Nortriptyline ni iki: Ibyo ikoreshwa, urugero rwa dose, ingaruka ziterwa n'iyo miti n'ibindi

Nortriptyline ni umuti wandikirwa na muganga ugwa mu cyiciro cy'imiti yitwa tricyclic antidepressants. Nubwo yabanje gukorwa kugira ngo ivure umubabaro, abaganga ubu bayikoresha mu kuvura indwara zitandukanye zirimo kubabara kw'igihe kirekire, kubabara kw'imitsi, no gukumira migraine.

Uyu muti ukora ungana imisemburo imwe n'imwe mu bwonko bwawe, cyane cyane norepinephrine na serotonin. Ibi bintu bisanzwe bifasha kugenzura imyumvire, ibimenyetso by'ububabare, n'imikorere yo gusinzira. Tekereza kuri nortriptyline nk'umufasha w'inyangamugayo uha sisitemu y'itumanaho ry'ubwonko bwawe ubufasha bukenewe kugira ngo ikore neza.

Nortriptyline ni iki?

Nortriptyline ni umuti uvura umubabaro wa tricyclic umaze gufasha abantu mu myaka myinshi. Ifatwa nk'umuti ukomeye ku rugero ruringaniye ukora buhoro buhoro kugira ngo uteze imbere ibimenyetso aho gutanga ubufasha bwihuse.

Uyu muti uza mu buryo bwa capsule kandi ufashwe unyuzwa mu kanwa, akenshi rimwe ku munsi. Muganga wawe azakwandikira urugero rwa dose rukwiye ku ndwara yawe yihariye n'ibyo ukeneye mu buzima. Nortriptyline iboneka nk'umuti rusange, bituma iba uburyo buhendutse ku barwayi benshi.

Bitandukanye n'imiti mishya imwe n'imwe ivura umubabaro, nortriptyline igira ingaruka ku binyabutabazi byinshi byo mu bwonko icyarimwe. Iki gikorwa cyagutse gisobanura impamvu gishobora kugira akamaro ku bwoko butandukanye bw'indwara zirenga umubabaro.

Nortriptyline ikoreshwa mu kuvura iki?

Nortriptyline ifasha kuvura indwara zitandukanye. Muganga wawe ashobora kuyikwandikira mu kuvura umubabaro, indwara ziterwa n'ububabare bw'igihe kirekire, cyangwa gukumira migraine.

Ku mubabaro, nortriptyline ifasha kuzamura imyumvire yawe no gusubiza inyungu mu bikorwa bya buri munsi. Bifasha cyane cyane abantu bahura n'ibibazo byo gusinzira cyangwa ibimenyetso by'umubiri hamwe n'umubabaro wabo.

Abaganga benshi bandikira nortriptyline kubera uburwayi bw’ububabare bw’imitsi nk’uburwayi bw’imitsi ya diyabete cyangwa uburibwe nyuma yo kurwara shingles. Uyu muti ushobora kugabanya uburibwe, kuribwa, cyangwa uburibwe buvuye mu kwangirika kw’imitsi. Ukora uhindura uburyo sisitemu yawe y’imitsi itunganya ibimenyetso by’ububabare.

Niba urwara migraine kenshi, nortriptyline ishobora gufasha kuyirinda. Si umuti uvura uburibwe ufata igihe urwaye migraine, ahubwo ni umuti wa buri munsi ushobora kugabanya uburyo migraine zibaho kenshi.

Abaganga bamwe kandi bakoresha nortriptyline kubera izindi ndwara nko kunanirwa kw’igihe, fibromyalgia, cyangwa ibibazo bimwe na bimwe byo gusinzira. Ibi bifatwa nk’“gukoresha hanze y’icyo umuti ugamije”, bivuze ko atari intego nyamukuru y’umuti ariko byagaragaye ko bifitiye akamaro mu bushakashatsi bwa muganga.

