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

Trazodone ni umuti uvura umubabaro, abaganga bakunda no kuwutanga kugira ngo ufashishe abantu gusinzira neza. Uyu muti wabanje gukorwa kugira ngo uvure umubabaro, ukora unyuza mu kuringaniza imisemburo imwe n'imwe mu bwonko bwawe igira uruhare mu myumvire n'uburyo usinzira.

Ushobora kuba wibaza niba trazodone ikwiriye kuri wowe. Uyu muti woroshye umaze gufasha abantu babarirwa muri za miliyoni kuvura umubabaro n'ibibazo byo gusinzira, kandi kumva uko ukora bishobora kugufasha kugirana ibiganiro byiza n'umuganga wawe ku bijyanye n'uburyo bwo kuvurwa.

Trazodone ni iki?

Trazodone ni umwe mu miti yitwa serotonin modulators. Itandukanye n'indi miti myinshi ivura umubabaro kuko ikora ku binyabutabazi byinshi byo mu bwonko icyarimwe, ni yo mpamvu ishobora gufasha mu myumvire no gusinzira.

Uyu muti wabanje kwemezwa na FDA mu 1981 wo kuvura umubabaro. Mu myaka yakurikiyeho, abaganga bavumbuye ko ingaruka zo gutuza za trazodone zatumye ifasha cyane abantu bahanganye n'ibibazo byo kutagira ibitotsi, ndetse no ku bipimo bito ugereranyije n'ibyo bakoreshaga mu kuvura umubabaro.

Igituma trazodone idasanzwe ni uko ikora mu buryo bubiri. Ntabwo gusa ifasha kuzamura imyumvire yawe uko igihe kigenda gihita, ahubwo ishobora no kugufasha gusinzira byoroshye mu ijoro uyifashe.

Trazodone ikoreshwa mu kuvura iki?

Trazodone ivura indwara y'umubabaro ukabije nk'icyo ikoreshwa cyane. Ariko, abaganga bakunda kuyitanga mu kuvura ibibazo byo gusinzira, cyane cyane iyo indi miti yo gusinzira itagize icyo ikora cyangwa idakwiriye gukoreshwa igihe kirekire.

Dore indwara nyamukuru trazodone ishobora gufashamo, kandi ushobora gusanga birushaho kugushimisha kumenya ko umuganga wawe azatekereza neza icyo ikoreshwa cyane cyane gikwiriye kuri wowe:

• Indwara ikomeye yo kwiheba no kumva ubabaye bihoraho
• Kutabona ibitotsi no kugorwa no gusinzira
• Ibibazo byo gukomeza gusinzira (gukanguka kenshi nijoro)
• Indwara zo guhangayika, rimwe na rimwe nk'umuti wunganira
• Uburibwe buhoraho bukomeretsa gusinzira

Abaganga bamwe kandi bandikira trazodone ku ndwara zitamenyerewe cyane nka post-traumatic stress disorder (PTSD) iyo imbogamizi zo gusinzira zikomeye. Umuganga wawe azagena uburyo bwiza bushingiye ku byo ukeneye n'amateka yawe y'ubuvuzi.

Trazodone ikora ite?

Trazodone ikora igira ingaruka kuri serotonin, umuti wo mu bwonko ugira uruhare mu myumvire no gusinzira. Bitandukanye n'imiti ikomeye, trazodone ifatwa nk'umuti wo kurwanya depression ukoreshwa mu rugero ruringaniye, uganisha ku guhindura neza imiterere y'ubwonko bwawe uko igihe kigenda gihita.

Ku bijyanye na depression, trazodone yongera umubare wa serotonin uboneka mu bwonko bwawe mu kubuza gusubizwa. Iyi nzira isanzwe ifata ibyumweru byinshi kugira ngo yerekane ingaruka zose, ibyo bikaba bisanzwe kuri imiti irwanya depression.

