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

Atomoxetine ni umuti wandikirwa n'abaganga ukoreshwa cyane mu kuvura indwara yo kutita ku bintu no kutagira umutuzo (ADHD) ku bana n'abantu bakuru. Bitandukanye n'indi miti myinshi ivura ADHD, atomoxetine ntabwo ari umuti utera umuvuduko, ibyo bituma iba uburyo bwiza ku bantu batabasha gufata imiti itera umuvuduko cyangwa itabagirira akamaro.

Uyu muti ukora ugira ingaruka ku bimera bimwe na bimwe byo mu bwonko bifasha mu kwibanda no gutekereza. Niba wowe cyangwa uwo ukunda yarandikiwe atomoxetine, birashoboka ko ufite ibibazo byerekeye uko ikora, icyo wakwitega, n'uko wayifata neza.

Atomoxetine ni iki?

Atomoxetine ni umuti wo mu bwoko bw'imiti yitwa selective norepinephrine reuptake inhibitors. Yagenewe gufasha abantu barwaye ADHD gucunga neza ibimenyetso byabo binyuze mu kuringaniza imisemburo yo mu bwonko igira uruhare mu kwitaho no kugenzura ibitekerezo.

Uyu muti ufata nk'umuti uvura ADHD utera umuvuduko, ibyo bituma utandukana n'indi miti izwi cyane ivura ADHD nka methylphenidate cyangwa amphetamines. Imiterere yayo idatera umuvuduko ituma ikoreshwa cyane ku bantu bagira ingaruka ziterwa n'imiti itera umuvuduko cyangwa bafite indwara zimwe na zimwe zituma imiti itera umuvuduko itakwemerwa.

Atomoxetine iza mu buryo bw'ibikoresho kandi ifatirwa mu kanwa rimwe cyangwa kabiri ku munsi. Uyu muti uboneka mu mbaraga zitandukanye kugira ngo abaganga babashe kubona urugero rukwiye ku byo umuntu akeneye.

Atomoxetine ikoreshwa mu kuvura iki?

Atomoxetine yemewe na FDA by'umwihariko mu kuvura ADHD ku bana bafite imyaka 6 n'abakuru, urubyiruko, n'abantu bakuru. Ifasha kunoza ibimenyetso by'ingenzi bigora ubuzima bwa buri munsi ku bantu barwaye ADHD.

Uyu muti ushobora gufasha kugabanya kutitaho, bishobora kugaragara nk'ingorane zo kwibanda ku mirimo, kwibagirwa ibintu by'ingenzi, cyangwa gushukwa byoroshye. Ifasha kandi ku bimenyetso byo kwiruka cyane nko kutagira umutuzo, kwikinisha, cyangwa kumva buri gihe ko "uri mu rugendo."

Ikindi kandi, atomoxetine ishobora kunoza imyitwarire, igafasha abantu gutekereza mbere yo gukora, gutegereza umwanya wabo, cyangwa kwirinda guhagarika abandi. Abaganga bamwe bashobora kuyandika ku buryo butemewe kubera izindi ndwara, ariko ADHD iracyariyo ikoreshwa ryibanze kandi ryize neza.

Atomoxetine ikora ite?

Atomoxetine ikora ibuza kongera gufatwa kwa norepinephrine mu bwonko bwawe. Norepinephrine ni neurotransmitter igira uruhare runini mu kwitondera, gukanguka, no gukora neza.

Iyo atomoxetine yabuza kongera gufatwa, ituma norepinephrine nyinshi iguma kuboneka mu bice by'ubwonko bishinzwe kwitondera no kwibanda. Ibi byongera ubushobozi bw'ubwonko bwo kugenzura kwitondera no kugabanya ibimenyetso bya ADHD.

Bitandukanye n'imiti ikangura ikora vuba, atomoxetine ifatwa nk'umuti ufite imbaraga ziringaniye wubaka mu mubiri wawe uko igihe kigenda. Ushobora kutabona inyungu zose mu byumweru byinshi, ibyo bisanzwe kandi biteganijwe.

Nkwiriye gufata atomoxetine nte?

Fata atomoxetine nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi. Urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, nubwo kuyifata hamwe n'ibiryo bishobora kugufasha kugabanya kuribwa mu gifu niba ubonye iyo ngaruka.

Mimina ibinini byose hamwe n'amazi cyangwa ikindi kinyobwa. Ntugasenyere, unyugute, cyangwa urume ibinini, kuko ibi bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe. Niba ugira ikibazo cyo kumira ibinini, ganira n'umuganga wawe kuri izindi nzira.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugira ngo ufashe gushyiraho gahunda. Niba uyifata kabiri ku munsi, shyira intera hagati y'imiti uko umuganga wawe abitegeka. Kuyifata buri gihe bifasha gukomeza urwego ruzigama mu mubiri wawe.

