Escitalopram ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Escitalopram ni umuti wandikirwa na muganga ugabanya ububabare bwo mu mutwe, ukaba mu itsinda ry'imiti yitwa selective serotonin reuptake inhibitors (SSRIs). Ikora ifasha gushyira ku murongo serotonin, imiti kamere iri mu bwonko bwawe igira uruhare mu myumvire, gusinzira, n'imibereho myiza y'amarangamutima. Uyu muti ukunze kwandikwa kugira ngo ufashishe abantu guhangana n'agahinda gakabije n'indwara z'ubwoba, kandi ufatwa nk'imwe mu nzira zoroshye muri icyo cyiciro.

Escitalopram ni iki?

Escitalopram ni umuti wa none ugabanya ububabare bwo mu mutwe wibanda cyane ku rwego rwa serotonin mu bwonko bwawe. Tekereza kuri serotonin nk'ikintu gisanzwe gishimangira imyumvire y'ubwonko bwawe - iyo urwego ruri ku murongo, birashoboka cyane ko wumva wihagazeho mu byiyumvo kandi ukumva neza.

Uyu muti ni icyo abaganga bita SSRI, bivuze ko bibuza ubwonko bwawe gufata serotonin vuba cyane. Mu gukomeza serotonin nyinshi, escitalopram ifasha kunoza imibanire hagati y'uturemangingo tw'ubwonko tugenzura imyumvire n'ubwoba.

Bitandukanye n'imiti ya kera igabanya ububabare bwo mu mutwe, escitalopram yagenewe gukora mu buryo bwo gutoranya. Ibi bivuze ko yibanda cyane kuri serotonin itagira ingaruka zikomeye ku bindi binyabutabire byo mu bwonko, akenshi bikaba bitera ingaruka nke ku bantu benshi.

Escitalopram ikoreshwa mu iki?

Escitalopram ikoreshwa cyane mu kuvura indwara ikomeye yo kwiheba no guhangayika rusange. Muganga wawe ashobora kuyikugiraho inama niba ufite agahinda gakomeye, impungenge, cyangwa ibindi bimenyetso bibangamira imibereho yawe ya buri munsi.

Ku bijyanye no kwiheba, uyu muti ushobora gufasha gukuraho ibyiyumvo bikomeye by'agahinda, kutagira icyizere, no gutakaza inyungu mu bikorwa wahoze ukunda. Abantu benshi babona impinduka mu rwego rw'imbaraga zabo, uburyo bwo gusinzira, n'ubushobozi bwo kwibanda nyuma y'ibyumweru byinshi by'imiti.

Mu kuvura impungenge, escitalopram ifasha kugabanya impungenge zikabije, ubwoba, n'ibimenyetso by'umubiri nk'umutima wihuta cyangwa imitsi yikanyaga. Ifasha cyane cyane mu kuvura indwara y'impungenge rusange, aho impungenge zigaragara nk'izikabije kandi bigoye kuzigenzura.

Rimwe na rimwe abaganga bandika escitalopram ku zindi ndwara nka panic disorder, indwara y'impungenge mu mibanire, cyangwa obsessive-compulsive disorder. Nubwo ibi atari byo bikoreshwa byemewe by'uyu muti, ubushakashatsi bwerekana ko bishobora gufasha kuri izi ndwara.

Escitalopram ikora ite?

Escitalopram ikora ibungabunga serotonin mu bwonko bwawe, bivuze ko ifasha kugumisha iyi shimi igenga imitekerereze. Ibi bibaho buhoro buhoro, niyo mpamvu ushobora kutumva akamaro kayo ako kanya.

Nka umuti, escitalopram ifatwa nk'ifite imbaraga ziringaniye - ifasha bihagije kuvura agahinda gakomeye n'impungenge, ariko yoroshye ku buryo abantu benshi bayihanganira neza. Akenshi ihitwamo nk'umuti wa mbere kuko igira urugero rwiza hagati y'imikorere n'ingaruka zicungwa neza.

Uyu muti ntiukora ako kanya nk'uko umuti uvura ububabare wakora. Ahubwo, yiyongera mu mubiri wawe mu byumweru byinshi, buhoro buhoro ifasha kugarura urugero rwa kamere rw'imishonga igenga imitekerereze yawe n'urugero rw'impungenge.

Nkwiriye gufata escitalopram nte?

Fata escitalopram nk'uko umuganga wawe abitegeka, akenshi rimwe ku munsi ku gihe kimwe buri munsi. Urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, nubwo abantu bamwe basanga kuyifata hamwe n'ifunguro bifasha kwirinda kurwara mu nda.

Abantu benshi babigenza neza bafata escitalopram mu gitondo, kuko ibi bishobora gufasha kugabanya imbogamizi zose zishobora gutuma utaryama. Ariko, niba wumva urushye, umuganga wawe ashobora gutanga igitekerezo cyo kuyifata nimugoroba aho.

