Niki Nefazodone: Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Nefazodone ni umuti uvura umubabaro wo mu mutwe ufasha kuvura umubabaro wo mu mutwe n'indwara z'ubwoba. Uyu muti ubarizwa mu cyiciro cy'imiti yitwa serotonin antagonist na reuptake inhibitors (SARIs), ikora mu buryo butandukanye n'imiti isanzwe ikoreshwa mu kuvura umubabaro wo mu mutwe nka SSRIs.

Uyu muti umaze imyaka myinshi uvumbuwe kuva mu myaka ya za 1990 kandi utanga uburyo bwihariye bwo kuvura umubabaro wo mu mutwe. Nubwo uyu muti utandikirwa cyane muri iki gihe bitewe n'impungenge z'umutekano, uracyari uburyo bw'ingenzi ku bantu batabonye ubufasha mu bundi buryo bwo kuvurwa.

Niki Nefazodone?

Nefazodone ni umuti wandikirwa uvura umubabaro wo mu mutwe ugira ingaruka ku bimera byo mu bwonko byitwa neurotransmitters. Ugenewe by'umwihariko serotonin, ubutumwa bw'imirasire bugira uruhare mu myitwarire, gusinzira, n'urugero rw'ubwoba.

Bitandukanye n'indi miti myinshi ivura umubabaro wo mu mutwe, nefazodone ifite imikorere ibiri. Ikomereza imiterere ya serotonin zimwe na zimwe mugihe kandi ikabuza serotonin gusubizwa vuba na selile zo mu bwonko. Ubu buryo bwihariye bushobora gufasha abantu batabonye ubufasha neza mu yindi miti.

Uyu muti uza mu buryo bw'ibinini kandi ufashwe mu kanwa. Akenshi wandikirwa iyo indi miti ivura umubabaro wo mu mutwe itatanze ubufasha buhagije cyangwa yateje ingaruka ziteye impungenge.

Niki Nefazodone ikoreshwa?

Nefazodone ikoreshwa cyane cyane mu kuvura indwara ikomeye yo mu mutwe mu bantu bakuru. Ishobora gufasha kunoza imyitwarire, kugabanya kumva ubabaye, no gusubiza inyungu mu bikorwa bya buri munsi.

Usibye umubabaro wo mu mutwe, abaganga rimwe na rimwe bandikira nefazodone indwara z'ubwoba, indwara yo guhangayika nyuma y'ihungabana (PTSD), n'indwara yo guhagarika umutima. Abantu bamwe basanga bifasha cyane kuko bigaragara ko bitera ingaruka nke z'imibonano mpuzabitsina ugereranije n'indi miti ivura umubabaro wo mu mutwe.

Muganga wawe ashobora gutekereza nefazodone niba wagerageje izindi miti ivura depression ariko ntibigende neza. Rimwe na rimwe ihitwamo iyo ibibazo byo gusinzira ari ikibazo gikomeye, kuko bishobora gufasha kunoza imikorere yo gusinzira bitabangamiye umubiri cyane ku manywa.

Nefazodone ikora ite?

Nefazodone ikora yongera umubare wa serotonin uboneka mu bwonko bwawe. Ibi ibikora binyuze mu bikorwa bibiri bikorwa icyarimwe.

Icya mbere, ibuza serotonin gusubizwa mu buryo bwihuse cyane n'uturemangingo tw'imitsi, bituma iyi shimi igenga imitekerereze iguma ikora. Icya kabiri, ibuza imiterere ya serotonin yihariye rimwe na rimwe ishobora kubangamira imitekerereze.

Ubu buryo bubiri butuma nefazodone icyo abaganga bita

Muri rusange, ubusanzwe utangira kubona impinduka mu gusinzira no kurya mu byumweru bike bya mbere. Ariko, impinduka zigaragara mu myumvire zikunze gufata ibyumweru 4 kugeza kuri 8 kugira ngo zigaragare. Ntukwiye gucika intege niba utiyumva neza ako kanya.

Muganga wawe azajya akurikirana imikorere yawe buri gihe kandi ashobora guhindura gahunda yo kuvura ukurikije uko bimeze. Abantu bamwe na bamwe bakeneye kuvurwa igihe kirekire, cyane cyane niba baragize ibibazo byinshi byo kwiheba. Ntukagomba guhagarika gufata nefazodone ako kanya, kuko ibyo bishobora gutera ibimenyetso byo kuva mu miti.

Ni izihe ngaruka ziterwa na Nefazodone?

Kimwe n'imiti yose, nefazodone ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Kumva icyo witegura bishobora kugufasha kwitegura neza kandi ukamenya igihe wakwibutsa muganga wawe.

