Reka twige ku inshinge za Lorazepam. Ese nawe uzikeneye?

Hari igihe dushobora kugira ikibazo cyo kurwara cyane mu buryo butunguranye, cyangwa tukumva dufite ubwoba bwinshi kandi duhangayikishijwe, nk'uko byari bimeze mbere yo kubagwa cyane, si byo se? Ahari muganga yakubwira cyangwa umuntu uzi ku muti witwa 'Lorazepam'. Uyu munsi tugiye kuvuga kuri uyu muti, ukunze gutangwa nk'urushinge, kugira ngo ufashe muri ibyo bihe. Nta kintu cyo gutinya, reka dusobanukirwe byose mu buryo bworoshye.

Lorazepam ni iki? Ikora iki?

Mu magambo make, Lorazepam ni umuti utuza uturemangingo tw’imitsi yawe kandi ukagabanya imikorere yayo. Ni uwo mu bwoko bw’imiti yitwa "Benzodiazepines." Ushobora kuba uyizi ku izina rya "Ativan."

Noneho reba, ibi bikoreshwa cyane cyane mu bihe bibiri:

1. Kugenzura ibicurane: Iyo ibicurane bikomeje kuza, cyangwa niba ibicurane bigoye kubihagarika, abaganga batanga uyu muti.

2. Kugabanya imihangayiko: Ibi bikoreshwa mu kugabanya imihangayiko n'ihungabana, cyane cyane mbere yo kubagwa. Hari igihe bishobora gutangwa mbere y'ibindi bipimo by'ubuvuzi.

Uyu muti ukora mu kugira ingaruka ku mikorere y'ibintu bimwe na bimwe mu bwonko (mu by'ukuri, "Neurotransmitters") no kugabanya umuvuduko w'imitsi. Niyo mpamvu ibintu nk'imihangayiko n'indwara zo mu mutwe bigenzurwa. Urabyumva?

Ni ibihe bintu ngomba kubwira muganga mbere yo gukoresha uyu muti?

Ibi ni ingenzi cyane . Mbere yo kuguha Lorazepam, ni ngombwa ko muganga wawe amenya neza uko ubuzima bwawe buhagaze. Kuko, abantu bafite indwara zimwe na zimwe bagomba kwitonda cyane mu gihe batanga uyu muti, cyangwa ushobora kuba utabagirira akamaro.

Niba ufite kimwe muri ibi bintu, ni byiza kubibwira muganga wawe .

• Indwara ya Glaucoma: Niba ufite glaucoma, indwara itera umuvuduko mwinshi mu maso, ugomba kuyigaragaza.
• Niba warigeze kuba imbata y'ibiyobyabwenge cyangwa inzoga: Niba warigeze gukoresha ibiyobyabwenge cyangwa ukaba imbata y'inzoga, ni ngombwa cyane kubimenyesha muganga wawe , kuko ingaruka z'ibi bintu zishobora guhinduka bitewe n'uyu muti.
• Indwara z'impyiko: Iyo impyiko zawe zidakora neza, uyu muti ushobora kugira ingaruka ku buryo usohoka mu mubiri wawe. Niba rero ufite ikibazo cy'impyiko, bwira muganga wawe.
• Indwara z'umwijima: Iyo imikorere y'umwijima iri hasi, bizagira ingaruka ku gihe uyu muti umara mu mubiri. Bityo rero tugomba kubiganiraho.
• Ingorane zo guhumeka mu bihaha cyangwa mu bihaha:Niba ufite indwara y'ibihaha nka asima cyangwa ikindi kibazo icyo ari cyo cyose cyo guhumeka, bwira muganga wawe, kuko uyu muti rimwe na rimwe ushobora gutuma guhumeka bigorana gato.
• Indwara zo mu mutwe: Niba urwaye izindi ndwara zo mu mutwe (urugero: kwiheba), menyesha muganga wawe na byo.
• Myasthenia Gravis: Iyi ni indwara itera intege nke z'imitsi. Lorazepam igomba gukoreshwa witonze ku bantu bafite iyi ndwara.
• Indwara ya Parkinson: Niba ufite iyi ndwara, tubwire nawe ibyayo.
• Ibitekerezo cyangwa kugerageza kwiyahura: Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura cyangwa kugerageza kwiyahura, ni ngombwa kubimubwira . Uyu muti rimwe na rimwe ushobora gutuma ibitekerezo nk'ibyo birushaho kuba bibi.
• Niba ufite ubwivumbure kuri Lorazepam cyangwa indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe: Bwira muganga wawe niba warigeze kugira ubwivumbure kuri uyu muti mu bihe byashize, cyangwa niba ufite ikindi kintu icyo ari cyo cyose kigutera ubwivumbure.
• Niba utwite cyangwa ugerageza gutwita: Ibi ni ingenzi cyane. Muganga wawe ni we ugomba gufata icyemezo cyo kuguha uyu muti mu gihe utwite.
• Niba uri umubyeyi wonsa: Uyu muti ushobora kunyura ku mwana wawe binyuze mu mashereka. Kubwibyo, niba wonsa, ugomba no kubivugaho.

