Ziprasidone ni iki: Ibikoreshwa, Uburyo bwo gukoresha, Ingaruka ziterwa n'ibindi

Ziprasidone ni umuti wandikirwa na muganga ufasha mu gucunga ibimenyetso bya schizophrenia na bipolar disorder. Uyu muti ubarirwa mu itsinda ry'imiti yitwa atypical antipsychotics, ikora igihe yongera imisemburo imwe na imwe mu bwonko kugira ngo igabanye ibimenyetso nk'ibitekerezo by'ibinyoma, ibitekerezo by'ubuyobe, n'imihindagurikire ikabije y'amarangamutima.

Uyu muti ushobora kuba igikoresho cyiza mu buryo bwo kuvura ubuzima bwawe bwo mu mutwe. Kumva uko ukora, icyo wakwitega, n'uburyo bwo kuwufata neza bizagufasha gufata ibyemezo bifitiye akamaro hamwe n'umuganga wawe.

Ziprasidone ni iki?

Ziprasidone ni umuti wa atypical antipsychotic ufasha kugarura imisemburo y'ubwonko yitwa neurotransmitters. Iyi misemburo itwara ubutumwa hagati y'uturemangingo tw'ubwonko, kandi iyo itameze neza, bishobora gutera ibimenyetso by'indwara zo mu mutwe.

Bitandukanye n'imiti ya kera ya antipsychotic, ziprasidone ifatwa nk'

Muganga wawe ashobora no kukwandikira ziprasidone kubera izindi ndwara zitagaragara hano. Ibi byitwa gukoresha "hanze y'icyapa", kandi ni uburyo busanzwe iyo abaganga b'ubuzima bemeza ko umuti ushobora gufasha hashingiwe ku miterere yawe yihariye n'amateka yawe y'ubuvuzi.

Ziprasidone ikora ite?

Ziprasidone ikora ibyara inzitizi kuri reseptori zihariye mu bwonko bwawe zakira ubutumwa bwa kemikali. Ahanini bigira ingaruka kuri dopamine na serotonin, imiti ibiri ikomeye y'ubwonko igira uruhare mu myumvire, ibitekerezo, n'imyitwarire.

Tekereza kuri iyi miti y'ubwonko nk'abashinzwe gutanga amabaruwa batanga ubutumwa hagati y'ibice bitandukanye by'ubwonko bwawe. Iyo hari iyi miti myinshi cyangwa mike cyane, ubutumwa buravangirwa, bigatera ibimenyetso by'indwara zo mu mutwe.

Ziprasidone ifatwa nk'umuti wo kurwanya ishyano ukomeye mu rugero ruciriritse. Ntabwo ariwo muti ukomeye cyane uboneka, ariko urakora bihagije kugirango ucunge ibimenyetso bikomeye bya psychiatric mugihe muri rusange byoroshye kwihanganira kurusha imiti imwe ya kera.

Uyu muti ntukiza indwara zo mu mutwe, ariko ufasha gucunga ibimenyetso kugirango ushobore gukora neza mu buzima bwa buri munsi. Abantu benshi batangira kubona impinduka muminsi mike, nubwo bishobora gufata amezi menshi kugirango ubone inyungu zose.

Nkwiriye gufata ziprasidone nte?

Uhora ufata ziprasidone nkuko muganga wawe abikwandikira. Uyu muti uza mu dukoresho duto ushira mu kanwa ukamira wose hamwe n'amazi. Ntukagere, ntukayisye, cyangwa ngo ufungure utwo dukoresho, kuko ibi bishobora kugira ingaruka kuburyo umuti ukora.

Ni ngombwa cyane gufata ziprasidone hamwe n'ibiryo. Kuyifata igifu cyambaye ubusa birashobora kugabanya umuti umubiri wawe winjiza kugeza kuri 50%. Ifunguro rifite nibura kalori 500 rifasha umubiri wawe kwinjiza umuti neza.

Gerageza gufata imiti yawe kumwanya umwe buri munsi kugirango ugumane urwego ruzigama mumubiri wawe. Niba uyifata kabiri kumunsi, shyira intera ya hafi amasaha 12 hagati yimiti. Gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'ibinyobwa birashobora kugufasha kwibuka.

Niba ugira ikibazo cyo kumira ibinini, ganira na muganga wawe ku bijyanye n'uburyo byagufasha. Ntugerageze gufungura cyangwa gukandagura ibinini wenyine, kuko bishobora guteza akaga.

Nzamara Igihe Kingana Giki Ndafashe Ziprasidone?

Igihe cyo kuvurwa na ziprasidone gitandukana cyane ku muntu ku muntu. Abantu bamwe bashobora kuyikenera mu mezi menshi, mu gihe abandi bashobora kuyifata imyaka cyangwa ndetse igihe kirekire nk'igice cyo gukomeza kwita ku buzima bwabo bwo mu mutwe.

