Icyo Desipramine ari cyo: Ibyo ikoreshwa, urugero rwayo, ingaruka zayo n'ibindi

Desipramine ni umuti wandikirwa na muganga ugabanya ububabare, ukaba mu itsinda ryitwa tricyclic antidepressants. Muganga wawe ashobora kukwandikira kugira ngo afashe kuvura umubabaro, kuribwa mu buryo buhoraho, cyangwa izindi ndwara zimwe na zimwe igihe imiti mishya itagukoreye neza.

Uyu muti umaze imyaka myinshi ukoreshwa mu buryo bwizewe kugira ngo ufashishe abantu kumva bameze neza no gucunga ibimenyetso byabo. Nubwo ufatwa nk'ubwoko bwa kera bwo kugabanya ububabare, ushobora kugira akamaro kanini ku bantu benshi, cyane cyane iyo izindi nshuti zitatanze ubufasha ukeneye.

Desipramine ni iki?

Desipramine ni umuti ugabanya ububabare wa tricyclic ukora uhindura urwego rw'imiti imwe n'imwe mu bwonko. Umaze imyaka myinshi ufasha abantu bafite umubabaro n'izindi ndwara, kandi abaganga bakunze kuwukoresha iyo imiti mishya igabanya ububabare itagize icyo ikora.

Uyu muti uza mu buryo bw'ikibahasha cyo kunywa mu kanwa. Uboneka gusa iyo wandikiwe na muganga wawe, uzakumenyesha niba ari wo mwanzuro ukwiriye kuri wowe.

Uyu muti uzwi kandi ku izina ry'ubucuruzi rya Norpramin, nubwo verisiyo rusange ikora neza. Umufarumasiti wawe ashobora kuguha izina ry'ubucuruzi cyangwa verisiyo rusange bitewe n'ubwishingizi bwawe n'icyo kiboneka.

Desipramine ikoreshwa mu iki?

Desipramine ikoreshwa cyane cyane mu kuvura indwara ikomeye yo kwiheba, ifasha kuzamura imitekerereze yawe no gusubiza inyungu yawe mu bikorwa bya buri munsi. Muganga wawe ashobora no kukwandikira kubera indwara zirambye, cyane cyane kuribwa mu ntsinga zitagaragaje igisubizo ku zindi nshuti.

Rimwe na rimwe abaganga bakoresha uyu muti kugira ngo bafashe n'izindi ndwara. Izi zirimo ubwoko bumwe na bumwe bw'umutwe, fibromyalgia, cyangwa no gufasha abana bafite ibibazo byo kunyara mu buriri iyo izindi nzira zitagize icyo zikora.

Umuganga wawe azasuzuma neza amateka yawe y'ubuzima n'ibimenyetso urimo mbere yo gufata icyemezo niba desipramine ikwiriye kuri wowe. Bazagereranya inyungu zishoboka n'ibishobora kuba byakwangiza hashingiwe ku buzima bwawe bwite.

Desipramine ikora ite?

Desipramine ikora ibuza kongera gufatwa kw'imiti imwe yo mu bwonko yitwa neurotransmitters, by'umwihariko norepinephrine na serotonin. Ibi bivuze ko bifasha kugumisha iyi miti igenga amarangamutima mu bwonko bwawe igihe kirekire.

Bitekereze nk'uko uhindura ijwi kuri ibi bimenyetso by'ingenzi byo mu bwonko. Iyo ufite umubabaro, ubu butumwa bw'imiti bushobora kuba bucecekeye cyane, kandi desipramine ifasha kuzamura ijwi kugira ngo ubwonko bwawe bushobore kugenga neza amarangamutima n'ibyiyumvo.

Uyu muti ufatwa nk'ukomeye cyane mu miti igabanya umubabaro. Akenshi bifata ibyumweru byinshi kugira ngo wumve inyungu zose, bityo kwihangana ni ngombwa uko ubwonko bwawe buhinduka ku mpinduka ziri mu rwego rw'iyi miti.

Nkwiriye gufata desipramine nte?

Fata desipramine nk'uko umuganga wawe abikwandikiye, akenshi rimwe ku munsi cyangwa mu doze zigabanyijemo umunsi wose. Urashobora kuyifata hamwe cyangwa utayifatanije n'ibiryo, ariko kuyifata hamwe n'ibiryo bishobora gufasha kugabanya ibibazo byo mu nda ushobora guhura nabyo.

