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

Imipramine ni umuti wandikirwa na muganga ugwa mu itsinda ry'imiti yitwa tricyclic antidepressants. Muganga wawe ashobora kuyikwandikira kugira ngo ifashe kuvura umubabaro, ubwoko bumwe bw'uburwayi burambye, cyangwa kunyara mu buriri ku bana. Uyu muti ukora ungana imisemburo kamere mu bwonko bwawe igira uruhare mu guhindura imyumvire n'ibimenyetso by'ububabare.

Nubwo imipramine imaze imyaka myinshi ikoreshwa neza, ni ngombwa gusobanukirwa uko ikora, icyo wakwitega, n'uko wayifata neza. Reka tunyure mu bintu byose ukeneye kumenya kuri uyu muti mu magambo yoroshye kandi asobanutse.

Imipramine ni iki?

Imipramine ni umuti wa tricyclic antidepressant wabanje gukorwa mu myaka ya za 1950. Ni umwe mu miti ya kera ivura umubabaro, ariko iracyakora neza mu kuvura indwara nyinshi zitandukanye uretse umubabaro. Uyu muti uza mu buryo bw'ibinini kandi ufashwe unyuzwa mu kanwa.

Uyu muti ugwa mu cyiciro cy'imiti ikora mu buryo butandukanye n'imiti mishya ivura umubabaro. Mugihe imiti ya none ivura umubabaro nka SSRIs yibanda ku kinyabutabazi kimwe mu bwonko, imipramine igira uruhare ku bisemburo byinshi mu bwonko bwawe. Iyi ngaruka yagutse bituma ikoreshwa mu ndwara zitandukanye ariko nanone bivuze ko ishobora gutera ingaruka nyinshi kurusha imiti mishya.

Muganga wawe ashobora guhitamo imipramine iyo izindi nshuti zitagize icyo zikora, cyangwa iyo ufite indwara zihariye zisubiza neza kuri ubu bwoko bw'umuti. Ifatwa nk'uburyo bwo kuvura bwizewe, bwizweho neza bufite amateka maremare yo gufasha abantu kumva bameze neza.

Imipramine ikoreshwa mu kuvura iki?

Imipramine ivura umubabaro nk'igikoresho cyayo cy'ibanze, ariko abaganga bayandikira n'izindi ndwara nyinshi. Uyu muti ushobora gufasha mu ndwara zirambye z'ububabare, indwara zo guhagarika umutima, no kunyara mu buriri ku bana bafite imyaka irenga 6.

Ku bijyanye no kwiheba, imipramine ifasha kugarura uburinganire bwa neurotransmitters mu bwonko bwawe bigira ingaruka ku myumvire, ibitotsi, n'imbaraga. Abantu benshi basanga ibimenyetso byabo bigenda bikira buhoro buhoro mu gihe cy'ibyumweru byinshi byo kuvurwa. Uyu muti ushobora gufasha cyane niba wagerageje izindi ntungamubiri zitanga ibyiringiro ariko ntibigire icyo bitanga.

Mu bijyanye n'ububabare buhoraho, imipramine irashobora kugabanya ububabare bw'imitsi kabone niyo yakoreshwa ku bipimo bike ugereranije n'ibyo bakoresha mu kuvura kwiheba. Indwara nka fibromyalgia, diabetic neuropathy, n'ubwoko bumwe na bumwe bw'umutwe bishobora gusubiza neza kuri ubu buvuzi. Kugabanya ububabare akenshi bitangira mbere yuko ingaruka zose ku myumvire zigaragara.

Ku bijyanye no kunyara mu buriri mu bana, imipramine ikora igira ingaruka ku misitsi n'imitsi igenzura uruhago. Ubu buryo bwo gukoresha bukubiye cyane cyane ku bana batagize icyo bageraho mu zindi nshingano kandi bafite imyaka nibura 6.

Imipramine ikora ite?

Imipramine ikora ibuza gusubizwa inyuma kw'imiti ibiri y'ingenzi yo mu bwonko: serotonin na norepinephrine. Ibi bivuze ko iyi miti igenzura imyumvire iguma ikora mu bwonko bwawe igihe kirekire, ibi bikaba bishobora gufasha kunoza ibimenyetso byo kwiheba no kugabanya ubwoko bumwe na bumwe bw'ububabare.

