Icyo Quetiapine ari cyo: Ibyo ikoreshwa, urugero rwa dose, ingaruka zayo n'ibindi

Quetiapine ni umuti wandikirwa na muganga ufasha kuringaniza imisemburo imwe n'imwe mu bwonko bwawe kugira ngo utume umunezero, imitekerereze, n'imyitwarire birushaho kuba byiza. Uyu muti ubarizwa mu itsinda ry'imiti yitwa antipsychotics idasanzwe, ikora mu buryo butandukanye n'imiti ya kera yo mu mutwe kandi akenshi igira ingaruka nke.

Uyu muti ushobora kugira uruhare runini ku bantu bahanganye n'indwara zo mu mutwe zikomeye. Nubwo bisaba gukurikiranwa neza na muganga wawe, abantu benshi basanga bibafasha kumva bameze neza kandi bashobora gukora imirimo yabo ya buri munsi.

Quetiapine ni iki?

Quetiapine ni umuti wo mu mutwe ufasha kugarura uburinganire mu mikorere y'imisemuro yo mu bwonko yitwa neurotransmitters. Iyi misemburo itwara ubutumwa hagati y'uturemangingo tw'ubwonko kandi igira uruhare mu buryo utekereza, wumva, kandi witwara.

Uyu muti uza mu buryo bubiri: ibinini bikora vuba na vuba n'ibinini bikora buhoro buhoro bitanga ingaruka zihamye umunsi wose. Muganga wawe azahitamo ubwoko bukugirira akamaro bitewe n'ibyo ukeneye n'indwara ufite.

Bitandukanye n'imiti imwe ya kera yo mu mutwe, quetiapine ifatwa nk'umuti wa

• Schizophrenia: Ifasha kugabanya ibitekerezo byo kwibeshya, ibitekerezo byo kubeshya, no gutekereza bitunganye mu bantu bakuru n'urubyiruko
• Bipolar disorder: Ivura ibihe bya manic (imbaraga nyinshi, imyitwarire yihutirwa) n'ibihe by'agahinda (umunezero muke, kutagira icyizere)
• Major depressive disorder: Ikoreshwa hamwe n'imiti irwanya agahinda iyo agahinda kadasubiza ku bundi buryo bwo kuvura bwonyine
• Bipolar maintenance: Ifasha kwirinda ibihe by'umunezero mu gihe bifashwe igihe kirekire

Muganga wawe ashobora kandi gutegeka quetiapine kubindi bibazo bitarondwe hano, ibyo bita gukoresha "off-label". Ibi ni byemewe kandi bisanzwe iyo abaganga bafite impamvu nziza zishingiye ku miterere yawe bwite.

Quetiapine ikora ite?

Quetiapine ikora ibara ibice bimwe na bimwe byo mu bwonko bwawe byakira ubutumwa bwa chimique. Ahanini bigira ingaruka ku bareceptor ba dopamine na serotonin, bakora uruhare runini mu miterere, gutekereza, n'imyitwarire.

Tekereza kuri izi receptor nk'amashusho ya radio mu bwonko bwawe. Iyo ibibazo byo mu mutwe bibayeho, ibice bimwe bishobora gukina cyane cyangwa kwakira ibimenyetso bivanzemo. Quetiapine ifasha guhuza ibi bice ku murongo ukwiye.

Uyu muti ufatwa nk'ukomeye cyane mu miti ya psychiatrique. Birakomeye bihagije kuvura ibibazo bikomeye ariko muri rusange biroroshye kuruta antipsychotics ya kera. Abantu benshi babona impinduka zimwe na zimwe mu byumweru bike byambere, nubwo inyungu zose zishobora gufata amezi menshi.

Nkwiriye gufata quetiapine nte?

Fata quetiapine nkuko muganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi bitewe n'uburyo bwo gukora. Uburyo bwo gusohora ako kanya akenshi bufatwa inshuro 2-3 ku munsi, mugihe gusohora byongerewe bifatwa rimwe ku munsi nimugoroba.

Uyu muti ushobora kuwufata urya cyangwa utarya, ariko kuwufata urya ifunguro rito cyangwa akantu gato bishobora kugufasha kugabanya kubabara mu nda. Irinde kurya amafunguro arimo amavuta menshi igihe urimo gufata ibinini birebire, kuko ibi bishobora kugira ingaruka ku buryo umubiri wawe wakira umuti.

