Venlafaxine ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Venlafaxine ni umuti wandikirwa na muganga ugabanya ububabare bwo mu mutwe ufasha kuringaniza imisemburo yo mu bwonko kugira ngo umuntu agire imyumvire myiza kandi agabanye umunabi. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa SNRIs (serotonin-norepinephrine reuptake inhibitors), ikora yongera urwego rw'imiti ibiri y'ingenzi yo mu bwonko igira uruhare mu myumvire yawe.

Uyu muti ushobora kuba igikoresho cyiza mu guhangana n'agahinda gakabije, umunabi, n'izindi ndwara zifitanye isano n'imitekerereze. Kumva uko ikora n'icyo witegura bishobora kugufasha kumva ufite icyizere cyinshi ku rugendo rwawe rwo kuvurwa.

Venlafaxine ni iki?

Venlafaxine ni umuti wandikirwa na muganga ugabanya ububabare bwo mu mutwe ukora ungana imiti yo mu bwonko yitwa neurotransmitters. By'umwihariko, yongera urwego rwa serotonin na norepinephrine, ari byo bigenga imyumvire karemano bifasha kumva utekanye kandi ufite ubuzima bwiza mu byiyumvo.

Uyu muti ufatwa nk'ukomeye mu miti igabanya ububabare bwo mu mutwe. Ufite imbaraga kurusha imiti imwe ya kera ariko akenshi wihanganirwa neza iyo ukoreshejwe neza. Muganga wawe arayikwandikira iyo yizeye ko inyungu ziruta ingaruka zishobora kubaho ku miterere yawe yihariye.

Venlafaxine iza mu buryo bubiri: ibinini bikora ako kanya ufata inshuro nyinshi ku munsi, na kapsule zikora buhoro buhoro ufata rimwe ku munsi. Ubusanzwe bakunda gukoresha kapsule zikora buhoro buhoro kuko zitanga urwego rwa medicament rutajegajega umunsi wose.

Venlafaxine ikoreshwa mu iki?

Venlafaxine ahanini ivura indwara y'agahinda gakabije n'indwara rusange yo guhangayika. Muganga wawe ashobora kuyikwandikira niba umaze igihe wumva ubabaye, uhangayitse, cyangwa ufite izindi mpagarara zikubuza gukora imirimo yawe ya buri munsi.

Usibye izi nshingano zingenzi, uyu muti ushobora gufasha mu zindi ndwara nyinshi. Dore uburyo venlafaxine ishobora gushyigikira ubuzima bwawe bwo mu mutwe:

• Indwara ikomeye yo kwiheba (agahinda gakomeye no kutagira icyo ushishikazwa)
• Indwara yo guhangayika rusange (gushidikanya cyane ku bintu bya buri munsi)
• Indwara yo guhangayika mu mibanire (gutinya cyane imibanire n'abandi)
• Indwara yo gufatwa n'ubwoba (ubwoba butunguranye)
• Indwara yo guhangayika nyuma yo guhura n'ikibazo gikomeye (PTSD)
• Indwara yo kwibanda ku bintu no gukora ibikorwa bisubiramo (ibitekerezo bitifuzwa n'imyitwarire isubiramo)

Rimwe na rimwe abaganga bandikira venlafaxine ku ndwara zitamenyerewe cyane nko kuribwa kw'igihe kirekire cyangwa gushyuha cyane mu gihe cyo gucura. Ibi bifatwa nk'uko bikoreshwa "hanze y'icyapa", bivuze ko umuti ushobora gufasha nubwo atari wo wari wateganyirijwe.

Venlafaxine ikora ite?

Venlafaxine ikora ibuza kongera gufatwa kwa serotonin na norepinephrine mu bwonko bwawe. Bitekereze nk'uko ugumisha imisemburo myinshi ifasha ahantu ingirangingo z'ubwonko bwawe zishobora kuyikoresha kugira ngo zivugane neza.

