Protriptyline ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'imiti n'ibindi

Protriptyline ni umuti uvura umubabaro wo mu mutwe wa tricyclic, ufasha kuvura umubabaro wo mu mutwe ungana ibinyabutabire bimwe na bimwe byo mu bwonko. Uyu muti usanzwe uvura umubabaro wo mu mutwe umaze imyaka myinshi ukoreshwa kandi ukaba ukora ku bantu benshi, nubwo akenshi wandikirwa iyo imiti mishya itagize icyo ikora. Kumva uko protriptyline ikora n'icyo wakwitega bishobora kugufasha kumva ufite icyizere cyinshi ku rugendo rwawe rwo kuvurwa.

Protriptyline ni iki?

Protriptyline ni umwe mu itsinda ry'imiti yitwa tricyclic antidepressants, ikora mu buryo butandukanye n'imiti mishya ivura umubabaro wo mu mutwe ushobora kuba warumviseho. Yatejwe imbere mu myaka ya za 1960 kandi ifite amateka maremare yo gufasha abantu guhangana n'umubabaro wo mu mutwe neza. Bitandukanye n'indi miti imwe na imwe ya tricyclic antidepressants, protriptyline ikunda gushishikariza aho gutuza, bivuze ko bidashoboka ko wagira ibitotsi ku manywa.

Muganga wawe ashobora guhitamo protriptyline iyo indi miti ivura umubabaro wo mu mutwe itagufashije. Ifatwa nk'ubuvuzi bwa kabiri, bivuze ko abaganga bakunda kubanza kugerageza imiti mishya, ariko protriptyline ishobora gufasha cyane mu bwoko bumwe na bumwe bw'umubabaro wo mu mutwe cyangwa iyo wiboneye ingaruka ziterwa n'imiti zikubangamiye zituruka ku yindi miti.

Protriptyline ikoreshwa mu kuvura iki?

Protriptyline ahanini yandikirwa kuvura indwara ikomeye yo mu mutwe, ifasha gukuraho agahinda gakomeye, kutagira icyizere, no kubura imbaraga biranga iyi ndwara. Muganga wawe ashobora kubikugiraho inama niba warwana n'umubabaro wo mu mutwe utarasubiza neza ku bundi buvuzi cyangwa niba ukeneye umuti udashobora gutera ibitotsi.

Usibye indwara yo kwiheba, rimwe na rimwe abaganga bandikira protriptyline ku bindi bibazo, nubwo ibyo bifatwa nk'ibyo "bitagenewe". Ibyo bishobora kuba birimo ubwoko bumwe na bumwe bw'ububabare burambye, cyane cyane ububabare bw'imitsi, cyangwa ibibazo byo gusinzira aho imitungo itera imbaraga y'uyu muti yaba ingirakamaro. Ariko, muganga wawe azagereranya neza inyungu n'ibibazo byose byo gukoresha uyu muti hanze yo kuvura indwara yo kwiheba.

Protriptyline ikora ite?

Protriptyline ikora yongera urwego rw'imiti imwe yo mu bwonko yitwa neurotransmitters, by'umwihariko norepinephrine na serotonin. Tekereza kuri iyi miti nk'intumwa zifasha selile z'imitsi zo mu bwonko bwawe kuvugana hagati yazo ku bijyanye n'imitekerereze, imbaraga, n'imibereho myiza y'amarangamutima. Iyo urwego rw'iyi miti ruri hasi, ushobora guhura n'ibimenyetso byo kwiheba.

Uyu muti ufata nk'ukomeye ku rugero ruciriritse mu miti ivura kwiheba, ariko ukora gahoro kurusha uko wabyiteze. Muri rusange ntuzumva inyungu zose mu byumweru 4 kugeza kuri 6, nubwo abantu bamwe babona impinduka nto mu gusinzira cyangwa mu rwego rw'amara mu cyumweru cya mbere cyangwa icya kabiri. Imiterere itera imbaraga ya protriptyline isobanura ko ishobora gufasha mu mbaraga no gushishikarira, niyo mpamvu abaganga bakunda kuyandika mu gitondo aho kuyandika mbere yo kuryama.

