Created at:1/13/2025
Question on this topic? Get an instant answer from August.
Acamprosate ni umuti wandikirwa abantu ufasha kubungabunga ubuzima bwabo nyuma yo kureka kunywa inzoga. Ukora mu gusubiza ibintu mu buryo bwiza mu mikorere y'ubwonko ihungabanywa n'imikoreshereze y'inzoga igihe kirekire, bigatuma birushaho koroha kwirinda kongera kunywa.
Uyu muti si umuti uvura ubujiji bw'inzoga, ariko ushobora kuba igikoresho cy'agaciro mu rugendo rwawe rwo koroherwa. Witekerezeho nk'igice kimwe cy'ikintu kinini kirimo inama, amatsinda ashyigikira, n'impinduka z'imibereho.
Acamprosate ni umuti wagenewe by'umwihariko gushyigikira koroherwa n'inzoga ufasha ubwonko bwawe kumenyera kongera gukora neza hatarimo inzoga. Ihereranye n'itsinda ry'imiti yitwa ibitera kwanga inzoga, nubwo ikora mu buryo butandukanye n'indi miti muri uru rwego.
Uyu muti wabanje gukorerwa mu Burayi kandi umaze imyaka myinshi ufasha abantu kubungabunga ubuzima bwabo. Bifasha cyane cyane abantu bafashe neza icyemezo cyo kureka kunywa ariko bagahura n'ibibazo byo kwifuza cyangwa ibibazo byo mu mutwe byo kuguma mu buzima butarangwamo inzoga.
Bitandukanye n'indi miti imwe yo koroherwa n'inzoga, acamprosate ntigutera kurwara niba unywa inzoga. Ahubwo, ikora mu buryo butagaragara kugira ngo igabanye imibabaro yo mu mutwe ikunze kuza mu ntangiriro yo kureka inzoga.
Acamprosate ikoreshwa cyane cyane mu gufasha abantu bafite uburwayi bwo gukoresha inzoga kubungabunga ubuzima bwabo nyuma yo kureka kunywa. Ntabwo igenewe kugufasha kureka kunywa mu ntangiriro, ahubwo ni ukugufasha kuguma kurekana iyo umaze gufata icyo cyemezo.
Muganga wawe akenshi azandika uyu muti nk'igice cy'umugambi wuzuye wo kuvura urimo inama, amatsinda ashyigikira, cyangwa izindi nzira z'ubuvuzi. Uyu muti ukora neza iyo uhujwe n'ubundi buryo bwo gushyigikira.
Abantu bamwe basanga acamprosate ifasha cyane mu mezi make ya mbere yo kureka inzoga, igihe inyota yo kunywa inzoga no kutishima mu mutwe bishobora kuba bikomeye cyane. Ishobora gufasha kunoza ibyiyumvo byinshi byiza n'ibibi bisanzwe bibaho mu gihe cyo koroherwa hakiri kare.
Acamprosate ikora ifasha kugarura uburinganire busanzwe bw'imiti yo mu bwonko yangijwe no kunywa inzoga igihe kirekire. By'umwihariko, ifata ku miti yitwa glutamate na GABA, ifite uruhare runini mu buryo ubwonko bwawe bwakira umunaniro n'ibihembo.
Iyo unywa inzoga buri gihe uko igihe kigenda gihita, ubwonko bwawe burahinduka bukurikiza uko iyo miti ikora. Umaze kureka kunywa, bifata igihe kugira ngo ubwonko bwawe bwisubireho bukore butanywa inzoga, ibyo bishobora gutera inyota yo kunywa inzoga, guhangayika, n'ibindi byiyumvo bitari byiza.
Uyu muti ufatwa nk'ufite akamaro gakabije aho kuba uburyo bukomeye bwo kuvura. Utanga ubufasha buke aho gutanga impinduka zikomeye, bivuze ko ushobora kutabona ingaruka zawo ako kanya. Abantu benshi bawuvuga nk'ubafasha kumva bafite ituze kandi batagifite ibitekerezo byinshi byo kunywa.
Acamprosate ikunze gufatwa gatatu ku munsi hamwe n'ibiryo, akenshi mu gitondo, ku manywa, na nimugoroba. Kuyifata hamwe n'ibiryo bifasha umubiri wawe gukurura umuti neza kandi bishobora kugabanya amahirwe yo kurwara mu gifu.
Ukwiriye gufata doze imwe n'ikirahure cyuzuye cy'amazi. Ibinini bikwiriye kumezwa byose kandi ntibikanyagwe, ntibishishurwe, cyangwa ngo bivunwe, kuko ibyo bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe.
Ni ngombwa gufata acamprosate nubwo utumva ko ikora ako kanya. Uwo muti ukeneye igihe kugira ngo wiyongere mu mubiri wawe, kandi ushobora kutabona ingaruka zawo zose mu byumweru byinshi. Kwihangana ni ingenzi kugira ngo ubone inyungu nyinshi ziva kuri uyu muti.
