Meprobamate ni iki: Ibikoreshwa, Uburyo bwo gufata, Ingaruka ziterwa n'ibindi

Meprobamate ni umuti wandikirwa na muganga wo mu cyiciro cy'imiti yitwa carbamates, ikoreshwa cyane cyane mu kuvura umunabi n'umubabaro. Uyu muti ukora utuma imitsi yawe ituza, ugufasha kugabanya ibyiyumvo byo guhangayika n'umunaniro bishobora kubangamira imibereho yawe ya buri munsi.

Nubwo meprobamate yahoze yandikirwa cyane kuvura indwara z'umunabi, ubu ntikoreshwa cyane kubera ko hari izindi nzitandukanye zifite umutekano kurusha. Muganga wawe ashobora kuyitekereza mu bihe byihariye aho izindi nzitandukanye zitagize icyo zikora.

Meprobamate ni iki?

Meprobamate ni umuti ugabanya imikorere y'imitsi yo mu bwonko ufasha gucunga umunabi n'umubabaro w'imitsi. Wari umwe mu miti ya mbere yakoreshwaga cyane mu kuvura umunabi, watejwe imbere mu myaka ya 1950 nk'inzitandukanye ifite umutekano kurusha barbiturates.

Uyu muti ukora wongera ingaruka z'imiti karemano yo mu bwonko yitwa GABA, ifasha gutuza imikorere y'imitsi. Bitekereze nk'ugabanya ijwi ry'ibimenyetso by'umubiri wawe.

Uyu munsi, meprobamate ifatwa nk'ikintu kigenzurwa kuko gishobora gutera ubujiji. Ibi bivuze ko muganga wawe azagenzura imikoreshereze yawe neza kandi azayandika gusa iyo inyungu ziruta ibyago.

Meprobamate ikoreshwa mu kuvura iki?

Meprobamate yandikirwa cyane cyane kuvura indwara z'umunabi no gutanga ubufasha bw'igihe gito ku mubabaro ukabije n'umunaniro. Muganga wawe ashobora kukugiraho inama iyo urimo guhura no guhangayika gukabije kubangamira ubushobozi bwawe bwo gukora neza.

Uyu muti ushobora gufasha mu ndwara nyinshi zifitanye isano n'umunabi. Izi zirimo indwara rusange y'umunabi, aho wumva guhangayika guhoraho ku bihe bya buri munsi, n'ibikorwa by'umubiri bikabije nyuma y'ibihe bibabaje.

Rimwe na rimwe, abaganga bandikira meprobamate nk'umuti wogosha imitsi ku bibazo birimo imitsi yikora cyangwa umunaniro. Irashobora kandi gukoreshwa nk'umuti wo gusinzira igihe guhangayika bikubuza kuruhuka bihagije.

Ariko, meprobamate akenshi yagenewe ibibazo aho imiti mishya, ifite umutekano mwinshi itatanze ubufasha buhagije. Umuganga wawe azasuzuma neza niba uyu muti ari wo mwanzuro ukwiye ku kibazo cyawe.

Meprobamate ikora ite?

Meprobamate ikora igihe igira ingaruka ku mikorere y'ubwonko bwawe, by'umwihariko yongera imikorere ya GABA. GABA ni “pedali y'ubwonko” yawe isanzwe ifasha kugabanya ibimenyetso by'imitsi no guteza imyumvire yo gutuza.

Iyo ufata meprobamate, yongera ingaruka zo gutuza za GABA mu bwonko bwawe. Ibi bituma guhangayika kugabanuka, imitsi ikaruhuka, no kumva utuje muri rusange bishobora kumara amasaha menshi.

Uyu muti ufatwa nk'ukomeye ku rugero ruciriritse ugereranije n'indi miti igabanya guhangayika. Iruta imiti imwe y'ibyatsi ariko muri rusange iroroshye kuruta benzodiazepines nka Xanax cyangwa Ativan.

Ingaruka akenshi zitangira nyuma y'iminota 30 kugeza kuri 60 nyuma yo gufata umuti kandi zishobora kumara amasaha 6 kugeza kuri 8. Igihe nyacyo giterwa n'ibintu nk'imikorere y'umubiri wawe, imyaka, n'ubuzima bwawe muri rusange.