Iyo bigeze ku gusinzira, trazodone ikora mu buryo butandukanye. Ikomereza ku bice bimwe na bimwe byo mu bwonko bwawe bigufasha kuba maso, bigatuma ugira umutuzo, ukumva urushye. Iyi ngaruka yo guteza ibitotsi ibaho mu minota 30 kugeza kuri 60 nyuma yo gufata umuti, bitandukanye n'inyungu zo mu myumvire zitera buhoro buhoro.

Uyu muti uroroshye kurusha imiti myinshi ifasha gusinzira kuko ntugahatira ubwonko bwawe kujya mu gihe cyo gusinzira kitari cyiza. Ahubwo, ifasha gukuraho imbogamizi zimwe na zimwe zishobora kugutuma utabona ibitotsi.

Nkwiriye gufata trazodone nte?

Fata trazodone nk'uko umuganga wawe abitegeka, kandi birashoboka ko uzasanga ikora neza cyane iyo ukurikiza gahunda ihamye. Abantu benshi bayifata bafungura kugira ngo bagabanye ibibazo byo mu nda no kunoza imikorere yayo.

Niba ufata trazodone kugira ngo uryame, muganga wawe ashobora kugusaba kuyifata mbere y'isaha imwe mbere yo kuryama. Kurya agasupu gato hamwe na yo birashobora gufasha kwirinda isesemi kandi bigatuma imiti ikora neza.

Mugukiza umubabaro, ushobora gufata trazodone rimwe ku munsi mbere yo kuryama cyangwa ugashyiramo doze ntoya umunsi wose. Muganga wawe azagutangiza kuri doze ntoya hanyuma azayongera buhoro buhoro bitewe n'uko ubyitwaramo.

Dore inama zimwe zishobora kugufasha kubona inyungu nyinshi muri trazodone:

• Yifate ku gihe kimwe buri munsi kugira ngo ugumane urwego ruzigama mumubiri wawe
• Irinda inzoga, zishobora kongera gusinzira no kugira ingaruka mbi
• Ntukamenagure cyangwa urume ibinini birebire
• Gira igikombe cy'amazi hafi mugihe wumva uruka mugihe uhagaze
• Shyiraho gahunda yo kuruhuka mbere yo kuryama niba uyikoresha kugirango uryame

Wibuke ko bisanzwe kumva usinziriye mugitondo gikurikira mugihe utangiye gufata trazodone. Iyi ngaruka mubisanzwe irakosoka uko umubiri wawe wimenyereza umuti.

Nzamara igihe kingana iki mfata Trazodone?

Igihe cyo kuvura na trazodone giterwa nicyo uyifatiye n'uburyo ikora neza kuri wowe. Kubijyanye numubabaro, abantu benshi bakeneye kuyifata byibuze amezi atandatu kugeza kumwaka nyuma yuko ibimenyetso byabo bigabanuka.

Niba ukoresha trazodone cyane cyane kugirango uryame, muganga wawe ashobora kugusaba kuyikoresha igihe gito cyangwa akaruhuka rimwe na rimwe kugirango arebe niba imiterere yawe yo gusinzira yateye imbere. Abantu bamwe basanga bashobora kugabanya doze yabo uko igihe kigenda cyangwa bakayifata gusa uko bibaye ngombwa.

Umuzamu wubuzima wawe azakorana nawe kugirango abone igihe gikwiye. Bazatekereza ibintu nkuko wabyitwayemo mugihe uvurwa, ingaruka zose ubona, n'intego zawe z'ubuzima muri rusange.

Ntugasubize gukoresha imiti ya trazodone ako kanya, cyane cyane niba umaze kuyikoresha kubera agahinda gakabije. Muganga wawe azagufasha kugabanya urugero rwa yo buhoro buhoro kugira ngo wirinde ibimenyetso byo kuva mu miti nk'izunguruka ry'umutwe, isesemi, cyangwa impinduka z'amarangamutima.

Mbese ni ibihe bimenyetso bigaragara bya trazodone?

Abantu benshi boroherwa na trazodone, ariko nk'imiti yose, ishobora gutera ibimenyetso bigaragara. Inkuru nziza ni uko ibimenyetso byinshi bigaragara biba byoroheje kandi akenshi bikagenda uko umubiri wawe wimenyereza umuti.

