Mirtazapine ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Mirtazapine ni umuti uvura ibibazo byo kwiheba ufasha kuvura agahinda no guhangayika mu gukoresha imisemburo imwe n'imwe mu bwonko bwawe. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa tetracyclic antidepressants, ikora mu buryo butandukanye n'imiti isanzwe ikoreshwa yo kuvura ibibazo byo kwiheba nka SSRIs.

Uyu muti umaze imyaka myinshi ufasha abantu mu kwita ku buzima bwabo bwo mu mutwe, kandi muganga wawe ashobora kuwugusaba niba izindi miti zitagufashije. Kumva uko mirtazapine ikora birashobora kugufasha kumva ufite icyizere ku buryo uvurwa.

Mirtazapine ni iki?

Mirtazapine ni umuti wandikirwa na muganga uvura ibibazo byo kwiheba ugira ingaruka ku mikorere y'imirasire y'ubwonko yitwa neurotransmitters. Uyu muti wihariye ukora kuri serotonin na norepinephrine, intumwa z'ingenzi zigira uruhare mu myumvire yawe, ibitotsi, n'irari ryo kurya.

Bitandukanye n'indi miti imwe n'imwe ivura ibibazo byo kwiheba, mirtazapine akenshi ifasha mu bibazo by'ibitotsi kandi ishobora kongera irari ryo kurya, ibi bituma bikoreshwa cyane ku bantu batakaje ibiro cyangwa bahanganye n'ibibazo by'ibitotsi hamwe n'agahinda. Muganga wawe ashobora guhitamo uyu muti igihe izi nyungu zongerewe zishobora gufasha mu gukira kwawe muri rusange.

Uyu muti uza mu buryo bw'ibinini bisanzwe n'ibinini bishonga ushyira ku rurimi rwawe. Uburyo bwombi bukora neza, bityo muganga wawe azagufasha guhitamo bitewe n'ibyo ukunda n'ibyo ukeneye.

Mirtazapine ikoreshwa mu kuvura iki?

Mirtazapine ahanini yandikirwa kuvura indwara ikomeye yo kwiheba, ikibazo gifata abantu babarirwa muri za miliyoni ku isi hose. Ishobora gufasha gukuraho agahinda gakomeye, kumva nta cyizere, no gutakaza inyungu bigaragara ku bantu bafite ibibazo byo kwiheba.

Usibye kwiheba, abaganga rimwe na rimwe bandikira mirtazapine kubera izindi ndwara. Izi zirimo indwara zo guhangayika, indwara yo guhangayika nyuma y'ihungabana, n'indwara zo gusinzira, cyane cyane iyo izi ndwara zigaragara hamwe n'agahinda.

Rimwe na rimwe, abaganga bakoresha mirtazapine kugira ngo bafashe mu bibazo byo kubura ubushake bwo kurya cyangwa kugabanya ibiro bikabije, cyane cyane ku bantu bakuze cyangwa abafite indwara zidakira. Ubushobozi bw'uyu muti bwo kongera ubushake bwo kurya bushobora kugira akamaro iyo kurya nabi bibaye ikibazo cy'ubuzima.

Mirtazapine ikora ite?

Mirtazapine ikora yongera urwego rwa serotonin na norepinephrine mu bwonko bwawe. Izi nganda zifasha selile z'imitsi guhanahana amakuru kandi zikagira uruhare runini mu kugenzura imitekerereze, gusinzira, no kurya.

Bitekereze nk'ifasha sisitemu y'ubutumwa bw'ubwonko bwawe gukora neza. Iyo izi neurotransmitters ziringaniye, ushobora kubona impinduka nziza mu miterere yawe, urwego rw'imbaraga, n'imyumvire rusange y'ubuzima bwiza.

Uyu muti ufatwa nk'ukomeye mu buryo buringaniye mu miti igabanya ububabare. Akenshi itangira gukora mu byumweru bike bya mbere, nubwo inyungu zose zishobora gutwara ibyumweru 6 kugeza ku 8 kugira ngo zigaragare. Ingaruka zo gutuza zikunda kuba vuba, niyo mpamvu abantu benshi babona gusinzira neza ako kanya.

Nkwiriye gufata mirtazapine nte?

Fata mirtazapine nk'uko umuganga wawe abitegeka, akenshi rimwe ku munsi nimugoroba mbere yo kuryama. Igihe cyo gufata bifasha gukoresha neza ingaruka zayo zo gutuza, zishobora kunoza imikorere yawe yo gusinzira.

