Ibyinshi mu miti ihamagara ubwoba ntibitanga ubufasha bwihuse. SSRIs na SNRIs, ziba ari amahitamo ya mbere, zishobora gufata ibyumweru 4 kugeza kuri 8 byo gukoreshwa buri munsi; buspirone isaba ibyumweru 3 kugeza kuri 4. Benzodiazepines gusa ni zo zikora mu minota 30 kugeza kuri 60, kandi ni amahitamo y'igihe gito kuko umubiri ushobora kumenyera nyuma y'ibyumweru bike.
TL;DR: Ibikubiye mu buryo bwihuse
- SSRIs, SNRIs na buspirone ni amahitamo ya mbere yo kwita ku bwoba burambye, kandi zose zishobora gufata ibyumweru 3 kugeza kuri 8 byo gukoreshwa buri munsi mbere y'uko uzishobora neza.
- Benzodiazepines ni zo zikora mu minota 30 kugeza kuri 60, kandi ni zo zonyine zifite umukoro uturuka ku FDA wo kwidagadura, kwishora, kumenyera, no guhagarika.
- Ntabwo bigora umubiri gukunda kubibyaza: SSRIs, SNRIs, buspirone, hydroxyzine na propranolol. Ni eshanu mu icyenda cy'amahitamwo asanzwe.
- Shyira umuti uhwanye n'imiterere. Gutekereza buri gihe ku bibazo bifuza ko umuti wihariwe; gutinya gusubiramo ibintu byihutirwa ku gukoresha propranolol cyangwa hydroxyzine uko bibaye.
- Ntabwo wahagarika ibinini byitwa benzodiazepine wenyine. Kugabanya neza kwakuno bwahagarika 5% kugeza kuri 25% by'ikigero cy'uyu munsi buri cyumweru kimwe kugeza ku cyenda.
Imiti ihagarika ubwoba ikora mu minota ni iyo utazashobora kwihanganira igihe kirekire
Imiti ihagarika ubwoba igabanyijemo icyenda cy'ibice bikoreshwa cyane. SSRIs (sertraline, escitalopram), SNRIs (venlafaxine, duloxetine) na buspirone bifatwa buri munsi kandi bifata ibyumweru bitatu kugeza ku icyenda kugirango bikore neza. Benzodiazepines (alprazolam, lorazepam), hydroxyzine na propranolol bikora mu minota 30 kugeza kuri 60. Amahitamo y'uyu munsi ni yo yagenewe gukoreshwa igihe kirekire; benzodiazepines zifite umukoro uturuka ku FDA kubera kumenyera.
Iki gitandukanyirizo ni cyo cyemezo cyose. NIMH (2024) ivuga ko SSRIs na SNRIs akenshi ari zo miti ya mbere yandikwa ku ndwara zifata ubwoba, harimo indwara yo kugira ubwoba no kugira ubwoba mu bantu, kuko zigira ingaruka nke kuruta izindi miti ya kera nka benzodiazepines. Iyi nama ni myiza ivuga ku gihe gutegereza: imiti ituma umuntu atagira ubwoba ikoreshwa ku bwoba bifata ibyumweru 4 kugeza kuri 8 byo gukoreshwa buri munsi kugirango bigere ku ntego yayo, kandi gusinzira no kurya bikunda kuzamuka mbere y'uko imibereho n'ubwoba bizamuka. Buspirone ibaho muri ubu buryo. Ikoreshwa buri munsi aho kugira ngo ikoreshwe uko bibaye, kandi bifata ibyumweru 3 kugeza kuri 4 kugirango ikore neza.
Benzodiazepines ni zo zonyine zihuta koko, kandi iyo kwihuta bifite igiciro. Ku wa 23 Nzeri 2020, FDA yasabye ko umukoro wa buri benzodiazepine wongerwa kugira ngo wumvishe ibyago bikomeye byo kwidagadura, kwishora, kumenyera umubiri, no guhagarika.
