Icyo Maprotiline ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Maprotiline ni umuti wandikirwa na muganga ugabanya ubwoba, ukaba mu cyiciro cy'imiti yitwa tetracyclic antidepressants. Ukora ufasha kugarura uburinganire bw'imiti kamere imwe na rimwe mu bwonko bwawe, cyane cyane norepinephrine, ishobora guteza imbere imyumvire yawe n'ibyiyumvo by'ubuzima bwiza.

Uyu muti umaze imyaka myinshi ufasha abantu guhangana n'agahinda gakabije, kandi nubwo ushobora kutandikwa cyane nk'imiti mishya igabanya ubwoba, ukomeza kuba uburyo bwiza bwo kuvura abantu benshi. Kumva uko maprotiline ikora n'icyo wakwitega bishobora kugufasha kumva ufite icyizere cyinshi ku rugendo rwawe rw'ubuvuzi.

Maprotiline ni iki?

Maprotiline ni umuti ugabanya ubwoba wa tetracyclic ushobora kwandikwa na muganga wawe kugirango avure indwara yo kwiheba ikabije. Bitandukanye n'imiti mishya igabanya ubwoba, yibanda by'umwihariko kuri norepinephrine, imiti ikorera mu bwonko ifite uruhare runini mu kugenga imyumvire.

Uyu muti watejwe imbere mu myaka ya za 1960 kandi umaze igihe kinini ufasha abantu gutsinda agahinda gakabije. Ufatwa nk'umuti ugabanya ubwoba wo mu gisekuru cya kabiri, bivuze ko watejwe imbere nyuma y'imiti ya mbere ya tricyclic antidepressants ariko mbere y'imiti igezweho ya selective serotonin reuptake inhibitors (SSRIs).

Muganga wawe ashobora gutekereza maprotiline niba indi miti igabanya ubwoba itarakugendekeye neza cyangwa niba ibimenyetso byawe byihariye bituma bikwiriye gahunda yawe y'ubuvuzi. Iboneka gusa ku mpapuro zanditswe na muganga kandi iza mu buryo bw'ibinini bikoreshwa mu kanwa.

Maprotiline ikoreshwa mu iki?

Maprotiline ahanini yandikirwa kuvura indwara yo kwiheba ikabije, indwara ikomeye yo mu mutwe igira ingaruka ku buryo wumva, utekereza, kandi ukora ibikorwa bya buri munsi. Ishobora gufasha gukuraho agahinda gakomeye, kutagira icyizere, no kubura imbaraga biranga kwiheba.

Muganga wawe ashobora no gutekereza gukoresha maprotiline ku zindi ndwara, nubwo izo zidakunze kugaragara. Rimwe na rimwe yandikirwa indwara zo mu mutwe zigaragara hamwe na depression, cyangwa ku bwoko runaka bw'indwara z'uburwayi bw'igihe kirekire aho depression igira uruhare.

Uyu muti ufasha cyane abantu bagira depression bafite ibimenyetso nk'intege nke, kugorana kwitonda, no kutaryama neza. Bishobora gufata ibyumweru byinshi kugira ngo wumve akamaro kabyo kose, bityo kwihangana ni ngombwa uko umubiri wawe ukimenyereza uwo muti.

Maprotiline ikora ite?

Maprotiline ikora ibuza kongera gufatwa kwa norepinephrine mu bwonko bwawe. Ibi bivuze ko ibuza selile zo mu bwonko bwawe gufata vuba uyu muti w'ingenzi, bigatuma byinshi muri wo biguma bihari kugira ngo bifashe mu kugenzura imyumvire yawe.

Bitekereze nk'uko uhindura ijwi kuri radiyo - mugihe ugumishije norepinephrine nyinshi ikora mu bwonko bwawe, maprotiline ifasha kongera ibimenyetso bitanga umunezero n'uburinganire mu byiyumvo. Iyi nzira ntibaho mu ijoro rimwe, niyo mpamvu bisaba ibyumweru 2-4 kugira ngo ubone impinduka zigaragara.

Maprotiline ifatwa nk'umuti ukomeye wo kurwanya depression. Ntabwo ikomeye nk'imiti imwe ya kera nka MAOIs, ariko muri rusange iruta imiti y'ibyatsi yoroheje. Imbaraga zayo zituma ikwiriye kuri depression yo hagati cyangwa ikomeye, ariko nanone bivuze ko uzakenera gukurikiranwa neza na muganga wawe.

Nkwiriye gufata maprotiline nte?

Fata maprotiline nk'uko muganga wawe abikwandikira, akenshi rimwe ku munsi cyangwa igabanyijemo doze ntoya umunsi wose. Urashobora kuyifata hamwe cyangwa utayifatanije n'ibiryo, ariko kuyifata hamwe n'ibiryo bishobora gufasha kugabanya kuribwa mu gifu niba wumva ibibazo byo mu gifu.

