Gu kumva Cymbalta na Gabapentin hamwe: Ibintu ugomba kumenya

Niba muganga wawe yaguhaye Cymbalta na gabapentin, ushobora kuba wigunza niba bifite umutekano kubifata icyarimwe. Igisubizo ngufi ni yego, abantu benshi babifata hamwe bakurikiranwa n'abaganga. Impuzandengo zombi zikora mu buryo butandukanye mu gufasha gucunga ububabare n'imiterere imwe y'umutima, kandi iyo bikoreshejwe neza, bishobora kwuzuzanya neza.

Cymbalta ni iki?

Cymbalta ni izina ry'ubucuruzi rya duloxetine, imiti yafare iryo tsinda ryitwa SNRIs. SNRI bivuga serotonin norepinephrine reuptake inhibitor, bikaba bisa n'ibigoye ariko bisobanura ko bifasha kwifata ibikoresho bibiri by'ingenzi mu bwonko bwawe.

Ibi bikoresho, serotonin na norepinephrine, bifitira imiterere myiza mu kugenzura imiterere n'ibimenyetso by'ububabare. Iyo imiterere yabo irushijeho kwifata, ushobora kugira agahinda gakabije, impungenge, cyangwa ububabare buhoraho. Abaganga bakunda guha Cymbalta ibibazo nka depression ikomeye, indwara ya anxiety rusange, fibromyalgia, n'ububabare bw'imitsi ku bantu barwaye diyabete.

Iyi miti ikora buhoro buhoro mu gihe cy'ibyumweru byinshi. Ntushobora kumva itandukaniro rikomeye ako kanya, kandi ibyo ni ibisanzwe rwose. Ubwonko bwawe bukeneye igihe kugira ngo bwifate ku mpinduka z'ibi bikoresho.

Gabapentin ni iki?

Gabapentin yari yarashinzwe gukumira imitsi itwara, ariko abaganga babonye ko inafasha mu kubabara kw'imitsi. Iyi miti ikora mu guhumuriza imitsi idasanzwe itwara ububabare, kwishitura, cyangwa kwotsa. Ibikora mu guhindura uko imitsi imwe ya calcium mu mitsi yawe ikora.

Uyu munsi, abaganga bakunda guha gabapentin ibibazo nka postherpetic neuralgia, ni ububabare buhoraho nyuma yo kurwara shingles. Yifasha kandi mu bubabare bw'imitsi kubantu barwaye diyabete, indwara yo kuguma amaguru ntikigenda neza, n'ububabare buhoraho bw'imiterere imwe. Bamwe mu baganga bayihereza ku buryo budasanzwe ku mpungenge, nubwo atari uko byemewe na FDA.

Nka Cymbalta, gabapentin ntikora ako kanya. Bishobora gufata iminsi mike cyangwa ibyumweru bibiri mbere yuko ubona impinduka mu bibazo byawe. Muganga wawe azakugaburira ku gipimo cyoroheje kandi akagikomeza kugirango amenye ibikugirira akamaro.

Kuki muganga yahereza impuzandengo zombi hamwe?

Muganga wawe ashobora kuguhereza impuzandengo zombi kuko zifata ububabare n'ikibazo mu buryo butandukanye. Cymbalta ikora ku bikoresho by'ubwonko bwawe kugirango ihindure uko ubona ibimenyetso by'ububabare. Gabapentin ikora cyane ku mitsi ubwayo mu guhumuriza ibimenyetso bikomeye by'ububabare. Iyo bikoreshejwe hamwe, bishobora gutanga ubufasha bwiza bw'ububabare kuruta impuzandengo imwe. Ubu buryo bwo guhuza burakunzwe cyane ku ndwara zububabare buhoraho nka fibromyalgia, neuropathy ya diyabete, cyangwa complex regional pain syndrome. Bamwe mu bantu bafite izo ndwara babona ko impuzandengo imwe idahagije.

Impuzandengo ishobora kandi kuba ingirakamaro niba urwanya ububabare buhoraho n'ibimenyetso by'imiterere nk'agahinda gakabije cyangwa impungenge. Cymbalta yifata ku gice cy'imiterere mu gihe gabapentin ikora ku kibazo cy'imitsi. Ubu buryo bubiri bushobora kuzamura ubuzima bwawe busanzwe neza.

