Olanzapine na Fluoxetine (inzira yo mu kanwa)

Symbyax

Olanzapine ifatanyijwe na fluoxetine ikoreshwa mu kuvura ihungabana riherekejwe n'indwara ya bipolar, ndetse n'ihungabana mu barwayi bahabwa imiti indi yo kuvura ihungabana itarakoze neza. Iyi miti ikwiye kudakoreshwa mu kuvura ibibazo by'imyitwarire mu barwayi bakuze barwaye indwara yo kwibagirwa cyangwa Alzheimer. Olanzapine na fluoxetine bikora binyuze mu kongera ibikorwa by'ibintu bimwe na bimwe byitwa serotonin, norepinephrine na dopamine mu bwonko. Ibi bintu bifasha mu kugabanya ibimenyetso by'ihungabana. Olanzapine ni imiti igabanya uburibwe bw'ubwonko. Fluoxetine ni imiti yo kuvura ihungabana kandi ibarizwa mu itsinda ry'imiti izwi nka selective serotonin reuptake inhibitors (SSRIs). Iyi miti iboneka gusa uhawe impapuro z'umuganga. Iyi miti iboneka mu buryo bukurikira:

Mu gufata icyemezo cyo gukoresha imiti, ibyago byo gufata iyo miti bigomba gupimwa ugereranyije n'akamaro izagira. Iki ni icyemezo uzatanga hamwe na muganga wawe. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ufite imitego idasanzwe cyangwa ya allergie kuri iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko ya allergie, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kuvugwa na muganga, soma witonze ibyanditse ku kinywanyi cyangwa ibintu biri mu ipaki. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano iri hagati y'imyaka n'ingaruka z'imiti ihuriweho na olanzapine na fluoxetine mu kuvura indwara ya bipolar I mu bana bari munsi y'imyaka 10, no mu bana bafite indwara ya depression idakira. Ubuziranenge n'ingaruka nziza ntibyarangiye muri ibyo byiciro. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abakuze byabuza ikoreshwa ry'imiti ihuriweho na olanzapine na fluoxetine mu bakuze. Ariko kandi, abarwayi bakuze bafite ibyago byinshi byo kugira dementia cyangwa ibibazo by'umwijima, impyiko, cyangwa umutima bifitanye isano n'imyaka, bishobora gusaba ubwitonzi cyangwa guhindura umwanya w'imiti ku barwayi bafata imiti ihuriweho na olanzapine na fluoxetine. Ubushakashatsi ku bagore bonsa bwarerekanye ingaruka mbi ku bana. Ikindi kintu kigomba kwandikwa cyangwa ugomba kureka konsa mugihe ukomeje gukoresha iyi miti. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho isano ishobora kubaho. Muri ibyo bihe, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufata iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufata imiti iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti ikurikira ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira iyi miti cyangwa guhindura imiti imwe mu yindi ufata. Gukoresha iyi miti hamwe n'imiti ikurikira ntibisanzwe byemewe, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti ikurikira bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba uburyo bwiza bwo kuvura. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko isano ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe na yo bishobora gutera isano. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'ibikurikira ntibisanzwe byemewe, ariko bishobora kuba bidashoboka kwirinda mu bihe bimwe na bimwe. Niba ikoreshwa hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha iyi miti, cyangwa akaguha amabwiriza yihariye ku ikoreshwa ry'ibiribwa, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: