Icyo Olanzapine ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Olanzapine ni umuti wandikirwa na muganga ufasha kuringaniza imisemburo imwe n'imwe mu bwonko bwawe kugira ngo uvure ibimenyetso byo mu mutwe. Uyu muti ubarirwa mu itsinda ry'imiti yitwa atypical antipsychotics, ikora mu buryo butandukanye n'imiti ya kera ivura indwara zo mu mutwe, kandi akenshi itera ingaruka nke.

Uyu muti wafashije abantu babarirwa muri za miriyoni gukemura ibibazo nk'indwara ya schizophrenia na bipolar disorder. Kumva uko ikora n'icyo wakwitega bishobora kugufasha kumva ufite icyizere cyinshi ku rugendo rwawe rwo kwivuza.

Olanzapine ni iki?

Olanzapine ni umuti uvura indwara zo mu mutwe ufasha kugarura uburinganire mu mikorere y'imiti yo mu bwonko yitwa neurotransmitters. Iyi miti itwara ubutumwa hagati y'uturemangingo tw'ubwonko, kandi iyo itameze neza, bishobora gutera ibimenyetso nk'ibitekerezo bidahari, guhindagurika kw'amarangamutima, cyangwa kugorwa no gutekereza neza.

Tekereza olanzapine nk'umufasha w'umutima ukora inyuma kugira ngo agumye imikorere y'ubwonko bwawe. Ifatwa nk'umuti wa atypical antipsychotic, bivuze ko ari ubwoko bushya bw'umuti akenshi utera ingaruka nke zijyanye n'imikorere ugereranije n'imiti ya kera ivura indwara zo mu mutwe.

Uyu muti uza mu buryo bw'ibinini kandi ufashwe unywa. Wagejejweho igeragezwa ryimbitse kandi wemerejwe na FDA kugira ngo uvure indwara zimwe na zimwe zo mu mutwe mu buryo bwizewe kandi neza.

Olanzapine ikoreshwa mu kuvura iki?

Olanzapine ahanini yandikirwa kuvura indwara ya schizophrenia na bipolar disorder. Izi ni indwara zikomeye zo mu mutwe zishobora kugira ingaruka zikomeye ku buzima bwa buri munsi, ariko hamwe n'ubuvuzi bukwiye, abantu benshi babaho ubuzima bwuzuye kandi bwunguka.

Ku ndwara ya schizophrenia, olanzapine ifasha kugabanya ibimenyetso nk'ukumva amajwi, kubona ibintu bitabaho, cyangwa kugira ibitekerezo bidasanzwe cyangwa imyizerere. Irashobora kandi gufasha ku bushake no gukorana n'abandi bisanzwe bigorana hamwe n'iyi ndwara.

Muri bipolar disorder, olanzapine ifasha guhosha impinduka z'amarangamutima, cyane cyane ibihe bya manic aho umuntu ashobora kumva afite imbaraga nyinshi, akeneye gusinzira gake, cyangwa gufata ibyemezo byihuse. Irashobora gukoreshwa yonyine cyangwa ihuriweho n'ibindi bifasha guhosha amarangamutima.

Rimwe na rimwe abaganga bandikira olanzapine kubindi bibazo iyo bemera ko bizafasha bitewe n'uko ubuzima bwawe bumeze. Ibi byitwa gukoresha hanze y'icyapa kandi ni igice gisanzwe cy'ubuvuzi.

Olanzapine ikora ite?

Olanzapine ikora ihindura buhoro buhoro imikorere ya imisemburo myinshi yo mu bwonko, cyane cyane dopamine na serotonin. Iyi misemburo ikora akazi gakomeye mu marangamutima, gutekereza, no kumva.

Iyo iyi misemburo idahuye, bishobora gutera ibimenyetso ubona hamwe n'indwara zo mu mutwe. Olanzapine ikora nk'uburyo bwo guhindura, ifasha kugarura uburinganire busanzwe hatabujijwe rwose iyi misemburo ikomeye yo mu bwonko.