Birafite umutekano gufata Cymbalta na Gabapentin icyarimwe?

Yego, gufata izi miti hamwe bikunda gufatwa nk'ibidafite akaga ku bantu benshi iyo bakurikiranwa n'umuntu wita ku buzima. Abantu ibihumbi bagana imbaga babifata buri munsi nta bibazo bikomeye. Ariko, nk'impuzandengo y'imiti iyo ariyo yose, hari ibintu ugomba kumenya.

Ikibazo gikomeye abaganga barimo kwitondera ni ikintu cyitwa central nervous system depression. Bivuze ko impuzandengo zombi zishobora gutuma ugira ububabare, ubuyobe, cyangwa kwikoresha kuke, cyane cyane iyo utangiye kubifata. Iyo bifashwe hamwe, ibyo bikorwa bishobora kugaragara cyane.

Abantu benshi bagira impinduka ku byo bikorwa mu gihe cy'ibyumweru bike. Umubiri wawe ufata izo miti, kandi ububabare buragabanuka. Mu gihe gito, ni ngombwa kwitondera ibikorwa bisaba kwifata byuzuye, nk'imidoka cyangwa gukoresha ibikoresho by'ubuhanga.

Ni ibihe bibazo byagaragara?

Iyo ufata impuzandengo zombi, ushobora kubona bimwe mu bibazo, cyane cyane mu byumweru bike bya mbere. Umubiri wawe urimo kwifata ku bikoresho bishya, kandi icyo gihe kirakenewe. Kwumva ibyo bisanzwe bishobora kugufasha kwitegura kandi ntukandagire.

Dore bimwe mu bibazo bisanzwe ushobora kugira muri iyi mpuzandengo:

• Gusinzira cyangwa kumva unaniwe mu gihe cy'umunsi

• Ubuyobe, cyane cyane iyo uhagaze vuguruye

• Kumisha umunwa bituma ushaka kunywa amazi kenshi

• Kuruka cyangwa kugangara gato mu gifu

• Kugorana kwifata cyangwa kumva ufite impungenge

• Kujegajega gato mu maboko cyangwa ibirenge

• Impinduka mu kurya

• Kurya

Ibi bikorwa bikunda kuba byoroheje kandi bikagabanyuka uko umubiri wawe ugenda wifata. Niba bihora kandi bikagutera ikibazo, ntutigere uhagarika kuvugana n'umuganga wawe.

Noneho, reka tuvugane ku bibazo byo gake ariko bikomeye bikenera ubutabazi bwihutirwa. Nubwo bidakunze kubaho, kumenya ibyo bifasha kumenya igihe ukeneye ubufasha:

• Ibimenyetso bikomeye by'ububabare nk'uruhara, ibinonko, cyangwa kwihana guhanuka

• Kugenda kw'amaraso cyangwa kurwara nta gikomere

• Umwanya w'umwijima cyangwa kwijimisha uruhu cyangwa amaso

• Kugangara bikomeye cyangwa kwiruka

• Gutekereza kwiyica

• Kugenda ku mutima vuguruye cyangwa bidahinduka

• Ububabare bukomeye bw'imitsi cyangwa intege nke

• Imitsi itwara, cyane cyane niba utigeze ugira mbere

• Serotonin syndrome, ikora ku kurakara, amagambo maremare, ibihaha, n'umutima utwara vuguruye

Ibi bikorwa bikomeye bidakunze kubaho, ariko kumenya ibyo bifasha kumenya igihe ukeneye kugenda vuguruye. Itsinda ryawe ry'ubuzima riraho kugirango rigufashe mu bibazo byose.

Ni iki Serotonin Syndrome kandi ugomba kwirinda?

Serotonin syndrome ni ikibazo cyo gake ariko gikomeye gishobora kuba iyo imiti yongereye serotonin ikarenza urugero. Kuko Cymbalta ifata serotonin, na gabapentin ishobora kugira ingaruka nto cyane ku nzira zisa, hari akaga gato kagera iyo uhujije impuzandengo.

Ibibazo bya serotonin syndrome birimo kurakara, kwiruka, umutima utwara vuguruye, amaraso menshi, amaso maremare, imitsi ikomeye, n'ibyuya bikabije. Mu bibazo bikomeye, bishobora gutera ibihaha bikomeye, imitsi itwara, cyangwa umutima utwara bidahinduka. Iki kibazo kigenda vuguruye, cyane cyane mu masaha nyuma yo gufata imiti.

