Ushobora Kufata Flexeril hamwe na Gabapentin?

Yego, ushobora gufata Flexeril (cyclobenzaprine) hamwe na gabapentin, ariko gusa uyobowe na muganga wawe. Abakoresha imiti benshi batanga izi nzitire hamwe kugira ngo bashobore kugenzura ibibazo nko kubabara cyane cyangwa imitsi yihuta. Icyakora, ubu bucuruzi busaba igenzura ryihariye kuko impande zombi zigira ingaruka ku muhindagurikire wawe, bishobora kongera ingaruka zimwe na zimwe.

Ni iki Flexeril na Gabapentin, kandi kuki zitangwa hamwe?

Flexeril ni umuti wo koroheramo imitsi ukora ukomeza ibimenyetso mu bwonko bwawe na shingamwanya. Abaganga bataha baziha imitsi yihuta cyane ibaho nyuma yo kwemerwa cyangwa guhangayikishwa na fiziki. Umuti ufasha imitsi yawe koroherwa kugira ngo urusheho kugenda neza no gukira neza.

Gabapentin ituruka mu bwoko bw'imiti yitwa anticonvulsants, nubwo ivura ibibazo byinshi kuruta kwigiza. Ihindura uburyo imitsi yawe yohereza ibimenyetso byo kubabara mu bwonko bwawe. Abaganga batanga kenshi kubabara kw'imitsi (neuropathy), fibromyalgia, nibwoko bw'ububabare buhoraho.

Abakoresha imiti rimwe na rimwe batanga izi nzitire hamwe kuko zikora mu buryo butandukanye. Flexeril irimo kubabara kw'imitsi no guhangayikishwa, mu gihe gabapentin ikora ku kubabara kw'imitsi. Hamwe, bashobora gutanga uburuhukiro bukwiriye kuruta imiti yose yonyine, cyane cyane iyo uhanganye n'ibibazo bikomeye byo kubabara bifitanye imitsi n'imitsi.

Ubu bucuruzi bworoherana cyane kubibazo nka fibromyalgia, aho imitsi ituje n'imitsi isanzwe bitera agahinda. Muganga wawe ashobora no kubaha hamwe nyuma y'ibyemerwa bimwe na bimwe aho imitsi yihuta n'imitsi irimo irakaye bibaho icyarimwe.

Ni iki kibaho mu mubiri wawe iyo ufata izi nzitire hamwe?

Impande zombi zigira ingaruka ku muhindagurikire wawe, harimo bwonko n'shingamwanya. Iyo uzifatanije, ingaruka zazo zirashobora kwiyongera. Iki kwiyongera ntacyo bitwaye, ariko bisobanura ko ushobora kubona ko ukomeye kandi ukoroherwa kuruta uko wabigenje hamwe n'imiti yose yonyine.

Flexeril irimo gukora ku mitsi yimitsi ikora ku bwonko. Iragabanya imitsi idasanzwe idafite imitsi ihagaritse ubwayo. Tekereza ko ari ugutiza ijwi ku bimenyetso byinshi bibwira imitsi yawe kwihuta.

Gabapentin ikora mu buryo butandukanye ikora ku cyerekezo cya calcium mu muhindagurikire wawe. Ibi byerekezo bifitanye uruhare mu buryo selile za mitsi zivugana kubijyanye no kubabara. Kubihindura, gabapentin irashobora kugabanya ingano y'ibimenyetso byo kubabara bigera ku bwonko.

Iyo bifatanije, ibi bikoresho ntibihangayikishanya k'ubutamadini. Umubiri wawe ukoresha buri miti binyuze mu nzira zitandukanye. Flexeril ihagarara cyane cyane mu mpyiko, mu gihe impyiko zawe zihagarika gabapentin idahindutse. Ibi bisobanura ko badahatanira inzira zimwe zo guhagarara.

Ni izihe ngaruka ugomba kwitondera hamwe n'ubu bucuruzi?

Ikibazo gikunze kubaho iyo ufata izi nzitire hamwe ni ukuzunguruka no gucika intege cyane. Impande zombi zishobora kugutera gusinzira wenyine, kandi iyi ngaruka irushaho kwiyongera iyo uzifatanije. Ibi bibaho kuko impande zombi zikorera kugabanya ibikorwa mu muhindagurikire wawe, zigahindura ingaruka zidasanzwe.

