Kubana n'indwara yo kwiheba, indwara yitwa kwiheba, rimwe na rimwe bishobora kugorana cyane, si byo se? Iyo wumva urambiwe ubuzima kandi nta kintu na kimwe ushishikajwe nacyo, ushobora kuba waratekereje uti: "Ese nta gisubizo cy'ibi?" Selegiline Patches ni bumwe mu buryo bwo kuvura bushobora kugufasha muri ibyo bihe. Reka tubiganireho birambuye uyu munsi, kimwe no kuganira n'inshuti.
Uyu ni ubwoko ki bw'umuti? Selegiline ni...
Muri make, Selegiline ni umuti ukoreshwa mu kuvura indwara yo kwiheba. Uza mu buryo bw'agace usiga ku ruhu. Ushobora kuba warabibonye ku izina rya `EMSAM`.
Uyu muti uri mu itsinda ry'imiti yitwa `MAOI` (Monoamine Oxidase Inhibitors). Tekereza nawe, hari imiti itandukanye mu bwonko bwacu idufasha kugenzura amarangamutima n'ibyiyumvo byacu. Imwe muri iyo miti ni dopamine. Dopamine ni imiti igira uruhare mu bintu nk'ibyishimo, imibereho myiza, no kwita ku bintu mu bwenge bwacu. Icyo uyu muti wa Selegiline ukora ni ugufasha mu kubungabunga urugero rwa dopamine mu bwonko. Hanyuma, bimwe mu bibazo biterwa no kwiheba bishobora kugabanuka.
Hari igihe abaganga bashobora kukwandikira uyu muti ku zindi ndwara, bityo niba ufite ikindi kibazo kuri ibi, ni byiza kubaza muganga wawe cyangwa umufarumasiye.
Ni iki nabwira muganga mbere yo gukoresha uyu muti?
Mbere yo gutangira gukoresha Selegiline Patches, hari ibintu bike ugomba kubwira muganga wawe. Kuko imiti yose atari imwe kuri buri wese. Niba ufite imwe muri izi ndwara, menyesha muganga wawe:
- Indwara ya Bipolar: Niba ufite indwara ya bipolar.
- Umuvuduko w'amaraso ukabije: Niba ufite umuvuduko w'amaraso ukabije, ni ukuvuga niba umuvuduko w'amaraso wawe uri hejuru.
- Inzoga: Niba usanzwe unywa inzoga.
- Indwara y'umwijima: Niba ufite indwara iyo ari yo yose y'umwijima.
- Pheochromocytoma: Iki ni ikibyimba kiba mu ngirabuzimafatizo z'intanga. Niba ufite iyi ndwara.
- Indwara z'uruhu cyangwa ubushobozi bwo kurwara: Niba ufite ikibazo cy'uruhu cyangwa uruhu rwawe rukaba rworoshye cyane.
- Ibitekerezo byo kwiyahura: Niba warigeze kugira ibitekerezo cyangwa imigambi yo kwiyahura, wagerageje kwiyahura, cyangwa niba hari umuntu wo mu muryango wawe wabikoze. Ibi ni ingenzi cyane.
- Allergie: Niba ufite allergie kuri selegiline, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
- Gutwita: Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa: Niba uri umubyeyi wonsa umwana.
Mu kubwira muganga wawe ibi bintu, ashobora kuguha inama zisobanutse neza niba uyu muti ukubereye cyangwa utakubereye, n'uburyo wawukoresha mu mutekano.
Ni gute neza neza nkoresha iki gikoresho?
Uyu muti ni uwo gukoreshwa inyuma gusa, bityo kurikiza amabwiriza ari ku rupapuro rwa muganga wahawe na muganga wawe.
Dore uburyo bwo gukoresha icyo gikoresho mu buryo bworoshye:
1. Gukuraho agace: Kuraho agace ukoresheje uduce duto turimo agace ukoresheje utubuto two ku mpande. Ntugakoreshe imikasi.
