Pimozide ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Pimozide ni umuti wandikirwa na muganga ukaba mu cyiciro cy'imiti yitwa antipsychotics. Ikoreshwa cyane mu kuvura indwara ya Tourette, indwara yo mu bwonko itera imitsi idashakashaka n'amajwi. Tekereza pimozide nk'ikintu gituma ubwonko butagira imbaraga nyinshi ziteza izo ngendo n'amajwi adashakashaka.

Uyu muti ukora ubuza imisemburo imwe yo mu bwonko yitwa dopamine receptors. Nubwo ari igikoresho gikomeye cyo kugenzura ibimenyetso, bisaba gukurikiranwa na muganga wawe kubera ingaruka zishobora kugira ku mutima n'izindi ngingo z'umubiri.

Pimozide ikoreshwa mu kuvura iki?

Pimozide yemerejwe by'umwihariko kuvura indwara ya Tourette iyo izindi miti itagize icyo itanga. Muganga wawe akenshi azagerageza indi miti mbere kuko pimozide ifatwa nk'uburyo bukomeye bufite ingaruka zikomeye zishobora guterwa.

Indwara ya Tourette itera imitsi (imitsi idashakashaka) n'imitsi ivuga (amajwi cyangwa amagambo). Ibi birashobora kuva ku guhuma ijisho cyangwa guhagarika umuhogo kugeza ku myitwarire igoye. Pimozide ifasha kugabanya kenshi no gukomera kw'iyo mitsi ituma ubwonko butekereza.

Rimwe na rimwe abaganga bashobora kwandika pimozide kubera izindi ndwara, ariko ibi bikorwa witonze cyane. Uyu muti ntukoreshwa cyane mu guhangayika rusange, kwiheba, cyangwa ibibazo by'imyitwarire mu bana keretse hari impamvu yihariye ya muganga.

Pimozide ikora ite?

Pimozide ikora ibuza dopamine receptors mu bwonko bwawe. Dopamine ni intumwa ya chimique ifasha kugenzura imitsi n'imyitwarire. Mu bantu barwaye indwara ya Tourette, inzira zimwe na zimwe za dopamine zirakabije, bigatuma imitsi itera.

Uyu muti ufatwa nk'umuti ukomeye uvura indwara zo mu mutwe, bivuze ko ugira ingaruka zikomeye ku mikorere y'ubwonko. Ufata by'umwihariko sisitemu ya dopamine mu buryo bwihariye kurusha indi miti, ibyo bikaba ari byo bituma ugira akamaro ku ndwara ya tics. Ariko kandi, iyi mbaraga isobanura ko ushobora gutera ingaruka zikomeye.

Uyu muti ntukiza indwara ya Tourette, ariko ushobora kugabanya cyane ibimenyetso. Ushobora kubona impinduka nziza mu buryo tics zikunda kugaragaramo ndetse n'uburemere bwazo mu byumweru bike umaze gutangira kuvurwa, nubwo bishobora gutwara igihe kirekire kugira ngo ubone urugero rukwiriye kuri wowe.

Nkwiriye Gufata Uyu Muti Wa Pimozide Nte?

Fata pimozide nk'uko muganga abikwandikiye, akenshi rimwe ku munsi mbere yo kuryama. Urashobora kuwufata urya cyangwa utarya, ariko kuwufata urya birashobora kugufasha kugabanya ibibazo byo mu nda niba hari ibyo ubona.

Umunyire urupapuro rwose rw'umuti hamwe n'ikirahure cyuzuye cy'amazi. Ntukoreshe, ntukore, cyangwa ngo umenye urupapuro rw'umuti, kuko ibi bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe. Niba ugorwa no kumira imiti, ganira na farumasiye wawe kuri izo ngingo.

Ni byiza gufata pimozide ku gihe kimwe buri munsi kugira ngo ugumane urugero rwawo ruzigama mu mubiri wawe. Abantu benshi basanga igihe cyo kuryama gikora neza kuko gishobora gutera ibitotsi. Gushyiraho umwanya wo kwibutswa kuri terefone yawe birashobora kugufasha kwibuka.

Irinde imbuto za pome n'umutobe wazo mu gihe ufata pimozide, kuko ibi bishobora kongera urugero rw'umuti mu maraso yawe kandi bishobora gutera ingaruka zikomeye. Muganga wawe kandi azashaka kwirinda indi miti imwe n'imwe ishobora guhura na pimozide.

Mvane Uyu Muti Wa Pimozide Igihe Kingana Gite?

Igihe cyo kuvurwa na pimozide gitandukana cyane ku muntu ku muntu. Abantu bamwe bashobora kuwukenera mu mezi, mu gihe abandi bashobora kuwufata imyaka. Muganga wawe azagenzura buri gihe niba ukeneye umuti kandi niba inyungu zigikomeza kurusha ibyago.

Umuvuzi wawe w’ubuzima ashobora gushaka kugerageza kugabanya urugero rw’umuti ukoresha buri gihe kugira ngo arebe niba ibimenyetso byawe byarushijeho gukira ku buryo wakoresha imiti mike cyangwa ukayihagarika burundu. Ibi ni ngombwa cyane cyane ku bana n’ingimbi, kuko ibimenyetso byabo bishobora guhinduka uko bakura.

Ntuzigere uhagarika gufata pimozide mu buryo butunguranye utabanje kuvugana n’umuganga wawe. Guhagarika mu buryo butunguranye bishobora gutera ibimenyetso byo kuva mu miti cyangwa gusubira inyuma kw’ibimenyetso bishobora kuba bikomeye kurusha mbere. Niba ukeneye guhagarika, umuganga wawe azakora gahunda yo kugabanya buhoro buhoro urugero rw’umuti ukoresha.

Ibiganiro bisanzwe byo gukurikiranwa ni ngombwa mugihe ufata pimozide. Umuganga wawe azagenzura umuvuduko w’umutima wawe, arebe ingaruka ziterwa n’umuti, kandi asuzume uburyo umuti ukora neza kubera uko ubuzima bwawe bumeze.

Ni Iyihe Ngaruka Ziterwa na Pimozide?

Pimozide ishobora gutera ingaruka nyinshi, kuva ku zoroheje kugeza ku zikomeye. Izisanzwe cyane ushobora guhura nazo zirimo gusinzira, kuribwa umutwe, n’akanwa gakama. Ibi akenshi birakosoka uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Dore ingaruka zisanzwe abantu benshi bahura nazo iyo batangira gufata pimozide:

• Gusinzira cyangwa kunanirwa
• Kuribwa umutwe, cyane cyane iyo uhagaze
• Akanwa gakama
• Kugorana kw’igifu
• Kureba nabi
• Kongera ibiro
• Kutagira umutuzo cyangwa kumva uhungabanye

Izi ngaruka zikunda gucungwa kandi zishobora kugabanuka uko igihe kigenda. Kunywa amazi menshi birashobora gufasha akanwa gakama no kugorana kw’igifu, mugihe guhaguruka buhoro buhoro uvuye mu kwicara cyangwa kuryama bishobora kugabanya kuribwa umutwe.

Ariko, hariho ingaruka zikomeye zisaba ubufasha bw’ubuvuzi bwihuse. Ikibazo gikomeye ni ikibazo cy’umuvuduko w’umutima cyitwa QT prolongation, gishobora gutera urupfu. Umuganga wawe azakora igenzura risanzwe ry’umutima mugihe ufata pimozide.

Reba izi ngaruka zikomeye kandi uvugishe umuganga wawe ako kanya niba uhuye na:

• Umutima utera nabi cyangwa guhinda umushyitsi
• Guta igihagararo cyangwa kwegera kugita igihagararo
• Urugero rwo kumererwa nabi cyane
• Umubiri uguma cyangwa guhagarara
• Guhinda umushyitsi cyangwa guhinda umushyitsi
• Urubavu rwinshi
• Kugorana kumira
• Imyitwarire idasanzwe udashobora kugenzura

Uburwayi bukunda kubaho ariko bukomeye bita tardive dyskinesia bushobora kwaduka iyo umuti umaze igihe kinini ukoreshwa. Ibi bikubiyemo imyitwarire idashakishwa, akenshi y'isura n'ururimi, ishobora gukomeza nubwo uhagaritse umuti. Muganga wawe azareba ibimenyetso by'ibanze by'ubu burwayi.

