Nyuma yo kumenya ko ufite ikibazo cyo kwiheba, birashoboka ko wagiye kwa muganga utangira gufata imiti. Ubu ushobora kuba wumva ko urimo gukira. Uwo mutwaro uremereye n'umuvuduko wari ufite ubu byagabanutseho gato. Noneho ushobora kuba utekereza uti: "Sawa, ubu numva meze neza, bityo nshobora guhagarika gufata uyu muti." Ariko muganga wawe ashobora kuba akubwira ati: "Tuzakomeza gukoresha uyu muti igihe kirekire." Kuki ubivuga? Reka tubiganireho birambuye uyu munsi.
Kuki ngomba gukomeza gufata imiti nubwo namaze gukira?
Ikintu cya mbere ugomba gusobanukirwa ni uko imiti igabanya ubukana bw'indwara zo kwiheba atari nk'imiti ivura ibicurane cyangwa inkorora. Iyo turwaye ibicurane, dufata imiti iminsi mike kugira ngo ikire burundu indwara. Ariko kwiheba ni ikindi kibazo. Iyi miti igenzura ibimenyetso by'ihungabana kandi ikaguha ihumure mu mutwe wawe.
Tekereza nko gufata imiti ivura diyabete cyangwa umuvuduko ukabije w'amaraso. Aho kuyikuraho burundu, iyo miti ifasha kuyigenzura no kugufasha kubaho ubuzima busanzwe. Hari igihe kwiheba bishobora kuba indwara idakira isaba kuvurwa igihe kirekire .
Niba ufite ikibazo cyo kwiheba ku nshuro ya mbere, Ishyirahamwe ry’Abanyamerika ryita ku ndwara zo mu mutwe rikugira inama yo gukomeza gufata imiti mu gihe cy’amezi ane kugeza kuri atanu , nubwo ibimenyetso byawe byamaze kumera neza kandi ukumva umeze neza. Niba warigeze kugira ikibazo cyo kwiheba inshuro nyinshi mbere, ushobora gukenera gufata imiti igihe kirekire kurushaho, wenda no mu buzima bwawe bwose.
Ibi biterwa nuko iyo uhagaritse gufata imiti vuba cyane, ibyago byo kongera kuyifata biba byinshi cyane. Gukomeza gufata imiti yo kurwanya iyi ndwara muri ubu buryo byitwa "Ubuvuzi bwo Kwita ku Buzima."
Ni iyihe miti isanzwe ivura indwara yo kwiheba?
Hari ubwoko butandukanye bw'imiti ikoreshwa mu kuvura indwara yo kwiheba. Buri imwe muri zo ikora mu buryo butandukanye gato. Muganga wawe azaguhitiramo umuti ukubereye bitewe n'uburwayi bwawe, ibimenyetso, n'izindi ndwara.
Imiti mishya igabanya kwiheba
Mu myaka makumyabiri ishize, hashyizweho imiti myinshi ikora neza kandi ingaruka mbi nke.
| Icyiciro cy'ibiyobyabwenge | Uburyo ikora ni bworoshye. | Ingaruka mbi zishobora kubaho |
|---|---|---|
| SSRI (Selective Serotonin Reuptake Inhibitors) Urugero: Fluoxetine, Sertraline, Citalopram, Escitalopram | Binoza imikorere ya serotonin , ubutumwa bw'ibinyabutabire mu bwonko bugenzura ibyiyumvo byacu. | Kubabara mu nda, kudakora neza mu mibonano mpuzabitsina, kudasinzira neza, isereri, guhindura ibiro, kuribwa umutwe. (Akenshi ni ibintu byoroheje) |
| SNRIs (Serotonin na Norepinephrine Reuptake Inhibitors) Urugero: Venlafaxine, Duloxetine | Yongera imikorere y'ibintu byombi by'ubutabire byitwa serotonin na norepinephrine . | Kubabara mu nda, ibibazo byo gusinzira, kudakora neza mu mibonano mpuzabitsina, kuribwa umutwe, guhangayika, isereri, gucika intege. |
| NDRIs (Norepinephrine na Dopamine Reuptake Inhibitors) Urugero: Bupropion (Wellbutrin) | Igira ingaruka ku mikorere y'ibinyabutabire bya norepinephrine na dopamine . | Kubabara mu nda, kuribwa umutwe, ibibazo byo gusinzira, guhinda umushyitsi, guhangayika. (Ingaruka mbi ku mibonano mpuzabitsina no kwiyongera ibiro ni gake cyane. ) Uyu muti ntukwiriye abantu barwaye ibicurane mu bihe byashize. |
| NaSSAs (Imiti igabanya ububabare ya Noradrenergic na Specific Serotonergic Antidepressants) Urugero: Mirtazapine (Remeron) | Serotonin na norepinephrine byombi bigira ingaruka zitandukanye. | Kubabara mu nda, gusinzira, kwiyongera ibiro, guhangayika, isereri. |
Imiti irwanya ihungabana ishaje
Hari kandi imiti yakoreshwaga mu kuvura indwara yo kwiheba mu bihe byashize. Iyi ni imiti igabanya kwiheba ya Tricyclic na MAOIs (Monoamine Oxidase Inhibitors).Ibi bikora mu kugira ingaruka ku bintu bitera ububabare mu bwonko (neurotransmitters).