Bityo, impinduka ni iyi: umuti ukora uyu munsi niwo utashobora kwishyurira igihe kirekire, kandi uwukora igihe kirekire ntuzagufasha uyu munsi.
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Yego. Abaganga b’ibanze basanzwe batangiza imiti yo mu bwoko bwa SSRIs na SNRIs, ndetse n’abaganga bakoresha ikoranabuhanga mu kuvura (telehealth) na bo bashobora kubikora. Byaba byiza ubonanye n’umuganga w’indwara zo mu mutwe (psychiatrist) cyangwa undi muganga wabigize umwuga (PMHNP) igihe igerageza ry’imiti ibiri cyangwa irenga ryaba ryarananiwe, igihe indwara itaramenyekana neza, cyangwa igihe ikibazo cy’uburwayi bwo mu mutwe bw’impindagurika (bipolar), gukoresha ibiyobyabwenge cyangwa izindi ndwara bigoye imiterere y’ikibazo cyawe. Imiti ikomeye ifite ibitegekwa byihariye yo igira amabwiriza akakaye: uburyo bwo kuyandika, uburyo bwo kuyikurikirana muri sisitemu, ndetse n’ibisabwa byo kujya kureba umuganga imbonankubone, byose bigabanya abemerewe kuyandika.
Yego. Umuti ukozwe mu buryo rusange (generic) ugomba kuba ufite ibigize umuti nyamukuru, kandi ukujuje amabwiriza y’ubuziranenge y’ikigo cy’imiti (FDA), bivuze ko utanga umuti ungana n’uw’uwo w’umwimerere mu maraso yawe mu buryo bumwe. Urugero, Sertraline ni Zoloft. Itandukaniro ryagaragara ni igiciro; imiti y’umwimerere ifite amazina azwi irusha cyane igiciro imiti ya generic ikora kimwe na yo. Ibindi bintu biba byavanzwemo bitari umuti nyamukuru bishobora gutandukana, ariko ibyo ntibikunze kugira ingaruka uretse mu gihe ufite ibibazo byihariye by’ubwivumbure (allergies).
Urutonde rw'imiti y'umunota ruhindura impinduka z'umunsi n'ibyago byo kwishora mu rukurikirane rumwe
Urutonde rw'imiti y'umunota rukora ibyo urutonde rwinshi rwirinda: rushyira igihe cyo kugera ku ntego n'imiterere yo kwishora mu rukurikirane rumwe n'amazina y'imiti, kugira ngo utazikoraniriza ingingo ebyiri kugirango usubize ikibazo kimwe.
| Icyiciro | Bikoreshwa (izina rya sosiyete) | Igihe cyo kugera ku ntego | Birabaza kwishora? | Gukoresha bisanzwe |
|---|---|---|---|---|
| SSRIs | sertraline (Zoloft), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil) | Ibyumweru 4 kugeza kuri 8 | Oya | Buri munsi, igihe kirekire |
| SNRIs | venlafaxine (Effexor XR), duloxetine (Cymbalta) | Ibyumweru 4 kugeza kuri 8 | Oya | Buri munsi, igihe kirekire |
| Azapirone | buspirone (BuSpar) | Ibyumweru 3 kugeza kuri 4 | Oya | Buri munsi gusa, ntabwo nk'uko bibaye |
| Benzodiazepines | alprazolam (Xanax), lorazepam (Ativan), clonazepam (Klonopin), diazepam (Valium) | Mu minota 30 kugeza kuri 60 | Yego, umukoro wo mu rwego rwa FDA | Ubufasha bw'igihe gito gusa |
| Antihistamine | hydroxyzine (Vistaril, Atarax) | Mu minota 30 kugeza kuri 60 | Oya | Uko bibaye |
| Beta-blockers | propranolol (Inderal) | Ikiro 1 | Oya | Uko bibaye, hanze y'urwego rwa leta, ku bibazo by'umubiri |
Beta-blockers ni ibidasanzwe. NIMH (2024) ibisobanura nk'ibyo byanditse hanze y'urwego rwa leta kugirango igenzure ibimenyetso by'umubiri nk'umutima uhuguta cyangwa inkweto zirimo kwihuta, kandi ntabwo byemewe ku bantu bafite asthmas cyangwa diyabete. Tricyclic antidepressants na MAOIs bikoreshwa kandi ku bwoba, ariko ntibikunda kwageragezwa mbere kubera ibintu bikubangamira kurya, kwivanga kw'imiti, n'ingaruka zidasanzwe.