Ingaruka zisanzwe zikunda kugaragara ku bantu benshi zirimo gusinzira, kuribwa umutwe, isesemi, n'umunwa wumye. Ibi bimenyetso bikunze kuba byoroheje kandi akenshi bigenda bikosoka uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Dore ingaruka zikunze kuvugwa cyane:

• Gusinzira cyangwa kunanirwa
• Kuribwa umutwe cyangwa kumva ureremba
• Isememi cyangwa kurwara inda
• Umunwa wumye
• Kureba nabi
• Kugorana kwituma
• Kuribwa umutwe

Izi ngaruka zisanzwe muri rusange ziragendeka kandi zikunze kugabanuka uko umubiri wawe wimenyereza umuti.

Ingaruka zikomeye ntizikunze kugaragara ariko zisaba ubufasha bwihutirwa bw'abaganga. Ikintu gikomeye cyane kuri nefazodone ni amahirwe make yo kugira ibibazo by'umwijima, ni yo mpamvu uyu muti usaba gukurikiranwa neza.

Vugana n'umuganga wawe ako kanya niba ubonye ibi bimenyetso byo kwitondera:

• Uruhu cyangwa amaso y'umuhondo (jaundice)
• Inkari z'umukara cyangwa imyanda y'umweru
• Kunanirwa cyane cyangwa intege nke
• Kubura ubushake bwo kurya bimara iminsi myinshi
• Isememi no kuruka bidahagarara
• Urubavu rubabaza cyangwa kumva rutagira umunezero

Ibi bimenyetso bishobora kwerekana ibibazo by'umwijima, bibaho ku bantu batarenze 1 kuri 1,000 bafata nefazodone ariko bisaba isuzuma ryihutirwa.

Ninde utagomba gufata Nefazodone?

Abantu bamwe bagomba kwirinda nefazodone kubera ibyago byiyongereye by'ingorane zikomeye. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kugena uyu muti.

Ntabwo ugomba gufata nefazodone niba ufite indwara y'umwijima ikora cyangwa amateka y'ibibazo by'umwijima byatewe no gukoresha nefazodone mbere. Uyu muti rimwe na rimwe ushobora guteza ibibazo by'umwijima, bityo abantu bafite ibibazo by'umwijima bari mu kaga gakomeye.

Abantu bafata MAO inhibitors (ubwoko bwa antidepressant) bagomba kwirinda nefazodone rwose. Hagomba kubaho nibura intera y'iminsi 14 hagati yo guhagarika MAO inhibitor no gutangira nefazodone, cyangwa ibinyuranye, kugirango birinde guhura gukomeye.

Ibindi bihe nefazodone itakwemerwa harimo:

• Umutima watewe vuba cyangwa indwara y'umutima idahagaze
• Indwara ikomeye y'impyiko
• Amateka yo gufatwa n'indwara cyangwa epilepsi
• Indwara ya bipolar (itari hamwe n'ibintu bituma imyumvire ihinduka)
• Gusama cyangwa konsa

Muganga wawe azagereranya inyungu zishoboka n'ibyago niba ufite kimwe muri ibi bibazo, kandi imiti isimbura irashobora gukwira neza imiterere yawe.

Amazina ya Nefazodone

Nefazodone yabanje gucuruzwa ku izina rya Serzone, ariko iyi marque yahagaritswe muri Amerika mu 2004. Uyu munsi, uyu muti uboneka gusa nk'umuti rusange.

Urashobora kumva abaganga bakoresha izina rya Serzone, cyane cyane abaganga bashaje babandikaga igihe iyi marque yariho. Ariko, nefazodone yose iboneka muri Amerika ubu ni rusange.

Ubwoko rusange bufite akamaro kimwe n'umuti w'izina ry'umwimerere. Zirimo ibintu bikora kimwe kandi zujuje ubuziranenge bumwe bwategetswe na FDA.

Uburyo bwo gusimbuza Nefazodone

Izindi nshuti nyinshi zivura umubabaro zirashobora gusimbura nefazodone, buri imwe ifite inyungu zayo n'ingaruka zayo. Muganga wawe ashobora kugufasha gushakisha izi nzira niba nefazodone itagukwiriye.

Izindi nshuti zisanzwe zirimo SSRIs nka sertraline (Zoloft) cyangwa escitalopram (Lexapro), akenshi zigeragezwa mbere kubera umutekano wabo wemejwe neza. Iyi miti ikora kimwe ikora kuri serotonin ariko ifite uburyo butandukanye bw'ingaruka.