Ni byiza gufata maprotiline ku gihe kimwe buri munsi kugira ngo urugero rwayo rukomeze kuba ruringaniye mu mubiri wawe. Abantu benshi babona ko bifasha kuyifata nimugoroba kuko bishobora gutera gusinzira, ibyo bikaba byafasha gusinzira niba agahinda karimo kagira ingaruka ku buruhukire bwawe.

Mimina ibinini byose hamwe n'ikirahure kinini cy'amazi - ntukabikore, ntukabumire, cyangwa ubimenagure. Niba ukeneye kugabanya urugero, bikore gusa niba muganga wawe abikubwiye by'umwihariko, kandi ukoreshe icyuma gikatisha ibinini kugira ngo ugere ku rugero rwiza.

Nubwo bimeze bityo, irinde kunywa inzoga mugihe ufata maprotiline, kuko bishobora kongera gusinzira n'izindi ngaruka ziterwa nayo. Nanone, gerageza kwitonda mugihe ukora ibikorwa bisaba ubushishozi, cyane cyane mugihe utangiye gufata umuti cyangwa niba urugero rwawe ruhindutse.

Nzamara Mfata Maprotiline Igihe Kingana Gite?

Abantu benshi bakeneye gufata maprotiline byibuze amezi 6-12 nyuma yuko ibimenyetso byabo by'agahinda byoroheye kugira ngo bifashe kwirinda kongera kugira ibyo bimenyetso. Muganga wawe azakorana nawe kugira ngo amenye igihe gikwiye gishingiye ku miterere yawe bwite n'uko witwara mugihe uvurwa.

Muri icyo gihe cy'ibyumweru bike byambere, ushobora kutabona impinduka nyinshi - ibi ni ibisanzwe rwose. Imiti igabanya agahinda nk'iyi ya maprotiline isanzwe ifata ibyumweru 2-4 kugira ngo itangire gukora, kandi bishobora gufata ibyumweru 6-8 kugira ngo ubashe kubona inyungu zose.

Abantu bamwe bashobora gukenera kuvurwa igihe kirekire, cyane cyane niba baragize ibibazo byinshi by'agahinda cyangwa niba bafite izindi ndwara zo mumutwe. Muganga wawe azajya akuganiraho buri gihe kugira ngo amenye uko umeze niba hari impinduka zikenewe mugihe uvurwa.

Ntuzigere uhagarika gufata maprotiline ako kanya, n'iyo wumva umeze neza. Muganga wawe azagufasha kugabanya buhoro buhoro urugero rwawo mugihe kigeze cyo guhagarika umuti kugira ngo wirinde ibimenyetso byo kuva mu muti.

Ni Iyihe Ngaruka Ziterwa na Maprotiline?

Kimwe n'imiti yose, maprotiline ishobora gutera ingaruka zidakunzwe, nubwo atari buri wese uzazibona. Ingaruka nyinshi zidakunzwe ziba zoroshye kandi zikagenda zigabanuka uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Reka turebe ingaruka zidakunzwe zisanzwe ushobora guhura nazo, twibuka ko abantu benshi bafata maprotiline neza:

• Gusinzira cyane cyangwa kunanirwa (ibi bikunze gukira uko igihe kigenda)
• Umunwa wumye (kunywa amazi kenshi birashobora gufasha)
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Kugorana kwituma (kongera kurya ibiryo birimo fibre no kunywa amazi birashobora gufasha)
• Kureba nabi (muri rusange ntibiramba)
• Kongera ibiro (muri rusange ni bike)
• Kugorana kwihagarika
• Kunyeganyega cyane

Izi ngaruka zidakunzwe zisanzwe muri rusange ziragendeka kandi akenshi zigabanuka uko umubiri wawe wimenyereza umuti. Umuganga wawe ashobora gutanga ingamba zo kugabanya kutumva neza.

Ingaruka zidakunzwe ariko zikomeye zisaba ubufasha bwihuse bw'abaganga. Nubwo bidasanzwe, ni ngombwa kuzimenya:

• Kugira ibibazo byo gufatwa (maprotiline ishobora kugabanya urugero rwo gufatwa)
• Umutima utera nabi cyangwa kuribwa mu gituza
• Kuribwa umutwe cyane cyangwa guta ubwenge
• Kugorana guhumeka cyangwa kumira
• Gusohoka amaraso cyangwa gukomereka bidasanzwe
• Uruhu rwakomeretse cyane cyangwa amabara
• Ibimenyetso bya syndrome ya serotonin (umuriro, umubiri ugoye, urujijo)

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa. Izi ngaruka ntizisanzwe ariko zikeneye kwitabwaho vuba.