Nkwiriye gufata meprobamate nte?

Fata meprobamate nk'uko byategetswe na muganga wawe, akenshi inshuro 2 kugeza kuri 4 ku munsi hamwe cyangwa hatariho ibiryo. Urashobora kuyifata n'amazi, amata, cyangwa umutobe kugirango wirinde kuribwa mu gifu niba wumva ububabare ubwo aribwo bwose.

Muri rusange ni byiza gufata meprobamate hamwe n'ifunguro rito cyangwa ifunguro rito kugirango ugabanye ibishobora kuribwa mu gifu. Irinde kuyifata ku gifu cyuzuye, kuko ibi bishobora kongera ibyago byo kuruka cyangwa kuribwa.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo ugumane urwego ruzima mu mubiri wawe. Ibi bifasha kugabanya impungenge kandi bigabanya amahirwe yo kugira ibimenyetso by'indwara.

Ntugasenye, utatire, cyangwa umenagure ibinini keretse niba ubisabwe n'umuganga wawe. Ubimire byose hamwe n'amazi menshi kugira ngo byinjire neza mu mubiri.

Irinde inzoga rwose mugihe ufata meprobamate, kuko kuzivanga bishobora guteza akaga kandi bikaba byatuma ubuzima bucika. Uku kuvanga bishobora gutera ibitotsi bikabije, ibibazo byo guhumeka, no gutakaza ubwenge.

Nzamara igihe kingana iki mfata Meprobamate?

Meprobamate akenshi yandikirwa gukoreshwa igihe gito, akenshi ntarenze amezi 2 kugeza kuri 4. Muganga wawe azagena igihe gikwiye bitewe n'uburwayi bwawe bwihariye n'uburyo wemera imiti.

Gukoresha meprobamate igihe kirekire bishobora gutera kwishingikiriza ku mubiri no kwihanganira, bivuze ko ushobora gukenera doze nyinshi kugira ngo ugere ku ngaruka zimwe. Iyi niyo mpamvu abaganga bakunda kuyikoresha nk'ubuvuzi bwo gufasha mugihe bakemura ibibazo byateye impungenge.

Muganga wawe azagenzura buri gihe iterambere ryawe kandi ashobora kugabanya buhoro buhoro doze yawe igihe kigeze cyo guhagarika. Ntukigere uhagarika gufata meprobamate ako kanya, kuko ibi bishobora gutera ibimenyetso byo kuva mu miti nk'impungenge, kutabona ibitotsi, kandi mu bihe bidasanzwe, gufatwa n'indwara.

Niba umaze ibyumweru byinshi ufata meprobamate, umuganga wawe azakora gahunda yo kugabanya kugirango agufashe kuyihagarika neza. Ubu buryo akenshi bufata iminsi myinshi kugeza ku byumweru, bitewe n'igihe umaze ufata umuti.

Ni izihe ngaruka ziterwa na Meprobamate?

Kimwe n'indi miti yose, meprobamate ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzibona. Ingaruka nyinshi ziterwa n'imiti ni nto kandi zikunda gukira uko umubiri wawe wimenyereza umuti.

Ingaruka zikunze kugaragara zirimo gusinzira, isereri, no kuruka gake. Izi ngaruka akenshi ziba iz'igihe gito kandi zigabanuka nyuma y'iminsi mike yo kuvurwa.

Dore ingaruka zikunze kugaragara abantu bamwe bagira:

• Gusinzira cyangwa kunanirwa ku manywa
• Isereri cyangwa kumva umutwe, cyane cyane iyo uhagurutse
• Kuruka cyangwa kubabara munda gake
• Umutwe cyangwa urujijo ruto
• Kugira intege nke cyangwa kutagira umutuzo
• Kureba nabi cyangwa kugorwa no kureba neza

Izi ngaruka zisanzwe zikunze gukemuka zonyine umubiri wawe umaze kumenyera umuti. Niba zikomeje cyangwa zikaba zikomeye, ganira na muganga wawe.

