Icyo Fluvoxamine ari cyo: Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo n'ibindi

Fluvoxamine ni umuti wandikirwa na muganga wo mu itsinda ry'imiti igabanya ubwoba yitwa selective serotonin reuptake inhibitors (SSRIs). Ikora yongera urugero rwa serotonin, umuti kamere mu bwonko bwawe ufasha kugenzura imitekerereze, ubwoba, n'ibindi bimenyetso byo mu mutwe.

Uyu muti umaze imyaka irenga mirongo itatu ufasha abantu guhangana n'indwara zitandukanye zo mu mutwe. Muganga wawe ashobora kukwandikira niba urimo guhangana n'indwara yo kwigunga, kwiheba, cyangwa ubwoba bumwe na bumwe butitabiriye neza izindi nshuti.

Fluvoxamine ni iki?

Fluvoxamine ni selective serotonin reuptake inhibitor (SSRI) ifasha kuringaniza imiti yo mu bwonko kugira ngo iteze imbere ubuzima bwawe bwo mu mutwe. Tekereza nk'umufasha ugumisha serotonin ituma umuntu agira imitekerereze myiza iboneka mu bwonko bwawe ikoreshwa cyane, ikabuza ko yinjizwa vuba.

Bitandukanye n'indi miti igabanya ubwoba, fluvoxamine ifatwa nk'umuti ukomeye wo hagati wibanda cyane ku nzira za serotonin. Yigishijwe cyane kandi yemejwe na FDA mu kuvura indwara zihariye zo mu mutwe, cyane cyane indwara yo kwigunga.

Uyu muti uza mu buryo bw'ibinini kandi ufashwe mu kanwa, akenshi rimwe cyangwa kabiri ku munsi bitewe n'ibyo muganga wawe agusaba. Ni igice cy'itsinda ry'imiti rishinzwe neza abantu babarirwa muri miliyoni bakoresheje neza mu gihe cy'ubuyobozi bw'abaganga.

Fluvoxamine ikoreshwa mu iki?

Fluvoxamine ikoreshwa cyane mu kuvura indwara yo kwigunga (OCD) n'indwara ikomeye yo kwiheba. Muganga wawe ashobora kukugira inama niba urimo guhura n'ibitekerezo bidashimishije, bidashakishwa cyangwa imyitwarire isubiramo ibintu byinubiza ubuzima bwawe bwa buri munsi.

Uyu muti kandi ukoreshwa mu bindi bibazo bitandukanye mugihe umuganga wawe abibona bikwiye. Indwara yo guhangayika mu mibanire, indwara yo guhangayika bikabije, n'indwara yo guhangayika nyuma y'ihungabana ni bimwe mu bikoreshwa bitari ku rutonde abaganga benshi bafata mugihe izindi nshuti zitagize icyo zikora.

Mu bindi bihe, fluvoxamine ishobora kwandikwa kubantu barwaye bulimia nervosa cyangwa uburwayi bumwe na bumwe burambye aho serotonin igira uruhare. Umuganga wawe azasuzuma neza uko ubuzima bwawe buhagaze kugirango amenye niba uyu muti ariwo mwanzuro mwiza w'ibimenyetso byawe byihariye n'amateka yawe y'ubuvuzi.

Fluvoxamine ikora ite?

Fluvoxamine ikora ibuza serotonin gusubira mu bwonko bwawe, bivuze ko bigumisha iyi kemosi ikora igihe kirekire. Serotonin ni nka intumwa ifasha selile z'imitsi kuvugana, kandi mugihe ufite nyinshi zihari, imitekerereze yawe n'ibimenyetso byo guhangayika bikunze guhinduka.

Uyu muti ufata nk'ukomeye cyane ugereranije n'izindi SSRIs, bivuze ko bishobora kugira akamaro kanini ariko kandi bishobora gutera ingaruka zigaragara cyane mbere na mbere. Imbaraga ntiziba nziza cyangwa mbi - bivuze gusa ko umuganga wawe azakugenzura cyane, cyane cyane mugihe utangiye kuwufata.

Ariko, ingaruka ntizibaho mu ijoro rimwe. Bisaba ibyumweru 4 kugeza kuri 6 kugirango umenye inyungu zose, kandi abantu bamwe bashobora gukenera ibyumweru 12 kugirango bagire ingaruka zose z'ubuvuzi. Ubwonko bwawe bugomba gufata umwanya wo kumenyera imiterere mishya ya kemosi.

Nkwiriye gufata gute Fluvoxamine?