Ushobora gufata uyu muti hamwe n'ibiryo cyangwa utabifite, nubwo abantu bamwe babona ko byoroshye ku gifu cyabo iyo bafashwe hamwe n'akantu gato. Niba ukoresha ibinini bishonga, ubishyire ku rurimi rwawe maze bishongere rwose mbere yo kumira.

Ibi nibyo bituma gufata mirtazapine byoroha kandi bikagira akamaro:

• Fata ku gihe kimwe buri mugoroba kugira ngo urugero rwawo mu mubiri wawe rugume rutajegajega
• Ntugasye cyangwa urye ibinini bisanzwe - ubimire byose hamwe n'amazi
• Niba wumva uruhuka mu gitondo gikurikira, ganira na muganga wawe ku bijyanye no guhindura igihe cyo kubifata
• Irinde inzoga mu gihe ufata uyu muti, kuko zishobora kongera uruhuka
• Komeza kuwufata kabone niyo utangiye kumva umerewe neza, keretse muganga wawe abivuze ukundi

Izi ntambwe zoroheje zirashobora kugufasha kubona inyungu nyinshi mu kuvurwa kwawe mugihe ugabanya ibibazo byose.

Nzamara Igihe Kingana Iki Ndafata Mirtazapine?

Abantu benshi bafata mirtazapine byibuze amezi 6 kugeza kuri 12 nyuma yuko ibimenyetso byabo bigabanuka. Ibi bifasha kwirinda ko agahinda gasubira kandi bigaha ubwonko bwawe umwanya wo gukomeza impinduka nziza.

Muganga wawe azakorana nawe kugirango amenye igihe gikwiye gishingiye ku miterere yawe. Ibintu nkuko agahinda kawe kari gakomeye, niba waragize ibibazo mbere, n'uburyo urimo witwara neza mu kuvurwa byose bigira uruhare muri iki cyemezo.

Abantu bamwe bashobora gukenera gufata mirtazapine mu gihe kirekire, ndetse n'imyaka, cyane cyane niba bafite agahinda gakomeza. Ibi ni ibisanzwe kandi bifite umutekano iyo bikurikiranwa n'umuganga wawe. Ntukigere uhagarika gufata mirtazapine ako kanya, kuko ibi bishobora gutera ibimenyetso byo gukurwaho umuti.

Ni Ibihe Bikorwa Bigaragara Byo Ku Ruhande Rwa Mirtazapine?

Kimwe n'imiti yose, mirtazapine irashobora gutera ibikorwa bigaragara ku ruhande, nubwo atari buri wese ubyumva. Ibikorwa bigaragara ku ruhande byinshi ni bike kandi akenshi birakosoka uko umubiri wawe wimenyereza umuti mu byumweru bike byambere.

Dore ibikorwa bigaragara ku ruhande byinshi ushobora kubona:

• Gusinzira cyane cyangwa guhumuka, cyane cyane mu byumweru bya mbere
• Ubukana bwiyongera no kongera ibiro bishoboka
• Umunwa wumye ushobora gukira uko igihe kigenda
• Kuribwa umutwe igihe uhagurutse vuba
• Kugira ikibazo cyo kutituma bisanzwe bikemurwa no guhindura imirire
• Kumva unaniwe cyangwa urushye cyane kurusha uko byari bisanzwe

Ibi bigaragara muri rusange birashoboka kandi akenshi ntibigaragara cyane uko umubiri wawe ukimenyereza umuti.

Abantu bamwe bashobora guhura n'ingaruka zitamenyerewe ariko zikaba zikomeye. Izi zikubiyemo inzozi zigaragara, urujijo ruto, cyangwa impinduka mu mikoranire y'amaraso. Nubwo ibi bitari ngombwa ko biteza akaga, birakwiye kubiganiraho na muganga wawe niba bitangiye kugutera ikibazo.

Gahoro, mirtazapine irashobora gutera ingaruka zikomeye zisaba ubufasha bwihuse:

• Ubwoko bukomeye bwo kwibasirwa n'umubiri hamwe n'ibibara, kubyimba, cyangwa guhumeka bigoranye
• Impinduka zidasanzwe mu myifatire cyangwa imyitwarire, harimo n'ibitekerezo byo kwangiza
• Ibimenyetso bya syndrome ya serotonin iyo ihujwe n'indi miti
• Kuribwa umutwe cyane cyangwa guta ubwenge
• Gukomereka cyangwa kuva amaraso bidasanzwe

Nubwo izi ngaruka zikomeye zitamenyerewe, kumenya icyo ugomba kwitondera bifasha kuguma mu mutekano no kubona ubufasha bwihuse niba bibaye ngombwa.

