Iyo muganga wawe aguhaye umuti witwa Nortriptyline, ushobora kumva ufite ubwoba kandi ukumva utazi icyo ukora. Ni ibisanzwe ko benshi muri twe dutekereza dutyo iyo twumvise "umuti w'ubwonko," "umuti w'indwara zo mu mutwe." Ariko ntugahangayike. Ibi ni kimwe n'indi miti yose y'umubiri wacu. Reka dusobanure byose kuri uyu muti mu buryo bworoshye, nk'aho twavuganye n'inshuti.
Uyu muti witwa Nortriptyline ni uwuhe?
Muri make, Nortriptyline ni umuti ukoreshwa mu kuvura indwara yo kwiheba . Uri mu bwoko bw'imiti yitwa tricyclic antidepressants (TCAs) .
Tekereza muri ubu buryo: ubwonko bwacu bufite imiti ikora nk'intumwa nto. Tuyita izi neurotransmitters . Izi ntumwa zigira uruhare runini mu kugenzura ibyiyumvo byacu, ibyiyumvo nk'ibyishimo n'agahinda. Serotonin na norepinephrine ni bibiri mu ntumwa z'ingenzi. Abantu bafite ikibazo cyo kwiheba bashobora kugira ubusumbane bw'iyi miti mu bwonko bwabo. Nortriptyline ikora mu kugarura ubwo buringanire no gufasha kunoza ibyiyumvo byawe.
Hari igihe abaganga bakoresha uyu muti ku zindi ndwara, bityo niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe kuri wo.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Ibi ni ingenzi cyane. Kugira ngo umuganga wawe akuvure neza, agomba kumenya amateka y’ubuzima bwawe. Niba ufite imwe mu ndwara zavuzwe haruguru, banza ubibwire umuganga wawe mbere yo gutangira Nortriptyline.
| Indwara cyangwa imiterere | Kuki ari ngombwa kubimenyesha muganga? |
|---|---|
| Indwara nk'indwara z'umutima cyangwa indwara ya Brugada | Uyu muti rimwe na rimwe ushobora kugira ingaruka ku muvuduko w'umutima. |
| Indwara zo mu mutwe nka bipolar disorder cyangwa schizophrenia | Ingaruka z'umuti zishobora gutandukana, kandi ibimenyetso bishobora kwiyongera. |
| Indwara y'umwijima | Imikorere y'umwijima ni ingenzi kuko umwijima ufasha gukura imiti mu mubiri. |
| Glaucoma cyangwa kugorwa no kunyara | Uyu muti ushobora gutuma ibyo bibazo birushaho kuba bibi. |
| Indwara zo mu mutwe | Umuti ushobora kongera gato ibyago byo kurwara ibicurane. |
| Indwara ya tiroyide | Hashobora kubaho imikoranire hagati y'imisemburo ya tiroyide n'uyu muti. |
| Akamenyero ko kunywa inzoga | Kunywa inzoga n'uyu muti hamwe bishobora kongera gusinzira n'izindi ngaruka mbi. |
| Ibitekerezo byo kwiyahura cyangwa kugerageza mbere | Ibi ni ingenzi cyane. Muganga agomba kubimenya. |
| Gutwita, kugerageza gutwita, cyangwa konsa | Ugomba kuganira na muganga wawe ku ngaruka zishobora kugaragara ku mwana. |
| Allergie ku yindi miti, ibiryo cyangwa ibindi bintu | Ugomba kumenyesha muganga wawe niba ufite ubwivumbure kuri nortriptyline cyangwa indi miti ya TCA. |
Uyu muti nkwiye kuwukoresha nte?
- Fata uyu muti n'ikirahure cy'amazi. Uwufate neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye.
- Nakwibukije.Ntugafate dose ebyiri.
- Icy'ingenzi kurushaho: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma indwara yawe irushaho kuba mbi ndetse bigatera ingaruka mbi nko kuribwa umutwe no kugira isesemi. Nuhagarika gufata uyu muti, bikora buhoro buhoro kandi uko muganga yabigutegetse.
Umuburo: Kunywa ibirenze urugero
Niba ubona ko wafashe uyu muti urenze urugero, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu ako kanya. Cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ku bitaro biri hafi yawe. Uyu muti ni uwawe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese.
Wakora iki niba wabuze dose y'umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose ikurikira hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Ibindi bintu bishobora guteza ibibazo kuri uyu muti (Interactions)
Nortriptyline ni umuti ushobora guteza ibibazo (imikoranire) n'indi miti. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata, harimo imiti ya Sinhala, imiti ya Ayurvedic, vitamine, n'inyongeramusaruro ufata kwa muganga w'umuryango wawe.
Ntugafate uyu muti hamwe n'ikintu icyo ari cyo cyose!
Niba ufata imiti ikurikira, gufata Nortriptyline birabujijwe cyane .
- Cisapride
- Dronedarone
- Linezolide
- Pimozide
- Thioridazine
- Imiti yo mu bwoko bw'imiti yitwa MAOIs (urugero: Carbex, Marplan)
- Methylene y'ubururu (ishyirwa mu mitsi)
Hari n'ibibazo bishobora kubaho kuri iyi miti.