Bitekereze nk'uko uhindura ijwi kuri radiyo zitandukanye mu bwonko bwawe. Iyo wihebye cyangwa ufite ububabare buhoraho, zimwe muri izi

Nkwiriye Gufata Imipramine Nte?

Fata imipramine uko muganga wawe abikwandikiye, akenshi rimwe cyangwa kabiri ku munsi hamwe cyangwa hatariho ibiryo. Abantu benshi babona ko bifasha kuyifata hamwe n'ibiryo kugirango bagabanye kuribwa mu gifu. Urashobora kuyifata hamwe n'amazi, amata, cyangwa umutobe - icyo cyose wumva cyoroshye kuri wowe.

Niba uyifata rimwe ku munsi, muganga wawe ashobora kugusaba kuyifata mbere yo kuryama kuko bishobora gutera gusinzira. Iki gihe gishobora gufasha niba ufite ibibazo byo gusinzira. Ku bifata kabiri ku munsi, fata urugero rumwe mu gitondo n'urundi mbere yo kuryama keretse muganga wawe abisabye ukundi.

Ntukamenagure, utonge cyangwa uteme ibinini - ubimire byose. Niba ufite ibibazo byo kumira ibinini, ganira na muganga wawe kubyerekeye izindi nzira. Abantu bamwe babona ko byoroshye gufata umuti hamwe n'ibiryo bito nk'apulo cyangwa puding.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugirango ugumane urwego ruzima mu mubiri wawe. Iyi mikorere ifasha umuti gukora neza kandi igabanya amahirwe yo kubura doze.

Nkwiriye Gufata Imipramine Igihe Kingana Gite?

Abantu benshi bakeneye gufata imipramine byibuze mu byumweru 4 kugeza kuri 6 mbere yo kumva inyungu zose zo kwiheba. Abantu bamwe babona impinduka mu gusinzira no kurya mu cyumweru cya mbere cyangwa icya kabiri, ariko impinduka z'amarangamutima akenshi bifata igihe kirekire kugirango zigaragare.

Ku kwiheba, abaganga basanzwe basaba gukomeza kuvura byibuze amezi 6 kugeza kuri 12 nyuma yuko ibimenyetso byawe bigabanuka. Ibi bifasha kwirinda ko kwiheba bigaruka. Abantu bamwe bashobora gukenera kuvurwa igihe kirekire, cyane cyane niba baragize ibyiciro byinshi byo kwiheba.

Mugihe cyo kuvura ububabare buhoraho, igihe gishobora gutandukana cyane. Abantu bamwe bahura no kugabanyirizwa ububabare muminsi cyangwa muminsi mike, mugihe abandi bashobora gukenera amezi menshi kugirango babone inyungu zose. Muganga wawe azakorana nawe kugirango abone igihe gikwiye hashingiwe ku gisubizo cyawe.

Ntugasubize gufata imipramine mu buryo butunguranye, n'iyo wumva umeze neza. Muganga wawe azagushyiriraho gahunda yo kugabanya urugero rwa imipramine buhoro buhoro uko igihe kigenda gihita. Ibi birinda ibimenyetso byo kuva mu miti kandi bigabanya ibyago byo gusubira mu bimenyetso byawe bya mbere.

Ni ibihe bimenyetso bishobora kugaragara iyo ufata imipramine?

Kimwe n'imiti yose, imipramine ishobora gutera ibimenyetso bishobora kugaragara, nubwo atari buri wese ubyumva. Ibimenyetso bisanzwe bishobora kugaragara mubisanzwe biroroshye kandi akenshi birakosoka uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Dore ibimenyetso bishobora kugaragara cyane iyo umubiri wawe umenyereye umuti:

• Umunwa wumye no kunyota cyane
• Gusinzira cyangwa kumva unaniwe ku manywa
• Kuribwa umutwe, cyane cyane iyo uhagurutse
• Kubura kwituma
• Kureba nabi
• Kongera ibiro
• Kugorana kwihagarika
• Kunyeganyega cyane

Ibi bimenyetso bisanzwe bishobora kugaragara mubisanzwe birashoboka kandi akenshi birashira uko umubiri wawe wimenyereza. Kuguma ufata amazi ahagije, kurya ibiryo birimo fibre nyinshi, no guhaguruka buhoro bishobora gufasha kugabanya bimwe muri ibi bimenyetso.