Abaganga benshi basaba kuyifata mbere yo kuryama kuko ishobora gutera gusinzira, ibyo bishobora gufasha niba umaze igihe utabona ibitotsi. Ariko, abantu bamwe basanga bitera imbaraga, bityo umuganga wawe ashobora guhindura igihe cyo kuyifata bitewe n'uko ubyitwaramo.

Mimina ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi. Ntukavune, ntukayisye, cyangwa ngo umene ikinini keretse umuganga wawe akubwiye kubikora.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugira ngo bikufashe kwibuka no kugumisha urwego ruzigama mu mubiri wawe. Gushyiraho umwibutso kuri terefone cyangwa kubika imiti yawe hafi y'ikintu ukoresha buri munsi birashobora kugufasha kuguma ukoresha imiti buri gihe.

Nkwiriye gufata desipramine igihe kingana iki?

Abantu benshi bakeneye gufata desipramine byibuze amezi menshi kugira ngo babone inyungu zose, kandi benshi bakomeza kuyifata umwaka cyangwa kurenza. Muganga wawe azakorana nawe kugira ngo amenye igihe cyiza bitewe n'uko ubyitwaramo n'uko ubuzima bwawe bwite bumeze.

Kubijyanye no kwiheba, abaganga basanzwe basaba gukomeza gufata imiti byibuze amezi 6 kugeza kuri 12 nyuma yo gutangira kumva umeze neza. Ibi bifasha kwirinda ko ibimenyetso bisubira kandi biha ubwonko bwawe umwanya wo guhagarara.

Niba ufata desipramine kubera kuribwa kw'igihe kirekire, igihe gishobora kuba gitandukanye. Abantu bamwe basanga bayikeneye igihe kirekire, mu gihe abandi bashobora kugabanya urugero rwabo cyangwa bakareka kuyifata uko ububabare bwabo bugenda bwiyongera.

Ntuzigere uhagarika gufata desipramine ako kanya utabanje kuvugana na muganga wawe. Bazagufasha kugabanya buhoro buhoro urugero rwawe uko igihe kigenda gihita kugira ngo wirinde ibimenyetso byo gukurwaho no kwirinda ko ibimenyetso byawe by'umwimerere bisubira vuba.

Ni izihe ngaruka ziterwa na Desipramine?

Kimwe n'imiti yose, desipramine irashobora gutera ingaruka, nubwo atari buri wese uzibona. Ingaruka nyinshi ni nto kandi akenshi ziragenda zikemuka uko umubiri wawe wimenyereza imiti mu byumweru bike byambere.

Dore ingaruka zisanzwe ushobora kubona uko umubiri wawe umenyera imiti:

• Umunwa wumye no kunyota cyane
• Gusinzira cyangwa kumva unaniwe ku manywa
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Kugorana kw'igifu
• Kureba nabi
• Kongera ibiro
• Kugorana kw'inkari
• Kunyeganyega cyane

Izi ngaruka zisanzwe zikunda kuba zoroshye uko ukomeza gufata imiti. Kunywa amazi menshi, kurya ibiryo birimo fibre nyinshi, no guhaguruka buhoro buhoro uvuye kwicara cyangwa kuryama bishobora gufasha kugabanya bimwe muri ibi bibazo.

Abantu bamwe bahura n'ingaruka zitazwi cyane ariko ziteye impungenge zikeneye ubufasha bwa muganga. Nubwo ibi bitazwi cyane, ni ngombwa kumenya icyo ugomba kwitondera:

• Umutima utera vuba cyangwa utagenda neza
• Kuribwa umutwe cyane cyangwa kugwa igihumure
• Kuvurungana cyangwa kwibagirwa
• Kubura umwuka
• Kugorana cyane kwituma cyangwa kutagira ubushobozi bwo kwihagarika
• Gusohoka amaraso cyangwa gukomereka mu buryo budasanzwe
• Kuribwa umutwe cyane
• Kunyeganyega cyangwa gukomera kw'imitsi

Vugana n'umuganga wawe ako kanya niba ubonye izi ngaruka zikomeye. Ashobora kugufasha kumenya niba ukeneye guhindura urugero rw'umuti ukoresha cyangwa guhindura umuti ukoresha.

Mu bihe bidasanzwe cyane, abantu bamwe bashobora kugira ibibazo bikomeye byo kwivumbura cyangwa gutekereza kwigirira nabi, cyane cyane mu byumweru bya mbere by'imiti. Niba ufite ibitekerezo bibangamiye cyangwa ibibazo bikomeye, shaka ubufasha bw'ubuvuzi bwihuse.

