinduka mu gutera k'umutima, aleriji, gushyuha), shaka ubufasha bwa muganga byihutirwa.
- Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.
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