Imiti yica agahinda itera kugabanya ibiro

Urutonde rureri: Imiti yica agahinda ihuriweho no kugabanya ibiro

Mu bushakashatsi ku miti yica agahinda itera kugabanya ibiro, hari imiti imwe yihagazeho. Ariko, hari n'izindi nkeya zishobora kugira ingaruka mugihe gito. Ni ingenzi kwibuka ko ubuzima bw'umuntu burushya, kandi ibisubizo by'umuntu ku giti cye bishobora gutandukana cyane.

1. Bupropion (Wellbutrin)

Niba hari imiti yihagazeho muri iki cyiciro, ni bupropion (izina rya ruganda Wellbutrin). Ni yo miti yica agahinda ihuriweho cyane no kugabanya ibiro, kandi mu bihe bimwe na bimwe, ni Ingenzi mu miti yemewe yo kugabanya ibiro.

• Ukuntu ikora: Bitandukanye n'indi miti yica agahinda myinshi, bupropion ni ikintu gitera ingufu za norepinephrine na dopamine ikazongera mu bwonko (NDRI). Ibi bivuze ko ikora ku bya binyabutabire by'ubwonko biganira - dopamine na norepinephrine - kuruta ibindi bisanzwe bya SSRIs, bikoresha serotonin. Ibi bya binyabutabire bifasha mu kugenzura si gusa imitekerereze n'umuhate, ahubwo n'imbaraga n'isabwa ry'ibiryo.
• Ibihamya: Ihuriro riri hagati ya bupropion na kugabanya ibiro ryanditswe neza. Inyigo nini yerekanye ko abantu batwumye bagabanye ibiro bya bupropion kwi agahinda bagabanyije ibiro 7.1 kuri bibiri mu myaka ibiri source. Iyi ngaruka ikunze kwitirirwa imbaraga zayo zo gutera ingufu, zishobora kongera imisemburo kandi zikaba kimwe mu miti yica agahinda igabanya isabwa ry'ibiryo. Ku bantu bashaka imiti yica agahinda y'imbaraga no kugabanya ibiro, bupropion ikunze kuboneka nk'ikintu gishobora gukora.

2. Fluoxetine (Prozac)

Fluoxetine (izina rya ruganda Prozac) ni kimwe mu byinshi bizwi cyane mu bwoko bwa selektive serotonin reuptake inhibitors (SSRIs). Ihuriro ryayo n'ibiro ni irigoye cyane.

• Ukuntu ikora: Prozac yongera urwego rwa serotonin mu bwonko. Mu ntangiriro y'ivuriro, iyi ngaruka ishobora gutera kugabanya isabwa ry'ibiryo no kwiruka kwa gato.
• Ibihamya: Bamwe bagira kugabanya ibiro mugihe gitoya ubwo batangiraga gufata Prozac. Ariko, iyi ngaruka ikunze kuba irambye. Inyigo imwe yerekanye ko nubwo Prozac na kugabanya ibiro bishobora kuba mu mezi ya mbere, gukoresha igihe kirekire (kurenza amezi atandatu) bikunze guhura no kongera ibiro cyangwa no kwiyongera gato source. Bityo, nubwo ishobora kuba SSRI itera kugabanya ibiro mugitangira, ntibizwi ko izakomeza mu gihe kirekire.

3. Duloxetine (Cymbalta)

Duloxetine (izina rya ruganda Cymbalta) ni ikintu cyongera serotonin na norepinephrine (SNRI), bisobanuye ko gikora kuri serotonin na norepinephrine.

• Ukuntu ikora: Kimwe na Prozac, Cymbalta ishobora gutera kugabanya isabwa ry'ibiryo nk'ingaruka ya mbere.
• Ibihamya: Inkuru kuri Cymbalta kugabanya ibiro irasa neza n'iya Prozac. Inyigo zerekana ko ishobora gutera kugabanya ibiro gato mu gihe gito ku bantu bamwe. Ariko, uko igihe gikomeza, iyi ngaruka iragenda izimira, kandi ibiro bikunze gusubira cyangwa bikiyongera gato source.

Kuki imiti yica agahinda igira ingaruka kuli ibiro?

Ihuriro hagati y'imiti yica agahinda n'ibiro ntirisaba ingaruka imwe gusa; ni urugero rw'ibintu byinshi by'ubwonko, imisemburo, n'imigenzereze.