Iyo ufite kwiheba cyangwa guhangayika, iyi misemburo yo mu bwonko akenshi irahungabana. Venlafaxine ifasha gusubiza ibyo mu buryo bwiza ibuza ubwonko bwawe gukuraho iyi misemburo vuba cyane. Ibi bituma bigira umwanya wo gukora akazi kabo ko kugenzura imitekerereze yawe n'amarangamutima.

Uyu muti akenshi bitwara ibyumweru 4 kugeza kuri 6 kugira ngo ugere ku ngaruka zawo zose, nubwo abantu bamwe babona impinduka mbere y'igihe. Ibi bitangira buhoro buhoro kuko ubwonko bwawe bukenera umwanya wo kumenyera imisemburo mishya no gukora uburyo bwo kuvugana buzima.

Nkwiriye gufata venlafaxine nte?

Fata venlafaxine nk'uko umuganga wawe abikwandikiye, akenshi rimwe cyangwa kabiri ku munsi hamwe n'ibiryo. Kuyifata hamwe n'ibiryo bifasha kugabanya kuribwa mu gifu kandi bigafasha umubiri wawe gukurura umuti neza.

Niba ufata umuti wo mu bwoko bwo gusohoka buhoro buhoro, umire ikinini cyose hamwe n'amazi. Ntukavunagure, ntukayisye, cyangwa ngo ufungure ikinini, kuko ibi bishobora gutuma umuti mwinshi usohoka icyarimwe. Ku binini bisohoka ako kanya, urashobora kubitandukanya niba muganga wawe abikugiriye inama.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugira ngo ugumane urugero ruhamye mu mubiri wawe. Abantu benshi basanga bifasha guhuza gufata imiti yabo n'ibikorwa bya buri munsi, nk'ifunguro rya mu gitondo cyangwa kumesa amenyo.

Urashobora gufata venlafaxine hamwe cyangwa utarana ibiryo, ariko kuyifata hamwe n'ibiryo akenshi bituma wumva umeze neza mu gifu cyawe. Niba wumva isesemi, kurya agafunguro gato cyangwa ifunguro mbere y'igihe birashobora gufasha kugabanya iyi ngaruka.

Nzamara igihe kingana iki mfata Venlafaxine?

Abantu benshi bafata venlafaxine byibuze amezi 6 kugeza kuri 12 nyuma y'uko ibimenyetso byabo bigabanuka. Muganga wawe azakorana nawe kugira ngo amenye igihe gikwiye hashingiwe ku miterere yawe yihariye n'uburyo urimo witwara neza ku buvuzi.

Ku gihe cyawe cya mbere cyo kwiheba cyangwa guhangayika, urashobora gufata umuti mu gihe cy'amezi 6 kugeza kuri 12 nyuma yo kumva umeze neza. Niba waragize ibibazo byinshi, muganga wawe ashobora kugusaba kuvurwa igihe kirekire kugira ngo bifashe kwirinda ko ibimenyetso bigaruka.

Abantu bamwe bungukirwa no gufata venlafaxine mu myaka myinshi, cyane cyane niba bafite indwara zidakira cyangwa baragize ibibazo byinshi byo kwiheba cyangwa guhangayika. Ibi ntibisanzwe kandi birashobora kuba igice cyingenzi cyo kugumana ubuzima bwawe bwo mu mutwe butajegajega.

Ntuzigere uhagarika gufata venlafaxine ako kanya, n'ubwo wumva umeze neza. Muganga wawe azagufasha kugabanya buhoro buhoro urugero mu byumweru byinshi kugira ngo wirinde ibimenyetso byo kuva mu miti. Ubu buryo bwo kugabanya buhoro buhoro butuma ubwonko bwawe bwikuramo buhoro buhoro kugira ngo bukore butariho umuti.

Ni izihe ngaruka ziterwa na Venlafaxine?

Kimwe n'imiti yose, venlafaxine ishobora gutera ingaruka zidakunda, nubwo atari buri wese uzazibona. Ingaruka nyinshi zidakunda ziba zoroheje kandi akenshi zigenda zikemuka umubiri wawe umaze kumenyera umuti mu byumweru bya mbere.

