Icyo Tranylcypromine ari cyo: Ibikoreshwa, Uburyo bwo Gufata, Ingaruka Ziterwa n'Ibindi

Tranylcypromine ni umuti wandikirwa na muganga ugabanya ububabare bwo mu mutwe, ukaba mu cyiciro cy'imiti yitwa monoamine oxidase inhibitors (MAOIs). Ikoreshwa cyane cyane mu kuvura indwara yo kwiheba ikabije iyo indi miti igabanya ububabare bwo mu mutwe itagize icyo yongera. Uyu muti ukora ubu ukoma mu nkokora enzyme yo mu bwonko bwawe isenya imisemburo igenga imitekerereze, igafasha kugarura uburinganire no kunoza imibereho yawe y'amarangamutima.

Tranylcypromine ni iki?

Tranylcypromine ni umuti ukomeye ugabanya ububabare bwo mu mutwe abaganga bakunda kubika mu gihe izindi nshuti zitagize icyo zongera. Ifatwa nk'imwe mu miti ikomeye igabanya ububabare bwo mu mutwe kandi isaba gukurikiranwa neza kubera ingaruka zayo zikomeye. Uyu muti uza mu buryo bw'ibinini kandi ufashwe mu kanwa, akenshi ukurikiranwa na muganga.

Uyu muti umaze imyaka myinshi ufasha abantu bafite ububabare bwo mu mutwe bukomeye, nubwo akenshi atari wo uhitamo mbere kubera ibyo usaba mu mirire no mu mikoranire y'imiti. Muganga wawe ashobora gutekereza kuri uyu muti niba wagerageje indi miti igabanya ububabare bwo mu mutwe ntigire icyo igufasha, kuko ishobora kugira akamaro kanini mu kuvura ububabare bwo mu mutwe budakira.

Tranylcypromine ikoreshwa mu kuvura iki?

Tranylcypromine ikoreshwa cyane cyane mu kuvura indwara yo kwiheba ikabije, cyane cyane iyo indi miti igabanya ububabare bwo mu mutwe itagize icyo ikumarira. Ifasha cyane cyane abantu bahura n'icyo abaganga bita "ububabare bwo mu mutwe budakira," aho imiti myinshi yageragejwe ntigire icyo itanga.

Rimwe na rimwe abaganga bashobora no kwandikira tranylcypromine izindi ndwara, nubwo ibi bidakunze kubaho. Izi zishobora kuba zirimo indwara zimwe na zimwe z'ubwoba cyangwa ububabare bwo mu mutwe buteye ubwoba, aho ushobora guhura n'ibimenyetso nk'inyota yiyongera, gusinzira cyane, cyangwa kumva urinzwe cyane no kwangwa. Muganga wawe azemeza niba uyu muti ukwiriye imiterere yawe yihariye.

Tranylcypromine ikora ite?

Tranylcypromine ikora ibyo ikingira enzyme yitwa monoamine oxidase, isanzwe isenya imisemburo y'ingenzi mu bwonko bwawe. Iyo iyi enzyme yakingiwe, urwego rwa serotonin, norepinephrine, na dopamine ruriyongera, bigafasha kuzamura imitekerereze yawe no kugabanya ibimenyetso byo kwiheba.

Uyu muti ufatwa nk'ukomeye cyane ugereranije n'indi miti igabanya ubwoba. Mugihe imiti mishya igabanya ubwoba nka SSRIs ikora mu buryo bwo guhitamo, tranylcypromine igira ingaruka ku binyabutabazi byinshi byo mu bwonko icyarimwe. Iki gikorwa cyagutse gishobora gutuma kigira akamaro kanini ku kwiheba gukabije, ariko kandi bivuze ko uzakenera gukurikiza amabwiriza yihariye y'imirire kandi ukagira ubwitonzi ku mikoranire y'imiti.

Nkwiriye gufata Tranylcypromine nte?

