Ese wowe cyangwa umuntu wo mu muryango wawe mwahawe umuti witwa Quetiapine na muganga? Iyo bibaye, ni ibisanzwe ko ibibazo biza mu mutwe kuri uyu muti. "Ni iki kizaba kuri uyu muti?", "Ese uyu muti nta kibazo ufite?", "Hari ingaruka mbi?" Ushobora kuba wibaza ikintu kimwe. Ntugahangayike. Muri iyi nkuru, tuzavuga kuri uyu muti witwa Quetiapine mu buryo bworoshye, nk'uko wabibwira inshuti yawe.
Quetiapine ni iki mu by'ukuri?
Muri make, quetiapine ni umuti ukoreshwa mu kuvura indwara zitandukanye zo mu mutwe. Uzwi cyane mu gihugu cyacu ku izina rya Seroquel. Ukoreshwa cyane cyane mu kuvura indwara nka schizophrenia na bipolar disorder.
Tekereza nawe, ubwonko bwacu bugizwe n'ibintu bitera imiti (neurotransmitters) bigenzura amarangamutima yacu, ibitekerezo byacu, n'imyitwarire yacu. Dopamine na serotonin ni bibiri mu bintu bitera imiti by'ingenzi. Mu ndwara zimwe na zimwe zo mu mutwe, ibi bintu bishobora kugorana. Muri ibyo bihe, umuti wa quetiapine ukora mu kugarura urugero rwa dopamine na serotonin , bigafasha mu gutuza amarangamutima yawe, ibitekerezo byawe, n'imyitwarire yawe. Iki gipimo cy'imiti cyitwa antipsychotics. Ariko ntugatinye izina, kuko iki gipimo cy'imiti gikoreshwa mu kuvura indwara zitandukanye zo mu mutwe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ngombwa cyane kubwira muganga wawe amateka yawe y'ubuzima mbere yo gutangira gukoresha quetiapine. Ibi biterwa nuko hari indwara zimwe na zimwe zisaba kwitabwaho by'umwihariko mu gihe ukoresha uyu muti. Niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
| Indwara cyangwa imimerere | Ibisobanuro |
|---|---|
| Indwara z'umutima n'umuvuduko w'amaraso | Indwara z'umutima, indwara z'umutima, umuvuduko w'amaraso uri hasi. |
| Diyabete | Wowe cyangwa undi muntu wo mu muryango wawe urwaye diyabete. |
| Ibibazo by'igogora | Kuziba amara, kuribwa mu nda, kugorwa no kumira. |
| Indwara y'umwijima | Ibibazo ibyo ari byo byose bifitanye isano n'imikorere y'umwijima. |
| Ibibazo by'amaso | Indwara zo mu maso (cataracts), glaucoma. |
| Ibibazo by'uturemangingo tw'amaraso | Kugabanuka kw'uturemangingo tw'amaraso twera, uturemangingo dutukura, cyangwa uduce duto tw'amaraso. |
| Izindi ndwara | Dementia, indwara ya Parkinson, igicuri/ igicuri , indwara ya tiroyide, indwara ya prostate, kunanirwa kwihagarika inkari. |
| Ubuzima bwo mu mutwe | Kugira ibitekerezo, imigambi, cyangwa kugerageza kwigirira nabi (wowe ubwawe cyangwa uwo mu muryango wawe). |
| Gutwita no konsa | Niba utwite, ugerageza gusama, cyangwa wonsa. |
| Allergie | Niba ufite ubwivumbure kuri quetiapine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi. |
Uyu muti nkwiye kuwukoresha nte?
Uburyo bwo kubikoresha biroroshye cyane.
- Mirira ikinini n'ikirahure cy'amazi.
- Fata ingano yatanzwe na muganga wawe ku gihe gikwiye. Ntugasimbuze ingano.
- Niba wumva ubabaye nyuma yo gufata umuti, ushobora kuwufata hamwe n'ifunguro.
- Ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma ibimenyetso bigaruka cyane. Nubireka, bikore uyobowe na muganga, kandi ugabanye buhoro buhoro urugero rw'imiti.
- Abarwayi barengeje imyaka 65 bashobora gukenera doze nto. Nanone, mu bihe bimwe na bimwe, uyu muti uhabwa abana bafite imyaka 10, ariko gusa mu gihe bitaweho cyane.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Bite ho iyo mfashe imiti myinshi (ndetse nkoresheje urugero rurenze urugero)?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Uyu muti wanditswe kuri wewe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Mu gihe ufata quetiapine, ugomba kumenya indi miti ufata. Hari imiti ishobora kugira ingaruka mbi kuri yo. Bwira muganga wawe imiti yose, vitamine, n'imiti y'ibimera ufata.
Ni byiza kwirinda burundu gufata quetiapine hamwe n'imiti ikurikira.
- Cisapride
- Dronedarone
- Metoclopramide
- Pimozide
- Thioridazine
Byongeye kandi, indi miti myinshi ishobora kugira ingaruka kuri quetiapine. Urugero:
- Inzoga
- Imiti imwe n'imwe ivura allergie, inkorora, n'ibicurane
- Umuti uvura guhangayika cyangwa gusinzira
- Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: fluoxetine, sertraline)
- Imiti imwe n'imwe ivura indwara z'ibihumyo (urugero: ketoconazole)
- Imiti ivura igicuri
- Umuti w'umuvuduko w'amaraso
- Imiti igabanya ububabare (cyane cyane morphine)
- Imiti imwe n'imwe igabanya ubukana bwa virusi itera SIDA cyangwa umwijima
Uru rutonde ntirwuzuye, bityo ni ngombwa kumenyesha muganga wawe imiti yose ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
Ni ngombwa kwita ku mubiri wawe n'ubwenge bwawe mu gihe ufata quetiapine.
