Ese ukoresha Mirtazapine kugira ngo ugabanye kwiheba kwawe? Reka tubimenye!

Ese hari igihe wumva ubabaye cyane, uri wenyine, kandi ntushake gukora ikintu icyo ari cyo cyose? Hari igihe ibi byiyumvo bishira nyuma y'iminsi mike, ariko iyo bikomeje, bishobora kuba ikimenyetso cy'indwara yitwa depression . Muri icyo gihe, ni byiza gushaka inama kwa muganga. Muri ibyo bihe, muganga wawe ashobora kukwandikira umuti witwa 'Mirtazapine'. Rero, uyu munsi turaganira ku 'Mirtazapine' icyo ari cyo, uko ikoreshwa, n'ibintu ugomba kwitondera.

Uyu muti witwa Mirtazapine ni uwuhe?

Muri make, Mirtazapine ni umuti ukoreshwa mu kuvura indwara yo kwiheba. Ubwonko bwacu bugizwe n'ibinyabutabire bibiri byitwa serotonin na norepinephrine . Ibi bifasha mu kugenzura ibyiyumvo byacu by'ibyishimo n'agahinda. Bikora nk'intumwa zigenzura ibyiyumvo byacu. Rero, iyo dufite ikibazo cyo kwiheba, uburinganire bw'ibi binyabutabire bushobora guhungabana. Icyo Mirtazapine ikora ni ukongera urugero rwa serotonin na norepinephrine mu bwonko, bigafasha kunoza ibyiyumvo byawe.

Ushobora kugura uyu muti muri farumasi ukoresheje izina ry'ikirango "Remeron" cyangwa andi mazina. Hari igihe abaganga bashobora no gukoresha uyu muti ku zindi ndwara. Niba rero ufite ibindi bibazo kuri uyu muti, baza muganga wawe cyangwa umufarumasiye.

Ni iki nabwira muganga wanjye mbere yo gukoresha uyu muti?

Ibi ni ingenzi cyane. Mbere yo gutangira gukoresha Mirtazapine, ugomba kubwira muganga wawe uko ubuzima bwawe bumeze. Ibi biterwa nuko hari indwara zimwe na zimwe zishobora kuba zidahuye n'uyu muti, cyangwa ushobora gukenera kwitabwaho by'umwihariko. Dore bimwe mu bintu ugomba kubwira muganga wawe:

• Niba ufite indwara yo mu mutwe nka 'bipolar disorder': Iki ni cyo gihe ugira ingorane zo kugumana ibitekerezo byawe ahantu hamwe. Uhita wumva wishimye cyane (mania), hanyuma ukumva ubabaye cyane ( depression ).
• Niba urwaye glaucoma: Iyi ni indwara aho umuvuduko mu maso wiyongera.
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba warigeze kugira cyangwa urimo gutekereza kwiyahura ubu.
• Niba ufite ikibazo cy'ubwivumbure kuri Mirtazapine, indi miti, ibiryo, irangi ry'ibiryo, cyangwa imiti irinda ubushyuhe.
• Niba utwite ubu, cyangwa urimo kugerageza gusama mu gihe cya vuba.
• Niba uri umubyeyi wonsa.

Iyo uvuze ibi bintu neza, muganga wawe ashobora gutegura uburyo bwo kuvura bukunogeye.

Ni gute neza neza ukoresha uyu muti?

Noneho reka turebe uko twafata uyu muti.