Dore ingaruka zikunze kugaragara ushobora guhura nazo, cyane cyane mu byumweru bya mbere by'ubuvuzi:

• Kuruka cyangwa kuribwa mu nda
• Umutwe
• Urugero cyangwa kumva ureremba
• Umunwa wumye
• Kubura kwituma
• Gusinzira cyane cyangwa kumva unaniwe
• Kunyeganyega cyane kuruta uko bisanzwe
• Impinduka mu irari ryo kurya
• Ibibazo byo gusinzira (kutabona ibitotsi cyangwa kurota inzozi zikabije)

Izi ngaruka zikunze kugaragara akenshi zigenda uko umubiri wawe umenyera umuti. Gufata venlafaxine hamwe n'ibiryo birashobora gufasha kugabanya kuruka, kandi kunywa amazi menshi birashobora gufasha umunwa wumye no kubura kwituma.

Abantu bamwe bahura n'ingaruka zitakunze kugaragara ariko zigaragara cyane zisaba kwitabwaho byimazeyo:

• Ingaruka zerekeye imibonano mpuzabitsina (kugabanyuka kw'inyungu cyangwa kugorana kugera ku byishimo)
• Impinduka z'uburemere (kwiyongera cyangwa gutakaza)
• Kureba nabi
• Kunyeganyega cyangwa guhinda umushyitsi
• Kuzamuka kw'umuvuduko w'amaraso
• Umusonga mu matwi (tinnitus)
• Gukomereka cyangwa kuva amaraso bidasanzwe

Nubwo bidasanzwe, ingaruka zimwe zikomeye zisaba ubufasha bwihuse bw'abaganga. Vugana n'umuganga wawe ako kanya niba uhuye n'ibi:

• Ibitekerezo byo kwiyahura cyangwa kwangiza umubiri
• Impinduka zikabije mu myifatire cyangwa umujinya
• Uburibwe mu gituza cyangwa umutima utera nabi
• Umutwe ukabije hamwe no gukakara mu ijosi
• Kwigana
• Ibimenyetso bya syndrome ya serotonin (umuriro, gukakara kw'imitsi, urujijo)
• Ibimenyetso bikabije byo kwivumbura ku miti (imivumo, kubyimba, kugorana guhumeka)

Wibuke ko umuganga wawe yaguhaye uyu muti kuko yizera ko inyungu ziruta ibyago kuri wowe. Abantu benshi bafata venlafaxine neza, kandi ingaruka zikomeye ntizikunze kugaragara iyo umuti ukoreshwa neza.

Ninde utagomba gufata Venlafaxine?

Abantu bamwe bagomba kwirinda venlafaxine cyangwa bakayikoresha bafite ubwitonzi bwinshi. Muganga wawe azasuzuma amateka yawe y'ubuzima n'imiti ukoresha ubu kugira ngo amenye niba uyu muti ari mwiza kuri wowe.

Ntabwo ugomba gufata venlafaxine niba uri gufata cyangwa umaze igihe gito uhagaritse gufata MAOIs (monoamine oxidase inhibitors). Iyi miti irashobora gukorana nabi na venlafaxine, bityo mubisanzwe ugomba gutegereza nibura iminsi 14 hagati yo guhagarika imwe no gutangira indi.

Uburwayi butandukanye bugomba kwitabwaho by'umwihariko mbere yo gutangira venlafaxine:

\n
• Umubyigano w'amaraso udakontrolwa
\n
• Umutima warwaye vuba cyangwa ibibazo by'umuvuduko w'umutima
\n
• Indwara ikomeye y'impyiko cyangwa umwijima
\n
• Amateka y'ibibazo byo gufatwa cyangwa igicuri
\n
• Indwara zituma amaraso ava cyangwa gufata imiti ituma amaraso ataguma
\n
• Glaucoma y'impande nto
\n
• Amateka y'ibihe by'uburwayi bwo mumutwe (bipolar disorder)
\n

Urubyiruko ruri munsi y'imyaka 25 rukeneye gukurikiranwa cyane iyo rutangiye venlafaxine, kuko imiti ivura depression rimwe na rimwe ishobora gutuma ibitekerezo byo kwiyahura byiyongera muri iki cyiciro cy'imyaka. Ibi ntibisobanura ko umuti utari mwiza, ariko muganga wawe azashaka kukubona kenshi mu mezi make ya mbere.

