Asenapine ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Asenapine ni umuti uvura indwara zo mu mutwe ufasha kuringaniza imisemburo imwe n'imwe mu bwonko bwawe. Yateguwe by'umwihariko kugira ngo isesekare munsi y'ururimi rwawe, ibyo bikaba bituma ikora neza kurusha ibinini ubwira. Uyu muti akenshi wandikirwa indwara zikomeye zo mu mutwe nk'indwara ya bipolar na schizophrénie.

Asenapine ni iki?

Asenapine ni umuti wandikirwa na muganga wo mu itsinda ryitwa atypical antipsychotics. Ikora ifasha kugarura imiterere y'ibintu bisanzwe mu bwonko bwawe, cyane cyane dopamine na serotonin. Iyi misemburo yo mu bwonko igira uruhare runini mu myifatire, gutekereza, n'imyitwarire.

Igituma asenapine idasanzwe ni uko iza mu buryo bw'ibinini bishyirwa munsi y'ururimi, bivuze ko uyishyira munsi y'ururimi rwawe aho isesekara rwose. Ubu buryo bwihariye bwo gutanga imiti bufasha umubiri wawe gukurura umuti neza kurusha ibinini bisanzwe ubwira.

Uyu muti uboneka mu mbaraga zitandukanye kandi akenshi wandikirwa nk'igice cy'ubuvuzi bwuzuye bushobora kuba burimo ubuvuzi n'imibereho ihinduka.

Asenapine ikoreshwa mu kuvura iki?

Asenapine ikoreshwa cyane cyane mu kuvura indwara ebyiri zikomeye zo mu mutwe: indwara ya bipolar na schizophrénie. Ku ndwara ya bipolar, ifasha gucunga ibihe bya manic n'ibihe byavanzemo, ari byo bihe ushobora guhura n'ibimenyetso bya mania na depression icyarimwe.

Mu kuvura schizophrénie, asenapine ifasha kugabanya ibimenyetso nk'ibitekerezo bidahwitse, ibitekerezo by'ubuyobe, no gutekereza bitunganye. Ishobora kandi gufasha ku bimenyetso bibi nk'ugucika intege cyangwa kugorana kugaragaza amarangamutima.

Rimwe na rimwe abaganga bandikira asenapine izindi ndwara iyo bemera ko yagira akamaro, nubwo ibyo bidakunze kubaho. Muganga wawe azasuzuma neza uko umubiri wawe umeze kugira ngo amenye niba asenapine ikwiriye kuri wowe.

Asenapine ikora ite?

Asenapine ikora ibi ikingira imitsi imwe yo mu bwonko isubiza kuri dopamine na serotonin. Tekereza kuri iyi mitsi nk'imfunguzo, n'imiti yo mu bwonko nk'urufunguzo. Iyo hari ibikorwa byinshi kuri izi mfunguzo, bishobora gutera ibimenyetso by'indwara zo mu mutwe.

Mugihe ikingira imwe muri iyi mitsi, asenapine ifasha kugabanya ibikorwa byinshi mu nzira zimwe zo mu bwonko mugihe igifasha imikorere isanzwe y'ubwonko gukomeza. Iyi mikorere ifasha kunoza ibimenyetso bitagabanya rwose iyi sisitemu y'ubwonko y'ingenzi.

Asenapine ifatwa nk'umuti ukomeye wo kurwanya indwara zo mu mutwe. Ifasha mu gucunga ibimenyetso ariko ikunda kugira ingaruka nke zikomeye ugereranije n'imiti ya kera yo kurwanya indwara zo mu mutwe.

Nkwiriye Gufata Asenapine Nte?

Gufata asenapine neza ni ngombwa kugirango ikore neza. Ukeneye gushyira ikinini munsi y'ururimi rwawe ukakireka kigashonga rwose, ibi bikunda gufata iminota 30 kugeza kuri mike. Ntukarye, utunyugunyugu, cyangwa umire ikinini cyose.

