Icyo Olanzapine na Fluoxetine ari cyo: Ibyo bikoreshwa, urugero rw'umuti, ingaruka ziterwa n'umuti n'ibindi

Olanzapine na fluoxetine ni umuti uvanga imiti ibiri ikomeye kugira ngo uvure indwara zimwe na zimwe zo mu mutwe. Uyu muti uvanga olanzapine (umuti uvura indwara zo mu mutwe) na fluoxetine (umuti uvura ibibazo byo mu mutwe) mu gapusule kamwe, bigatuma byoroha kugenzura uburyo uvurwa.

Muganga wawe ashobora kukwandikira uyu muti uvanga iyo ukeneye imiti yombi ikorera hamwe kugira ngo ifashe gutuza amarangamutima yawe n'ibitekerezo byawe. Uyu muti wateguwe by'umwihariko ku bantu bafashwa no kugira ubwoko bwombi bw'imiti mu buryo bavurwamo.

Olanzapine na Fluoxetine bikoreshwa mu kuvura iki?

Uyu muti uvanga ukoreshwa cyane cyane mu kuvura umubabaro udakira no guhangayika bifitanye isano n'indwara ya bipolar I. Umubabaro udakira bivuze ko umubabaro wawe utaravurwa neza n'indi miti ivura umubabaro yonyine.

Uyu muti uvanga ukora neza cyane cyane ku bantu bahura n'ibimenyetso by'umubabaro n'ibibazo bimwe na bimwe byo gutekereza. Muganga wawe ashobora kugusaba uyu muti iyo wagerageje izindi nshuro zo kuvurwa zitagufashije.

Rimwe na rimwe, abaganga banandika uyu muti uvanga ku zindi ndwara zifitanye isano n'amarangamutima iyo bamenye ko inyungu ziruta ibyago. Ariko, ibikoreshwa byemewe byibanze ku bwoko bw'umubabaro butoroshye kuvura n'imiti imwe.

Olanzapine na Fluoxetine bikora bite?

Uyu muti uvanga ukora ukoresha imiti itandukanye yo mu bwonko igira ingaruka ku marangamutima yawe no gutekereza. Fluoxetine yongera urwego rwa serotonin mu bwonko bwawe, ibi bifasha kunoza amarangamutima no kugabanya ibimenyetso by'umubabaro.

Olanzapine ikora ku binyabutabazi bitandukanye byo mu bwonko harimo dopamine na serotonin, ifasha gutuza ibitekerezo n'imihindagurikire y'amarangamutima. Uko imiti yombi ikora, itanga uburyo bwuzuye bwo kuvura indwara zitoroshye z'amarangamutima.

Bitekereze nk'uko ukemura ikibazo uvuye mu mpande ebyiri zitandukanye icyarimwe. Fluoxetine ifasha kuzamura imyumvire yawe mu gihe olanzapine ifasha guhagarika imiterere yawe y'ubwenge muri rusange, bigatuma habaho imiti ivura iringaniye kurusha imiti yombi yonyine.

Nkwiriye Gufata Olanzapine na Fluoxetine Nte?

Fata uyu muti nk'uko muganga wawe abitegeka, akenshi rimwe ku munsi nimugoroba. Urashobora kuwufata urya cyangwa utarya, ariko kuwufata urya birashobora kugufasha kugabanya kurwara mu gifu niba hari icyo ubona.

Mimina ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasenya, ntukome cyangwa ufungure ikinini, kuko ibi bishobora kugira ingaruka ku buryo umuti ukora mu mubiri wawe.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugirango bikufashe kwibuka no gukomeza urwego ruringaniye mu mubiri wawe. Niba uhindura uvuye ku yindi miti, muganga wawe azakuyobora mu buryo bwo guhinduka witonze.

Abantu benshi basanga gufata uyu muti nimugoroba bifasha kuko olanzapine ishobora gutera gusinzira. Ariko, kurikiza amabwiriza yihariye ya muganga wawe yerekeye igihe, kuko bazi neza uko ubuzima bwawe bwite bumeze.

Nkwiriye Kumara Igihe Kingana Gufata Olanzapine na Fluoxetine?

Igihe cyo kuvurwa gitandukanye cyane bitewe n'uburwayi bwawe bwite n'uburyo wakiriye umuti. Abantu benshi bakeneye gufata iyi miti ihuriye hamwe mu mezi menshi kugirango babone inyungu zose.