Nortriptyline ikora ite?

Nortriptyline ikora yongera urwego rw’imiti kamere imwe mu bwonko bwawe no mu mikorere y’imitsi. By’umwihariko, bifasha kugumisha norepinephrine na serotonin nyinshi ziboneka kugira ngo selile zo mu bwonko bwawe zizikoreshe.

Iyi miti isanzwe isubizwa vuba nyuma yo gutanga ubutumwa bwayo hagati ya selile zo mu bwonko. Nortriptyline itinda iyi nzira yo gusubiza, ikemerera imiti ifasha kuguma ikora igihe kirekire. Iki gikorwa cyongerewe gifasha kunoza imyumvire, kugabanya ububabare, no kugenga uburyo bwo gusinzira.

Uyu muti ufatwa nk’ukomeye ku rugero rwo hagati ugereranije n’izindi miti ivura depression. Ntabwo yoroshye nk’imiti mishya, ariko kandi siwo muti ukomeye cyane uboneka. Uku gukomera ku rugero rwo hagati akenshi bituma bikora ku bantu batitabiriye neza imiti yoroheje.

Kubera ko nortriptyline igira ingaruka ku miti myinshi yo mu bwonko, ishobora gutera ingaruka nyinshi kurusha imiti igamije sisitemu imwe gusa. Ariko, iki gikorwa cyagutse gisobanura kandi impamvu gishobora gufasha mu ndwara zitandukanye zirenga depression.

Nkwiriye gufata nortriptyline nte?

Fata nortriptyline uko muganga wawe abikwandikiye, akenshi rimwe ku munsi mbere yo kuryama. Uyu muti urashobora gutuma uba umunebwe, bityo kuwufata mbere yo kuryama akenshi bikora neza kandi bifasha kugabanya umunaniro wo ku manywa.

Ushobora gufata nortriptyline hamwe n'ibiryo cyangwa utabifite, ariko kuwufata hamwe n'akaboga gato birashobora gufasha kwirinda kuribwa mu gifu. Irinde kuwufata hamwe na alukolo, kuko iyi mvange irashobora kongera umunebwe n'izindi ngaruka zikomeye.

Mimina ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi. Ntukoreshe, ntukore, cyangwa ufungure ikinini, kuko ibi bishobora kugira ingaruka ku buryo umuti winjira mu mubiri wawe. Niba ugira ikibazo cyo kumira ibinini, ganira na muganga wawe ku bindi bisubizo.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugirango ufashe umubiri wawe kugumana urwego ruzigama. Gushyiraho umwibutso kuri terefone cyangwa gukomeza umuti hafi y'urubavu rwawe birashobora kugufasha kwibuka urugero rwawe rwa buri munsi.

Ntukareke gufata nortriptyline ako kanya, kabone n'iyo wumva umeze neza. Muganga wawe azakenera kugabanya buhoro buhoro urugero rwawe uko igihe kigenda kugirango wirinde ibimenyetso byo gukurwaho nk'izunguzungu, isesemi, cyangwa kumva umeze nk'umuriro.

Nzakoresha Nortriptyline Igihe Kingana Gite?

Igihe cyo kuvurwa na nortriptyline giterwa n'uburwayi bwawe bwihariye n'uburyo wakira neza umuti. Kubijyanye n'agahinda, abantu benshi bakeneye kuwufata byibuze amezi atandatu kugeza umwaka nyuma yuko ibimenyetso bigabanuka.

Niba ukoresha nortriptyline kubera kuribwa kw'igihe kirekire cyangwa kwirinda migraine, ushobora gukenera kuwufata amezi menshi cyangwa ndetse igihe kirekire. Muganga wawe azagenzura buri gihe niba umuti ugifasha kandi niba ukeneye gukomeza kuvurwa.