Wibuke ko ari ukugira ngo umutekano wawe umenyeshe muganga udahishe ibi bintu.

Ukoresha uyu muti ute?

Lorazepam si umuti ushobora kujyana mu rugo. Uterwa nk'urushinge . Uterwa mu mitsi cyangwa mu mitsi . Utangwa mu bitaro cyangwa ku ivuriro ukurikiranwe na muganga.

Ugomba kwitonda cyane mu gihe uha abana bato uyu muti. Muganga wawe azagusobanurira ibi.

Wakora iki niba ufata byinshi? (Kurenza urugero)

Kubera ko ibi bitangwa mu bitaro, nta mpamvu yo guhangayikishwa n'ikoreshwa ry'ibiyobyabwenge birenze urugero. Ariko, niba utekereza ko ushobora kuba warakoresheje ibiyobyabwenge birenze urugero, ugomba guhita uhamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse .

Icy'ingenzi: Uyu muti ni uwawe gusa. Ntuzigere usangiza uyu muti undi muntu uwo ari we wese.

Bite se nintakaza dose?

Kubera ko uyu muti utangwa uyobowe na muganga, kubura ingano yawo ntacyo bitwaye.

Ese hari indi miti idakwiye gukoreshwa na Lorazepam, cyangwa ngomba kwitondera?

Yego, iki nacyo ni ingenzi cyane. Niba ukoresha indi miti, ni ngombwa kubibwira muganga wawe. Kuko imiti imwe ishobora gutera ingaruka mbi (imikoranire) iyo ivanze na Lorazepam.

Ntuzigere ufata Lorazepam hamwe n'iyi miti:

• Imiti imwe n'imwe igabanya ubukana bw'inkorora
• Oxybate ya sodiyumu

Lorazepam ishobora kugira ingaruka ku miti ikurikira, bityo rero menya neza ko wabibwiye muganga wawe niba uyifata:

• Inzoga: Kunywa uyu muti hamwe n'inzoga bishobora kongera gusinzira, isereri, no kugorwa no guhumeka.
• Antihistamines ku ndwara z'ubwivumbure, inkorora n'ibicurane: Kuzifata bishobora kongera gusinzira.
• Imiti imwe n'imwe ivura guhangayika cyangwa gusinzira
• Imiti imwe n'imwe ivura indwara yo kwiheba: Urugero, imiti nka `Amitriptyline`, `Fluoxetine`, `Sertraline`.
• Imiti imwe n'imwe itangwa ku ndwara yo gushyuha: Urugero, imiti nka `Carbamazepine`, `Phenobarbital`, `Phenytoin`, `Primidone`.
• Imiti igabanya ububabare muri rusange: Ingero zirimo `Lidocaine`, `Pramoxine`, `Tetracaine`.
• Imiti ya MAOI: Ingero zirimo `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, na `Parnate`.
• Imiti iruhura imitsi yo kubagwa
• Imiti igabanya ububabare
• Phenothiazine: Ingero zirimo Chlorpromazine, Mesoridazine, Prochlorperazine, na Thioridazine.