Ingaruka zikomeye zirashobora kubaho ariko ntizikunze kubaho. Izi zikeneye ubufasha bwihuse kandi ntizagomba kwirengagizwa.

Vugana na muganga wawe ako kanya niba ubonye ibi bimenyetso bikurikira:

• Uburwayi bukomeye bwo kwivumbura ku miti hamwe n'impyiko, kubyimba, cyangwa kugorwa no guhumeka
• Imyitwarire idasanzwe cyangwa ibitekerezo byo kwangiza
• Urujijo rukomeye cyangwa ibibazo byo kwibuka
• Kugorwa no guhumeka cyangwa guhumeka gahoro
• Umutima utagira umurongo cyangwa kubabara mu gituza
• Isereri rikomeye cyangwa guta umutwe

Ingaruka zidakunze kubaho ariko zikomeye zirimo indwara z'amaraso, ibibazo by'umwijima, cyangwa imyitwarire ikomeye y'uruhu. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya kandi ugashaka ubufasha bwihuse niba bibaye.

Ninde utagomba gufata Meprobamate?

Abantu bamwe bagomba kwirinda meprobamate kubera ibyago byiyongereye by'ibibazo bikomeye. Muganga wawe azasuzuma neza amateka yawe mbere yo kwandika uyu muti.

Ntabwo ugomba gufata meprobamate niba ufite allergie izwi ku miti ya carbamate cyangwa ibintu byayo byose. Uburwayi bwo kwivumbura ku miti isa na yo mbere na byo bituma meprobamate itakugirira akamaro.

Indwara nyinshi zishobora gutuma meprobamate iba iyobeye. Ibi bihe bisaba kwitonda cyane kandi akenshi hakoreshwa imiti isimbura.

Abantu bafite izi ndwara bakwiye kwirinda meprobamate:

• Indwara ikomeye y'umwijima cyangwa impyiko
• Amateka yo gukoresha ibiyobyabwenge cyangwa ubujura
• Ibibazo bikomeye byo guhumeka cyangwa kubura umwuka mu gihe cyo gusinzira
• Gusama cyangwa konsa
• Umuvumo ukomeye hamwe n'ibitekerezo byo kwiyahura
• Porphyria (indwara idasanzwe y'amaraso)

Imyaka nayo ishobora kugira uruhare mu kumenya niba meprobamate ikwiriye. Abantu bakuze bashobora kwitwararika cyane ku ngaruka zayo kandi bagahura n'ibibazo byinshi byo kugwa, urujijo, n'ibindi bibazo.

Niba urimo gufata indi miti, meprobamate ntishobora kuba ikwiriye kuri wowe. Buri gihe menyesha muganga wawe imiti yose yanditswe, imiti itangwa nta cyangombwa, n'ibyongerera imiti ukoresha ubu.

Amazina ya Meprobamate

Meprobamate iboneka munsi y'amazina menshi y'ubwoko, nubwo menshi atandikirwa cyane. Izina ry'ubwoko rizwi cyane ryari Miltown, ryakoreshwaga cyane mu myaka ya za 1950 na 1960.

Andi mazina y'ubwoko harimo Equanil na Meprospan, nubwo izi formulations zitandikirwa cyane uyu munsi. Meprobamate nyinshi ziboneka ubu ziri mu buryo bwa generic, bufite akamaro kimwe kandi akenshi buhendutse.

Farumasi yawe ishobora kugira meprobamate munsi y'izina ryayo rya generic cyangwa rimwe na rimwe munsi y'izina ry'ubwoko. Ibikoresho bikora biracyari kimwe hatitawe ku mukora cyangwa izina ry'ubwoko kuri label.

Uburyo bwo gusimbuza Meprobamate

Uburyo bwinshi butekanye kandi bufite akamaro bwo gusimbuza meprobamate burahari uyu munsi bwo kuvura umunabi. Muganga wawe ashobora gutekereza kuri izi nzira mbere yo kwandika meprobamate.

Imiti mishya igabanya impungenge nka SSRIs (ibinyabutabuzi byatoranijwe byongera serotonin) akenshi irahabwa agaciro kuko bidakunze gutera ubujiji. Urugero ni sertraline, escitalopram, na paroxetine.

