Moclobemide ni iki: Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo n'ibindi

Moclobemide ni umuti uvura umubabaro wo mu mutwe wo mu bwoko bw'imiti yitwa ababuza monoamine oxidase A (RIMAs). Ikora ifasha kugarura uburinganire bw'imiti kamere imwe na rimwe mu bwonko bwawe, cyane cyane serotonin, norepinephrine, na dopamine, bishobora guteza imbere imyumvire yawe n'imibereho myiza y'amarangamutima.

Uyu muti ufashwe nk'ubundi buryo bworoshye bwo kuvura umubabaro wo mu mutwe kurusha imiti ya kera yo mu muryango umwe. Bitandukanye n'ababuza gakondo ba MAO, moclobemide ifite imbogamizi nkeya z'imirire n'imikoranire y'imiti, bituma bikoreshwa neza buri munsi.

Moclobemide ikoreshwa mu iki?

Moclobemide ikoreshwa cyane cyane mu kuvura indwara ikomeye yo kwiheba no guhangayika mu mibanire. Muganga wawe ashobora kugusaba uyu muti iyo ufite amarangamutima ahoraho yo kumva ubabaye, kutagira icyizere, cyangwa guhangayika bikabije mu mibanire.

Usibye ibi bikoreshwa by'ingenzi, abaganga rimwe na rimwe bandikira moclobemide izindi ndwara. Izi zirimo indwara yo guhangayika, aho ushobora guhura n'ibihe bitunguranye by'ubwoba bwinshi, no kwiheba bidasanzwe, bikubiyemo guhindagurika kw'amarangamutima no kwiyongera kw'ubwumvikane ku kwangwa.

Mu bihe bimwe na bimwe, abaganga bashobora gutekereza moclobemide yo kuvura kwiheba kudakira. Ibi bibaho iyo indi miti ivura umubabaro wo mu mutwe itatanze ubufasha buhagije, kandi umuganga wawe akeneye gushakisha ubundi buryo bwo kuvura.

Moclobemide ikora ite?

Moclobemide ikora ibuza enzyme yitwa monoamine oxidase A mu bwonko bwawe. Iyi enzyme isanzwe isenya imiti y'ingenzi igenzura amarangamutima nka serotonin, dopamine, na norepinephrine.

Mugukingira uku gusenyuka, moclobemide yemerera iyi miti "yumvikanisha neza" gukomeza gukora igihe kirekire mu bwonko bwawe. Tekereza nk'ifasha ubwonko bwawe gufata imiti kamere ishyigikira imyumvire myiza n'uburinganire bw'amarangamutima.

Uyu muti ufatwa nk'ukomeye ku rugero ruciriritse ugereranije n'izindi zivura umubabaro. Ni woroshye kurusha imiti ya kera ya MAO ariko iracyakora ku bantu benshi bahanganye n'umubabaro n'indwara zo guhangayika.

Nkwiriye Gufata Moclomemide Nte?

Fata moclobemide nk'uko umuganga wawe abikwandikira, akenshi inshuro ebyiri cyangwa eshatu ku munsi hamwe cyangwa nyuma yo kurya. Kuyifata hamwe n'ibiryo bifasha kugabanya isesemi kandi bigateza imbere uburyo umubiri wawe wunguka umuti.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasatura, urume, cyangwa umenagure ibinini, kuko ibi bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe.

Dore amabwiriza akomeye agomba gukurikizwa iyo ufata moclobemide:

• Fata ku masaha amwe buri munsi kugira ngo ugumane urwego ruzigama mu mubiri wawe
• Fata agafunguro gato cyangwa ifunguro mbere yo gufata umuti kugira ngo wirinde kuribwa mu gifu
• Irinde kuwufata nimugoroba, kuko bishobora kubangamira ibitotsi byawe
• Ntukareke gufata umuti ako kanya utabanje kuvugana n'umuganga wawe

Niba wibagiwe urugero, rufate ako kanya wibukiye, keretse igihe cyo gufata urugero rukurikira kigeze. Ntukigere ufata urugero rurenze rumwe icyarimwe kugira ngo wuzuze urugero rwatanzwe.

Nkwiriye Kumara Igihe Kingana Gite Ndafata Moclobemide?