Imiti ikurikira ishobora no kugira ingaruka kuri Nortriptyline. Niba rero ufata imwe muri izi, bwira muganga wawe.
- Inzoga
- Imiti imwe n'imwe ivura allergies, inkorora, n'ibicurane (Antihistamines)
- Indi miti igabanya ubukana bw'imitsi (urugero: fluoxetine, sertraline)
- Imiti igira ingaruka ku muvuduko w'umutima (imiti igabanya igihe cya QT)
- Imiti igabanya ububabare (urugero: tramadol)
- Imiti nka Cimetidine, Quinidine, Reserpine
- Imisemburo ya tiroyide
Ibintu ugomba kuzirikana mu gihe ufata imiti
Menya neza impinduka mu byiyumvo.
Ibi ni ingenzi cyane. Cyane cyane mu byumweru bike bya mbere uhereye igihe watangiye gufata umuti cyangwa nyuma yo guhindura ingano yawo, ni ngombwa ko wowe n'umuryango wawe mumenya ibyiyumvo bishya cyangwa birushaho kwiyongera by'imihangayiko, kubura amahoro, kurakara, kudasinzira, cyangwa gutekereza kwiyahura.Ugomba kwitonda cyane. Nubona impinduka nk'izo, hamagara muganga wawe ako kanya.
Gusinzira no kuzungera
Uyu muti ushobora gutuma usinzirira cyangwa uzungera. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Cyane cyane niba ugeze mu zabukuru, ntugahaguruke utunguranye uvuye aho wicaye. Haguruka buhoro nyuma y'igihe runaka. Ibi bizagabanya ibyago byo kuzungera no kugwa.
Ibindi bibazo bisanzwe n'ibisubizo byabyo
- Kuma mu kanwa: Guhekenya shim idafite isukari no kunywa amazi menshi bishobora gufasha.
- Amaso yumye no kutabona neza: Indorerwamo z'amaso zishobora kugorana. Ibitonyanga byo kwisiga bishobora gukoreshwa. Iki kibazo nigikomeza, gana muganga w'amaso.
- Kwihagarika: Gerageza kwihagarika nibura rimwe mu minsi ibiri cyangwa itatu. Kurya ibiryo byinshi birimo fibre, imboga n'imbuto. Niba udafite kwihagarika nyuma y'iminsi 3, bwira muganga wawe.
- Uburyo bwo kwisiga izuba: Uruhu rwawe rushobora gushya cyane iyo ufata uyu muti. Kubwibyo, niba ugiye ku zuba, ambara imyenda ipfuka umubiri wawe kandi wirinde izuba.
Ingaruka mbi z'umuti
Kimwe n'indi miti iyo ari yo yose, Nortriptyline ishobora gutera ingaruka mbi. Zimwe muri zo ni mbi, izindi zikaba zisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari mwiza, isereri, ububabare mu gituza, guhumeka bigoranye. |
| Indwara ya Serotonin | Kutuza, urujijo, ibyuya byinshi, umuriro, imitsi ikomera cyangwa ihinda umushyitsi, kuruka, impiswi. |
| Indwara zo mu mutwe | Gutangira gukubita ibisebe mu buryo butunguranye. |
| Ububabare butunguranye cyangwa impinduka mu isura y'amaso | Kubona nabi, kubona impeta zikikije amatara, ububabare bw'amaso. |
| Kugorwa no kunyara | Kugorwa no kunyara cyangwa nta nkari zisohoka. |
| Ingaruka mbi ubusanzwe zitari mbi, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Gusinzira cyangwa isereri | Ibi bizagabanuka uko umubiri ugenda umenyera imiti. |
| Umunwa wumye | Bishobora kugenzurwa no kunywa amazi menshi. |
| Impatwe | Bishobora kugenzurwa no kurya ibiryo byinshi birimo fibre no kunywa amazi menshi. |
| Impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina | Vugana na muganga wawe ku mugaragaro kuri ibi. |
Ni gute wabika imiti yawe mu buryo butekanye?
Bika uyu muti ahantu abana batagera . Bika ahantu hashyushye mu cyumba, kure y'izuba, mu kintu gifunze neza. Tara umuti warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Nortriptyline ni umuti ukoreshwa mu kuvura indwara yo kwiheba. Ufasha kuringaniza imiti yo mu bwonko no kunoza ibyiyumvo.
- Irinde guhagarika imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Bwira muganga wawe indi miti yose ufata (harimo n'imiti igurishwa mu kigo) hamwe n'indwara zose ufite.
- Mu gihe cya mbere cyo kuvurwa, wowe n'umuryango wawe mugomba kumenya uko imitekerereze yanyu ihagaze (cyane cyane ibitekerezo byo kwiyahura). Niba mubonye impinduka, menyesha muganga wawe ako kanya.
- Ingaruka mbi zikunze kugaragara nko gusinzira no kuma mu kanwa, kandi niba ugize ingaruka mbi zikomeye (impinduka mu gutera k'umutima, allergie), shaka ubufasha kwa muganga byihutirwa.
- Niba ufite impungenge kuri uyu muti, ntugatinye kubiganiraho na muganga wawe.
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