Abantu benshi bafata acamprosate mu gihe cy'umwaka umwe, nubwo bamwe bashobora kungukirwa no kuyifata igihe kirekire. Muganga wawe azakorana nawe kugirango amenye igihe cyiza gishingiye ku miterere yawe bwite n'uburyo urimo kwitwara neza mu kuvurwa.
Uyu muti ufasha cyane mu mwaka wa mbere wo kureka ibiyobyabwenge, igihe cy'akaga ko gusubira inyuma kiba kirekire cyane. Abantu bamwe basanga bashobora kugabanya buhoro buhoro urugero rw'umuti bafata cyangwa bakawureka uko bagenda bagira ubushobozi bwo guhangana n'ibibazo kandi imikorere y'ubwonko bwabo igakomeza gukira.
Muganga wawe azajya aganira nawe buri gihe kugirango amenye uko umuti ukora niba witeguye gutangira kugabanya urugero rw'umuti ufata. Iyi myanzuro igomba gufatwa buri gihe hamwe n'umuganga wawe aho kuyifatira wenyine.
Kimwe n'imiti yose, acamprosate ishobora gutera ingaruka ziterwa n'imiti, nubwo abantu benshi bayihanganira neza. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe wahamagara muganga wawe.
Ingaruka zisanzwe zikunze kuba zoroshye kandi akenshi zikagenda uko umubiri wawe wimenyereza umuti:
Izi ngaruka zisanzwe zikunze gushira mu byumweru bike bya mbere byo kuvurwa. Niba zikomeje cyangwa zikaba zikubangamiye, muganga wawe akenshi ashobora guhindura urugero rw'umuti ufata cyangwa agatanga uburyo bwo kuzikemura.
Ingaruka zitabaho cyane ariko zikomeye zisaba ubufasha bwihuse bwa muganga. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya:
Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa. Wibuke ko ingaruka zikomeye zitamenyerewe, kandi abantu benshi bashobora gufata acamprosate neza bafashijwe n'abaganga.
Acamprosate ntabwo ikwiriye kuri buri wese, kandi umuganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Ubuzima bumwe na bumwe cyangwa ibihe bituma uyu muti utakwiriye cyangwa ushobora guteza akaga.
Ntabwo ugomba gufata acamprosate niba ufite indwara ikomeye y'impyiko cyangwa kunanirwa kw'impyiko. Uyu muti ukoreshwa binyuze mu mpyiko zawe, bityo imikorere y'impyiko idahagije ishobora gutuma umuti wiyongera mu buryo buteye akaga mu mubiri wawe.
Abantu bagikoresha inzoga ntibagomba gutangira gufata acamprosate. Uyu muti ugamije gufasha gukomeza ubuzima, ntabwo ugamije kugufasha kureka kunywa inzoga. Ukeneye kuba udafata inzoga mbere yo gutangira kuvurwa.
Izindi miterere aho acamprosate itakwiriye harimo:
Umuganga wawe azatekereza kandi ku myaka yawe, izindi miti urimo gufata, n'ubuzima bwawe muri rusange mugihe cyo gufata icyemezo niba acamprosate ikwiriye kuri wowe.
Acamprosate ikunze kugurishwa munsi y'izina ry'ubwoko rya Campral muri Leta Zunze Ubumwe. Iri ni izina ry'ubwoko ry'umuti kandi riguma kuba verisiyo izwi cyane.
Ubundi bwoko bwa acamprosate buraboneka kandi, bukaba burimo ibintu bikora kimwe ariko bushobora kugura make ugereranije n'ubwoko bw'izina. Umuganga wawe w'imiti ashobora kugufasha gusobanukirwa itandukaniro riri hagati y'ubwoko bw'izina n'ubundi bwoko.
Uko waba ufata ubwoko bw'izina cyangwa ubundi bwoko, umuti ukora kimwe kandi ufite ingaruka zimwe. Guhitamo akenshi biterwa n'ubwishingizi n'ibitekerezo by'ikiguzi.
Niba acamprosate itagukwiriye cyangwa idakora neza bihagije, indi miti myinshi ishobora gufasha mu gukira inzoga. Buri muti ukora mu buryo butandukanye, bityo muganga wawe ashobora kugufasha kubona uburyo bwiza bukwiriye imiterere yawe.
Naltrexone ni undi muti ukoreshwa cyane ugabanya irari ry'inzoga. Bitandukanye na acamprosate, irashobora gufatwa nk'ipilule ya buri munsi cyangwa urukingo rwa buri kwezi, kandi ikora ibyo ikingira ingaruka zishimisha z'inzoga.
Disulfiram (Antabuse) ifata uburyo butandukanye bwo gutuma wumva urwaye niba unywa inzoga. Ibi birashobora kugira akamaro kuri bamwe, ariko bisaba kugenzurwa neza na muganga kandi ntibikwiriye kuri buri wese.