Nkwiriye gufata protriptyline nte?

Ukwiriye gufata protriptyline nk'uko muganga wawe abyandika, akenshi rimwe cyangwa kabiri ku munsi hamwe n'ibiryo cyangwa nta biryo. Abaganga benshi basaba kuyifata mu gitondo kubera ingaruka zayo ziteza imbaraga, nubwo abantu bamwe babona ko bikora neza bafashe doze zigabanyijemo umunsi wose. Kuyifata hamwe n'ibiryo bishobora gufasha kugabanya ibibazo byo mu gifu niba uhuye n'ikibazo icyo aricyo cyose cyo mu gifu.

Birashoboka rwose gufata protriptyline hamwe n'amata, amazi, cyangwa umutobe. Ntabwo ukeneye kwirinda ibiryo byihariye, nubwo kugabanya caffeine byaba ubwenge kuko protriptyline na caffeine byombi bishobora gutera imbaraga. Niba uyifata kabiri ku munsi, gerageza gutandukanya imiti neza kandi ufate urugero rwawe rwa nyuma byibuze amasaha 6 mbere yo kuryama kugirango wirinde ibibazo byo gusinzira.

Ingano yo gutangira akenshi ni nkeya, hafi ya 10-15 mg ku munsi, kandi muganga wawe azagenda ayongera buhoro buhoro mu byumweru byinshi. Ubu buryo bwitondewe bufasha umubiri wawe kumenyera umuti kandi bugabanya amahirwe yo kugira ingaruka ziterwa n'umuti. Ntukigere uhindura urugero rwawe cyangwa ureke gufata protriptyline utabanje kuvugana na muganga wawe, kuko ibi bishobora gutera ibimenyetso byo kuva mu muti.

Nzamara Mfata Protriptyline Igihe Kingana Gite?

Abantu benshi bakeneye gufata protriptyline byibuze amezi 6 kugeza umwaka nyuma yuko ibimenyetso byabo byo kwiheba bikize kugirango birinde gusubira inyuma. Muganga wawe azakorana nawe kugirango amenye igihe gikwiye gishingiye ku miterere yawe bwite, harimo n'uburemere bwo kwiheba kwawe niba waragize ibihe byabanje.

Kubijyanye n'igihe cyawe cya mbere cyo kwiheba, ushobora gufata protriptyline amezi 6 kugeza 12 nyuma yo kumva umeze neza. Niba waragize ibihe byinshi byo kwiheba, muganga wawe ashobora kugusaba kuvurwa igihe kirekire, rimwe na rimwe imyaka myinshi. Ibi ntibiterwa nuko umuti utera ubujura, ahubwo ni uko kwiheba akenshi bigaruka niba kuvurwa guhagaritswe hakiri kare.

Umutuzo wo kumenya igihe cyo gukomeza kuvura biterwa n'ibintu byinshi, harimo uburyo wabyakiriye neza, ingaruka zose wagize, n'akaga ko kwiheba kugaruka. Muganga wawe azajya agukurikirana buri gihe kugirango amenye niba gukomeza gufata umuti ari wo mwanzuro mwiza ku buzima bwawe bwo mu mutwe.

Ni Iyihe Ngaruka Ziterwa na Protriptyline?

Kimwe n'imiti yose, protriptyline ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzagira izo ngaruka kandi ingaruka nyinshi zigenda zikira umubiri wawe umaze kumenyera umuti. Kumenya ibyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe cyo kuvugana na muganga wawe.