Nubwo iyi miti igira akamaro cyane kuri bamwe, ifite ingaruka mbi nyinshi. Kandi kubera ko ishobora guteza ibibazo ku yindi miti n'ibiribwa bimwe na bimwe, abaganga ntibakiyigira inama yo kuyifata bwa mbere. Ariko, iyi miti ishaje ishobora kuba amahitamo meza kuri bamwe mu bantu batemera imiti mishya.
Indi miti
Hari igihe, muganga ashobora gufata icyemezo cyo kukwandikira indi miti hamwe n'imiti yo kuvura indwara yo kwiheba.
- Imiti ivura guhangayika cyangwa kudasinzira: Iyi miti ifasha mu kugabanya guhangayika no gusinzira bitewe n'ihungabana.
- Imiti igabanya ubukana bw'indwara zo mu mutwe: Imiti nka Aripiprazole (Abilify) na Quetiapine (Seroquel), ikunze gutangwa ku ndwara ya schizophrenia cyangwa indwara ya bipolar, ishobora gufasha kongera ubushobozi bw'umuti ugabanya ubukana bw'indwara zo mu mutwe mu gihe idahagije.
- L-methylfolate (Deplin): Nubwo idashyirwa mu cyiciro cy’umuti na FDA, ifatwa nk' "ibiryo by'ubuvuzi." Iyi ni ubwoko bukomeye bwa vitamine B yitwa folate. Ifasha mu kugenga ubutumwa bw'ibinyabutabire mu bwonko bugenzura ibyiyumvo. Yagize akamaro mu kuvura indwara yo kwiheba itigeze ikira ubundi buryo bwo kuvura.
Ni gute wabona umuti ukubereye?
Ikibabaje ni uko bigoye kubona umuti ukubereye n'ingano yawo. Abantu bose bakira umuti umwe mu buryo butandukanye. Ndetse na muganga wawe ntashobora guhanura neza uburyo umuti uzagukorera.
Ibi rero ni ibintu bigomba gukorwa wihanganye . Ushobora kugerageza guhinduranya imiti. Ubusanzwe, uzatangira kumva uruhutse mu byumweru bike uhereye igihe watangiye imiti igabanya ubukana, ariko bishobora gufata amezi menshi kugira ngo wumve ingaruka zose. Ntucike intege vuba. Uko igihe kigenda gihita, muganga wawe ashobora kongera cyangwa kugabanya urugero rw'imiti ukoresha bitewe n'uko urwaye.
Niba umaze igihe kinini ufata umuti ariko ntugire icyo ugeraho, menya neza ko wabiganiraho na muganga wawe. Ashobora kukugira inama yo kugerageza undi muti. Uko igihe kigenda gihita, ushobora kubona umuti cyangwa imiti ivanze ikubereye.
Igikuru ni uko, nubwo waba wumva umeze neza ubu, ntugahagarike gufata imiti yawe utabanje kugisha inama muganga wawe. Kubikora bishobora gutuma kwiheba kwawe kugaruka, cyangwa hamwe n'imiti imwe n'imwe, bishobora gutera ingaruka mbi nko kugaragaza ibimenyetso nk'ibicurane, isesemi, no kuzerera. Kubwibyo, niba uhagaritse gufata imiti yawe, bikora buhoro buhoro, ukurikiza amabwiriza ya muganga wawe.
Muganga wawe agomba kukubona buri gihe, cyane cyane iyo utangiye imiti mishya. Muri iki gihe, vugana nawe ku bwumvikane ku kumererwa nabi cyangwa ibibazo ushobora kuba ufite bitewe n'imiti.
Ubutumwa bwo kujyana mu rugo
- Kwiheba si intege nke, ni indwara isaba kuvurwa, kimwe na diyabete.
- Nubwo waba wumva umeze neza, komeza gufata imiti yawe igihe cyose muganga wawe akubwira kwirinda kongera kuyisubiramo. Ibi byitwa "ubuvuzi bwo kubungabunga."
- Bishobora gufata igihe kugira ngo ubone umuti ukubereye n'ingano ikubereye, bityo rero ihangane n'ubuvuzi bwawe.
- Ntukareke gufata imiti cyangwa ngo uhindure ingano yayo utabanje kwemererwa na muganga.
- Niba ufite ikibazo icyo ari cyo cyose kijyanye n'umuti cyangwa ububabare ubwo aribwo bwose ufite, ganira na muganga wawe ku mugaragaro.
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