Umuti wo gutuma umuntu yumva amerewe neza: Reka tuganire kuri Perphenazine; ibinini bya Amitriptyline!

Ushobora kuba uri umuntu ufite agahinda, cyangwa ufite imihangayiko gusa. Hari igihe ibi bintu birushaho gukomera, bigatuma bigorana gukora imirimo yawe ya buri munsi, sibyo? Uyu munsi tugiye kuvuga ku muti abaganga bakunze gutanga ushobora kugufasha. Uyu ni uruvange rw'imiti ibiri yitwa perphenazine na amitriptyline.

Uyu muti ni iki? (Perphenazine; Amitriptyline) Ukora iki?

Mu magambo make, ubu bwoko bw'ibinini byitwa Perphenazine; Amitriptyline ikoreshwa mu kuvura indwara zo mu mutwe nko kwiheba no guhangayika . Hari igihe ishobora no gukoreshwa ku ndwara nka schizophrenia .

Tekereza nawe, ubwonko bwacu bufite imiti ifasha mu kugenzura amarangamutima yacu, imyitwarire yacu, n'ibitekerezo byacu. Ni nk'uko moteri y'imodoka ibigenza. Iyi miti yitwa Dopamine, Norepinephrine, na Serotonin . Icyo uyu muti ukora ni ukugufasha kugarura urugero rw'iyo miti mu bwonko ku rugero runaka, bigafasha kunoza amarangamutima yawe. Mu by'ukuri ni uruvange rw'imiti ibiri: umwe ni umuti urwanya indwara zo mu mutwe , undi ni umuti ugabanya ubukana bwa tricyclic (TCA) . Iyi miti irwanya indwara zo mu mutwe ikoreshwa mu kuvura indwara zitandukanye zo mu mutwe.

Uyu muti ushobora kandi kwandikirwa na muganga wawe ku zindi ndwara. Niba rero ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Uyu muti ushobora kuboneka ku isoko ku mazina nka Etrafon, Etrafon-A, na Triavil .

Ni iki nabwira muganga wanjye mbere yo gukoresha uyu muti?

Iki ni ikintu cy'ingenzi cyane. Mbere yo gutangira gufata uyu muti, hari ibintu bike ugomba kubwira muganga wawe cyangwa itsinda rishinzwe kuvura. Aya makuru azabafasha gufata icyemezo niba uyu muti ukubereye cyangwa niba ukeneye kwitabwaho by'umwihariko.

Dore ibyo bintu:

• Ese ufite ikibazo cyo mu mutwe nk'indwara ya bipolar ?
• Ese wigeze ugira ikibazo cyo kuziba amara, cyangwa ubu ufite ikibazo cyo kuziba amara?
• Ese ufite indwara yo kwibagirwa , indwara yo kwibagirwa?
• Ese urwaye diyabete ? Niba ari uko bimeze, urimo kuyigenzura?
• Ese ufite ikibazo cyo kumira ibiryo?
• Urwaye glaucoma ?
• Ese ufite ikibazo cyo kugenzura imitsi yawe?
• Ese wigeze ugira ikibazo gikomeye mu mutwe mbere?
• Urwaye indwara y'umutima? (Ibi ni ingenzi cyane, kuko uyu muti ushobora kugira ingaruka ku muvuduko w'umutima)
• Ese unywa inzoga buri gihe?
• Urwaye impyiko?
• Urwaye umwijima?
• Ese ufite umubare muto w'uturemangingo tw'amaraso, urugero, uturemangingo tw'umweru, uduce duto tw'amaraso, cyangwa uturemangingo dutukura?
• Ese ufite umuvuduko w'amaraso uri hasi?
• Ese ufite indwara y'ibihaha cyangwa ikibazo cyo guhumeka, nka asima ?
• Urwaye indwara ya Parkinson ?
• Ese hari indwara yitwa pheochromocytoma ?
• Ese wigeze ugira ibisebe mbere?
• Ese wowe cyangwa undi muntu wo mu muryango wawe yaba yarigeze gutekereza, gutegura cyangwa kugerageza kwiyahura?
• Urwaye indwara ya tiroyide?
• Ese ufite ikibazo cyo gusohora inkari?
• Ese ufite allergie kuri amitriptyline, perphenazine, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe?
• Uratwite cyangwa urimo gushaka gutwita?
• Ese uri umubyeyi wonsa?