Fata tranylcypromine nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi hamwe cyangwa hatariho ibiryo. Urashobora kuyifata n'amazi, amata, cyangwa umutobe, nubwo abantu bamwe basanga kuyifata hamwe n'ibiryo bifasha kugabanya kuribwa mu gifu. Ni byiza kuyifata ku gihe kimwe buri munsi kugirango ugumane urwego ruzigama mu mubiri wawe.

Umuganga wawe ashobora gutangira kugutera urugero ruto hanyuma akaruzamura buhoro buhoro bitewe n'uko ubyitwaramo. Ntugasenye, uteme, cyangwa urume ibinini keretse umuganga wawe abikubwiye byihariye. Niba ubonye kuribwa mu gifu, gufata umuti hamwe n'ifunguro ryoroshye cyangwa ifunguro rito birashobora gufasha koroshya iyi ngorane.

Mugihe cy'ubuvuzi, uzakenera gukurikiza imirire yihariye irinda ibiryo birimo tyramine nyinshi, nk'amakeke ashaje, inyama zitunganyirijwe, n'ibiryo byabajwe. Umuganga wawe cyangwa umufarumasiti azaguha urutonde rurambuye rw'ibiryo byo kwirinda, kuko guhuza ibi biryo na tranylcypromine bishobora gutera izamuka ry'amaraso ry'akaga.

Nkwiriye gufata Tranylcypromine igihe kingana iki?

Ubwoko bwo kuvura hamwe na tranylcypromine butandukanye cyane kuva ku muntu kugeza ku wundi, ariko abantu benshi bagomba kubifata mu gihe cy'amezi menshi kugeza ku myaka. Muganga wawe akenshi azashaka ko ukomeza kubifata byibuze amezi 6 kugeza kuri 12 nyuma yuko ibimenyetso byawe byo kwiheba bigabanuka kugirango bifashe kwirinda kongera kugaragara.

Abantu bamwe bashobora gukenera kuvurwa igihe kirekire, cyane cyane niba baragize ibibazo byinshi byo kwiheba cyangwa niba kwiheba kwabo bikomeye cyane. Muganga wawe azagenzura buri gihe uko urimo utera imbere kandi ahindure gahunda yawe yo kuvura hakurikijwe ibyo. Ntukigere uhagarika gufata tranylcypromine ako kanya, kuko ibi bishobora gutera ibimenyetso byo gukurwaho kandi bishobora gutera impinduka ziteje akaga mu mitsi y'amaraso.

Ni izihe ngaruka ziterwa na Tranylcypromine?

Kimwe n'imiti yose, tranylcypromine irashobora gutera ingaruka, nubwo atari buri wese uzibona. Kumva icyo witeguye birashobora kugufasha kumva witeguye kandi ukamenya igihe wahamagara muganga wawe.

Ingaruka zisanzwe abantu benshi bahura nazo zirimo:

• Kuribwa umutwe cyangwa kumva ureremba, cyane cyane iyo uhagaze
• Umunwa wumye
• Kugugara
• Kugorana gusinzira cyangwa guhinduka kw'uburyo bwo gusinzira
• Kuribwa umutwe
• Urugimbu cyangwa kuribwa mu nda
• Kunanirwa cyangwa kumva warushye cyane
• Gu hinduka kw'irari ryo kurya

Izi ngaruka zisanzwe akenshi zikemura igihe umubiri wawe wimenyereza umuti, akenshi mu byumweru bya mbere byo kuvurwa.

Ingaruka zikomeye zisaba ubufasha bwihuse bw'ubuvuzi kandi zirimo:

• Kuribwa umutwe cyane hamwe n'ijosi rigoye
• Umutima utera vuba cyangwa utajegajega
• Kuribwa mu gituza
• Umubyigano ukomeye w'amaraso
• Urugimbu rukomeye no kuruka
• Kuvurungana cyangwa guhangayika
• Gukomera kw'imitsi cyangwa guteguka
• Urubavu hamwe no kwiyuhagira

Niba ubonye kimwe muri ibi bimenyetso bikomeye, shakisha ubufasha bw'ubuvuzi ako kanya, kuko bishobora kugaragaza igisubizo giteje akaga.

