Abahuye n'ihungabana ryo mu mutwe ni bo bonyine bazi uburyo bigoye kubana naryo. Hari igihe muganga wawe ashobora kuba yarakwandikiye umuti witwa Levomilnacipran nk'umuti wo kuvura iyi ndwara. Ushobora kubona uyu muti ku izina rya Fetzima muri Sri Lanka. Rero, nk'umukoresha uyu muti, ni ngombwa cyane kumenya byose kuri wo neza. Uyu munsi, reka tuganire kuri uyu muti, uko ukora, n'ibintu tugomba kwitondera.
Uyu muti ni iki? Ukora ute ku mubiri?
Muri make, Levomilnacipran ni umuti ukoreshwa mu kuvura indwara yitwa depression . Uturemangingo tw’ubwonko tubwirana kugira ngo tugenzure uko twumva tumeze, uko twumva tumeze, ndetse n’uko tumeze. Ibinyabutabire bibiri byihariye bifasha muri ibi ni serotonin na norepinephrine .
Umuntu ufite ikibazo cyo kwiheba ashobora kugira impinduka zimwe na zimwe mu buryo iyi miti ikora mu bwonko bwe. Levomilnacipran ikora mu kongera ingano n'imikorere y'iyi miti mu bwonko yitwa serotonin na norepinephrine. Mu by'ukuri, uyu muti uri mu bwoko bw'imiti yitwa SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) . Ibi bivuze ko uyu muti uhagarika iyi miti kongera kwinjira mu turemangingo tw'imitsi. Hanyuma, kubera ko iba iri mu turemangingo tw'imitsi igihe kirekire kandi iri mu rugero rwo hejuru, imitekerereze irushaho kuba myiza.
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Mbere yo gutangira gufata uyu muti, ni ngombwa cyane kumenyesha muganga wawe amateka y’ubuzima bwawe bwose. Uyu muti ushobora kugira ingaruka ku ndwara zimwe na zimwe. Reba imbonerahamwe iri hepfo. Niba ufite imwe muri izi ndwara, menya neza ko wabibwiye muganga wawe.
| Imiterere cyangwa ingeso ikureba | Kuki ukwiye kubimenyesha muganga? |
|---|---|
| Kunywa inzoga kenshi | Ingaruka mbi (cyane cyane isereri) zishobora kwiyongera. |
| Izindi ndwara zo mu mutwe(urugero: Mania, Bipolar disorder) | Uyu muti ushobora guhindura izo ndwara. |
| Indwara z'umutima , umuvuduko ukabije w'amaraso , cyangwa umutima utera nabi | Uyu muti ushobora kongera umuvuduko w'amaraso n'umuvuduko w'umutima. |
| Indwara y'impyiko | Igipimo cy'umuti gishobora gukenera guhindurwa. |
| Glaucoma ni indwara y'amaso. | Umuvuduko w'amaso ushobora kwiyongera. |
| Niba warigeze kugira ibisebe | Ibyago byo kurwara indwara zo mu mutwe bishobora kwiyongera. |
| Kurwara amaraso cyangwa gufata imiti ibuza amaraso kuzura (urugero: Warfarin, Aspirine) | Byongerera ibyago byo kuva amaraso mu buryo budasanzwe. |
| Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura | Iki ni ikibazo cy'ingenzi cyane. Muganga azahangayikishwa cyane nacyo. |
| Niba utwite , ugerageza gutwita , cyangwa wonsa | Hakenewe kwitabwaho by'umwihariko kuko umuti ushobora kugira ingaruka ku mwana. |
| Gufata imiti ya MAOI (urugero: Marplan, Nardil) | Gufata iyi miti yombi hamwe bishobora guteza akaga gakomeye. |
Uyu muti nkwiye kuwukoresha nte?
Uburyo bwo gukoresha uyu muti ni ubworoshye cyane, ariko ni ingenzi cyane.
- Fata uyu muti n'ikirahure cy'amazi. Ntacyo bitwaye niba uwufata mbere cyangwa nyuma yo kurya.
- Icy'ingenzi kurushaho: Ntukigere uvunagura, ujanjagura, cyangwa ngo uhekenya kapsule. Uyimire yose . Bitabaye ibyo, umuti uzasohoka mu mubiri mu buryo butunguranye kandi ushobora guteza ingaruka mbi.
- Fata umuti neza neza nk'uko muganga wawe yabigutegetse, mu gihe cyagenwe. Ntugahindure ingano y'umuti ubwawe.
- Ntugahagarike gufata umuti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga wawe aguhaye. Nubireka, ushobora kugira ibimenyetso byo kubireka, cyangwa se indwara yawe ikarushaho kuba mbi. Nubireka, bikora nk'uko muganga yabigutegetse, ugabanya buhoro buhoro urugero rw'umuti.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi, 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 yawe. Iki ni ikibazo cyihutirwa.
Wakora iki niba wabuze dose y'umuti?
Twese twibagirwa gufata umuti wacu. Niba ibyo bibaye, fata dose yabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Levomilnacipran ni umuti ushobora kugira ingaruka ku yindi miti, ibiryo bimwe na bimwe, ndetse n'inzoga.