Ibi nibyo ukeneye kumenya kubijyanye n'igihe n'ibiryo. Ugomba kwirinda kurya cyangwa kunywa ikintu icyo aricyo cyose mumara iminota 10 mufashe asenapine. Iki gihe cyo gutegereza gituma umubiri wawe ushobora gukurura umuti neza binyuze mu bice biri munsi y'ururimi rwawe.

Abantu benshi bafata asenapine kabiri kumunsi, akenshi mu gitondo na nimugoroba. Muganga wawe azagutangiza urugero ruto kandi ashobora kuruzamura buhoro buhoro bitewe n'uko witwara ku muti n'ingaruka zose ubona.

Nkwiriye Gufata Asenapine Igihe Kingana Gite?

Igihe cyo kuvura na asenapine gitandukanye cyane ku muntu kumuntu. Abantu bamwe bashobora gukenera kuyifata amezi menshi, mugihe abandi bashobora gukenera kuvurwa igihe kirekire kimara imyaka. Muganga wawe azakorana nawe kugirango amenye igihe gikwiye bitewe n'uburwayi bwawe n'uburyo witwara ku kuvurwa.

Ku ndwara ya bipolar, ushobora gufata asenapine mu gihe cy'ibibazo bikomeye hanyuma ukayikomeza nk'ubuvuzi bwo kubungabunga kugira ngo wirinde ibibazo bizaza. Ku ndwara ya schizophrénie, ubuvuzi akenshi burambye kugira ngo bufashe kubungabunga ituze no kwirinda gusubira inyuma kw'ibimenyetso.

Ni ngombwa kutareka gufata asenapine mu buryo butunguranye, n'iyo wumva umeze neza. Muganga wawe azagufasha kugabanya buhoro buhoro urugero rwawe igihe kigeze cyo guhagarika umuti, ibyo bifasha kwirinda ibimenyetso byo kuva ku miti cyangwa gusubira inyuma kw'ibimenyetso.

Ni Ibihe Bikorwa Bigaragara Bya Asenapine?

Kimwe n'indi miti yose, asenapine ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe cyo kuvugana na muganga wawe.

Ibikorwa bigaragara cyane ushobora guhura nabyo birimo gusinzira, kuribwa umutwe, no guhinduka kw'uburyohe cyangwa guhumirwa mu kanwa kawe. Ibi bikorwa bifitanye isano n'akanwa bibaho kuko umuti ushonera munsi y'ururimi rwawe kandi akenshi biba byoroheje kandi by'igihe gito.

Dore ibikorwa bigaragara byavuzwe kenshi bikunda kuba byoroshye:

• Gusinzira cyangwa kumva unaniwe ku manywa
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Umunwa wumye cyangwa guhinduka kw'uburyohe
• Kongera ibiro, bishobora kugenda buhoro buhoro
• Kutagira ituze cyangwa kumva udashobora kwicara
• Isesemi cyangwa kutumva neza mu gifu

Ibi bikorwa bigaragara bisanzwe akenshi birushaho gukira uko umubiri wawe wimenyereza umuti mu byumweru bya mbere by'ubuvuzi.

Abantu bamwe bashobora guhura n'ibikorwa bigaragara bikomeye bisaba ubufasha bwihutirwa bwa muganga. Nubwo ibi bitaba kenshi, ni ngombwa kubimenya kugira ngo ushake ubufasha niba bibaye ngombwa.

Ibikorwa bigaragara bikomeye bisaba ubufasha bwihutirwa bwa muganga birimo:

• Ubugoye bukomeye bw'imitsi cyangwa kwikanyabuka kw'imitsi
• Urubavu rwinshi ruri kumwe no kuvurungana cyangwa kubira ibyuya
• Umutima utera nabi cyangwa kubabara mu gituza
• Kuribwa cyane cyangwa guta ubwenge
• Kugorwa kumeza cyangwa guhumeka
• Imyitwarire idashobora kugenzurwa y'isura, ururimi, cyangwa ingingo

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi.