Impinduka mu miterere y'imitekerereze
Witondere uko imitekerereze yawe ihagaze, cyane cyane iyo utangiye gufata imiti cyangwa nyuma yo guhindura ingano y'umuti wawe. Bibwire muganga wawe ako kanya niba wowe cyangwa uwo mu muryango wawe mubonye kimwe muri ibi bikurikira:
- Niba wumva ko kwiheba kwawe kurimo kwiyongera.
- Niba ufite ibitekerezo byo kwiyangiza.
- Niba wumva udatuje kandi uhangayitse cyane.
- Niba urakaye vuba kandi ukaba umunyamahane.
- Niba wumva usinziriye.
Ingaruka zumva ku mubiri
- Kuzungera no gusinzira: Uyu muti ushobora gutuma uzungera cyangwa usinziriza. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka.
- Ntukabyuke vuba cyane: Guhaguruka utunguranye uvuye kwicara cyangwa uryamye bishobora gutera isereri no kugwa. Bityo haguruka buhoro buhoro.
- Inzoga: Irinde kunywa inzoga. Inzoga zishobora guhindura ingaruka z'imiti no kongera gusinzira no kuzerera.
- Ubushyuhe bw'umubiri: Uyu muti ushobora kugira ingaruka ku bushobozi bw'umubiri bwo kugenzura ubushyuhe. Irinde ubushyuhe n'ubukonje bukabije. Nywa amazi menshi.
Ingaruka mbi zishobora kubaho
Kimwe n'indi miti iyo ari yo yose, quetiapine ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Icy'ingenzi ni ukumenya ibi no gushaka inama kwa muganga nibiba ngombwa.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba, umutima utera mu buryo budasanzwe, isereri, ububabare mu gituza. |
| Indwara y'indwara y'imitsi (NMS) | Umuriro mwinshi, imitsi igoramye, ibyuya byinshi, urujijo. (Ibi ni ibintu byihutirwa) |
| Isukari nyinshi mu maraso (Hyperglycemia) | Inyota ikabije, kwihagarika cyane, umunaniro ukabije, kutabona neza. |
| Ibimenyetso byo mu mubiri utari mu gifu (EPS) | Imigendere y'umubiri idahwitse, gutigita, imitsi irushaho gukomera, no kubura amahoro. |
| Igisebe cy'imitsi | Kubura/gucika intege mu maso, ku kuboko cyangwa ku kuguru, kugorwa no kuvuga, kuribwa umutwe cyane. |
| Ingaruka mbi zisanzwe zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Gusinzira no kuzungera | Gusinzira no Kuzunguza |
| Umunwa wumye | Umunwa wumye |
| Impatwe | Impatwe |
| Kongera ibiro | Kongera ibiro |
Ubutumwa bwo kujyana mu rugo
- Quetiapine ni umuti w'ingenzi ushobora kugufasha kunoza ubuzima bwawe bwo mu mutwe. Ntukagire ubwoba.
- Ntukareke gufata imiti cyangwa ngo uhindure igipimo cy'imiti utabanje kugisha inama muganga wawe.
- Menya neza ko wabwiye muganga wawe indi miti yose ufata ndetse n'izindi ndwara zose ufite.
- Niba ugize ingaruka mbi zikomeye (urugero: umuriro mwinshi, guhumeka nabi, urujijo), shaka ubufasha bwa muganga ako kanya.
- Irinde inzoga burundu mu gihe ufata uyu muti.
- Ni ngombwa cyane kubonana na muganga wawe ku matariki yagenwe no kuganira ku kibazo cyawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ibinini bya Quetiapine (Quetiapine / Seroquel) ni umuti w'iyihe ndwara?
Iki ni ikigero gishya cy'imiti ikomeye yo mu mutwe (Atypical antipsychotic antidiartificial) itangwa ku ndwara ikomeye ya 'Schizophrenia', kwiheba, cyane cyane indwara ya Bipolar (indwara ihinduka mu buryo butunguranye kuva ku burakari ikajya mu byishimo bikabije)! Nubwo ikuraho ubuswa n'ubushake bwo gukora ibintu bukabije by'umurwayi, abaganga benshi banayikoresha ku rugero ruto nk'ikinini cyiza cyo gusinzira ku 'Kubura Insomnia'.
💬 Ni gute uyu muti (Quetiapine) ujya mu bwonko ugakuraho burundu umutwaro udasanzwe cyangwa ibyishimo bikabije?
Imitekerereze n'impinduka by'umurwayi biriyongera bitewe n'urugero rudasanzwe rw'ibinyabutabire 'dopamine na serotonin' mu bwonko. Uyu muti ujya mu bwonko neza kandi ugafunga/ukarindanya D2 na 5-HT2A Receptors. Unahagarika histamine (H1), bityo imyitwarire y'umurwayi yo gutaka/kunanirwa iracika burundu maze agasinzira neza/akagamburura.
💬 Ni izihe ngaruka zikomeye kandi zibabaza cyane zo gufata ibi binini (Seroquel)? Ese bigabanya ibiro?
Kugabanya ibiro ntibishoboka! Ingaruka mbi zikomeye kandi zibabaza cyane z’ibi ni uko nyuma y’amezi make ubinyoye, umubiri uzagira 'ubwiyongere bukabije bw’ibiro'. Nanone, hari amahirwe menshi ko cholesterol n’isukari mu maraso (Metabolic syndrome/Diabetes) byiyongera cyane. Ikindi kintu ni uko kubinywa bizatera gusinzira cyane no kuzerera (Sedation/Orthostatic hypotension) kugeza aho udashobora kuva mu buriri mu gitondo.
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