Muganga wawe azagenzura buri gihe uko urimo utera imbere kandi ahindure gahunda yawe yo kuvurwa uko bikwiye. Abantu bamwe bashobora gukenera uyu muti mu mezi make, mu gihe abandi bashobora kungukira mu kuvurwa igihe kirekire.

Ntuzigere uhagarika gufata uyu muti mu buryo butunguranye, kabone niyo wumva umeze neza. Muganga wawe azagufasha kugabanya buhoro buhoro urugero rwawo igihe kigeze cyo guhagarika, ibi bifasha kwirinda ibimenyetso byo kuva mu miti no kurengera ubuzima bwawe bwo mu mutwe.

Ni Iyihe Ngaruka Ziterwa na Olanzapine na Fluoxetine?

Kimwe n'imiti yose, iyi mvange irashobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzazibona. Ingaruka nyinshi ziterwa n'imiti zirashobora guhangana nazo kandi akenshi ziragenda zigabanuka uko umubiri wawe umenyera umuti.

Dore ingaruka zikunze kugaragara ushobora guhura nazo uko umubiri wawe umenyera umuti:

• Kugira ibitotsi cyangwa kumva unaniwe ku manywa
• Kongera ibiro cyangwa kongera ubushake bwo kurya
• Kuribwa umutwe, cyane cyane iyo uhagurutse
• Umunwa wumye
• Kugorana kwituma
• Kureba nabi
• Kugorana kwibanda mu ntangiriro
• Kunanirwa cyangwa kumva unaniwe

Izi ngaruka zisanzwe zikunze kugabanuka uko umubiri wawe umenyera umuti mu byumweru bike bya mbere.

Hariho n'izindi ngaruka zitagaragara cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga:

• Urubanza rwo kurwara umuriro mwinshi hamwe no gukakara kw'imitsi
• Umutima utera nabi cyangwa kuribwa mu gituza
• Kuribwa umutwe cyane cyangwa kuruka
• Imyitwarire idasanzwe udashobora kugenzura
• Ibimenyetso by'isukari nyinshi mu maraso (inyota nyinshi, kunyara kenshi)
• Umuhondo w'uruhu cyangwa amaso
• Kuribwa mu nda cyane

Vugana n'umuganga wawe ako kanya niba ubonye izi ngaruka zikomeye.

Hariho kandi n'izindi ngaruka zitagaragara ariko zikomeye cyane zisaba ubufasha bwihuse bw'abaganga:

• Neuroleptic malignant syndrome (umuriro mwinshi, urujijo, gukakara kw'imitsi)
• Serotonin syndrome (umujinya, kwibeshya, umutima utera vuba)
• Urugero rwo kwanga imiti rukabije (kugorana guhumeka, kubyimba mu maso cyangwa mu muhogo)
• Kutekereza kwikomeretsa, cyane cyane mu rubyiruko
• Kugira ibibazo byo gufatwa

Nubwo izi ngaruka zikomeye zitagaragara cyane, ni ngombwa kumenya ibimenyetso byo kuburira no gushaka ubufasha bwihuse niba bibaye.

Ni bande batagomba gufata Olanzapine na Fluoxetine?

Ubu buryo ntibukwiriye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kubwandika. Indwara zimwe na zimwe n'imiti irashobora gutuma ubu buryo butaba umutekano cyangwa bugakora nabi.

Ntabwo ukwiriye gufata uyu muti niba ufite izi ndwara:

• Uburwayi bwo kwanga olanzapine, fluoxetine, cyangwa imiti isa nk'iyo
• Ubu ufata MAO inhibitors cyangwa umaze iminsi 14 ubihagaritse
• Ufata pimozide cyangwa thioridazine
• Amateka ya neuroleptic malignant syndrome
• Indwara ikomeye y'umwijima
• Glaucoma y'amaso afunganye

Muganga wawe azitonda cyane niba ufite indwara zimwe na zimwe zisaba gukurikiranwa by'umwihariko.

Bwira muganga wawe ibyerekeye izi ndwara mbere yo gutangira kuvurwa, kuko bishobora kugira ingaruka ku buryo ufata uyu muti mu buryo bwizewe:

• Diyabete cyangwa amateka y'umuryango ya diyabete
• Ibibazo by'umutima cyangwa amateka yo gufatwa n'umutima
• Indwara y'umwijima cyangwa impyiko
• Amateka yo gufatwa n'ibihungabanyo
• Umubare muto w'uturemangingo twera tw'amaraso
• Kugorwa kumeza
• Prostate yagutse cyangwa ibibazo byo kunyara
• Amateka yo gukoresha ibiyobyabwenge

Izi ndwara ntizigutera kutafata umuti, ariko zisaba gukurikiranwa neza kandi birashoboka ko imiti igomba guhindurwa.