Niba utwite, ufite gahunda yo gutwita, cyangwa uri konjesha, ganira ku byago n'inyungu na muganga wawe. Mugihe venlafaxine ishobora gukoreshwa mugihe cyo gutwita mugihe bibaye ngombwa, bisaba kwitondera ingaruka zishobora kugira kuri wowe no ku mwana wawe.

Amazina y'ubwoko bwa Venlafaxine

Venlafaxine iboneka munsi y'amazina atandukanye y'ubwoko, Effexor na Effexor XR akaba ariyo azwi cyane.

Farumasi yawe ishobora gusimbuza venlafaxine rusange ku izina ry'ubwoko bw'ibicuruzwa keretse muganga wawe asabye by'umwihariko izina ry'ubwoko bw'ibicuruzwa. Ibi ni ibisanzwe rwose kandi bishobora gufasha kugabanya amafaranga yawe y'imiti mugihe itanga inyungu zimwe za therapeutic.

Izindi Miti Ishobora Gusimbura Venlafaxine

Niba venlafaxine itagukwiriye, imiti myinshi isimbura ishobora kuvura agahinda n'umujinya. Muganga wawe ashobora gutekereza izindi SNRIs, SSRIs, cyangwa ibindi byiciro by'imiti ivura agahinda bitewe n'ibimenyetso byawe byihariye n'amateka yawe y'ubuvuzi.

Izindi miti ya SNRI irimo duloxetine (Cymbalta) na desvenlafaxine (Pristiq). Izi zikora kimwe na venlafaxine ariko zishobora kugira ingaruka zitandukanye cyangwa gahunda yo gutanga imiti ikora neza kubantu bamwe.

Imiti ya SSRI nka sertraline (Zoloft), fluoxetine (Prozac), na escitalopram (Lexapro) nayo ni izindi zisanzwe. Iyi miti yibanda cyane kuri serotonin kuruta serotonin na norepinephrine.

Kubantu bamwe, ibyiciro bishaje by'imiti ivura agahinda nka tricyclics cyangwa ibishya nka bupropion (Wellbutrin) bishobora gukwira kurushaho. Muganga wawe azatekereza ibimenyetso byawe, amateka yawe y'ubuvuzi, n'imibereho yawe kugirango abone uburyo bwiza kuri wewe.

Ese Venlafaxine iruta Sertraline?

Venlafaxine na sertraline ni imiti ivura agahinda ikora neza, ariko ikora mu buryo butandukanye kandi ishobora gukwira kurushaho kubantu batandukanye. Nta n'imwe iruta iyindi - guhitamo neza biterwa n'ibimenyetso byawe bwite n'uburyo umubiri wawe witwara.

Venlafaxine igira ingaruka kuri serotonin na norepinephrine, mugihe sertraline igira ingaruka cyane kuri serotonin. Ibi bivuze ko venlafaxine ishobora gukora neza kubantu bafite ubwoko bumwe bw'agahinda cyangwa umujinya, cyane cyane abafite imbaraga nkeya cyangwa imbaraga.

Sertraline akenshi igira ingaruka nke zijyanye n'umuvuduko w'amaraso no kuva mu mutwe, bigatuma byoroha guhagarika niba bibaye ngombwa. Ariko, venlafaxine ishobora kuba ifite akamaro kanini ku bafite ubwoba bukomeye cyangwa umunabi utarashoboye gukira neza n'ubundi buvuzi.

