Icyo Sertraline ari cyo: Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo n'ibindi

Sertraline ni umuti wandikirwa na muganga ugabanya ubwoba, ukaba mu itsinda ryitwa selective serotonin reuptake inhibitors (SSRIs). Muganga wawe ashobora kukwandikira kugira ngo agufashe mu bwigunge, ubwoba, cyangwa izindi ndwara zo mu mutwe binyuze mu kunoza imisemburo imwe n'imwe mu bwonko bwawe.

Uyu muti ukora wongera umubare wa serotonin uboneka mu bwonko bwawe. Serotonin ni umusemburo w'umubiri ufasha mu kugenzura imitekerereze yawe, gusinzira, n'imibereho yawe muri rusange.

Sertraline ikoreshwa mu iki?

Sertraline ifasha kuvura indwara nyinshi zo mu mutwe zifata abantu babarirwa muri za miliyoni ku isi hose. Muganga wawe arayikwandikira iyo imisemburo ya serotonin mu bwonko bwawe ikeneye ubufasha buhoro kugira ngo wumve umeze neza.

Indwara zisanzwe zivurwa na sertraline zirimo bwigunge bukomeye, aho ushobora kumva ufite agahinda gakomeye cyangwa ukabura inyungu mu bikorwa wari usanzwe ukunda. Ifasha kandi mu ndwara yo guhora ufite ubwoba, ubwoba bwo guhura n'abandi, n'indwara yo guhinda umushyitsi.

Usibye ibyo bikoreshwa by'ibanze, sertraline irashobora kuvura neza indwara yo kwigunga (OCD), indwara yo guhangayika nyuma yo guhura n'ikibazo gikomeye (PTSD), n'indwara yo guhindagurika kw'imitekerereze mbere yo kujya mu mihango (PMDD). Buri imwe muri izi ndwara ikubiyemo imisemburo yo mu bwonko idahuye neza, sertraline ishobora gufasha gukosora.

Sertraline ikora ite?

Sertraline ikora ibuza gusubizwa kwa serotonin mu bwonko bwawe, bivuze ko uyu musemburo ugenga imitekerereze uguma kuboneka kugira ngo ugufashe kumva umeze neza. Bitekereze nk'uko ugumisha umusemburo w'umubiri ugenga imitekerereze yawe mu bwonko.

Uyu muti ufatwa nk'ugabanya ubwoba ufite imbaraga ziringaniye ukora buhoro buhoro. Bitandukanye n'imiti imwe ikomeye yo mu mutwe, sertraline akenshi itera ingaruka nke zikomeye mugihe igitanga ubufasha bwiza ku bantu benshi.

Impinduka zibaho buhoro buhoro mu byumweru byinshi igihe ubwonko bwawe bwikorera kugira serotonin nyinshi. Abantu benshi batangira kubona impinduka nziza mu myumvire yabo, guhangayika, cyangwa izindi nkoranyito nyuma y'ibyumweru 2 kugeza kuri 4 bakoresha neza.

Nkwiriye Gufata Sertraline Nte?

Ukwiriye gufata sertraline uko umuganga wawe abikwandikiye, akenshi rimwe ku munsi mu gitondo cyangwa nimugoroba. Abantu benshi babona ko byoroshye kubifata ku gihe kimwe buri munsi kugira ngo bagumane urwego ruzima mu mubiri wabo.

Ushobora gufata sertraline hamwe n'ibiryo cyangwa utabifite, ariko kubifata hamwe n'ifunguro birashobora gufasha kugabanya ibibazo byo mu nda niba hari icyo ubona. Abantu bamwe bakunda kubifata mu gitondo, mu gihe abandi babona ko kubifata mbere yo kuryama bikora neza niba bibatuma basinzira.

Mimina ikinini cyangwa ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi. Niba ufata ifomu y'amazi, koresha igikoresho cyo gupima kizana n'umuti wawe kugira ngo wemeze ko ubona urugero rwose umuganga wawe yategetse.

