Urushinge rwa Ziprasidone: Ese ibi urabizi?

Hari igihe ubwonko bwacu butakaza uburinganire, hashobora kuvuka ibibazo bitandukanye byo mu mutwe. Ese muganga yigeze akwandikira inshinge yitwa Ziprasidone? Reka tuvuge muri make kuri uyu muti, icyo ukora, n'icyo tugomba kwitondera. Ibi bizaba ingenzi cyane kuri wowe.

Ni ubuhe bwoko bw'umuti wa Ziprasidone?

Muri make, Ziprasidone ni umuti ukoreshwa mu kuvura indwara zo mu mutwe nka schizophrenia na bipolar disorder . Hari imiti ibiri mu bwonko bwacu yitwa Dopamine na Serotonin. Iyi ni imiti ifasha mu kugenzura amarangamutima yacu, imyitwarire yacu, n'ibitekerezo byacu. Rero, icyo Ziprasidone ikora ni ukuringaniza urugero rw'iyo miti ibiri. Hanyuma ubwo busumbane bwo mu mutwe bugenzurwa ku rugero runaka.

Uyu muti uri mu bwoko bw'imiti yitwa antipsychotics . Iyi miti ikoreshwa mu kuvura indwara zitandukanye zo mu mutwe. Hari igihe muganga wawe ashobora kukwandikira iyi miti ku zindi ndwara zitavuzwe muri iyi nkuru. Niba rero ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umufarumasiye. Izina ry'ikirango cy'uyu muti rizwi cyane ni Geodon .

Ni ibihe bintu by'ingenzi ugomba kubwira muganga mbere yo guterwa uru rushinge?

Ibi ni ingenzi cyane. Mbere yo gutangira gufata inshinge za Ziprasidone, ni ngombwa kubibwira muganga wawe cyangwa itsinda ry’abaganga bakuvura niba ufite imwe mu ndwara zavuzwe haruguru. Uyu muti ushobora kuba utakubereye, cyangwa ushobora gukenera kwitabwaho byihariye.

Wibuke ibi bintu neza kandi ubyivuge uti:

• Niba ufite indwara yo kwibagirwa (indwara itera kwibagirwa, cyane cyane uko ugenda usaza).
• Niba urwaye diyabete .
• Niba ufite ikibazo cyo kumira ibiryo n'ibinyobwa.
• Niba ufite indwara y'umutima .
• Niba ufite ikibazo cy'umutima .
• Niba warigeze kugira kanseri y'ibere .
• Niba wigeze kugira umutima utera nabi mbere.
• Niba habayeho stroke .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba warapimwe amaraso yawe afite umubare muto w'uturemangingo tw'umweru, platelets, cyangwa uturemangingo dutukura .
• Ufite umuvuduko w'amaraso uri hasi.Niba ihari.
• Niba urwaye indwara ya Parkinson .
• Iyo habayeho gukubita ibisebe .
• Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura .
• Niba ufite ikibazo cy'ubwivumbure kuri ziprasidone cyangwa undi muti uwo ari wo wose, ibiryo, irangi, cyangwa imiti irinda kwangirika .
• Niba utwite cyangwa ugerageza gutwita .
• Niba wonsa .

Ni ingenzi cyane ku mutekano wawe kuvuga ibi bintu ku mugaragaro.

Ukoresha uyu muti ute?

Ziprasidone ni urushinge mu mitsi . Ntabwo ari ikintu ushobora kwiha ubwawe mu rugo. Uhabwa n'abaganga bahuguwe mu bitaro cyangwa ivuriro .

Ugomba kwitonda cyane mu gihe uha uyu muti abana bato, ni ukuvuga abana bato. Bityo rero, niba uyu muti warahawe umwana wawe, vugana n'itsinda ry'abaganga bawe witonze kandi umenye amakuru arambuye.

Kurenza urugero rw'umuti: Niba ukeka ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi kiri hafi yawe cyangwa icyicaro cy’indembe cy’ibitaro vuba . Gufata ingamba ku gihe bishobora gukumira ingaruka zikomeye.

Icyitonderwa: Uyu muti wanditswe kuri wowe gusa. Ntugasangire cyangwa ngo uwuhe undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.

Wakora iki niba wabuze dose?

Kubera ko uyu muti uhabwa mu bitaro cyangwa mu ivuriro, ntabwo ari ibisanzwe gusiba dose. Kubwibyo, iki kibazo ntabwo kikureba.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Ibi kandi ni ikintu ugomba kwitondera. Ziprasidone ishobora kugira ingaruka mbi ku yindi miti , bivuze ko ishobora gutera ingaruka mbi iyo uyifashe hamwe. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata, harimo vitamine, ibikomoka ku bimera, n'inyongeramusaruro mu mirire.

Ntugafate Ziprasidone hamwe n'uyu muti!