Ninde utagomba gufata Mirtazapine?

Mirtazapine ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Ibyiciro bimwe na bimwe by'ubuzima n'imiti bishobora gutuma mirtazapine itaba nziza cyangwa idakora neza.

Ntabwo ugomba gufata mirtazapine niba uri gufata cyangwa umaze igihe gito uhagaritse gufata MAO inhibitors, ubwoko bwa antidepressant. Ubu buryo bushobora gutera imikoranire iteye akaga igira ingaruka ku mikoranire y'amaraso yawe n'imikorere y'ubwonko.

Ibyiciro byinshi by'ubuzima bisaba ko tubanza kubitekerezaho mbere yo gutangira gufata mirtazapine:

• Indwara ikomeye y’umwijima cyangwa impyiko igira ingaruka ku buryo umubiri wawe ukoresha imiti
• Indwara z’umutima, cyane cyane umutima utera nabi cyangwa umutima umaze iminsi mike utera nabi
• Amateka y’ibibazo byo gufatwa n’indwara y’igicuri cyangwa epilepsi
• Indwara ya bipolar, kuko imiti igabanya ubwivumbure ishobora gutera ibibazo byo guhindagurika kw’amarangamutima
• Glaucoma, kuko umuti ushobora kongera umuvuduko mu jisho
• Urubavu rwagutse cyangwa ibibazo byo kutagira uruhuka rw’inkari

Niba ufite imwe muri izi ndwara, muganga wawe azagereranya akamaro n’ingaruka ashobora guhitamo izindi miti cyangwa akagukurikiranira hafi.

Imyaka nayo igira uruhare mukoresha mirtazapine. Abantu bakiri bato bari munsi y’imyaka 25 bashobora kugira ibyago byo kwiyahura igihe batangira gufata imiti igabanya ubwivumbure, bityo gukurikiranwa hafi ni ngombwa mu mezi make ya mbere yo kuvurwa.

Amazina y’ubwoko bwa Mirtazapine

Mirtazapine iboneka mu mazina menshi y’ubwoko, Remeron ikaba ariyo izwi cyane. Ushobora kandi kuyibona igurishwa nka Remeron SolTab, ikaba ariyo miti isenyuka.

Ubwoko bwa mirtazapine busanzwe bukora neza nk’ubwoko bw’izina kandi burimo ibintu bikora kimwe. Farumasi yawe ishobora guhita ishyiraho ubwoko busanzwe kugirango ifashe kugabanya ibiciro, ibyo bikaba bifite umutekano kandi bikora neza.

Uramutse wakira mirtazapine y’izina cyangwa iy’ubwoko busanzwe, umuti uzagira ingaruka zimwe zo kuvura. Itandukaniro rikomeye akenshi riba mu giciro rimwe na rimwe no mu bintu bitagira akamaro bikoreshwa muri tablet.

Izindi miti isimbura Mirtazapine

Niba mirtazapine itagukwiriye, izindi miti igabanya ubwivumbure ishobora gufasha kuvura depression no guhangayika. Muganga wawe ashobora gutekereza ku miti ya SSRIs nka sertraline cyangwa fluoxetine, ikora mu buryo butandukanye kandi ifite ingaruka zitandukanye.

Izindi nzira zirimo SNRIs nka venlafaxine cyangwa duloxetine, zigira ingaruka kuri serotonin na norepinephrine kimwe na mirtazapine ariko zikoresha uburyo butandukanye. Izi zishobora kuba amahitamo meza niba ukeneye ingaruka zo kurwanya depression zitagira umunaniro cyangwa kongera ibiro.

Ku bantu bagira ingaruka ku mibonano mpuzabitsina hamwe n'izindi zitumiza depression, bupropion ishobora kuba indi nzira. Ikora ku binyabutabuzi bitandukanye byo mu bwonko kandi akenshi ntigiteza ibibazo by'imibonano mpuzabitsina nk'uko izindi zitumiza depression zishobora kubikora.

Rimwe na rimwe, muganga wawe ashobora kugusaba guhuza imiti cyangwa kongeramo ubuvuzi muri gahunda yawe yo kuvurwa. Uburyo bwiza buterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuzima, n'uko wabyitwayemo ku buvuzi bwa mbere.

Ese Mirtazapine iruta Sertraline?

Mirtazapine na sertraline zombi ni imiti ikora neza yo kurwanya depression, ariko zikora mu buryo butandukanye kandi zikwiriye ibyifuzo by'abantu batandukanye. Nta na kimwe kiruta ikindi - guhitamo biterwa n'ibimenyetso byawe byihariye n'uko ibintu bimeze.

