Clobazam ni iki: Ibikoresho, Uburyo bwo Gufata, Ingaruka Zishobora Kugaragara n'ibindi

Clobazam ni umuti wandikirwa na muganga wo mu muryango w'imiti yitwa benzodiazepines. Ukora mu gutuza ibimenyetso by'amashanyarazi akabije mu bwonko bwawe, ibyo bigatuma bifasha cyane abantu bahanganye n'ibibazo byo gufatwa n'indwara cyangwa guhangayika bikabije. Utekereze nk'uburyo bwo guhagarika buhoro buhoro sisitemu yawe y'imitsi iyo ibintu biba bikomeye cyane.

Uyu muti umaze imyaka myinshi kandi wafashije abantu babarirwa muri za miliyoni gucunga ibibazo byabo mu buryo bwizewe. Nubwo ari umuti ugomba gucungwa neza kandi ugomba gukurikiranwa neza, ushobora kuba igikoresho gifasha cyane iyo ukoreshejwe neza kandi ukurikiranwa na muganga.

Clobazam ikoreshwa mu iki?

Clobazam ikoreshwa cyane mu gukumira gufatwa n'indwara, cyane cyane ku bantu barwaye igituntu. Bifasha cyane ku bwoko bukomeye bw'igituntu cy'abana bita Lennox-Gastaut syndrome, aho indi miti ishobora kutagira icyo yongera.

Usibye kugenzura gufatwa n'indwara, abaganga rimwe na rimwe bandikira clobazam ku bantu bafite ibibazo bikabije byo guhangayika iyo izindi nshuti zitatanze umuti uhagije. Irashobora kandi gukoreshwa igihe gito mu gufasha mu guhagarika imitsi cyangwa nk'igice cyo kuvura abantu bava mu biyobyabwenge mu bitaro.

Abantu bamwe kandi bahabwa clobazam nk'umuti wongerwa iyo imiti yabo y'ubu ifasha mu gufata indwara ikeneye ubufasha bwiyongera. Muganga wawe azemeza niba bikwiye ku kibazo cyawe cyihariye hashingiwe ku mateka yawe y'ubuzima n'ibimenyetso byawe by'ubu.

Clobazam ikora ite?

Clobazam ikora mu kongera ingaruka z'imiti kamere mu bwonko bwawe yitwa GABA (gamma-aminobutyric acid). GABA ikora nk'ikimenyetso kamere cy'ubwonko cyawe cyo "gutuza", gifasha kugabanya umuvuduko w'uturemangingo tw'imitsi twahagurukiye.

Iyo ibibazo byo gufatwa n’indwara bibaye, akenshi biterwa n’ibimenyetso by’amashanyarazi mu bwonko bwawe bikora vuba cyangwa mu buryo butunganye. Mu kongera ingaruka zo gutuza za GABA, clobazam ifasha kugarura imiterere y’amashanyarazi yuzuye mu bwonko bwawe. Ibi bituma gufatwa n’indwara bidashoboka kandi bishobora kugabanya ubukana bwabyo iyo bibaye.

Ugereranije n’imiti imwe yo kuvura gufatwa n’indwara, clobazam ifatwa nk’uburyo bukomeye. Birakomeye bihagije kugenzura indwara zikomeye zo gufatwa n’indwara ariko muri rusange bitera ingaruka nke ugereranije n’izindi nzira zikomeye. Ubu buryo butuma iba uburyo bw’agaciro mu kuvura igihe kirekire.

Nkwiriye gufata clobazam nte?

Fata clobazam nk’uko umuganga wawe abikwandikiye, akenshi rimwe cyangwa kabiri ku munsi. Urashobora kuyifata hamwe cyangwa udafite ibiryo, ariko kuyifata hamwe n’ifunguro ryoroheje cyangwa ifunguro rito rishobora gufasha kwirinda kuribwa mu gifu ku bantu bamwe.

Mimina ibinini byose hamwe n’ikirahure cyuzuye cy’amazi. Niba ufata ifishi y’amazi, koresha igikoresho cyo gupima kizana n’umuti wawe kugirango wemeze ko ubona urugero rukwiye. Ikiyiko gisanzwe ntigikora neza ku miti y’amazi.

