Reka twige ku binini bya Trazodone? Ibisubizo by'ibibazo byawe!

Ese hari igihe wumva ubabaye cyane, uri wenyine, kandi ntushake gukora ikintu icyo ari cyo cyose? Ni ibisanzwe kumva umeze utyo. Ariko iyo mimerere ikomeje, ishobora kuba ari ihungabana . Trazodone ni ubwoko bw'imiti abaganga bakoresha mu kuvura indwara nk'izo z'ihungabana. Uyu munsi, turaganira kuri uyu muti mu buryo bworoshye ushobora gusobanukirwa.

Ni ubuhe bwoko bw'umuti Trazodone ikora?

Muri make, Trazodone ni umuti ufasha kugenzura uko umerewe. Ubwonko bwacu bufite ikinyabutabire cyitwa Serotonin . Ibi ni byo bigenzura ibyiyumvo byacu by'ibyishimo n'ituze. Icyo Trazodone ikora ni ukongera urugero rwa Serotonin mu bwonko ku rugero runaka. Hanyuma imihangayiko n'agahinda mu bitekerezo byacu biragabanuka, tugatangira kumva tumeze neza gato.

Nubwo uyu muti ugenewe ahanini abantu bafite ihungabana, muganga wawe rimwe na rimwe ashobora kuwukoresha ku zindi ndwara. Niba rero ushaka kumenya neza icyo uyu muti ugamije, ni byiza kubaza muganga wawe cyangwa umufarumasiye. Uyu muti uboneka ku mazina atandukanye y’ibirango, nka `Desyrel`.

Ni iki nabwira muganga mbere yo gutangira uyu muti?

Ibi ni ingenzi cyane . Mbere yo gutangira gufata Trazodone, ni ngombwa kubwira muganga wawe amateka y'ubuzima bwawe. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:

• Niba warigeze gutekereza kwiyahura cyangwa urimo kugira ibitekerezo nk'ibyo.
• Niba ufite ikibazo cyo mu mutwe nka Bipolar Disorder (ikibazo aho wumva wishimye cyane rimwe na rimwe ukababara cyane mu rindi).
• Niba ufite ibibazo byo kuva amaraso byoroshye (urugero, kuva amaraso menshi mu gisebe gito).
• Niba urwaye glaucoma, ni ikibazo aho umuvuduko w'amaso yawe wiyongera.
• Indwara z'umutima , niba warigeze kugira indwara y'umutima mbere.
• Niba umutima wawe utera nabi .
• Niba ufite indwara y'impyiko cyangwa umwijima .
• Iyo handitse ngo "Sodium nkeya" (Low Sodium) ingano ya sodium mu mubiri iba iri hasi .
• Niba ufite allergie kuri Trazodone, indi miti, ibiryo, irangi ry'ibiryo, cyangwa imiti irinda ubushyuhe .
• Niba ugerageza gutwita (utegereje umwana).
• Niba usanzwe uri umubyeyi wonsa .

Iyo ubwiye muganga wawe ibi bintu utabihishe, ashobora guhitamo neza niba uyu muti ukubereye cyangwa utagukwiriye, n'uko awutanga.

Ni gute neza neza nkoresha uyu muti?

Gukoresha umuti neza ni bwo buryo bwiza bwo kuwubyaza umusaruro. Ugomba kuzirikana ibi bintu mugihe ufata Trazodone:

• Uyu muti uza mu buryo bw'ikinini. Ugomba kuwunywa n'ikirahure cy'amazi .
• Fata umuti muganga wawe yaguhaye nk'uko bivugwa ku rupapuro rwa muganga , mu gipimo cyanditswe, no mu gihe cyanditswe.
• Ni byiza gufata uyu muti nyuma yo kurya cyangwa hamwe n'utundi duto tworoshye .
• Gerageza gufata umuti wawe icyarimwe buri munsi, uko bishoboka kose . Muri ubwo buryo, ushobora gukomeza kugira akamaro k'umuti mu buryo buhoraho.
• Ntukanywe ibirenze ibyo muganga akubwira, cyangwa ngo unywe kenshi.
• Ibi ni ingenzi cyane:

Ntureke gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Iyo uhagaritse kuwufata mu buryo butunguranye, ushobora kugira ububabare cyangwa indwara yawe ikarushaho kuba mbi. Nibiba ngombwa, muganga wawe azakubwira uko wahagarika gufata uyu muti.

• Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amakuru yihariye ka "MedGuide" . Soma ako gapapuro witonze igihe cyose uhawe umuti wongeraho, kandi igihe cyose ubuze umuti. Karimo amakuru y'ingenzi.
• Uyu muti ukeneye kwitabwaho by’umwihariko iyo uhawe abana . Kubwibyo, menya neza ko uganira na muganga wawe ku bijyanye no guha umwana uyu muti.

Bite ho iyo mfashe imiti myinshi? (Ingano irenze urugero)

Niba wafashe uyu muti urenze urugero ku bushake, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi ako kanya . Iyo uhawe ubuvuzi ku gihe, ushobora kwirinda ibintu biteje akaga.

Wibuke ko uyu muti wanditswe na muganga wawe. Ntukigere uha abandi umuti wawe, kabone n'iyo baba bafite ibimenyetso nk'ibyawe.

Bite ho nintakaza dose? (Dose yabuze)

Hari igihe wibagirwa gufata umuti wawe. Iyo bibaye bityo, fata umuti wabuze vuba ukimara kwibuka . Ariko, niba igihe cyo gufata umuti ukurikira kigeze (urugero, mu masaha make), rekeraho uwo muti wabuze hanyuma ufate umuti ukurikira ku gihe cyagenwe. Ntukigere ufata umuti kabiri kugira ngo wishyure uwo muti wabuze.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Trazodone ni umuti ushobora kugira ingaruka ku yindi miti, ibikomoka ku bimera, n'ibiribwa bimwe na bimwe. Ibi bivuze ko iyo ibi bifashwe hamwe, ingaruka za Trazodone zishobora guhinduka, ingaruka zishobora kwiyongera, cyangwa ingaruka z'indi miti zishobora guhinduka.

Bityo rero,Iyo utangiye gufata Trazodone, ugomba kubwira muganga wawe imiti yose urimo gufata (wandikiwe na muganga wawe, waguze muri farumasi), imiti ikomoka ku bimera, vitamine, imiti ikomoka ku bimera, n'inyongeramusaruro mu mirire. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge bitemewe n'amategeko.

Dore bimwe mu bintu bishobora gukorana na Trazodone:

Ibintu utagomba gufata uyu muti:

Niba ukoresha iyi miti, si byiza gufata Trazodone.

• Imiti imwe n'imwe ikoreshwa mu kuvura indwara z'ibihumyo (urugero: Fluconazole, Itraconazole, Ketoconazole, Posaconazole, Voriconazole).
• Cisapride
• Dronedarone
• Linezolide
• Imiti imwe n'imwe yo kurwanya indwara zo mu mutwe iri mu bwoko bwa MAOIs (Monoamine Oxidase Inhibitors) (urugero: `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`). Ntibyemewe gutangira Trazodone nibura iminsi 14 nyuma yo guhagarika imwe muri izi MAOIs.
• Mesoridazine `(Mesoridazine)`
• Methylene Blue yatewe mu mutsi.
• Pimozide
• Saquinavir
• Thioridazine `(Thioridazine)`

Ibindi bintu bishobora kugira ingaruka kuri uyu muti:

Ibi bintu bishobora guteza ibibazo iyo bifashwe na Trazodone. Bibwire na muganga wawe.

• Inzoga
• Imiti igabanya ubukana bwa virusi itera SIDA cyangwa SIDA
• Aspirine n'imiti imeze nka aspirine
• Barbiturates (urugero: phenobarbital)
• Imiti imwe n'imwe ivura umuvuduko w'amaraso, indwara z'umutima, n'umutima utera nabi
• Indi miti ivura indwara zo mu mutwe, ihungabana, cyangwa izindi ndwara zo mu mutwe
• Imiti imwe n'imwe ikoreshwa mu kuvura migraine (urugero: triptans nka almotriptan, eletriptan, na sumatriptan)
• Imiti imwe n'imwe ikoreshwa mu kuvura igicuri ( igicuri ) (urugero: Carbamazepine, Phenytoin)
• Ibinini byo gusinzira
• Imiti ibuza amaraso kuzura cyangwa kugabanya amaraso (urugero: Warfarin, Dalteparin, Enoxaparin)
• Digoxin
• Fentanyl
• Lithiyumu
• NSAIDS (Imiti igabanya ububabare idakoresha steroid) ni imiti igabanya ububabare n'imiti igabanya ububabare (urugero: `Ibuprofen`, `Naproxen`)
• Indi miti igira ingaruka ku mikorere y'amashanyarazi y'umutima (kongera igihe cya QT) (urugero: dofetilide)
• Rasagiline
• Inyongeramusaruro z'ibimera (urugero: St. John's Wort, Kava Kava, Valerian )
• Tramadol `(Tramadol)`
• Tryptophan

Uru rutonde ntirwuzuye. Hashobora kuba hari ibindi bintu bishobora guteza ibibazo. Niyo mpamvu ari ngombwa cyane kubwira muganga wawe ibyo ufata byose.