Niba hari kimwe muri ibi kikureba, bwira muganga wawe nta kintu na kimwe uhishe .

Ni gute neza neza ukoresha uyu muti?

Uyu muti ugomba gufatwa unyobwa, hamwe n'ikirahure cy'amazi. Uwufate nk'uko byavuzwe ku rupapuro rwa muganga, mu gihe no mu gipimo cyatanzwe. Ushobora kuwufata mbere cyangwa nyuma yo kurya. Ni ngombwa cyane gufata igipimo gikwiye mu gihe gikwiye. Ntugafate ibirenze ibyo muganga akubwira gufata, cyangwa ngo uwufate kenshi.

Icy'ingenzi kurushaho: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora guteza ingaruka mbi cyangwa bigatuma indwara yawe irushaho kuba mbi.

Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye (MedGuide) . Ugomba gusoma ibi witonze igihe cyose ubonye umuti cyangwa iyo wongeyeho, sibyo? Urimo amakuru menshi y'ingenzi kuri wewe.

Mu gihe uha abana uyu muti, ugomba kwitonda cyane, bityo vugana n'itsinda ry'abaganga bawe kuri ibyo.

Kurenza urugero rw'umuti: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bw’ibanze cy’ibitaro ako kanya.

Ikindi kintu: Uyu muti ni uwawe gusa. Ntuwusangire 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 kugira ngo wishyure dose yabuze. Kubikora bishobora gutera ingaruka mbi.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki nacyo ni ingenzi cyane. Imiti imwe na imwe, nka perphenazine na amitriptyline, ishobora guteza ibibazo iyo ikoreshejwe hamwe.

Ntuzigere ufata uyu muti hamwe n'imiti ikurikira:

• Linezolide
• Imiti ya MAOI (urugero: Carbex, Marplan, Nardil, Parnate, na Xadago)
• Ubururu bwa Methylene
• Metoclopramide

Uyu muti ushobora kandi kugira ingaruka ku bikurikira:

• Inzoga
• Imiti imwe n'imwe ivura allergies, inkorora, n'ibicurane (Antihistamines)
• Atropine
• Imiti imwe n'imwe ivura ibibazo by'inkari (urugero: oxybutynin, tolterodine)
• Imiti imwe n'imwe ivura indwara zo kwiheba, guhangayika, cyangwa indwara zo mu mutwe
• Imiti imwe ikoreshwa mu kuvura indwara z'umutima zidakora neza (urugero: amiodarone, dofetilide, encainide, flecainide, propafenone, quinidine)
• Ibinini bimwe byo gusinzira
• Imiti imwe n'imwe ivura ibibazo byo mu gifu (urugero: dicyclomine, hyoscyamine)
• Imiti imwe n'imwe ivura indwara yo kurakara (urugero: scopolamine)
• Cimetidine
• Epinephrine
• Ethchlorvynol
• Imiti igabanya ububabare muri rusange (urugero: halothane, isoflurane, methoxyflurane, propofol)
• Ipratropium
• Levodopa cyangwa indi miti ivura indwara ya Parkinson
• Lithiyumu
• Umuti w'umuvuduko w'amaraso
• Imiti igabanya ububabare (urugero: phenobarbital, primidone, phenytoin)
• Imiti iruhura imitsi yo kubagwa
• Imiti igabanya ububabare
• Topiramate

Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose, ibyatsi, imiti idasaba muganga, n'inyongeramusaruro urimo gufata. Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni iki ugomba kwitondera mu gihe ufata uyu muti?