Abantu bamwe bashobora kandi guhura na neuroleptic malignant syndrome, uburwayi bukunda kubaho ariko bushobora kwica. Ibi bikubiyemo urubavu rwinshi, umubiri uguma, urujijo, n'imihindagurikire y'umuvuduko w'umutima n'umuvuduko w'amaraso. Ibi bisaba ubuvuzi bwihutirwa.

Ninde utagomba gufata Pimozide?

Pimozide ntirinzwe kuri buri wese. Muganga wawe azasuzuma neza amateka yawe mbere yo kugusaba uyu muti. Uburwayi n'ibihe bitandukanye bituma pimozide idakwiriye cyangwa ikaba ari akaga.

Ntabwo ugomba gufata pimozide niba ufite uburwayi bw'umutima, cyane cyane ubwo bugira ingaruka ku mutima wawe. Ibi bikubiyemo long QT syndrome, amateka y'umutima utera nabi, cyangwa niba ufata indi miti igira ingaruka ku mutima.

Dore uburwayi nyamukuru busanzwe butuma pimozide idakoreshwa:

• Uburwayi bwo gutera kw'umutima (arrhythmias)
• Long QT syndrome
• Uburwayi bukomeye bw'umutima
• Ibibazo bikomeye by'umwijima
• Amateka ya kanseri y'ibere
• Imbumburi zishingiye kuri prolactin
• Umutwe ukomeye wa sisitemu yo hagati y'imitsi

Muganga wawe azitonda cyane mu kugusaba pimozide niba ushaje, ufite ibibazo by'impyiko, cyangwa ufata imiti myinshi. Imyaka n'ubundi burwayi bishobora kongera ibyago byo kugira ingaruka zikomeye.

Gusama inda no konsa bisaba kwitonderwa byihariye. Pimozide ishobora kwambuka placenta ikinjira mu mata y'ibere, bishobora kugira ingaruka ku mwana wawe. Muganga wawe azagereranya neza ibyago n'inyungu niba utwite cyangwa ufite gahunda yo gutwita.

Imiti imwe n'imwe ishobora gukorana nabi na pimozide, cyane cyane iyo igira ingaruka ku mutima cyangwa imikorere y'umwijima. Buri gihe bwire muganga wawe imiti yose, ibiyobyabwenge, n'ibicuruzwa by'ibyatsi ukoresha.

Amazina ya Pimozide

Pimozide iboneka ku izina ry'ubucuruzi rya Orap muri Leta Zunze Ubumwe z'Amerika. Iyi ni yo miti ikoreshwa cyane kandi iza mu buryo bw'ibinini.

Mu bindi bihugu, pimozide ishobora kugurishwa ku mazina atandukanye y'ubucuruzi. Ariko, hatitawe ku izina ry'ubucuruzi, ibikoresho bikora n'ingaruka biracyari kimwe. Umufarimasi wawe ashobora kugufasha kumenya niba urimo guhabwa umuti ukwiye.

Ubundi bwoko bwa pimozide buraboneka, bukaba burimo ibikoresho bikora kimwe ariko bishobora kugaragara ukundi ku bwoko bw'izina ry'ubucuruzi. Imiti rusange ifite akamaro kimwe n'iy'izina ry'ubucuruzi kandi akenshi ihendutse.

Uburyo bwa Pimozide

Imiti myinshi ishobora kuvura indwara ya Tourette, kandi muganga wawe azagerageza iyi mbere yo gutekereza pimozide. Guhitamo biterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuzima, n'uburyo wihanganira imiti itandukanye.

Ubuvuzi bwa mbere bwa indwara ya Tourette busanzwe burimo imiti ifatwa nk'itekanwa kurusha pimozide. Ibi birimo clonidine, guanfacine, na topiramate. Iyi miti ifite ingaruka nke zikomeye kandi ntisaba urwego rumwe rwo gukurikiranwa k'umutima.