Bisaba ibyumweru 2-4 kugirango umenye inyungu zose za nortriptyline. Abantu bamwe barashobora kumva impinduka ntoya mbere, ariko umuti ukeneye igihe kugirango wubake muri sisitemu yawe kandi ukore impinduka zirambye muri chimie y'ubwonko.

Muganga wawe ashobora gutangira akoresha urugero ruto hanyuma akaruzamura buhoro buhoro kugeza ubona urugero rukora neza ku bimenyetso byawe. Ubu buryo buhoro bufasha umubiri wawe kumenyera kandi bugabanya ibyago byo kugira ingaruka ziterwa n'imiti.

Ntuzigere uhagarika gufata nortriptyline utabanje kuvugana na muganga wawe. N'iyo wumva umeze neza rwose, guhagarika ako kanya bishobora gutera ibimenyetso bitari byiza byo kuva mu miti kandi bishobora gutuma indwara yawe y'umwimerere igaruka.

Ni izihe ngaruka ziterwa na Nortriptyline?

Kimwe n'imiti yose, nortriptyline ishobora gutera ingaruka, nubwo atari buri wese uzagira izo ngaruka. Ingaruka nyinshi ziterwa n'imiti zoroheje kandi akenshi zikagenda zikemuka uko umubiri wawe umenyera umuti mu byumweru bike bya mbere.

Ingaruka zisanzwe ushobora guhura nazo zirimo gusinzira cyane, umunwa wumye, kubura umwanya wo kwituma, no kutabona neza. Izi ngaruka zibaho kuko nortriptyline igira ingaruka ku bice bitandukanye by'umubiri wawe, ntabwo ari imisemburo yo mu bwonko gusa.

Dore ingaruka ziterwa n'imiti ushobora guhura nazo cyane:

• Gusinzira cyane cyangwa kunanirwa ku manywa
• Umunwa wumye utuma ushaka kunywa amazi menshi
• Kubura umwanya wo kwituma cyangwa guhinduka mu myitwarire yo kwituma
• Kutabona neza cyangwa kugorwa no kureba neza
• Kuribwa umutwe iyo uhagurutse vuba
• Kongera ibiro uko igihe kigenda gihita
• Kugorwa no kwihagarika cyangwa kumva ko udashobora gushyira uruhago rwose

Izi ngaruka zisanzwe ziterwa n'imiti akenshi zirashoboka kandi akenshi zigenda zigabanuka uko umubiri wawe umenyera umuti.

Abantu bamwe bagira ingaruka zitari zisanzwe ariko zikomeye zisaba ubufasha bwa muganga. Izi zirimo impinduka zikomeye mu mutima, urujijo rukabije, cyangwa kugorwa no guhumeka.

Dore ingaruka ziterwa n'imiti zikomeye zisaba ubufasha bwa muganga ako kanya:

• Umutima utera nabi cyangwa kuribwa mu gituza
• Urujijo rukabije cyangwa ibibazo byo kwibuka
• Kugorwa no guhumeka cyangwa guhumeka bigufi
• Kuribwa umutwe cyane cyangwa kuvunika
• Kuva amaraso atari ibisanzwe cyangwa gukomeretsa
• Umuhondo w'uruhu cyangwa amaso
• Uburibwe bukomeye mu nda

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa.

Ingaruka zidakunze kubaho ariko zikomeye zirimo allergie ikabije, impinduka zikomeye mu muvuduko w'amaraso, cyangwa ibibazo by'umutima. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya, cyane cyane niba ufite indwara z'umutima.

Ninde utagomba gufata Nortriptyline?

Abantu bamwe na bamwe bagomba kwirinda nortriptyline kubera kwiyongera kw'ibibazo bikomeye. Umuganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kugusaba uyu muti.

Niba umaze kugira umutima utera nabi vuba aha, nortriptyline ntikugirira neza. Uyu muti ushobora kugira ingaruka ku mutima n'umuvuduko w'amaraso, bishobora guteza akaga mugihe cyo koroherwa n'umutima. Umuganga wawe azagusaba izindi miti ifite umutekano ku mutima wawe.