Amazina y'ubwoko bwa Olanzapine na Fluoxetine

Izina risanzwe ry'ubwoko bw'uyu muti ni Symbyax. Uku nicyo gicuruzwa cy'umwimerere gihuza imiti yombi mu rugero nyarwo.

Ubundi bwoko bwa generic buraboneka kandi burimo ibintu bikora kimwe mu rugero rumwe n'ubwoko bw'izina. Farumasi yawe ishobora gutanga izina ry'ubwoko cyangwa ubwoko bwa generic, bitewe n'ubwishingizi bwawe n'uko biboneka.

Niba wakira izina ry’uruganda cyangwa umuti rusange, umuti ukora kimwe. Muganga wawe cyangwa umufarumasiti ashobora kugufasha gusobanukirwa uwo wakira kandi agasubiza ibibazo byose bijyanye n’itandukaniro ryo kugaragara cyangwa gupakira.

Izindi nzira zishobora gukoreshwa aho hakoreshwa Olanzapine na Fluoxetine

Niba iyi mvange itagukundiye, hariho uburyo bwinshi bwo kuvura bushobora gukoreshwa. Muganga wawe ashobora kugusaba gufata olanzapine na fluoxetine nk'imiti itandukanye, ibyo bikaba byatuma wongera gukoresha imiti mu buryo bworoshye.

Uburyo bundi bwo kuvura muganga wawe ashobora gutekereza harimo imiti itandukanye yo kurwanya depression hamwe n’imiti igabanya amarangamutima. Abantu bamwe basubiza neza ku mvange nk'aripiprazole hamwe n’imiti irwanya depression cyangwa lithium hamwe n’imiti irwanya depression.

Imiti imwe ishobora gukora nk'izindi nzira harimo izindi miti idasanzwe yo kurwanya indwara zo mu mutwe nka quetiapine cyangwa ibindi byiciro by’imiti irwanya depression. Muganga wawe azatekereza ibimenyetso byawe byihariye, amateka yawe y’ubuvuzi, n’uburyo wabanje kuvurwa mugihe aganira ku zindi nzira.

Ikintu cy'ingenzi ni ukubona uburyo bukwiye bwo kuvura ibibazo byawe byihariye, rimwe na rimwe bikaba bisaba kugerageza uburyo butandukanye hamwe n’ubuyobozi bwa muganga wawe.

Ese Olanzapine na Fluoxetine biruta izindi mvange?

Iyi mvange yagaragaje imbaraga nyinshi zo kuvura depression idakira n’indwara ya bipolar mu bushakashatsi bwa kliniki. Ariko, niba “biruta” biterwa rwose n’uburyo wabyakiriye n’indwara yawe yihariye.

Ugereranije no gufata imiti irwanya depression wenyine, iyi mvange akenshi itanga ubufasha bwihuse kandi bwuzuye ku bantu bafite depression idakira. Kongeramo olanzapine birashobora gufasha mugihe imiti irwanya depression yonyine itagikora.

Ariko, iyi mvange ishobora gutera ingaruka nyinshi kuruta izindi nzira zimwe, cyane cyane kongera ibiro no kuruhuka. Muganga wawe azagereranya inyungu n’ibi bibazo bishoboka bitewe n’ibibazo byawe byihariye.

Umuti mwiza ni uwo uguha ubufasha bwinshi ufite ingaruka nke ushobora kwihanganira. Ibi bitandukana cyane ku muntu ku muntu, bityo ibikora neza ku bandi ntibishobora kuba byiza kuri wowe.

Ibibazo Bikunze Kubazwa Kuri Olanzapine na Fluoxetine

Ese Olanzapine na Fluoxetine birakwiriye abarwayi ba diyabete?

Ubu buryo bushobora kugira ingaruka ku isukari yo mu maraso kandi bushobora gutuma diyabete irushaho kuba mibi ku bantu bamwe. Niba urwaye diyabete, muganga wawe azagenzura isukari yo mu maraso yawe cyane mugihe ufata uyu muti.