Ntugafate Ziprasidone niba ufata imwe muri iyi miti ikurikira:

• Arsenic trioxide
• Amwe mu matibayotike, nka gatifloxacin, moxifloxacin, na sparfloxacin
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara z'umutima, nka amiodarone, dofetilide, flecainide, procainamide, quinidine, na sotalol
• Chlorpromazine
• Cisapride
• Dextromethorphan; quinidine
• Dolasetron
• Dronedarone
• Droperidol
• Halofantrine
• Levomethadil
• Ketoconazole
• Mefloquine
• Mesoridazine
• Metoclopramide
• Indi miti yongera igihe cya QT (itera umuvuduko udasanzwe w'umutima)
• Pentamidine
• Pimozide
• Probucol
• Tacrolimus
• Thioridazine

Ziprasidone ishobora kandi kugira ingaruka kuri ibi bintu:

• Inzoga
• Ubwoko bw'imiti igabanya ububabare mu mubiri (antihistamines) ivura indwara z'ubwivumbure, inkorora n'ibicurane
• Karubamazepine
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
• Imiti imwe n'imwe ivura indwara yo kwiheba, nka amitriptyline, fluoxetine, na sertraline
• Imiti igabanya ububabare muri rusange nka halothane, isoflurane, methoxyflurane, na propofol
• Levodopa cyangwa indi miti ivura indwara ya Parkinson
• Umuti w'umuvuduko w'amaraso
• Umuti uvura ibisebe
• Imiti igabanya imitsi ikoreshwa mu gihe cyo kubaga
• Imiti igabanya ububabare
• Phenothiazine, nka perphenazine, prochlorperazine, na trifluoperazine

Uru rutonde ntirwuzuye. Hashobora kuba hari indi miti. Kubwibyo, menya neza ko wabwiye muganga wawe imiti yose ufata, kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni iki nkwiye kumenya mu gihe nfata uyu muti?

Mu gihe urimo kuvurwa na Ziprasidone, itsinda ry'abaganga rizagukurikiranira hafi. Ariko, ni ngombwa ko umenya ibi bikurikira:

• Ibimenyetso: Niba ibimenyetso byawe bitaragabanuka, cyangwa bisa nkaho bikomeje kwiyongera, menyesha itsinda ry'abaganga bawe ako kanya.
• Indwara zikomeye z'uruhu: Hari abantu bashobora kugira ingaruka zikomeye z'uruhu iyo bakoresheje uyu muti. Ibi bishobora kubaho ibyumweru cyangwa amezi nyuma yo gutangira umuti.Niba ugize ibibyimba birimo ibimenyetso bisa n'ibicurane, jya kwa muganga ako kanya. Ibi bibyimba bishobora guhinduka umutuku cyangwa umuhengeri, hanyuma bigahinduka udusebe. Cyangwa, ushobora kubyimba mu maso, iminwa, kubyimba utunyangingo tw'imitsi mu ijosi cyangwa mu kwaha, ndetse no kubyimba udusebe dutukura. Niba ubonye ikintu nk'iki, ntutinde.
• Gusinzira no kuzungera: Ushobora kumva usinziriye cyangwa uzungera . Ni byiza kwirinda gutwara imodoka, gukoresha imashini ziremereye, cyangwa gukora ikintu cyose gisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Irinde guhaguruka cyangwa kwicara mu buryo butunguranye, cyane cyane niba ugeze mu za bukuru. Kubikora bishobora kugabanya ibyago byo kuzungera no kugwa. Kunywa inzoga bishobora kubangamira ingaruka z'uyu muti kandi bishobora no gutuma uzungera cyane. Rero irinde inzoga burundu.
• Kumva izuba rikabije: Uyu muti ushobora gutuma uruhu rwawe rworohera izuba kurusha uko bisanzwe . Rero, irinde izuba uko bishoboka kose. Niba ugiye hanze, ambara imyenda itwikiriye umubiri wawe neza, wambare ingofero, kandi ukoreshe amavuta meza yo kwisiga ku zuba. Ntukigere ukoresha amatara y'izuba cyangwa utubati two kwisiga ku zuba.
• Urugero rw'isukari mu maraso: Uyu muti ushobora kongera urugero rw'isukari mu maraso ku bantu bamwe na bamwe. Niba usanzwe urwaye diyabete, baza muganga wawe niba ukeneye guhindura imirire yawe cyangwa imiti ya diyabete.
• Kugenzura ubushyuhe bw'umubiri: Uyu muti ushobora guteza ibibazo bimwe na bimwe mu kugenzura ubushyuhe bw'umubiri wawe . Urugero, umubiri wawe ushobora kuba utitabira cyane ubukonje. Rero, gerageza kuguma mu nzu uko bishoboka kose mu minsi y'ubukonje. Niba ugomba gusohoka, mbara imyenda ishyushye. Mu buryo nk'ubwo, umubiri wawe ushobora kuba utitabira cyane ubushyuhe bukabije. Rero, irinde gushyuha cyane. Ntugakore siporo cyane, cyane cyane mu minsi y'ubushyuhe. Irinde izuba uko bishoboka kose. Niba ugomba kuba uri ku zuba, wambare imyenda yoroheje kandi unywe amazi menshi. Niba wumva ufite ikibazo cyo kugenzura ubushyuhe bw'umubiri wawe, vugana n'itsinda ry'abaganga bawe ako kanya.
• Umunwa wumye: Ushobora kumva umunwa wawe wumye . Ibi nibibaho, ushobora kugufasha kugabanya ibi ukoresheje gum idafite isukari, ukanywa bombo idafite isukari, kandi ukanywa amazi menshi. Niba iki kibazo kikomeje cyangwa kikakubangamira, vugana na muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, guterwa Ziprasidone bishobora gutera ingaruka zimwe na zimwe.Hari ingorane nyinshi zishobora guterwa n'iyi ndwara. Zimwe muri zo ntabwo ari zikomeye, ariko zimwe zisaba ubuvuzi bwihuse. Ni ngombwa ko ubimenya.