Abantu bamwe baribwa n'ibimenyetso bikomeye bikeneye ubufasha bwihutirwa bwa muganga. Nubwo ibi bidakunze kugaragara, ni ngombwa kubimenya:

• Kuribwa umutwe cyane cyangwa guta umutwe
• Umutima utera cyane cyangwa utagenda neza
• Kubura kwituma cyane cyangwa kudashobora kwihagarika
• Guhungabana cyangwa ibibazo byo kwibuka
• Kunyeganyega cyane cyangwa guhinda umushyitsi
• Uruhu cyangwa amaso y'umuhondo
• Uruhu ruruma cyane cyangwa kurigata

Vugana na muganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye. Abantu benshi bafata imipramine neza, ariko umuganga wawe agomba kumenya ibimenyetso byose bibangamiye.

Mu bintu bikeya bibaho, abantu bamwe bashobora kugira ibitekerezo byo kwiyahura, cyane cyane mu byumweru bya mbere byo kuvurwa cyangwa mu gihe bahindura imiti. Ibi bikunda kubaho cyane ku bantu bari munsi y'imyaka 25. Niba ufite ibitekerezo byo kwangiza umubiri wawe, vugana n'umuganga wawe ako kanya cyangwa uhamagare umurongo utanga ubufasha mu gihe cy'ibibazo.

Ninde Utagomba Gufata Imipramine?

Imipramine ntibera buri wese, kandi umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kukwandikira. Abantu bamwe bagomba kwirinda iyi miti burundu, mu gihe abandi bashobora gukenera gukurikiranwa by'umwihariko cyangwa guhindurirwa urugero rw'imiti bafata.

Ntabwo ugomba gufata imipramine niba umaze iminsi mike ugize umutima, ufite ibibazo bimwe na bimwe by'umutima, cyangwa ufata imiti yitwa MAO inhibitors. Ubu buryo bushobora kuba bubi kandi bushobora gushyira ubuzima mu kaga.

Indwara nyinshi zikeneye kwitonda cyane mugihe cyo gutekereza ku kuvurwa na imipramine. Umuganga wawe azagomba gupima inyungu zihari n'ibibazo bishobora kuvuka niba ufite izi ndwara:

• Indwara y'umutima cyangwa umutima utera nabi
• Glaucoma (umuvuduko w'amaso wiyongereye)
• Prostate yagutse cyangwa ibibazo byo kunyara
• Indwara y'umwijima cyangwa impyiko
• Indwara zo gufatwa n'ibihungabanyo
• Indwara ya bipolar
• Ibibazo bya thyroid

Niba utwite cyangwa wonka, ganira n'umuganga wawe ku byerekeye ibibazo n'inyungu. Imipramine ishobora kujya ku mwana wawe, ariko rimwe na rimwe inyungu zo kuvurwa ziruta ibibazo bishobora kuvuka.

Imyaka nayo ni ikintu cy'ingenzi - abantu bakuze n'abana bakeneye kwitabwaho by'umwihariko. Abantu basaza bashobora kwitaba cyane ingaruka ziterwa n'imiti, mu gihe abana bari munsi y'imyaka 6 batagomba guhabwa imipramine yo kurwanya kunyara mu buriri.

Amazina y'ubwoko bwa Imipramine

Imipramine iboneka munsi y'amazina menshi y'ubwoko, nubwo verisiyo rusange ikunda kwandikwa uyu munsi. Izina ry'ubwoko rizwi cyane ni Tofranil, ryabayeho mu myaka myinshi.