Abantu benshi bakeneye gufata moclobemide byibuze mu byumweru 4 kugeza kuri 6 mbere yo kumva inyungu zayo zose. Ubwonko bwawe bukeneye igihe cyo kumenyera urwego rwo hejuru rw'imiti igenzura imyumvire.

Umaze gutangira kumva umeze neza, umuganga wawe ashobora gutanga icyifuzo cyo gukomeza gufata umuti mu mezi menshi. Ibi bifasha kwirinda ko umubabaro wawe cyangwa guhangayika bigaruka kandi biha ubwonko bwawe igihe cyo gushyiraho uburyo bushya, bwiza.

Igihe cyose cyo kuvurwa gitandukanye kuri buri muntu, ariko abantu benshi bafata moclobemide mu mezi 6 kugeza kuri 12 cyangwa kurenza. Umuganga wawe azakorana nawe kugira ngo amenye igihe gikwiye gishingiye ku miterere yawe yihariye n'uburyo wemera neza kuvurwa.

Ni Ibihe Bikorwa Bigaragara bya Moclobemide?

Kimwe n'imiti yose, moclobemide ishobora gutera ibikorwa bigaragara, nubwo abantu benshi bahura n'ibibazo bike cyangwa nta bibazo. Ibikorwa bigaragara byinshi ni bike kandi bikunda gukira uko umubiri wawe wimenyereza umuti.

Ibikorwa bigaragara bisanzwe ushobora guhura nabyo birimo:

• Uburwayi bwo mu nda cyangwa kuribwa mu nda, cyane cyane mugihe utangiye gufata umuti
• Urugero cyangwa umutwe mugihe uhagurutse vuba
• Umutwe ukunda kuba woroshye kandi w'agateganyo
• Kugorwa no gusinzira cyangwa guhinduka mumitwe yo gusinzira
• Umunwa wumye cyangwa guhinduka kw'uburyohe
• Kutagira umutuzo cyangwa kumva uhangayitse

Ibi bikorwa bigaragara bisanzwe bikunda gushira muminsi mike ya mbere yo kuvurwa uko umubiri wawe wimenyereza umuti.

Ibikorwa bigaragara bitari ibisanzwe ariko bikomeye bisaba ubufasha bwihuse bwa muganga. Ibi bishobora kuba birimo umutwe ukabije, kuribwa mu gituza, umutima wihuta, urujijo, cyangwa ibimenyetso byo kwibasirwa n'umubiri nko kuribwa cyangwa kugorwa no guhumeka.

Gahoro, abantu bamwe bashobora guhura n'imihindagurikire ikomeye y'amarangamutima, harimo kongera guhangayika, gutekereza kwikomeretsa, cyangwa guhinduka kw'imyitwarire idasanzwe. Niba ubonye impinduka izwi mu marangamutima yawe cyangwa gutekereza, vugana n'umuganga wawe ako kanya.

Ninde Utagomba Gufata Moclobemide?

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

Ntabwo ugomba gufata moclobemide niba ufite:

• Allergie izwi kuri moclobemide cyangwa ibintu byayo byose
• Indwara ikomeye y'umwijima cyangwa ibibazo bikomeye by'imikorere y'umwijima
• Pheochromocytoma, igituntu gike cy'ingirangingo z'imisemburo
• Ubu ufata izindi miti yo kurwanya depression cyangwa imiti ivanga nabi

Ukwitonda by'umwihariko birakenewe niba ufite indwara zimwe na zimwe. Muganga wawe azakugenzura neza niba ufite ibibazo byoroheje by'umwijima, indwara y'impyiko, indwara z'umutima, cyangwa amateka y'indwara ya bipolar.

Abagore batwite cyangwa bonka bagomba kuganira ku byago n'inyungu n'umuganga wabo. Nubwo moclobemide ishobora gukoreshwa mugihe cyo gutwita mubihe bimwe na bimwe, bisaba kwitondera cyane ibyago bishobora guterwa na nyina n'umwana.

Amazina ya Moclobemide

Moclobemide iboneka munsi y'amazina menshi bitewe n'aho uherereye. Amazina asanzwe arimo Aurorix, Manerix, na Depnil.