Gerageza gufata imiti yawe mu gihe kimwe buri munsi kugirango ugumane urwego ruzigama mu mubiri wawe. Niba uyifata kabiri ku munsi, gabanura imiti hafi amasaha 12. Gushyiraho ibyibutsa kuri terefone birashobora kugufasha kuguma mu murongo hamwe n’igihe cyawe.

Irinda inzoga mugihe ufata clobazam, kuko bishobora kongera gusinzira kandi bikaba bishobora gutera ingaruka ziteje akaga. Nanone, ntukareke gufata uyu muti ako kanya utabanje kuvugana n’umuganga wawe, kuko ibi bishobora gutera ibimenyetso byo gukurwaho cyangwa gufatwa n’indwara.

Nkwiriye gufata clobazam igihe kingana iki?

Igihe cyo kuvurwa na clobazam gitandukanye cyane bitewe n’uburwayi bwawe n’uburyo wemera umuti. Kubera indwara yo gufatwa n’indwara, abantu benshi bayifata imyaka myinshi cyangwa ndetse burundu nk’igice cy’umugambi wabo wo kugenzura gufatwa n’indwara.

Niba ufata clobazam kubera guhangayika, muganga wawe ashobora kukwandikira iminsi mike, akenshi ibyumweru bike kugeza ku mezi make. Gukoresha igihe kirekire kubera guhangayika biririndwa muri rusange kubera ingaruka zo kwishingikiriza.

Muganga wawe azajya asuzuma imiti yawe buri gihe kugirango arebe niba clobazam ikigukwiriye. Bazatekereza ibintu nk'uko ibimenyetso byawe bigenda bigabanuka, ingaruka zose zikubaho, niba izindi miti zaba zikwiriye.

Ntuzigere ufata icyemezo cyo kureka gufata clobazam wenyine, niyo waba wumva umeze neza. Guhagarika umuti mu buryo butunguranye birashobora guteza akaga kandi bishobora gutera ibimenyetso byo kuva ku miti cyangwa gusubira mu bihe byawe bya mbere. Muganga wawe azagufasha kugabanya umuti buhoro buhoro igihe bizaba ngombwa.

Ni izihe ngaruka ziterwa na Clobazam?

Kimwe n'indi miti yose, clobazam irashobora gutera ingaruka, nubwo atari buri wese uzigira. Ingaruka nyinshi ziba nto kandi zigenda zikira uko umubiri wawe umenyera umuti mu byumweru bike bya mbere.

Dore ingaruka zisanzwe ushobora kubona uko umubiri wawe umenyera clobazam:

• Gusinzira cyangwa kumva unaniwe ku manywa
• Kuribwa umutwe cyangwa kumva udashikamye ku birenge byawe
• Kunanirwa cyangwa kumva urushye kurusha uko byari bisanzwe
• Kugorana kwibanda cyangwa ibibazo byo kwibuka
• Kuruka cyangwa kurwara inda
• Impinduka mu rwego rwo kurya
• Impinduka z'amarangamutima cyangwa kumva urakaye

Izi ngaruka zisanzwe zikunda kugabanuka uko umubiri wawe umenyera, ariko menyesha muganga wawe niba zikomeje cyangwa zikabangamira imirimo yawe ya buri munsi.

Abantu bamwe bashobora kugira ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga, nubwo ibi bitaba kenshi:

• Uburwayi bukomeye bwo kwibasirwa n'umubiri, hamwe n'uruhu ruranga, kubyimba, cyangwa kugorwa no guhumeka
• Impinduka zidasanzwe mu myifatire cyangwa imyitwarire, harimo n'ibitekerezo byo kwangiza
• Urugero rwo kuribwa cyane cyangwa guta ubwenge
• Urujijo cyangwa gutakaza ubwenge
• Kugorwa no kuvuga cyangwa kuvuga nabi
• Ukuva amaraso cyangwa gukomereka bidasanzwe
• Ibimenyetso by'ibibazo by'umwijima nk'uruhu cyangwa amaso y'umuhondo

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

Ninde utagomba gufata Clobazam?

Clobazam ntirigukwiriye kuri buri wese, kandi hariho ibihe bitandukanye aho muganga wawe ashobora guhitamo umuti utandukanye kuri wowe. Abantu bafite uburwayi runaka cyangwa abafata imiti runaka bashobora gukenera kwirinda clobazam rwose.

Ntabwo ugomba gufata clobazam niba ufite allergie izwi kuri benzodiazepines cyangwa niba ufite ibibazo bikomeye byo guhumeka nk'uburwayi bwo gusinzira cyangwa indwara y'umwuka ihoraho (COPD). Uyu muti urashobora gutuma guhumeka kwawe kugenda gake, ibyo bishobora kuba byateza akaga.

Abantu bafite indwara ikomeye y'umwijima, ubwoko runaka bwa glaucoma, cyangwa amateka y'ibiyobyabwenge cyangwa ubujura ntibashobora kuba abakandida beza kuri clobazam. Byongeye kandi, niba utwite cyangwa wonka, muganga wawe azakenera gupima neza inyungu zihari n'ibishobora guteza akaga ku mwana wawe.

Abantu bakuze bashobora kwitwararika cyane ku ngaruka za clobazam kandi bashobora gukenera imiti mike cyangwa gukurikiranwa kenshi. Niba urengeje imyaka 65, muganga wawe ashobora gutangira kugufata urugero ruto hanyuma akaruhindura buhoro buhoro bitewe n'uko witwara.

Amazina y'ubwoko bwa Clobazam

Clobazam iboneka munsi y'amazina menshi y'ubwoko, Onfi ikaba ari yo ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Ayandi mazina y'ubwoko arimo Frisium, iboneka mu bindi bihugu.

Ubundi bwoko bwa clobazam buraboneka kandi burimo ibintu bikora kimwe nk'ubwoko bw'amazina y'ubucuruzi. Farumasi yawe ishobora gusimbuza ubwoko bwa rusange mu buryo bwikora keretse muganga wawe asabye byihariye izina ry'ubucuruzi.

Niba wakira clobazam y'izina ry'ubucuruzi cyangwa rusange, umuti ugomba gukora kimwe. Niba ubonye itandukaniro iryo ariryo ryose mu mikorere cyangwa ingaruka ziterwa n'uruhande iyo uhinduye hagati y'ubwoko, menyesha muganga wawe kugirango ashobore guhindura uburyo uvurwa niba bikenewe.

Izindi nzira za Clobazam

Niba clobazam itagukwiriye, hari imiti myinshi isimbura muganga wawe ashobora gutekereza. Kugirango ugenzure ibyago, izindi nzira zirimo levetiracetam (Keppra), lamotrigine (Lamictal), cyangwa aside ya valproic (Depakote).

Kugirango uvure umunabi, izindi nzira zirimo izindi benzodiazepines nka lorazepam (Ativan) cyangwa clonazepam (Klonopin), cyangwa ibindi bitari benzodiazepine nka buspirone cyangwa imiti imwe yo kurwanya umunabi.

Uburyo bwiza busimbura buterwa n'uburwayi bwawe bwihariye, amateka yawe y'ubuvuzi, n'uburyo wagaragaje ko wakira izindi mvura. Muganga wawe azakorana nawe kugirango abone uburyo bwiza bufite ingaruka nke ziterwa n'uruhande kubera uko bimeze.

Ese Clobazam iruta Clonazepam?

Clobazam na clonazepam ni benzodiazepines ikoreshwa mugukontorora ibyago, ariko bafite itandukaniro rikomeye. Clobazam akunda gukoreshwa mugucunga ibyago by'igihe kirekire kuko akunda gutera ubwoba buke no guhungabanya ubwenge kuruta clonazepam.

Clonazepam ikora vuba kandi irashobora kuba nziza mugukontorora ibyago byihuse, mugihe clobazam itanga uburinzi burambye, burambye hamwe n'ingaruka nke ziterwa n'uruhande. Clobazam kandi ifite ubuzima burebure, bivuze ko iguma mumubiri wawe igihe kirekire kandi ishobora gusaba doze nkeya za buri munsi.

Ubwoko bwa imiti uhitamo biterwa n'ubwoko bw'ibihungabana ufite, imibereho yawe, n'uko witwara kuri buri muti. Muganga wawe azatekereza ibyo ukeneye kugira ngo amenye uburyo bukwiye kuri wowe.

Ibibazo Bikunze Kubazwa Kuri Clobazam

Ese Clobazam irakoreshwa igihe kirekire itagira ingaruka?