Izindi nyito z'izina zirimo Tofranil-PM (uburyo butandukanye) n'uburyo butandukanye bwa generic bukorerwa n'amasosiyete atandukanye y'imiti. Byose birimo ikintu kimwe gikora - imipramine hydrochloride - kandi bikora kimwe mu mubiri wawe.

Farumasi yawe ishobora guhinduranya hagati y'abakora imipramine ya generic batandukanye, ariko ibi ntibigomba kugira ingaruka ku buryo umuti ukora neza. Niba ubonye impinduka iyo ari yo yose uko wumva nyuma yo guhindura izina, bimenyeshe muganga wawe.

Izindi Miti Ishobora Gusimbura Imipramine

Niba imipramine itagukwiriye, hari izindi miti zihari bitewe n'uburwayi bwawe bwihariye. Kubijyanye no kwiheba, imiti mishya yo kurwanya kwiheba nka SSRIs cyangwa SNRIs akenshi igeragezwa mbere kuko akenshi agira ingaruka nke.

Izindi miti yo kurwanya kwiheba ya tricyclic nka amitriptyline cyangwa nortriptyline zikora kimwe na imipramine ariko zishobora kwihanganirwa neza n'abantu bamwe. Muganga wawe ashobora gufasha kumenya uburyo bushobora gukora neza kubijyanye n'uburwayi bwawe.

Kubijyanye n'ububabare buhoraho, izindi miti zirimo izindi tricyclics, imiti imwe yo gufata ibihungabanyo nka gabapentin, cyangwa izindi miti yo kurwanya kwiheba nka duloxetine. Guhitamo biterwa n'ubwoko bw'ububabare bwawe bwihariye n'izindi ngingo z'ubuzima.

Kubijyanye no kunyara mu buriri mu bwana, uburyo bwo mu myitwarire, ibyuma byo gukangura abana, cyangwa izindi miti bishobora gutekerezwa. Muganga wawe azaganira ku buryo bwose kandi agufashe guhitamo ubuvuzi bukwiye.

Ese Imipramine iruta Amitriptyline?

Imipramine na amitriptyline zombi ni imiti yo kurwanya kwiheba ya tricyclic ikora kimwe, ariko zifite itandukaniro rishobora gutuma imwe ikugirira akamaro kurusha iyindi. Nta numwe uruta undi - biterwa n'ibyo ukeneye ku giti cyawe n'uko umubiri wawe witwara.

Amitriptyline ikunda gutuma umuntu asinzira kurusha imipramine, ibyo bikaba bifasha niba ufite ikibazo cyo gusinzira. Ariko, ibi bisobanura ko bishobora gutera umunaniro mwinshi ku manywa. Imipramine muri rusange ntigira ingaruka zo gusinzira, ibyo abantu bamwe bakunda.

Ku ndwara zifitanye isano n'ububabare, imiti yombi irashobora kugira akamaro, ariko amitriptyline ikoreshwa cyane ku bubabare bwo mu ntsinga n'umutwe. Imipramine ishobora guhitwamo niba ukeneye kuvurwa indwara yo kwiheba no kunyara mu buriri, kuko yemejwe by'umwihariko gukoreshwa kuri iyi ndwara mu bana.

Ingaruka zishobora gutandukana hagati y'iyo miti yombi. Abantu bamwe boroherwa n'umwe kurusha undi, nubwo zombi ziri mu cyiciro kimwe cy'imiti. Muganga wawe azatekereza ku bimenyetso byawe byihariye, amateka yawe y'ubuzima, n'imibereho yawe ya buri munsi mugihe ahitamo hagati yayo.

Ibibazo Bikunze Kubazwa Kuri Imipramine

Ese Imipramine ifite umutekano ku ndwara z'umutima?

Imipramine isaba kwitonderwa cyane niba ufite indwara y'umutima. Uyu muti ushobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, cyane cyane mugihe utangiye kuwufata cyangwa mugihe uhindura doze.

Muganga wawe ashobora gutegeka gukora electrocardiogram (EKG) mbere yo gutangira gufata imipramine niba ufite ibibazo by'umutima. Iyi test igereranya imikorere y'amashanyarazi y'umutima wawe kandi igafasha kumenya niba uwo muti ufite umutekano kuri wowe. Gukurikiranwa buri gihe bishobora kuba ngombwa mugihe cyose cyo kuvurwa.