Uyu muti ufatwa nk'ukomeye kandi ufite akamaro. Ntabwo ari umuti woroshye wo mu mutwe uboneka, ariko kandi ntabwo ari nawo ukomeye cyane. Abantu benshi basanga bitanga imbaraga nziza zo kugabanya ibimenyetso mugihe byihanganirwa neza.

Ingaruka zose za olanzapine zikunda gutera buhoro buhoro mu byumweru byinshi. Ushobora kubona impinduka zimwe na zimwe mu gusinzira cyangwa guhagarika mu minsi mike ya mbere, ariko inyungu zose kubimenyetso nk'ibitekerezo byo kwibeshya cyangwa impinduka z'amarangamutima mubisanzwe bifata igihe kirekire kugirango bigaragara.

Nkwiriye gufata olanzapine nte?

Fata olanzapine nk'uko umuganga wawe abitegeka, mubisanzwe rimwe ku munsi ku gihe kimwe buri munsi. Abantu benshi barayifata nimugoroba kuko ishobora gutera gusinzira, ibyo bikaba bishobora gufasha gusinzira.

Urashobora gufata olanzapine ufite cyangwa udafite ibiryo. Niba bibabaza igifu cyawe, kuyifata hamwe n'akantu gato cyangwa ifunguro birashobora gufasha. Irinde kuyifata hamwe na alukolo, kuko ibi bishobora kongera gusinzira n'izindi ngaruka ziterwa.

Mimina urugemwe rwose hamwe n'ikirahure cy'amazi. Ntugasenye, urume, cyangwa umene urugemwe keretse muganga wawe akubwiye byumwihariko. Niba ugira ingorane zo kumira imiti, ganira na muganga wawe kubyerekeye izindi nzira.

Gerageza gufata umuti wawe mugihe kimwe buri munsi kugirango bigufashe kwibuka no kugumana urwego ruzima mumubiri wawe. Gushyiraho umwanya wo kwibutsa kuri terefone cyangwa gukomeza imiti yawe hafi yikintu ukoresha buri munsi birashobora gufasha gushyiraho iyi gahunda.

Mbona Nk'Urugero Rwo Gufata Olanzapine?

Ubwoko bwo kuvura na olanzapine butandukanye cyane bitewe nuburwayi bwawe n'uburyo witwara kumuti. Abantu benshi bakeneye kuwufata mumyaka cyangwa mumyaka kugirango bagumane ubuzima bwabo bwo mumutwe.

Kubijyanye na schizophrénie, kuvurwa igihe kirekire mubisanzwe birakenewe kuko ni indwara idakira. Abantu benshi bakomeza gufata olanzapine mumyaka, kandi bamwe bashobora kuyikeneye ubuzima bwose kugirango birinde kugaruka kwibimenyetso.

Hamwe na bipolar disorder, igihe giterwa nibintu bitandukanye harimo uburyo ibice byawe bikomeye kandi uburyo witwara neza kuvurwa. Abantu bamwe barayifata gusa mugihe cyibice bikomeye, mugihe abandi bakeneye kuvurwa buri gihe kugirango birinde.

Ntuzigere uhagarika gufata olanzapine ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya birashobora gutera ibimenyetso byo gukurwaho cyangwa kugaruka kwibimenyetso byawe byumwimerere. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro niba ukeneye guhagarika umuti.

Ni Ibihe Bikorwa Bigaragara Bya Olanzapine?

Kimwe n'imiti yose, olanzapine irashobora gutera ibimenyetso bigaragara, nubwo atari buri wese ubyumva. Ibimenyetso bigaragara byinshi birashobora gucungwa kandi akenshi bikarushaho uko umubiri wawe wimenyereza umuti muminsi mike ya mbere.

Hano hari ibimenyetso bigaragara bisanzwe ushobora guhura nabyo:

• Kumva unanuka cyangwa gusinzira ku manywa
• Kongera ibiro, bishobora kuba byinshi ku bantu bamwe
• Kurya cyane
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Umunwa wumye
• Kugorana kwituma
• Kutagira ituze cyangwa kumva ukeneye kwimuka

Ibi bimenyetso rusange byo ku ruhande akenshi biba byoroheje kugeza hagati kandi akenshi bigenda bigabanuka uko umubiri wawe umenyera umuti.