Ingaruka zikunze kugaragara harimo umunwa wumye, kubura umwanya, kutabona neza, no kuribwa umutwe igihe uhagurutse vuba. Ibi bibaho kuko protriptyline igira ingaruka ku bice bimwe na bimwe by'umubiri wawe, atari mu bwonko gusa. Hano hari ingaruka ziterwa n'imiti zashyizwe mu matsinda bitewe n'uko zikunze kugaragara:

Ingaruka zisanzwe abantu benshi bahura nazo:

• Umunwa n'umuhogo byumye
• Kubura umwanya
• Kutabona neza cyangwa kugorana kwibanda
• Kuribwa umutwe igihe uhagurutse
• Gusinzira cyangwa kunanirwa (nubwo bitakunze kugaragara kuri protriptyline)
• Kongera ibiro uko igihe gihita
• Kunyeganyega cyane
• Kugorana kwihagarika

Inyinshi muri izi ngaruka zishobora gucungwa kandi akenshi zikagenda zikira nyuma y'ibyumweru bike bya mbere by'ubuvuzi. Kunywa amazi menshi, kurya ibiryo birimo fibre nyinshi, no guhaguruka buhoro bishobora gufasha kuri byinshi muri ibi bibazo.

Ingaruka zitakunze kugaragara ariko zikomeye zo kwitondera:

• Umutima utera cyane cyangwa utagenda neza
• Kuribwa umutwe cyane cyangwa kugwa igihumure
• Guhungabana cyangwa ibibazo byo kwibuka
• Kugorana guhumeka
• Kubura umwanya cyane cyangwa kutabasha kwihagarika
• Kunyeganyega cyangwa umubiri uguma
• Kuribwa umutwe cyane

Niba ubonye izi ngaruka zikomeye, vugana na muganga wawe vuba. Ntabwo zisanzwe, ariko zisaba ubufasha bwa muganga.

Ingaruka zitakunze kugaragara ariko zikomeye zisaba ubufasha bwihuse bwa muganga:

• Kutekereza kwigirira nabi cyangwa kwiyahura (cyane cyane mu rubyiruko)
• Uburwayi bukomeye bwo kwibasirwa n'umubiri, hamwe n'ibibazo byo mu ruhu, kubyimba, cyangwa guhumeka nabi
• Uburwayi bwo gufatwa n'indwara
• Impinduka zikomeye mu mutima
• Ibimenyetso bya syndrome ya serotonin (umuriro, urujijo, umutima utera cyane, imitsi y'umubiri ikomeye)
• Igabanuka rikomeye ry'umuvuduko w'amaraso

Ibi bibazo bikomeye ntibisanzwe, ariko kubimenya bifasha kumenya igihe cyo gushaka ubufasha bwihutirwa. Muganga wawe yaguhaye protriptyline kuko bemera ko inyungu ziruta ibi byago kubera uko ubuzima bwawe bumeze.

Ninde utagomba gufata Protriptyline?

Protriptyline ntibishoboka kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Ibyiciro bimwe na bimwe n'ibihe bituma uyu muti uba mubi, bityo ni ngombwa kuba inyangamugayo kubyerekeye amateka yawe y'ubuzima.

Ntabwo ugomba gufata protriptyline niba umaze kugira umutima, kuko bishobora kugira ingaruka ku mutima n'umuvuduko w'amaraso. Abantu bafite indwara zimwe na zimwe z'umutima, harimo ibibazo bikomeye by'umutima cyangwa guhagarika umutima, bagomba kandi kwirinda uyu muti. Muganga wawe ashobora gutumiza electrocardiogram (EKG) mbere yo gutangira kuvura niba ufite impungenge z'umutima.

Izindi ndwara zituma protriptyline itabasha gukoreshwa harimo glaucoma ikomeye, prostate yagutse itera ibibazo byo kunyara, no guhagarara gukomeye cyangwa guhagarara kw'amara. Niba urimo gufata imiti yitwa MAO inhibitors, uzakenera gutegereza byibuze iminsi 14 nyuma yo kuyihagarika mbere yo gutangira protriptyline, kuko iyi mvange ishobora gutera ibibazo byangiza.

Abantu bafite bipolar disorder bakeneye kwitabwaho byihariye, kuko protriptyline rimwe na rimwe ishobora gutera ibibazo bya manic. Niba ufite amateka y'indwara, ibibazo by'umwijima, cyangwa indwara z'impyiko, muganga wawe ashobora guhitamo undi muti cyangwa akagukurikiranira hafi niba protriptyline ari ngombwa.