• Uyu muti uza mu buryo bw'ibinini. Ugomba gufatwa unyobwa n'ikirahure cy'amazi.
• Ugomba gufata umuti neza neza nk'uko muganga wawe akubwira, ku gihe nyacyo, no mu rugero nyarwo muganga wawe yagutegetse. Ntukigere ufata umuti urenze uwo muganga wawe agutegetse gufata.
• Ni byiza gufata umuti icyarimwe buri munsi. Muri ubwo buryo, ntuzibagirwa kandi umuti uzakora neza.
• Iki ni cyo kintu cy'ingenzi: Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga wawe aguhaye inama. Nubikora, ushobora kugira ingaruka mbi cyangwa kwiheba kwawe kukarushaho kwiyongera. Muganga wawe azakubwira kandi uko wahagarika gufata uyu muti bibaye ngombwa.
• Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amakuru yihariye (`MedGuide`) . Soma neza aka gapapuro igihe cyose uhawe ubwishyu. Karimo amakuru y'ingenzi cyane kuri uyu muti.
• Niba uha abana uyu muti: Ugomba kwitonda cyane. Ha abana uyu muti nyuma yo kuvugana na muganga kandi ukurikije amabwiriza ye.
• Kurenza urugero rw'umuti: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi kiri hafi yawe ako kanya.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntukigere usangiza abandi imiti yawe, kabone n'iyo baba bafite ibimenyetso nk'ibyo ufite.

Wakora iki niba wabuze dose y'umuti?

Hari igihe wibagirwa gufata umuti wawe. Iyo bibaye, ntugahangayike.

• Fata dose yabuze ukimara kubyibuka.
• Ariko, niba igihe cyo gufata dose ikurikira kigeze hafi, jya ureka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe.
• Ntuzigere ufata umuti inshuro ebyiri icyarimwe.Kubikora byongera ibyago byo kugira ingaruka mbi.

Ni izihe ngaruka mbi zishobora kubaho kuri uyu muti?

"Interaction" bivuze ko ibikorwa bya Mirtazapine bishobora kugira ingaruka ku yindi miti, ibiryo, cyangwa ibindi bintu ufata. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata (imiti yanditswe na muganga, imiti igurishwa mu kigo, ibikomoka ku bimera, vitamine), ndetse no niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti.

Hari imiti myinshi idakwiye gufatwa na `Mirtazapine` :

• Linezolid (uyu ni umuti uvura indwara zandurira mu bidukikije)
• Imiti igabanya ubukana bwa MAOI (ingero: Carbex, Eldepryl, Marplan, Nardil, na Parnate) - Iyi ni ubwoko bw'imiti ikoreshwa mu kuvura indwara yo kwiheba . Kuyifata hamwe na Mirtazapine bishobora guteza ingaruka mbi.
• `Methylene blue` (Uyu ni umuti uterwa mu mitsi)

Mirtazapine ishobora kugira ingaruka ku bintu bikurikira:

• Inzoga: Kunywa uyu muti hamwe n'inzoga bishobora kongera gusinzira no kuzerera. Kubwibyo, ni byiza kwirinda inzoga mu gihe ufata uyu muti.
• Imiti igabanya ubukana bwa virusi ivura `VIH` cyangwa `SIDA`.
• Imiti igabanya amaraso (urugero: imiti igabanya amaraso nka Warfarin).
• Indi miti ikoreshwa mu kuvura ihungabana, guhangayika, cyangwa izindi ndwara zo mu mutwe.
• Imiti ivura indwara z'ibihumyo (urugero: Ketoconazole, Itraconazole).
• Imiti imwe n'imwe ivura migraine (urugero: Almotriptan, Eletriptan, Sumatriptan).
• Imiti ivura indwara zo mu mutwe cyangwa kurwara imitsi (urugero: Carbamazepine, Phenytoin).
• Umuti wo gusinzira.
• " Cimetidine" (umuti uvura kubyimba mu gifu).
• Erythromycin (umuti urwanya udukoko).
• Fentanyl (umuti ugabanya ububabare cyane).
• Lithium (umuti ukunze gutangwa ku ndwara ya bipolar).
• Imiti yo kugenzura umuvuduko w'amaraso.
• `Nefazodone` (umuti ugabanya ubukana bw'indwara).
• Rasagiline (umuti uvura indwara ya Parkinson).
• `Rifampin` (umuti ukoreshwa mu kuvura igituntu).
• Zimwe mu nyongeramusaruro z'ibimera zirimo 'St. John's wort', 'kava kava', 'valerian'.
• Tramadol (umuti ugabanya ububabare).
• Tryptophan (aside amine, rimwe na rimwe ifatwa nk'inyongera).