Hano hari ingaruka ushobora guhura na zo iyo ufata Flexeril na gabapentin hamwe:

• Gusinzira bishobora kuba bikomeye kuruta imiti yose yonyine, cyane cyane mu minsi ya mbere yo kuvura

• Gucika intege cyangwa kumva ufite intege, cyane cyane iyo uhagurutse vuba uhagaze cyangwa usinziriye

• Kukanira ku kanwa, akenshi biterwa na Flexeril ariko ashobora kumva asanzwe hamwe na gabapentin

• Ikibazo cyo kwibanda cyangwa kumva ufite ubwenge bwuzuye, kuko impande zombi zishobora kugabanya umuvuduko wo gutekereza

• Ikibazo cyo kwishyira hamwe cyangwa kumva utameze neza ku kuguru kwawe, bishobora kongera ibyago byo kugwa

• Kwireba gusa bigaragara ko byoroheye kubera ko umubiri wawe ukora kuri imiti

Izi ngaruka zishobora kumera nka mbere cyane iyo utangiye gufata imiti hamwe cyangwa iyo muganga wawe yahinduye imiti yawe. Abantu benshi babona ko imibiri yabo ihinduka nyuma yiminsi mike cyangwa icyumweru, kandi ingaruka zirashobora kugabanuka.

Nyuma yo kuvuga, abantu bamwe bahura n'ingaruka zikomeye cyane zihana ubufasha bw'ubuvuzi bwihutirwa. N'ubwo izi ari nkeya, ni ngombwa kuzibona kugira ngo uzashobore guhabwa ubufasha vuba mu gihe bibaye ngombwa.

Wirinde ibimenyetso bikomeye bikurikira:

• Kwibeshya cyane cyangwa kumva utarimo wowe usanzwe.

• Gusinzira bikomeye aho ugorwa no gusinzira mu gihe cy'ibikorwa bisanzwe

• Ikibazo cy'umwuka cyangwa kumva udashobora guhumeka neza.

• Kwishushyuza mu maguru, inkwen, cyangwa ibirenge bigaragara.

• Ibitekerezo bidahinduka cyangwa impinduka mu myumvire, harimo kwibabaza cyangwa impagarike ikunda gusana cyangwa igenda izamuka.

• Inshuro y'imitsi itari irimo imitsi usanzwe uyumva ko ifite intege nke.

Niba uhuye n'ibimenyetso bimwe muri ibi bikomeye, hamagara muganga wawe ako kanya. Bashobora kugufasha kumenya niba ukeneye guhindura imiti yawe cyangwa gukoresha uburyo butandukanye bwo kuvura.

Hari ingaruka zidashobora guturuka ariko zikomeye ugomba kumenya?

N'ubwo abantu benshi bakoresha ubu bucuruzi neza, ibibazo bimwe byadashobora guturuka bikwiye kwitonderwa. Ibi ntibibaho kenshi, ariko kubimenya bifasha kuguma kwirinda kandi ufite amakuru.

Guhumeka bikomeye ni kimwe mu bibazo byadashobora guturuka ariko bikomeye. Ibi bisobanura ko guhumeka kwawe gushobora kugabanyuka cyane kuruta uko bibaho, cyane cyane niba kandi ufata izindi nzitire zicogora cyangwa ufite ibibazo by'ubuhumekero bikomeye. Abantu bafite apnea yo gusinzira cyangwa ibibazo by'ibihaha bikomeye bashobora guhura n'ibyago byinshi byo kwica.

Serotonin syndrome irerekana ikindi gishobora guturuka ariko gikomeye. N'ubwo gabapentin na Flexeril bidahindura cyane inoti za serotonin, ibyago biriyongera niba kandi ufata imiti irwanya kwibabaza cyangwa izindi nzitire zimwe na zimwe. Iki kibazo kibaho iyo serotonin nyinshi ihurira mu bwonko bwawe.

Ibimenyetso bya serotonin syndrome birimo kwirakara, umuvuduko mwinshi w'umutima, ubushyuhe bwinshi, kwishushyuza bikomeye, kunyeganyega, n'imitsi ihagaze. Ibi ni ibibazo by'ubuvuzi bisaba ubufasha bwihutirwa. Ibihe byiza ni uko bikomeje kuba nkeya iyo izi nzitire ebyiri zikoreshwa hamwe nta zindi nzitire zikora kuri serotonin.

Abantu bamwe bashobora guhura n'ibisubizo bidahinduka aho imiti itera ingaruka zidasanzwe. Aho kumva ufite ituze kandi ufite uburuhukiro, ushobora kumva ufite impagarike, impagarike, cyangwa imitsi yihuta irushijeho kurembya. Ibi bisubizo ntibibaho kenshi ariko bishobora kubaho, cyane cyane mu bakuze cyangwa abantu bafite ibibazo bimwe na bimwe.

Ibazo by'ikibwiriza cyangwa ibibazo by'ubwenge hejuru yo kwibagirwa bisanzwe bishobora kubaho mu bihe bidasanzwe. Abantu bamwe bavuga ko bagorwa no guhuza ibwiriza bishya cyangwa kwibeshya by'igihe gito bisa n'iby'ingaruka z'imiti zisanzwe. Ibi bisanzwe bihinduka iyo imiti yahinduwe cyangwa imiti yahagaritswe.