Muganga wawe azajya asuzuma buri gihe uko umuti ukora neza niba ukimukeneye. Bazatekereza ku bintu nk'uko ibimenyetso byawe bigenda bigabanuka, imikorere yawe muri rusange, n'ingaruka zose zikubaho.

Ntuzigere uhagarika gufata ziprasidone ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti kandi bishobora gutuma ibimenyetso byawe bya mbere bisubira. Niba ukeneye guhagarika, muganga wawe azakora gahunda yo kugabanya buhoro buhoro urugero rw'umuti ufata.

Abantu bamwe bahangayika ku bijyanye no gufata imiti ivura indwara zo mu mutwe igihe kirekire, ariko wibuke ko indwara zo mu mutwe ari indwara zisaba ubuvuzi burambye, kimwe na diyabete cyangwa umuvuduko ukabije w'amaraso.

Ni Iyihe Miterere Igenda Igaragara Iyo Ufata Ziprasidone?

Kimwe n'indi miti yose, ziprasidone ishobora gutera ingaruka ziterwa n'umuti, nubwo atari buri wese uzigira. Ingaruka nyinshi ziterwa n'umuti zoroheje cyangwa ziragabanuka kandi akenshi ziragenda zikira uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Reka turebe ingaruka zisanzwe ushobora guhura nazo, tuzirikana ko abantu benshi bafata uyu muti neza:

• Kugira ibitotsi cyangwa kumva unaniwe ku manywa
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Urugimbu cyangwa kurwara inda
• Kugorana kw'igifu cyangwa impinduka mu igogora
• Kuribwa umutwe
• Umubiri uguma cyangwa kudatuza
• Kongera ibiro, nubwo akenshi biba bike ugereranije n'andi mavuriro
• Umunwa wumye
• Kureba nabi
• Izuru ryiruka cyangwa ibimenyetso bisa n'ibikonjo

Ibyo bibazo bikunze kugaragara bikunze gucungwa kandi akenshi bigabanuka uko igihe kigenda gihita. Uburyo bworoshye nk'ukuguma ufite amazi ahagije mu mubiri, kurya ibiryo birimo fibre nyinshi, no guhaguruka gahoro bishobora gufasha muri byinshi muri ibyo bibazo.

Hariho kandi ibibazo bike bikunze kugaragara ariko bikomeye bisaba ubufasha bwihuse bw'abaganga. Nubwo bidasanzwe, ni ngombwa kubimenya:

• Ubugoye bukomeye bw'imitsi hamwe n'umuriro no kuvurungana (neuroleptic malignant syndrome)
• Imitsi idashobora kugenzurwa, cyane cyane mu maso cyangwa ururimi rwawe
• Umutima utagenda neza cyangwa kubabara mu gituza
• Urugero rukabije cyangwa kugwa igihumure
• Umuriro mwinshi hamwe n'ibyuya no kuvurungana
• Umutima w'umutima
• Ibimenyetso bikabije by'uburwayi bwo kwivumbura ku bintu, hamwe n'uruhu rumeze nabi, kubyimba, cyangwa guhumeka bigoye
• Ibitekerezo byo kwangiza, cyane cyane ku bantu bari munsi y'imyaka 25
• Kugira imboro ireguka igihe kirekire kandi ibabaza (ku bagabo)
• Impinduka zikomeye mu rugero rw'isukari mu maraso

Niba ubonye kimwe muri ibyo bibazo bikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa bw'abaganga. Izo ngaruka ntizisanzwe, ariko zisaba kuvurwa vuba iyo zibayeho.

Ninde utagomba gufata Ziprasidone?

Ziprasidone ntikwiriye kuri buri wese. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima n'ubuzima bwawe bwa none mbere yo kuyandika kugirango yemeze ko ari umutekano kuri wewe.

Ntabwo ukwiriye gufata ziprasidone niba ufite indwara zimwe na zimwe z'umutima, cyane cyane izo zikora ku mutima wawe. Umuti ushobora gutera impinduka mu bikorwa by'amashanyarazi by'umutima wawe, bishobora kuba byateza akaga ku bantu bafite ibibazo by'umutima.

Abantu bafite amateka ya QT interval irekire (ubusanzwe bwo gutera k'umutima) bagomba kwirinda ziprasidone. Umuganga wawe ashobora gutuma bakora electrocardiogram (EKG) mbere yo gutangira umuti kugirango barebe uko umutima wawe utera.