2. Aho ikoreshwa: Agace k'uruhu gakwiye gushyirwa ahantu hasukuye, humutse kandi horoshye . Ubusanzwe, igice cyo hejuru cy'umugongo, igituza cyo hejuru, ikibuno cyo hejuru, cyangwa inyuma y'amaboko yo hejuru ni byo biberanye n'ibi.
3. Ahantu hatajyanye n'aho hakorerwa: Ntugashyire agace k'uruhu ahantu hari ibikomere, uruhu rwarakaye, inkovu, cyangwa uruhu rufite imiterere y'uruhu.
4. Koresha agace kamwe gusa icyarimwe: Ntugakoreshe agace karenze kamwe icyarimwe.
5. Ntugace: Ntugace cyangwa ngo ugabanye agace.
6. Gufata neza: Genzura ko agace gafatanye neza n'uruhu. Cyane cyane impande zigomba kuba zifatanye neza.
7. Gukuraho ishaje: Mbere yo gushyiramo agace gashya, menya neza ko wakuyemo agace gashaje.
8. Guhindura aho ukorera: Igihe cyose ushyira agace gashya, ntugashyire ahantu hamwe n'ahabanje, ahubwo ushyire ahandi, nko mu mugongo wo hejuru, mu gituza cyo hejuru, mu itako ryo hejuru, cyangwa inyuma y'ukuboko ko hejuru. Ntugashyire ahantu hamwe inshuro nyinshi.
9. Ntugakoreshe ibirenze ibyo muganga yategetse, kandi ntugahagarike kubifata mbere y'igihe cyagenwe. Nubihagarika , bikore gusa nk'uko muganga wawe yabigutegetse.
Iyo ubonye uyu muti muri farumasi, uzahabwa kandi agapapuro k'amabwiriza yihariye (`MedGuide`). Soma neza aka gapapuro igihe cyose ubonye umuti, kandi igihe cyose ubonye wongeramo. Ni ingenzi cyane.
Ese uyu muti ukwiriye abana?
Uyu muti ntiwemewe gukoreshwa ku bana. Cyane cyane ntuwuhe abana bari munsi y'imyaka 12. Niba umwana wawe akeneye ubwo bwoko bw'ubuvuzi, vugana na muganga w'abana ku bijyanye na bwo.
Bigenda bite iyo ufashe byinshi? (`Kurenza urugero`)
Niba utekereza ko wafashe uyu muti urenze urugero, cyangwa niba hari uwawufashe ku bushake, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi kiri hafi yawe ako kanya.
Uyu muti ni uwawe gusa!
Uyu ni umuti wagenewe wowe gusa. Kubwibyo, ntuwusangire n'abandi.
Wakora iki niba usibye gahunda yawe yo kwivuza?
Niba usibye agace kawe kagenwe, kashyiremo ako kanya wibuka. Ariko niba igihe cyo gukora agace kawe gakurikira kiri hafi, ntugashyiremo agashya. Shyira agace gakurikira gusa ku gihe cyagenwe. Ntukigere ushyiramo uduce tubiri icyarimwe cyangwa ngo ufate indi dose.
Ni izihe ngaruka mbi zishobora kubaho kuri uyu muti?
Iki ni ikintu cy'ingenzi cyane. Selegiline ni umuti ushobora kugira ingaruka ku yindi miti n'ibiribwa bimwe na bimwe. Bityo rero ugomba kwitonda cyane kuri ibi.
Selegiline ntigomba gukoreshwa hamwe n'imiti ikurikira:
- Atomoxetine
- Karubamazepine
- Cyclobenzaprine
- Dextromethorphan - ishobora kuboneka muri sirupe imwe n'imwe y'inkorora.
- Indi miti ya MAOI: Ingero zirimo Marplan, Nardil, na Parnate.
- Zimwe mu miti igabanya ububabare zirimo: meperidine, tramadol, methadone, na pentazocine.
- Hari indi miti myinshi ivura indwara yo kwiheba.
- Indi miti irimo selegiline: Urugero, imiti yitwa `Eldepryl` na `Zelapar`.
- Rasagiline
- Safinamide
- Imiti itera imbaraga mu kuvura indwara zo kwita ku bintu.
