Icyo Isocarboxazid ari cyo: Ibyo ikoreshwa, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Isocarboxazid ni umuti wandikirwa na muganga uvura umubabaro wo mu mutwe, ukaba mu cyiciro cy'imiti yitwa monoamine oxidase inhibitors (MAOIs). Ikora ibyo ikingira enzyme mu bwonko bwawe isenya imisemburo imwe n'imwe igenzura imyumvire, ikemerera ibi bintu bisanzwe kuguma bikora igihe kirekire kandi bigafasha kunoza imyumvire yawe.

Uyu muti akenshi wandikirwa iyo indi miti ivura umubabaro wo mu mutwe itagukoreye neza. Nubwo ishobora kugira akamaro kanini, bisaba gukurikiranwa neza no kugabanya ibyo urya kubera uburyo ifatanya n'ibiryo bimwe na bimwe n'indi miti.

Isocarboxazid ikoreshwa mu kuvura iki?

Isocarboxazid ikoreshwa cyane cyane mu kuvura indwara ikomeye yo mu mutwe, cyane cyane mu gihe indi miti ivura umubabaro wo mu mutwe itagize icyo igeraho. Muganga wawe ashobora kugusaba uyu muti niba wagerageje uburyo bwinshi bwo kuvurwa ariko ntugire icyo ugeraho.

Rimwe na rimwe abaganga bandikira isocarboxazid mu kuvura izindi ndwara nka panic disorder cyangwa social anxiety disorder, nubwo ibi bifatwa nk'ibyo ikoreshwa mu buryo butemewe. Ibi bivuze ko uyu muti ufasha mu kuvura izi ndwara nubwo atari wo wari wateganyirijwe.

Kubera ko isocarboxazid ari umuti ukomeye ufite ibyo usaba byihariye, akenshi igenewe abantu batagize icyo bageraho ku miti mishya, ifite umutekano kurusha iyindi ivura umubabaro wo mu mutwe. Muganga wawe azatekereza neza niba inyungu ziruta ibyago mu bihe byawe byihariye.

Isocarboxazid ikora ite?

Isocarboxazid ikora ikingira monoamine oxidase, enzyme isenya imisemburo igenzura imyumvire mu bwonko bwawe nk'imisemburo ya serotonin, dopamine, na norepinephrine. Iyo iyi enzyme yakingiwe, iyi misemburo y'ingenzi iguma ikora igihe kirekire, ibi bikaba byafasha kunoza imyumvire yawe no kugabanya ibimenyetso byo kwiheba.

Uyu muti ufatwa nk'umuti ukomeye uvura depression, ariko urushijeho kuba uruharurukira ugereranyije n'indi miti mishya. Uburyo ukora buhagarika ibintu bugira ingaruka ku mubiri wawe wose, ntabwo ari mu bwonko gusa, ni yo mpamvu ugomba kwitonda ku byo urya no ku yindi miti ufata mu gihe uwukoresha.

Muri rusange, bifata ibyumweru byinshi kugira ngo wumve neza akamaro ka isocarboxazid. Ushobora kubanza kubona impinduka mu rwego rw'imbaraga zawe, hanyuma ukagenda ubona impinduka buhoro buhoro mu myumvire yawe no mu mibereho yawe muri rusange.

Nkwiriye gufata isocarboxazid nte?

Fata isocarboxazid uko muganga wawe abikwandikiye, akenshi inshuro 2 kugeza kuri 4 ku munsi ufata cyangwa utafata ibiryo. Urashobora kuyifata hamwe n'amata cyangwa amazi, kandi nta tegeko risaba kurya mbere yo kuyifata, nubwo kuyifata hamwe n'ibiryo byagufasha niba wumva umubiri utameze neza.

Gerageza gufata imiti yawe ku masaha amwe buri munsi kugira ngo ugumane urugero ruri hejuru mu mubiri wawe. Niba ufata imiti myinshi, iyitandukanye mu gihe cyose cy'umunsi nk'uko byategetswe na muganga wawe.

Ikintu cy'ingenzi cyane kwibuka ni ukurikiza ibyo kurya bigenewe mu gihe ufata uyu muti. Uzagomba kwirinda ibiryo birimo tyramine nyinshi, nk'amakeke ashaje, inyama zitunganyirijwe, ibiryo byabitswe, n'ibinyobwa bisembuye, kuko ibi bishobora gutera izamuka ry'umuvuduko w'amaraso.

Nkwiriye kumara igihe kingana iki mfata isocarboxazid?

Igihe cyo kuvurwa na isocarboxazid gitandukana cyane ku muntu ku muntu, ariko abantu benshi bagomba kuyifata amezi menshi kugeza ku mwaka cyangwa kurenza. Muganga wawe azakorana nawe kugira ngo amenye igihe gikwiye gishingiye ku buryo wakiriye umuti n'imimerere yawe bwite.

Ni ngombwa kutareka gufata isocarboxazid mu buryo butunguranye, kabone n'iyo wumva umeze neza. Guhagarika mu buryo butunguranye bishobora gutera ibimenyetso byo kuva mu miti no guhinduka gushobora guteza akaga mu muvuduko w'amaraso yawe no mu myumvire yawe.