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Rimwe na rimwe. Ibi ni icyemezo kijyanye n’inyungu n’ibyago umuntu afata ari kumwe n’umuganga wamwandikiye umuti, ntibigomba gukorwa umuntu yifashije wenyine. Ibi biterwa n’uko kudavura ubwoba bukabije mu gihe cyo gutwita bifite ibyago byabyo, harimo kubura ibitotsi, kutagira imirire myiza, no kwiyumvamo agahinda kenshi nyuma yo kubyara. Hari imiti ifite ibimenyetso by’umutekano mu gihe cyo gutwita kurusha iyindi. Niba usanzwe ufata imiti kandi ukaba utwite, hamagara umuganga wawe mbere yo guhindura icyo ari cyo cyose aho guhita uhagarika ku giti cyawe.
Akenshi si byo. Uburyo busanzwe bukoreshwa ni ugukomeza gufata umuti ugeze ku ntego mu gihe cy’amezi 6 kugeza ku 12 nyuma y’uko ibimenyetso bigabanutse, hanyuma mugateganya uburyo bwo kuwugabanya buhoro buhoro (tapering). Hari abantu bakomeza gufata imiti igihe kirekire, cyane cyane nyuma yo kugira ibibazo bya hato na hato cyangwa iyo indwara imaze igihe kirekire. Guhuza imiti n’ubujyanama (therapy) bituma iyo ugiye guhagarika umuti bitaba bigoye, kuko ubumenyi n’imyitozo uba warahawe bigumaho nubwo waba uhagaritse imiti.
Nta muti mwiza w'ubwoba uhari, ahubwo niwo uhwanye n'imiterere y'ibimenyetso byawe
Nta muti mwiza w'ubwoba uhari mu buryo butandukanye. Ikibazo cyingenzi ni ikihe cyiciro gihwanye n'imiterere y'ibimenyetso byawe, kandi ushobora kubigabanya mbere na mbere na mbere utaricarana n'umuganga wawe.
- Nsamya imiterere. Gutekereza buri gihe ku bibazo by'igihe cyose, guhagarika ubwoba kugaragara no gushira, cyangwa ubwoba bugaragara gusa mu bihe bimwe nko gutanga ikiganiro cyangwa indege.
- Niba ari buri munsi kandi burambye, abakandida ba mbere ni SSRI, SNRI cyangwa buspirone (NIMH 2024). Urazamara indwara, atari igihe cyihutirwa, bityo gutangira kwihuta kwabyo biracyemewe.
- Niba byitezwe kandi byagenze neza, propranolol cyangwa hydroxyzine byo gukoresha uko bibaye bihurana neza kuruta imiti ya buri munsi ifatwa iminsi 365 ku byaha bine.
- Gira ibibazo by'ibyumweru bibiri mbere na mbere. Inshuro z'ibimenyetso, ibikangura, gusinzira, hamwe n'imiti yose iriho n'inyunganizi n'ibyageragejwe byose mbere n'icyabayeho kuri byo.
Ubwoko bwawe bwihariye buratuma uhitamo, kuko ubwoko busanzwe bw'ubwoba bw'indwara bwitwara mu buryo butandukanye. Indwara yo kugira ubwoba, indwara rusange yo kugira ubwoba, n'indwara y'ubwoba mu bantu ntibishobora gusimburwa. Niba gukora ubu buryo n'inkoni ari bimwe bidashoboka, porogaramu y'ubuvuzi nka August AI irashobora kugufasha gukora ibimenyetso no kwandika urutonde rw'ibibazo byawe hagati y'amasaha.