Ingaruka zidakunze ariko zikomeye zirashobora no kubaho, harimo ibibazo by'umwijima, allergie zikomeye, cyangwa syndrome ya serotonin iyo ivanze n'indi miti imwe n'imwe. Muganga wawe azagukurikiranira hafi ibi bibazo binyuze mu kugenzura buri gihe no gupima amaraso.

Ninde utagomba gufata Tranylcypromine?

Tranylcypromine ntikwiriye kuri buri wese, kandi ibibazo by'ubuzima cyangwa ibihe bimwe na bimwe bituma bidatekanye kuyikoresha. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugushyiriraho uyu muti.

Ntabwo ugomba gufata tranylcypromine niba ufite:

• Indwara y'umwijima cyangwa imyunyu y'umwijima yazamutse
• Indwara y'umutima cyangwa amateka yo gufatwa n'umutima
• Umubyimba w'amaraso mwinshi utagenzurwa neza
• Amateka yo gufatwa n'umugera
• Indwara y'impyiko
• Urubavu rwo mu bwonko cyangwa imvune yo mu mutwe
• Indwara ya bipolar (idafite ibikoresho bigabanya imyumvire)

Byongeye kandi, uyu muti ushobora guhura n'indi miti myinshi mu buryo buteye akaga, bityo ugomba kumenyesha muganga wawe imiti yose, ibyongerera imbaraga, n'imiti y'ibyatsi urimo gufata.

Abagore batwite kandi bonka bagomba kwirinda tranylcypromine keretse inyungu zirusha ingaruka. Niba uteganya gutwita cyangwa uri konka, ganira n'umuganga wawe ku bindi bisubizo byo kuvura.

Amazina y'ubwoko bwa Tranylcypromine

Tranylcypromine iboneka munsi y'izina ry'ubwoko Parnate, akaba ari bwo buryo bukunze kwandikwa bw'uyu muti. Ushobora kandi kubona yitwa izina ryayo rusange, tranylcypromine sulfate, ku icupa ryawe ry'urwandiko rwa muganga.

Amavuriro amwe n'amwe ashobora kugira ubwoko butandukanye bwa tranylcypromine, ariko yose arimo ikintu kimwe gikora. Niba ivuriro ryawe riguhinduriye ku bwoko butandukanye cyangwa ubwoko rusange, ingaruka zigomba kuba zimwe, nubwo ugomba guhora ugenzura na farumasi niba ufite impungenge ku mpinduka iyo ari yo yose mu miti yawe.

Uburyo bwa Tranylcypromine

Niba tranylcypromine itagukwiriye, hari izindi nzira zishobora kuvura agahinda gakabije. Muganga wawe ashobora gutekereza ku zindi nshuti zivura agahinda gakabije nka SSRIs (nk'urugero sertraline cyangwa fluoxetine), SNRIs (nk'urugero venlafaxine), cyangwa imiti ivura agahinda gakabije ya tricyclic.

Ku bantu bafite agahinda gakabije kadasubira inyuma, izindi nzira zirimo electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), cyangwa imiti mishya nka esketamine nasal spray. Abantu bamwe kandi bungukirwa no guhuza imiti na psychothérapie, nka cognitive behavioral therapy cyangwa interpersonal therapy.

Uburyo bwiza butandukanye buterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko witwaye ku miti yabanje. Muganga wawe azakorana nawe kugira ngo abone uburyo bwiza kandi butekanye kuri wowe.

Ese Tranylcypromine iruta izindi nshuti zivura agahinda gakabije?

Tranylcypromine ntiruta izindi nshuti zivura agahinda gakabije, ariko ishobora gukora neza ku bantu bamwe, cyane cyane abafite agahinda gakabije kadasubira inyuma. Mugihe imiti mishya ivura agahinda gakabije nka SSRIs isanzwe igeragezwa mbere kuko muri rusange itekanye kandi ifite imbogamizi nkeya z'imirire, tranylcypromine ishobora kuba uburyo bw'agaciro iyo izindi nzira zitagize icyo zikora.