Uru rutonde ntirwuzuye. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata n'ibikomoka ku bimera ukoresha. Ashobora kugufasha gukoresha Mirtazapine mu buryo butabangamiye ubuzima.

Ni ibihe bintu ugomba kwitondera cyane cyane mu gihe ufata uyu muti?

Ugomba kandi kwitonda gato mu gihe ukoresha `Mirtazapine`.

• Niba ibimenyetso byawe bitagenze neza, cyangwa bisa n'aho birushaho kwiyongera, bwira muganga wawe ako kanya.
• Komeza kuvugana na muganga wawe buri gihe kandi ujye kwisuzumisha nk'uko agusaba.
• Bishobora gufata ibyumweru byinshi kugira ngo uyu muti ugire ingaruka nziza. Rero, ntugahangayike kandi ukomeze gufata umuti nk'uko muganga wawe abikubwira.
• Ibi ni ingenzi cyane: Wowe n'umuryango wawe mugomba kumenya impinduka iyo ari yo yose mu myitwarire yanyu cyangwa mu mitekerereze yanyu. By'umwihariko, niba mufite ibitekerezo bishya cyangwa bikomeje kwiyongera byo kwiyahura, cyangwa se mukaba mwiyumvamo kwiheba gukabije, mugomba kubimenyesha muganga wanyu vuba.
• Nanone, niba wumva uhangayitse, ubabaye, ufite ubwoba, urakaza, urakaye, urakaye, urakaye, uhubuka, udatuje cyane, ufite akanyamuneza kenshi kandi ukagira imbaraga nyinshi, cyangwa udashobora gusinzira, cyane cyane iyo utangiye imiti cyangwa nyuma yo guhindura urugero, vugana na muganga wawe vuba.
• Uyu muti ushobora gutuma usinzirira cyangwa uzungera . Kubwibyo, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kuba maso kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
• Ntukabyuke utunguranye uhagaze cyangwa wicaye, cyane cyane niba ugeze mu za bukuru. Kubikora bishobora gutera isereri kandi ushobora kugwa.
• Irinde kunywa inzoga. Inzoga zishobora kubangamira imikorere y'uyu muti no kongera ingaruka mbi.
• Uyu muti ushobora gutera amaso yumye no kutabona neza . Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Ibitonyanga byo kwisiga bishobora gufasha. Ariko, niba iki kibazo gikomeje cyangwa gikomeye, reba muganga w'amaso.
• Mu kanwa hashobora no kuba hari umuntu wumye . Guhekenya ishinya ridafite isukari, kunywa bombo zidafite isukari, no kunywa amazi menshi bishobora gufasha. Ariko, niba ibi bikomeje cyangwa bikarushaho kuba bibi, vugana na muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Mirtazapine ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si bose bazibona, ariko hari n'abazibona.

Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe zirimo:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, ibibyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. Ibi bishobora gutera ingorane zo guhumeka kandi bigomba kuvurwa ako kanya.
• Imiterere y'umutima irahinduka: Niba wumva umutima wawe utera cyane cyangwa utari mu buryo busanzwe, niba wumva uzunguza umutwe, niba wumva ufite intege nke cyangwa ufite umutwe urembye, niba ubabara mu gatuza, cyangwa niba ufite ikibazo cyo guhumeka.
• Ibimenyetso by'ubwandu: umuriro, ubukonje, inkorora, cyangwa kubabara mu muhogo.
• Ibimenyetso bya Serotonin Syndrome: Iyi ni indwara iteje akaga gato. Ishobora kubaho iyo urugero rwa serotonin mu bwonko rwiyongereye cyane. Ibimenyetso birimo: kurakara, urujijo, umutima utera vuba cyangwa utari umeze neza, imitsi ikomera cyangwa ihindaguritse, ibyuya byinshi, umuriro mwinshi, gucika intege, gukonja, kuruka, no gucibwamo.
• Ibimenyetso by'uko urugero rwa sodium mu maraso (`Hyponatremia`) ruri hasi: intege nke z'imitsi, umunaniro, isereri, kuribwa umutwe, urujijo.
• Uruhu rufite umuriro n'uturemangingo tw'imitsi tubyimba.
• Uruhu rutukura, uduheri, gukurura cyangwa gucika intege, ndetse no mu kanwa bishobora kubaho.
• Gufatwa n'indwara zo mu mutwe/gufatwa n'ibisebe.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba: kureba nabi, kubona indorerwamo zikikije amatara, no kutabona neza.
• Ibitekerezo byo kwiyahura cyangwa kwibabaza, imitekerereze irushaho kuba mibi, no kwiyongera k'ibyiyumvo byo kwiheba.

Ingaruka mbi ubusanzwe zidasaba kuvurwa na muganga, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

• Kwihagarika impatwe.
• Kuzungera.
• Gusinzira.
• Umunwa wumye.
• Kongera ubushake bwo kurya.
• Kongera ibiro.

Wibuke ko uru rutonde rutarimo ingaruka mbi zose zishobora kubaho. Niba hari ikintu kidasanzwe uhuye na cyo usibye ibi, vugana na muganga wawe kuri ibyo. Ntugatinye ingaruka mbi, ariko ni ngombwa kubimenya.

Uyu muti uwubika ute?

Ni ingenzi cyane kandi kubika imiti yawe neza.

• Bika ahantu abana batagera kandi aho batagera.
• Igomba kubikwa ku bushyuhe bw'icyumba, bivuze ko hagati ya dogere selisiyusi 15 na 30 (dogere selisiyusi 15 na 30 cyangwa dogere selisiyusi 59 na 86).
• Irinde izuba ryinshi n'ubushuhe. Ntukabishyire ahantu hakonje nko mu bwiherero.
• Ntugakoreshe imiti yarengeje igihe. Ijugunye.

Ikintu cy'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri 'Mirtazapine.' Hanyuma, dore ibintu by'ingenzi cyane ugomba kwibuka:

• Mirtazapine ni umuti uvura indwara yo kwiheba. Ifasha kunoza ibyiyumvo byawe binyuze mu kuringaniza imiti iri mu bwonko bwawe.
• Mbere yo gukoresha uyu muti, bwira muganga wawe byose bijyanye n'ubuzima bwawe.
• Fata umuti neza nk'uko muganga akubwira, mu gihe gikwiye, mu rugero rukwiye. Ntugahagarike gufata umuti utabanje kugirwa inama na muganga.
• Menya ingaruka mbi zishobora kubaho mu gihe ufata imiti, kandi nizibaho, bwira muganga wawe vuba.
• Bwira muganga wawe indi miti cyangwa ibikomoka ku bimera ufata, kuko bishobora kugira ingaruka kuri uyu muti.
• Witondere kuko bishobora gutera gusinzira no kuzerera. Irinde inzoga.

Ihungabana ry'ihungabana ni indwara ishobora kugira ingaruka ku muntu uwo ari we wese. Irashobora gukira iyo umuntu avuwe neza. `Mirtazapine` ni umuti umwe ushobora kugufasha. Niba ufite ibindi bibazo kuri uyu muti, ntutindiganye kubaza muganga wawe. Ni we muntu ushobora kugufasha neza. Nkwifurije gukira vuba!

` Ihungabana, mirtazapine, Remeron, imiti igabanya ubukana bw'indwara zo mu mutwe, ingaruka mbi, imiti