Dore amabwiriza y'ingenzi ugomba gukurikiza igihe urimo gufata quetiapine:

• Ufate ku isaha imwe buri munsi kugira ngo ugumane urugero ruhamye mu mubiri wawe
• Uminyire ibinini birebire byose - ntuzigere ubisatura, ubishishure, cyangwa ubice
• Niba ufata ubwoko bwo mu buryo bwo gufata ako kanya, ushobora gusatura ibinini bifite umurongo niba muganga wawe abikugiriye inama
• Tangira n'urugero ruto hanyuma wongere buhoro buhoro nk'uko muganga wawe yabikubwiye
• Komeza kuwufata nubwo wumva umeze neza, keretse muganga wawe akubwiye kuwuhagarika

Buri gihe ujye ufata ikirahure cyuzuye cy'amazi igihe urimo gufata urugero rwawe. Ibi bifasha umuti kugera mu nda yawe neza kandi bigabanya amahirwe yo kuribwa mu muhogo.

Nzamara igihe kingana iki nifata Quetiapine?

Igihe cyo kuvurwa na quetiapine giterwa n'uburwayi bwawe bwihariye n'uburyo wakira umuti. Abantu bamwe barawukeneye mu mezi make, mu gihe abandi bungukirwa no kuvurwa igihe kirekire kugira ngo birinde ko ibimenyetso bisubira.

Kubijyanye n'ibihe bikomeye nk'agahinda gakabije cyangwa uburwayi bwo mu mutwe, ushobora gufata quetiapine mu mezi menshi kugeza ibimenyetso bihamye. Kubijyanye n'indwara zidakira nka schizophrenia cyangwa bipolar disorder, abantu benshi bakomeza kuvurwa imyaka myinshi kugira ngo bagumane ituze.

Muganga wawe azajya asuzuma buri gihe uko urimo utera imbere kandi ashobora guhindura gahunda yawe yo kuvurwa. Ntukigere uhagarika gufata quetiapine mu buryo butunguranye, kuko ibi bishobora gutera ibimenyetso byo kuva mu muti cyangwa bigatuma ibimenyetso byawe bya mbere bisubira vuba. Igihe kigeze cyo guhagarika, muganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru cyangwa mu mezi.

Ni izihe ngaruka ziterwa na Quetiapine?

Kimwe n'imiti yose, quetiapine ishobora gutera ingaruka zidakunda, nubwo atari buri wese uzazibona. Ingaruka nyinshi zidakunda ziba zoroheje kandi zigenda zikira uko umubiri wawe umenyera umuti mu byumweru bike bya mbere.

Ingaruka zidakunda zisanzwe ushobora guhura nazo zirimo kumva unaniwe, uruka, cyangwa kugira umunwa wumye. Izi akenshi zigenda zigabanuka uko ukomeza kuvurwa:

• Kunanirwa no kurambirwa: Akenshi bigaragara cyane mugihe utangiye kuvurwa
• Uruka: Cyane cyane mugihe uhagurutse vuba
• Umunwa wumye: Kunywa amazi umunsi wose birafasha
• Kubura umwanya: Kurya ibiryo birimo fibre nyinshi no kunywa amazi birashobora gufasha
• Kongera ibiro: Gukora imyitozo ngororamubiri buri gihe no kurya neza ni ibintu byingenzi
• Kongera irari ryo kurya: Korana na muganga wawe kuri gahunda zo gutegura amafunguro

Abantu bamwe bahura n'ingaruka zidakunda zikomeye zisaba ubufasha bwihuse bw'abaganga. Nubwo ibi bitaba kenshi, ni ngombwa kumenya icyo ugomba kwitaho kandi ugahita uvugana na muganga wawe niba bibaye.

Ingaruka zidakunda zikomeye zikeneye ubufasha bwihuse bw'abaganga zirimo:

• Isukari nyinshi mu maraso: Inyota nyinshi, kunyara kenshi, guhumeka nabi
• Ibibazo byo kugenda: Imitsi idashobora kugenzurwa, gukakara, cyangwa guhinda umushyitsi
• Impinduka z'umutima: Umutima wihuta cyangwa udasanzwe, kuribwa mu gituza
• Uruka rukabije: Kugwa igihumure cyangwa ibihe byo kugwa hafi
• Ibimenyetso byo kwandura: Umuriro, kuribwa mu muhogo, cyangwa intege nke idasanzwe

Ingaruka zidakunda cyane ariko zikomeye zirimo syndrome ya neuroleptic malignant, ikibazo gishobora guteza akaga kubuzima gitera umuriro mwinshi, imitsi ikakara, no kuyoba. Niba uhuye n'ibi bimenyetso, shakisha ubufasha bwihutirwa bw'abaganga ako kanya.

Ninde utagomba gufata Quetiapine?

Quetiapine ntibereye buri wese, kandi indwara zimwe na zimwe cyangwa ibihe bituma bidashoboka kuyikoresha. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kugutera uyu muti.

Ntabwo ugomba gufata quetiapine niba uyirwaye cyangwa ibintu byayo byose. Ibimenyetso byo kurwara uruhu birimo ibibara, kuribwa, kubyimba, isereri rikomeye, cyangwa guhumeka bigoranye.