Ingaruka mbi zigomba kumenyeshwa muganga ako kanya:

Niba ugize imwe muri izi ngaruka mbi zikurikira, ugomba kubimenyesha itsinda ry’abaganga bawe cyangwa muganga wawe vuba bishoboka :

• Indwara zo kugira ubwivumbure: Zirimo uduheri ku ruhu, kuribwa, ibibyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Imiterere y'umutima irahinduka: Kumva umutima wawe utera cyane, umutima wawe utera nabi, isereri, gucika intege, kubabara mu gatuza, no guhumeka bigoranye.
• Isukari nyinshi mu maraso (Hyperglycemia): Kumva ufite inyota nyinshi, ukeneye kunyara kenshi, kumva unaniwe cyangwa ufite intege nke, utabona neza.
• Umuriro mwinshi cyane, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, no kwitiranya ibintu: Ibi bishobora kuba ibimenyetso by'indwara ikomeye yitwa neuroleptic malignant syndrome .
• Ibimenyetso by'urugero rwinshi rwa prolactine: Imikurire mibi y'amabere ku bagore n'abagabo, kuva amaraso mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, n'imihango idahwitse ku bagore.
• Ibimenyetso by'ubwandu: umuriro, ubukonje, inkorora, kubabara mu muhogo.
• Ibimenyetso by'umuvuduko w'amaraso uri hasi: isereri, gucika intege, kutabona neza.
• Kubabara cyangwa kugorwa no kumira.
• Guhagarara igihe kirekire cyangwa kubabaza (ku bagabo).
• Uduheri ku ruhu, umuriro, n'uturemangingo tw'imitsi tubyimba.
• Gutukura, uduheri, gushibuka, cyangwa gushibuka k'uruhu, ndetse no hafi y'umunwa.
• Ibitekerezo byo kwiyahura, ibitekerezo byo kwiyangiza, imitekerereze irushaho kuba mibi, kwiheba byiyongera.
• Ingendo z'umubiri zidacunzwe, zisubiramo, imitsi ikomera cyangwa ihindaguritse, gutigita, gutakaza uburinganire, kuruhuka, no kugenda uhindagurika: Ibi bishobora kuba ibimenyetso by'indwara yitwa ibimenyetso bya extrapyramidal (EPS) .

Ingaruka mbi ubusanzwe zidasaba ubuvuzi, ariko zigomba kumenyeshwa muganga mu gihe zikomeje cyangwa zibangamiye:

Izi ngaruka mbi akenshi ntabwo ziba zikomeye. Ariko niba zikomeje, cyangwa niba zikubangamira cyane, ni byiza kubwira muganga wawe:

• Impatwe
• Kuzungera
• Gusinzira
• Umutwe
• Isesemi
• Inda ibabaye
• Kongera ibiro

Wibuke ko uru rutonde rutarimo ingaruka zose zishobora kubaho. Niba hari ikindi kintu kidasanzwe uhuye na cyo uretse izi, shaka inama kwa muganga.

Uyu muti nawubika he?

Kubera ko uru rushinge rwa Ziprasidone ruguhabwa mu bitaro cyangwa mu ivuriro, ntuzashobora kurujyana mu rugo. Bityo rero ntugomba guhangayikishwa nabyo.

Amaherezo, ikintu cy'ingenzi ugomba kwibuka!

Rero, Ziprasidone, twavuzeho, ni umuti w'ingenzi ushobora gufasha kugabanya zimwe mu ndwara zo mu mutwe. Ariko, nk'uko mubibona, hari ibintu byinshi tugomba kwitondera mu gihe tuwukoresha.

Igikuru ni ukuvugisha ukuri no kuvugisha ukuri kwa muganga wawe. Ni ngombwa kumubwira izindi ndwara ufite, indi miti urimo gufata ubu (yaba iyanditswe na muganga, iyaguzwe muri farumasi, cyangwa ndetse n'imiti gakondo), ibimenyetso bishya urimo kubona, ndetse n'ingaruka mbi urimo kubona. Icyo gihe ni bwo uzabasha kubona ubu buvuzi mu mutekano kandi neza.

Niba hari ikintu utumva, niba ufite gushidikanya cyangwa ubwoba, baza muganga byose. Hanyuma ushobora guhangana n'ubuvuzi ufite amahoro yo mu mutima. Urabyumva?

Ziprasidone , Inshinge, Ubuzima bwo mu mutwe, Schizophrenia, Bipolar, Ingaruka mbi, Imiti, Geodon