Inyungu nyamukuru ya tranylcypromine ni ubushobozi bwayo mu gihe izindi nshuti zivura agahinda gakabije zatsinzwe. Ariko, bisaba gukurikiranwa neza no guhindura imibereho kurusha imiti mishya. Muganga wawe azatekereza ku bintu nk'uburemere bw'agahinda kawe gakabije, uburyo witwaye ku miti yabanje, n'ubushobozi bwawe bwo gukurikiza imbogamizi z'imirire mugihe afata icyemezo niba tranylcypromine ariyo nzira nziza kuri wowe.

Ibikunze kubazwa kuri Tranylcypromine

Q1. Ese Tranylcypromine irakwiriye ku bantu barwaye indwara z'umutima?

Tranylcypromine ishobora guteza akaga ku bantu barwaye indwara z'umutima kuko ishobora kugira ingaruka ku mitsi y'amaraso n'umuvuduko w'umutima. Niba ufite indwara y'umutima, muganga wawe azagomba gusuzuma neza niba inyungu ziruta ibyago. Bashobora gusaba gukurikiranwa byimazeyo, harimo gupima umuvuduko w'amaraso buri gihe no gukurikirana umuvuduko w'umutima, niba bafashe icyemezo cy'uko umuti ukenewe mu kuvura agahinda kawe.

Q2. Nkwiriye gukora iki niba nanyweye Tranylcypromine nyinshi bitunguranye?

Niba unyweye Tranylcypromine nyinshi bitunguranye, genda kwa muganga ako kanya. Ibimenyetso byo kunywa umuti mwinshi bishobora kuba kubabara umutwe cyane, kubabara mu gituza, umutima wihuta, umuriro mwinshi, urujijo, cyangwa kutagira ubwenge. Ntukegere ngo urebe niba ibimenyetso bigaragara – hamagara 911 cyangwa ujye mu cyumba cy'ubutabazi cyegereye ako kanya. Zana icupa ry'umuti wawe kugira ngo abaganga babone neza icyo wanyoye n'ingano yacyo.

Q3. Nkwiriye gukora iki niba nirengagije urugero rwa Tranylcypromine?

Niba wirengagije urugero, unywe ako kanya wibuka, keretse hafi y'igihe cyo gufata urugero rwawe rukurikira. Muri icyo gihe, reka urugero wirengagije ukomeze gahunda yawe isanzwe. Ntukigere ufata urugero rurenzeho kugira ngo usimbuze urwo wirengagije, kuko bishobora guteza akaga. Niba wibagirwa kenshi urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe igikoresho cyo gutegura imiti kugira ngo bigufashe kuguma ku murongo.

Q4. Nshobora kureka kunywa Tranylcypromine ryari?

Ntuzigere ureka kunywa tranylcypromine ako kanya, kuko ibyo bishobora gutera ibimenyetso byo gukurwaho bishobora guteza akaga no kugaruka vuba kw'agahinda. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro, agabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi menshi. Igihe biterwa n'igihe umaze ufata umuti, urugero rwawe rwa none, n'uburyo agahinda kawe kagenzurwa neza. Kora buri gihe n'umuganga wawe kugira ngo utegure impinduka zose ku miti yawe.

Q5. Nshobora kunywa inzoga nkanwa Tranylcypromine?

Wirinda kunywa inzoga igihe urimo gufata tranylcypromine, kuko bishobora kongera ibyago byo kugira ingaruka zikomeye, harimo no kugabanuka cyane k'umuvuduko w'amaraso. Inzoga kandi irashobora gutuma ibimenyetso by'agahinda gakabije birushaho kuba bibi kandi ikabangamira imikorere y'umuti. Niba urimo guhangana no kunywa inzoga, ba umunyakuri kwa muganga wawe kugira ngo agufashe kubona ubufasha bukwiriye n'inkunga mugihe urimo kuvura agahinda kawe gakabije.