Igihe kigeze cyo guhagarika imiti, muganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru byinshi. Ubu buryo, bwitwa kugabanya buhoro buhoro, bufasha umubiri wawe guhuza neza kandi bugabanya ibyago byo guhura n'ingaruka zo kuva ku miti.

Mbese ni izihe ngaruka ziterwa na Isocarboxazid?

Kimwe n'imiti yose, isocarboxazid ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzihura. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe cyo kuvugana na muganga wawe.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Kuribwa umutwe cyangwa kumva ureremba, cyane cyane iyo uhagaze
• Umunwa wumye
• Kugorana kwituma
• Kugorana gusinzira cyangwa gusinzira cyane
• Kuruka cyangwa kurwara mu nda
• Kuribwa umutwe
• Impinduka mu rwego rwo kurya cyangwa ibiro
• Ingaruka ziterwa n'imibonano mpuzabitsina

Izi ngaruka zisanzwe akenshi zirushaho gukira uko umubiri wawe uhuza n'umuti, akenshi mu byumweru bike bya mbere by'ubuvuzi.

Ingaruka zikomeye zisaba ubufasha bwihuse bwa muganga kandi zirimo:

• Kuribwa umutwe cyane hamwe n'ijosi rigoye
• Umutima utera cyane cyangwa utagenda neza
• Kuribwa mu gituza
• Umubyigano w'amaraso mwinshi utunguranye kandi ukabije
• Kuruka cyane no kuruka cyane
• Kuvurungana cyangwa guhagarika umutima
• Umuhondo w'uruhu cyangwa amaso

Izi ngaruka zikomeye ntizisanzwe ariko zishobora guteza akaga, bityo ni ngombwa gushaka ubufasha bwihuse bwa muganga niba uhuye n'imwe muri zo.

Ingaruka zidakunze kubaho ariko zikomeye zirimo ibibazo by'umwijima, indwara z'amaraso, n'indwara yitwa serotonin syndrome iyo ihujwe n'indi miti imwe. Muganga wawe azakugenzura buri gihe hamwe n'ibizamini by'amaraso kugirango afate ibibazo byose bishoboka hakiri kare.

Ninde utagomba gufata Isocarboxazid?

Isocarboxazid ntirinzwe kuri buri wese, kandi hariho ibintu byinshi byingenzi aho uyu muti ugomba kwirindwa. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi n'imiti yawe ya none mbere yo kuyandika.

Ntabwo wagombye gufata isocarboxazid niba ufite:

• Wafashe izindi MAOI cyangwa imiti imwe na imwe ivura depression mu minsi 14 ishize
• Indwara ikomeye y'umutima cyangwa umuvuduko w'amaraso udagenzurwa
• Indwara y'umwijima cyangwa amateka y'ibibazo by'umwijima
• Urubavu rwo mu bwonko cyangwa imvune yo mu mutwe
• Indwara y'impyiko
• Umunaniro ukabije wa thyroïde
• Amateka ya stroke

Uyu muti kandi usaba kwitonda cyane niba urengeje imyaka 65, kuko ushobora kugaragaza ibimenyetso byinshi by'ingaruka zawo kandi ugashobora kurwara umutwe no kugwa.

Gusama no konsa bitera ibitekerezo byihariye. Nubwo isocarboxazid itarigeze yigwaho cyane ku bagore batwite, muri rusange iririndwa mugihe cyo gutwita keretse inyungu zirushijeho kugaragara kurusha ingaruka. Niba uteganya gusama cyangwa uri konsa, biganireho neza na muganga wawe.

Amazina y'ubwoko bwa Isocarboxazid

Isocarboxazid iboneka munsi y'izina ry'ubwoko rya Marplan muri Leta Zunze Ubumwe z'Amerika. Iyi ni yo miti isanzwe itangwa cyane, nubwo n'izindi miterere rusange zishobora kuboneka.

Niba wakira izina ry'ubwoko cyangwa ubwoko rusange, ibikoresho bikora n'imikorere ni bimwe. Umufarimasi wawe ashobora kukubwira ubwoko urimo kwakira kandi agasubiza ibibazo byose bijyanye n'uruganda rwakozwe.

Izindi miti isimbura Isocarboxazid

Niba isocarboxazid itagukwiriye, hariho ubundi buryo bwo kuvura buriho. Muganga wawe ashobora gutekereza ku zindi miterere ya antidepressants zikora mu buryo butandukanye kandi zifite imbogamizi nkeya z'imirire.

Izindi miti isanzwe harimo:

• Ibice byihariye bya serotonin reuptake inhibitors (SSRIs) nka sertraline cyangwa escitalopram
• Serotonin-norepinephrine reuptake inhibitors (SNRIs) nka venlafaxine cyangwa duloxetine
• Tricyclic antidepressants nka amitriptyline cyangwa nortriptyline
• Atypical antidepressants nka bupropion cyangwa mirtazapine

Ubuvuzi butakoresha imiti nk'ubuvuzi bwo mu mutwe, cyane cyane ubuvuzi bw'imyitwarire, bushobora no kugira akamaro kanini mu kuvura agahinda, haba wenyine cyangwa buhuriye n'imiti.

