Zoloft
Sertraline ikoreshwa mu kuvura ihungabana, indwara yo guhora uhangayitse (OCD), indwara yo gutinya cyane (panic disorder), indwara yo guhangayika cyane mbere y'imihango (PMDD), ihungabana nyuma y'akaga (PTSD), n'ihungabana ryo mu mibanire (SAD). Sertraline ibarizwa mu bwoko bw'imiti izwi nka selective serotonin reuptake inhibitors (SSRIs). Ikora binyuze mu kongera ibikorwa by'ikinyabutabire cyitwa serotonin mu bwonko. Uyu muti uboneka gusa ufite ibaruwa y'umuganga. Iyi miti iboneka mu buryo bukurikira:
Mu gufata icyemezo cyo gukoresha imiti, ibyago byo gufata iyo miti bigomba guhangana n'akamaro izagira. Iki ni icyemezo wowe na muganga wawe muzatora. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uburwayi budasanzwe cyangwa ubwoko bw'uburwayi buterwa na iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'uburwayi buterwa na allergie, nko ku biribwa, amabara, ibintu byongera ubuzima bw'ibicuruzwa, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikubiye mu gikoresho cyangwa mu bipfunyikwa. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano iri hagati y'imyaka n'ingaruka za sertraline ku bana barwaye ihungabana, indwara y'ubwoba, indwara ya premenstrual dysphoric (PMDD), indwara iterwa n'ibikomere (PTSD), n'indwara y'ubwoba bw'imibanire (SAD), no ku bana bari munsi y'imyaka 6 barwaye indwara yo guhora batekereza ibintu bibi (OCD). Ubuziranenge n'ingaruka nziza ntibyarangiye. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abasaza byagabanya ingaruka za sertraline ku basaza. Ariko kandi, abarwayi basaza bafite ibyago byinshi byo kugira hyponatremia (sodium nke mu maraso), ibibazo by'impyiko, umwijima, cyangwa umutima bifitanye isano n'imyaka bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata sertraline. Ubushakashatsi ku bagore bugaragaza ko iyi miti igira ingaruka nke ku mwana mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho isano ishobora kubaho. Muri ibyo bihe, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufashe iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri hasi. Isano ikurikira yatoranijwe hashingiwe ku kamaro kayo kandi si ngombwa ko ari yo yose. Gukoresha iyi miti hamwe n'imiti ikurikira ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira iyi miti cyangwa guhindura imiti imwe mu yindi ufashe. Gukoresha iyi miti hamwe n'imiti ikurikira ntibisanzwe byemewe, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti ikurikira bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wowe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya bimwe mu biribwa kuko isano ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe nabyo bishobora gutera isano kubaho. Isano ikurikira yatoranijwe hashingiwe ku kamaro kayo kandi si ngombwa ko ari yo yose. Gukoresha iyi miti hamwe n'ibikurikira bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe ariko bishobora kuba bidashoboka kwirinda mu bihe bimwe na bimwe. Niba ikoreshwa hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha iyi miti, cyangwa akaguha amabwiriza yihariye ku ikoreshwa ry'ibiribwa, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane:
Fata iyi miti gusa nkuko muganga wawe yabikuyeho, kugira ngo ubone akamaro kwayo ku buzima bwawe. Ntugatware umunyu urenze urugero, ntuyifate kenshi, kandi ntuyifate igihe kirekire kurusha igihe muganga wawe yategetse. Iyi miti igomba kuza ifite amabwiriza yayo. Kurikiza amabwiriza neza. Baza muganga wawe niba ufite ikibazo icyo aricyo cyose. Ibi binyobwa bishobora gufatwa bifatanyije n'ibiribwa cyangwa bitabifatanyije. Niba ufashe umuti ushobora kunyobwa, koresha igipimo cyatanzwe kugira ngo upime umunyu wawe kandi uwuvange na ½ kikombe (amagarama 4) y'amazi, ginger ale, soda ya limoni-lime, limonade, cyangwa umutobe w'imara. Ntuvange iyi miti n'indi mivange. Inywa ako kanya nyuma yo kuyivanga. Ntuvange umuti n'amazi kugeza ubwo ugiye gufata umunyu wawe. Nta kibazo niba ivangura igaragara nk'iyijimye. Ushobora kuba ugomba gufata iyi miti amezi menshi mbere y'uko utangira kumva neza. Igipimo cy'iyi miti kizaba kitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku kinywanyi. Amakuru akurikira arimo gusa ibipimo by'iyi miti. Niba igipimo cyawe kitandukanye, ntukiguhindura keretse muganga wawe akubwiye kubikora. Ingano y'umuti ufashe iterwa n'imbaraga z'umuti. Nanone, umubare w'ibipimo ufashe buri munsi, igihe cyemererwa hagati y'ibipimo, n'igihe ufashe umuti biterwa n'ikibazo cy'ubuzima urimo gukoresha umuti. Niba ubuze igipimo cy'iyi miti, gifate vuba bishoboka. Ariko rero, niba hafi igihe cyo gufata igipimo cyawe gikurikira, sipa igipimo wabuze kandi usubire ku gahunda yawe isanzwe yo gufata imiti. Ntugatware inshuro ebyiri z'umunyu. Kubika umuti mu kibindi gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'izuba ry'izuba. Kwirinda gukonjesha. Kwirinda abana. Ntukagumane imiti ishaje cyangwa imiti idakenewe ukundi. Baza umwuga wita ku buzima uburyo wakwirukana imiti iyo ari yo yose utabeshye.