Abantu bafite indwara z'umutima runaka bakeneye kwitonda cyane cyangwa bashobora kwirinda nortriptyline rwose. Ibi birimo umutima utera nabi, guhagarara k'umutima, cyangwa kunanirwa gukora k'umutima bikabije. Umuganga wawe ashobora gutuma ukorerwa ibizamini by'umutima mbere yo gutangira uyu muti.

Dore indwara zikomeye zituma nortriptyline itakwemerera cyangwa zisaba gukurikiranwa by'umwihariko:

• Umutima utera nabi vuba aha (mukwezi gushize)
• Ibibazo bikomeye by'umutima
• Glaucoma ifunganye
• Indwara ikabije y'umwijima
• Ibibazo byo gufata inkari
• Indwara ikabije y'impyiko
• Indwara zikomeye zo gufatwa n'ibihungabanyo

Izi ndwara zisaba ko umuganga wawe ahitamo undi muti cyangwa akagukurikiranira hafi cyane niba nortriptyline ari wo muti wawe mwiza.

Niba utwite cyangwa uteganya gutwita, ganira ku byiza n'ibibi n'umuganga wawe. Nortriptyline ishobora kwambuka placenta kandi ikaba yagira ingaruka ku mwana wawe ukiri mu nda, nubwo rimwe na rimwe ibyiza biruta ibibi.

Abantu bakuze akenshi bakeneye imiti ya nortriptyline ifite urugero ruto kuko bafite ubwumvikane bwinshi ku ngaruka zayo. Impinduka ziterwa n'imyaka mu buryo umubiri utunganya imiti bishobora kongera ibyago byo kugira ingaruka zirimo kugwa, urujijo, cyangwa ibibazo by'umutima.

Amazina y'ubwoko bwa Nortriptyline

Nortriptyline iboneka mu mazina menshi y'ubwoko, nubwo verisiyo rusange ikoreshwa cyane. Izina ry'ubwoko rizwi cyane ni Pamelor, imaze imyaka myinshi iboneka.

Andi mazina y'ubwoko arimo Aventyl HCl, nubwo itajya ikoreshwa cyane muri iki gihe. Amavuriro menshi afite verisiyo rusange ya nortriptyline, irimo ibikoresho bikora kimwe kandi bikora kimwe n'ubwoko bw'amazina.

Nortriptyline rusange akenshi ihendutse cyane kurusha ubwoko bw'amazina. Gahunda z'ubwishingizi akenshi zikunda verisiyo rusange, kandi abaganga benshi bayandika mbere na mbere keretse hari impamvu idasanzwe yo gukoresha izina ry'ubwoko.

Uko wakira nortriptyline rusange cyangwa izina ry'ubwoko, imikorere y'umuti n'umutekano biraguma kimwe. Itandukaniro rikuru akenshi riba mu isura y'ikapsule n'ikiguzi.

Uburyo bwo gusimbuza Nortriptyline

Imiti myinshi isimbura ishobora kuvura ibibazo bisa na nortriptyline. Umuganga wawe ashobora gutekereza izi nzira niba nortriptyline itagukwiriye cyangwa niba ufite ingaruka zikomeye.

Kubijyanye no kwiheba, imiti mishya yo kurwanya kwiheba nka sertraline (Zoloft) cyangwa escitalopram (Lexapro) birashobora kwihanganirwa neza. Iyi miti akenshi itera ingaruka nkeya, nubwo itashobora gukora neza kubwoko runaka bwo kwiheba cyangwa ibibazo by'ububabare.

Niba ukoresha nortriptyline kubera ububabare bwo mu ntsinga, izindi nzira zirimo gabapentin, pregabalin, cyangwa duloxetine. Iyi miti ikora mu buryo butandukanye na nortriptyline ariko ishobora kugira akamaro kamwe mu gucunga indwara zirambye zifitanye isano n'ububabare.