Kubera ko ibyo byavuzwe, serotonin syndrome ivuye muri iyi mpuzandengo igaragara cyane. Akaga kawe karushaho kwiyongera niba ufata izindi miti itwara serotonin, nk'imiti ya antidepressive imwe cyangwa imiti ya migraine. Muganga wawe azasuzuma imiti yawe yose kugirango agabanye aka kaga.

Niba ufite ibimenyetso wumva bidafite akamaro cyangwa bikaba bikugora, uhamagare muganga wawe ako kanya. Gutinda kugirango bikorwe ishobora kwirinda ibibazo kandi bikaguha amahoro.

Ni ibihe ugomba kwirinda mugihe ufata izi miti?

Ibyinshi cyane n'ibikorwa bishobora guhungabanya uko izi miti zikora cyangwa kwiyongera ku kaga kawe k'ibibazo. Kwitondera ibi bifasha kwigira umutekano kandi ukumva neza.

Ububare busaba kwitonderwa cyane. Impuzandengo ya Cymbalta na gabapentin zishobora gutuma ugira ububabare, kandi inzoga zikongera icyo gukora cyane. Kunywa iyo uri kuri izi miti bishobora gutera ububabare bukabije, ubuyobe bukomeye, cyangwa kwirukana imyumvire. Bishobora kandi kurenganya agahinda gakabije kandi bikagabanya uko imiti ikora neza.

Bamwe mu miti yo mu iduka ndetse n'ibinyobwa bishobora guhungabanya imiti yawe. Abana b'ububabare nka NSAIDs bafashwe na Cymbalta bashobora kwiyongera ku kaga ko kugenda kw'amaraso. St. John's Wort, uruyuki rw'ibimera rukunda, rushobora guhungabanya uko Cymbalta ikora. Ugomba guhora uvugana n'umuganga wawe ku byo wese ufata, harimo insimburangingo n'ibimera.

Witondere ibikorwa bisaba kwifata byuzuye kugeza ubonye uko izi miti igukora. Kwiruka, gukoresha ibikoresho by'ubuhanga, cyangwa kuzamuka amashyirahamwe bishobora kumva bitandukanye mu byumweru bike bya mbere. Nta soni gusaba ubufasha cyangwa guhindura gahunda yawe igihe gito.

Birashoboka ko wahagarika izi miti vuguruye?

Oya, ntugomba guhagarika imiti iyo ariyo yose vuguruye utagishijwe inama n'umuganga. Impuzandengo ya Cymbalta na gabapentin zishobora kwihuta mu gihe kugirango wambure ibibazo bikomeye byo kugaruka kw'ibyo bifata. Ibi ni ngombwa cyane ku mutekano wawe no kuguhumuriza.

Niba uhagaritse Cymbalta vuguruye, ushobora kugira ibibazo byo kugaruka kw'ibyo ufata. Ibi bishobora kubamo ubuyobe, kuruka, kugara, kwirakara, inzozi mbi, n'ibyumvi wumva nk'ibihaha by'ubwonko cyangwa ibyakorerwa n'amashanyarazi. Ibi bibazo bishobora kuba bibabaza, nubwo bidafite akaga.

Guheba gabapentin vuguruye bishobora gutera impungenge, gusinzira, kuruka, gusya, kandi mu bibazo byo gake, imitsi itwara, cyane cyane niba wari ufite igipimo cyinshi.

Niba ushaka guhagarika izi miti, uvugane n'umuganga wawe mbere. Azakugaburira gahunda yo kwihuta igabanuka igipimo cyawe mu gihe cy'ibyumweru cyangwa amezi. Ubu buryo burushijeho kuba bworoheje ku mubiri wawe kandi bukagufasha kwirinda ibibazo byo kugaruka kw'ibyo ufata.

Bite se niba wibagiwe gufata?

Kwibagira gufata bibaho kuri buri wese igihe kimwe. Ntugasigare cyangwa ngo wumve ufite icyaha. Uburyo bwiza burimo n'igihe wibutse.