Ibintu ugomba kuzirikana mugihe ufata uyu muti

Ni byiza kwitondera impinduka ziba ku mubiri no mu bwenge bwawe mu gihe ufata Trazodone.

• Niba ibimenyetso byawe (nk'agahinda n'imihangayiko) bitagenze neza, cyangwa bigakomeza kwiyongera , bwira muganga wawe.
• Bishobora gufata ibyumweru byinshi kugira ngo uyu muti ukore neza. Ntugahagarike kuwufata utunguranye kuko ubona ko utakora. Komeza kuwufata nk'uko muganga wawe yabigutegetse. Komeza urebe muganga wawe kugira ngo agusuzumishe buri gihe kandi uganire ku kibazo cyawe.
• Ibi nabyo ni ingenzi cyane: Hari abantu bamwe, cyane cyane abakiri bato (bari munsi y'imyaka 24) n'abana, bashobora kugira ibitekerezo bishya cyangwa byinshi byo kwiyahura iyo batangiye gufata ubu bwoko bw'imiti igabanya ubukana cyangwa nyuma yo guhindura urugero rw'imiti. Bashobora kandi kugira impinduka zitunguranye mu byiyumvo, mu myitwarire, cyangwa mu bitekerezo. Niba wowe cyangwa umuntu uzi abonye ibi bikubaho cyangwa bikubaho ku muntu uzi mu gihe ufata uyu muti, bwira muganga wawe ako kanya .
• Abantu bafite indwara ya bipolar disorder rimwe na rimwe bashobora kugira ibihe byo kubabara mu mutwe iyo bafashe uyu muti. Ibi bivuze ko bahita bumva bishimye cyane, bahagaritse umutima, badatuje, bararakaye, bararakara vuba, bakora cyane, kandi bakagira ingorane zo gusinzira. Niba ubonye kimwe muri ibi bimenyetso (cyane cyane iyo utangiye gufata umuti bwa mbere cyangwa nyuma yo guhindura urugero rwawe), bwira muganga wawe ako kanya.
• Uyu muti ushobora gutuma usinzirira kandi ukagira isereri . Kubwibyo, irinde gutwara imodoka, gukoresha imashini ziremereye, cyangwa gukora ikintu icyo ari cyo cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka.
• Ntukabyuke uhagaze cyangwa wicaye mu buryo butunguranye (cyane cyane niba ugeze mu za bukuru). Kubikora bishobora kugabanya ibyago byo kuzungera no kugwa. Haguruka buhoro buhoro.
• Irinde kunywa inzoga . Inzoga zishobora kubangamira imikorere y'uyu muti kandi zishobora kongera gusinzira.
• Uyu muti ushobora gutera amaso yumye no kutabona neza . Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Ibitonyanga byo mu maso bishobora gufasha. Niba iki kibazo gikomeje cyangwa gikomeye, gana muganga w'amaso.
• Nubwo mu kanwa kawe kaba kameze nk'umunyu.Birashoboka. Guhekenya ishinya ridafite isukari, kunywa bombo, no kunywa amazi menshi umunsi wose bishobora gufasha. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti iyo ari yo yose, Trazodone ishobora guteza ingaruka mbi ku bantu bamwe na bamwe. Si buri wese uzibona. Ariko, ni byiza kumenya ibi bintu.

Niba ibi bintu bibaye, bwira muganga wawe ako kanya:

Izi ngaruka mbi zishobora kuba mbi cyane, bityo rero niba ubonye ikintu nk'iki, bwira muganga wawe vuba.