- Umuti wa Mutagatifu Yohani - Uyu ni umuti w'ibimera ukoreshwa na bamwe mu bantu.
- Viloxazine
Uyu muti ushobora kandi kugira ingaruka ku bikurikira:
- Inzoga
- Buspiron
- Ephedrine
- Epinephrine cyangwa racepinephrine
- Imiti igabanya ubwinshi bw'amaraso: nka phenylephrine na pseudoephedrine.
- Norepinephrine
- Imiti itera imbaraga ikoreshwa mu kugabanya ibiro cyangwa kuguma maso.
Uru rutonde ntirukubiyemo ibintu byose. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y’ibimera, vitamine, inyongeramusaruro). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n’amategeko. Bimwe muri ibi bintu bishobora kugira ingaruka ku miti yawe.
Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?
Ni ingenzi cyane kuganira na muganga wawe ku buzima bwawe no kwisuzumisha buri gihe mu gihe ufata uyu muti. Niba ibimenyetso byawe bitameze neza cyangwa bisa n'aho birushaho kwiyongera, bibwira muganga wawe.
Bishobora gufata ibyumweru byinshi kugira ngo uyu muti ubone ingaruka zose. Kubwibyo, ni ngombwa gukomeza gufata umuti nk'uko muganga wawe yabigutegetse. Ntugahagarike gufata umuti mu buryo butunguranye nta nama ya muganga. Kubikora bishobora gutera ingaruka zikomeye. Muganga wawe azakubwira umubare w'umuti ugomba gufata.
Irinde ibitekerezo byo kwiyahura!
Abarwayi n'imiryango yabo bagomba kuba maso ku bitekerezo bishya cyangwa birushaho kwiyongera byo kwiyahura cyangwa kwiheba. Nanone, menya impinduka zitunguranye mu byiyumvo - urugero, kumva udatuje cyane, urakaye, urakaye vuba, urakaye cyane, uhora uhangayitse cyane, ushyushye cyane, cyangwa ufite ingorane zo gusinzira - kandi vugana na muganga wawe vuba niba ibi bibaye, cyane cyane mu ntangiriro z'ubuvuzi cyangwa nyuma yo guhindura urugero rw'imiti yawe.
Witondere ibiryo birimo tyramine!
Niba muganga wawe yongereye urugero rw'uyu muti kugeza kuri miligarama zirenga 6 (miligarama 6) ku munsi, ugomba no kumenya ibiryo birimo ikinyabutabire cyitwa tyramine. Uyu muti ushobora kugira ingaruka ku biribwa nk'ibyo ugatera kuribwa umutwe cyane, kwiyongera k'umuvuduko w'amaraso mu buryo butunguranye, cyangwa umutima utera nabi .
Nubwo muganga wawe yagabanya dose yawe ikagera kuri miligarama 6 (`6 mg`) ku munsi, cyangwa nyuma yo guhagarika gufata dose ya miligarama 9 cyangwa 12 (`12 mg`) ku munsi, ugomba kwirinda ibiryo n'ibinyobwa birimo tyramine nyinshi mu gihe cy'ibyumweru bibiri . Ariko, niba utangiye gufata dose ya 6 mg kandi ugakomeza gufata, ushobora kudakenera guhindura byinshi mu mirire yawe. (Ushobora kubaza muganga wawe cyangwa inzobere mu mirire kugira ngo akubwire amakuru arambuye kuri ibi.)
Ibindi bintu byo gutekerezaho:
- Gusinzira/Kuzungera: Ushobora kumva usinziriye cyangwa uzungera. Kubwibyo, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu icyo ari cyo cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare giturumbuka, cyane cyane niba ugeze mu zabukuru. Kubikora bishobora kugabanya ibyago byo kuzungera no kugwa.
- Inzoga: Inzoga zishobora kubangamira imikorere y'uyu muti. Kubwibyo, irinde kunywa inzoga.