• Ingaruka ku isabwa ry'ibiryo n'imisemburo: Zimwe mu miti zishobora kugira ingaruka ku bimenyetso by'inzara. Urugero, ingaruka za bupropion kuri dopamine zishobora gutera kwumva uhaze vuba. Muburyo bw'ibinyuranye, zimwe mu miti yica agahinda zikora ku ngirabwonko za histamine, izwiho kongera isabwa ry'ibiryo no kwifuza ibiryo bisukari source, bitera kwiyongera kw'ibiro.
• Ingaruka za neurotransmitter: Serotonin, norepinephrine, na dopamine ni ibikoresho byinshi by'ubwonko. Ntibagenzura gusa imitekerereze; bagenzura kandi isabwa ry'ibiryo, kwifuza ibiryo, n'imisemburo. Guhindura urwego rwazo gushobora kugira ingaruka z'ibiro.
• Kuvugurura ibimenyetso by'agahinda (Ibi ni byinshi!): Kenshi, impinduka z'ibiro ntizibe ingaruka ngengabuzima, ahubwo ni ikimenyetso cyo gukira. Agahinda ubwabwo bushobora kugira ingaruka mbi ku isabwa ry'ibiryo n'imbaraga. Bamwe baraburira isabwa ry'ibiryo kandi bagabanya ibiro, mugihe abandi bakoresha ibiryo kugirango baruhuke kandi bakiyongere ibiro. Igihe imiti itangiye gukiza ubuhumyi bw'agahinda, ushobora gusubira mu byo wari ufite mbere y'agahinda mu byerekeye ibiryo n'imirimo. Isabwa ry'ibiryo riagaruka, ibiryo biryoha, kandi ufite imbaraga zo guteka no kwishimira kurya. Iyi "ingaruka yo gukira" ishobora gutera ibiro kwiyongera cyangwa kugabanyuka, bitewe n'aho wari utangiye.

Kugirango Urugero: Imiti Yica Agahinda Ishobora Gutera Kwiyongera Kw'ibiro

Kugirango ugire ishusho yuzuye, ni byiza kumenya imiti iri ku rundi ruhande rw'uru rugendo. Kumenya ibi bifasha kumenya impamvu zimwe zigizwe nk'imiti yica agahinda idafite ingaruka kuli ibiro cyangwa ihuriweho no kugabanya ibiro. Impungenge zerekeranye n'imiti yica agahinda itera kwiyongera kw'ibiro ni zose, kandi iyi miti ikunze kuvugwa:

• Mirtazapine (Remeron): Kenshi igizwe nk'imiterere ikunze gutera kwiyongera kw'ibiro cyane, cyane cyane kubera ingaruka zayo zikomeye ku ngirabwonko za histamine, zishobora kongera cyane isabwa ry'ibiryo.
• Paroxetine (Paxil): Mu bwoko bwa SSRIs, paroxetine ihuriweho cyane no kwiyongera kw'ibiro, cyane cyane mu gihe kirekire.
• Imiti yica agahinda yo mu bwoko bwa Tricyclic (TCAs): Iki cyiciro cy'imiti yica agahinda ya kera, harimo amitriptyline na nortriptyline, bizwi cyane no gutera kwiyongera kw'ibiro.

Ni ingenzi kwerekana ko iyi miti ishobora kuba ifitiye akamaro kudasubirwaho mu kuvura agahinda, kandi ku bantu bamwe, ni yo mahitamo meza.

6 Inama zo Gucunga Neza Ibirebana n'Ibiro mu gihe ufata Imiti Yica Agahinda

Ubwoko bwose bw'imiti wowe n'umuganga wawe mwemeza, nta nubwo ufite intege nke kuli ubuzima bwawe. Inzego z'ubuzima zafashweho zitera ingaruka zikomeye mu gucunga ibiro ufashe imiti yica agahinda kandi bizanatera imbaraga z'ivuriro ryawe.

1. Tanga Ubushobozi ku Biryo Bihinduranya: Koresha ibiryo byuzuye—imbuto, imboga, poroteyini nyinshi, n'imbuto z'ibinyampeke. Ibi biryo byuzuye intungamubiri na fiber, bifasha guhaza kandi bikanyura, bikagira ingaruka nziza ku mitekerereze n'isukari mu maraso.
2. Koresha Imyitozo Yumvikana: Gutera imbaraga ni kimwe mu bintu byica agahinda mu buryo bw'umwimerere. Gerageza kuvanga imyitozo ngororamubiri (nko kugenda vuba cyangwa koga) n'imyitozo yo gukomera. Imyitozo si gusa itwika ibiro ahubwo inarekurura endorphins, itera imbaraga, kandi ituma gusinzira neza source.
3. Kugumana Gahunda Yizewe yo Gusinzira: Gusinzira nabi bidahindura imisemburo igenzura isabwa ry'ibiryo—ghrelin (imisemburo ivuga ngo "ndashonje") na leptin (imisemburo ivuga ngo "nahaze"). Gerageza gusinzira amasaha 7-9 buri joro kugirango bikomeze kugira uburinganire.
4. Kugabanya Stress mu buryo bw'Umuco: Stress ni ikintu gikomeye cyane gitera kurya kubera amarangamutima. Koresha ibintu nko kwibaza, yoga, imyitozo yo guhumeka cyane, cyangwa kwishimira igihe mu kamere kugirango ugabanye urwego rwa cortisol yawe kandi ugabanye kwifuza kurya kugirango uruhuke.
5. Kwitondera Inguni z'Ibyo Kurya: Ntabwo buri gihe ugomba kwirinda kaloriyo, ariko kwitondera inguni z'ibyo kurya bishobora kwirinda kurya kenshi kenshi, cyane cyane niba isabwa ryawe ry'ibiryo ryiyongereye.
6. Kugumana Inama N'umuganga wawe: Ibi ni ingenzi cyane. Shushanya impinduka zose mu biro, isabwa ry'ibiryo, cyangwa imbaraga kandi ubivugane n'umuganga wawe. Ashobora gutanga uburyo, kugenzura impamvu zitari izindi, kandi, niba bikenewe, aganire ku guhindura urugero rwawe cyangwa kugerageza imiti yandi. Ntuzigere uhagarika gufata imiti yawe utabajije.

Umuganga Ashobora Kwandika Imuti Yica Agahinda yo Kugabanya Ibiro?

Ibi ni ikibazo gikunze kubazwa kandi gikomeye. Igisubizo ni oya, ntabwo kuli ubu bwoko gusa.

Rebeka neza: Imiti yica agahinda yemewe na FDA kugirango ivure indwara zihari nko kwishirukana, indwara zo kwishukana, n'agahinda gakomeye. Ntabwo yemewe nk'imiti yo kugabanya ibiro yonyine. Intego ya mbere y'umuganga wawe ni kuvura agahinda kawe neza kandi mu buryo bwizewe.

Ariko, niba umurwayi afite agahinda kandi akaba afite impungenge ku biro bye, umuganga ashobora gutekereza bupropion nk'imiti ya mbere, akaba azi ko ingaruka zayo zishobora kwemeranya n'intego z'ubuzima bw'umurwayi. Ibi ni impamvu ikomeye cyane ituma ibiganiro ku Wellbutrin yo kugabanya ibiro bibaho mu bigo by'ubuvuzi.

Birakwiye kandi kumenya ko hari imiti yemewe na FDA yo kugabanya ibiro yitwa Contrave, ikaba ari ihuriro rya bupropion na naltrexone. Iyi miti yanditswe ku buryo bwo kugabanya ibiro, ntabwo ari agahinda, ariko yerekanako ubuhanga bwemewe bw'ingaruka ya bupropion ku biro source.

Icyo Twigishijwe: Ubuzima bwawe ni Ingenzi

Kugenda mu buzima bwo kwita ku buzima bw'umutima bishobora kumvikana bigoye, ariko uri kubaza ibibazo byiza. Nubwo hari imiti yica agahinda itera kugabanya ibiro, ingaruka zikunze kuba zigoye kandi z'umuntu ku giti cye.

Hano hari ibintu bikomeye byo kwibuka:

• Bupropion (Wellbutrin) ni imiti yica agahinda ihuriweho na none no kugabanya ibiro igihe kirekire.
• Fluoxetine (Prozac) na Duloxetine (Cymbalta) zishobora gutera kugabanya ibiro mugihe gito ko kenshi bisubira inyuma.
• Ubuzima bwawe—ibiryo, imyitozo, gusinzira, no kugabanya stress—bifite uruhare runini mu buzima bwawe kandi ni igikoresho cyawe gikomeye mu gucunga ibiro ufashe imiti yica agahinda.
• Intego ya mbere ni ugushaka imiti ivura neza agahinda kawe.

Koresha aya makuru atari kugirango wiyite ivura, ahubwo kugirango wifatirwe inama nyinshi. Vugana n'umuganga wawe. Sangira impungenge zawe, tanga intego zawe, kandi mukorane kugirango mushakishe gahunda y'ivuriro ishyigikiye ubuzima bwawe bw'umutima n'ubw'umubiri.

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Uburenganzira bw'Ubuvuzi: Inyandiko iyi ni iy'amakuru gusa kandi ntakubwira iby'ubuvuzi. Amakuru iri irimo ntibisabwa kandi ntibishobora kwiringirwa ku buryo bw'ubuvuzi bw'umwuga. Buri gihe vugana n'umuganga wawe ku byago n'ibyiza by'ivuriro iryo ari ryo. Ntuzigere uhagarika cyangwa uhindura urugero rw'imiti utabajije umuganga wawe.

Niba wowe cyangwa umuntu uzi afite ibibazo bikomeye cyangwa akeneye ubufasha bwihuse, hamagara cyangwa wohereze ubutumwa kuri 988 Suicide & Crisis Lifeline kuri 988 cyangwa wizere 988lifeline.org.