Kugirango impungenge zihite zivaho, imiti ya benzodiazepines nka lorazepam cyangwa alprazolam irashobora kwandikwa mugihe gito. Iyi ikora vuba kurusha meprobamate ariko kandi ifite ibyago byo kwishingikiriza mugihe gikoreshwa igihe kirekire.

Uburyo butakoresha imiti nabwo bushobora kugira akamaro kanini mugucunga impungenge. Ibi birimo ubuvuzi bwimyitwarire, uburyo bwo kuruhuka, imyitozo ngororamubiri buri gihe, nuburyo bwo gucunga umunaniro.

Umuzunguzayi wawe wubuzima azakorana nawe kugirango abone ubuvuzi bukwiye bushingiye ku bimenyetso byawe byihariye, amateka yawe yubuvuzi, nibyo ukunda.

Ese Meprobamate iruta Lorazepam?

Meprobamate na lorazepam byombi ni imiti igabanya impungenge, ariko bikora muburyo butandukanye kandi bifite inyungu n'ibibi bitandukanye. Nta numwe uruta undi, kuko guhitamo biterwa nibyo ukeneye kandi ukaba uriho.

Lorazepam akenshi ikora vuba kurusha meprobamate, itanga ubufasha bwimpungenge mumaminota 15 kugeza kuri 30 ugereranije na meprobamate mumaminota 30 kugeza kuri 60. Ariko, ingaruka za lorazepam zirangira vuba, akenshi zimara amasaha 4 kugeza kuri 6 ugereranije na meprobamate mumasaha 6 kugeza kuri 8.

Imiti yombi irashobora gutera ubujiji mugihe ikoreshwa igihe kirekire, ariko lorazepam akenshi ifatwa nkifite amahirwe menshi yo gukoreshwa nabi no kubatwa. Meprobamate, mugihe igikomeje gukora, akenshi ifite ibyago bike muri uru rwego.

Muganga wawe azatekereza ibintu nkuko impungenge zawe zikomeye, izindi ndwara, namateka yimiti mugihe uhitamo hagati yibi bintu. Abaganga benshi b'ubuzima ubu bakunda izindi nzira zishya kuri iyi miti yombi kubera imiterere yabo y'umutekano.

Ibikunze Kubazwa Kuri Meprobamate

Ese Meprobamate irakwiriye indwara y'umutima?

Meprobamate irashobora gukoreshwa witonze ku bantu barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza na muganga wawe. Uyu muti urashobora kugabanya umuvuduko w'amaraso no gutinda umutima, ibyo bishobora kugirira akamaro abarwaye indwara zimwe na zimwe z'umutima ariko bikaba bibi ku bandi.

Niba urwaye indwara y'umutima, muganga wawe azagomba gusuzuma uko ubuzima bwawe buhagaze mbere yo kukwandikira meprobamate. Bazareba ibintu nk'imikorere y'umutima wawe, umuvuduko w'amaraso, n'indi miti urimo gufata ku ndwara y'umutima.

Imiti imwe n'imwe y'umutima irashobora guhura na meprobamate, bishobora gutera umuvuduko w'amaraso ugabanuka cyane cyangwa umutima ugatinda. Buri gihe menyesha muganga wawe imiti yose y'umutima urimo gufata, harimo imiti ituma amaraso atavura, imiti ya beta-blockers, na ACE inhibitors.

Nkwiriye gukora iki niba nifashishije meprobamate nyinshi mu buryo butunganye?

Niba ufashishije meprobamate nyinshi mu buryo butunganye, shakisha ubufasha bw'ubuvuzi bwihutirwa ako kanya, cyane cyane niba wumva uruhuka cyane, urujijo, cyangwa ugahura n'ingorane zo guhumeka. Kwifashisha doze nyinshi bishobora guteza akaga kandi bisaba ubufasha bw'ubuvuzi bwihutirwa.

Ibimenyetso byo kwifashisha doze nyinshi za meprobamate birimo kuruhuka cyane, kuvuga nabi, kutagira ubushobozi bwo kwishyira hamwe, guhumeka gahoro cyangwa gito, no gutakaza ubwenge. Ntukategereze ngo urebe niba ibimenyetso bizivana.