Niba wibutse mu gihe gito nyuma y'igihe cyawe cyo kurya, fata dosis wabuze ako kanya. Hanyuma ugumye gahunda yawe isanzwe. Niba hafi igihe cya dosis ikurikiraho, uzirebe burundu. Ntugatahe dosis ebyiri icyarimwe kugirango wuzuze dosis wabuze.

Cymbalta by'umwihariko, niba wibagiwe gufata kandi ubyibutse ku munsi wakurikiyeho, fata dosis isanzwe. Ntugasigare impuzandengo. Bivugwa kimwe kuri gabapentin. Gufata dosis ebyiri byiyongera ku kaga kawe k'ibibazo nta n'akamaro karuta. Niba wibagirwa kenshi, gerageza gushyiraho ibisobanuro kuri telefone cyangwa gukoresha umugaburira inshuro. Bamwe mu bantu bahuza gufata imiti yabo na gahunda yo buri munsi nk'ikinga amenyo cyangwa kurya.

Bifata igihe kimeze iki kugira ngo ubone ibisubizo?

Kwihangana ni ingenzi iyo utangiye izi miti. Umubiri wawe ukeneye igihe kugira ngo wifate, kandi ibyiza byiyongera buhoro buhoro aho kugira ngo bigaragara nijoro. Ibi bishobora kuba bibabaza iyo urwaye cyangwa urimo kurwana, ariko kwumva igihe byafashe bifasha kugira ibyiringiro.

Cymbalta, abantu benshi batangira kubona impinduka mu miterere cyangwa ububabare nyuma y'ibyumweru bibiri kugeza ku bine. Ariko, bishobora gufata ibyumweru umunani kugeza ku icumi kugirango uhabwe ibyiza byuzuye. Bamwe mu bantu babona impinduka nto kare, nk'ibitotsi byiza cyane cyangwa imbaraga zihagije.

Gabapentin ikora vuguruye ku kurwanya ububabare. Ushobora kubona impinduka mu gihe cy'icyumweru cyangwa bibiri, nubwo ibyiza byuzuye bikunze kuboneka nyuma y'ibyumweru byinshi. Muganga wawe ashobora guhindura igipimo cyawe muri iki gihe kugirango ubone urugero rubakugirira akamaro.

Iyo bifashwe hamwe, ingaruka zihujwe zishobora gufata ukwezi kwuzuye cyangwa kurushaho kugira ngo zigaragare. Fungura ku buryo wumva mu kanso gato. Impinduka nto ntibizoroha kubona buri munsi, ariko kureba inyuma mu byumweru bishobora kugaragaza impinduka nyayo.

Ni nde udakwiye gufata iyi mpuzandengo?

Nubwo abantu benshi bakoresha Cymbalta na gabapentin hamwe neza, iyi mpuzandengo ntikwiye kuri buri wese. Bimwe mu bibazo by'ubuzima cyangwa ibibazo bituma izi miti zigira akaga cyangwa zitarakwiye.

Ugomba kuvugana n'umuganga wawe niba ufite indwara ya glaucoma idacungwa mbere yo gufata Cymbalta. Iyi miti irashobora kurenganya iyi ndwara y'amaso. Cymbalta nanone iterwa mu gifu, bityo abantu bafite indwara zikomeye z'umwijima bashobora gukenera imiti itandukanye cyangwa igipimo cyahinduwe.

Niba ufite indwara ikomeye y'impyiko, gabapentin ishobora kutaba ifite umutekano ku gipimo cy'ibisanzwe. Impyiko zawe zikura iyi miti mu mubiri wawe, kandi kugabanuka kw'impyiko bishobora gutuma yiyongera ku rugero rugera ku kaga. Muganga wawe ashobora guhindura igipimo cyangwa guhitamo ikindi niba bibaye ngombwa.

Abantu bakoresha MAOIs, urwungurura rwa antidepressive, ntibakwiye gufata Cymbalta. Ugomba kugira igihe cy'ibyumweru bibiri hagati yo guhagarika MAOI no gutangira Cymbalta kugirango wirinde guhungabana bikomeye. Muganga wawe azacunga neza impinduka zose z'imiti.