Abantu bamwe bashobora kandi guhura n'imihindagurikire y'amarangamutima cyangwa ibitekerezo, cyane cyane mu byumweru bike bya mbere by'imiti. Ibi ni ikintu umuganga wawe azakurikiranira hafi, cyane cyane niba uri munsi y'imyaka 25.

Ninde utagomba gufata Maprotiline?

Maprotiline ntiribereye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kukwandikira. Ibyiciro n'ibihe bimwe na bimwe bituma uyu muti utekanye cyangwa utagira akamaro.

Ntabwo ukwiye gufata maprotiline niba ufite allergie izwi ku muti cyangwa imiti isa n'iyi yo kurwanya depression. Muganga wawe azitonda cyane mu kuwandikira niba ufite indwara zimwe na zimwe zishobora kwiyongera kubera uyu muti:

• Umutima warwaye vuba cyangwa ibibazo bikomeye by'umuvuduko w'umutima
• Indwara yo gufatwa n'ibibazo byo gufatwa
• Indwara ikomeye y'umwijima cyangwa impyiko
• Glaucoma ifite urwego ruto
• Ibibazo bikomeye byo kubika inkari
• Ubu urimo gufata MAOIs cyangwa wazifashe mu minsi 14 ishize

Muganga wawe azakenera gusuzuma neza ibyago n'inyungu niba ufite izindi ndwara nka diyabete, ibibazo bya thyroïde, cyangwa amateka yo gukoresha ibiyobyabwenge. Imyaka nayo ni ikintu cy'ingenzi - abantu bakuze bashobora kwitwara neza ku ngaruka ziterwa n'imiti kandi bagasaba doze nto.

Gusama no konsa bisaba kwitonderwa byihariye. Mugihe maprotiline ishobora gukoreshwa mugihe cyo gutwita niba inyungu ziruta ibyago, muganga wawe azashaka kuganira nawe kubyerekeye amahitamo yose aboneka kugirango yemeze guhitamo neza kuri wowe no kumwana wawe.

Amazina ya Maprotiline

Maprotiline iboneka munsi y'amazina menshi y'ubwoko, nubwo ikunze kwandikwa nk'umuti rusange. Izina rizwi cyane ni Ludiomil, ryari ubwoko bwambere igihe umuti watangiraga gukoreshwa.

Urashobora kandi kubona igurishwa munsi y'andi mazina y'ubwoko bitewe n'aho uherereye na farumasi. Maprotiline rusange iraboneka cyane kandi irimo ibintu bimwe na bimwe bikora nk'ubwoko bw'amazina, bituma iba uburyo bwiza bwo kugurisha abarwayi benshi.

Niba wakira umuti w'izina cyangwa uwo mu bwoko bwa rusange, imiti ikora kimwe. Umufarumasiti wawe ashobora kugufasha gusobanukirwa ubwoko bwawo wakiriye kandi agasubiza ibibazo byose ku bijyanye n'itandukaniro ry'imikorere cyangwa imifuka.

Izindi Miti Ishobora Gusimbura Maprotiline

Niba maprotiline atagukwiriye, hari izindi miti myinshi yo kuvura umubabaro ihari. Muganga wawe ashobora gutekereza ku miti mishya nka SSRIs (nka sertraline cyangwa fluoxetine) cyangwa SNRIs (nka venlafaxine cyangwa duloxetine) nk'izindi nzira.

Izindi miti ya tetracyclic cyangwa tricyclic yo kuvura umubabaro nayo ishobora kuba inzira, bitewe n'ibimenyetso byawe byihariye n'amateka yawe y'ubuvuzi. Ibi birimo imiti nka amitriptyline, nortriptyline, cyangwa mirtazapine, buri kimwe gifite inyungu zacyo zidasanzwe n'ingaruka zikurikira.

Guhitamo umuti wo kuvura umubabaro biterwa n'ibintu byinshi, harimo ibimenyetso byawe, izindi ndwara, imikoranire y'imiti ishoboka, n'ibyo ukunda. Muganga wawe azakorana nawe kugirango abone umuti utanga uburinganire bwiza bw'imikorere n'ubushobozi bwo kwihanganira ibibazo byawe.

Ubuvuzi butari ubw'imiti nka psychothérapie, impinduka z'imibereho, n'izindi nteruro nazo zishobora kuba ibice by'ingenzi byo kuvura umubabaro, haba wenyine cyangwa hamwe n'imiti.

Ese Maprotiline iruta Amitriptyline?

Maprotiline na amitriptyline ni imiti myiza yo kuvura umubabaro, ariko ikora mu buryo butandukanye gato kandi ifite ingaruka zitandukanye. Nta n'imwe iruta iyindi - guhitamo neza biterwa n'ibyo ukeneye kandi uko wakira buri muti.