Niba ufite allergie kuri ziprasidone cyangwa ibindi biyigize, ntugomba gufata uyu muti. Bwira muganga wawe ibyerekeye allergie wigeze kugira ku miti, cyane cyane indi miti ivura indwara zo mu mutwe.

Ubwitange bwihariye bukenewe ku bantu bakuze bafite indwara zo mu mutwe ziterwa na demansiya. Ziprasidone n'indi miti ivura indwara zo mu mutwe bishobora kongera ibyago byo guhura n'ingorane zikomeye muri iyi mibare y'abantu.

Muganga wawe azanatekereza ku bindi bintu nk'inda, konsa, ibibazo by'impyiko cyangwa umwijima, n'indi miti ufata mbere yo kugena ziprasidone.

Amazina y'ubwoko bwa Ziprasidone

Ziprasidone iboneka ku izina ry'ubwoko bwa Geodon muri Leta Zunze Ubumwe z'Amerika. Iri ni ryo zina ry'ubwoko ryandikwa cyane ry'uyu muti.

Ubwoko bwa ziprasidone bwa rusange buraboneka kandi, bukaba burimo ikintu kimwe gikora nka Geodon ariko akenshi bihendutse. Ubwoko bwombi, ubwoko n'ubwoko rusange, bikora kimwe kandi bifite imikorere imwe.

Umunyamavuriro wawe ashobora gusimbuza ubwoko rusange keretse muganga wawe yanditse by'umwihariko "izina ry'ubwoko gusa" ku byo wanditse. Niba ufite impungenge zo guhindura hagati y'ubwoko n'ubwoko rusange, ganira ibi n'umuganga wawe.

Uburyo bwo gusimbuza Ziprasidone

Niba ziprasidone itagukwiriye, hariho indi miti myinshi idasanzwe ivura indwara zo mu mutwe muganga wawe ashobora gutekereza. Buri imwe ifite inyungu zayo n'ingaruka zishobora kubaho.

Uburyo bwo gusimbuza busanzwe burimo risperidone (Risperdal), olanzapine (Zyprexa), quetiapine (Seroquel), na aripiprazole (Abilify). Muganga wawe azahitamo uburyo bwiza bushingiye ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko wabyitwayemo ku yindi miti.

Abantu bamwe barushaho kumera neza bafata imiti ya kera, isanzwe ivura indwara zo mu mutwe nka haloperidol, nubwo iyi ikunda gutera ingaruka zijyanye n'imikorere. Abandi bashobora kungukirwa n'ibintu bigabanya imyumvire cyangwa andi moko y'imiti ivura indwara zo mu mutwe.

Icyemezo cyo gufata umuti kigengwa n'umuntu ku giti cye. Ibyorohera umuntu umwe bishobora kutagendera undi neza, bityo gushaka umuti ukwiriye akenshi bisaba kwihangana no gukorana bya hafi n'umuganga wawe.

Ese Ziprasidone iruta Olanzapine?

Ziprasidone na olanzapine (Zyprexa) byombi ni imiti ikora neza yo mu bwoko bwa atypical antipsychotics, ariko bifite imbaraga zitandukanye n'ingaruka zitandukanye. Nta na kimwe kiruta ikindi muri rusange - biterwa n'ibyo ukeneye ku giti cyawe n'uko witwara kuri buri muti.

Ziprasidone muri rusange itera kongera ibiro gusa kurusha olanzapine, ibyo bishobora kuba ibintu by'ingenzi ku buzima bw'igihe kirekire. Nanone bigira ingaruka nkeya ku isukari yo mu maraso n'urugero rwa cholesterol, bigatuma iba amahitamo meza ku bantu barwaye diyabete cyangwa bafite ibibazo by'imikorere y'umubiri.

Ariko, olanzapine ishobora gukora neza ku bimenyetso by'abantu bamwe, cyane cyane mu gukumira ibihe by'amarangamutima mu ndwara ya bipolar. Nanone iboneka mu buryo bwinshi, harimo n'ikibahuka gishonga n'urushinge rukora igihe kirekire.

Umuvuzi wawe azatekereza ibintu nk'uburyo bwo kugaragaza ibimenyetso byawe, izindi ndwara ufite, uko witwaye ku miti yabanje, n'ibyo ukunda ku giti cyawe mu guhitamo hagati y'iyi miti. Umuti mwiza kuri wowe ni uwo ukemura neza ibimenyetso byawe ufite ingaruka nke zitabangamiye.

Ibikunze Kubazwa Kuri Ziprasidone

Q1. Ese Ziprasidone ifite umutekano ku barwayi ba diyabete?

Ziprasidone irashobora gukoreshwa ku bantu barwaye diyabete, ariko bisaba gukurikiranwa neza. Uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso, nubwo bigira ingaruka nkeya ku glucose na insulin kurusha indi miti imwe na imwe ya antipsychotics nka olanzapine.