Niba ufite indwara y'umutima idakomeye, muganga wawe ashobora gukomeza kwandika imipramine hamwe no gukurikiranwa hafi. Ariko, niba ufite ibibazo bikomeye by'umutima, umutima wawe umaze guhagarara vuba, cyangwa indwara zimwe na zimwe z'umutima, ubusanzwe havugwa izindi miti.

Nigute nzakora niba mfunze imipramine ku buryo butunganye?

Niba ufata imipramine ku buryo butunganye, vugana n'abashinzwe kugenzura uburozi cyangwa serivisi zihutirwa ako kanya. Ibyo bimenyetso byo kurenza urugero birimo gusinzira cyane, urujijo, umutima utera cyane, guhumeka nabi, cyangwa kutagira ubwenge.

Ntugerageze kwisukisha cyangwa gutegereza kureba niba wumva umeze neza. Imipramine yarenze urugero irashobora kuba ikomeye kandi isaba ubufasha bwihutirwa. Igihe ni ingenzi, rero shaka ubufasha ako kanya kabone niyo utazi neza urugero wafashe.

Jyana icupa ry'umuti igihe ujya gushaka ubufasha bwa muganga kugira ngo abaganga bamenye neza icyo wafashe. Niba bishoboka, ujye ugumana n'umuntu kugeza igihe ubufasha bwa muganga buje.

Nkwiriye gukora iki niba nciwe urugero rwa Imipramine?

Niba waciwe urugero rwa imipramine, ujye urufata uko wibukije, keretse igihe cyo gufata urugero rukurikira kigeze. Muri urwo rubanza, reka urugero wibagiwe ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo wisubize urugero wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka zidakunda, kandi ntibitanga imiti myiza. Niba utazi neza igihe, vugana na muganga wawe cyangwa umufarumasiti kugira ngo bagufashe.

Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe umuteguro w'imiti. Gufata imiti buri gihe bifasha kugumana urugero rwawo mu mubiri wawe kugira ngo ugire ingaruka nziza zo kuvurwa.

Nshobora guhagarika ryari gufata Imipramine?

Ntuzagomba guhagarika gufata imipramine ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti nk'isazi, isesemi, kubabara umutwe, n'ibimenyetso bisa n'ibicurane. Bishobora kandi gutuma ibimenyetso byawe by'umwimerere bisubira.

Muganga wawe azakora gahunda yo kugabanya buhoro buhoro igihe kigeze cyo guhagarika umuti. Ibi mubisanzwe bikubiyemo kugabanya urugero rwawe buhoro buhoro mu byumweru byinshi cyangwa amezi. Igihe nyacyo giterwa n'igihe umaze ufata umuti n'uburyo wowe ubwawe ubyitwaramo.

N'iyo wumva umeze neza rwose, ni ngombwa gukomeza gufata imipramine uko byategetswe kugeza muganga wawe aguhaye uburenganzira bwo guhagarika. Abantu benshi bakeneye gufata imiti igabanya ubwoba mu mezi cyangwa imyaka kugira ngo birinde ko ibimenyetso bisubira.

Nshobora kunywa inzoga niba mfata Imipramine?

Ni byiza kwirinda inzoga niba ufata imipramine, kuko guhuza byongera cyane gusinzira no kuribwa umutwe. Inzoga kandi ishobora kubangamira uburyo umuti ukora neza kandi ishobora gutuma ibimenyetso by'agahinda karushaho.

Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi kandi witondere cyane ibikorwa bisaba ubushishozi nko gutwara imodoka. Ntukanywe inzoga na rimwe igihe ugitangira gufata imipramine cyangwa uhindura urugero rwawe.

Ganira na muganga wawe ku bijyanye no kunywa inzoga mbere yo gutangira gufata imipramine. Bashobora gutanga inama zishingiye ku miterere yawe bwite kandi bakagufasha gufata ibyemezo bifite umutekano kurusha ibindi ku buzima bwawe.