Abantu bamwe bashobora kugira ibimenyetso bikomeye byo ku ruhande bisaba ubufasha bwihutirwa bw'abaganga:

• Kuguma kw'imitsi cyangwa guhagarara kw'imitsi bikabije
• Urubavu rwinshi hamwe no gucuruka no guhumeka
• Umutima utagenda neza cyangwa kuribwa mu gituza
• Kugorana kumeza cyangwa guhumeka
• Kuribwa umutwe cyane cyangwa guta igihagararo
• Imyitwarire idasanzwe udashobora kugenzura
• Ibimenyetso by'isukari nyinshi mu maraso nk'inyota nyinshi cyangwa kunyara cyane

Nubwo ibi bimenyetso bikomeye byo ku ruhande bidasanzwe, bisaba ubuvuzi bwihutirwa nibibaye. Muganga wawe azakugenzura buri gihe kugirango amenye ibibazo byose bishoboka hakiri kare.

Hariho kandi ibitekerezo bimwe by'igihe kirekire hamwe no gukoresha olanzapine. Uyu muti ushobora kugira ingaruka ku mikorere y'umubiri wawe, bishobora gutuma wongera ibiro, kongera isukari mu maraso, cyangwa guhinduka kw'urugero rwa kolesteroli. Muganga wawe azabikurikirana hamwe n'ibizamini by'amaraso buri gihe.

Ninde udakwiye gufata Olanzapine?

Olanzapine ntabwo ikwiriye kuri buri wese, kandi ibibazo bimwe na bimwe by'ubuzima cyangwa ibihe bishobora gutuma bidatekanye ko ufata uyu muti. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kuwandikira.

Ntabwo ukwiye gufata olanzapine niba urwaye allergie cyangwa wigeze ugira ibimenyetso bikomeye byo ku miti isa niyi mu bihe byashize. Ibimenyetso bya allergie birimo uruhu, kurigata, kubyimba, cyangwa kugorana guhumeka.

Abantu bafite ibibazo by'ubuzima runaka bakeneye gutekerezwa by'umwihariko mbere yo gufata olanzapine:

• Uburwayi bwo mu mutwe bujyanye na demansiya (olanzapine ishobora kongera ibyago byo gupfa ku barwayi bageze mu zabukuru bafite demansiya)
• Uburwayi bukomeye bw'umwijima
• Ibibazo by'umutima cyangwa umutima watewe n'umutima vuba aha
• Amateka y'ibibazo byo gufatwa n'indwara
• Diyabete cyangwa diyabete yabanje
• Umubare muto w'uturemangingo tw'amaraso twera
• Prostate yagutse cyangwa ibibazo byo kunyara

Muganga wawe azagereranya inyungu n'ibibazo niba ufite kimwe muri ibyo bibazo. Rimwe na rimwe olanzapine iracyashobora gukoreshwa neza hamwe no gukurikiranwa neza.

Abantu b'umwihariko nabo bagomba kwitonderwa. Abagore batwite bagomba gukoresha olanzapine gusa niba inyungu ziruta neza ibibazo ku mwana ukura. Niba uri konjesha, umuti urashobora kwinjira mu mata y'ibere.

Abageze mu zabukuru, cyane cyane abafite demansiya, bahura n'ibibazo byiyongera hamwe na olanzapine kandi bakeneye gukurikiranwa neza cyane niba byanditswe.

Amazina y'ubwoko bwa Olanzapine

Olanzapine iboneka munsi y'amazina menshi y'ubwoko, aho Zyprexa ari ryo zina ry'ubwoko rimenyekanye cyane. Iyi ni verisiyo yabanje gukorwa kandi igeragezwa cyane mu bizamini by'ubuvuzi.

Urashobora kandi guhura na verisiyo rusange ya olanzapine, irimo ibintu bimwe bikora ariko bikorwa n'amasosiyete atandukanye y'imiti. Izi verisiyo rusange zifite akamaro kimwe n'imiti y'izina ry'ubwoko ariko akenshi zihendutse.