Uburyo bushya burimo topiramate na gabapentin, iyi ikaba ari imiti yabanje gukorerwa izindi ndwara ariko yagaragaje icyizere mu gufasha mu irari ry'inzoga. Muganga wawe ashobora kuganira niba ibi byakwiriye imiterere yawe.
Acamprosate na naltrexone ni imiti ifite akamaro mu gufasha gukira inzoga, ariko bakora mu buryo butandukanye kandi bashobora gukwira abantu batandukanye. Nta n'umwe uruta undi muri rusange.
Acamprosate ikunda gufasha cyane abantu bafashe icyemezo cyo kureka kunywa ariko bagahura n'irari rihoraho cyangwa guhangayika. Ikora ifasha kugarura uburinganire bwa chimie y'ubwonko kandi muri rusange irihanganirwa.
Naltrexone ishobora kugira akamaro kurusha abantu bagira amakosa rimwe na rimwe cyangwa bahanganye n'ibishimisha by'inzoga. Irashobora kugabanya ibyifuzo n'ibyishimo ubona iyo unywa, ibyo bishobora gufasha guca uruziga rwo kunywa inzoga.
Abantu bamwe basubiza neza ku muti umwe kurusha undi, kandi rimwe na rimwe, abaganga bashobora gusaba gukoresha byombi icyarimwe. Muganga wawe azatekereza ku miterere yawe yihariye, amateka yawe y'ubuvuzi, n'intego z'ubuvuzi mugihe agufasha guhitamo hagati y'izi mpuzamashuri.
Acamprosate muri rusange ifatwa nkitekaniye kubantu barwaye diyabete, kuko ntigira ingaruka zigorora ku isukari yo mumaraso. Ariko, guhagarika kunywa inzoga rimwe na rimwe birashobora guhindura uburyo isukari yo mumaraso yawe isubiza, cyane cyane niba wari usanzwe unywa inzoga buri gihe mbere.
Muganga wawe azashaka gukurikirana isukari yo mumaraso yawe neza mugihe utangiye gukoresha acamprosate, cyane cyane muminsi mike ya mbere y'ubuvuzi. Ibi ahanini biterwa nuko ubuzima bwawe muri rusange n'imikorere yo kurya bishobora guhinduka mugihe wimenyereza kubaho utanywa inzoga, kuruta uko byaterwa n'umuti ubwawo.
Niba ufashwe gukoresha acamprosate nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Gukoresha nyinshi birashobora kongera ibyago byo kugira ingaruka ziterwa n'umuti, cyane cyane impiswi n'ibibazo byo munda.
Ntugerageze "gukosora" urugero rwinshi urukoresheje urugero rukurikira. Ahubwo, subira kuri gahunda yawe isanzwe yo gufata imiti kandi umenyeshe muganga wawe icyabaye. Barashobora kukugira inama yuko wakomeza neza.
Niba waciwe urugero rwa acamprosate, ruyifate ako kanya wibuka, mugihe bitari hafi yigihe cyo gufata urugero rukurikira. Niba biri hafi yigihe cyo gufata urugero rukurikira, reka urugero rwaciwe rukomeze gahunda yawe isanzwe.
Ntugasubizeho imiti ibiri icyarimwe kugira ngo usimbure urugero rwatanzwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba ukunda kwibagirwa gufata imiti, gerageza gushyiraho ibyibutso kuri terefone yawe cyangwa ukoreshe umuteguro w'imiti kugira ngo bigufashe kuguma ku murongo.
Umwanzuro wo kureka gufata acamprosate ugomba gufatwa buri gihe hamwe n'ubuyobozi bwa muganga wawe. Abantu benshi bayifata mu gihe cy'umwaka, ariko bamwe bashobora kungukirwa no kuvurwa igihe kirekire, mugihe abandi bashobora kuba biteguye guhagarara mbere.
Muganga wawe azatekereza ku bintu nk'igihe umaze utanywa inzoga, uko wihanganira inyota, uburyo ufashwa, n'imibereho yawe muri rusange mu gukira. Guhagarara kare bishobora kongera ibyago byo gusubira mu ngeso mbi, bityo ni ngombwa kugirana ikiganiro gifunguye n'umuganga wawe.
Mugihe acamprosate itazakugira urwaye niba unywa inzoga (bitandukanye n'indi miti), kunywa mu gihe uyifata byica intego yo kuvurwa. Uyu muti ugamije kugufasha kugumana ubuzima bwiza, ntabwo ugamije gufasha kunywa inzoga bikomeje.
Niba unywa inzoga mugihe ufata acamprosate, ba umunyakuri kuri muganga wawe kuri ibyo. Ntabwo bahari kugira ngo bagucire urubanza, ahubwo ni ukugufasha gusubira ku murongo w'intego zawe zo gukira. Bashobora gukenera guhindura gahunda yawe yo kuvura cyangwa gutanga ubufasha bwiyongera.