Ibisobanuro by'ukuri: nta muntu ushobora kwerekana ubu buryo bwa SSRI buzaba bukoroheye. Kwandika bwa mbere ni ahantu hatangirira, atari icyemezo, kandi guhinduranya kuri undi muti muri icyo cyiciro cyangwa ku cyiciro gitandukanye nyuma y'igeragezwa ryiza ni ibintu bisanzwe kuruta ikimenyetso ko imiti yananiwe.
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Oya, ntabwo ari byiza. Inzoga ubwazo ni umuti utera gusinzira, bityo kuzivanga n’imiti yo mu bwoko bwa benzodiazepines cyangwa hydroxyzine bitera gusinzira cyane kandi bishobora kubuza imyuka myiza guhumeka, ibi akaba ari byo bitera impanuka nyinshi z’uburozi bw’imiti. Ku miti ya SSRIs na SNRIs, ingaruka zikomeye ni nke, ariko inzoga zangiza ubuziranenge bw’ibitotsi kandi zikongera ubwoba, ndetse zikabangamira cyane akamaro k’imiti wategerezanyije ibyumweru byinshi.
Niba kumenyera ari cyo gikunda ku bantu, buri bwoko usibye bumwe ntibubakunda
Niba ufite umuti utuma utagira ubwoba utarimo kwishora ari icyo ukeneye, urutonde rw'igice ni hafi y'urutonde rwose: SSRIs, SNRIs, buspirone, hydroxyzine na propranolol ntibiba bikunda. Benzodiazepines ni zo zonyine zikunda kwishora.
Imibare iri nyuma y'uyu mukoro irakenewe. Kuri umukoro wa FDA wo mu 2020, kumenyera umubiri bishobora kuvuka nyuma y'iminsi mike cyangwa ibyumweru bike byo gukoresha uko bibaye, n'iyo umuti ufashwe nk'uko byagenze. Mayo Clinic Proceedings (2016) ivuga ko hafi abarwayi bafashe benzodiazepines buri munsi igihe kirekire kuruta ukwezi kugeza kuri kumwe bakunda guhagarika, kandi barenga 90% by'abakoresha igihe kirekire (ukwezi 8 kugeza ku 12 cyangwa hejuru) bahura n'ibimenyetso byo guhagarika ndetse no kugabanya gahoro.
Ku munsi ku munsi, kumenyera bishobora kugaragara nk'ibidasanzwe: gusabwa gufata ikigero kinini kugirango ugere ku ntego umuti w'icyo gihe wahaga, ubwoba bugaruka cyane uko ikigero gikenerwa cyarangiye, kureba isaha kugirango ugere ku gikurikira.
Guha ubutumwa bwa SSRI cyangwa SNRI mu buryo butunguranye nabyo bishobora kukubabaza, ariko ibyo ni ukwahagarika, atari kwishora. Nta kwifuza, nta kugabana kw'ikigero no nta kugabana kw'ubuyobozi. Ni ibyahahindura, kandi birashobora kwirindwa n'ibyo wahindura gahunda.
Izina rya sosiyete ntirivuga icyo aricyo cyose cyerekeranye n'inshuro umuti wizana n'umubiri
Amazina y'imiti y'ubwoba aza mu biparis, kandi biparis ntibivuga icyo aricyo cyose cyerekeranye n'ibyago. Xanax ni alprazolam. Ativan ni lorazepam. Lexapro ni escitalopram. Zoloft ni sertraline. BuSpar ni buspirone. Vistaril ni hydroxyzine. Izina rya sosiyete n'izina rusange bifite ikintu kimwe gusa, kandi izina rya sosiyete ntiryari rikomeye cyangwa ritarimo ibyago.
Hari ikintu kimwe gusa cy'ingenzi gikwiye kwibukwa. Amazina rusange asoreza kuri -pam cyangwa -lam (diazepam, lorazepam, clonazepam, alprazolam) ni benzodiazepines, icyiciro kimwe kiri munsi y'umukoro wa FDA.