Amazina ya Protriptyline

Protriptyline iboneka mu mazina menshi y'ubucuruzi, Vivactil ikaba ariyo izwi cyane muri Leta Zunze Ubumwe z'Amerika. Ariko, izina ry'ubucuruzi ntirigikoreshwa cyane muri iki gihe, kuko abantu benshi bafata verisiyo rusange, yitwa gusa protriptyline hydrochloride.

Protriptyline rusange ikora kimwe na verisiyo y'izina ry'ubucuruzi kandi ikubiyemo ibikoresho bikora. Itandukaniro rikuru akenshi riba mu bintu bitagira akamaro, ibara, cyangwa imiterere y'ibinini, ariko imikorere iraguma. Ubuvuzi bwawe bushobora no gutanga ubwishingizi kuri verisiyo rusange, bigatuma iboneka ku giciro gito.

Izindi nzira zishobora gukoreshwa aho protriptyline ikoreshwa

Niba protriptyline itagukwiriye, hari izindi nzira zishobora gukoreshwa bitewe n'ibyo ukeneye n'ubuzima bwawe. Muganga wawe ashobora gutekereza ku zindi antidepressant zikoresha tricyclic nka amitriptyline, nortriptyline, cyangwa imipramine, zikora kimwe ariko zifite ingaruka zitandukanye.

Akenshi, abaganga bashobora gutanga ibitekerezo ku zindi antidepressant nshya nka SSRIs (selective serotonin reuptake inhibitors) nka sertraline, fluoxetine, cyangwa escitalopram. Izi miti zikunda kugira ingaruka nke kandi zikunda kwihanganirwa, nubwo zishobora kutagira akamaro kuri buri wese.

SNRIs (serotonin-norepinephrine reuptake inhibitors) nka venlafaxine cyangwa duloxetine ni ubundi buryo, kuko bigira ingaruka ku binyabutabazi by'ubwonko bisa na protriptyline ariko bifite uburyo butandukanye. Ku bantu batitabiriye imiti myinshi, abaganga bashobora gutekereza ku bindi bishya nka bupropion cyangwa ndetse n'imiti yihariye.

Ese Protriptyline iruta Amitriptyline?

Protriptyline na amitriptyline zombi ni antidepressant zikoresha tricyclic, ariko zifite itandukaniro rikomeye rituma imwe ishobora kuba nziza kuruta indi bitewe n'ibyo ukeneye. Itandukaniro rikuru ni uko protriptyline ikora cyane kandi itaryamisha, mugihe amitriptyline ikunda gutera gusinzira cyane.

Niba ugira ikibazo cyo kugira imbaraga nkeya, kudashishikarira gukora, cyangwa gusinzira cyane nk'igice cyo kwiheba kwawe, protriptyline ishobora kuba amahitamo meza. Ku rundi ruhande, niba ugira ikibazo cyo gusinzira cyangwa wumva uhangayitse kandi uhuzaguritse, ingaruka zo gutuza za amitriptyline zirashobora gufasha cyane. Protriptyline kandi ntishobora gutuma wongera ibiro cyane ugereranije na amitriptyline.

Imiti yombi ifite akamaro kamwe mu kuvura kwiheba, bityo guhitamo akenshi biterwa n'ingaruka z'uruhande ushobora kwihanganira. Muganga wawe azatekereza ku bimenyetso byawe byihariye, imibereho yawe, n'izindi ndwara z'ubuzima mugihe afata icyemezo cyo guhitamo umuti wa tricyclic antidepressant ushobora kugufasha cyane.

Ibikunze Kubazwa Kuri Protriptyline

Ese Protriptyline irakwiriye kubantu bafite ibibazo by'umutima?

Protriptyline irashobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, bityo bisaba kwitonderwa niba ufite ibibazo by'umutima. Muganga wawe azasaba gukora EKG mbere yo gutangira kuvurwa kandi ashobora gukurikirana umutima wawe cyane, cyane cyane muminsi mike yo gutangira kuvurwa.

