Icyo Fluoxetine ari cyo: Ibyo ikoreshwa, urugero rwa dose, ingaruka zayo n'ibindi

Fluoxetine ni umuti wandikirwa na muganga ugabanya ububabare bwo mu mutwe, ukaba mu itsinda ry'imiti yitwa selective serotonin reuptake inhibitors (SSRIs). Ikora yongera urwego rwa serotonin, umuti kamere mu bwonko bwawe ufasha kugenzura imitekerereze, ibitotsi, n'amarangamutima. Ushobora kumenya neza fluoxetine ku izina ryayo rya Prozac, kandi ni umwe mu miti igabanya ububabare bwo mu mutwe wandikwa cyane ku isi yose.

Fluoxetine ni iki?

Fluoxetine ni ubwoko bw'umuti ugabanya ububabare bwo mu mutwe ufasha kuringaniza imiti yo mu bwonko kugira ngo iteze imbere imitekerereze yawe n'imibereho myiza y'amarangamutima. Ni igice cy'umuryango w'imiti yitwa SSRIs, ifatwa nk'ifite umutekano kurusha kandi ifite ingaruka nke kurusha imiti igabanya ububabare bwo mu mutwe ya kera.

Uyu muti uza mu buryo bwa capsule, tablet, n'amazi uyanywa mu kanwa. Umaze gufasha abantu gucunga ububabare bwo mu mutwe n'izindi ndwara zo mu mutwe mu myaka irenga 30, hamwe na miliyoni z'abantu babona ubufasha binyuze mu gukoreshwa kwayo.

Fluoxetine ikoreshwa mu iki?

Fluoxetine ivura indwara nyinshi zo mu mutwe, aho ububabare bwo mu mutwe ari cyo kintu gikunze gutuma abaganga bayandika. Ariko, uyu muti w'ubuhanga ushobora gufasha n'ibindi bibazo bitandukanye.

Dore indwara nyamukuru fluoxetine ishobora gufasha kuvura:

• Uburwayi bukomeye bwo mu mutwe (ububabare bwo mu mutwe bwa kliniki)
• Uburwayi bwo guhora wibuka ibintu (OCD)
• Uburwayi bwo guhagarika umutima no guhagarika umutima
• Bulimia nervosa (indwara yo kurya)
• Uburwayi bwo mbere y'imihango (PMDD)
• Uburwayi bwo guhangayika muri rusange
• Uburwayi bwo guhangayika mu mibanire
• Uburwayi bwo guhangayika nyuma y'ihungabana (PTSD)

Muganga wawe ashobora kandi kwandika fluoxetine kubera izindi ndwara zitagaragara hano, kuko ishobora gufasha mu bibazo bitandukanye bijyanye n'imitekerereze no guhangayika. Ikintu cy'ingenzi ni uko ifasha kugenzura urwego rwa serotonin, rugira ingaruka ku bintu byinshi by'ubuzima bwawe bwo mu mutwe.

Fluoxetine ikora ite?

Fluoxetine ikora ibi ikingira gusubizwa mu bwonko bwawe kwa serotonin, bigatuma iyi shimi ikora ku mutima iguma irimo. Tekereza serotonin nk'umutumwa ufasha uturemangingo tw'imitsi kuvugana ku bijyanye n'umutima, ibitotsi, ubushake bwo kurya, n'amarangamutima.

Iyo ufite umubabaro cyangwa impungenge, ubwonko bwawe bushobora kutagira serotonin ihagije, cyangwa bushobora kuyikuraho vuba cyane. Fluoxetine ikora nk'ipfundo ryoroheje kuri ubu buryo bwo gukuraho, ifasha kugumisha urwego rwa serotonin rumeze neza.