Ubwoko bumwe na bumwe burimo Zyprexa Zydis, ikaba ari tablet isenyuka ishirira ku rurimi rwawe nta mazi. Hariho kandi ubwoko buterwa mu nshinge bita Zyprexa Relprevv kubantu bagoranye gufata imiti ya buri munsi.

Niba ufata izina ry'ubwoko cyangwa verisiyo rusange ntacyo bitwaye mu by'ubuvuzi. Farumasi yawe irashobora guhita ishyiraho verisiyo rusange keretse muganga wawe yanditse byihariye "ubwoko bukenewe mu by'ubuvuzi" ku byanditswe byawe.

Uburyo bwa Olanzapine

Niba olanzapine itagukorera neza cyangwa ikagutera ingaruka zikomeye, hari imiti myinshi yindi ishobora kuba igisubizo. Muganga wawe ashobora kugufasha gusuzuma iyi miti bitewe n'ibimenyetso byawe byihariye n'amateka yawe y'ubuzima.

Andi matabara atari ay'ibisanzwe akora kimwe na olanzapine harimo risperidone, quetiapine, aripiprazole, na ziprasidone. Buri kimwe gifite ingaruka zacyo zitandukanye kandi gishobora gukorera neza abantu bamwe.

Kubijyanye na bipolar disorder by'umwihariko, imiti igabanya imitekerereze nka lithium, acide valproic, cyangwa lamotrigine bishobora kuba ibindi bisubizo cyangwa ibyongerwa ku gahunda yawe yo kuvurwa. Iyi miti ikora mu buryo butandukanye n'imiti igabanya imitekerereze ariko ishobora kugira akamaro kanini ku gihembwe cy'imitekerereze.

Guhitamo igisubizo biterwa n'ibintu byinshi birimo ibimenyetso byawe byihariye, izindi ndwara, imikoranire y'imiti ishoboka, n'ibyo ukunda ku ngaruka ziterwa n'imiti. Gushaka umuti ukwiriye rimwe na rimwe bisaba kwihangana no gukorana bya hafi na muganga wawe.

Ese Olanzapine iruta Risperidone?

Byombi olanzapine na risperidone ni imiti igabanya imitekerereze ikora neza, ariko bifite imbaraga zitandukanye n'ingaruka ziterwa n'imiti zitandukanye. Nta na kimwe cyiza kurusha ikindi - guhitamo neza biterwa n'ibyo ukeneye ku giti cyawe n'uko witwara kuri buri muti.

Olanzapine ikunda gutuza cyane kandi irashobora gutera kongera ibiro no guhinduka mu mikorere y'umubiri. Ariko, irashobora gukora neza ku bimenyetso bimwe na bimwe nko guhagarika umutima cyangwa psychosis ikomeye, kandi abantu bamwe basanga itera ingaruka nke zijyanye n'imikorere y'umubiri.

Risperidone muri rusange itera kongera ibiro bike n'ibibazo by'imikorere y'umubiri kurusha olanzapine, ariko irashobora gutera ingaruka nyinshi zijyanye n'imikorere y'umubiri kandi ishobora kongera urwego rwa prolactin, rushobora kugira ingaruka ku misemburo.

Umuganga wawe azatekereza ku bintu nk'ibimenyetso byawe byihariye, izindi ndwara ufite, imibereho yawe, n'ibyo ukunda mu guhitamo hagati y'iyo miti. Rimwe na rimwe bashobora kugusaba kubanza kugerageza imwe, hanyuma bakayihindura niba bibaye ngombwa.

Ibibazo Bikunze Kubazwa Kuri Olanzapine

Q1. Ese Olanzapine irakwiriye abantu barwaye diyabete?

Olanzapine ishobora kugira ingaruka ku rugero rw'isukari mu maraso kandi ishobora gutuma diyabete irushaho cyangwa ikongera ibyago byo kurwara diyabete. Ariko, iracyakoreshwa neza ku bantu barwaye diyabete hamwe no gukurikiranwa neza.