Uburyo bwo guhitamo buva ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, indi miti urimo gufata, n'ibyo ukunda ku bijyanye n'uburyo bwo kuvura.

Ese Isocarboxazid iruta Phenelzine?

Zombi isocarboxazid na phenelzine ni MAOIs zikora kimwe, ariko zifite itandukaniro rishobora gutuma imwe ikugirira akamaro kurusha indi. Nta na rimwe risobanura neza ko "ryiza" - biterwa n'uburyo umubiri wawe wabyakiriye n'ingaruka zabyo.

Isocarboxazid ikunda kuba itaryamisha cyane kurusha phenelzine, bishobora kuba byiza niba ufite impungenge zo gusinzira ku manywa. Ariko, phenelzine ishobora kugira akamaro kanini ku bwoko bumwe bw'agahinda, cyane cyane abafite ibimenyetso by'ubwoba bugaragara.

Imiti yombi isaba ibyo kurya bimwe kandi ifite ingaruka zikomeye zisa. Muganga wawe azatekereza ibintu nk'ibimenyetso byawe byihariye, imibereho yawe, n'uburyo wabyakiriye ku yindi miti mugihe uhitamo hagati yayo.

Ibikunze Kubazwa Kuri Isocarboxazid

Ese Isocarboxazid irakwiriye indwara z'umutima?

Isocarboxazid irashobora guteza akaga ku bantu barwaye indwara z'umutima kuko ishobora kugira ingaruka ku gipimo cy'amaraso n'umuvuduko w'umutima. Niba ufite ubwoko ubwo aribwo bwose bw'indwara z'umutima, muganga wawe azagomba gupima neza inyungu n'ibibazo.

Abantu bafite indwara zikomeye z'umutima, umuvuduko w'amaraso uri hejuru utagenzurwa, cyangwa amateka yo gufatwa n'umutima muri rusange ntibagomba gufata isocarboxazid. Ariko, niba ufite indwara zoroheje z'umutima zigenzurwa neza, muganga wawe ashobora kubitekereza hamwe no kubikurikirana cyane.

Ninkora iki niba mfashe isocarboxazid nyinshi mu buryo butunganye?

Niba wanyoye isocarboxazid nyinshi mu buryo butunganye, vugana na serivisi zihutirwa cyangwa ugenzure uburozi ako kanya. Ntukegere kugira ngo urebe niba wumva umeze neza – ibimenyetso byo kunywa doze nyinshi bishobora gutinda kandi bikaba byateza ubuzima akaga.

Ibimenyetso byo kunywa doze nyinshi bishobora kuba birimo isereri rikomeye, kuruka, umutima wihuta, kubabara umutwe bikabije, urujijo, cyangwa guhumeka bigoranye. Igihe ni ingenzi mu kuvura doze nyinshi, bityo shakisha ubufasha ako kanya kabone niyo wumva umeze neza mbere na mbere.

Nkwiriye gukora iki niba nciwe doze ya isocarboxazid?

Niba waciwe doze ya isocarboxazid, yifate ako kanya wibuka, keretse igihe cyegereye doze yawe itaha iteganyijwe. Muri icyo gihe, reka doze waciwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata doze ebyiri icyarimwe kugira ngo usimbure doze waciwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba ukunda kwibagirwa doze, tekereza gukoresha umuteguro w'ibinyobwa cyangwa gushyiraho ibyibutso kuri terefone kugira ngo bigufashe kuguma ku murongo.

Nshobora guhagarika ryari gufata isocarboxazid?

Ugomba guhagarika gufata isocarboxazid gusa ubikoresheje ubuyobozi bwa muganga wawe. Niyo wumva umeze neza cyane, guhagarara ako kanya bishobora gutera ibimenyetso byo gukurwaho kandi bikaba byateza impinduka ziteje akaga kuva mu maraso.

Muganga wawe azagabanya buhoro buhoro doze yawe mu byumweru byinshi igihe kigeze cyo guhagarara. Ubu buryo bushobora gufata ukwezi cyangwa kurenza, bitewe n'igihe umaze ufata umuti n'uburyo umubiri wawe wabyakiriye.

Nyuma yo guhagarika isocarboxazid, uzakenera gukomeza gukurikiza ibyo kurya byagenwe byibuze mu byumweru bibiri kugira ngo umuti usohoke neza mu mubiri wawe.

Nshobora kunywa inzoga niba mfata isocarboxazid?

Ugomba kwirinda inzoga niba ufata isocarboxazid, cyane cyane ubwoko bumwe nk'umuvinyu utukura, inzoga, n'ibinyobwa bisazwe. Ibi binyobwa bisindisha birimo tyramine, ishobora guhura n'imiti yawe mu buryo buteje akaga kandi igatera umuvuduko mwinshi w'amaraso.

N'ubwo kunywa inzoga ku gipimo gito bishobora kugira ingaruka, kandi imikorere yabyo ntishobora kumenyekana. Ni byiza kwirinda inzoga rwose igihe urimo gufata isocarboxazid ndetse no mu byumweru bibiri umaze guhagarika imiti.