Reka twige ingaruka mbi z'umuti ugabanya ubukana wa Vortioxetine (Trintellix) n'uburyo bwo kuwurwanya nta bwoba.

Ese muganga wawe yagutegetse Vortioxetine (ikunze kwitwa Trintellix) kubera indwara ikomeye yo kwiheba (MDD)? Mu gihe utangiye umuti mushya, cyane cyane umuti w’ubuzima bwo mu mutwe, ni ibisanzwe kugira ubwoba no gushishikazwa n’ingaruka zawo. Ariko ntugahangayike. Kimwe n’indi miti iyo ari yo yose, ishobora kugira ingaruka nto. Muri iyi nkuru, turaganira ku ngaruka izo ari zo, icyo wakora mu gihe zibayeho, n’uburyo bwo kumenya ibimenyetso bishobora kuba bikomeye (ariko bidakunze kugaragara).

Ni gute wakwirinda ingaruka mbi zisanzwe?

Hari ingaruka mbi nyinshi zishobora kubaho iyo umuntu afashe uyu muti. Reka turebe icyo ari cyo n'icyo ashobora gukora.

Ibibazo cyangwa ubumuga mu mibonano mpuzabitsina

Hari abantu bashobora kugira impinduka nto mu buzima bwabo bw'imibonano mpuzabitsina iyo batangiye uyu muti. Urugero, kugorwa no kugera ku ndunduro, gutinda gusohora, kugabanuka k'ubushake bwo gukora imibonano mpuzabitsina, cyangwa, ku bagabo, kugorwa no kubona ndunduro.

Ariko ibuka ko ibi bitabaho kuri buri wese . Nanone, iyi ndwara ikunze kurangira iyo umubiri wawe umenyereye imiti. Ikintu cyiza wakora ni ukuganira na muganga wawe ku mugaragaro kandi mu buryo bweruye . Ashobora kuguhindurira undi muti cyangwa kongeramo undi muti kugira ngo agufashe guhangana n'iyi ndwara. Inkuru nziza ni uko ingaruka mbi za Vortioxetine mu mibonano mpuzabitsina zikunze kugaragara ugereranije n'indi miti igabanya ubukana bw'imitsi.

Isesemi no kuruka

Iyi ni yo ngaruka ya mbere abantu benshi bahura nayo. Ariko akenshi ntabwo ari mbi cyane, ni isesemi ntoya gusa. Kenshi na kenshi , ibi bishira ubwabyo nyuma y'ibyumweru bibiri . Kuri bamwe, bishobora kumara igihe kirekire. Ushobora kugerageza ibi bintu iyo ufite isesemi no kuruka.

Impatwe

Hari abantu bashobora kugira ingorane zo kwituma cyangwa kwituma mu gihe bafata uyu muti. Ushobora kugerageza ibi bintu kugira ngo bigufashe guhangana n'ibi:

• Shyiramo ibiryo byinshi birimo fibre mu mirire yawe. Ibintu nk'imboga, imboga, imbuto n'imigati y'ibinyampeke bifasha kunoza imikorere y'amara.
• Imyitozo ngororamubiri buri munsi. Ibi bitera imbaraga imitsi y'amara.
• Ntukihutire kujya mu bwiherero. Humura kandi utuze.
• Niba ibi bidakora, baza muganga wawe ibijyanye n'imiti yoroshya ububabare .

Ese natwe tuzi ingaruka mbi zikomeye (ariko zidasanzwe)?

Noneho tugiye kuvuga ku ngaruka mbi zikomeye zishobora kubaho kuri Vortioxetine, ariko zikaba nke cyane, bivuze ko abantu benshi batazibona, ariko tugomba kubimenya. Niba uhuye na kimwe muri ibi, ugomba kwihutira gushaka inama kwa muganga.

Indwara ya Serotonin

Muri make, serotonin ni shimi karemano mu bwonko bwacu no mu mubiri. Iyo ifashwe hamwe n'uyu muti, kimwe n'indi miti imwe n'imwe, urugero rwa serotonin mu mubiri rushobora kwiyongera bitari ngombwa. Iyi ndwara yitwa serotonin syndrome. Ishobora gutangirira ku bimenyetso bito nko kubira ibyuya no gucibwamo, kandi iyo itavuwe, ishobora kwiyongera ku ndwara zikomeye nko kugira umuriro n'igicuri.