• Indwara zo kugira ubwivumbure bw'uruhu - Kurwara uduheri, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo (bigoranye guhumeka).
• Ibimenyetso byo kuva amaraso - umukara, amabyi yo mu nda; inkari zitukura cyangwa z'umukara wijimye; kuruka ifu ya kawa; utudomo duto dutukura cyangwa tw'umuhengeri ku ruhu; kuva amaraso kudasanzwe cyangwa gukomereka byoroshye.
• Impinduka mu mikorere y'umutima - Kumva umutima wawe utera cyane cyangwa utera nabi, kuzungera, kumva ufite umutwe urembye, kubabara mu gatuza, no guhumeka bigoranye.
• Umuvuduko w'amaraso uri hasi - Kuzunguza, kumva nta cyo ushoboye, kutabona neza.
• Urugero ruto rwa Sodiyumu mu maraso - Ubunebwe bw'imitsi, umunaniro ukabije, isereri, kuribwa umutwe, urujijo.
• Guhagarara igihe kirekire cyangwa kubabara (Priapism) ni indwara igaragara ku bagabo aho igitsina gabo kiguma gihagaze igihe kirekire kibabaza . Niba ibi bimara amasaha arenga 4, shaka ubufasha kwa muganga byihutirwa.
• Indwara ya Serotonin – Iyi ni indwara ikomeye cyane. Ibimenyetso birimo: kurakara, urujijo, umutima utera vuba cyangwa utari umeze neza, imitsi ikomera cyangwa ihindagura, ibyuya byinshi, umuriro mwinshi, gucika intege, gukonja, kuruka no gucibwamo.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba (urugero: kutabona neza, kubona indorerwamo zikikije amatara, gutakaza ubushobozi bwo kureba).
• Gutekereza kwiyahura cyangwa kwigirira nabi, kumera nabi mu buryo bw'ibyiyumvo, kongera kumva wihebye.

Bwira muganga wawe niba izi ngaruka mbi zikomeje cyangwa zigutera ibibazo:

Izi ngaruka mbi akenshi ntabwo ziba zikomeye. Ariko, niba zikomeje cyangwa zikakubangamira, ni byiza kubibwira muganga wawe.

• Impinduka (nk'igabanuka) mu byifuzo by'imibonano mpuzabitsina cyangwa imikorere y'imibonano mpuzabitsina.
• Kwihagarika impatwe.
• Kuzungera.
• Gusinzira.
• Umunwa wumye.

Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikindi kintu kidasanzwe, nyamuneka ubaze muganga wawe ibyacyo.

Ubika imiti ute?

Kubika imiti neza nabyo bifasha kugumana ubuziranenge bwayo.

• Bika uyu muti ahantu abana n'amatungo batagera.
• Bika ahantu hari ubushyuhe bw'icyumba , hagati ya dogere selisiyusi 15 na 30 (dogere selisiyusi 59 na 86). Ntukashyire ahantu hashyushye cyane cyangwa hakonje cyane.
• Irinde urumuri . Ibyo bivuze ko utagomba kuyibika ahantu ibona urumuri rw'izuba rutaziguye.
• Bika icupa cyangwa agapaki karimo umuti gafunze neza .
• Ntugakoreshe imiti yarengeje igihe . Ijugunye neza. (Baza umufarumasiye wawe uburyo bwiza bwo kujugunya imiti yarengeje igihe.)

Wibuke ko iyi nkuru itanga incamake ya Trazodone gusa. Ntabwo ikubiyemo ibisobanuro byose. Niba ufite ibindi bibazo kuri uyu muti, nyamuneka ubaze muganga wawe, umufarumasiye, cyangwa undi muvuzi.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Trazodone ni umuti ufasha kugabanya indwara nko kwiheba. Ariko, ugomba gukoreshwa uyobowe na muganga, nkuko byavuzwe.

• Bwira muganga wawe indi miti yose ufata, izindi ndwara ufite, hamwe n'ibindi byose ufite ubwivumbure .
• Mu gihe ufata umuti, menya ibimenyetso bishya, ingaruka mbi, n'impinduka mu byiyumvo . Niba ufite impungenge, bwira muganga wawe.
• Ntugahagarike gufata umuti mu buryo butunguranye .
• Niba ufite ikibazo cyangwa impungenge, ntutinye kubiganiraho na muganga wawe. Ni wowe uzi ubuzima bwawe neza.

Ntabwo ugomba guhangana n'ibibazo byawe wenyine. Saba ubufasha. Iyo uvuwe neza, nawe ushobora gukira.

Trazodone , Ihungabana, Serotonin, Ingaruka mbi, Ubuzima bwo mu mutwe, Imiti