Ese Zoloft ni Imfungwa Y’ibiyobyabwenge? Amategeko, Ibyo Ikoreshwa n’umutekano

Tugere ku ngingo: Oya, Zoloft (sertraline) ntabwo ari imfungwa y’ibiyobyabwenge.

Ubwa mbere, Ni ikihe kiyobyabwenge kibazwe?

Imiti cyangwa ibintu bikoreshwa mu buryo bitemewe n’amategeko, bikagengwa n’ubuyobozi. Muri Amerika, DEA (Urugaga rushinzwe kurwanya ibiyobyabwenge) ni rwo rufite inshingano zo kugenzura ibi mu rwego rw’Itegeko ry’ibiyobyabwenge bibazwe source.

Impamvu nyamukuru ituma imiti “ibazwa” ni uko ishobora gukoreshwa nabi cyangwa igatuma umuntu yishingikiriza ku mubiri cyangwa ku bwenge. DEA igabanya ibi bintu mu byiciro bitanu, uhereye ku cyiciro cya mbere (ifite impfu zidasanzwe zo gukoreshwa nabi, nta cyo yifashisha mu buvuzi) kugera ku cyiciro cya gatanu (ifite impfu nkeya zo gukoreshwa nabi).

Urugero rw’imiti ibazwe ikoreshwa mu kwita ku buzima bwo mu mutwe harimo:

• Benzodiazepines: Nka Xanax (alprazolam) na Valium (diazepam), zazwi nk’icyiciro cya IV.
• Stimulants: Nka Adderall (amphetamine) na Ritalin (methylphenidate), zazwi nk’icyiciro cya II.

Aya maro yagenzuwe kuko ashobora gutera ibyishimo cyangwa “ibyishimo”, bishobora gutera gukoresha bikabije no kwishora.

Ese Zoloft ibazwa nk’ibiyobyabwenge?

Zoloft ntabwo iri ku rutonde rwa DEA kuko ikora mu buryo butandukanye n’imiti ibazwe. Gusobanukirwa ubwoko bwa Zoloft ni ingenzi mu gusobanukirwa impamvu.

Izina rusange rya Zoloft ni sertraline, kandi ni ubwoko bw’umuti uvura agahinda gakaze uzwi nka Selective Serotonin Reuptake Inhibitor (SSRI). Yemerewe n’FDA kuvura indwara nyinshi zirimo:

• Indwara yo kwiheba bikabije (MDD)
• Indwara yo kwirakoresha ibintu (OCD)
• Indwara yo kugira ubwoba (Panic Disorder)
• Indwara ya stress nyuma y’ikigeragezo (PTSD)
• Indwara yo gutinya abantu (Social Anxiety Disorder)
• Indwara yo kwishima kw’umubiri mbere y’imihango (PMDD)

SSRI zikora zongera urugero rwa serotonin mu bwonko—ubutumwa bwo mu bwonko bushobora kugenzura imyitwarire, gusinzira no kwiyumva neza source. Bizagenda bigenda byongera umwuka, bifasha kugira imyitwarire ituje mu gihe cy’ibyumweru cyangwa amezi.

Mu buryo bugaragara, Zoloft ntikora ibyishimo cyangwa igikangisho gikomeye cyane ko abantu bashobora gukoresha nabi. Kubera ko itagira ingaruka zo gusindisha, impfu zo gukoreshwa nabi ziboneka ko ari nke cyane. Ni yo mpamvu ikibazo cyo niba sertraline ikiyobyabwenge kibazwe gikenerwa cyisabweho gisubizwa na “oya”. Ibi ni ukuri no ku miti myinshi ivura agahinda gakaze; impungenge ku iyobya rya antidepressant ryagenzuwe ntibigera ku bikoreshwa kuri SSRIs, SNRIs, cyangwa TCAs.