Jyana na muganga wawe buri gihe kugira ngo agusuzumishe buri gihe mu gihe ufata uyu muti. Bwira muganga wawe niba ibimenyetso byawe bitaragenda neza cyangwa niba birushaho kwiyongera. Nkuko byavuzwe mbere, ntugahagarike gufata umuti utabanje kugirwa inama na muganga wawe. Kubikora bishobora gutera ingaruka zikomeye. Muganga wawe azakubwira umubare w'imiti ugomba gufata.

Kwita ku barwayi n'imiryango yabo bagomba kuba maso ku bitekerezo bishya cyangwa birushaho kwiyongera byo kwiyahura cyangwa kwiheba. Nanone, menya impinduka zitunguranye mu byiyumvo, nko guhangayika, kudatuza, ubwoba, kurakara, urwango, gukaza umurego, kudatuza cyane, gushyuha cyane no gukora cyane, cyangwa kudasinzira. Ibi nibibaho, vugana n'itsinda ry'abaganga ako kanya, cyane cyane mu ntangiriro z'ubuvuzi cyangwa nyuma yo guhindura urugero rw'umuti wawe.

• Gusinzira/Kuzungera: Uyu muti ushobora gutuma wumva usinziriye cyangwa uzungera. Kubwibyo, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikindi kintu cyose gisaba kwitonda mu mutwe kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu zabukuru. Ibi bishobora kugabanya ibyago byo kuzungera cyangwa gucika intege.
• Inzoga: Inzoga zishobora kubangamira imikorere y'uyu muti. Kubwibyo, irinde kunywa inzoga.
• Indi miti: Ntugafate imiti y'inkorora, ibicurane, cyangwa imiti itera allergie utabanje kubibaza muganga. Bimwe mu bigize iyi miti bishobora kongera ingaruka mbi.
• Igipimo cy'isukari mu maraso: Uyu muti ushobora kongera igipimo cy'isukari mu maraso. Niba urwaye diyabete, baza itsinda ry'abaganga niba ukeneye guhindura indyo yawe cyangwa imiti.
• Umunwa wumye: Umunwa wawe ushobora kumva wumye. Guhekenya shinya idafite isukari, kunywa bombo zikomeye zidafite isukari, no kunywa amazi menshi bishobora kugufasha kugabanya ibi bibazo. Bwira itsinda ry'abaganga niba iki kibazo gikomeje cyangwa kibaye gikomeye.
• Amaso yumye n'amaso atabona neza: Uyu muti ushobora gutera amaso yumye n'amaso atabona neza. Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Amavuta yo kwisiga mu maso ashobora gufasha. Niba iki kibazo gikomeje cyangwa gikomeye, reba muganga w'amaso.
• Kwihagarika: Uyu muti ushobora gutera impatwe. Gerageza kwihagarika nibura rimwe mu minsi ibiri cyangwa itatu. Niba udafite impatwe nyuma y'iminsi itatu, hamagara itsinda ry'abaganga.
• Uburyo bwo kwihanganira izuba:Uyu muti ushobora gutuma urushaho kwibasirwa n'izuba. Kubwibyo, irinde izuba. Niba ugomba kujya hanze ku zuba, ambara imyenda irinda izuba kandi wisiga amavuta yo kwisiga. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two kwisiga.
• Ibibazo byo kugenzura ubushyuhe bw'umubiri: Uyu muti ushobora guteza ibibazo mu kugenzura ubushyuhe bw'umubiri wawe. Ushobora kugabanya uko umubiri wawe witwara mu gihe cy'ubukonje. Irinde gusohoka mu gihe cy'ubukonje uko bishoboka kose. Niba ugomba gusohoka, ambara imyenda ishyushye. Bishobora kandi kugabanya uko umubiri wawe witwara mu gihe cy'ubushyuhe. Rero irinde gushyuha cyane. Ntugakore siporo irenze urugero. Irinde izuba cyane uko bishoboka kose. Niba ugomba gusohoka mu zuba, ambara imyenda yoroheje kandi ikonje. Nywa amazi menshi. Niba ufite ikibazo cyo kugenzura ubushyuhe bw'umubiri wawe, vugana n'itsinda ry'abaganga ako kanya.
• Kubagwa: Niba ugiye kubagwa, bwira itsinda ry'abaganga ko ufata uyu muti.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti iyo ari yo yose, iyi ishobora gutera ingaruka zimwe na zimwe. Zimwe ntabwo ari mbi cyane, ariko zimwe zigomba guhita zimenyeshwa muganga wawe.