Mirtazapine ishobora kuba amahitamo meza niba ugira ibibazo byo gusinzira, watakaje ibiro kubera depression, cyangwa wagize ingaruka ku mibonano mpuzabitsina hamwe n'izindi zitumiza depression. Ingaruka zayo zo gutuza no gushishikariza irari rishobora kugirira akamaro abantu bafite ibyo bibazo byihariye.

Sertraline ishobora gukundwa niba uhangayikishijwe no kongera ibiro cyangwa umunaniro ukabije. Nanone akenshi ihitwamo nk'ubuvuzi bwa mbere kuko ifite imikoranire mike n'indi miti kandi akenshi yihanganirwa neza.

Muganga wawe azatekereza ibintu nk'imiterere y'ibimenyetso byawe, izindi ndwara, imiti urimo gufata, n'uburambe bwawe bwa mbere hamwe n'izitumiza depression mugihe afata iki cyemezo. Imiti yombi ishobora gukora neza cyane iyo ihujwe n'umuntu ukwiye.

Ibikunze Kubazwa Kuri Mirtazapine

Q1. Ese Mirtazapine irakwiriye indwara z'umutima?

Mirtazapine irashobora gukoreshwa neza n'abantu benshi barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza na muganga wawe. Uyu muti ushobora gutera impinduka mu gipimo cy'amaraso n'umuvuduko w'umutima, cyane cyane igihe utangiye kuwufata.

Niba urwaye indwara y'umutima, muganga wawe ashobora gutangira n'urugero ruto hanyuma akagenzura imikorere y'umutima wawe neza. Ashobora kandi gutuma ukora ibizamini byongereweho nka EKG kugirango yemeze ko umutima wawe ukoresha neza uyu muti.

Q2. Nkwiriye gukora iki niba mfata mirtazapine nyinshi ku buryo butunguranye?

Niba ufata mirtazapine nyinshi ku buryo butunguranye, vugana na muganga wawe cyangwa ikigo gishinzwe uburozi ako kanya, kabone n'iyo wumva umeze neza. Kubona urugero rwinshi rushobora gutera ibibazo by'ubwoba, urujijo, cyangwa ibibazo by'umutima bishobora kutagaragara ako kanya.

Mugihe utegereje inama ya muganga, guma maso kandi witonze niba bishoboka. Ntugerageze kwivugisha niba utabitegetswe na umuganga. Bika urupapuro rw'umuti hamwe nawe kugirango abaganga babone neza icyo wafashe n'ingano yacyo.

Q3. Nkwiriye gukora iki niba nirengagije urugero rwa mirtazapine?

Niba wibagiwe urugero rwa mirtazapine rwa nimugoroba, fata ako kanya wibukije, keretse igihe cyegereye urugero rwawe rukurikira. Muricyo gihe, reka urugero wibagiwe hanyuma ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango usubize urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba wibagirwa kenshi urugero, tekereza gushyiraho umwibutso wa buri munsi kuri terefone yawe cyangwa ukoreshe umuteguro w'ibinyobwa.

Q4. Nshobora guhagarika ryari gufata mirtazapine?

Ugomba guhagarika gufata mirtazapine gusa ukurikije ubuyobozi bwa muganga wawe, kabone n'iyo wumva umeze neza cyane. Guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho nka isereri, isesemi, kuribwa mumutwe, n'impinduka z'amarangamutima.

Umuganga wawe akenshi azagabanya urugero rw'umuti buhoro buhoro mu byumweru byinshi cyangwa amezi. Iyi nzira yo kugabanya ifasha ubwonko bwawe kumenyera impinduka kandi igabanya ibimenyetso byo kuva ku muti. Igihe nyacyo giterwa n'igihe umaze ufata umuti n'uburyo umubiri wawe ubisangamo.

Q5. Nshobora kunywa inzoga niba mfata Mirtazapine?

Ni byiza kwirinda inzoga mugihe ufata mirtazapine, kuko guhuza ibi bishobora kongera cyane ibitotsi no gutuma utekereza nabi no guhuza ibitekerezo. Ibi bishobora gutuma ibikorwa nk'ukuyobora imodoka bigira akaga.

Inzoga kandi ishobora kubangamira imikorere y'umuti kandi ikongera ibimenyetso byo kwiheba. Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi kandi ntuzigere unywa inzoga ukagenda cyangwa ukoresha imashini.