Ntugafate ibi hamwe nabyo na gato:
Mu gihe ufata uyu muti, birabujijwe cyane gufata indi miti ya SNRI nka Duloxetine, Venlafaxine, Milnacipran, na MAOI (nka Marplan, Nardil). Nanone, umuti wa antibiyotike Linezolid n'urukingo rwa Methylene blue bishobora kugira ingaruka kuri uyu muti.
Witondere kuko ibi bishobora no kuvuguruzanya na:
- Inzoga: Yongera cyane ingaruka mbi nko kuzungera no gusinzira.
- Imiti igabanya ububabare: Imiti igabanya ububabare itari iya steroide (NSAIDs) nka Aspirine, Ibuprofen, na Naproxen.
- Imiti igabanya amaraso: Warfarin, Enoxaparin, n'ibindi.
- Imiti ivura migraine: Imiti yo mu bwoko bwa triptan nka Sumatriptan.
- Imiti n'ibinini byo gusinzira ku zindi ndwara zo mu mutwe.
- Inyongeramusaruro z'ibimera: cyane cyane Wort ya Mutagatifu Yohani .
- Amwe mu matibayotike (Clarithromycin), imiti irwanya udukoko (Ketoconazole), n'imiti nka Isoniazid, ikoreshwa mu kuvura igituntu.
Rero, iyo ugiye kwa muganga wawe, uzane urutonde rwuzuye rw'imiti yose, vitamine, imiti y'ibimera, n'inyongeramusaruro ufata. Ntukibagirwe kubabwira niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Ihangane: Ntuzabona ibisubizo ako kanya nyuma yo gufata uyu muti. Bishobora gufata ibyumweru byinshi kugira ngo wumve umeze neza rwose. Rero, komeza gufata umuti igihe cyose muganga wawe akubwira.
- Witondere impinduka mu byiyumvo (ni ingenzi cyane): Niba wowe cyangwa umuntu wo mu muryango wawe agize ibitekerezo byo kwiyahura, akagira umujinya, aratuje, ararakara, cyangwa afite ikibazo cyo kwibanda ku muti , cyane cyane iyo utangiye gufata umuti cyangwa iyo ingano yawo yahinduwe, hamagara muganga wawe vuba. Uyu ni umuburo w'ingenzi cyane.
- Umuvuduko w'amaraso: Uyu muti ushobora kongera umuvuduko w'amaraso gato. Kubwibyo, pima umuvuduko w'amaraso yawe mu rugo nk'uko muganga yabigutegetse.
- Kuzungera no gusinzira: Uyu muti ushobora kugira ingaruka ku bushobozi bwawe bwo gutekereza no gukora vuba. Kubwibyo, irinde gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Kugira ngo ugabanye kuzungera, haguruka buhoro buhoro igihe uhagurutse wicaye cyangwa uva mu buriri.
- Kuma mu kanwa: Iyi ni ingaruka zikunze kugaragara. Ibi bishobora kugenzurwa no guhekenya shim idafite isukari no kunywa amazi menshi.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Zimwe muri zo ni mbi cyane, izindi ni izisanzwe.
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
|---|---|
| Ingaruka mbi | Ibisobanuro |
| Kurwara indwara z'ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Kuva amaraso ku buryo budasanzwe | Amase y'umukara cyangwa asanzwe, kuruka bisa n'ikawa, inkari zitukura/iz'umukara wijimye, utudomo dutukura/tw'umuhengeri ku ruhu. |
| Indwara ya Serotonin | Kubura amahoro, kubura amahoro, kubira ibyuya byinshi, umuriro mwinshi, kunangira imitsi, no kurwara imitsi. Iyi ni indwara iteje akaga. |
| Umutima wihuta cyane | Kumva umutima wawe urimo gutera cyane, utera cyane, cyangwa utera nabi ku buryo budasanzwe. |
| Ubwiyongere bw'umuvuduko w'amaraso | Bibwire muganga. |
| Kugabanuka kwa sodiyumu mu maraso | Ubunebwe bw'imitsi, umunaniro, isereri, urujijo. |
| Ububabare bw'amaso cyangwa impinduka mu kureba | Kubabara amaso mu buryo butunguranye, kutabona neza, kubona impeta zikikije amatara. |
| Kugorwa no kunyara | Nta cyangwa ngo umuntu akore akazi gake ko kunyara. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Isesemi no kuruka | Bikunze kugaragara cyane mu ntangiriro zo gutangira imiti. |
| Impatwe | Bikunze kugaragara. |
| Kubira ibyuya byinshi | - |
| Impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina | Ntugatinye kuvugana na muganga wawe kuri ibi. |
Ubutumwa bwo kujyana mu rugo
- Levomilnacipran (Fetzima) ni umuti uvura indwara yo kwiheba kandi ugira ingaruka ku mikorere y'ubwonko.
- Ntuzigere uvunagura, ujanjagura cyangwa ngo uhekenya kapsule. Uyimire yose.
- Irinde guhagarika imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Bwira muganga wawe indi miti yose, vitamine, n'inyongeramusaruro z'ibimera ufata.
- Niba ugize ihungabana ry’amarangamutima cyangwa ukagira ibitekerezo byo kwiyahura mu ntangiriro z’ubuvuzi, shaka ubufasha bwa muganga ako kanya.
- Gukoresha imiti irenze urugero ni ikibazo cyihutirwa. Jya ku kigo cy'igihugu gishinzwe amakuru ku burozi cyangwa ku bitaro bya ETU biri hafi yawe.
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