Mbwiriza gufata atomoxetine igihe kingana iki?

Igikoresho cy'atomoxetine kimara igihe gishoboka ku muntu ku muntu kandi biterwa n'uburyo wabyakiriyeho n'ibyo ukeneye. Abantu benshi barayifata mu mezi cyangwa mu myaka nk'igice cyo gukomeza kwita ku burwayi bwa ADHD.

Muganga wawe akenshi azagutangirira ku rugero ruto hanyuma arushaho gukomeza mu byumweru byinshi kugira ngo abone urugero rukugirira akamaro cyane. Bisaba ibyumweru 4 kugeza kuri 6 kugira ngo wumve akamaro kayo kose, bityo kwihangana muri iki gihe cy'ibanze ni ingenzi.

Gusuzuma buri gihe kwa muganga wawe ni ngombwa kugira ngo umenye neza niba umuti ukora neza kandi uhindure urugero niba bibaye ngombwa. Abantu bamwe bashobora gukenera gufata atomoxetine igihe kirekire, mu gihe abandi bashobora kuyikoresha mu gihe gito bitewe n'uko bimeze n'intego z'ubuvuzi bwabo.

Ni izihe ngaruka ziterwa na Atomoxetine?

Kimwe n'imiti yose, atomoxetine ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzibona. Ingaruka nyinshi ziterwa n'imiti ni nto kugeza ku ziciriritse kandi akenshi ziragabanuka uko umubiri wawe wimenyereza umuti.

Dore ingaruka ziterwa n'imiti zisanzwe ushobora kubona, cyane cyane iyo utangira gufata umuti cyangwa wongera urugero:

• Kugabanya ubushake bwo kurya cyangwa kugabanya ibiro
• Uburwayi bwo mu nda cyangwa kuribwa mu nda
• Kunanirwa cyangwa gusinzira
• Kuribwa umutwe
• Guhora uhindura imyumvire cyangwa kwishima
• Kugorwa no gusinzira
• Kuguma mu nda
• Umunwa wumye

Izi ngaruka ziterwa n'imiti zisanzwe akenshi zigabanuka uko umubiri wawe umenyera umuti. Gufata atomoxetine hamwe n'ibiryo birashobora gufasha kugabanya uburwayi bwo mu nda.

Abantu bamwe bahura n'ingaruka ziterwa n'imiti zitari zisanzwe ariko ziteye impungenge zikeneye ubufasha bwa muganga. Izi zirimo guhinduka cyane kw'imyumvire, gutekereza kwikomeretsa, ibimenyetso bikomeye byo kwivumbura, cyangwa ibibazo by'umwijima bigaragazwa no guhinduka kw'uruhu cyangwa amaso.

Mu buryo butajya bubaho, atomoxetine ishobora gutera ibibazo bikomeye by'umutima cyangwa imvune ikomeye y'umwijima. Nubwo izi ngorane zitajya zibaho, muganga wawe azagukurikiranira ibimenyetso byose by'izi ngorane, cyane cyane igihe utangiye gufata umuti.

Ninde utagomba gufata Atomoxetine?

Atomoxetine ntabwo ikwiriye kuri buri wese, kandi indwara zimwe na zimwe cyangwa imiti ishobora gutuma itaba nziza. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika.

Ntabwo ugomba gufata atomoxetine niba urimo gufata cyangwa umaze iminsi mike ufata ibiyobyabwenge bya monoamine oxidase inhibitors (MAOIs), kuko iyi mvange ishobora gutera izamuka ry'umuvuduko w'amaraso. Uzagomba gutegereza nibura iminsi 14 umaze guhagarika MAOI mbere yo gutangira atomoxetine.

Abantu bafite indwara zimwe na zimwe z'umutima, nk'ibibazo bikomeye by'umutima, indwara zikomeye z'umutima, cyangwa umuvuduko w'amaraso mwinshi cyane, ntibashobora kuba abakandida beza ba atomoxetine. Uyu muti ushobora kugira ingaruka ku mutima n'umuvuduko w'amaraso, bityo muganga wawe azabanza asuzume ubuzima bwawe bw'umutima.

Niba ufite glaucoma y'urwego ruto, indwara ikomeye y'umwijima, cyangwa amateka y'uburwayi bukomeye bwa allergique kuri atomoxetine, uyu muti birashoboka ko utakwiriye kuri wowe. Byongeye kandi, niba utwite, ufite gahunda yo gutwita, cyangwa uri konjesha, ganira neza ibyago n'inyungu na muganga wawe.