Uyu muti ufatwa nk'ukomeye mu buryo buciriritse mu miti igabanya umubabaro. Ntabwo ari wo muti ukomeye cyane uboneka, ariko ufitiye akamaro abantu benshi kandi wihanganirwa neza. Ibyo ukora bigenda byiyongera buhoro buhoro mu byumweru byinshi uko ubwonko bwawe bujyana n'urwego rwa serotonin rumeze neza.

Nkwiriye gufata Fluoxetine nte?

Ushobora gufata fluoxetine urya cyangwa utarya, nubwo kuyifata urya bishobora gufasha kugabanya ibibazo byo mu nda niba hari ibyo ubona. Abantu benshi babona ko byoroshye gufata urugero rwabo ku gihe kimwe buri munsi, akenshi mu gitondo.

Mimina ibinini cyangwa amavuta yose hamwe n'ikirahure cyuzuye cy'amazi. Niba ufata umuti w'amazi, pima urugero rwawe neza ukoresheje igikoresho cyo gupima cyatanzwe, ntabwo ari ikiyiko cyo mu rugo.

Gufata fluoxetine mu gitondo akenshi birasabwa kuko rimwe na rimwe bishobora gutera imbogamizi nto ku bitotsi iyo bifashwe nyuma y'umunsi. Ariko, abantu bamwe basanga bibatera gusinzira cyane kandi bakunda kuyifata nimugoroba.

Ntabwo ukeneye kurya ibiryo byihariye mbere yo gufata fluoxetine, ariko kugumisha ibiryo bisanzwe, bifite intungamubiri zihagije bishobora gufasha umubiri wawe gukora umuti mu buryo buhoraho. Irinda inzoga mugihe ufata uyu muti, kuko bishobora kongera ingaruka mbi no kugabanya imikorere y'umuti.

Nkwiriye gufata Fluoxetine igihe kingana gute?

Abantu benshi bakeneye gufata fluoxetine byibuze amezi 6 kugeza kuri 12 kugira ngo babone akamaro kayo kose, nubwo bamwe bashobora kuyikeneye igihe kirekire. Muganga wawe azakorana nawe kugira ngo amenye igihe gikwiye gishingiye ku burwayi bwawe bwihariye n'uburyo wemera imiti.

Mubisanzwe bifata ibyumweru 4 kugeza kuri 6 kugira ngo wumve ingaruka zose za fluoxetine, bityo kwihangana ni ngombwa mu gihe cyo gutangira kuvurwa. Ushobora kubona impinduka zimwe na zimwe mu gusinzira, ubushake bwo kurya, cyangwa urwego rw'imbaraga mu byumweru 1-2 bya mbere, ariko imyumvire myiza mubisanzwe bifata igihe kirekire.

Kuburwayi bumwe na bumwe nka OCD cyangwa indwara yo guhagarika umutima, ushobora gukenera gufata fluoxetine umwaka cyangwa kurenza kugira ngo ugumane ituze. Muganga wawe azagenzura buri gihe uko urimo utera imbere kandi ashobora kugabanya buhoro buhoro urugero rwawe igihe bikwiye guhagarara.

Ntuzigere uhagarika gufata fluoxetine ako kanya utabanje kuvugana na muganga wawe. Guhagarara vuba cyane bishobora gutera ibimenyetso byo gukurwaho imiti, bityo muganga wawe azagufasha kugabanya imiti buhoro buhoro igihe kigeze.

Ni izihe ngaruka ziterwa na Fluoxetine?

Kimwe n'imiti yose, fluoxetine ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzibona. Ingaruka nyinshi ziterwa n'imiti ni nto kandi akenshi ziragenda zikemuka uko umubiri wawe wimenyereza imiti mu byumweru bike bya mbere.