Abakora imiti batandukanye bashobora gukora moclobemide munsi y'amazina atandukanye mumihanda itandukanye. Umufarumasiti wawe ashobora kugufasha kumenya izina urimo guhabwa kandi akemeza ko urimo guhabwa umuti ukwiye.

Tutitaye ku izina ry'ubwoko, imiti yose ya moclobemide irimo ikintu kimwe gikora kandi gikora kimwe. Itandukaniro rikuru hagati y'ubwoko ni mubintu bitagira akamaro cyangwa isura ya tablet.

Uburyo bwa Moclobemide

Niba moclobemide itagukwiriye, hari imiti myinshi isimbura iboneka. Muganga wawe ashobora gutekereza SSRIs nka sertraline cyangwa fluoxetine, bikora muburyo butandukanye ariko bishobora kugira akamaro kimwe kubantu bafite umubabaro no guhangayika.

Izindi nzira zirimo SNRIs nka venlafaxine cyangwa duloxetine, zikora kuri serotonin na norepinephrine. Kubantu bafite indwara yo guhangayika mubukwe byumwihariko, beta-blockers cyangwa benzodiazepines birashobora gutekerezwa gukoreshwa mugihe gito.

Ubwoko bwo gusimbuza buterwa nibimenyetso byawe byihariye, amateka yubuvuzi, nuburyo wakiriyeho izindi mvura. Umuganga wawe azakorana nawe kugirango abone uburyo bukwiye niba moclobemide itariyo.

Ese Moclobemide iruta izindi miti igabanya umubabaro?

Moclobemide ifite ibyiza byihariye ugereranije n'izindi miti ivura depression, cyane cyane mu bijyanye no kutagira imbogamizi nyinshi ku mirire no guhura n'indi miti. Bitandukanye n'imiti ya kera ya MAO inhibitors, ntugomba gukurikiza imirire ikarishye itarimo tyramine mugihe ufata moclobemide.

Ugereranije na SSRIs, moclobemide ishobora gutera ingaruka nke zo mu mibonano mpuzabitsina, ibyo bikaba bishobora kuba ibintu by'ingenzi kuri benshi. Nanone kandi, akenshi ntigira ingaruka nyinshi ku kongera ibiro, ikindi kibazo gikunze kugaragara hamwe na zimwe mu miti ivura depression.

Ariko,

Niba wibagiwe gufata urugero rwa moclobemide, rufate uko wibukije, keretse igihe cyo gufata urugero rukurikira cyegereje. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugira ngo usubize urugero wibagiwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakunda. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha agasanduku kabugenewe kugufasha gukurikiza gahunda.

Ni ryari nshobora kureka gufata Moclobemide?

Ugomba kureka gufata moclobemide gusa uri mu maso ya muganga wawe. Guhagarika ako kanya gushobora gutera ibimenyetso byo kuva mu miti kandi bishobora gutuma ibimenyetso byawe byo kwiheba cyangwa guhangayika bisubira.

Muganga wawe azagabanya urugero rwawe buhoro buhoro mu byumweru byinshi igihe kigeze cyo guhagarika. Ubu buryo bwo kugabanya bufasha ubwonko bwawe kumenyera impinduka kandi bugabanya ibyago byo kugira ibimenyetso byo kuva mu miti cyangwa gusubira kw'ibimenyetso.

Nshobora kunywa inzoga nkanwa moclobemide?

Ni byiza kwirinda inzoga mugihe ufata moclobemide, kuko bishobora kongera ibyago byo kugira ingaruka zidakunda kandi bishobora kubangamira imikorere y'umuti. Inzoga irashobora gukomeza kwiheba n'ibimenyetso byo guhangayika, ikora ibinyuranye n'inyungu z'ubuvuzi bwawe.

Niba uhisemo kunywa rimwe na rimwe, wikumire ku bwinshi buto kandi witondere uko wumva. Abantu bamwe bagira umutwe mwinshi, gusinzira cyane, cyangwa impinduka z'amarangamutima iyo bahuje inzoga na moclobemide. Buri gihe ganira ku mikoreshereze yawe y'inzoga n'umuganga wawe.