Reka turebe ibimenyetso bigaragara bikunze kugaragara ushobora guhura na byo, twibuke ko atari buri wese uzagira ibi kandi akenshi biba byoroshye kubigenza:

• Gusinzira cyane no kunanirwa (cyane cyane mu byumweru bya mbere)
• Kuzunguruka umutwe iyo uhagurutse vuba
• Umunwa wumye no kunyota kwiyongera
• Isesemi cyangwa kuribwa mu nda
• Umutwe
• Kureba nabi
• Kugorana kw'igifu

Abantu bamwe kandi bahura n'ibimenyetso bigaragara bitakunze kugaragara nk'inzozi zigaragara, kuribwa mu misitsi, cyangwa impinduka mu rwego rwo kurya. Ibi bimenyetso muri rusange biroroshye kandi ntibiramba.

Nubwo bidasanzwe, hariho ibimenyetso bigaragara bikomeye bisaba ubufasha bwihuse bw'abaganga, nubwo ari ngombwa kutagira impungenge zikabije kuri izi ngaruka zishoboka:

• Guhagarara kw'igitsina mu bagabo (priapism)
• Umutima utera nabi cyangwa kuribwa mu gituza
• Kuzunguruka umutwe cyane cyangwa kugwa igihumure
• Ibimenyetso bya syndrome ya serotonin (umuriro, urujijo, umutima utera vuba)
• Gusohoka amaraso bidasanzwe cyangwa gukomereka
• Ibitekerezo byo kwangiza umubiri (cyane cyane mu rubyiruko)

Niba uhuye n'ibimenyetso icyo aricyo cyose giteye impungenge, vugana n'umuganga wawe ako kanya. Bashobora gufasha kumenya niba ibimenyetso bifitanye isano na trazodone no guhindura uburyo bwo kuvurwa niba bibaye ngombwa.

Ninde utagomba gufata trazodone?

Trazodone ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Hariho ibihe bimwe na bimwe aho trazodone itaba ariyo nziza kuri wowe.

Ukwiye kwirinda gufata umuti wa trazodone niba ufite allergie kuri wo cyangwa niba umaze iminsi 14 ufata umuti w'agahinda witwa MAO inhibitor. Muganga wawe azakubaza ku miti yose urimo gufata kugira ngo arebe niba nta mikoranire mibi ishobora kubaho.

Dore ibibazo by'ubuzima bisaba kwitonda cyangwa bishobora gutuma trazodone idakwiriye, nubwo muganga wawe ashobora kugufasha kumenya icyo ari cyo cyiza kuri wowe:

• Uburwayi bw'umutima buherutse cyangwa ibibazo bikomeye by'umuvuduko w'umutima
• Uburwayi bukomeye bw'umwijima cyangwa impyiko
• Amateka ya priapism (gushyukwa bikomeye)
• Uburwayi bwa bipolar (keretse iyo bikurikiranwa neza)
• Glaucoma ifunga urugero
• Gusama cyangwa konsa

Niba ufite kimwe muri ibi bibazo, ntugahite wumva ko trazodone itakwemerera rwose. Muganga wawe ashobora kuyikwandikira ariko akagusaba gukurikiranwa cyangwa akaguha urugero rwahinduwe niba inyungu ziruta ibyago.

Amazina y'ubwoko bwa Trazodone

Trazodone iboneka mu mazina menshi y'ubwoko, nubwo urugero rusanzwe rukora neza kandi ruhendutse. Izina risanzwe ni Desyrel, ryari urugero rwa mbere.

Ushobora kandi kubona ubwoko burekura imiti buhoro buhoro nka Oleptro, igenewe kurekura umuti buhoro buhoro umunsi wose. Ibi bishobora gufasha abantu bafata trazodone kubera agahinda bashaka kwirinda doze nyinshi ku munsi.

Ufata trazodone isanzwe cyangwa ubwoko bw'izina, ibikoresho bikora ni bimwe. Umufarimasi wawe ashobora kugufasha gusobanukirwa itandukaniro ryose riri hagati y'ubwoko butandukanye kandi akemeza ko urimo kubona uburyo buhendutse.