Ushobora gufata uyu muti uvana amazi, umutobe, cyangwa amata - icyo cyose wumva cyiza kuri wowe. Nta mpamvu yo kwirinda ibiryo byihariye mugihe ufata escitalopram, nubwo bigirwa inama ko ugabanya inzoga kuko ishobora kubangamira imikorere y'umuti.

Gerageza gufata urugero rwawe ku gihe kimwe buri munsi kugirango ugumane urwego ruzigama mumubiri wawe. Gushyiraho umwanya wo kwibutsa buri munsi kuri terefone yawe birashobora kugufasha gushyiraho iyi gahunda.

Nzamara igihe kingana iki mfata Escitalopram?

Abantu benshi bakeneye gufata escitalopram byibuze amezi 6-12 kugirango babone inyungu yuzuye, nubwo bamwe bashobora kubikenera igihe kirekire. Igihe biterwa n'imimerere yawe bwite, uburyo wumva neza kuvurwa, n'amateka yawe yo kwiheba cyangwa guhangayika.

Ushobora gutangira kubona impinduka zimwe na zimwe muminsi 2-4, ariko mubisanzwe bifata ibyumweru 6-8 kugirango wumve ingaruka zose zumuti. Iyi ngengabihe yoroheje ni ibisanzwe kandi ntibivuze ko umuti utagikora.

Kubijyanye n'igihe cya mbere cyo kwiheba cyangwa guhangayika, abaganga bakunze gushishikariza gukomeza kuvura mumyaka 6-12 nyuma yuko ibimenyetso bigabanuka. Ibi bifasha kwirinda ko ibimenyetso bigaruka kandi biha ubwonko bwawe umwanya wo guhagarara.

Niba waragize ibihe byinshi byo kwiheba cyangwa guhangayika, muganga wawe ashobora gutanga igitekerezo cyo kuvurwa igihe kirekire. Abantu bamwe bungukira mukufata escitalopram mumyaka myinshi, kandi birasa neza iyo bikurikiranwa n'umuganga wawe.

Ni izihe ngaruka ziterwa na Escitalopram?

Kimwe n'imiti yose, escitalopram irashobora gutera ingaruka ziterwa n'imiti, nubwo abantu benshi bahura nkeya cyangwa zoroshye. Ingaruka ziterwa n'imiti zisanzwe zikunze gukira muminsi mike ya mbere mugihe umubiri wawe wimenyereza umuti.

Dore ingaruka ziterwa n'imiti ushobora guhura nazo mugihe umubiri wawe umenyera escitalopram:

• Uburwayi bwo mu nda cyangwa kubabara mu nda (akenshi biroroha iyo bifashwe hamwe n'ibiryo)
• Umutwe cyangwa isereri
• Gusinzira cyane cyangwa kunanirwa
• Umunwa wumye
• Impinduka mu irari ryo kurya
• Impinduka mu gusinzira (gusinzira cyane cyangwa kugorwa no gusinzira)
• Kunyeganyega cyane kurusha uko bisanzwe

Ingaruka zerekeye imibonano mpuzabitsina nazo zirashobora kubaho, harimo kugabanya inyungu mu mibonano mpuzabitsina cyangwa kugorwa no kugera ku byishimo. Izi ngaruka ziba iz'igihe gito ku bantu bamwe ariko zirashobora kuramba ku bandi.

Ingaruka zitagaragara cyane ariko zikomeye zikeneye ubufasha bwihutirwa bw'abaganga. Vugana n'umuganga wawe ako kanya niba ubonye impinduka zikomeye mu myifatire, ibitekerezo byo kwigirira nabi, kuva amaraso bidasanzwe, gufatwa n'indwara, cyangwa ibimenyetso bya syndrome ya serotonin nk'umuriro mwinshi, umutima utera cyane, cyangwa urujijo rukabije.

Urubyiruko ruri munsi y'imyaka 25 rushobora kugira ibyago byiyongereye byo kugira ibitekerezo byo kwiyahura igihe batangira gufata imiti igabanya ubwoba. Gukurikiranira hafi mu mezi make ya mbere ni ngombwa kuri iyi myaka.

Ninde utagomba gufata Escitalopram?

Escitalopram ntabwo ikwiriye kuri buri wese, kandi indwara zimwe na zimwe cyangwa imiti irashobora kuyigira itekanye. Umuganga wawe azasuzuma amateka yawe y'ubuvuzi yuzuye mbere yo gutegeka uyu muti.

Ntabwo ugomba gufata escitalopram niba urimo gufata cyangwa umaze igihe gito uhagaritse gufata MAOIs (monoamine oxidase inhibitors), kuko iyi mvange ishobora gutera igikorwa giteje akaga cyitwa syndrome ya serotonin.

