Icyo Chlordiazepoxide na Amitriptyline ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka, n'ibindi

Chlordiazepoxide na amitriptyline ni umuti uvanga ubwoko bubiri butandukanye bw'imiti ivura indwara zo mu mutwe mu gipimo kimwe. Uku kuvanga guhuza benzodiazepine (chlordiazepoxide) na tricyclic antidepressant (amitriptyline) kugira ngo bifashe kuvura ibibazo bimwe na bimwe aho guhangayika no kwiheba biboneka icyarimwe.

Muganga wawe ashobora kukwandikira uyu muti uvangiye iyo ufite ibimenyetso byo guhangayika no kwiheba bitarashoboye gukira neza n'imiti imwe. Iyi miti ikora nk'ikipe, buri imwe igamije ibice bitandukanye by'ibibazo byo mu mutwe wawe mu buryo bukurikiranwa.

Chlordiazepoxide na Amitriptyline ni iki?

Uyu muti uvanga imiti ibiri izwi cyane yo mu mutwe mu gipimo kimwe. Chlordiazepoxide ni mu cyiciro cy'imiti yitwa benzodiazepines, ikora vuba kugira ngo ituze guhangayika kandi itume umuntu aruhuka. Amitriptyline ni tricyclic antidepressant ifasha gushyira mu gaciro imisemburo imwe n'imwe yo mu bwonko uko igihe kigenda gihita kugira ngo iteze imbere imyumvire kandi igabanye kwiheba.

Uku kuvanga kwateguwe by'umwihariko ku bantu bahura no guhangayika no kwiheba icyarimwe. Aho gufata ibinini bibiri bitandukanye, uyu muti utuma ukemura ibibazo byombi hamwe n'urwandiko rumwe, rushobora koroshya no korohereza imiti.

Uyu si umuti ukora ako kanya ku bimenyetso byose. Mugihe igice cya chlordiazepoxide gishobora gufasha guhangayika vuba, ingaruka za antidepressant ziva muri amitriptyline mubisanzwe bifata ibyumweru byinshi kugirango bigaragarire rwose.

Chlordiazepoxide na Amitriptyline bikoreshwa kubera iki?

Uyu muti uvura indwara zifatanyije ukoreshwa cyane cyane mu kuvura umunabi wo hagati kugeza ku ukomeye ujyana no kwiheba. Muganga wawe ashobora kuwugusaba igihe urimo guhura n'ibi bibazo byombi icyarimwe, cyane cyane niba imiti imwe yonyine itaratanze umuti uhagije.

Uyu muti ufasha cyane abantu bafite icyo abaganga bita

Fata uyu muti uko muganga wawe abikwandikiye, akenshi inshuro 3-4 ku munsi ufite cyangwa udafite ibiryo. Urashobora kuwufata hamwe n'amata cyangwa amazi, kandi kurya mbere yo kuwufata bishobora gufasha kugabanya ibibazo byose byo mu nda ushobora guhura nabyo.

Mubisanzwe ni byiza gufata imiti yawe mu gihe kimwe buri munsi kugirango ugumane urwego ruzigama mu mubiri wawe. Abantu benshi babona ko bifasha gufata urugero runini mbere yo kuryama kuko umuti ushobora gutera gusinzira, kandi ibi birashobora gufasha kunoza imikorere y'ibitotsi.

Niba uhuye n'uburibwe bwo mu nda, gufata umuti hamwe n'ibiryo cyangwa amata birashobora gufasha. Ifunguro rito cyangwa ifunguro rito bikora neza, kandi ntugomba kurya ibiryo biremereye keretse niba aribyo wumva bikoroheye.

Ntuzigera uniga, urume, cyangwa uvunagure ibinini keretse muganga wawe akubwiye kubikora. Ubimire byose hamwe n'amazi menshi kugirango wemeze ko bikora nkuko byagenewe kandi wirinde uburyohe bubi.

Nzamara Igihe Kingana Iki Ndafata Chlordiazepoxide na Amitriptyline?

Igihe cyo kuvurwa gitandukanye cyane ku muntu ku muntu, ariko abantu benshi bafata uyu muti amezi menshi kugeza ku mwaka. Muganga wawe azatangira n'igihe gito kandi agahindura bitewe n'uko wumva umeze neza n'ingaruka zose uhura nazo.