Izindi nzira muganga wawe ashobora gutekereza zirimo:

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• Trazodone (uburyo bumwe, akenshi byihanganirwa neza)
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• Mirtazapine (byiza kubibazo byo gusinzira no kubura ubushake bwo kurya)
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• Bupropion (ntishobora gutera ingaruka ziterwa n'imibonano mpuzabitsina)
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• Venlafaxine (ikora kuri serotonin na norepinephrine)
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• Duloxetine (ifasha kandi kubibazo by'ububabare)
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Uburyo bwiza bushingiye ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uburyo wabanje kwitwara ku miti. Muganga wawe azakorana nawe kugirango abone uburyo bukwiye.

Ese Nefazodone iruta Trazodone?

Nefazodone na trazodone zombi ziri mu cyiciro kimwe cy'imiti ivura umubabaro, ariko zifite itandukaniro rikomeye. Nta na kimwe cyemeza ko

Muganga wawe azatekereza ibintu nk'uko uryama, urwego rw'imbaraga zawe, ibibazo by'imikorere y'imibonano mpuzabitsina, n'amateka yawe y'ubuvuzi mugihe ahitamo hagati y'iyo miti. Byombi birashobora kugira akamaro mugukiza umubabaro no guhangayika.

Ibikunze Kubazwa Kuri Nefazodone

Ese Nefazodone irakwiriye kubantu barwaye indwara z'umutima?

Nefazodone irashobora gukoreshwa kubantu barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza. Uyu muti ushobora gutera impinduka mumuvuduko w'amaraso ndetse n'umuvuduko w'umutima, cyane cyane mugihe utangiye kuwufata cyangwa mugihe urugero rwiyongereye.

Niba urwaye indwara y'umutima, muganga wawe ashobora gutangira kukugaburira urugero ruto hanyuma akagukurikiranira hafi. Bashobora kandi gutumiza electrocardiogram (EKG) kugirango barebe umuvuduko w'umutima wawe mbere na mugihe cy'imiti. Abantu benshi bafite indwara z'umutima zidakuka barashobora gufata nefazodone neza bafashijwe n'abaganga.

Nigute nakora niba mfashwe n'umuti wa Nefazodone mwinshi?

Niba ufashwe n'umuti wa nefazodone mwinshi, vugana n'abashinzwe uburozi cyangwa usabe ubufasha bwihutirwa bw'ubuvuzi ako kanya. Guhura n'umuti mwinshi bishobora gutera ibimenyetso bikomeye birimo gusinzira cyane, isesemi, kuruka, ndetse n'ibibazo by'umuvuduko w'umutima.

Ntugerageze kwivugisha cyangwa gutegereza kureba niba ibimenyetso bigaragara. N'iyo wumva umeze neza mbere, gufata umuti mwinshi bishobora gutera ingaruka zitinda zishobora kuba ziteje akaga. Bika icupa ry'umuti hamwe nawe kugirango abaganga babone neza icyo wafashe n'ingano yacyo.

Nigute nakora niba nirengagije urugero rwa Nefazodone?

Niba wibagiwe urugero rwa nefazodone, jya urufata ako kanya wibukirwa, keretse igihe cyegereje urugero rwawe ruteganyijwe. Muricyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugirango usubize urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe umuteguro w'ibinini kugirango ugufashe kuguma kuri gahunda yawe yo gufata imiti.

Nshobora Kureka Gufata Nefazodone Ryari?

Ugomba kureka gufata nefazodone gusa ubisabwe na muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti nko kuribwa umutwe, isesemi, kuribwa umutwe, no guhinduka kw'amarangamutima bishobora kuba bidashimishije.

Muganga wawe azagabanya urugero rwawe buhoro buhoro mu byumweru byinshi igihe kigeze cyo guhagarika umuti. Ubu buryo bwo kugabanya bufasha kugabanya ibimenyetso byo kuva mu miti no kugabanya ibyago byo gusubira mu bwigunge. N'iyo wumva umeze neza rwose, ntukihagarike wenyine - korana n'umuganga wawe kugira ngo ukore gahunda yo guhagarika umuti itekanye.

Nshobora Kunywa Alcool Ndafata Nefazodone?

Ni byiza kwirinda alcool mugihe ufata nefazodone, kuko guhuza ibi bishobora kongera gusinzira no gutuma utabasha gukora neza ibikorwa byawe. Alcool irashobora kandi kubangamira imikorere y'umuti kandi ishobora gutuma ibimenyetso byo kwiheba birushaho.

Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi kandi ntunywe na rimwe igihe wumva ingaruka z'umuti. Buri gihe ganira ku kunywa alcool na muganga wawe, kuko bashobora gutanga inama zihariye zishingiye ku miterere yawe n'ubuzima bwawe.