Ingaruka mbi zigomba kumenyeshwa muganga/itsinda rishinzwe kuvura ako kanya:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Imihindagurikire y'umutima: umutima utera vuba cyangwa utari mwiza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye.
• Indwara y’indwara y’imitsi (NMS) ishobora kuba ikubiyemo: umuriro mwinshi, imitsi ikomera, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, ndetse no kujijinganya.
• Urugero rwa prolactine ruri hejuru: Gukura mu buryo butunguranye kw'amabere, kuva amaraso mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, imihango idahoraho.
• Kwandura: Umuriro, inkorora, inkorora, cyangwa kubabara mu muhogo.
• Umuvuduko w'amaraso uri hasi: isereri, gucika intege, kutabona neza.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba: urugero, kutabona neza, kubona indorerwamo zikikije amatara, cyangwa guta ubwenge.
• Ibitekerezo byo kwiyahura cyangwa kwibabaza, kumera nabi mu byiyumvo, kumva wihebye.
• Ibimenyetso byo mu mubiri utari mu gitereko (EPS) bishobora kuba birimo: gukora ingendo z'umubiri zidasubirwaho kandi zisubiramo, gukomera kw'imitsi cyangwa kuzunguruka, gutigita, kubura uburinganire cyangwa ibibazo byo guhuza imikorere y'umubiri, kubura ituze, no kugenda uhindagurika.

Ingaruka mbi ubusanzwe zidasaba ubuvuzi (ariko niba zikomeje cyangwa zibangamiye, menyesha muganga wawe/itsinda rishinzwe kuvura):

• Impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina
• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Kongera ibiro

Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi zishobora kubaho.

Ni gute wabika uyu muti mu buryo butekanye?

Bika uyu muti ahantu abana batagera .

Bika ku bushyuhe bw'icyumba (dogere selisiyusi 20 kugeza 25, dogere selisiyusi 68 kugeza 77). Rinda urumuri. Bika icupa/agapaki gafunze neza. Ta umuti uwo ari wo wose warengeje igihe cyo kurangira.

Wibuke ikintu cy'ingenzi kurusha ibindi! (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri uyu muti witwa Perphenazine; Amitriptyline, si byo se? Wibuke ko uyu ari umuti w'ingenzi ushobora gufasha ubuzima bwo mu mutwe bwawe. Ariko, icy'ingenzi ni ukuwufata neza nk'uko muganga wawe akubwira, mu rugero ukubwira, no mu gihe ukubwira.

Niba ufite ikibazo cyangwa impungenge, menya neza ko ubaza muganga wawe, umufarumasiye, cyangwa umuvuzi wawe. Ntukigere utekereza ikintu icyo ari cyo cyose.

Aka gatabo ni incamake gusa. Gashobora kuba katakubiyemo amakuru yose. Kubwibyo, vugana na muganga wawe kandi ukurikize ubu buryo bwose bushoboka. Tukwifurije gukira vuba!

Perphenazine , amitriptyline, kwiheba, guhangayika, ubuzima bwo mu mutwe, ingaruka mbi ku miti, indwara zo mu mutwe