- Umunwa wumye: Umunwa wawe ushobora kumva wumye. Guhekenya ishinya ridafite isukari, kunywa tofe idasembuye, no kunywa amazi menshi bishobora kugufasha kugabanya ibi bibazo. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, vugana na muganga wawe.
- Indi miti:Ntugafate umuti uwo ari wo wose wo kuvura inkorora, ibicurane, cyangwa aleriji utabanje kugisha inama muganga. Nanone, ntugafate umuti uwo ari wo wose wo kugabanya ibiro utabanje kugisha inama muganga. Ibintu bimwe muri iyi miti bishobora kongera ingaruka mbi.
- Diyabete: Uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso. Niba urwaye diyabete (Diabete Mellitus), vugana na muganga wawe mbere yo guhindura indyo yawe cyangwa ingano y'umuti wawe wa diyabete.
- Kubagwa: Niba urimo kuvurwa amenyo cyangwa kwa muganga, bwira itsinda ry’abaganga ko urimo gufata uyu muti, kuko ushobora kugira ingaruka ku yindi miti ikoreshwa mu gihe cyo kubagwa.
- Igipande n'ubushyuhe bw'umubiri: Iki gipande gishobora kwanduzwa n'impinduka zimwe na zimwe mu bushyuhe bw'umubiri. Ibi bivuze ko iyo uruhu rwawe rushyushye cyane, igipande gishobora kwinjiza umuti mwinshi mu ruhu rwawe. Kubwibyo, niba ugize umuriro, vugana na muganga wawe. Nanone, irinde koga mu mazi ashyushye cyane, koga ku zuba, gukoresha ubwogero bushyushye, sauna, gushyushya uruhu rwawe ukoresheje imashini zumisha umusatsi, gukoresha udupira two gushyushya, amabati y'amashanyarazi, amazi ashyushye, n'amatara yo kwisiga. Nanone, gabanya imyitozo ngororamubiri yongera ubushyuhe bw'umubiri wawe muri iki gihe. Ibi ni ingenzi cyane cyane ku bushyuhe mu gihugu cyacu.
Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe, ariko si buri wese uzibona.
Ingaruka mbi ugomba guhita ubibwira muganga wawe:
- Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
- Ukwiyongera gukabije k'umuvuduko w'amaraso: kuribwa umutwe bitunguranye, isesemi, kuruka, kugorama kw'ijosi, gutera k'umutima vuba cyangwa kutari kumeze neza.
- Ibitekerezo byo kwiyahura cyangwa kwigirira nabi, imitekerereze irushaho kumera nabi, cyangwa kumva wihebye cyane.
Ingaruka mbi zidakunze gukenera inama za muganga, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:
- Kuzungera
- Gusinzira
- Umunwa wumye
- Umutwe
- Kubabara nko gutukura no kuribwa ahantu hashyizwe agace (Kubabara aho gashyirwa)
- Isesemi
- Ikibazo cyo gusinzira
Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba uhuye n'izindi ngaruka mbi, vugana na muganga wawe ku byerekeye izo ngaruka. Ushobora kandi gutanga raporo ku kigo gishinzwe ibiribwa n'imiti (FDA) uhamagara kuri 1-800-FDA-1088.
Uyu muti uwubika ute?
- Uyu mutiBika ahantu abana n'amatungo batagera.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25 / dogere selisiyusi 68 na 77).
- Bika uyu muti mu gikapu cyawo kugeza igihe uzaba utangiye gukoreshwa.
- Ntugakoreshe imiti yarengeje igihe, uyijugunye.
Ni gute wajugunya imiti itarakoreshejwe kandi yarengeje igihe?
- Jyana uyu muti ahantu hari "gahunda yo gufata imiti." Ushobora kumenya amakuru nk'ayo muri farumasi yawe cyangwa polisi.
- Niba nta buryo bwo kuyisubiza, baza umufarumasiye wawe cyangwa muganga wawe uburyo bwo kuyijugunya mu buryo butekanye.
Nyuma yo gukuraho icyapa cyakoreshejwe, shyira impande zifatanye, ugishyire mu gapaki karimo ubusa, hanyuma uhite ugishyira mu gisanduku cy'imyanda gifite umupfundikizo. Ibi bizarinda abana n'amatungo kutagera mu nzira. Hanyuma karaba intoki zawe neza.