Umuganga wawe azashaka kureba urugero rw'isukari mu maraso yawe buri gihe niba urwaye diyabete kandi ufata olanzapine. Ushobora gukenera guhindura imiti yawe ya diyabete cyangwa gukurikirana isukari yawe mu maraso kenshi.

Niba udafite diyabete ariko ufite ibintu byongera ibyago nk'amateka y'umuryango cyangwa umubyibuho ukabije, umuganga wawe azagukurikiranira ibimenyetso byo kurwara diyabete mugihe ufata olanzapine. Kumenya no gukemura hakiri kare birashobora gukumira ingorane zikomeye.

Q2. Nkwiriye gukora iki niba nanyweye olanzapine nyinshi bitunguranye?

Niba unyweye olanzapine nyinshi kuruta uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ingaruka zikomeye nko gusinzira cyane, urujijo, cyangwa ibibazo by'umutima.

Ntugategereze ngo urebe niba ibimenyetso bigaragara. Ingaruka zo kunywa nyinshi ntizishobora kugaragara ako kanya, kandi kubona inama z'ubuvuzi hakiri kare buri gihe birinda.

Niba hari umuntu wanyweye nyinshi kandi atazi ubwenge cyangwa afite ibibazo byo guhumeka, hamagara 911 ako kanya. Zana icupa ry'umuti hamwe nawe mu cyumba cy'abarwayi kugirango abaganga bamenye neza icyo banyoye n'ingano yacyo.

Q3. Nkwiriye gukora iki niba nirengagije urugero rwa olanzapine?

Niba wirengagije urugero rwa olanzapine, rinywe ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muricyo gihe, reka urugero wirengagije hanyuma ufate urugero rukurikira ku gihe gisanzwe.

Ntugomba gufata doze ebyiri icyarimwe kugira ngo usimbure doze wasibye. Ibi bishobora kongera ibyago byo kugira ingaruka mbi utagize akamaro.

Niba ukunda kwibagirwa gufata imiti, ganira na muganga wawe kuri gahunda zagufasha kwibuka. Gushyiraho alarme kuri telefone, gukoresha umuteguro w'imiti, cyangwa guhuza imiti yawe n'ibikorwa bya buri munsi birashobora kugufasha gukomeza kuyifata.

Q4. Ni ryari nshobora kureka gufata Olanzapine?

Umwanzuro wo kureka gufata olanzapine ugomba gufatwa buri gihe hamwe n'ubuyobozi bwa muganga wawe. Abantu benshi bakeneye gukomeza kuyifata igihe kirekire kugira ngo birinde ko ibimenyetso byagaruka.

Muganga wawe azatekereza ku bintu nk'igihe umaze ufite ubuzima bwiza, ubukana bw'indwara yawe, n'imimerere yawe bwite mugihe avuga niba bikwiye kureka umuti.

Niba urekeye gufata olanzapine, bizakorwa buhoro buhoro mugabanya doze buhoro buhoro mu byumweru cyangwa amezi. Ibi bifasha kwirinda ibimenyetso byo kuva ku miti no kugabanya ibyago byo gusubira mu bimenyetso byawe by'umwimerere.

Q5. Nshobora kunywa inzoga nkanwa olanzapine?

Nibyiza kwirinda inzoga mugihe ufata olanzapine cyangwa ukanywa gusa ingano ntoya cyane hamwe n'uburenganzira bwa muganga wawe. Inzoga irashobora kongera ingaruka zo gutuza za olanzapine, bikagutera gusinzira cyane cyangwa kuribwa umutwe.

Ubu buryo bushobora kandi kugira ingaruka ku mucyo wawe no guhuza ibikorwa byawe kurusha ikintu kimwe, bikongera ibyago by'impanuka cyangwa kugwa.

Niba uhisemo kunywa rimwe na rimwe, tangira n'ingano ntoya cyane kugirango urebe uko umubiri wawe witwara, kandi ntuzigere unywa unashoferi. Ba inyangamugayo kuri muganga wawe kubijyanye no kunywa inzoga kugirango baguhe ubuyobozi bwiza kuri situation yawe.