Kwishingikiriza kuri Zoloft vs. Gusomerwa: Ikintu Gitandukanye Cyane

Hano niho benshi bagushukwa. Ushobora kumva umuntu avuga ko “yishoye” ku muti we uvura agahinda gakaze, ariko mu kuvura, sibyo rwose. Ni ingenzi gusobanukirwa itandukaniro riri hagati yo kwishingikiriza ku mubiri no kwishora, cyane cyane igihe tubaza, “ese Zoloft ishobora gutera kwishora?“

Gusobanukirwa kwishingikiriza kuri Zoloft

Kwishingikiriza kuri Zoloft bisobanura kwishingikiriza ku mubiri. Ni ugusanzwe, guhinduka byitezwe ku mubiri bizaba bibaho iyo umubiri wawe wamenyereye imiti. Ubwonko bwawe buhindura ubwonko bwawe buhuje n’urugero rwa serotonin rwakoreshejwe n’umuti.

Iki kwishingikiriza kiboneka cyane iyo waretse Zoloft mu buryo butunguranye. Guhinduka gukomeye gushobora gutera ingaruka zo gusesereza zitari nziza, zizwi nk’indwara yo guhagarika gufata imiti ivura agahinda gakaze source.

Ingaruka z’ibimenyetso byo gusesereza muri Zoloft zirimo:

• Umwuma n’ibiseke.
• Kuruka n’ibimenyetso by’ibicurane.
• Umunaniro no gusinzira.
• Impungenge, uburakari, cyangwa guhinduka kw’imyitwarire.
• Kutagira ibitotsi cyangwa inzozi zigaragara.
• Guhinduka kw’ibyumvikana, akenshi bivugwa nk’“ubwonko bwakubiswe” cyangwa “ubwonko bukagugunguru.”

Ibi bimenyetso si ikimenyetso cyo kwishora; ni ikimenyetso cyerekana ko umubiri wawe ukeneye igihe cyo kongera kwishimishanya. Ni yo mpamvu ntukagombye kureka gufata Zoloft mu buryo butunguranye. Muganga wawe azagufasha gutegura gahunda yo kugabanya dosis buhoro buhoro mu gihe cy’ibyumweru cyangwa amezi kugira ngo ugabanye cyangwa wirinde izi ngaruka.

Gusobanukirwa Kwishora

Kwiyongerera ibintu, ubu bizwi nk’indwara yo gukoresha ibiyobyabwenge, ni indwara ikomeye y’ubwonko iranga gushakisha no gukoresha ibiyobyabwenge mu buryo budashishikaye, nubwo hari ingaruka mbi source.

Ibyingenzi byo kwishora birimo:

• Gushaka cyane ibintu.
• Kutabasha kugenzura cyangwa kugabanya ibyo ukoresha.
• Kwirengagiza inshingano ku kazi, ku ishuri, cyangwa mu rugo.
• Gukoresha ibintu mu bihe by’akaga.
• Komeza gukoresha nubwo uzi ko bibabaza umubiri cyangwa ubwonko.

Zoloft ntibihwanye n’iki cyegeranyo. Abantu ntibayishaka, ntibahabwa “ibyishimo” biva kuri yo, kandi ntibakora ibikorwa bibabaza kugira ngo bayibone. Impamvu nkeya yo kwishora muri SSRI ni urufatiro rw’umutekano wayo wo gukoresha igihe kirekire. Noneho, nubwo ushobora kugerwamo n’iminsi yo kwishingikiriza kuri Zoloft, ntabwo ari kimwe no kwishora.

Ikibazo gisanzwe n’impungenge kuri Zoloft

Turengere ibindi bibazo byingenzi bivuka kenshi.

Zoloft vs. Xanax: Kuki kimwe kibazwe ikindi ntacyo?

Ibi ni urugero rwiza rw’ibihe tuvuzeho. Zoloft vs. Xanax guhuza bigaragaza uburyo bubiri butandukanye bwo kuvura impungenge.