Niba ufite indwara zoroheje z'umutima zigenzurwa neza, muganga wawe arashobora kwandika protriptyline hamwe no gukurikirana cyane. Ariko, niba umaze kugira umutima utera cyane, ufite ibibazo bikomeye by'umutima, cyangwa umuvuduko w'amaraso udagenzurwa, protriptyline ntisabwa. Buri gihe ujye ubwiza ukuri muganga wawe kubyerekeye ibimenyetso byose by'umutima cyangwa amateka y'umuryango w'ibibazo by'umutima.

Nigira iki niba mfashe protriptyline nyinshi nkana?

Niba ufata protriptyline nyinshi kuruta uko byategetswe, vugana na muganga wawe, umufarumasiti, cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, niyo wumva umeze neza. Gufata imiti ya tricyclic antidepressant nyinshi birashobora kuba bikomeye kandi bishobora gushyira ubuzima mu kaga, cyane cyane niba umaze gufata nyinshi.

Ibimenyetso byo kurenza urugero rwa protriptyline birimo gusinzira cyane, urujijo, umutima utera cyane, guhumeka bigoranye, gufatwa n'ibihungabanyo, cyangwa kutagira ubwenge. Niba urimo guhura n'ibyo bimenyetso, hamagara 911 cyangwa ujye mu cyumba cy'ubutabazi cyegereye ako kanya. Ntukegereze kureba niba ibimenyetso bigaragara, kuko kurenza urugero rwa protriptyline bishobora kuba byateza akaga vuba.

Nkwiriye gukora iki niba nciwe urugero rwa protriptyline?

Niba wibagiwe gufata urugero rwa protriptyline, rufate uko wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe. Ntukigere ufata urugero ebyiri icyarimwe kugirango wuzuze urugero wibagiwe, kuko ibyo byongera ibyago byo kugira ingaruka ziterwa n'imiti.

Niba ukunda kwibagirwa urugero, tekereza gushyiraho alarme kuri terefone cyangwa gukoresha umuteguro w'imiti kugirango ugufashe kwibuka. Gufata imiti buri munsi ni ngombwa kugirango protriptyline ikore neza, bityo gerageza kuyifata ku gihe kimwe buri munsi. Niba ukunda kwibagirwa urugero, ganira na muganga wawe kubijyanye n'uburyo bwo kugufasha kuguma ku murongo.

Nshobora guhagarika ryari gufata protriptyline?

Ntabwo ukwiriye guhagarika gufata protriptyline ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho harimo isereri, isesemi, kubabara umutwe, n'ibimenyetso bisa n'ibicurane. Muganga wawe azagufasha kugabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi igihe kigeze cyo guhagarika.

Icyemezo cyo guhagarika protriptyline giterwa n'uburyo bwo kurwanya agahinda kawe, igihe umaze uyifata, n'ibyago byo gusubira mu gahinda. Abaganga benshi basaba gukomeza kuvura byibuze amezi 6 nyuma yuko ibimenyetso byawe bigabanuka kugirango birinde gusubira inyuma. Abantu bamwe bakeneye kuvurwa igihe kirekire, cyane cyane niba baragize ibihe byinshi byo kurwara agahinda.

Nshobora kunywa inzoga nkanwa protriptyline?

Ni byiza kwirinda inzoga mugihe ufata protriptyline, kuko guhuza ibi bishobora kongera gusinzira, kuribwa mumutwe, no gutuma utekereza nabi no guhuza ibitekerezo. Inzoga kandi irashobora gushimangira ibimenyetso byo kwiheba no kubangamira imikorere y'umuti.

Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi buke kandi umenye uko wumva. Ntukanywe inzoga niba umaze kugira ingaruka ziterwa na protriptyline, kandi wirinde gutwara imodoka cyangwa gukoresha imashini nyuma yo kunywa. Niba urwana no gukoresha inzoga, gerageza kubiganiraho na muganga wawe, kuko ni igice cyingenzi cyo kuvura kwawe muri rusange.