Ni bande batagomba gufata Desipramine?

Abantu bamwe ntibagomba gufata desipramine kubera impungenge z'umutekano cyangwa imikoranire ishoboka n'izindi ndwara. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugena uyu muti.

Ntabwo ugomba gufata desipramine niba umaze iminsi mike ugize umutima utera cyane cyangwa niba ufata indi miti yitwa MAO inhibitors. Izi mpuzampuzamiti zirashobora kuba ziteje akaga kandi zikaba zinateza ubuzima.

Abantu bafite indwara zimwe na zimwe z'umutima bakeneye kwitonderwa mbere yo gutangira gufata desipramine. Ibi birimo abafite umutima utera nabi, umutima wananiwe, cyangwa ibibazo by'umutima bya vuba.

Umuganga wawe azitondera kandi gutanga desipramine niba ufite izi ndwara:

• Glaucoma (umuvuduko w'amaso wiyongereye)
• Prostate yagutse cyangwa kugorana kwihagarika
• Ibibazo bikomeye by'umwijima cyangwa impyiko
• Indwara ziterwa no gufatwa n'indwara
• Indwara ya bipolar
• Kugorana cyane kwituma cyangwa ibibazo by'amara

Niba utwite, ufite gahunda yo gutwita, cyangwa wonka, biganireho n'umuganga wawe. Bazagufasha gupima inyungu n'ibibazo kugirango bamenye uburyo bwizewe kuri wowe n'umwana wawe.

Amazina ya Desipramine

Desipramine iboneka ku izina ry'ubucuruzi rya Norpramin, nubwo iyi verisiyo y'izina ry'ubucuruzi itandikirwa cyane uyu munsi. Amasitasi menshi agira verisiyo rusange, ikora neza kimwe kandi ihendutse cyane.

Gahunda yawe y'ubwishingizi ishobora gukunda verisiyo rusange, kandi muganga wawe ashobora kuyandika keretse hari impamvu idasanzwe ukeneye izina ry'ubucuruzi. Zombi zirimo ibikoresho bikora kimwe kandi bifite ingaruka zimwe.

Niba uri gukoresha Norpramin kandi farumasi yawe ishaka kuguherereza desipramine rusange, ibi ni byiza kandi bisanzwe. FDA yemeza ko imiti rusange yujuje ibisabwa bikomeye kimwe n'imiti y'izina ry'ubucuruzi.

Izindi Miti Zisimbura Desipramine

Niba desipramine itagukwiriye, hariho izindi mpuzampuzamiti nyinshi muganga wawe ashobora gutekereza. Imiti mishya yo kurwanya depression nka SSRIs (nka sertraline cyangwa fluoxetine) akenshi igeragezwa mbere kuko akenshi agira ingaruka nke.

Izindi miti yo kurwanya depression ya tricyclic nka amitriptyline cyangwa nortriptyline ishobora gukora neza kuri bamwe. Iyi miti ikora kimwe na desipramine ariko ishobora kugira ingaruka zitandukanye.

Kubera kubabara kw'igihe kirekire, muganga wawe ashobora gutanga izindi mpuzampuzamiti nka gabapentin, pregabalin, cyangwa izindi miti yo kurwanya depression zikora neza cyane kubabara kw'imitsi.

Uburyo bwiza busimbura buterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko witwaye ku zindi mvura. Muganga wawe azakorana nawe kugirango abone umuti utanga uburinganire bwiza bw'inyungu n'ingaruka zicungwa.

Ese Desipramine iruta Amitriptyline?

Zombi desipramine na amitriptyline ni imiti yo kurwanya depression ya tricyclic ikora kimwe, ariko ifite itandukaniro rikomeye. Desipramine ikunda gutera ibitotsi bike n'ingaruka nke za anticholinergic nko kumva umunwa wumye no kubura umwanya.

Amitriptyline akenshi ikunda gukoreshwa ku bantu bagira ikibazo cyo gusinzira kuko irushaho gutuza. Ariko, desipramine ishobora kuba nziza niba ufite impungenge zo gukanguka ku manywa cyangwa kongera ibiro.

Mu kuvura umubabaro, imiti yombi ifite ubushobozi bungana. Guhitamo akenshi biterwa n'ingaruka z'uruhande wumva ko ushobora kwihanganira kandi n'izindi ndwara ushobora kuba ufite.

Muganga wawe azatekereza ku bintu nk'uko usinzira, imiti yindi urimo gufata, n'amateka yawe bwite y'ubuzima kugirango amenye uburyo bwiza bushobora kugukorera.