Yego, clobazam irashobora gukoreshwa igihe kirekire neza iyo igenzurwa neza n'umuganga wawe. Abantu benshi barwaye igituntu bayifata imyaka myinshi nta bibazo bikomeye. Ariko, kuyikoresha igihe kirekire bisaba ko uza gusuzumwa kenshi kugira ngo barebe ingaruka zishobora kubaho kandi barebe niba umuti ugikora neza.

Muganga wawe azajya areba imikorere y'umwijima wawe, imibare y'amaraso, n'ubuzima bwawe muri rusange kugira ngo amenye ibibazo byose hakiri kare. Bazareba kandi niba ugikura inyungu nyinshi ku muti kandi bagahindura gahunda yawe yo kuvurwa uko bikwiye.

Nkwiriye gukora iki niba mfashe clobazam nyinshi bitunguranye?

Niba ufata clobazam nyinshi bitunguranye kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, kabone niyo wumva umeze neza. Guha umubiri umuti mwinshi bishobora gutera gusinzira cyane, urujijo, cyangwa ibibazo byo guhumeka.

Ntugerageze kwivugisha umuriro keretse niba ubisabwe n'umuganga. Niba hari umuntu wafashe umuti mwinshi akaba atagishoboye kwitaho cyangwa afite ibibazo byo guhumeka, hamagara serivisi zihutirwa ako kanya.

Bika amakuru y'igihe wafatiyeho umuti n'ingano yawo kugira ngo ushobore gutanga aya makuru ku baganga. Kugira urupapuro rw'umuti hamwe nawe birashobora no kubafasha gutanga ubuvuzi bwiza.

Nkwiriye gukora iki niba nirengagije gufata doze ya clobazam?

Niba wibagiwe gufata doze ya clobazam, yifate ako kanya wibuka, keretse igihe cyo gufata doze yawe itaha kigeze. Muri icyo gihe, reka doze wibagiwe ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntugasuzume imiti ibiri icyarimwe kugira ngo usimbure urugero rwasibye, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakurikira. Niba ukunda kwibagirwa imiti, tekereza gushyiraho alarme kuri terefone cyangwa gukoresha umuteguro w'imiti kugira ngo bigufashe gukurikirana.

Niba usiba imiti kenshi cyangwa ufite ibibazo byerekeye icyo wakora iyo usibye urugero, ganira na muganga wawe cyangwa umufarumasiti. Bashobora gutanga ubujyanama bwihariye bushingiye ku miterere yawe n'igihe cyo gufata imiti.

Ni ryari nshobora kureka gufata Clobazam?

Ugomba kureka gufata clobazam gusa ukurikiza ubuyobozi n'ubujyanama bwa muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho nk'imivurungano yiyongera, guhangayika, kutagira ibitotsi, cyangwa ndetse n'ibibazo biteye ubuzima bw'akaga mu bihe bimwe na bimwe.

Igihe kigeze cyo guhagarika clobazam, muganga wawe azakora gahunda yo kugabanya buhoro buhoro igabanya urugero rwawe mu byumweru byinshi cyangwa amezi menshi. Ibi biha umubiri wawe umwanya wo guhuza no kugabanya ibyago byo kugira ibimenyetso byo gukurwaho.

N'iyo wumva umeze neza rwose, ntukareke gufata clobazam utabanje kubisaba muganga. Muganga wawe akeneye gusuzuma niba ari byiza guhagarika umuti kandi akemeza ko ufite ubundi buryo bwo kuvura niba bikwiye.

Ese nshobora gutwara imodoka nkanwa Clobazam?

Clobazam ishobora kugira ingaruka ku bushobozi bwawe bwo gutwara neza, cyane cyane iyo utangiye kuyifata cyangwa iyo urugero rwawe ruhindutse. Uyu muti ushobora gutera gusinzira, isereri, n'igihe kirekire cyo gusubiza, ibyo byose bishobora kubangamira ubushobozi bwawe bwo gutwara.

Tegereza urebe uko clobazam ikugiraho ingaruka mbere yo gutwara cyangwa gukoresha imashini. Abantu bamwe bahuza n'umuti vuba kandi bashobora gutwara neza, mu gihe abandi bashobora gukenera kwirinda gutwara rwose mugihe bawufata.

Ganira na muganga wawe ku bijyanye n'umutekano wo gutwara kandi ukurikize amategeko yawe yerekeye gutwara mugihe ufata imiti yanditswe. Umutekano wawe n'umutekano w'abandi bari mu muhanda bagomba guhora ari wo wa mbere.