Reba iparis imwe ituma abantu benshi bibeshya: buspirone ivura ubwoba, mu gihe bupropion ari umuti utuma umuntu atagira ubwoba kandi washobora kwongera ubwoba ku bantu bamwe. Soma izina rusange ryanditse ku gapfuye uhereye ku rutonde ruheruka mbere yo gushyira kuri kopi, atari nyuma.
Ingaruka zidasanzwe ni zo zituma abantu benshi bava mu kwezi kwa mbere, bityo ubanze wumve mbere yo gushyira kuri kopi
Ingaruka zidasanzwe z'imiti ihagarika ubwoba, aho kuba kutagira inyungu, ni zo mpamvu isanzwe iterwa n'igeragezwa ry'igihe gito. Kubura ubushake, kwihuta, guhinduka gusinzira, n'ingaruka z'ibitsina bikunda kubaho mu minsi ya mbere ku SSRI cyangwa SNRI kandi bikunda kuba mu cyumweru kimwe kugeza ku bibiri. NIMH (2024) ivuga ko gusinzira no kurya bikunda kuzamuka mbere y'uko imibereho ihinduka, bishatse kuvuga ko ibyumweru bya mbere bishobora kumera nk'ingaruka zitagira inyungu.
Zana ibibazo birindwi ku gihe cyo gusanga:
- Ni kangahe mbere y'uko numva impinduka?
- Niki nagomba gukora niba ntanze ikigero?
- Ubu ni bwo buba bukunda kwishora?
- Ni izihe ngaruka zigomba gutuma mbabaza?
- Tuzamenya dute ko bikora?
- Ni ikihe gikoresho cyo guhagarika?
Baza byinshi ku bijyanye no kwivanga n'inzoga, opioids, ibindi bituma ugira ibitotsi n'indi miti ya serotonergic, harimo imiti yo mu mutwe n'inyunganizi zishobora kugurwa. Niba utabona amasaha kandi ukeneye ko ibimenyetso bikorerwa, August's $39 online urgent care visit ikuhuza numuganga wemejwe muri Amerika ushobora kugusuzuma no kwandikira igihe gikwiye. Umuganga ni we wemeza icyo gikwiye. Ibikoresho bigenzurwa nka benzodiazepines ntibandikwa mu masaha y'ubuvuzi, kandi amasaha imwe ntishobora gusimbuza ubuvuzi bw'igihe kirekire.
Ntabwo wahagarika benzodiazepine wenyine: kohereza by'ukuri bifata 5% kugeza kuri 25% buri gihe
AAFP tapering guidance (2017) ivuga ko kugabanya neza bisanzwe bifata 5% kugeza kuri 25% by'ikigero cy'uyu munsi buri cyumweru kimwe kugeza ku cyenda, bifashijwe ku muntu. Ibyo birasaba kuruta uko abantu benshi babyiteze, kandi gusaba gutera uko. AAFP (2017) n'FDA (2020) byombi byirinda ko guhagarika ako kanya nyuma y'ukwezi kurenze kw'igihe cyo gukoresha uko bibaye bishobora gutera ibimenyetso bikomeye cyangwa byahagarika ubuzima, harimo kuramira. NIMH (2024) ihura n'ibi: abaganga bakunda kwandikira benzodiazepines igihe gito kandi bagabanya ikigero gahoro gahoro.
Ibyo bikoreshwa mu buryo bwo guhagarika bikoreshwa no mu bindi bice. SSRIs na SNRIs na byo bisaba kohereza, kuko guhagarika ako kanya bishobora gutera isereri, ikibazo nk'icy'ibicurama, n'ibinyabiziga by'amashanyarazi bigufi. Ni ibyahahindura, atari ibyahagarika ubuzima. Kandi propranolol ni umuti ugenzura umuvuduko w'amaraso ukoreshwa hanze y'urwego rwa leta hano, bityo ubwitonzi bukwirakwizwa nk'ubwo mu uko wahagarika gufata imiti igenzura umuvuduko w'amaraso neza.