Fata fluvoxamine nkuko umuganga wawe abitegeka, akenshi rimwe kumunsi nimugoroba cyangwa igabanyijemo doze ebyiri umunsi wose. Urashobora kuyifata hamwe cyangwa udafite ibiryo, ariko kuyifata hamwe n'ibiryo bishobora gufasha kugabanya isesemi niba ugize ikibazo icyo aricyo cyose cyo mu gifu.

Umunywe ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi - ntukagikande, urume, cyangwa ugice. Niba ufata verisiyo irekura umuti buhoro buhoro, ibi ni ngombwa cyane kuko kuyica bishobora kurekura umuti mwinshi icyarimwe.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugirango bifashe kugumana urwego ruzigama mu mubiri wawe. Niba uwufata kabiri ku munsi, shyira imiti hagati. Gushyiraho umwanya kuri terefone birashobora kugufasha gukora gahunda ihamye.

Mugihe uvuga ibyo, niba ubona isesemi cyangwa inda itameze neza, gufata fluvoxamine hamwe n'ifunguro rito cyangwa ifunguro rito akenshi bifasha. Irinde inzoga mugihe ufata uyu muti, kuko bishobora kongera gusinzira kandi bishobora kubangamira imikorere y'umuti.

Mbere y'igihe ngomba gufata Fluvoxamine?

Ubwoko bwo kuvurwa na fluvoxamine butandukanye cyane bitewe n'uburwayi bwawe n'uburyo witwara neza ku muti. Kubantu benshi, kuvurwa mubisanzwe bifata byibuze amezi 6 kugeza kuri 12 nyuma yuko ibimenyetso bigabanuka, ariko bamwe bashobora gukenera kuvurwa igihe kirekire.

Muganga wawe azagenzura buri gihe iterambere ryawe hanyuma agahindura gahunda yo kuvura. Kuburwayi nka OCD, abantu benshi bungukira mugufata umuti umwaka cyangwa kurenza kugirango birinde ibimenyetso gusubira. Kuvura umubabaro akenshi bikurikiza umurongo wigihe kimwe.

Ntuzigere uhagarika gufata fluvoxamine ako kanya, niyo wumva umeze neza. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro kugirango ugabanye buhoro buhoro urugero rwawe muminsi mike cyangwa amezi. Ibi bifasha kwirinda ibimenyetso byo gukurwaho kandi bigabanya ibyago byo gusubira ibimenyetso byawe byumwimerere.

Abantu bamwe bashobora gukenera gufata fluvoxamine igihe kirekire kugirango bagumane ubuzima bwabo bwo mumutwe. Ibi ni ibisanzwe rwose kandi ntibisobanura ko wizeye umuti - bisobanura gusa ko ubwonko bwawe bungukira ku nkunga ikomeje ya chimique.

Ni izihe ngaruka za Fluvoxamine?

Kimwe n'imiti yose, fluvoxamine ishobora gutera ingaruka zidakunda, nubwo atari buri wese uzazibona. Ingaruka zidakunda nyinshi ziba zoroshye cyangwa ziciriritse kandi akenshi zigenda zikira uko umubiri wawe umenyera umuti mu byumweru bike bya mbere.

Dore ingaruka zidakunda zisanzwe ushobora guhura nazo, cyane cyane mu byumweru bike bya mbere by'ubuvuzi:

• Kuruka no kuribwa mu nda
• Gusinzira cyangwa kumva unaniwe
• Umutwe
• Urugero
• Umunwa wumye
• Impinduka mu rwego rwo kurya
• Ibibazo byo gusinzira cyangwa inzozi zigaragara
• Ingaruka zidakunda zo mu mibonano mpuzabitsina, nk'uko kugabanuka k'irari ry'imibonano mpuzabitsina

Izi ngaruka zidakunda zisanzwe akenshi zigabanuka uko umubiri wawe umenyera umuti. Gufata fluvoxamine hamwe n'ibiryo no kuguma mu mazi menshi bishobora gufasha kugabanya zimwe muri izi ngaruka.

Abantu bamwe bashobora guhura n'ingaruka zidakunda zitazwi cyane ariko ziteye impungenge zikeneye ubufasha bwa muganga. Nubwo ibi bidasanzwe, ni ngombwa kubimenya kugirango ushobore kuvugana na muganga wawe niba bibayeho:

• Kuvurungana cyane cyangwa kutagira umutuzo
• Gusohoka amaraso cyangwa gukomereka bidasanzwe
• Umutwe ukabije cyangwa impinduka mu iyerekwa
• Urubavu rubabaza cyangwa umutima utera nabi
• Umutima w'umutima
• Ibikorwa bikabije byo ku ruhu cyangwa ibibara
• Ibitekerezo byo kwigirira nabi (cyane cyane mu rubyiruko)

Niba uhuye n'imwe muri izi ngaruka zikomeye zidakunda, vugisha umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa. Umutekano wawe ni wo uza imbere, kandi muganga wawe yifuza cyane kumva ibikubaho kurusha uko wakwihanganira mu rwego rwo guceceka.