Uburyo bwa Trazodone

Niba trazodone itagukundiye cyangwa itera ingaruka zitishimira, hari ubundi buryo muganga wawe ashobora gutekereza. Icyemezo cyiza giterwa niba urimo kuvura agahinda, ibibazo byo gusinzira, cyangwa byombi.

Ku bijyanye no kwiheba, imiti ivura kwiheba nk'iyo bita sertraline (Zoloft), escitalopram (Lexapro), cyangwa bupropion (Wellbutrin) ishobora kuba ari amahitamo meza. Buri muti ukora mu buryo butandukanye kandi ufite ingaruka zayo zihariye.

Ku bibazo byo gusinzira, izindi mpamvu zishobora gutekerezwa zirimo:

• Ifu ya Melatonin ku bibazo byoroheje byo gusinzira
• Zolpidem (Ambien) ku gihe gito cyo kutagira ibitotsi
• Mirtazapine, undi muti uvura kwiheba ufite ingaruka zo gutuza
• Ubuvuzi bw'imyitwarire yo gusinzira, bushobora kugira akamaro kanini mu gihe kirekire
• Gabapentin ku bantu bafite uburibwe buhoraho bugira ingaruka ku gusinzira

Uburyo butavura hakoreshejwe imiti nk'ubuvuzi bw'imyitwarire yo kumenya ibyerekeye kutagira ibitotsi (CBT-I) bushobora kugira akamaro kanini kandi ntibugire ingaruka zifatika zijyana n'imiti. Muganga wawe ashobora kugufasha gushakisha amahitamo yawe yose.

Ese Trazodone iruta Ambien?

Trazodone na Ambien (zolpidem) byombi ni imiti ivura ibitotsi ifite akamaro, ariko bikora mu buryo butandukanye kandi bifite inyungu zitandukanye. Ihitamo ryiza riterwa n'ibyo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Trazodone muri rusange ifatwa nk'umutekano mu gihe kirekire kuko bidashoboka ko byatera kwigiriza cyangwa kwihanganira. Irinda kandi ihendutse kuko iboneka nk'umuti rusange.

Ambien ikunda gukora vuba kandi ishobora kugira akamaro kanini ku kutagira ibitotsi bikomeye, ariko muri rusange birasabwa gukoreshwa mu gihe gito gusa. Irashobora kandi gutera imyitwarire igoye yo gusinzira nk'ukugenda mu gihe cy'ibitotsi cyangwa kurya mu gihe cy'ibitotsi mu bihe bidasanzwe.

Uku niko bigereranwa mu buryo bufatika:

• Trazodone: Ni byiza gukoreshwa mu gihe kirekire, ntibitera kwigiriza, kandi ivura no kwiheba
• Ambien: Ikora vuba, ishobora kugira akamaro kanini ku kutagira ibitotsi bikomeye, igihe gito
• Trazodone: Ishobora gutera gusinzira umunsi ukurikira, cyane cyane mbere
• Ambien: Biragoye gutera ibitotsi byo mu gitondo ariko bifite ibyago byinshi byo kwigiriza

Umuganga wawe azatekereza ku bintu nk'uko uryama, izindi ndwara ufite, n'intego z'ubuvuzi igihe afata icyemezo cy'umuti ukwiriye kuri wowe.

Ibibazo Bikunze Kubazwa Kuri Trazodone

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

Trazodone ishobora kuba ikwiriye ku bantu barwaye indwara z'umutima, ariko bisaba ko umuganga wawe abikurikirana yitonze. Uyu muti rimwe na rimwe ushobora kugira ingaruka ku mutima, cyane cyane ku bipimo byinshi cyangwa ku bantu basanzwe bafite indwara z'umutima.

Niba urwaye indwara z'umutima, umuganga wawe ashobora gutangira kukugaburira urugero ruto hanyuma akagenzura imikorere y'umutima wawe yitonze. Ashobora gutegeka ko bakora EKG mbere yo gutangira kuvurwa kandi rimwe na rimwe igihe uri gufata uyu muti.