Hariho kandi ingaruka zimwe na zimwe zidakunze kubaho ariko zishobora kuba zikomeye zo kumenya. Izi zirimo indwara yitwa tardive dyskinesia, ikubiyemo imyitwarire idashobora kugenzurwa ishobora guhoraho. Umuganga wawe azagukurikiranira hafi kugira ngo amenye ibimenyetso byose bya mbere by'iyi ndwara.

Ikindi kibazo kidakunze kubaho ariko gikomeye ni neuroleptic malignant syndrome, igisubizo gishobora gutera urupfu gitera urubavu rwinshi, imitsi ikomeye, n'imihindukire mu miterere y'ubwenge. Nubwo ibi bidakunze kubaho cyane, ni ngombwa kumenya ibimenyetso byo kuburira.

Ninde utagomba gufata Asenapine?

Asenapine ntabwo ikwiriye kuri buri wese, kandi umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Ibyiciro by'ubuzima runaka cyangwa ibihe bituma asenapine ishobora kuba itekanye cyangwa idakora neza.

Ntabwo ugomba gufata asenapine niba ufite allergie yayo cyangwa wigeze kugira ibisubizo bikomeye ku miti isa n'iyo mu bihe byashize. Abantu bafite indwara zimwe na zimwe z'umutima, cyane cyane abafite umutima utera nabi cyangwa amateka y'umutima, bashobora gukenera gukurikiranwa byihariye cyangwa imiti isimbura.

Dore ibihe asenapine isaba kwitonda cyane cyangwa idashobora gukoreshwa:

• Psychose ijyanye na dementia mu barwayi bakuze
• Indwara ikomeye y'umwijima
• Amateka yo gufatwa cyangwa epilepsi
• Diyabete cyangwa isukari nyinshi mu maraso
• Umubare muto w'uturemangingo twera tw'amaraso
• Kugorwa kumeza
• Gusama cyangwa konsa

Muganga wawe azagereranya inyungu zishoboka n'ibibazo bishobora kuvuka muri ibi bihe, ashobora kugusaba imiti yindi cyangwa agasaba ko akugenzura neza niba asenapine ariyo nziza kuri wowe.

Amazina ya Asenapine

Asenapine iboneka ku izina rya Saphris muri Leta Zunze Ubumwe z'Amerika. Iri ni ryo zina risanzwe ritangwa cyane ry'uyu muti kandi ni ryo farumasi yawe isanzwe ifite.

Mu bindi bihugu, asenapine ishobora kuboneka ku mazina atandukanye, ariko umuti ubwawo urasa. Buri gihe jya wemeza ko urimo gufata umuti ukwiye ubaza umufarimasi niba ufite ikibazo icyo aricyo cyose.

Imiti ya asenapine idafite izina ry'ubucuruzi iraboneka kandi, ikubiyemo ibintu bikora kimwe ariko bishobora kugura make ugereranyije n'umuti ufite izina ry'ubucuruzi.

Izindi miti isimbura Asenapine

Niba asenapine itagukwiriye, hari imiti myinshi isimbura muganga wawe ashobora gutekereza. Izindi miti igabanya ubwonko idasanzwe nka olanzapine, quetiapine, cyangwa aripiprazole zikora kimwe ariko zifite ingaruka zitandukanye.

Ku ndwara ya bipolar by'umwihariko, imiti igabanya imyumvire nka lithium cyangwa imiti igabanya imitsi nka valproic acid ishobora kuba izindi miti. Muganga wawe ashobora kandi gutekereza ku miti ivanze ikoresha doze ntoya z'imiti myinshi.

Guhitamo indi miti biterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko wakiriye izindi miti mu gihe cyashize. Igitera imikorere myiza bitandukanye cyane ku muntu ku giti cye.

Ese Asenapine iruta Olanzapine?