Ubutumwa bwo kujyana mu rugo:
Noneho twavuze byinshi kuri Selegiline Patches, si byo se? Iki ni agace gashyirwa ku ruhu kandi gakoreshwa mu kuvura indwara yo kwiheba.
- Kurikiza amabwiriza ya muganga wawe neza: Koresha igipimo cyagenwe mu gihe cyagenwe, nk'uko muganga wawe yabigutegetse. Ntugahagarike kugifata gitunguranye.
- Bwira muganga wawe indwara zawe: Menya neza ko wabwiye muganga wawe izindi ndwara zose, imiti ufata, ndetse n'ubwivumbure ufite.
- Menya neza ingaruka mbi: Menya neza cyane ingaruka mbi zikomeye, nko gutekereza kwiyahura n'umuvuduko ukabije w'amaraso. Niba uhuye na kimwe muri ibi, bwira muganga wawe vuba.
- Ibiryo n'indi miti: Ibiryo bimwe na bimwe (birimo 'Tyramine') n'indi miti bishobora kugira ingaruka kuri iki gikoresho, bityo rero menya neza ibyo.
- Shyira kandi ubibike neza: Witondere uburyo ushyiramo agace, uburyo ukuramo ishaje, n'uburyo uhindura aho ushyiramo agashya. Nanone, ntukibagirwe kubika umuti neza.
Wibuke ko iyi nkuru ari iy'amakuru rusange gusa. Niba ufite ikibazo cyangwa impungenge kuri uyu muti, nyamuneka ubiganireho na muganga wawe, umufarumasiye, cyangwa undi muvuzi. Tukwifurije gukira vuba!
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ese Phenelzine (Nardil) ni ikinini kivura indwara yo kwiheba?
Oya! Uyu si umuti usanzwe wo mu mutwe wa SSRI (nka Fluoxetine)! Uyu ni umuti ushaje cyane, ariko ukomeye wo mu itsinda rya 'MAOI' utangwa nk'igisubizo cya nyuma ku 'kwiheba gukomeye kandi gukomeye' (kwiheba kudakira ubuvuzi) utaravurwa n'indi miti mishya. Uyu muti wongera imiti myinshi 'y'ibyishimo' (Serotonin, Dopamine, Norepinephrine) mu bwonko icyarimwe, ukiza umurwayi vuba.
💬 Kuki abantu bafata uyu muti (MAOI) bagomba gukurikiza 'indyo' yihariye?
Ibi ni ingenzi cyane! Uyu muti ubuza enzyme isenya imyuka yitwa 'Tyramine' mu mubiri wacu. Rero niba urya ibiryo nka foromaje, inyama zishaje (Salami), sosiso, ibiryo bitose, inzoga na soya mu gihe ufata uyu muti, umubiri wawe uzaba wuzuyemo tyramine kandi umuvuduko w'amaraso yawe uzazamuka mu buryo butunguranye kugeza aho uturikira (Ibibazo bikomoka ku muvuduko ukabije w'amaraso), indwara yo mu bwonko itera imitsi/indwara y'umutima kandi ushobora gupfa!
💬 Ese nshobora gufata indi miti igabanya ubukana bw'indwara zo mu mutwe hamwe n'uyu muti?
Oya rwose! Ibi ni bibi cyane. Iyo ufashe Phenelzine n'indi miti nka Fluoxetine / Sertraline / syrup yo gukorora, ingano ya serotonin mu bwonko iziyongera ikagera ku rugero rudashoboka (syndrome ya Serotonin) kandi umurwayi azapfa. Ndetse na nyuma yo guhagarika Phenelzine, abaganga ntibazemera gutangira indi miti iyo ari yo yose yo kugabanya ubukana mu gihe cy'iminsi 14 (ibyumweru bibiri)!
Selegaline , kwiheba, MAOI, dopamine, patch, ubuzima bwo mu mutwe, ingaruka mbi
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