Akaga muri rusange ni gake ku bantu benshi, kandi abantu benshi bafite indwara z'umutima bafata trazodone mu buryo bwizewe. Umuganga w'umutima wawe n'umuganga wandika imiti bagomba gufatanya kugira ngo barebe niba ari wo muti ukwiriye kuri wowe.

Q2. Nakora iki niba nanyweye trazodone nyinshi bitunguranye?

Niba wanyweye trazodone nyinshi kuruta uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe gufasha abantu bafite uburozi ako kanya, kabone n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ingaruka zikomeye nk'imihindagurikire idakwiriye y'umutima cyangwa gusinzira cyane.

Ntugerageze kwivuruguta cyangwa gufata indi miti iyo ari yo yose keretse niba ubitegetswe n'umuganga. Niba ufite ibimenyetso bikomeye nk'ukubura umwuka, kubabara mu gituza, cyangwa kutagira ubwenge, hamagara 911 ako kanya.

Bika urupapuro rw'umuti hamwe nawe igihe ushaka ubufasha kugira ngo abaganga bamenye neza icyo wanyoye n'ingano yacyo. Ubusanzwe abantu banywa trazodone nyinshi baravurwa, cyane cyane iyo bahise babona ubufasha bw'ubuvuzi.

Q3. Nakora iki niba nirengagije gufata urugero rwa trazodone?

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

Ntugasubire gufata doze ebyiri icyarimwe kugira ngo usimbure doze wasibye, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakurikira. Niba ufata trazodone kugira ngo uryame kandi ukaba wasibye doze yawe yo kuryama, akenshi biruta kuyireka aho kuyifata hagati mu ijoro.

Niba ukunda kwibagirwa doze, tekereza gushyiraho alarume ya buri munsi cyangwa gukoresha umuteguro w'imiti. Igihe gihamye gifasha kugumana urwego rwa medicament mu mubiri wawe kugira ngo ugire ibisubizo byiza.

Q4. Ni ryari nshobora kureka gufata Trazodone?

Ugomba kureka gufata trazodone gusa ukurikije ubuyobozi bwa muganga wawe, cyane cyane niba umaze kuyifata kubera depression. Guhagarara ako kanya bishobora gutera ibimenyetso byo kuva mu miti nk'izunguruka, isesemi, kubabara umutwe, cyangwa impinduka mu myifatire.

Muganga wawe akenshi azagabanya doze yawe buhoro buhoro mu byumweru byinshi cyangwa amezi, bitewe n'igihe umaze uyifata na doze yawe y'ubu. Ubu buryo bwo kugabanya bufasha umubiri wawe guhinduka kandi bugabanya ingaruka zo kuva mu miti.

Niba ufata trazodone ahanini kugira ngo uryame, muganga wawe ashobora kugusaba kugerageza kuruhuka rimwe na rimwe kugira ngo urebe niba imiterere yawe yo gusinzira yariyongereye. Abantu bamwe basanga bashobora gukora nyuma yo guhagarara cyangwa kugabanya doze yabo cyane.

Q5. Nshobora kunywa inzoga niba mfata Trazodone?

Ni byiza kwirinda inzoga niba ufata trazodone, kuko guhuza ibyo bishobora kuba akaga. Ibintu byombi bishobora gutera gusinzira no kugira ingaruka ku mikoranire yawe, kandi hamwe bishobora kubangamira cyane ubushobozi bwawe bwo gutekereza neza cyangwa gusubiza vuba.

Inzoga kandi ishobora kubangamira imikorere ya trazodone kandi ishobora gukomeza depression cyangwa ibimenyetso byo guhangayika. Niba uhisemo kunywa rimwe na rimwe, ganira na muganga wawe ku bijyanye n'imipaka n'igihe byizewe.

Wibuke ko inzoga ishobora kubangamira ubuziranenge bwo gusinzira nubwo bishobora gutuma wumva usinziriye mbere na mbere. Kubera ko ushobora gufata trazodone kugira ngo uteze imbere gusinzira kwawe cyangwa imyumvire yawe, inzoga ishobora gukora ibinyuranye n'intego zawe zo kuvurwa.