Kugirango ingaruka zo kurwanya umubabaro zikureho rwose, mubisanzwe uzakenera gufata umuti buri gihe mu gihe cy'ibyumweru 4 kugeza kuri 6. Muri iki gihe, urashobora kubona impinduka zimwe na zimwe mu bimenyetso byo guhangayika mbere, ariko inyungu zose zo kwiheba mubisanzwe bifata igihe kirekire kugirango zigaragare.

Muganga wawe azagenzura buri gihe iterambere ryawe kandi ashobora kugabanya buhoro buhoro urugero igihe kigeze rwo guhagarara. Ibi ni ngombwa kuko guhagarara ako kanya bishobora gutera ibimenyetso byo gukurwaho, cyane cyane kuva muri benzodiazepine. Uburyo bwo kugabanya mubisanzwe bufata ibyumweru byinshi kugirango birangire neza.

Ni Iyihe Ngaruka Ziterwa na Chlordiazepoxide na Amitriptyline?

Kimwe n'imiti yose, iyi mvange ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzazibona. Izisanzwe ushobora kubona zirimo gusinzira, kuribwa umutwe, umunwa wumye, no kuvurungana, cyane cyane iyo utangiye kuyifata.

Dore ingaruka ziterwa n'imiti zivugwa kenshi kandi zikunze gucungwa:

• Gusinzira no kunanirwa ku manywa
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Umunwa wumye no kumva inyota yiyongereye
• Kugorwa no kwituma no guhinduka kw'irari ryo kurya
• Kureba nabi bikunze gukira nyuma y'igihe
• Kongera cyangwa gutakaza ibiro
• Kugorwa no kwibuka mu ntangiriro

Izi ngaruka ziterwa n'imiti zisanzwe zikunze gukira uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere. Kuguma ufite amazi ahagije mu mubiri, kugenda gahoro iyo uhinduye imyanya, no kugira isuku nziza mu kanwa bishobora gufasha gucunga izi ngaruka nyinshi.

Hariho ingaruka ziterwa n'imiti zitavugwa cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga. Nubwo bidasanzwe, ni ngombwa kuzimenya:

• Urugero rukomeye rwo kwivumbura ku miti hamwe no kugorwa no guhumeka cyangwa kubyimba
• Impinduka zidasanzwe mu mutima cyangwa kuribwa mu gituza
• Urugero rukomeye rwo kuvurungana cyangwa ibibazo byo kwibuka
• Kutekereza kwikomeretsa cyangwa kwiyahura
• Kuzunguzwa cyane cyangwa imyenda idashobora kugenzurwa
• Umuhondo w'uruhu cyangwa amaso (jaundice)
• Kugorwa cyane no kwituma kumara icyumweru kirenga

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi. Ibi bimenyetso bisaba isuzuma ryihuse ry'ubuvuzi kandi ntibikwiye kwirengagizwa.

Ninde utagomba gufata Chlordiazepoxide na Amitriptyline?

Uyu muti ntukwiriye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuwandikira. Abantu bafite indwara zimwe na zimwe z'umutima, indwara zikomeye z'umwijima, cyangwa abafite utuntu twabaye vuba mu mutima ntibagomba gufata iyi mvange.

Ugomba kubwira muganga wawe niba warigeze gukoresha ibiyobyabwenge, kuko imiti ya benzodiazepines ishobora guteza ubujiji. Byongeye kandi, abantu bafite indwara ya glaucoma ifunganye, ibibazo bikomeye byo guhumeka, cyangwa ubwoko bumwe na bumwe bw'umutima utera umuvuduko mwinshi bashobora gukenera uburyo bwo kuvurwa butandukanye.

Gutwita no konsa bisaba kwitonderwa by'umwihariko, kuko imiti yombi ishobora kujya ku mwana. Muganga wawe azagereranya neza inyungu n'ingaruka niba utwite, ugerageza gutwita, cyangwa konsa.

Abantu bakuze bashobora kwitwara neza ku ngaruka z'uyu muti, cyane cyane ibyago byo kugwa bitewe no kuribwa umutwe no guhuzagurika. Muganga wawe ashobora gutangira n'imiti mike cyangwa agasaba uburyo bwo kuvura butandukanye niba urengeje imyaka 65.

Amazina y'ubwoko bwa Chlordiazepoxide na Amitriptyline

Izina risanzwe ry'uyu muti uhuza ni Limbitrol, uza mu mbaraga zitandukanye bitewe n'ibyo ukeneye. Amavuriro amwe ashobora no kugira ubwoko bwa generic burimo ibintu bimwe bikora ariko bihendutse.