Ninde utagomba gufata Fluvoxamine?

Fluvoxamine ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Ntugomba gufata uyu muti niba uri gufata indi miti imwe n'imwe cyangwa ufite indwara zihariye.

Ugomba kwirinda gufata fluvoxamine niba ufata ibinini bya monoamine oxidase inhibitors (MAOIs) cyangwa waba warabifashe mu minsi 14 ishize. Ubu buryo bushobora gutera indwara yitwa serotonin syndrome, ishobora gushyira ubuzima mu kaga.

Indwara zimwe na zimwe zisaba kwitonda cyane cyangwa zishobora gutuma fluvoxamine itakugirira akamaro. Muganga wawe azagomba kumenya ibyerekeye izi ndwara mbere yo kukwandikira imiti:

\n
• Indwara y'umwijima cyangwa ibibazo bikomeye by'impyiko
\n
• Indwara zo mu mutima zidakora neza
\n
• Indwara zo gufatwa n'ibicurane cyangwa epilepsi
\n
• Indwara ya bipolar (itavuzwe n'imiti igabanya imyumvire)
\n
• Glaucoma
\n
• Indwara zo kuva amaraso
\n
• Umutima watewe n'umutima cyangwa stroke iheruka
\n

Kugira imbaga no konsa nabyo bisaba kwitonderwa by'umwihariko. Nubwo fluvoxamine ishobora gukoreshwa mu gihe cyo gutwita mu bihe bimwe na bimwe, muganga wawe azagereranya akamaro kayo n'ingaruka zishobora kuba ku buzima bwawe n'umwana wawe.

Urubyiruko ruri munsi y'imyaka 25 rukeneye gukurikiranwa by'umwihariko iyo rutangiye gufata fluvoxamine, kuko hariho ibyago byiyongera ho gato byo kugira ibitekerezo byo kwiyahura mu mezi make ya mbere yo kuvurwa. Ibi ntibisobanura ko umuti ari mubi - bisobanura gusa ko muganga wawe azajya akureba kenshi.

Amazina y'ubwoko bwa Fluvoxamine

Fluvoxamine iboneka mu mazina y'ubwoko butandukanye, Luvox ikaba ariyo izwi cyane. Ubwoko bwo gukoreshwa igihe kirekire akenshi bugurishwa nka Luvox CR, ituma umuntu afata umuti rimwe ku munsi.

Ushobora kandi kubona ubwoko bwa fluvoxamine busanzwe, burimo ibintu bimwe bikora ariko akenshi bihendutse. Imiti isanzwe ifite akamaro kimwe n'ubwoko bw'amazina kandi igomba guhura n'ibisabwa bya FDA byo kugira umutekano n'akamaro.

Farumasi yawe ishobora gusimbuza fluvoxamine isanzwe izina ry'ubwoko keretse muganga wawe yanditseho by'umwihariko

Niba fluvoxamine itagukwiriye, imiti myinshi yindi ishobora kuvura ibibazo bisa. Izindi SSRIs nka sertraline (Zoloft), fluoxetine (Prozac), na paroxetine (Paxil) zikora kimwe ariko zishobora kugira ingaruka zitandukanye.

Muganga wawe ashobora no gutekereza SNRIs (serotonin-norepinephrine reuptake inhibitors) nka venlafaxine (Effexor) cyangwa duloxetine (Cymbalta). Iyi miti igira ingaruka kuri serotonin na norepinephrine, ibi bikaba byafasha mu bwoko bumwe bwo kwiheba no guhangayika.

Kubijyanye na OCD by'umwihariko, izindi nzira zo kuvura zirimo imyitwarire yo mu mutwe, cyane cyane imyitozo yo kwerekana no gukumira. Abantu benshi bungukira mu guhuza imiti n'ubuvuzi kugira ngo bagire ibisubizo byiza by'igihe kirekire.

Uburyo butari ubw'imiti nka mindfulness, imyitozo ngororamubiri ya buri gihe, n'uburyo bwo gucunga umunaniro na bwo bushobora gufasha urugendo rwawe rwo mu mutwe. Muganga wawe ashobora kugufasha gushakisha izi nzira zose kugira ngo ubone uburyo bwiza bujyanye n'ibyo ukeneye.

Ese Fluvoxamine iruta Sertraline?

Bombi fluvoxamine na sertraline ni SSRIs zikora neza, ariko buri imwe ifite ibiranga byihariye bishobora gutuma imwe ikwiriye kuruta iyindi. Nta na imwe iruta izindi - biterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko umubiri wawe witwara kuri buri muti.