Muganga wawe azatekereza ibintu nk'ibimenyetso byawe byihariye, amateka yawe y'ubuzima, imiti yindi ufata, n'imibereho yawe kugira ngo amenye uburyo bushobora kugukorera neza. Rimwe na rimwe bifata kugerageza imiti itandukanye kugira ngo ubone imwe itanga uburinganire bwiza bw'ubushobozi n'ubushobozi bwo kwihanganira.

Ibibazo Bikunze Kubazwa Kuri Venlafaxine

Ese Venlafaxine iratekanye ku bibazo by'umutima?

Venlafaxine ishobora kugira ingaruka ku muvuduko w'amaraso n'umuvuduko w'umutima, bityo abantu bafite indwara z'umutima bakenera gukurikiranwa neza. Muganga wawe azagenzura umuvuduko w'amaraso yawe buri gihe kandi ashobora guhindura urugero rwawe cyangwa agahitamo umuti utandukanye niba ufite ibibazo bikomeye by'umutima.

Niba ufite indwara zoroheje z'umutima, venlafaxine irashobora kuba ikiri nziza hamwe no gukurikiranwa neza. Ariko, niba waragize umutima watewe vuba cyangwa ufite umuvuduko w'amaraso udakontroliwe, muganga wawe ashobora gusaba ubuvuzi bundi.

Nkwiriye gukora iki niba nanyoye venlafaxine nyinshi bitunguranye?

Niba utunguranye ufata venlafaxine nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe ubumara ako kanya. Gufata nyinshi bishobora gutera ibimenyetso bikomeye nk'umuvuduko w'umutima wihuse, umuvuduko w'amaraso mwinshi, ibibazo byo mu mutwe, cyangwa gutakaza ubwenge.

Ntugategereze kureba niba ibimenyetso bigaragara – shaka ubufasha bw'ubuvuzi ako kanya. Zana icupa ry'umuti hamwe nawe kugira ngo abaganga bamenye neza icyo wafashe n'ingano yacyo.

Nkwiriye gukora iki niba nasibye urugero rwa venlafaxine?

Niba usibye urugero, rufate ako kanya wibuka, keretse igihe cyegereye urugero rwawe rukurikira. Muri icyo gihe, reka urugero wasibye ukomeze gahunda yawe isanzwe. Ntukigere ufata urugero ebyiri icyarimwe kugira ngo usubize urugero wasibye.

Ku miti ifata igihe kinini kugira ngo ikore, kwibagirwa urugero rimwe na rimwe ntibizatuma habaho ibibazo bikomeye, ariko gerageza gukurikiza gahunda yawe isanzwe uko bishoboka kose. Niba ukunda kwibagirwa imiti, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe agasanduku kabugenewe.

Ni ryari nshobora kureka gufata Venlafaxine?

Ntuzigere uhagarika gufata venlafaxine ako kanya, n'iyo wumva umeze neza rwose. Muganga wawe azagufasha kugabanya urugero buhoro buhoro mu byumweru byinshi cyangwa amezi menshi kugira ngo wirinde ibimenyetso byo kuva mu miti nk'izunguzungu, ibimenyetso bisa n'ibicurane, cyangwa "brain zaps."

Abaganga benshi basaba gukomeza kuvura byibura amezi 6 kugeza kuri 12 nyuma y'uko ibimenyetso byawe bigabanutse. Ibi bifasha kwirinda ko ibimenyetso bisubira kandi biha ubwonko bwawe umwanya wo gushyiraho uburyo buzima.

Nshobora kunywa inzoga nkanwa Venlafaxine?

Ni byiza kwirinda inzoga cyangwa kunywa gusa mu rugero ruto mugihe ufata venlafaxine. Inzoga irashobora kongera gusinzira no kuzunguzuka, kandi irashobora no kubangamira imikorere y'umuti mu kuvura agahinda kawe cyangwa guhangayika.

Niba uhisemo kunywa rimwe na rimwe, bikore witonze kandi witondere uko wumva. Abantu bamwe basanga inzoga zibagiraho ingaruka cyane mugihe bafata venlafaxine, bityo tangira nkeya kuruta uko wasanzwe unywa.