Ugomba kwitonda cyane cyane niba ufata iyi miti irimo vortioxetine:

• Ubundi bwoko bw'imiti igabanya ubukana bw'indwara (urugero: SSRIs, SNRIs, MAOIs)
• Imiti imwe n'imwe igabanya migraine (triptans)
• Amwe mu ma antibiyotike, nka Linezolid
• Imiti imwe n'imwe igabanya ububabare (urugero: tramadol, fentanyl)
• Imiti igabanya ubukana bw'amarangamutima nka lithium
• Dextromethorphan iboneka muri sirupe zimwe na zimwe zikoreshwa mu gukorora zigurwa muri farumasi.
• Ibikomoka ku bimera nka St. John's wort

Niba ubonye kimwe cyangwa byinshi muri ibi bikurikira, hita ubonana na muganga wawe cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe:

• Kubira ibyuya byinshi, guhumeka amazi
• Kutuza, kutagira ituze
• Kubona cyangwa kumva ibintu bitabaho (Hallucinations)
• Urujijo
• Umuriro mwinshi
• Umutima utera cyane, impinduka mu muvuduko w'amaraso
• Kuzunguruka, kuribwa mu nda
• Isesemi, kuruka, impiswi
• Kubura kuringaniza, gukomera kw'imitsi, cyangwa kunyeganyega

Indwara yo guhagarika imikorere y'umubiri

Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Ibi bishobora gutera ibimenyetso nko kugira isesemi, kubira ibyuya, kuzungera, kurakara, no kudasinzira. Nuhagarika gufata umuti cyangwa ugahindura ingano, bikora buhoro buhoro, nk'uko muganga wawe abikubwira.

Ubwiyongere bw'umuvuduko mu maso (Glaucoma yo mu maso ifunga uruziga)

Uyu muti ushobora gutuma imboni iba nini gato. Ku bantu bafite ibyago byo kwiyongera k'umuvuduko w'amaso mu buryo bwa genetiki, ibi bishobora gutera indwara yitwa Angle-Closure Glaucoma.

• Kubabara amaso
• Impinduka mu cyerekezo
• Kubyimba, gutukura mu jisho cyangwa hafi yaryo

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe. Isuzuma ry'amaso rishobora kugaragaza niba uri mu kaga.

Kugabanuka k'umusemburo wa sodium (Hyponatremia)

Ibi bivuze ko urugero rwa sodium (nk'uko tubizi) mu maraso rushobora kugabanuka cyane. Ingaruka ziba nyinshi ku bageze mu za bukuru no ku bafata uyu muti hamwe n'imiti igabanya ubukana bw'amaraso.

• Ibimenyetso bito: Kugorwa no gushyira ibitekerezo ku kintu kimwe, kuribwa umutwe, guhinduka mu kwibuka, kumva unaniwe, kugwa.
• Ibimenyetso bikomeye: gutakaza ubwenge, gucika intege, koma, guhagarara k'ubuhumekero.

Niba ubonye kimwe muri ibi bimenyetso, shaka ubufasha bwa muganga ako kanya.

Ingaruka zo kuva amaraso ziyongera

Iyo ufashe Vortioxetine hamwe n'imiti igabanya amaraso nka aspirine, NSAIDs (urugero: ibuprofen, diclofenac), cyangwa warfarin, ibyago byawe byo kuva amaraso bishobora kwiyongera gato. Kubwibyo, ni ngombwa cyane kubwira muganga wawe indi miti yose ufata. Bibwire muganga wawe ako kanya niba ubonye ibisebe cyangwa kuva amaraso bidasanzwe.

Ibice bya Manic

Niba ufite indwara ya bipolar hamwe n'ihungabana (kandi ushobora no kuba utabizi), hari ibyago bike cyane byo kugira ikibazo cy'amarangamutima ukoresheje uyu muti. Muri iki gihe:

• Ubwenge bwanjye burimo kwihuta cyane mu buryo budasanzwe, kandi ibitekerezo bikomeje kuza.
• Ingufu ziyongera cyane.
• Kuvuga vuba kandi birenze ibisanzwe.
• Ndasinzira gake, ariko ndumva ntananiwe.
• Gukora akazi gashobora guteza akaga.

Ibitekerezo byo kwiyahura

Ibi nibyo twese tugomba kwitaho cyane. Umuti uwo ari wo wose wo kurwanya indwara, harimo na vortioxetine, cyane cyane mu rubyiruko ruri munsi y'imyaka 24., bishobora kongera gato ibyago byo gutekereza cyangwa gukora ibikorwa byo kwiyahura mu mezi make ya mbere y'ubuvuzi cyangwa iyo ingano ihinduwe.

Niba wowe cyangwa undi muntu uzi ahuye n'ibi bikurikira mu gihe ufata uyu muti, nyamuneka hamagara muganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa:

• Niba wumva ushaka gupfa.
• Niba wumva ushaka gukora akazi gashobora guteza akaga cyangwa ibintu biteje akaga.
• Niba urakaye, urakaye, cyangwa uratuje.
• Niba ubonye impinduka zidasanzwe, zitunguranye mu myitwarire cyangwa mu byiyumvo.
• Niba wumva ko kwiheba kwawe kurimo kwiyongera.
• Niba ufite ibibazo byo gusinzira.
• Niba ubaye umunyamahane cyangwa umunyarugomo.
• Niba uhuye n'ibibazo byo guhangayika cyangwa ubwoba.

Ganira na muganga wawe nta guhishanya ku byiyumvo byawe n'uko wiyumva. Ntabwo uri wenyine. Gusaba ubufasha biraguha imbaraga.