Niba uri utwite, uteganya gutwita, cyangwa ushaka kwinjiza, uvugane n'umuganga wawe mu buryo bw'umwimerere. Impuzandengo zombi zishobora kurengana umwana, kandi akaga n'ibyiza bisaba kwitonderwa. Rimwe na rimwe ibyiza by'ubuvuzi biruta akaga k'ibishoboka, ariko iki cyemezo kigomba gufatwa hamwe n'umuntu wawe wita ku buzima.

Birashoboka ko izi miti zikora ku mibereho yawe?

Impinduka ku mibereho irashoboka hamwe n'impuzandengo zombi, nubwo atari buri wese azibona. Kwumva iki gishoboka bifasha kwitegura aho kugira ngo utangare.

Cymbalta ishobora guhungabanya kurya n'imibereho. Bamwe mu bantu baragabanyuka ku byo kurya, cyane cyane mu mezi ya mbere, kenshi kuko kuruka kubagabanyiriza kurya. Abandi barongera ku byo kurya mu gihe, bishobora guterwa n'impinduka mu mibereho cyangwa kurya kwiyongera uko agahinda gakabije kagenda kagabanuka.

Gabapentin ikunze guhuza n'ububyibuho. Ibi bibaho kuko imiti ishobora kwiyongera ku kurya kandi ishobora gutera kuguma kw'amazi. Ububyibuho bukunda kuba bworoshye, hafi ibiro bitanu kugeza ku icumi, nubwo bamwe mu bantu bagira byinshi.

Niba ubona impinduka zikomeye ku mibereho, uvugane n'umuganga wawe. Rimwe na rimwe guhindura igipimo cyangwa igihe cyo gufata imiti bishobora gufasha. Kwitoza buri gihe no kurya ugahita urya kurya bishobora kandi kugira ingaruka, nubwo ububabare buhoraho bushobora kugora imikorere. Wihanganiye.

Uzakenera ibizamini bisanzwe by'amaraso cyangwa gusuzuma?

Muganga wawe ashobora gusaba gusuzuma bimwe mu gihe uri kuri izi miti, nubwo ibizamini byinshi bidakenewe ku bantu benshi. Ibisanzwe by'ibizamini biterwa n'imiterere yawe y'ubuzima.

Iyo utangiye Cymbalta, muganga wawe ashobora gusuzuma imikorere y'umwijima wawe, cyane cyane niba ufite amateka y'ibibazo by'umwijima cyangwa unywa inzoga buri gihe. Ibisanzwe by'imikorere y'umwijima bifasha kwemeza ko imiti idateje ibibazo. Kwipimisha amaraso y'umubiri byose ni ibisanzwe kuko Cymbalta ishobora rimwe na rimwe kongera amaraso y'umubiri gato.

Kuri gabapentin, ibizamini by'impyiko bishobora gukorwa niba ufite ibibazo by'impyiko. Kuko impyiko zawe zikura iyi miti mu mubiri, kumenya uko zikora neza bifasha muganga wawe guhitamo igipimo gikwiye.

Hagati aho, muganga wawe azakenera kugusura buri gihe, cyane cyane iyo utangiye gutangira imiti. Izo gahunda zibemerera gusuzuma uko wifata, guhindura igipimo niba bibaye ngombwa, no gukemura ibibazo byose. Tekereza kuri izo ngendo nk'igice cy'itsinda ryawe ry'ubuvuzi rikugira inama.

Wagirete bite ibibazo?

Kwihangana n'ibibazo bishobora kuba bibabaza, ariko uburyo bworoshye bwinshi bushobora kugufasha kwumva neza uko umubiri wawe ugenda wigwizaho. Impinduka nto zishobora kugira ingaruka nziza.

Kubijyanye n'ububabare, gerageza gufata gabapentin mu gihe cy'ijoro niba muganga wawe abemereye. Uko bimeze, ububabare burakora mu nyungu zawe. Niba ufata dosis nyinshi buri munsi, dosis nini ishobora kujya mu ijoro. Irinde kawu mu gihe cy'umunsi, kuko ishobora guhungabanya ubuzima bwiza bw'ibitotsi izi miti ishobora kugufasha kubona.

Ubujyobera bukunda kwiyongera iyo uhindura imyanya vuguruye. Iyo uhagaze uvuye kuryama, ugomba kwicara ku buriri igihe gito mbere. Hanyuma uhagare vuguruye. Ibi bitanga igihe cyo kwipimisha amaraso yawe kugira ngo yifate. Kwifata amazi ahagije nanone bifasha mu bujobera.