Bimwe mu bisubizo ku miti ihagarika ubwoba ntibishobora gutegereza amasaha yawe
Hamagara 911 cyangwa jya ku irindi shyira ry'ibitaro ubu niba:
- Ufite kuramira, ibisubizo, inkweto zikomeye, umuriro mwinshi cyangwa kwirirwa nyuma yo guhagarika cyangwa kugabanya benzodiazepine cyane.
- Ufite ibimenyetso bya serotonin syndrome: kwirakwira, umuriro mwinshi, kwangara kw'imitsi n'umutima uhuguta cyane.
- Hari ibitotsi byinshi cyane, kugabanya cyangwa guhagarika guhumeka, cyangwa kutitabira nyuma yo kuvanga imiti ituma ugira ibitotsi n'inzoga, opioids cyangwa ibindi bituma ugira ibitotsi.
- Ufite ibitekerezo byo kwiyahura cyangwa kwihutira, cyangwa kurengera ubwoba kuruta cyane cyangwa kwirakwira nyuma yo gutangira cyangwa guhindura ikigero cy'umuti w'ubwoba. Hamagara cyangwa wohereze ubutumwa bugufi kuri 988 muri Amerika.
Shyiraho amasaha mu cyumweru gitaha niba:
- Ugomba kugira uburibwe mu gituza, kugwa cyangwa umutima uhuguta cyane cyangwa utagenda neza ku muti wa beta-blocker. Jya wumve kumugaragaro, atari icyumweru gitaha.
- Ukeneye ikigero kinini cya benzodiazepine kugirango ugere ku ntego imwe, cyangwa ubwoba bugaruka hagati y'ikigero.
- Ingaruka ntizishobora kwirindwa nyuma y'ibyumweru 3 kugeza kuri 4.
- Nta mpinduka nyuma y'ibyumweru 6 kugeza kuri 8 kuri SSRI cyangwa SNRI ku kigero gihamye.
Vugana n'umuganga mbere y'uko utangira niba:
- Ufite munsi ya 25. Imiti yo mu mutwe harimo SSRIs na SNRIs ifite umukoro wa FDA wo kwiyongera kw'ibitekerezo byo kwiyahura n'imyitwarire mu bana, ingimbi n'urubyiruko kugeza ku myaka 24, cyane cyane mu minsi ya mbere cyangwa nyuma yo guhindura ikigero.
- Ufite asthmas cyangwa diyabete kandi beta-blocker yagusabye (NIMH 2024).
- Ufite inda cyangwa urera.
- Ufite amateka yo kwishora mu bidukikije.
- Ubu ufite opioids, ibitotsi cyangwa imiti y'indi miti ya serotonergic.
Niba utizera icyo cyihutirwa iki ukobukomeye, ubwisanzure bwa August AI Symptom Checker bushobora kugufasha gutandukanya ibikeneye kwitabwaho uyu munsi n'ibishobora gutegereza amasaha. Ni ubufasha bwo kwihutirwa, atari icyemezo.
Bimaze kubazwa cyane
Ese umuganga wanjye wa mbere ashobora kwandikira imiti ihagarika ubwoba, cyangwa nkeneye umuganga w'ubwonko?
Yego. Abaganga ba mbere bandikira SSRIs na SNRIs uko bibaye, kandi abaganga ba telehealth na bo babikora. Umuganga w'ubwonko cyangwa PMHNP birakwiye kwemerwa iyo ibigeragezo bibiri cyangwa byinshi byananiwe, iyo indwara itaramenyekana neza, cyangwa iyo indwara yo mu mutwe, kwishora mu bidukikije cyangwa izindi ndwara bizahagarika icyo kintu. Ibikoresho bigenzurwa biragoye: amategeko yo kwandika, za database zo gukurikirana imiti n'ibikenewe mu buryo bwo kureba byose byishyurwa n'undi washobora kubandikira.