Abantu bafite indwara zimwe na zimwe z'umutima, cyane cyane izo zireba umuvuduko w'umutima, bashobora gukenera gukurikiranwa byihariye cyangwa imiti isimbura. Escitalopram rimwe na rimwe irashobora kugira ingaruka ku bikorwa by'amashanyarazi by'umutima.

Niba ufite amateka y'indwara zo gufatwa, indwara ya bipolar, cyangwa indwara zo kuva amaraso, umuganga wawe azakenera gupima neza inyungu n'ibibazo. Izi ndwara ntizibuza buri gihe gufata escitalopram, ariko zisaba gukurikiranwa hafi.

Kuba utwite no konka bisaba kwitonderwa byihariye. N'ubwo escitalopram ishobora gukoreshwa mu gihe cyo gutwita igihe inyungu ziruta ibyago, ni ngombwa kubiganiraho neza na muganga wawe.

Amazina y'ubwoko bwa Escitalopram

Escitalopram iboneka mu mazina y'ubwoko butandukanye, aho Lexapro ariyo izwi cyane. Andi mazina y'ubwoko arimo Cipralex, ikoreshwa cyane mu bihugu byinshi hanze ya Leta Zunze Ubumwe z'Amerika.

Escitalopram rusange nayo iraboneka cyane kandi ikubiyemo ibintu bikora kimwe n'ubwoko bw'amazina. Ubwoko rusange burakora neza kandi buratekanye nk'imiti y'amazina y'ubwoko ariko akenshi agura make.

Uko waba ufata escitalopram y'ubwoko cyangwa rusange, umuti ukora kimwe mu mubiri wawe. Farumasi yawe ishobora guhinduranya hagati y'abakora escitalopram rusange batandukanye, ariko ibi ntibizagira ingaruka ku buryo umuti ukora kuri wowe.

Uburyo bwo gusimbuza Escitalopram

Niba escitalopram itagukundiye cyangwa ikagutera ingaruka zibabaje, hari ubundi buryo bwo kuvura buriho. Izindi SSRIs nka sertraline (Zoloft), fluoxetine (Prozac), cyangwa paroxetine (Paxil) zikora kimwe ariko zishobora kwihanganirwa neza n'abantu bamwe.

SNRIs (serotonin-norepinephrine reuptake inhibitors) nka venlafaxine (Effexor) cyangwa duloxetine (Cymbalta) zigira ingaruka kuri serotonin na norepinephrine. Izi zishobora gufasha niba utarabyitwayemo neza kuri SSRIs gusa.

Imiti mishya yo kurwanya depression nka bupropion (Wellbutrin) ikora mu buryo butandukanye ikora kuri dopamine na norepinephrine aho kuba serotonin. Iyi nzira ishobora gukundwa niba ufite impungenge z'ingaruka zo mu mibonano mpuzabitsina cyangwa kongera ibiro.

Ubuvuzi butari ubw'imiti nka cognitive behavioral therapy (CBT) bushobora kugira akamaro kanini kuri depression no guhangayika, haba wenyine cyangwa uhujwe n'imiti. Abantu benshi basanga ibisubizo byiza biva mu guhuza ubuvuzi n'imiti.

Ese Escitalopram iruta Sertraline?

Escitalopram na sertraline zombi zikora neza nka SSRIs, ariko zifite itandukaniro rishobora gutuma imwe ikwira kurusha iyindi. Nta na imwe yitwa ko ari "nziza" kurusha iyindi - biterwa n'ibyo ukeneye ku giti cyawe n'uko umubiri wawe witwara.

Escitalopram akenshi ifatwa nk'ifite imikoranire mike n'imiti, kandi ishobora gutera ibibazo byo mu nda bike kurusha sertraline. Ubushakashatsi bumwe buvuga ko ishobora gukora vuba, nubwo imiti yombi isanzwe ifata ibyumweru byinshi kugira ngo igaragaze ingaruka zayo zose.

Sertraline imaze igihe kinini kandi iboneka mu buryo bwinshi bwo kuyifata, harimo n'ifumbire. Nanone, muri rusange ifatwa nk'iteguye gukoreshwa mugihe cyo gutwita no konsa, hamwe n'amakuru menshi y'ubushakashatsi aboneka kuri ibyo bihe.

Ihitamo ryiza riterwa n'ibimenyetso byawe byihariye, imiti yindi urimo gufata, n'amateka yawe bwite y'ubuzima. Muganga wawe ashobora kugufasha gupima ibyiza n'ibibi bya buri kimwe hashingiwe ku miterere yawe.

Ibikunze Kubazwa Kuri Escitalopram

Ese Escitalopram irakwiriye abarwayi b'umutima?