Umunwa uwuma urashobora kugirwa amazi menshi mu gihe cy'umunsi. Ubuheri bwo mu buheri cyangwa ibishushanyo mbonera by'ubusa bushobora kwishura ururimi rw'amacandwe. Bamwe mu bantu babona gukoresha umuyobozi w'umuyobozi mu ijoro bifasha. Irinde imyanya yo mu kanwa ifite inzoga, kuko ishobora kurenganya ubwumye.

Ku kuruka, gufata imiti hamwe n'ibiryo bikunze gufasha, keretse niba muganga wawe atavuze uko bikora. Inzoga z'imiti cyangwa ibiryo bito byinshi aho kugira ngo ibiryo binini bishobora kwishura igifu cyawe. Kuruka kwiza kwiza kwiza kwiza muri ibyo byumweru bya mbere.

Niba kurya kugaragara kugaragara kugaragara kugaragara, kwiyongera kwa fibre mu ndyo yawe, kunywa amazi menshi, no kuguma ufite akazi kose bishobora gufasha. Muganga wawe ashobora gusaba umuti woroheje wo kugaburira ibyokurya niba bibaye ngombwa. Ntugasigare soni kubw'ibyo by'ikibazo gikunze.

Bite se ku gufata igihe kirekire?

Abantu benshi bakoresha Cymbalta na gabapentin hamwe mu mezi cyangwa imyaka myinshi iyo bakoraga indwara zububabare. Guhora ufata igihe kirekire bikunda kuba bifite umutekano iyo bakurikiranwa n'abaganga, nubwo muganga wawe azakenera kugusuzuma buri gihe.

Hamwe no gufata igihe kirekire, umubiri wawe uhinduka ku miti. Ibi ntibivuze ko ihagarara gukora, ariko rimwe na rimwe abaganga bahindura dosis kugira ngo bakomeze kugira akamaro. Bamwe mu bantu babona ko bashobora kugarura dosis zabo uko indwara yabo igenda igenda, mu gihe abandi bakenera dosis zidahinduka igihe kirekire.

Gusubiramo gahunda zo gusubiramo bihora bikomeye gufata igihe kirekire. Izo ngendo zibemerera muganga wawe gusuzuma ibibazo byose bigenda bigaragara, gusuzuma niba imiti igikomeje kuba ihitamo, no kwemeza ko ugira akamaro kanini hamwe n'ibibazo bike.

Ntugatekereze ko gufata izi miti igihe kirekire bisobanura ko ubitewe na zo mu buryo budafite akamaro. Niba bari bakoraga indwara zububabare kandi bakongera ubuzima bwawe, ni ko byagombye gukorwa. Uri gucunga indwara y'ubuzima, nk'uko umuntu afite diyabete acunga isukari ye.

Ibisobanuro

Gufata Cymbalta na gabapentin hamwe bishobora kumva bikomeye cyane, cyane cyane n'amakuru menshi yo kwihanganira. Wibuke ko ibihumbi byinshi by'abantu bakora neza indwara zabo n'izi miti. Nta waba wenyine muri uru rugendo.

Shyira ku kwifata n'itsinda ryawe ry'ubuvuzi. Ni abafatanyabikorwa bawe mu kubona ibikugirira akamaro. Ntutigere ugere gusaba ibibazo, gutanga impungenge, cyangwa gusaba gusobanura. Nta bibazo by'ibicucu iyo bije ku buzima bwawe.

Wihanganiye wenyine n'ikintu. Kwirinda no gucunga indwara zububabare bifata igihe. Iminsi izagenda iba myiza kuruta iyindi, kandi ibyo ni ibisanzwe. Shushanya inzira yawe, wishimire impinduka nto, kandi wibuke ko ibyaha ntibisubiza impinduka wakoze.

Ukwemerwa kugira ngo wumve neza, kandi gufata izi miti ni intambwe nziza yerekeza kuri icyo cyerekezo. Hamwe n'ubufasha bwigishwa, gusuzuma, no kwita ku bw'umuntu, urashobora gucunga indwara yawe neza kandi ugashyira mu bikorwa byinshi by'ubuzima ushaka kubaho.