Izindi miti ya antipsychotic nka risperidone, aripiprazole, cyangwa haloperidol nayo ishobora gutekerezwa. Buri imwe ifite ingaruka zayo zikora kandi ifite akamaro ku bantu batandukanye. Muganga wawe azagufasha kumenya uburyo bushobora gukora neza kuri wowe.

Uburyo butakoresha imiti na bwo bushobora gufasha cyane mu kuvura indwara ya Tourette. Ibyo birimo imivurire ikoresha imyitwarire, cyane cyane uburyo bita Comprehensive Behavioral Intervention for Tics (CBIT). Ubu buryo bufasha abantu kwiga kwifasha mu kwifata ku buryo bamenya ibimenyetso byabo no kubona ibisubizo.

Ubusanzwe icyemezo cyo gukoresha pimozide kiza nyuma yo kugerageza ubundi buryo, bitewe n'ingaruka zishobora kuvuka. Muganga wawe azareba ibimenyetso byawe byihariye, urugero bigira ingaruka ku buzima bwawe bwa buri munsi, n'ubuzima bwawe muri rusange.

Ese Pimozide iruta Haloperidol?

Zombi pimozide na haloperidol ni imiti ikoreshwa mu kuvura indwara ya Tourette, ariko zifite imbaraga n'intege nke zitandukanye. Nta na rimwe riruta irindi - guhitamo biterwa n'ibyo ukeneye n'uko umubiri wawe witwara kuri buri muti.

Pimozide akenshi ifatwa nk'ifite ubushobozi bwo guhitamo, bivuze ko ishobora gutera ingaruka nke zifitanye isano no kwimuka kurusha haloperidol. Ariko, pimozide ifite ibyago byinshi byo guhinduka kw'umutima, ibyo bisaba gukurikiranwa buri gihe hakoreshejwe electrocardiograms (EKGs).

Haloperidol imaze igihe ikoreshwa kandi akenshi ihendutse kurusha pimozide. Irashobora kugira akamaro kanini ku kwifata, ariko ishobora gutera ingaruka nyinshi zifitanye isano no kwimuka nk'ubugororokere, guhinda umushyitsi, cyangwa umuvundo. Izi ngaruka akenshi ziterwa n'urugero rw'umuti kandi zishobora gukira iyo zihinduwe.

Muganga wawe azatekereza ibintu byinshi mugihe ahitamo hagati yiyi miti. Ibyo birimo imyaka yawe, izindi ndwara ufite, indi miti urimo gufata, n'uburyo wabanje kwitwara ku miti isa nayo. Abantu bamwe babona ko bameze neza iyo bafata umuti umwe mu gihe abandi bitwara neza iyo bafata undi.

Ibibazo bikunze kubazwa kuri Pimozide

Ese Pimozide ifite umutekano ku ndwara z'umutima?

Pimozide ntisanzwe ikoreshwa ku bantu bafite indwara z'umutima, cyane cyane abafite ibibazo by'umuvuduko w'umutima. Uyu muti ushobora gutera indwara yitwa QT prolongation, ikagira ingaruka ku mikorere y'amashanyarazi y'umutima kandi ikaba yatera ibibazo by'umuvuduko w'umutima.

Niba ufite indwara y'umutima, muganga wawe ashobora kubanza gushaka izindi nzira zo kuvura. Ariko, mu bihe bidasanzwe aho pimozide ari ngombwa rwose, uzakenera gukurikiranwa cyane n'abaganga b'umutima. Ibi bikubiyemo gupima EKG buri gihe ndetse no kugisha inama umuganga w'inzobere mu by'umutima.

N'abantu badafite ibibazo by'umutima bamenyekanye bakeneye gukurikiranwa umutima buri gihe bakoresha pimozide. Muganga wawe azakora ibizamini mbere yo gutangira umuti kandi akomeze gukurikirana mu gihe cyose cy'ubuvuzi kugira ngo amenye ibibazo byose hakiri kare.

Nkwiriye gukora iki niba nanyoye pimozide nyinshi bitunguranye?

Niba unyoye pimozide nyinshi bitunguranye, hamagara abaganga b'uburozi cyangwa ujye mu cyumba cy'ubutabazi bwihutirwa ako kanya. Kunywa umuti mwinshi bishobora gutera ibibazo bikomeye by'umuvuduko w'umutima, gusinzira cyane, cyangwa kutagira ubwenge.