Ntuzigere uvunagura, urume, cyangwa umene ibinini bya sertraline keretse umuganga wawe akubwiye by'umwihariko. Umuti wateguwe kugira ngo winjizwe neza iyo umize wose.

Nkwiriye Gufata Sertraline Igihe Kingana Gite?

Abantu benshi bafata sertraline byibuze amezi 6 kugeza kuri 12 bamaze kumva neza, nubwo bamwe bashobora kuyikeneye igihe kirekire. Umuganga wawe azakorana nawe kugira ngo amenye igihe gikwiye gishingiye ku kibazo cyawe cyihariye n'uburyo wemera neza kuvurwa.

Kubijyanye no kwiheba no guhangayika, abaganga benshi basaba gukomeza umuti mu mezi menshi nyuma yuko ibimenyetso byawe bigabanuka. Ibi bifasha kwirinda ko icyo kibazo kigaruka kandi biha ubwonko bwawe umwanya wo gushyiraho imiterere myiza.

Abantu bamwe bafite ibibazo by'igihe kirekire nka OCD cyangwa PTSD bashobora kungukira mu kuvurwa igihe kirekire. Umuganga wawe azajya aganira nawe buri gihe kugira ngo amenye niba ukeneye umuti kandi niba urugero rukigukwiriye.

Ntugasize gufata sertraline mu buryo butunguranye utabanje kuvugana na muganga wawe. Guhagarika mu buryo butunguranye bishobora gutera ibimenyetso byo kuva mu mutwe bitari byiza, bityo muganga wawe azagufasha kugabanya buhoro buhoro urugero rwawe igihe kigeze cyo guhagarika.

Ni Iyihe Miterere Itera Sertraline?

Kimwe n'imiti yose, sertraline ishobora gutera imiterere, nubwo abantu benshi bahura n'imwe gusa yoroheje izahinduka uko umubiri wabo ubimenyera. Kumenya icyo witegura bishobora kugufasha kumva witeguye kandi ufite icyizere ku buvuzi bwawe.

Imiterere isanzwe ushobora guhura nayo irimo isesemi, kubabara umutwe, impiswi, umunwa wumye, no kuribwa. Ibi bikunda kubaho mu byumweru bike bya mbere kandi akenshi bigenda bigabanuka uko umubiri wawe umenyera umuti.

Imiterere yerekeye imibonano mpuzabitsina nayo irashobora kubaho, harimo kugabanya inyungu mu mibonano mpuzabitsina cyangwa kugorana kugera ku byishimo. Impinduka zo gusinzira nazo zirasanzwe, hamwe nabantu bamwe bumva bananiwe mugihe abandi bahura no kutabona ibitotsi cyangwa inzozi zikabije.

Imiterere idasanzwe ariko iracyashoboka irimo kwiyongera kw'ibyuya, guteguka, impinduka z'uburemere, no kumva utuje cyangwa uhagaritse umutima. Abantu bamwe bamenya impinduka mu rwego rwabo rwo kurya cyangwa bahura no kuribwa byoroheje mu gifu.

Imiterere idasanzwe ariko ikomeye isaba ubufasha bwihuse bwa muganga. Ibi birimo ibitekerezo byo kwiyahura (cyane cyane kubantu bari munsi yimyaka 25), ibimenyetso bikabije bya allergie, kuva amaraso bidasanzwe, cyangwa ibimenyetso bya syndrome ya serotonin nk'umuriro mwinshi, umutima wihuta, no kuvurungana.

Niba uhuye n'imiterere iyo ariyo yose ikugora cyangwa ikabangamira ubuzima bwawe bwa buri munsi, vugana na muganga wawe. Akenshi barashobora guhindura urugero rwawe cyangwa bagatanga uburyo bwo gucunga iyi miterere.

Ninde Utagomba Gufata Sertraline?

Abantu bamwe bagomba kwirinda sertraline cyangwa bakayikoresha bafite ubwitonzi bwinshi munsi y'ubuyobozi bwa muganga. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi n'imiti urimo gufata mbere yo kuyandika.