Umuti wawe ushobora kwerekana izina ry'ubwoko cyangwa izina rya generic "chlordiazepoxide-amitriptyline." Ubu bwoko bwombi bukorera kimwe, nubwo abantu bamwe bakunda gukoresha uruganda rumwe kugirango bagire ubumwe.

Niba ivuriro ryawe rihindagurika hagati y'ubwoko n'ubwoko bwa generic, menyesha muganga wawe niba ubona itandukaniro ryose ryo uko umuti ukugiraho ingaruka. Nubwo ibi bidakunze kubaho, abantu bamwe bafite ubushobozi bwinshi bwo guhinduka guto hagati y'abakora.

Uburyo bwo gusimbuza Chlordiazepoxide na Amitriptyline

Hariho uburyo bwinshi bwo gusimbuza niba ubu buryo butagukorera neza cyangwa butera ingaruka zikomeye. Muganga wawe ashobora gutanga igitekerezo cyo kugerageza imiti itandukanye yo guhangayika no kwiheba, bituma habaho imiti yihariye ya buri kintu.

Imiti ivanze yindi nka selective serotonin reuptake inhibitors (SSRIs) ihuzwa n'imiti igabanya impungenge y'igihe gito irashobora gukwira. Urugero ni sertraline cyangwa escitalopram ihuzwa na lorazepam cyangwa alprazolam ikoreshwa iyo bibaye ngombwa.

Ku bantu bamwe, imiti mishya igabanya ubwoba ifasha kandi mu kugabanya impungenge, nka venlafaxine cyangwa duloxetine, irashobora gukora neza nk'imiti ikoreshwa yonyine. Iyi miti irashobora kuvura ibibazo byombi bitagombye gukoresha benzodiazepine.

Uburyo butari ubw'imiti nka cognitive behavioral therapy, uburyo bwo kwitondera, cyangwa impinduka mu mibereho na bwo bushobora gushyirwa muri gahunda yawe yo kuvurwa. Muganga wawe azakorana nawe kugira ngo abone uburyo bwiza bwo kuvura bujyanye n'ikibazo cyawe.

Ese Chlordiazepoxide na Amitriptyline biruta Xanax?

Gusanisha iyi miti na Xanax (alprazolam) ntibyoroshye kuko byagenewe ibintu bitandukanye. Xanax ni benzodiazepine ikora vuba igabanya impungenge ariko ntivura umubabaro, naho iyi miti ivanze ivura ibibazo byombi icyarimwe.

Xanax isanzwe ikora vuba ku bimenyetso by'impungenge zikomeye, akenshi mu minota 30 kugeza ku isaha. Ariko, ntigena imiterere y'amarangamutima y'igihe kirekire nk'uko amitriptyline ibikora, kandi bigomba gufatwa kenshi umunsi wose.

Imiti ivanze irashobora kuba myiza niba ufite impungenge n'umubabaro icyarimwe. Itanga uburyo bwuzuye bwo kuvura ariko birashobora gutwara igihe kirekire kugira ngo bigaragare neza kandi bishobora gutera ingaruka nyinshi mbere.

Muganga wawe azatekereza ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'intego zawe zo kuvurwa mugihe cyo guhitamo hagati y'ibi byemezo. Nta na kimwe cyiza muri rusange - biterwa rwose n'icyo urimo gushaka kuvura n'uko umubiri wawe witwara ku miti itandukanye.

Ibibazo bikunze kubazwa kuri Chlordiazepoxide na Amitriptyline

Ese Chlordiazepoxide na Amitriptyline bifite umutekano ku ndwara z'umutima?

Uyu muti ukeneye kwitonderwa cyane niba ufite indwara z'umutima, kuko amitriptyline ishobora kugira ingaruka ku mutima no ku mitsi y'amaraso. Muganga wawe akenshi azategeka gukora electrocardiogram (EKG) mbere yo gutangira kuvurwa kugirango arebe imikorere y'amashanyarazi y'umutima wawe.

Abantu baherutse kugira ibibazo by'umutima, ubwoko bumwe na bumwe bwo gutera kw'umutima kutari kwo, cyangwa kunanirwa gukomeye k'umutima ntibashobora kuba abakandida beza kuri uyu muti. Ariko, niba uburwayi bwawe bw'umutima butajegajega kandi bugenzurwa neza, muganga wawe ashobora kuwugusaba ukurikiranwa hafi.

Kugenzura buri gihe birahinduka by'ingenzi cyane niba ufite ibibazo by'umutima. Muganga wawe azagenzura umuvuduko w'amaraso yawe, umuvuduko w'umutima, n'ubuzima bw'imitsi y'amaraso muri rusange mugihe urimo gufata uyu muti uvanga.