Umuvuzi wawe ashobora gukurikirana isukari yo mu maraso yawe kenshi iyo utangiye gufata ziprasidone, cyane cyane niba usanzwe ufite diyabete cyangwa uri mu kaga ko kuyirwara. Bashobora kandi gupima urugero rwa A1C yawe buri gihe kugirango bakurikirane uko isukari yo mu maraso yawe yifashe mu gihe kirekire.

Niba urwaye diyabete, komeza gukurikiza gahunda yawe yo kuvura diyabete mugihe ukoresha ziprasidone. Menyesha umuganga wawe ibimenyetso bidasanzwe nk'inyota yiyongereye, kunyara kenshi, cyangwa umunaniro utumvikana vuba.

Q2. Nkwiriye gukora iki niba nanyweye ziprasidone nyinshi bitunguranye?

Niba unyweye ziprasidone nyinshi bitunguranye, hamagara umuganga wawe, ikigo gishinzwe kugenzura uburozi, cyangwa serivisi zihutirwa ako kanya. Ntukegere ngo urebe niba ibimenyetso bigaragara, kuko kunywa doze nyinshi bishobora kuba bikomeye kandi bisaba ubuvuzi bwihuse.

Ibimenyetso byo kunywa ziprasidone nyinshi bishobora kuba birimo gusinzira cyane, urujijo, umutima utera vuba cyangwa utajegajega, umubiri uguma cyangwa kutagira ubwenge. N'iyo wumva umeze neza, ni ngombwa gushaka isuzuma ry'ubuvuzi nyuma yo kunywa nyinshi.

Kugirango wirinde kunywa doze nyinshi bitunguranye, ntukigere unywa doze zinyongera kugirango "usimbure" izacitse, kandi burigihe ukoreshe umuteguro w'imiti cyangwa sisitemu yibutsa imiti niba ugira ikibazo cyo kwibuka niba wamaze gufata doze yawe.

Q3. Nkwiriye gukora iki niba naciweho doze ya ziprasidone?

Niba waciweho doze ya ziprasidone, yifate ako kanya wibuka, ariko gusa niba bitari hafi y'igihe cyo gufata doze yawe itaha iteganyijwe. Niba igihe cyo gufata doze itaha kigeze, reka doze waciweho ukomeze gahunda yawe isanzwe.

Ntukigere ufata doze ebyiri icyarimwe kugirango usimbure doze waciweho, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba utazi neza igihe, hamagara ibiro by'umuganga wawe cyangwa farumasi kugirango bagufashe.

Kutagira doze rimwe na rimwe ntibiteje akaga, ariko gerageza kugumana urwego rwa imiti mu mubiri wawe kugirango ugire uburambe bwiza bwo kugenzura ibimenyetso. Niba ukunda kwibagirwa doze, ganira n'umuganga wawe kubijyanye n'ingamba zo kugufasha kwibuka.

Q4. Nshobora kureka kunywa ziprasidone ryari?

Icyemezo cyo guhagarika ziprasidone kigomba gufatirwa hamwe na muganga wawe. N'iyo wumva umeze neza cyane, guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti no gusubira mu bimenyetso byawe by'umwimerere.

Muganga wawe azatekereza ibintu nk'igihe umaze umeze neza, ibyago byo gusubira mu bimenyetso, n'imibereho yawe muri rusange igihe avuga niba bikwiye kugabanya cyangwa guhagarika umuti.

Niba wowe na muganga wawe mwemeza guhagarika ziprasidone, mubisanzwe uzagabanya urugero buhoro buhoro mu byumweru byinshi cyangwa amezi menshi. Ubu buryo bwo kugabanya bufasha kugabanya ibimenyetso byo kuva mu miti kandi butuma muganga wawe ashobora gukurikirana ibimenyetso byose bisubira.

Q5. Nshobora kunywa inzoga nkanwa ziprasidone?

Nibyiza kwirinda inzoga nkanwa ziprasidone cyangwa kuzigabanya cyane. Inzoga na ziprasidone byombi bishobora gutera gusinzira no kuribwa, kandi kubihuriza hamwe bishobora gutuma ibyo bintu bikomera cyane kandi bikaba byateza akaga.

Inzoga kandi ishobora kubuza umuti gukora neza kandi ishobora gukomeza ibimenyetso byo mu mutwe wawe. Niba uhisemo kunywa rimwe na rimwe, bikore mu rugero ruto cyane kandi witondere uko wumva.

Buri gihe ganira ku kunywa inzoga na muganga wawe. Bashobora kuguha inama zihariye zishingiye ku miterere yawe, imiti yindi urimo gufata, n'ubuzima bwawe muri rusange.