Dore ingaruka ziterwa n'imiti zisanzwe ushobora guhura nazo:

• Kuruka cyangwa kuribwa mu nda
• Umutwe
• Kugorwa no gusinzira cyangwa gusinzira cyane
• Umunwa wumye
• Kubura ubushake bwo kurya
• Urugero
• Ubwoba cyangwa guhangayika
• Impinduka mu bushake bwo gukora imibonano mpuzabitsina cyangwa imikorere
• Kunyeganyega cyangwa guhinda umushyitsi

Izi ngaruka ziterwa n'imiti zisanzwe zikunze kugabanuka uko umubiri wawe umenyera imiti. Niba zikomeje cyangwa zikaba imbogamizi, muganga wawe akenshi ashobora guhindura urugero rwawe cyangwa agasaba uburyo bwo kuzicunga.

Abantu bamwe bashobora guhura n'ingaruka ziterwa n'imiti zikomeye ariko zitagaragara cyane. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya:

• Impinduka zikomeye mu myumvire cyangwa ibitekerezo byo kwiyahura (cyane cyane ku bantu bari munsi y'imyaka 25)
• Gusohoka amaraso cyangwa gukomereka bidasanzwe
• Isesemi ikabije, kuruka, cyangwa impiswi
• Umutima utera nabi
• Umutwe ukabije cyangwa urujijo
• Uburwayi bwo gufatwa n'indwara
• Ibimenyetso bya syndrome ya serotonin (umuriro mwinshi, umutima utera cyane, imitsi y'umubiri ikakara)

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa. Wibuke ko umuganga wawe yaguhaye uyu muti kuko yizera ko inyungu ziruta ibyago ku miterere yawe yihariye.

Ninde utagomba gufata Fluoxetine?

Fluoxetine ntikwiriye kuri buri wese, kandi hariho ibihe bimwe na bimwe aho umuganga wawe ashobora guhitamo undi muti. Inzitizi ikomeye ni uko udashobora gufata fluoxetine niba uri gufata cyangwa umaze iminsi mike ufata MAOIs (monoamine oxidase inhibitors).

Ugomba kubwira umuganga wawe niba ufite kimwe muri ibi bibazo mbere yo gutangira gufata fluoxetine:

• Uburwayi bwa bipolar cyangwa ibihe bya manic
• Amateka y'uburwayi bwo gufatwa n'indwara cyangwa epilepsi
• Uburwayi bw'umwijima cyangwa impyiko
• Ibibazo by'umutima cyangwa umutima utera nabi
• Uburwayi bwo kuva amaraso cyangwa gufata imiti ituma amaraso atavura vuba
• Glaucoma (umuvuduko w'amaso wiyongereye)
• Amateka y'ibitekerezo byo kwiyahura cyangwa kugerageza kwiyahura
• Gusama cyangwa konsa

Imyaka nayo ni ikintu cy'ingenzi. Urubyiruko ruri munsi y'imyaka 25 rushobora kugira ibyago byiyongereye byo kugira ibitekerezo byo kwiyahura iyo rutangiye gufata imiti igabanya ubwoba, bityo rukeneye gukurikiranwa cyane mu mezi make ya mbere yo kuvurwa.

Niba utwite cyangwa ufite gahunda yo gutwita, ganira n'umuganga wawe kuri ibi. Nubwo fluoxetine ishobora gukoreshwa mugihe cyo gutwita mu bihe bimwe na bimwe, inyungu n'ibibazo bigomba gusuzumwa neza kuri wowe no ku mwana wawe.

Amazina y'ubwoko bwa Fluoxetine

Fluoxetine iboneka mu mazina menshi y'ubucuruzi, Prozac ikaba ariyo izwi cyane. Andi mazina y'ubucuruzi arimo Sarafem, ikoreshwa by'umwihariko mu kuvura indwara ya premenstrual dysphoric disorder (PMDD).

Urashobora kandi kubona fluoxetine nk'umuti rusange, urimo ibintu bikora kimwe n'ibicuruzwa by'amazina y'ubucuruzi ariko akenshi bihendutse. Fluoxetine rusange ikora neza kimwe na Prozac cyangwa andi mazina y'ubucuruzi.

Uburyo bumwe buhuza fluoxetine n'indi miti, nka Symbyax (fluoxetine hamwe na olanzapine) yo kuvura agahinda gakabije. Muganga wawe azahitamo uburyo bukwiye bushingiye ku byo ukeneye n'uburwayi ufite.

Izindi Miti Zisimbura Fluoxetine

Niba fluoxetine itagukwiriye, hariho ubundi buryo bwinshi bwo kuvura neza. Izindi miti ivura agahinda ya SSRI ikora kimwe na fluoxetine kandi ishobora kuba ikwiriye kurushaho ibyo ukeneye.

Izindi zikoreshwa cyane zirimo:

• Sertraline (Zoloft) - akenshi ifite imikoranire mike y'imiti
• Escitalopram (Lexapro) - ishobora gutera ingaruka nke
• Citalopram (Celexa) - indi nzira ikoreshwa neza
• Paroxetine (Paxil) - ikora neza ku ndwara z'umutima

Muganga wawe ashobora kandi gutekereza ku zindi moko y'imiti ivura agahinda nka SNRIs (serotonin-norepinephrine reuptake inhibitors) nka venlafaxine (Effexor) cyangwa duloxetine (Cymbalta), bitewe n'ibimenyetso ufite n'amateka yawe y'ubuvuzi.

Ubuvuzi butakoresha imiti nka cognitive behavioral therapy (CBT), imyitozo ngororamubiri, n'imihindukire y'imibereho na bwo bushobora kuba ubundi buryo bwo kuvura neza cyangwa ubuvuzi bwuzuzanya n'imiti.

Ese Fluoxetine iruta Sertraline?

Fluoxetine na sertraline ni imiti ivura agahinda ya SSRI ikora neza, kandi nta n'imwe iruta indi. Guhitamo hagati yazo akenshi biterwa n'uko ubuzima bwawe bwifashe, uko ingaruka zigaragara, n'uko umubiri wawe witwara kuri buri muti.

Fluoxetine ifite igihe kirekire cyo kubaho, bivuze ko iguma mu mubiri wawe igihe kirekire. Ibi birashobora kugira akamaro niba rimwe na rimwe utanze imiti, ariko nanone bivuze ko bitwara igihe kirekire kugirango ive mu mubiri wawe niba ukeneye guhagarika cyangwa guhindura imiti.

Sertraline irashobora gutera ibibazo bike byo guhura n'imiti kandi irashobora kwihanganirwa neza nabantu bamwe, cyane cyane abagira ingaruka ziterwa n'imibonano mpuzabitsina. Ariko, fluoxetine irashobora kugira akamaro kurwego rwo hejuru kubibazo bimwe na bimwe nka obsessive-compulsive disorder.

Muganga wawe azatekereza ibintu nk'ibimenyetso byawe byihariye, indi miti urimo gufata, amateka yawe yubuvuzi, nibyo ukunda mugihe uhitamo hagati yiyi miti. Ibyo bikora neza kumuntu umwe birashobora kutaba amahitamo meza kubundi.

Ibikunze Kubazwa Kubijyanye na Fluoxetine

Ese Fluoxetine iratekanye kubibazo byumutima?

Fluoxetine muri rusange iratekanye kubantu bafite ibibazo byumutima, ariko muganga wawe agomba gusuzuma uko ubuzima bwawe buhagaze. Bitandukanye na bimwe mubindi bya antidepressant, fluoxetine mubisanzwe ntigira ibibazo bikomeye byumutima cyangwa impinduka zumuvuduko wamaraso.

Ariko, niba ufite amateka yindwara yumutima, umutima utagenda neza, cyangwa ufata imiti yumutima, muganga wawe ashobora gushaka kugukurikiranira hafi. Barashobora gutangira kugufata urugero ruto cyangwa bagategeka ibindi bizami kugirango barebe neza ko umutima wawe ukomeza kugira ubuzima bwiza mugihe uvurwa.