• Zoloft (Sertraline): Umuti uvura agahinda gakaze SSRI. Ntabwo ibazwe. Ni imiti igufi igenda igabanya mu gihe cy’ibyumweru kugira ngo igenzure indwara z’impungenge zikomeye binyuze mu kugira imyitwarire ituje.
• Xanax (Alprazolam): Benzodiazepine. Ni icyiciro cya IV cy’ibiyobyabwenge bibazwe. Ni umuti ukora vuba wagenewe gutanga ubufasha bwihuse kandi bwihuse bwo mu gihe gikomeye cyangwa mu gihe cyo kugira ubwoba. Ifite impamvu zidasanzwe zo gukoreshwa nabi no kwishingikiriza, ni yo mpamvu gukoresha kwayo kugenzuwe cyane.

Ese Zoloft ishobora gutera igisubizo cy’ibinyoma ku bipimo by’ibiyobyabwenge?

Yego, iyi ni impungenge isanzwe. Ibisubizo ni uko Zoloft isubizo ry’ibinyoma ku bipimo by’ibiyobyabwenge bishoboka, nubwo bidashishikaje.

Zoloft yagiye bivugwa mu bibazo bimwe na bimwe gutera igisubizo cy’ibinyoma ku bipimo byambere by’ibiyobyabwenge, cyane cyane benzodiazepines (nka Xanax) kandi rimwe na rimwe LSD source.

Nyamara, ni ingenzi gusobanukirwa ko ibi bipimo byambere ari byo gusa—ibipimo. Iyo bipimo byawe byagaragaye ko byihuse, igipimo cyihuse kandi cyihuse kitwa Gas Chromatography-Mass Spectrometry (GC-MS) kizakorwa. Iki gipimo cyemeza cyane cyane sertraline kubi kigura ibiyobyabwenge bibazwe, kandi kizahindura igisubizo cy’ibinyoma. Niba ufata Zoloft kandi ufite igipimo cy’ibiyobyabwenge, ni byiza kubimenyesha ahakorerwa igipimo mbere.

Ese bishoboka kunywa inzoga hamwe na Zoloft?

Nubwo Zoloft atari imfungwa y’ibiyobyabwenge, guhuza na alukoro ntibitegetswe. FDA itanga umukanguri ko inzoga ishobora kongera ibikorwa byo gusinzira bya Zoloft, bikagera ku gusinzira cyane, umwuma, no guhinduka kw’imikorere. Ikindi kandi, inzoga ni ibintu bikandamiza, bishobora guhangana n’ibyiza by’imiti yawe kandi bikaba byakongera ibimenyetso by’agahinda gakaze cyangwa impungenge. Ni byiza kuvugana na muganga wawe kubyerekeye uko ibintu byawe byifashe, ariko inama nziza ni ugukoresha alukoro mugihe ufata Zoloft.

Igisubizo

Noneho, ese Zoloft ni imfungwa y’ibiyobyabwenge? Ibisubizo ni oya rwose. Ni umuti uvura agahinda gakaze ushobora kwizerwa, ufite akamaro, kandi ukoreshwa cyane utabazwa ko ushobora kwishora kubera impamvu nkeya zo gukoreshwa nabi. Ububwoko bwa Zoloft, SSRI, bukora binyuze mu kugabanya imyitwarire buhoro buhoro, aho gutanga ibyishimo.

Wibuke itandukaniro ryingenzi riri hagati ya kwishingikiriza kuri Zoloft (guhinduka bisanzwe ku mubiri bisaba guhagarika imiti) no kwishora (uburyo bwo gukoresha bushishikaye kandi bubabaza). Nubwo ushobora kugerwamo n’ibimenyetso byo gusesereza muri Zoloft niba waretse gutunguranya, iyi ni ikibazo cyo kuvura gishobora kwitabwaho, si ikimenyetso cyo kwishora.

Urugendo rwawe rw’ubuzima bwo mu mutwe ni urwawe, kandi kugira amakuru adasubirwaho ni ingenzi. Niba ufite ibindi bibazo cyangwa impungenge kuri Zoloft cyangwa indi miti, igisubizo cyiza ni umuganga wawe. Ashobora kugutanga inama zigufi kandi akagufasha buri gihe.