Indwara nyinshi zisaba kwitonda cyane cyangwa zishobora kukubuza gufata quetiapine mu buryo bwizewe:

• Ibibazo by'umutima: Harimo umutima utera nabi, kunanirwa k'umutima, cyangwa gutera umutima vuba aha
• Indwara y'umwijima: Umwijima wawe utunganya uyu muti, bityo ibibazo by'umwijima birashobora kuba byinshi
• Indwara y'impyiko: Irashobora kugira ingaruka ku buryo umubiri wawe ukuraho umuti
• Diabetes: Quetiapine irashobora kuzamura urugero rw'isukari mu maraso
• Indwara zo gufatwa: Irashobora kugabanya urugero rwo gufatwa
• Glaucoma: Irashobora kongera umuvuduko w'ijisho
• Prostate yagutse: Irashobora gukomeza ingorane zo kunyara

Abarwayi bakuze bafite psychose ijyanye na dementia bafite ibyago byinshi byo gupfa iyo bafata imiti ya antipsychotic. Quetiapine ntabwo yemerewe kuvura ibibazo by'imyitwarire ijyanye na dementia.

Gusama no konsa bisaba kwitonderwa cyane. Mugihe quetiapine ishobora kuba ngombwa kubagore bamwe batwite, irashobora kugira ingaruka kumwana ukura. Buri gihe ganira kubyerekeye imyiteguro yumuryango na muganga wawe mugihe ufata uyu muti.

Amazina ya Quetiapine

Quetiapine iboneka munsi yamazina menshi, Seroquel ikaba izwi cyane. Verisiyo yizina ryizina na verisiyo rusange zirimo ibintu bimwe bikora kandi bikora kimwe.

Amazina y'ubwoko busanzwe burimo Seroquel kuva ku binini byihutirwa na Seroquel XR kuva ku binini bifata igihe. Ingero rusange zandikwa gusa nka "quetiapine" cyangwa "quetiapine fumarate" kandi akenshi zihendutse kurusha amazina y'ubwoko.

Farumasi yawe ishobora gusimbuza quetiapine rusange amazina y'ubwoko keretse muganga wawe asabye by'umwihariko ubwoko bw'izina. Uburyo bwombi burakora kimwe, bityo guhitamo akenshi biterwa n'ikiguzi n'ubwishingizi.

Izindi nzira za Quetiapine

Imiti myinshi ishobora kuvura ibibazo bisa niba quetiapine itagukwiriye. Muganga wawe ashobora gutekereza izi nzira zindi bitewe n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko witwara ku buvuzi.

Izindi antipsychotics zidasanzwe zikora kimwe na quetiapine zirimo aripiprazole (Abilify), olanzapine (Zyprexa), na risperidone (Risperdal). Buri kimwe gifite ingaruka zitandukanye kandi gishobora gukora neza kubantu bamwe.

Kubijyanye n'indwara ya bipolar, ibintu bikomeza imitekerereze nka lithium, aside ya valproic, cyangwa lamotrigine bishobora gutekerezwa. Kubijyanye n'agahinda, muganga wawe ashobora kugerageza imiti itandukanye yo kurwanya agahinda cyangwa guhuza imiti.

Uburyo bwiza buterwa n'uburwayi bwawe bwihariye, imiti yindi urimo gufata, n'uburyo witwara ku buvuzi. Ntukigere uhindura imiti utabanje kubiganiraho neza na muganga wawe.

Ese Quetiapine iruta Olanzapine?

Quetiapine na olanzapine byombi ni antipsychotics zidasanzwe zikora neza, ariko bifite imbaraga zitandukanye n'ingaruka. Nta na kimwe "kiruta" - guhitamo biterwa n'ibyo ukeneye kandi umubiri wawe witwara ute.

Quetiapine ikunda gutera kutiyongera ibiro bike no kugira ibibazo bike bya metabolike kurusha olanzapine, bituma iba uburyo bwiza kubantu bahangayikishijwe n'izi ngaruka. Ariko, quetiapine ishobora gutera gusinzira cyane, cyane cyane mugihe utangiye kuvurwa.

Olanzapine akenshi ikora neza ku bimenyetso bimwe na bimwe bya schizophrenia kandi ishobora gukora vuba ku gihe cyo gufatwa n'uburwayi bwo mu mutwe. Ariko, itera ibyago byinshi byo kongera ibiro byinshi na diyabete.

Muganga wawe azatekereza ibintu nk'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, imiti yindi, n'imibereho yawe mugihe uhitamo hagati y'izi nzira. Ibyiza ku muntu umwe ntibishobora kuba byiza ku wundi.