Buri gihe menyesha muganga wawe ibibazo byose byumutima mbere yo gutangira fluoxetine, kandi uvuge kubibazo byose bidasanzwe byo mu gituza, umutima wihuta, cyangwa guhumeka nabi mugihe ufata umuti.

Nigute nzagira niba mfashe fluoxetine nyinshi nkana?

Niba ufata fluoxetine nyinshi nkana kuruta uko byateganijwe, vugana numuganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, cyane cyane niba wafashe byinshi cyane kuruta urugero rwawe rusanzwe. Ntukegere kureba niba ibimenyetso bigaragara.

Ibimenyetso byo kurenza urugero rwa fluoxetine birimo isesemi ikabije, kuruka, gufatwa n'ibihungabanyo, umutima utagenda neza, cyangwa gusinzira cyane. Mu bihe bikomeye, fluoxetine nyinshi cyane irashobora gutera serotonin syndrome, ikeneye ubufasha bwihuse bw'abaganga.

Niba umuntu ataye ubwenge cyangwa agize ingorane zo guhumeka nyuma yo kunywa fluoxetine nyinshi cyane, hamagara serivisi zihutirwa ako kanya. Bika urupapuro rw'umuti hamwe nawe kugirango wereke abaganga neza icyo banyoye.

Nkwiriye gukora iki niba nciwe urugero rwa fluoxetine?

Niba wibagiwe gufata urugero rwa fluoxetine, rufate uko wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Kubera ko fluoxetine iguma mu mubiri wawe igihe kirekire, kwibagirwa urugero rumwe rimwe na rimwe ntibizateza ibibazo.

Niba ukunda kwibagirwa urugero, gerageza gushyiraho alarume ya buri munsi cyangwa ukoreshe umuteguro w'ibinyobwa kugirango bikufashe kwibuka. Gufata imiti buri munsi bifasha kubungabunga urugero rwa imiti mu mubiri wawe kugirango ubone ibisubizo byiza.

Nshobora guhagarika ryari gufata fluoxetine?

Ugomba guhagarika gufata fluoxetine gusa ukurikije ubuyobozi bw'umuganga wawe, akenshi nyuma yo kumva umeze neza amezi menshi. Abaganga benshi basaba gukomeza kuvura byibuze amezi 6-12 nyuma yuko ibimenyetso byawe bigabanuka kugirango birinde gusubira inyuma.

Umuganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi aho guhagarara ako kanya. Ubu buryo bwo kugabanya bufasha kwirinda ibimenyetso byo gukurwaho nk'izunguzungu, ibimenyetso bisa na gripe, cyangwa impinduka z'amarangamutima.

Icyemezo cyo guhagarika fluoxetine giterwa n'ibintu nk'igihe umaze uyifata, niba iyi ari inshuro yawe ya mbere yo kwiheba, n'ubuzima bwawe bwose bwo mu mutwe. Abantu bamwe bashobora gukenera kuvurwa igihe kirekire kugirango bagumane imibereho myiza.

Nshobora kunywa inzoga nkanwa fluoxetine?

Ni byiza kwirinda inzoga igihe ufata fluoxetine, kuko inzoga ishobora gutuma ibimenyetso byo kwiheba no guhangayika birushaho kandi bishobora kongera ingaruka zimwe na zimwe nk'ibitotsi no kuribwa umutwe. Inzoga kandi ishobora kubangamira uburyo umuti ukora neza.

Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi kandi witondere uko wumva. Ntukoreshe inzoga kugirango uhangane n'ibimenyetso byo kwiheba cyangwa guhangayika, kuko ibi bishobora gutera ibibazo bikomeye.

Ganira mu buryo bweruye na muganga wawe ku bijyanye no kunywa inzoga kwawe. Bashobora gutanga inama zihariye zishingiye ku miterere yawe kandi bakagufasha gukora uburyo bwo guhangana buzima bwo gucunga ubuzima bwawe bwo mu mutwe.