Ntugategereze ngo urebe niba wumva umeze neza – kunywa pimozide nyinshi bishobora guteza akaga ku buzima. Zana icupa ry'umuti kugira ngo bifashe abaganga kumenya neza icyo wanyoye n'ingano yacyo. Niba undi muntu yanyoye umuti bitunguranye, shakisha ubufasha bwihutirwa ako kanya.

Ibimenyetso byo kunywa pimozide nyinshi birimo gusinzira cyane, kuruka, umuvuduko w'umutima utajegajega, umubiri uguma, no guhumeka bigoranye. Ibi bimenyetso bisaba ubufasha bwihutirwa bw'abaganga, kuko bishobora kwiyongera vuba iyo bitavuwe.

Nkwiriye gukora iki niba nirengagije doze ya pimozide?

Niba wibagiwe gufata doze ya pimozide, yifate uko ubyibutse, keretse igihe kigeze cyo gufata indi doze. Niba hafi y'igihe cyo gufata indi doze, reka doze wibagiwe ukomeze gahunda yawe isanzwe.

Ntugasuzume imiti ibiri icyarimwe kugira ngo usimbure urugero rwatanzwe. Ibi bishobora kongera ibyago byo kugira ingaruka zikomeye, cyane cyane ibibazo by'umutima. Gukoresha imiti kabiri ya pimozide birashobora guteza akaga kandi bigomba kwirindwa buri gihe.

Niba ukunda kwibagirwa imiti, tekereza gushyiraho alarume ya buri munsi cyangwa gukoresha umuteguro w'imiti. Gukoresha imiti buri gihe bifasha kugumana urugero rwa imiti mu mubiri wawe, ibi bikaba by'ingenzi ku mikorere n'umutekano.

Ni ryari nshobora guhagarika gufata Pimozide?

Ugomba guhagarika gufata pimozide gusa ukurikije ubuyobozi bw'umuganga wawe. Umwanzuro wo guhagarika biterwa n'uko ibimenyetso byawe bigenzurwa neza, igihe umaze ufata imiti, niba urimo guhura n'ingaruka ziteye ikibazo.

Umuganga wawe ashobora gushaka kugabanya buhoro buhoro urugero rwawe aho guhagarara ako kanya. Ibi bifasha kwirinda ibimenyetso byo gukurwaho kandi bituma gukurikirana uko ibimenyetso byawe byitwara ku rugero rugabanuka. Abantu bamwe basanga ibimenyetso byabo byarushijeho gukira bihagije kugirango bakoreshe urugero ruto cyangwa bahagarare rwose.

Igihe cyo guhagarara gitandukanye cyane hagati y'abantu. Abantu bamwe bashobora kugerageza kugabanya cyangwa guhagarara nyuma y'amezi yo kugenzura neza ibimenyetso, mugihe abandi bashobora gukenera kuvurwa igihe kirekire. Inama zisanzwe zifasha kumenya igihe gikwiye kuri wewe.

Nshobora gutwara imodoka nkanwa Pimozide?

Pimozide irashobora gutera gusinzira, isereri, no kubona ibintu bitajegajega, bishobora kugira ingaruka ku bushobozi bwawe bwo gutwara neza. Igihe utangiye gufata imiti cyangwa igihe urugero rwawe ruhinduka, birakwiriye kwirinda gutwara kugeza umenye uko bigufata.

Abantu benshi basanga izi ngaruka zigabanuka nyuma y'ibyumweru bike umubiri wabo umaze kumenyera imiti. Ariko, niba ukomeje guhura no gusinzira cyangwa isereri rikomeye, ntugomba gutwara cyangwa gukoresha imashini.

Ganira na muganga wawe ku birebana n'uko ubuzima bwawe buhagaze. Ashobora kugufasha gusobanukirwa igihe byaba byemewe kongera gutwara ikinyabiziga n'ibimenyetso byo kwitondera byerekana ko utagomba gutwara. Umutekano wawe n'uw'abandi bari mu muhanda ugomba guhora ari wo uza imbere.