Ibikunze Kubazwa Kuri Quetiapine

Ese Quetiapine iratekanye kuri diyabete?

Quetiapine irashobora kuzamura urugero rw'isukari mu maraso, bityo abantu barwaye diyabete bakeneye gukurikiranwa by'umwihariko mugihe bafata uyu muti. Muganga wawe azagenzura isukari yawe mu maraso buri gihe kandi ashobora gukenera guhindura imiti yawe ya diyabete.

Niba udafite diyabete, muganga wawe azakomeza gukurikirana isukari yawe mu maraso kuko quetiapine rimwe na rimwe ishobora gutera diyabete kubantu bafite ubushobozi. Ibimenyetso byo kwitondera birimo inyota yiyongereye, kunyara kenshi, no kutabona neza.

Abantu benshi barwaye diyabete barashobora gufata quetiapine batekanye hamwe no gukurikiranwa neza. Ikintu cyingenzi n'ugukorana bya hafi na muganga wawe w'indwara zo mumutwe ndetse na muganga wawe wa diyabete kugirango ukoreshe neza ibibazo byombi.

Nkwiriye gukora iki niba nifashishije quetiapine nyinshi ku buryo butunguranye?

Niba ufata quetiapine nyinshi ku buryo butunguranye, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, nubwo wumva umeze neza. Gufata umuti mwinshi bishobora gutera ibibazo bikomeye harimo gusinzira cyane, umuvuduko w'umutima wihuse, n'umuvuduko muke w'amaraso.

Ntugerageze kwivugisha cyangwa gufata indi miti yo kurwanya umuti mwinshi. Ahubwo, guma utuje kandi ushake ubufasha bw'ubuvuzi ako kanya. Gira icupa ry'imiti yawe hamwe nawe mugihe uhamagaye kugirango ufashwe.

Niba umuntu atagishoboye kumenya ibintu, afite ikibazo cyo guhumeka, cyangwa agaragaza ibimenyetso byo gufatwa n'uburwayi bukomeye, hamagara serivisi zihutirwa ako kanya. Kwitabwaho byihuse n'abaganga birashobora gukumira ingorane zikomeye zo gufata umuti mwinshi.

Nkwiriye gukora iki niba nciweho urugero rwa quetiapine?

Niba wibagiwe gufata urugero rwa quetiapine, rufate uko wibuka, keretse igihe cyo gufata urundi rugero kigeze. Mu gihe bimeze bityo, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakunda. Niba ukunda kwibagirwa gufata imiti, tekereza gukoresha agasanduku kabugenewe cyangwa gushyiraho ibyibutso kuri terefone yawe.

Kutafata urugero rimwe na rimwe ntibigira akaga, ariko kutafata imiti buri gihe bishobora gutuma ibimenyetso byawe bisubira. Ganira na muganga wawe niba ugira ikibazo cyo kwibuka gufata imiti yawe buri gihe.

Ni ryari nshobora kureka gufata quetiapine?

Reka gufata quetiapine gusa igihe muganga wawe abikubwiye. N'iyo wumva umeze neza rwose, guhagarara ako kanya bishobora gutera ibimenyetso byo kuva mu miti no gutuma ibimenyetso byawe bya mbere bisubira vuba.

Igihe kigeze cyo guhagarara, muganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi. Iyo gahunda yo kugabanya buhoro ifasha kwirinda ibimenyetso byo kuva mu miti kandi igaha ubwonko bwawe umwanya wo kumenyera.

Abantu bamwe na bamwe bakeneye gufata quetiapine igihe kirekire kugira ngo birinde ko ibimenyetso bisubira. Muganga wawe azagenzura buri gihe niba gukomeza kuvurwa ari ngombwa hashingiwe ku iterambere ryawe n'ubuzima bwawe muri rusange.

Nshobora gutwara imodoka nkanwa quetiapine?

Quetiapine ishobora gutera gusinzira no kuribwa umutwe, cyane cyane igihe utangiye kuyifata cyangwa igihe urugero rwawe ruzamutse. Irinde gutwara imodoka cyangwa gukoresha imashini kugeza umenye uko umuti ukugiraho ingaruka.

Abantu benshi basanga bashobora gutwara neza nyuma y'uko umubiri wabo umenyereye umuti, akenshi mu byumweru bike. Ariko, jya wibeshya ku rwego rwawe rwo gukanguka mbere yo kwicara ku giti cy'imodoka.

Niba ukomeje kumva usinzira cyangwa uribwa umutwe nyuma y'ibyumweru byinshi uvurwa, ganira na muganga wawe. Bashobora guhindura urugero rwawe cyangwa igihe cyo gufata imiti kugira ngo bagabanye izo ngaruka mu gihe bakomeza inyungu z'umuti.