Escitalopram muri rusange irakwiriye abantu benshi bafite ibibazo by'umutima, ariko bisaba gukurikiranwa neza. Uyu muti rimwe na rimwe ushobora kugira ingaruka ku mutima, cyane cyane kubantu basanzwe bafite ibibazo by'umutima cyangwa bafata indi miti igira ingaruka ku mutima.

Niba ufite amateka y'indwara y'umutima, umutima utera nabi, cyangwa ufata imiti y'umutima, muganga wawe ashobora gutumiza ECG (electrocardiogram) mbere yo gutangira escitalopram kandi ashobora gukurikirana umutima wawe buri gihe mugihe cyo kuvurwa.

Abantu benshi bafite ibibazo by'umutima bihamye bashobora gufata escitalopram neza, cyane cyane iyo inyungu zo mu mutwe zirenze ibyago bito by'umutima. Umuganga wawe w'umutima n'umuganga w'indwara zo mu mutwe barashobora gufatanya kugirango barebe ko imiti yawe itekanye.

Nigute nzakora niba mfashe escitalopram nyinshi ku buryo butunguranye?

Niba wanyoye escitalopram nyinshi kurusha uko wagombaga, vugana n'umuganga wawe cyangwa ikigo gishinzwe uburozi ako kanya, kabone n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ingaruka zikomeye nk'indwara ya serotonin.

Ibimenyetso byo kunywa escitalopram nyinshi birimo isesemi ikabije, kuruka, isereri, gusinzira cyane, umutima wihuta, gufatwa n'ibihungabanyo, cyangwa impinduka mu miterere y'ubwonko. Niba ubonye kimwe muri ibi bimenyetso, shaka ubufasha bw'ubuvuzi bwihutirwa ako kanya.

Ntugerageze kwiteza kuruka cyangwa gufata indi miti yo kurwanya uburozi. Abaganga nibo bashobora kumenya neza uburyo bwo kuvura ukeneye bitewe n'ingano wanyoye n'igihe wanyoye.

Nkwiriye gukora iki niba nciwe urugero rwa escitalopram?

Niba waciwe urugero rwa escitalopram, rinywe ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Mur'icyo gihe, reka urugero waciwe, ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango wuzuze urugero waciwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba ukunda kwibagirwa urugero, tekereza gushyiraho alarme ya buri munsi cyangwa gukoresha umuteguro w'imiti kugirango bikufashe kwibuka.

Gucikwa urugero rimwe na rimwe mubisanzwe ntibizatera ibibazo, ariko gerageza kugumana uburyo bumwe kugirango ubone ibisubizo byiza. Niba waciwe urugero rwinshi rukurikirana, vugana n'umuganga wawe mbere yo gusubukura kuvurwa.

Nshobora guhagarika ryari kunywa escitalopram?

Ntugomba na rimwe guhagarika kunywa escitalopram ako kanya utabanje kuvugana n'umuganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho nk'isereri, isesemi, kubabara umutwe, n'impinduka z'imitekerereze.

Igihe wowe n'umuganga wawe mwemeje ko igihe kigeze cyo guhagarika escitalopram, mubisanzwe muzagabanya urugero buhoro buhoro mu byumweru byinshi cyangwa amezi. Ubu buryo bwo kugabanya bufasha ubwonko bwawe kumenyera impinduka kandi bugabanya ibimenyetso byo gukurwaho.

Igihe cyo guhagarika giterwa n'igihe umaze ufata umuti, uko ibimenyetso byawe bigenda bigabanuka, n'ibintu byihariye bigushobora. Abantu bamwe bashobora gukenera gufata escitalopram igihe kirekire kugira ngo bagumane ubuzima bwabo bwo mu mutwe.

Nshobora kunywa inzoga nkanwa escitalopram?

Nibyiza kugabanya cyangwa kwirinda inzoga mugihe ufata escitalopram, kuko inzoga ishobora kubangamira imikorere y'umuti kandi ikongera ibimenyetso byo kwiheba cyangwa guhangayika. Inzoga kandi irashobora kongera ibyago byo kugira ingaruka zirimo gusinzira no kuribwa umutwe.

Niba uhisemo kunywa rimwe na rimwe, bikore mu rugero ruto kandi witondere uko wumva. Abantu bamwe basanga inzoga zibagendaho cyane mugihe bafata escitalopram, bityo tangira n'ibintu bito kuruta uko bisanzwe.

Niba urwana no gukoresha inzoga, ni ngombwa kubiganiraho na muganga wawe. Bashobora kugufasha gukora gahunda yo kuvura ikemura ubuzima bwawe bwo mumutwe n'ikibazo icyo aricyo cyose cyo gukoresha ibiyobyabwenge.