Igice cya olanzapine gishobora gutera kongera ibiro no kurwanya insuline, bishobora gutuma diyabete igorana kuyicunga. Ariko, abantu benshi barwaye diyabete barashobora gufata uyu muti neza hamwe no kugenzura neza ndetse no guhindura imiti ya diyabete.

Muganga wawe ashobora kugusaba kugenzura isukari yo mu maraso kenshi kandi ashobora gukenera guhindura imiti yawe ya diyabete. Hamwe no kugenzura neza, abantu benshi barwaye diyabete barashobora gukoresha neza ubu buryo mugihe inyungu zo mu mutwe zirenze ibyago bifitanye isano na diyabete.

Nigira iki niba mfashwe n'impanuka nkafata Olanzapine na Fluoxetine nyinshi?

Niba ufata umuti mwinshi kuruta urugero rwanditswe, vugana na muganga wawe cyangwa ugenzura uburozi ako kanya. Gufata umuti mwinshi bishobora gutera ingaruka zikomeye zirimo gusinzira cyane, urujijo, n'ibibazo by'umutima.

Ntugerageze kwisuka amavunja keretse ubisabwe n'abantu b'inzobere mu by'ubuvuzi. Niba wumva usinzira cyane, urujijo, cyangwa ugira ikibazo cyo guhumeka, hamagara serivisi zihutirwa ako kanya.

Bika icupa ry'umuti hamwe nawe mugihe ushaka ubufasha kugirango abaganga bamenye neza icyo wafashe n'ingano yacyo. Igihe ni ingenzi mugihe cyo kurenza urugero, nuko ntugategereze ngo urebe niba ibimenyetso bigaragara.

Nigira iki niba nirengagije doze ya Olanzapine na Fluoxetine?

Niba wibagiwe gufata urugero, rufate uko wibukije, keretse igihe cyo gufata urugero rukurikira kigeze. Niba hafi y'igihe cyo gufata urugero rukurikira, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usubize urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'imiti.

Kutagira urugero rimwe na rimwe ntibizakugiraho ingaruka, ariko gerageza kugira uburyo bumwe kugira ngo ubone ibisubizo byiza byo kuvurwa. Niba ukunda kwibagirwa gufata imiti, ganira na muganga wawe ku bijyanye n'uburyo bwo kugufasha kwibuka cyangwa niba gahunda y'imiti itandukanye yakora neza.

Ni ryari nshobora kureka gufata Olanzapine na Fluoxetine?

Ntuzigere uhagarika gufata iyi miti ako kanya, n'iyo wumva umeze neza rwose. Muganga wawe azagufasha kugabanya buhoro buhoro urugero igihe bikwiye guhagarika, ibi bifasha kwirinda ibimenyetso byo kuva mu miti no kurengera ubuzima bwawe bwo mu mutwe.

Umwanzuro wo guhagarika biterwa n'ibintu byinshi birimo igihe umaze umeze neza, amateka yawe y'ibimenyetso, n'intego zawe zose zo kuvurwa. Abantu bamwe bashobora gukenera iyi miti mu mezi make, mu gihe abandi bungukirwa no kuvurwa igihe kirekire.

Muganga wawe azakorana nawe kugira ngo amenye igihe gikwiye cyo kugabanya cyangwa guhagarika imiti. Bazatekereza ku guhagarara kw'ibimenyetso byawe, uko ubuzima bwawe bumeze, n'ibintu byongera ibyago byo gusubira kw'ibimenyetso igihe bafata uyu mwanzuro hamwe nawe.

Nshobora kunywa inzoga nkanwa Olanzapine na Fluoxetine?

Ni byiza kwirinda inzoga mugihe ufata iyi miti ihuriyeho. Inzoga irashobora kongera ingaruka zo gutuza za olanzapine kandi irashobora gushimangira ibimenyetso byo kwiheba urimo kuvura.

Guhuza inzoga n'iyi miti birashobora kandi kongera ibyago byo kuribwa, kugwa, no gutakaza ubushishozi. Niba uhisemo kunywa rimwe na rimwe, wikomereze ku bwinshi buto kandi witondere cyane ibikorwa bisaba ubushishozi.

Vugana n'umuganga wawe ku bijyanye no kunywa inzoga kugira ngo agufashe mu buryo bwihariye. Ashobora kugufasha gusobanukirwa ibyago byihariye bishingiye ku rugero unywa, imiti ufata, n'ibindi bibazo by'ubuzima bwite.