Ibibazo Bikunze Kubazwa Kuri Desipramine

Ese Desipramine irakwiriye abarwayi b'umutima?

Desipramine isaba gukurikiranwa neza ku bantu bafite indwara z'umutima kuko ishobora kugira ingaruka ku mutima n'umuvuduko w'amaraso. Muganga wawe ashobora gutegeka EKG (igeragezwa ry'umutima) mbere yo gutangira iyi miti niba ufite ikibazo cy'umutima.

Abantu bafite indwara zimwe na zimwe z'umutima, cyane cyane abafite ibitero by'umutima bya vuba cyangwa ibibazo bikomeye by'umutima, ntibagomba gufata desipramine. Ariko, abantu benshi bafite indwara z'umutima zoroheje, zishobora kuyifata neza hamwe no gukurikiranwa neza.

Niba ufite indwara y'umutima, muganga wawe azagutangiza ku gipimo gito kandi akugenzure neza, cyane cyane mu byumweru bya mbere by'imiti.

Nigomba gukora iki niba mfashe desipramine nyinshi mu buryo butunganye?

Niba wafashe desipramine nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, kabone n'iyo wumva umeze neza. Guha imiti nyinshi bishobora gutera ibibazo bikomeye by'umutima, gufatwa n'indwara, cyangwa izindi ngaruka ziteje akaga.

Ntugategereze ko ibimenyetso bigaragara mbere yo gushaka ubufasha. Ibimenyetso byo kurenza urugero birimo gusinzira cyane, umutima wihuta, guhumeka bigoranye, cyangwa urujijo.

Niba hari umuntu waguye cyangwa atahumeka nyuma yo gufata desipramine nyinshi, hamagara 911 ako kanya. Bika icupa ry'imiti hamwe nawe kugirango werekane abakozi b'ubuvuzi neza icyo bafashe.

Nkwiri Gukora iki niba nciwe urugero rwa Desipramine?

Niba wibagiwe urugero ukibuka nyuma y'amasaha make, urufate ako kanya wibukiye. Ariko, niba igihe cyo gufata urugero rukurikira kigeze, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugirango usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka zidakunzwe. Ahubwo, komeza gahunda yawe isanzwe yo gufata imiti.

Niba ukunda kwibagirwa gufata imiti, gerageza gushyiraho alarme kuri terefone yawe cyangwa ukoreshe igikoresho gifasha kwibuka imiti kugirango bikufashe kwibuka. Guhora ufata imiti bifasha kugumisha urugero rwa imiti mu mubiri wawe.

Nshobora guhagarika ryari gufata Desipramine?

Ugomba guhagarika gufata desipramine uyobowe na muganga wawe, kabone niyo wumva umeze neza cyane. Guhagarika mu buryo butunguranye bishobora gutera ibimenyetso byo kuva mu miti kandi bishobora gutuma ibimenyetso byawe bya mbere bisubira.

Muganga wawe azagufasha kugabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi igihe kigeze cyo guhagarika. Ubu buryo bwo kugabanya buhoro buhoro bufasha ubwonko bwawe guhinduka buhoro buhoro ku mpinduka.

Ibimenyetso byerekana ko igihe cyaba kigeze cyo gutekereza guhagarika birimo kumva umeze neza buri gihe mu mezi menshi, guhura n'ingaruka zidakunzwe zikubangamiye, cyangwa niba witeguye kugerageza uburyo bwo kuvura butandukanye. Banza uganire kuri iki cyemezo n'umuganga wawe.

Nshobora kunywa inzoga niba mfata Desipramine?

Nibyiza kwirinda inzoga cyangwa kuzigabanya cyane niba ufata desipramine kuko ibi bintu byombi bishobora kugira ingaruka ku mikorere y'imitsi yawe. Kubivanga bishobora kongera gusinzira, kuribwa umutwe, n'ingaruka zishobora guteza akaga.

N'utuntu duto tw'inzoga dushobora kugira ingaruka kuri wowe kurusha uko byari bisanzwe niba ufata iyi miti. Abantu bamwe basanga inzoga zituma ibimenyetso byabo byo kwiheba birushaho, ibyo bishobora guhagarika inyungu z'imiti.

Niba uhisemo kunywa inzoga rimwe na rimwe, ganira na muganga wawe ku kintu gishobora kuba cyiza kuri wowe. Bashobora gutanga inama zishingiye ku rugero rwawe, imiti yindi, n'ubuzima bwawe muri rusange.