Ni nde ugomba kwitondera cyane hamwe n'ubu bucuruzi?

Abantu bamwe bafite ubugenzuzi bwinshi iyo bafata Flexeril na gabapentin hamwe. Niba uri mu cyiciro kimwe muri ibi, muganga wawe azatangira wowe ku miti mike kandi akagukomeza cyane.

Abakuze bakunda guhura n'ingaruka zikomeye cyane ku mpande zombi. Mu gihe tuzamuka, imibiri yacu ikora imiti gahoro, kandi turushaho kwitondera imiti igira ingaruka ku muhindagurikire wawe. Kugwa bibaho nk'ikibazo cyihutirwa kuko impande zombi zishobora kugira ingaruka ku kwishyira hamwe no kugenda neza.

Abantu bafite ibibazo by'impyiko bakeneye uruhare rwinshi kuko gabapentin ihagarara binyuze mu mpyiko zawe. Niba impyiko zawe zidakorera byuzuye, gabapentin irashobora kwiyongera mu bwonko bwawe kandi igatera ingaruka zikomeye. Muganga wawe azahindura gabapentin yawe ishingiye ku mpyiko zawe.

Niba ufite indwara y'umwijima, Flexeril isaba uruhare rwiza kuko umwijima wawe awuhagarika. Gutakaza imirimo y'umwijima bisobanura ko imiti iguma mu bwonko bwawe igihe kirekire, ishobora gutera ingaruka zikomeye cyangwa z'igihe kirekire. Umukoresha wawe ashobora gutanga umuti muke cyangwa gusaba umuti wundi wo koroheramo imitsi.

Umuntu wese ufata izindi nzitire zicogora akeneye kwitondera cyane. Izi harimo imiti yo kubabara ya opioid, benzodiazepines yo guhangayika, imiti yo gusinzira, cyangwa na antihistamines zimwe na zimwe. Guhuriza hamwe imiti myinshi icogora byiyongera ibyago by'ubusinziri bukomeye n'ibibazo by'ubuhumekero.

Abantu bafite amateka y'ubugwamo mu byo bakoresha bagomba kuganira na muganga wabo. N'ubwo gabapentin cyangwa Flexeril ntibifite ubwiyongere bwinshi mu guhora, gabapentin yakoreshejwe nabi mu bihe bimwe na bimwe, cyane cyane ku miti y'ingano nyinshi.

Ni igihe kingana iki uzakenera gufata ubu bucuruzi?

Igihe cyo kuvura hamwe na Flexeril na gabapentin hamwe bigomba kwishingikiramo ku bibazo ufite. Flexeril isanzwe itangwa kugira ngo ikoreshwe igihe gito, akenshi ibyumweru bibiri cyangwa bitatu, kuko imitsi yihuta y'ibyemerwa bikunda kworoha mu gihe gito.

Gabapentin, ku rundi ruhande, ishobora gukoreshwa igihe kirekire iyo ivura ibibazo bikomeye nko kubabara kw'imitsi cyangwa fibromyalgia. Ushobora kuyifata amezi cyangwa imyaka myinshi niba yohereza ububabare bwawe mu buryo bukomeye.

Muganga wawe ashobora gutegura guhagarika Flexeril mbere niba ufata impande zombi. Rimwe na rimwe imitsi yihuta iboneka, gukomeza gabapentin wenyine bishobora gutanga uburuhukiro buhagije. Ubu buryo bukwiriye bifasha kugenda ufata imiti mike yose ishoboka kugira ngo ubashe kwirinda ibimenyetso neza.

Nta mbaraga zo guhagarika imiti yose cyangwa kuganira na muganga wawe mbere. Gabapentin cyane cyane isaba guhagarara gahoro kugira ngo wirinde ibimenyetso byo guhagarara nk'impagarike, gusinzira, kwiruka, n'ububabare. Umukoresha wawe azakora gahunda yo guhagarara neza niba kandi igihe kigeze cyo guhagarara.

Ibyavuye mu byo wavuga

Kufata Flexeril na gabapentin hamwe bishobora kuba bihagije kandi bikaba bikora iyo bikorwa munsi y'ubuyobozi bw'umuvuzi. Abantu benshi bakoresha ubu bucuruzi neza, bakabona uburuhukiro bwiza bw'ububabare hamwe n'ingaruka zishobora kwirinda kandi zikunda kworoha mu gihe.

Guhindura muganga wawe mu gihe cyose cyo kuvura kwawe. Guhamagara bisanzwe byemera guhindura imiti, kumenya ingaruka, no gutegura igihe waba watekereza kugabanya cyangwa guhagarika imiti. Ubu buvugano budahagarara bwemeza ko ufite ubuzima bwiza kandi bwiza bushoboka.