Mugukingira migraine, izindi nzira zirimo topiramate, propranolol, cyangwa imiti mishya yagenewe gukingira migraine. Muganga wawe azatekereza ku zindi ndwara ufite mugihe ahitamo umuti mwiza.

Rimwe na rimwe muganga wawe ashobora kugusaba guhuza urugero ruto rwa nortriptyline n'undi muti kugirango ugabanye ingaruka ziterwa n'umuti mugihe ukomeza kugira akamaro. Ubu buryo bushobora kugira akamaro cyane kubibazo bigoye birimo ibimenyetso byo mumutwe n'ububabare.

Ese Nortriptyline iruta Amitriptyline?

Nortriptyline na amitriptyline zombi ni imiti igabanya ubwivumbure, ariko nortriptyline muri rusange ifatwa nkigira ingaruka nke. Iyi miti yombi ikora kimwe, ariko nortriptyline ikunda kwihanganirwa nabantu benshi.

Inyungu nyamukuru ya nortriptyline kurusha amitriptyline nuko akenshi itera ibitotsi bike, umunwa wumye, no guhagarara k'umubiri. Ibi bituma byoroha kubantu gukomeza imirimo yabo ya buri munsi batumva bafite ibitotsi cyangwa batishimye.

Amitriptyline ishobora kugira akamaro gato kubwoko bumwe bwo kwiheba gukabije cyangwa ububabare burambye, ariko itandukaniro akenshi ni rito. Abaganga benshi bakunda gutangira na nortriptyline kuko abarwayi bashobora kuyihanganira neza no gukomeza kuvurwa.

Iyi miti yombi ifata igihe kimwe kugirango ikore kandi ifite akamaro kamwe kubibazo byinshi. Guhitamo hagati yabo akenshi biterwa ningaruka ziterwa n'umuti witeguye gucunga n'uburyo umubiri wawe witwara kuri buri muti.

Umuvuzi wawe azareba ibimenyetso byawe byihariye, imiti yindi urimo gufata, n'ubuzima bwawe muri rusange mu gihe afata icyemezo hagati ya nortriptyline na amitriptyline. Rimwe na rimwe kugerageza imwe hanyuma ukimurira ku yindi bifasha kubona ikwiriye neza ibyo ukeneye.

Ibikunze Kubazwa Kuri Nortriptyline

Ese Nortriptyline irakwiriye ku bantu bafite indwara z'umutima?

Nortriptyline isaba isuzuma ryitondewe niba ufite indwara z'umutima. Uyu muti ushobora kugira ingaruka ku mutima n'umuvuduko w'amaraso, bityo umuganga wawe azagomba gusuzuma ubuzima bw'umutima wawe mbere yo kukwandikira uyu muti.

Niba ufite indwara zoroheje z'umutima, umuganga wawe ashobora no kukwandikira nortriptyline ariko azakugenzura cyane. Ibi bishobora kuba birimo kugenzura umuvuduko w'umutima cyangwa kugenzura umuvuduko w'amaraso kugira ngo barebe ko uyu muti utateza ibibazo.

Ku bantu bafite indwara zikomeye z'umutima nka za kanseri z'umutima ziheruka, arrhythmia ikomeye, cyangwa guhagarara kw'umutima, nortriptyline muri rusange ntisabwa. Umuganga wawe azashaka izindi nzira zishobora gukiza indwara yawe hatagize ibibazo by'umutima.

Ninkora iki niba mfashe nortriptyline nyinshi ku buryo butunguranye?

Niba ufata nortriptyline nyinshi ku buryo butunguranye, hamagara abaganga b'uburozi cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi ako kanya. Ibimenyetso byo kurenza urugero birashobora kuba bikomeye kandi birimo gusinzira cyane, urujijo, umutima utagenda neza, cyangwa guhumeka bigoranye.