Nkwiriye gukora iki niba nanyweye Chlordiazepoxide na Amitriptyline nyinshi ku buryo butunguranye?

Niba ucyeka ko wanyoye uyu muti mwinshi cyane, shakisha ubufasha bwihutirwa bw'ubuvuzi ako kanya, nubwo wumva umeze neza muri iki gihe. Ibimenyetso byo kurenza urugero bishobora gutera buhoro buhoro kandi bishobora kurimo gusinzira cyane, urujijo, guhumeka bigoranye, cyangwa gutakaza ubwenge.

Ntugerageze kwivugisha umuriro keretse niba byategetswe na serivisi zigenzura uburozi cyangwa abakozi b'ubuvuzi bwihutirwa. Ahubwo, hamagara serivisi zihutirwa zaho cyangwa umurongo wa telefone ugenzura uburozi ako kanya kugirango ubone ubuyobozi.

Zana icupa ry'umuti nawe kwa muganga kugirango abakozi b'ubuvuzi babone neza icyo wanyoye n'igihe. Igihe ni ingenzi mu bihe byo kurenza urugero, bityo ntugatinye gushaka ubufasha mugihe utegereje kureba niba ibimenyetso bigaragara.

Nkwiriye gukora iki niba nciwe urugero rwa Chlordiazepoxide na Amitriptyline?

Niba wibagiwe urugero, rinywe ako kanya wibuka, keretse niba hafi y'igihe cy'urugero rwawe ruteganyijwe. Muricyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe – ntukongere kugirango wuzuze urugero wibagiwe.

Kutabona urugero rimwe na rimwe ntibigira akaga, ariko gerageza kugumana uburyo bumwe kugira ngo ubone ingaruka nziza zo kuvura. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe igikoresho gifasha kwibuka imiti kugira ngo bigufashe kugumana.

Niba utabonye urugero rwinshi cyangwa umaze umunsi urenga utarafata umuti, vugana na muganga wawe kugira ngo agufashe. Bashobora gushaka guhindura gahunda yawe yo gufata imiti cyangwa gutanga amabwiriza yihariye yo kongera gufata umuti mu buryo bwizewe.

Ni ryari nshobora kureka gufata Chlordiazepoxide na Amitriptyline?

Ntuzigere uhagarika gufata uyu muti ako kanya utabanje kubaza muganga wawe, kuko ibi bishobora gutera ibimenyetso byo kuva ku miti yombi. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro igipimo cyawe mu byumweru byinshi cyangwa amezi.

Umutuzo wo guhagarika akenshi uza nyuma yuko umaze amezi menshi ufata umuti kandi warabonye izindi ngamba zo guhangana cyangwa ukemura ibibazo byihishe. Muganga wawe azatekereza ku iterambere ry'ibimenyetso byawe, ingaruka ziterwa n'umuti, n'intego rusange zo kuvura.

Ibimenyetso byo kuva ku miti birimo guhangayika, kutabona ibitotsi, isesemi, n'imihindagurikire y'amarangamutima. Gukurikiza gahunda ya muganga wawe yo kugabanya ifasha kugabanya izi ngaruka kandi bituma kwimuka ku muti biba byoroshye cyane.

Nshobora kunywa inzoga niba mfata Chlordiazepoxide na Amitriptyline?

Inzoga zigomba kwirindwa cyangwa zigakoreshwa gake cyane mugihe ufata uyu muti, kuko bishobora kongera cyane ibitotsi no kubangamira imikorere yawe n'ubushishozi bwawe. Ubu buryo bushobora kandi kongera ibyago by'ingaruka ziteye akaga nk'ingorane zo guhumeka cyangwa ibitotsi bikabije.

N'ubwo inzoga ntoya zishobora kugira ingaruka zikomeye iyo zivanzwe n'uyu muti. Niba uhisemo kunywa rimwe na rimwe, wikumire ku bintu bito cyane kandi ntuzigere unywa niba wumva urimo gusinzira cyangwa utameze neza.

Ganira mu buryo bweruye na muganga wawe ku bijyanye no kunywa inzoga, kuko ashobora gutanga inama zishingiye ku miterere yawe. Abantu bamwe bashobora gukenera kwirinda inzoga burundu bakoresha uyu muti, mu gihe abandi bashobora kunywa inzoga rimwe na rimwe, ariko ku rugero ruto cyane.