Hamagara 911 cyangwa nimero yawe y'ubutabazi bwaho ako kanya niba ucyeka ko hari doze nyinshi zifashishijwe. Niba bishoboka, zana icupa ry'umuti hamwe nawe mu cyumba cy'ubutabazi kugira ngo abaganga bamenye neza icyo wafashe n'ingano yacyo.

Mu gihe utegereje ubufasha bwihutirwa, gerageza gufasha uwo muntu kuguma maso no guhumeka. Ntukateze kuruka keretse niba ubisabwe n'abaganga, kuko ibyo bishobora gutera ibindi bibazo.

Nkwiriye gukora iki niba nciwe doze ya meprobamate?

Niba wibagiwe gufata urugero rwa meprobamate, ruzifate uko wibukije, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muri urwo rubanza, reka urugero wibagiwe ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero rurenzeho kugira ngo usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka zidakunda kandi bishobora gutera kwiyongera k'umuti. Gufata meprobamate nyinshi icyarimwe birashobora kuba bibi.

Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone yawe cyangwa ukoreshe umuteguro w'ibinini. Gufata imiti buri gihe bifasha gukomeza urwego rwawo mu mubiri wawe kugira ngo ugenzure neza umubabaro.

Niba wibagiwe urugero nyinshi cyangwa ufite impungenge zerekeye gahunda yawe yo gufata imiti, vugana n'umuganga wawe kugira ngo agufashe. Bashobora gukenera guhindura gahunda yawe yo kuvura cyangwa gutanga ingamba zinyongera zo gukurikiza imiti.

Ryari nshobora kureka gufata Meprobamate?

Ugomba kureka gufata meprobamate gusa ukurikije ubuyobozi bw'umuganga wawe, uzashyiraho gahunda yo kugabanya umutekano ishingiye ku gihe umaze ufata umuti n'uburyo wowe ubwawe witwara ku kuvurwa.

Niba umaze gufata meprobamate mu byumweru birenga bike, guhagarara ako kanya bishobora gutera ibimenyetso byo gukurwaho nk'umubabaro, kutagira ibitotsi, gutegera, kandi mu bihe bidasanzwe, gufatwa. Iyi niyo mpamvu kugabanya buhoro buhoro ari ngombwa.

Muganga wawe akenshi azagabanya urugero rwawe kuri 25% buri minsi mike cyangwa icyumweru, bitewe n'uko ubuzima bwawe bumeze. Ubu buryo bushobora gufata ibyumweru byinshi ariko bufasha kugabanya ibimenyetso byo gukurwaho kandi bugashimangira umutekano wawe.

Mugihe cyo kugabanya, umuganga wawe ashobora gushimangira ubufasha bwiyongera nk'inama, uburyo bwo kuruhuka, cyangwa gukoresha by'agateganyo indi miti kugira ngo ifashe gucunga ibimenyetso byose by'umubabaro bisubira.

Nshobora gutwara imodoka nkanwa Meprobamate?

Meprobamate ishobora cyane gutuma udashobora gutwara neza, cyane cyane iyo ugitangira kuyifata cyangwa iyo urugero rwawe rwiyongereye. Uyu muti utera gusinzira, isereri, kandi ushobora gutuma igihe cyo gusubiza inyuma.

Irinde gutwara cyangwa gukoresha imashini kugeza umenye uko meprobamate ikugiraho ingaruka ku giti cyawe. Abantu bamwe bamenyera ingaruka zo gutuza mu minsi mike, mu gihe abandi baguma mu ngaruka zose z'ubuvuzi.

N'ubwo wumva ko uri maso, imikorere yawe n'imitekerereze yawe birashobora kuba bitaragenda neza. Ubushakashatsi bwerekana ko meprobamate ishobora gutuma imikorere yo gutwara imodoka idakora neza nk'inzoga, ikongera ibyago by'impanuka.

Niba ugomba gutwara, biganireho na muganga wawe, ushobora guhindura gahunda yawe yo gufata imiti cyangwa agasaba uburyo bwo gutwara butandukanye kugeza igihe utagifata uyu muti.