Ntugerageze kwikorera kuruka cyangwa ngo utegereze urebe niba wumva umeze neza. Kurenza urugero rwa nortriptyline birashobora kuba byateza akaga, kandi abaganga bakeneye kugusuzuma kabone n'iyo wumva umeze neza mbere. Ibimenyetso birashobora kutagaragara ako kanya ariko bishobora kwigaragaza nyuma y'amasaha menshi.

Zana icupa ry'umuti hamwe nawe mu cyumba cy'ubutabazi kugira ngo abaganga bamenye neza icyo wafashe n'igihe. Iri jambo ribafasha gutanga ubuvuzi bukwiye cyane kubibazo byawe byihariye.

Ninkora iki niba nirengagije doze ya nortriptyline?

Niba wibagiwe gufata urugero rwa nortriptyline, rufate uko wibukije, keretse igihe cyo gufata urugero rukurikira kigeze. Ntukafate urugero rurenze rumwe icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakunzwe.

Niba wibukije gufata urugero wibagiwe hafi y'igihe cyo kuryama kandi usanzwe ufata nortriptyline nijoro, rufate. Ariko, niba wibukije mu gitondo gikurikira kandi hashize amasaha arenga 12, reka urugero wibagiwe urufate urugero rukurikira ku gihe cyagenwe.

Kutafata urugero rimwe na rimwe ntacyo bizatwara, ariko gerageza gufata imiti buri munsi kugira ngo ugire ibisubizo byiza. Gushyiraho umwanya wo kwibutswa kuri terefone yawe cyangwa gushyira umuti ahantu ubona neza birashobora kugufasha kwibuka.

Ni ryari nshobora kureka gufata Nortriptyline?

Ntuzigere uhagarika gufata nortriptyline ako kanya utabanje kuvugana na muganga wawe. N'iyo wumva umeze neza rwose, guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho bitari byiza nk'izunguzungu, isesemi, kubabara umutwe, cyangwa kumva umeze nk'ufite grip.

Muganga wawe azagutegurira gahunda yo kugabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi menshi. Ibi bituma umubiri wawe ugira igihe cyo kumenyera kandi bigabanya ibimenyetso byo gukurwaho mugihe bigabanya ibyago byo gusubira inyuma kw'uburwayi bwawe bw'umwimerere.

Igihe cyo guhagarika nortriptyline giterwa n'uburwayi bwawe n'igihe umaze uyifata. Kubijyanye no kwiheba, abaganga basanzwe basaba gukomeza kuvurwa byibuze amezi atandatu nyuma yuko ibimenyetso bigabanuka kugira ngo birinde gusubira inyuma.

Nshobora kunywa inzoga nkanwa nortriptyline?

Nibyiza kwirinda inzoga mugihe ufata nortriptyline cyangwa ukagabanya ku bwinshi buke cyane ubisabwe na muganga wawe. Inzoga irashobora kongera cyane ibitotsi n'izunguzungu biterwa na nortriptyline, bigatuma biba bibi gutwara imodoka cyangwa gukoresha imashini.

Uko guhuza inzoga na nortriptyline bishobora no kongera ibyago byo kugwa, cyane cyane ku bantu bakuze. Ibintu byombi bishobora kugabanya umuvuduko w'amaraso no kugira ingaruka ku mikoranire y'umubiri, bigatuma habaho ingaruka zongera ibyago by'impanuka.

Niba uhisemo kunywa inzoga rimwe na rimwe, tangira n'utuntu duto cyane kugira ngo urebe uko umubiri wawe witwara. Ntukanywe inzoga na rimwe niba umaze kugira ibimenyetso byinshi byo gusinzira cyane cyangwa kuribwa umutwe biturutse kuri nortriptyline, kandi buri gihe ugomba kuba ufite umushoferi wihariye cyangwa ubundi buryo bwo gutwara.