Uru rutonde rushobora kuba rudakubiyemo imiti yose. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo vitamine, imiti y'ibimera, n'inyongeramusaruro), kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni iki nkwiye kwitondera mu gihe nfata uyu muti?

Mu gihe ufata Lorazepam, ni byiza kwitondera impinduka ziba mu mubiri wawe.

• Niba ibimenyetso byawe (urugero: gucika intege, kubura umutuzo) bitagenze neza, cyangwa niba bigaragara ko birushaho kwiyongera , bwira muganga wawe ako kanya.
• Kuri woweUshobora kumva usinziriye cyangwa uzuzumwe. Ntugatware imodoka, ntukoreshe imashini, cyangwa ngo ukore ikindi kintu cyose gisaba kuba maso kugeza igihe umenye neza uko uyu muti umeze.
• Ntugahaguruke cyangwa ngo wicare giturumbuka. Ibi bizagabanya ibyago byo kuzungera no kugwa, cyane cyane niba ugeze mu za bukuru.
• Ntugakoreshe inzoga. Inzoga zishobora guhindura ingaruka z'uyu muti kandi zishobora kongera ingaruka mbi.
• Niba ufata indi miti igutera gusinzira (urugero, imiti imwe n'imwe yo mu nkorora, imiti ivura allergie), ushobora gusinzira cyane. Bwira muganga wawe imiti yose ufata. Fata ingano y'umuti muganga akubwira gufata gusa. Ntukigere ufata imiti irenze iyo muganga akubwira gufata.
• Niba ufite ikibazo cyo guhumeka cyangwa wumva usinziriye mu buryo budasanzwe , hamagara inzego z'ubutabazi bwihuse.

Ni izihe ngaruka mbi zishobora kubaho?

Nk’uko bimeze ku muti uwo ari wo wose, Lorazepam ishobora gutera ingaruka zimwe na zimwe. Ariko, si buri wese uzibona. Hari abantu bamwe gusa bazibona.

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

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, ibibyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. Ibi nibibaho, shaka ubufasha bwihuse bwa muganga.
• Gucika intege kw'imitsi yo mu mutwe (CNS depression): Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• Ibitekerezo byo kwiyahura cyangwa kwiyahura: kumererwa nabi mu mutima, kwiheba cyane. Niba uhuye na kimwe muri ibi, bwira muganga wawe ako kanya.

Izi ngaruka mbi ubusanzwe ntabwo ziba ari mbi, ariko niba zikomeje cyangwa zikaba zibangamiye, bwira muganga wawe:

• Kuzungera
• Gusinzira
• Umutwe
• Isesemi
• Kuruka

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe.

Ni hehe nabika imiti yanjye?

Iki si ikintu ukwiye guhangayikishwa nacyo. Kuko, ntiwemerewe kujyana urushinge rwa Lorazepam mu rugo . Uruhabwa gusa mu bitaro cyangwa mu ivuriro . Bityo rero ntugomba guhangayikishwa no kugumana umuti.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi kuri Lorazepam, si byo se? Muri make, ni umuti uterwa n'urushinge ukoreshwa mu kuvura indwara zo mu mutwe no guhangayika cyane.

• Igikuru ni ukubwira muganga buri kantu kose ku buzima bwawe (cyane cyane indwara twavuze mbere, indi miti ufata, na aleriji).
• Uyu muti utangwa gusa munsi y'ubuyobozi bwa muganga.
• Witondere kuko bishobora gutera gusinzira no kuzerera. Ntugatware imodoka cyangwa ngo unywe inzoga.
• Niba ubonye ikintu kidasanzwe cyangwa ingaruka nshya, bwira muganga wawe ako kanya.

Witinya, abaganga barimo gukoresha uyu muti kugira ngo bagufashe. Niba ufite ikibazo icyo ari cyo cyose cyangwa niba hari icyo utumva, baza muganga cyangwa umufarumasiye.

Lorazepam , Ativan, Benzodiazepines, Uburyo bwo kuvura indwara yo gucika intege, Imiti igabanya ubukana, Ingaruka mbi ku inshinge, Uburyo imiti ikoreshwa