Amazina y'ubwoko bwa Atomoxetine

Atomoxetine iboneka munsi y'izina ry'ubwoko rya Strattera, ryari ubwoko bw'umwimerere bw'uyu muti. Strattera ikorwa na Eli Lilly and Company kandi imaze kuboneka kuva mu 2002.

Ubu hariho ubwoko bwa atomoxetine butandukanye butangwa n'amasosiyete atandukanye y'imiti. Ubu bwoko burimo ibintu bikora kimwe kandi bikora kimwe na Strattera y'izina ry'ubwoko, ariko akenshi bihendutse.

Niba wakira umuti wa Strattera w’izina cyangwa atomoxetine rusange, imikorere y’umuti n’uburyo ukora ku buzima birasa. Farumasi yawe ishobora guhita ishyiraho atomoxetine rusange keretse muganga wawe yanditse izina ry’umuti.

Izindi nshuti za Atomoxetine

Niba atomoxetine itagukundiye cyangwa ikagutera ingaruka mbi, hariho indi miti myinshi ivura ADHD. Muganga wawe ashobora kugufasha gushakisha izi nzira bitewe n’ibyo ukeneye n’amateka yawe y’ubuzima.

Imiti ikangura ubwonko nka methylphenidate (Ritalin, Concerta) cyangwa amphetamines (Adderall, Vyvanse) akenshi ni imiti ikoreshwa bwa mbere mu kuvura ADHD. Iyi miti ikora mu buryo butandukanye na atomoxetine kandi ishobora gukora neza ku bantu bamwe, nubwo ishobora gutera ingaruka zitandukanye.

Izindi nzira zituma ubwonko butakanguka zirimo bupropion (Wellbutrin), umuti uvura depression ushobora gufasha ku bimenyetso bya ADHD, cyangwa guanfacine (Intuniv), wabanje gukorwa kuvura umuvuduko w’amaraso ariko ubu ukoreshwa mu kuvura ADHD. Buri kimwe muri ibi bifite akamaro kacyo n’ibishobora kuba bibi.

Rimwe na rimwe abaganga basaba guhuza imiti cyangwa kongeraho imyitwarire mu kuvura. Uburyo bwiza buterwa n’ibimenyetso byawe, imibereho yawe, n’uko witwara ku miti itandukanye.

Ese Atomoxetine iruta Methylphenidate?

Atomoxetine na methylphenidate ni imiti ivura ADHD ikora neza, ariko ikora mu buryo butandukanye kandi ifite ibyiza byayo. Nta na kimwe kiruta ikindi, kuko guhitamo neza biterwa n’ibyo ukeneye n’uko ubayeho.

Methylphenidate ni umuti ukangura ubwonko akenshi ukora vuba kurusha atomoxetine, abantu benshi bakabona impinduka mu masaha cyangwa iminsi nyuma yo gutangira kuwukoresha. Ariko, imiti ikangura ubwonko ishobora gutera kutagira ubushake bwo kurya, ibibazo byo gusinzira, kandi ntibikwiriye abantu bafite indwara zimwe na zimwe z’umutima cyangwa amateka yo gukoresha ibiyobyabwenge.

Atomoxetine bitinda igihe kugira ngo yerekane ingaruka zose ariko itanga kugenzura ibimenyetso byamasaha 24 hamwe no gufata umuti rimwe cyangwa kabiri ku munsi. Birashoboka ko bitatera ibibazo byo gusinzira cyangwa gutakaza apeti, kandi ntigira ubushobozi bwo gukoreshwa nabi nkuko ibitera imbaraga bibikora.

Muganga wawe azatekereza ibintu nk'amateka yawe y'ubuvuzi, imiti yindi urimo gufata, imibereho yawe, n'uburambe bwose bwa mbere hamwe n'imiti ya ADHD mugihe agufasha guhitamo hagati y'izi mpuzamashanyarazi.

Ibikoresho Bikunze Kubazwa Kuri Atomoxetine

Ese Atomoxetine iratekanye kubantu barwaye indwara z'umutima?

Atomoxetine irashobora kugira ingaruka kumuvuduko w'umutima n'umuvuduko w'amaraso, bityo abantu barwaye indwara z'umutima bakeneye isuzuma ryitondewe mbere yo gutangira uyu muti. Muganga wawe azasuzuma imiterere y'umutima wawe by'umwihariko n'ubuzima bwawe bwose bwo mu mutima kugirango amenye niba atomoxetine itekanye kuri wewe.

Niba ufite indwara y'umutima igenzurwa neza, muganga wawe arashobora gufata atomoxetine ariko azagukurikiranira hafi. Barashobora kugusaba gupima umuvuduko w'amaraso buri gihe no gukurikirana umuvuduko w'umutima, cyane cyane mugihe utangira umuti cyangwa wongera urugero.