Maprotiline ni umuti wa tetracyclic wo kuvura umubabaro ukora cyane kuri norepinephrine, mugihe amitriptyline ari umuti wa tricyclic wo kuvura umubabaro ukora kuri norepinephrine na serotonin. Iri tandukaniro risobanura ko bishobora gukora neza kubwoko butandukanye bwibimenyetso byumubabaro.

Mu bijyanye n'ingaruka ziterwa n'imiti, maprotiline ishobora gutera ingaruka nke zifitanye isano n'imikorere y'umubiri (nko kumva umunwa wumye no kubura umwanya), ugereranije na amitriptyline, ariko ifite ibyago byinshi byo gutera ibibazo byo mu mutwe ku bantu bamwe. Amitriptyline akenshi itera umunaniro mwinshi, ibyo bikaba byagufasha niba urwaye ibibazo byo gusinzira.

Muganga wawe azatekereza ku bimenyetso byawe byihariye, amateka yawe y'ubuzima, n'ibindi bintu byose mu gihe ahitamo hagati y'iyo miti. Icyo gikora neza ku muntu umwe gishobora kutaba igisubizo cyiza ku wundi, bityo icyemezo kigomba gufatwa ku buryo bwihariye.

Ibibazo Bikunze Kubazwa Kuri Maprotiline

Ese Maprotiline Ifite Umutekano Ku Barwayi b'Umutima?

Maprotiline bisaba ko ubitekerezaho neza niba ufite ibibazo by'umutima. Nubwo ishobora gukoreshwa ku barwayi bamwe b'umutima, ishobora kugira ingaruka ku mutima n'umuvuduko w'amaraso, bityo muganga wawe azagomba kugukurikiranira hafi.

Niba ufite amateka yo gufatwa n'umutima, umutima utagenda neza, cyangwa izindi ndwara zikomeye z'umutima, muganga wawe ashobora guhitamo umuti utandukanye wo kurwanya depression ufite umutekano kurusha uwo ku mutima wawe. Buri gihe bwire muganga wawe ku bibazo byose by'umutima mbere yo gutangira gukoresha maprotiline.

Nigira Iki Niba Nifashe Maprotiline Nyinshi Mu buryo butunganye?

Niba ufata maprotiline nyinshi mu buryo butunganye kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, kabone niyo wumva umeze neza. Kubona umuti mwinshi bishobora kuba bikomeye kandi bishobora gutera ibimenyetso nk'ibitotsi bikabije, urujijo, umutima utagenda neza, cyangwa ibibazo byo mu mutwe.

Ntugategereze ko ibimenyetso bigaragara - shaka ubufasha bw'ubuvuzi ako kanya. Niba bishoboka, ujyane icupa ry'umuti kugirango abaganga bamenye neza icyo wafashe n'ingano yacyo.

Nigira Iki Niba Nsibye Urubanza Rwa Maprotiline?

Niba usibye urubanza, urufate ako kanya wibukirwa, keretse igihe cyo gufata urubanza rukurikira kigeze. Muri icyo gihe, reka urubanza wasibye kandi ukomeze gahunda yawe isanzwe - ntukafate imiti ibiri icyarimwe.

Kutabona urugero rumwe rimwe na rimwe ntizitera ibibazo bikomeye, ariko gerageza gukurikiza igihe gihamye kugirango urinde urugero rwa imiti mu mubiri wawe. Gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'imiti birashobora kugufasha gukurikiza gahunda.

Ryari nshobora guhagarika gufata Maprotiline?

Ntuzigere uhagarika gufata maprotiline ako kanya cyangwa utabiherewe uburenganzira na muganga wawe. N'iyo wumva umeze neza cyane, guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti no kongera ibyago byo gusubira mu bwigunge.

Muganga wawe azagufasha kugabanya buhoro buhoro urugero rwa imiti igihe kigeze cyo guhagarika imiti. Ubu buryo, bwitwa gutonda, mubisanzwe bufata ibyumweru byinshi kandi bufasha umubiri wawe kumenyera neza kutagira imiti.

Nshobora kunywa inzoga niba mfata Maprotiline?

Nibyiza kwirinda inzoga mugihe ufata maprotiline. Inzoga irashobora kongera gusinzira n'izindi ngaruka, kandi irashobora no kubangamira imikorere ya imiti mu kuvura bwigunge bwawe.

Niba uhisemo kunywa rimwe na rimwe, bikore mu rugero ruto cyane kandi witondere uko wumva. Buri gihe ganira ku mikoreshereze yawe y'inzoga na muganga wawe kugirango batange ubuyobozi bwihariye bushingiye ku miterere yawe.