Ntugomba gufata sertraline niba uri gufata ibinini bya monoamine oxidase inhibitors (MAOIs) cyangwa waba warabifashe mu minsi 14 ishize. Ubu buryo bushobora gutera ibibazo bikomeye byitwa serotonin syndrome.

Abantu bafite indwara zimwe na zimwe z'umutima, ibibazo by'umwijima, cyangwa indwara z'impyiko bashobora gukenera imiti ihinduka cyangwa gukurikiranwa kenshi. Muganga wawe azemeza niba sertraline ikwiriye kuri wowe bitewe n'ubuzima bwawe bwihariye.

Niba utwite, ufite gahunda yo gutwita, cyangwa uri konjesha, ganira ku byago n'inyungu na muganga wawe. Nubwo sertraline ishobora gukoreshwa mugihe cyo gutwita igihe bibaye ngombwa, bisaba gusuzuma neza ingaruka zishobora kugira ku mwana wawe.

Abantu bafite amateka y'indwara ya bipolar bagomba gukoresha sertraline bitonze, kuko bishobora gutera ibibazo bya manic mu bantu bamwe. Muganga wawe ashobora kwandika imiti yinyongera kugirango birinde ibi.

Amazina ya Sertraline

Sertraline iboneka munsi y'amazina menshi, Zoloft ikaba ariyo izwi cyane. Farumasi yawe ishobora gutanga umuti munsi y'amazina atandukanye bitewe n'uwabikoze n'ubwishingizi bwawe.

Andi mazina arimo Lustral mu bihugu bimwe, nubwo verisiyo rusange yitwa gusa "sertraline" ifite akamaro kimwe kandi akenshi ihendutse. Ibikoresho bikora biracyari bimwe na rimwe bitewe n'izina ry'ubwoko kuri iyo fumbahaza.

Niba wakira sertraline y'izina cyangwa rusange, umuti ukora kimwe. Verisiyo rusange zigomba guhura n'ubuziranenge bumwe n'ubushobozi nk'imiti y'izina.

Uburyo bwa Sertraline

Niba sertraline itagukundiye cyangwa itera ingaruka zikomeye, imiti myinshi yindi ishobora gutanga inyungu zisa. Muganga wawe ashobora kugufasha gushakisha izi nzira kugirango ubone ikwiriye ibyo ukeneye.

Imiti yindi ya SSRI nka fluoxetine (Prozac), citalopram (Celexa), na escitalopram (Lexapro) ikora kimwe na sertraline ariko ishobora kugira ingaruka zitandukanye. Abantu bamwe bitwara neza kuri SSRI imwe kurusha iyindi.

Imiti ya SNRI nka venlafaxine (Effexor) na duloxetine (Cymbalta) igira ingaruka kuri serotonin na norepinephrine, bishobora gufasha abantu batitabira neza SSRIs gusa.

Kubera ibibazo bimwe na bimwe, muganga wawe ashobora gutanga izindi miterere y'imiti igabanya ubwoba nka bupropion (Wellbutrin) cyangwa imiti igabanya ubwoba ya tricyclic, bitewe n'ibimenyetso byawe byihariye n'amateka yawe y'ubuzima.

Ubuvuzi butari ubw'imiti nka cognitive behavioral therapy, imyitozo yo kwitondera, no guhindura imibereho nabyo bishobora kuba ibisubizo byiza cyangwa byongerwa ku buvuzi bw'imiti.

Ese Sertraline iruta Fluoxetine?

Nta sertraline cyangwa fluoxetine iruta iyindi. Zombi ni imiti ya SSRI ikora neza, ariko zikora mu buryo butandukanye ku bantu batandukanye bitewe n'imikorere y'ubwonko bw'umuntu ku giti cye n'ibintu by'ubuzima.

Sertraline ikunda gutera ingaruka nkeya z'imiti kandi ishobora kwihanganirwa neza n'abantu bafite ibibazo by'ubuzima runaka. Ifite kandi igihe gito cyo kubaho, bivuze ko isohoka mu mubiri wawe vuba niba ukeneye kureka kuyifata.