Abantu bafite ibibazo bikomeye by'umutima, kunanirwa gukomeye k'umutima, cyangwa umuvuduko w'amaraso udagenzurwa ntibagomba gufata atomoxetine. Buri gihe ganira amateka yawe yose y'ubuzima bw'umutima na muganga wawe mbere yo gutangira umuti mushya wa ADHD.

Nigute nzakora niba mfata atomoxetine nyinshi kubwimpanuka?

Niba ufata atomoxetine nyinshi kubwimpanuka kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo kigenzura uburozi ako kanya. Gufata nyinshi birashobora gutera ingaruka zikomeye, harimo umuvuduko w'amaraso mwinshi cyane, ibibazo by'umutima, cyangwa impinduka zikomeye z'amarangamutima.

Ntugategereze kureba niba wumva umeze neza, kuko ibimenyetso bimwe byo kurenza urugero ntibishobora kugaragara ako kanya. Hamagara Ikigo kigenzura uburozi kuri 1-800-222-1222 cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi niba ufite ibimenyetso nk'izunguzungu rikomeye, guhinda umushyitsi, kubabara mu gituza, cyangwa guhumeka bigoye.

Kugira ngo wirinde gufata imiti irenze urugero, bika imiti yawe mu gikoresho cyayo cy'umwimerere gifite ibirango bisobanutse, uyifate ku gihe kimwe buri munsi, kandi ukoreshe igikoresho cyo gutegura imiti niba ugira ikibazo cyo kwibuka niba warayifashe.

Nkwiriye gukora iki niba nciweho urugero rwa Atomoxetine?

Niba wibagiwe urugero rwa atomoxetine, yifate uko wibuka vuba, keretse igihe cyo gufata urugero rukurikira rwegereje. Muri icyo gihe, reka urugero wibagiwe hanyuma ufate urugero rukurikira ku gihe cyagenwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka zidakurikije. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe igikoresho cyo gutegura imiti kugira ngo bigufashe kuguma ku murongo.

Kutagira urugero rimwe na rimwe ntizitera ibibazo bikomeye, ariko gerageza gukomeza gufata imiti buri munsi kugira ngo ugenzure neza ibimenyetso. Niba ukunda kwibagirwa urugero, ganira na muganga wawe ku bijyanye n'uburyo bwo kunoza imikoreshereze y'imiti.

Nshobora guhagarika ryari gufata Atomoxetine?

Ushobora guhagarika gufata atomoxetine igihe wowe na muganga wawe mwemeje ko itagikenewe cyangwa itagifitiye akamaro. Iyi myanzuro igomba gufatwa buri gihe hamwe n'umuganga wawe aho guhagarara ako kanya wenyine.

Muganga wawe ashobora kugusaba guhagarika atomoxetine niba ugize ingaruka zikomeye, niba umuti utagufasha mu bimenyetso bya ADHD, cyangwa niba imibereho yawe ihindutse cyane. Abantu bamwe bafata kandi akaruhuko k'imiti mu gihe cy'impeshyi cyangwa ibindi bihe iyo ibimenyetso bya ADHD bitari ibibazo cyane.

Bitandukanye n'imiti imwe, atomoxetine ntisanzwe isaba inzira yo kugabanya buhoro buhoro, ariko muganga wawe azatanga amabwiriza yihariye yo guhagarara neza. Bazanaganira kandi ku buryo bwo kuvura bundi niba ukikeneye gucunga ADHD nyuma yo guhagarika atomoxetine.

Nshobora kunywa inzoga niba ndimo gufata Atomoxetine?

Muri rusange, ni byiza kwirinda inzoga igihe urimo gufata atomoxetine, kuko guhuza ibi bishobora kongera ibyago byo kugira ingaruka mbi no kugabanya imikorere y'umuti. Inzoga ishobora gutuma ibimenyetso bya ADHD birushaho kuba bibi kandi ikabangamira ubushobozi bw'umuti bwo kugufasha kwibanda no gutekereza.

Zose uko ari ebyiri, inzoga na atomoxetine, zishobora kugira ingaruka ku mwijima wawe, kandi kuzihuriza hamwe bishobora kongera ibyago byo kugira ibibazo by'umwijima. Byongeye kandi, inzoga ishobora kongera ingaruka mbi nk'izunguruka, gusinzira cyane, no guhindagurika kw'amarangamutima abantu bamwe bagira iyo bafata atomoxetine.

Niba uhisemo kunywa inzoga rimwe na rimwe, bikore mu rugero ruto kandi witondere uko guhuza ibi bigufata. Buri gihe ganira ukuri ku mikoreshereze yawe y'inzoga na muganga wawe kugira ngo batange ubujyanama bwihariye bushingiye ku miterere yawe n'ubuzima bwawe.