Ese wowe cyangwa undi muntu uzi uri kuvurwa indwara ya bipolar? Niba ari uko bimeze, ni ngombwa kumenya ubwoko butandukanye bw'imiti itangwa kuri yo. Kubera ko hari imiti idakwiriye iyi ndwara, kandi imwe ikwiye gukoreshwa witonze cyane. Uyu munsi turimo kuvuga ku imwe muri zo, ishaje gato, ariko ikanakoreshwa mu ndwara zitandukanye, ubwoko bw'imiti yitwa tricyclic antidepressants .
Reka tubanze turebe, iyi miti igabanya ubukana bwa tricyclic (TCAs) ni iki?
Muri make, iyi ni ubwoko bw'imiti ishaje gato ugereranyije n'ikoreshwa mu kuvura indwara yo kwiheba. Hari imiti mu bwonko bwacu yohereza ubutumwa hagati y'imitsi (neurotransmitters). Icyo iyi miti ikora ni ukongera imikorere ya bibiri muri ibi bintu byitwa serotonin na norepinephrine . Abahanga mu bya siyansi bemeza ko iyi miti ibiri ari ingenzi cyane ku miyoboro y'ubwonko igenzura ibyiyumvo byacu.
Ariko, iyi miti igira ingaruka mbi nyinshi kurusha imiti mishya. Nanone, iyi miti ubu iratangwa n'abaganga ku zindi ndwara zitari iy'agahinda. Urugero:
- Ububabare bw'imitsi
- Kugira ngo wirinde indwara zo mu mutwe
- Gusinzira nabi
- Ingorane zimwe na zimwe zo mu mara ( Irritable Bowel Syndrome )
Indi miti myinshi iri muri uru rwego rw'imiti iragaragara mu mbonerahamwe iri hepfo.
| Izina ry'ubwoko bw'umuti | Amazina y'ibirango bisanzwe |
|---|---|
| amitriptyline | Elavil |
| imipramine | Tofranil |
| nortriptyline | Pamelor |
| desipramine | Norpramine cyangwa Pertofrane |
Kuki ugomba kwitonda cyane mu gihe uha uyu muti umuntu urwaye indwara ya bipolar?
Iki ni cyo gice cy'ingenzi cyane muri iyi nkuru. Indwara ya Bipolar ni imiterere y'amarangamutima, aho ugira ibihe byo kwiheba gukabije n'ibihe byo gukora ibintu byinshi bidasanzwe n'ibyishimo, byitwa mania.
Iyi miti ya tricyclic (TCA) ikoreshwa mu kuvura ihungabana. Rero iyo umurwayi w’indwara ya bipolar ahawe iyi miti yonyine kubera ihungabana rye, hari amahirwe menshi ko amarangamutima ye azahinduka akagera ku rundi ruhande, ni ukuvuga mania. Nanone, indwara yitwa gusiganwa ku maguru vuba , aho ihinduka hagati y’ihungabana n’ihungabana, ishobora kubaho.
Tekereza umuntu ufite indwara ya bipolar atangiye gufata imiti nk'iyi yo kwiheba. Mu minsi mike, iyo abuze ibitotsi byose mu buryo butunguranye, akavuga cyane, agakoresha amafaranga menshi, agakora ibintu bidasanzwe kandi akishima cyane, ibyo bishobora kuba ari ikibazo cy'amarangamutima. Ibi biterwa n'ingaruka z'imiti.
None se igisubizo cy'ibi ni ikihe?
Kugira ngo bagabanye ibi byago, abaganga basaba imiti igabanya ibyiyumvo by’umuntu icyarimwe n’imiti igabanya ubukana nk’iyi ku barwayi ba bipolar, cyane cyane abafite bipolar I.
Impuguke zizera ko iyi miti ya tricyclic idakwiye guhabwa abarwayi ba bipolar bonyine badafite imiti igabanya ibyiyumvo , nka lithium cyangwa divalproex.
Izindi ngaruka n'ibintu byo kuzirikana
Uretse ibyago byo gutera indwara y'ubwivumbure, hari n'ibindi bintu byinshi tugomba kumenya kuri iyi miti.
1. Ingaruka z'indwara z'umutima: Uyu muti ushobora gutera cyangwa kongera ibibazo by'umutima kuri bamwe. Niba ufite ikibazo cy'umutima, ugomba kubimenyesha muganga wawe.
2.Gukoresha imiti irenze urugero ni bibi cyane: Iyi ni yo ngorane ikomeye y’iyi miti. Ugereranyije n’imiti mishya, ndetse no gukoresha imiti irenze urugero ya tricyclic (TCA) bishobora gushyira ubuzima mu kaga. Kubwibyo, niba ukoresha iyi miti, ntugafate imiti irenze urugero rwatanzwe na muganga ku mpamvu iyo ari yo yose. Nanone, uyishyire kure y’abana bato mu nzu kandi uyishyire ahantu hatekanye. Niba ukeka ko hari umuntu wafashe uyu muti urenze urugero ku bw’impanuka, hita umujyana mu Kigo cyita ku Buvuzi bw’Ibanze (ETU) cy’ibitaro biri hafi yawe . Niba bibaye ngombwa, ushobora kandi guhamagara Ikigo cy’Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by’Igihugu bya Colombo kugira ngo ugire inama.
3. Ingaruka mbi nyinshi: Izi zishobora gutera ingaruka mbi nko gusinzira, kuma mu kanwa, kutabona neza, kuribwa mu nda, no kugorwa no kunyara kurusha imiti mishya.
Kubera izo mpamvu, abaganga batanga iyi miti ku rugero ruto cyane kandi babigiranye ubwitonzi bwinshi mu gihe bavura abarwayi ba bipolar.
Ubutumwa bwo kujyana mu rugo
- Imiti igabanya ubukana bwa tricyclic (TCAs) ni ubwoko bwa kera bw'imiti ikoreshwa mu kuvura ihungabana. Ubu ikoreshwa no mu kuvura izindi ndwara.
- Guha uyu muti abarwayi ba bipolar bonyine byongera cyane ibyago byo kurwara indwara ikagera ku rundi ruhande, ari rwo mania.
- Bityo rero, niba uhawe ubwoko bw'umuti, ni ngombwa gufata umuti ugabanya amarangamutima icyarimwe.
- Gukoresha iyi miti birenze urugero ni bibi cyane, bityo ni ngombwa gukurikiza inama za muganga no kuyirinda.
- Ntugatangire, ntuhagarike, cyangwa ngo uhindure ingano y'umuti uwo ari wo wose utabanje kugisha inama muganga wawe. Vugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite.
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