Ese imiti ihagarika ubwoba ya generic irimo ingaruka nk'izindi z'izina rya sosiyete?
Yego. Generic igomba kuba ifite ikintu kimwe gikora kandi ikubahiriza ingano ya FDA, bivuze ko itanga ingano imwe y'umuti mu maraso yawe ku gihe kimwe. Sertraline ni Zoloft. Impinduka y'umwimerere ni igiciro, aho ibigo by'izina rishobora gutwara inshuro nyinshi ugereranije n'igiciro cya generic ikora kimwe. Ibikoresho bidafite akamaro bishobora gutandukana, ibyo ntibibangamira uretse alergiyes zitandukanye.
Ese imiti ihagarika ubwoba ikoreshwa mu gihe cyo gutwita iracyariho?
Rimwe na rimwe. Iki ni cyo cyemezo cyo kwihutira kuganira n'umuganga, kandi utarigeze ugira ingaruka z'ubwoba bukomeye mu gihe cyo gutwita bifite ingaruka nyinshi, harimo gusinzira nabi, kurya nabi, n'indwara yo mu gihe cyo kwibaruka. Bimwe mu bikoresho bifite amakuru menshi y'ingenzi ku gihe cyo gutwita kuruta ibindi. Niba ufite imiti kandi utwite, hamagara umuganga wawe mbere yo guhindura icyo aricyo cyose aho kugira ngo uhagarike wenyine.
Ese nzajya nkeneye gufata imiti ihagarika ubwoba ubuzima bwanjye bwose?
Ntabwo bikunze kubaho. Ubwoko busanzwe ni ugukomeza imiti ikora neza igihe cy'amezi 6 kugeza ku 12 nyuma y'uko ibimenyetso bigabanye, hanyuma ugashyira gahunda yo kugabanya. Bamwe barakomeza kwivuza igihe kirekire, cyane cyane nyuma y'ibibazo byinshi cyangwa indwara irambye. Guhuza imiti no kuvugana bifasha mu kugabanya igihe kirekire cyo gusubira inyuma, kuko ubuhanga buruta imiti.
Ese nzashobora kunywa inzoga nte imiti ihagarika ubwoba?
Oya, ntabwo bikorewe neza. Inzoga ni yo ubwayo ni igikoresho cy'ibitotsi, bityo kuvanga n'ibitotsi cyangwa hydroxyzine birongera gusinzira kandi bishobora guhagarika guhumeka, ari byo byihutirwa nyuma yo kwica abantu benshi mu buryo butunguranye. Kuri SSRIs na SNRIs ingaruka zihuta ni ntoya, ariko inzoga ihindura ubuzima bwo gusinzira kandi igarura ubwoba, kandi ifasha mu kugabana inyungu utegereje ibyumweru kugirango ugereho.
Ibisobanuro by'ukuri
Kwemeza imiti ihagarika ubwoba bifata ku kibazo kimwe: uravura indwara burambye cyangwa igihe cyo kwitegura? Burambye bisobanura SSRI, SNRI cyangwa buspirone n'igihe cyo gutegereza cy'ibyumweru bitatu kugeza ku icyenda. Ibyo biteganijwe bisobanura propranolol cyangwa hydroxyzine uko bibaye. Benzodiazepines zikora vuba, zifite umukoro wa mbere w'ububabare, kandi zikeneye ubugenzuzi hamwe n'ibyo wahindura. Ibindi byose biri ku rutonde ntibiba bikunda.
Ibimenyetso: Inyandiko iyi ni impamvu yo kumenya amakuru gusa kandi ntabwo ikoreshwa nk'inama y'ubuvuzi. Buri gihe hamagara umuganga ubifitiye uburenganzira kugirango wemeze ibisobanuro n'ibikorwa byo kwivuza. Niba urimo kugira ikibazo cy'ubuvuzi gikomeye, hamagara 911 cyangwa jya ku irindi shyira ry'ibitaro ubu.