Asenapine na olanzapine ni imiti igabanya ubwonko ikora neza, ariko ifite imbaraga n'intege nke zitandukanye. Guhitamo

Asenapine ishobora gutuma umuntu atabyibuha cyane kandi akagira ibibazo bike byo mu mubiri ugereranije na olanzapine, ibyo bikaba by'ingenzi niba ufite impungenge z'indwara ya diyabete cyangwa indwara y'umutima. Ariko, olanzapine yarakoreweho ubushakashatsi igihe kirekire kandi ishobora kugira akamaro kurusha izindi mu gukemura ibimenyetso bimwe na bimwe.

Uburyo bwo kunywa asenapine munsi y'ururimi bushobora kuba akarusho ku bantu bamwe, kuko ishobora gukora vuba kandi igatuma umuntu agira ingaruka nke zifitanye isano n'igifu. Muganga wawe azagufasha gupima ibi bintu bitewe n'ubuzima bwawe bwihariye n'intego z'ubuvuzi.

Ibibazo Bikunze Kubazwa Kuri Asenapine

Q1. Ese Asenapine ifite umutekano ku barwayi ba diyabete?

Asenapine ishobora kugira ingaruka ku kigero cy'isukari mu maraso, bityo abantu barwaye diyabete bagomba gukurikiranwa neza bakoresha uyu muti. Ishobora gutuma isukari yawe mu maraso izamuka, ibyo bikaba byatuma diyabete igorana kuyirinda.

Niba urwaye diyabete, muganga wawe ashobora gupima isukari yawe mu maraso kenshi iyo utangiye gufata asenapine kandi ashobora gukenera guhindura imiti yawe ya diyabete. Ibi ntibisobanura ko udashobora gufata asenapine, ariko bisaba gukurikiranwa cyane na muganga.

Q2. Nkwiriye gukora iki niba nanyoye asenapine nyinshi bitunguranye?

Niba utunguranye ufata asenapine nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Ntuzategereze ngo urebe niba wumva umeze neza, kuko ibimenyetso byo kunywa imiti myinshi bishobora kutagaragara ako kanya.

Ibimenyetso byo kunywa asenapine nyinshi bishobora kuba ukunebwa gukabije, urujijo, umutima wihuta, cyangwa guhumeka bigoranye. Niba ubonye kimwe muri ibi bimenyetso, shakisha ubufasha bwihutirwa bw'ubuvuzi ako kanya.

Q3. Nkwiriye gukora iki niba nirengagije doze ya asenapine?

Niba wibagiwe gufata doze ya asenapine, yifate ako kanya wibukiye, keretse igihe kigeze cyo gufata doze yawe itaha. Muri icyo gihe, reka doze wibagiwe hanyuma ukomeze gahunda yawe isanzwe.

Ntumara gufata doze ebyiri icyarimwe kugira ngo wuzuze doze wasize, kuko ibyo bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe agasanduku k'imiti.

Q4. Ni ryari nshobora kureka gufata Asenapine?

Ugomba kureka gufata asenapine ari uko ubisabwe na muganga wawe. N'iyo wumva umeze neza cyane, guhagarika ako kanya gashobora gutera ibimenyetso byo kuva mu muti cyangwa gusubira mu bimenyetso byawe by'umwimerere.

Muganga wawe azagabanya doze yawe buhoro buhoro mu byumweru byinshi cyangwa amezi menshi igihe kigeze cyo guhagarika umuti. Ubu buryo bwo kugabanya doze bufasha umubiri wawe kumenyera kandi bugabanya ibyago byo kugira ibibazo.

Q5. Nshobora kunywa inzoga nkanwa asenapine?

Ni byiza kwirinda inzoga mugihe ufata asenapine, kuko bishobora kongera gusinzira no kuribwa umutwe. Inzoga kandi ishobora kubangamira imikorere y'umuti kandi ishobora gushimangira ibimenyetso byo guhangayika mu mutwe wawe.

Niba uhisemo kunywa rimwe na rimwe, ganira na muganga wawe ku bijyanye n'imipaka itekanye kandi witondere cyane ibikorwa bisaba ubushishozi, nk'ukuyobora imodoka. N'ubwo ari ntoya, inzoga ishobora kugira ingaruka zikomeye iyo ivanze na asenapine.