Fluvoxamine ikunda gutuza cyane kandi ikora neza cyane kuri OCD, naho sertraline akenshi yihanganirwa neza kandi ifite imiti mike ihura. Sertraline kandi yemerewe kuvura indwara nyinshi, zirimo indwara yo guhangayika no PTSD.

Guhitamo hagati y'iyi miti akenshi biterwa n'ingaruka zayo n'uburyo wabyakiriye. Abantu bamwe babona ko ibisubizo byo gutuza bya fluvoxamine bibafasha, naho abandi bakunda imitungo ya sertraline ikora cyane kandi yihanganirwa neza.

Muganga wawe azatekereza ibintu nk'ibimenyetso byawe byihariye, imiti indi urimo gufata, n'imibereho yawe mugihe ahitamo hagati y'ibi byemezo. Rimwe na rimwe bisaba kugerageza imiti irenze imwe kugirango ubone ikwiriye neza uko ubuzima bwawe bumeze.

Ibibazo Bikunze Kubazwa Kuri Fluvoxamine

Ese Fluvoxamine irakwiriye kubafite indwara z'umutima?

Fluvoxamine muri rusange irakwiriye kubantu bafite indwara z'umutima zidakomeye, ariko muganga wawe azagomba gusuzuma ubuzima bwawe bwihariye mbere yo kuyandika. Uyu muti rimwe na rimwe ushobora kugira ingaruka kumuvuduko w'umutima, bityo abantu bafite ibibazo by'umutima basanzwe bakeneye gukurikiranwa neza.

Niba ufite amateka yo gufatwa n'umutima, umuvuduko w'umutima utagenda neza, cyangwa izindi ngorane zikomeye z'umutima, muganga wawe ashobora kugusaba gutangira n'urugero ruto cyangwa guhitamo undi muti. Kugenzura buri gihe ndetse no gukoresha EKG bishobora kuba ngombwa kugirango umutima wawe ukomeze kuba muzima mugihe ufata fluvoxamine.

Nigute nzakora niba mfashe fluvoxamine nyinshi bitunguranye?

Niba ufata fluvoxamine nyinshi kuruta uko byategetswe, vugana na muganga wawe, umufarumasiti, cyangwa ikigo gishinzwe gukumira uburozi ako kanya. Nubwo kwiyongera kwa fluvoxamine bidakunze kwica, bishobora gutera ibimenyetso bikomeye bikeneye ubuvuzi.

Ibimenyetso byo gufata nyinshi birimo isesemi ikabije, kuruka, isereri, gusinzira cyane, cyangwa impinduka zumuvuduko w'umutima. Ntugerageze kwivugisha niba utabitegetswe n'umuganga. Bika urupapuro rw'umuti hamwe nawe kugirango abaganga babone neza icyo wafashe n'ingano yacyo.

Nigute nzakora niba nciwe urugero rwa fluvoxamine?

Niba wibagiwe gufata urugero rwa fluvoxamine, ifate uko wibuka, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muricyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe - ntukongereho urugero.

Kutafata imiti rimwe na rimwe ntacyo bitwaye, ariko gerageza kuyifata buri gihe kugira ngo igire akamaro keza. Niba ukunda kwibagirwa imiti, tekereza gushyiraho ibyibutso kuri terefone yawe cyangwa ukoreshe agasanduku kabugenewe kugufasha gukurikiza gahunda yawe yo kunywa imiti.

Ni ryari nshobora kureka gufata Fluvoxamine?

Ugomba kureka gufata fluvoxamine ari uko ubisabwe na muganga wawe, kabone n'iyo wumva umeze neza rwose. Kuyireka ako kanya bishobora gutera ibimenyetso byo kuva mu miti kandi bishobora gutuma ibimenyetso byawe bya mbere bisubira.

Muganga wawe azagushyiriraho gahunda yo kugabanya buhoro buhoro imiti, akenshi agabanya urugero ruto mu byumweru byinshi cyangwa amezi. Iyi nzira ifasha ubwonko bwawe guhinduka buhoro buhoro ku rugero rugabanuka rw'imiti kandi ifasha kwirinda ingaruka zitari nziza zo kuva mu miti.

Umwanzuro wo kureka fluvoxamine ugendera ku bintu nk'igihe umaze uyifata, impamvu yayandikiwe, n'uko ubuzima bwawe bwo mu mutwe bumeze. Abantu bamwe bashobora gukenera gukomeza gufata imiti igihe kirekire, mu gihe abandi bashobora kuyireka neza nyuma y'uko ibimenyetso byabo byagenzurwa neza igihe kirekire.