Fluoxetine iguma mu mubiri wawe igihe kirekire, ibyo bishobora gufasha abantu rimwe na rimwe batinda gufata imiti, ariko bishobora no gutwara igihe kirekire kugirango bigereho niba ingaruka zigaragara. Abantu bamwe basanga fluoxetine ikora cyane, mu gihe abandi basanga sertraline ituma baruhuka cyane.

Muganga wawe azatekereza ku bimenyetso byawe byihariye, amateka y'ubuzima, izindi miti, n'imibereho yawe mugihe uhitamo hagati y'izi mpuzandengo. Ikintu cyingenzi ni ukubona umuti ukora neza kubibazo byawe byihariye.

Ibikunze Kubazwa Kuri Sertraline

Ese Sertraline irakwiriye abarwayi b'umutima?

Sertraline akenshi ifatwa nk'umuti utagira ingaruka ku bantu benshi barwaye indwara z'umutima, ndetse ashobora no kugira akamaro ku mutima. Bitandukanye n'imiti imwe ya kera ivura depression, sertraline ntigira impinduka zikomeye ku mutima cyangwa ku mitsi y'amaraso.

Ariko, niba ufite indwara ikomeye y'umutima, muganga wawe azakugenzura cyane iyo utangiye gufata sertraline. Ashobora guhindura urugero rwawo cyangwa agasuzuma imikorere y'umutima wawe kenshi kugira ngo yemeze umutekano wawe.

Nkwiriye gukora iki niba mfashwe sertraline nyinshi ku buryo butunganye?

Niba ufashwe sertraline nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe imiti ihumanya ako kanya, n'iyo wumva umeze neza. Guhura na yo nyinshi bishobora gutera ibimenyetso bikomeye nk'isuka ikabije, isereri, guhinda umushyitsi, cyangwa impinduka mu mikorere y'umutima.

Ntugerageze kwivugisha amaraso atari uko wabisabwe n'abantu b'inzobere mu by'ubuvuzi. Bika urupapuro rw'umuti hamwe nawe kugira ngo ushobore kubwira abaganga neza icyo wafashe n'ingano yacyo.

Nkwiriye gukora iki niba nirengagije gufata sertraline?

Niba wirengagije gufata sertraline, ifate ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero wirengagije ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugira ngo usubize urugero wirengagije, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho alarume ya buri munsi cyangwa gukoresha umuteguro w'imiti kugira ngo bikugiremo urwibutso.

Nshobora kureka gufata sertraline ryari?

Ugomba kureka gufata sertraline gusa ubisabwe na muganga wawe, n'iyo wumva umeze neza cyane. Abaganga benshi basaba kugabanya buhoro buhoro urugero mu byumweru byinshi aho guhagarara ako kanya.

Muganga wawe azagufasha kumenya igihe gikwiye cyo guhagarara bitewe n'igihe umaze uyifata, uko umeze neza, n'ibyago byo gusubira kw'ibimenyetso. Abantu bamwe bashobora gukenera gukomeza gufata sertraline igihe kirekire kugira ngo bagumane ubuzima bwabo bwo mu mutwe.

Nshobora kunywa inzoga nkorera imiti ya Sertraline?

Nubwo inzoga ntoya zitashobora gutera ibibazo bikomeye hamwe na sertraline, mubisanzwe ni byiza kugabanya cyangwa kwirinda inzoga mugihe ukoresha uyu muti. Inzoga irashobora gukomeza ibimenyetso byo kwiheba no guhangayika kandi irashobora kongera gusinzira cyangwa kuribwa umutwe.

Niba uhisemo kunywa rimwe na rimwe, banza ubiganireho na muganga wawe. Barashobora kukugira inama kubyerekeye imbibi zifite umutekano zishingiye kumiterere yawe bwite kandi bagufashe gusobanukirwa uburyo inzoga zishobora kugira ingaruka kumikorere yawe y'imiti.