Ku ya 30 Mata 2019, Ikigo gishinzwe ibiryo n'ibiyobyabwenge muri Amerika (FDA) cyasohoye raporo ivuga ko uburyo bumwe na bumwe bwo kuvura indwara yo kudasinzira biterwa n'imyitwarire igoye yo gusinzira (harimo gusinzira, gutwara ibitotsi, n'ibindi bikorwa bidakangutse rwose).Imvune idasanzwe ariko ikomeye cyangwa se urupfu rwabaye.Iyi myitwarire isa nkaho ikunze kugaragara muri eszopiclone, zaleplon, na zolpidem kuruta indi miti yandikiwe gukoreshwa mu kuvura ibitotsi.Kubwibyo, FDA isaba umuburo wumukara muri aya mabwiriza nubuyobozi bw’imiti y’abarwayi, kimwe no gusaba abarwayi babanje kugira imyitwarire idasanzwe yo gusinzira hamwe na eszopiclone, zaleplon, na zolpidem nka kirazira..
Eszopiclone, zaleplon, na zolpidem ni imiti igabanya ubukana hamwe na hypnotic ikoreshwa mu kuvura indwara zidasinzira kandi byemewe imyaka myinshi.Gukomeretsa bikabije nimpfu zatewe nimyitwarire igoye yo gusinzira bibaho kubarwayi bafite cyangwa badafite amateka nkaya yimyitwarire, haba gukoresha ikinini cyasabwe cyane cyangwa ikinini kimwe, hamwe cyangwa udafite inzoga cyangwa izindi niveau ya sisitemu yo hagati (urugero: sedative, opioids) Gusinzira bidasanzwe imyitwarire irashobora kubaho hamwe nibi biyobyabwenge, nkibiyobyabwenge, nibiyobyabwenge birwanya guhangayika.
Ku bakozi b'ubuvuzi amakuru:
Abarwayi bafite imyitwarire igoye yo gusinzira nyuma yo gufata eszopiclone, zaleplon, na zolpidem bagomba kwirinda iyi miti;niba abarwayi bafite imyitwarire itoroshye yo gusinzira, bagomba guhagarika gukoresha iyi miti kubera iyi miti.Nubwo ari gake, byateje imvune cyangwa urupfu.
Kumakuru yabarwayi:
Niba umurwayi adakangutse neza nyuma yo gufata imiti, cyangwa niba utibutse ibikorwa wakoze, ushobora kuba ufite imyitwarire itoroshye yo gusinzira.Reka kureka gukoresha imiti yo kudasinzira kandi uhite ushakira inama kwa muganga.
Mu myaka 26 ishize, FDA yatangaje ibibazo 66 byibiyobyabwenge bitera imyitwarire igoye yo gusinzira, bituruka gusa kuri FDA's Adverse Event Reporting System (FEARS) cyangwa ibitabo byubuvuzi, bityo hashobora kubaho izindi manza zitavumbuwe.Imanza 66 zirimo kunywa inzoga zirenze urugero, kugwa, gutwika, kurohama, guhura nibikorwa byingingo kubushyuhe buke cyane, uburozi bwa monoxyde de carbone, kurohama, hypothermia, kugonga ibinyabiziga, no kwikomeretsa (urugero nko gukomeretsa imbunda no kwiyahura).Ubusanzwe abarwayi ntibibuka ibyabaye.Uburyo bwibanze iyi miti idasinzira itera imyitwarire igoye yo gusinzira kuri ubu ntibisobanutse.
FDA yibukije kandi ko ibiyobyabwenge byose bikoreshwa mu kuvura ibitotsi bizagira ingaruka ku munsi ukurikira wo gutwara imodoka n'ibindi bikorwa bisaba kuba maso.Gusinzira byashyizwe ku rutonde nk'ingaruka zisanzwe ku birango by'ibiyobyabwenge ku miti yose yo kudasinzira.FDA iraburira abarwayi ko bazakomeza kumva basinziriye bukeye nyuma yo gufata ibyo bicuruzwa.Abarwayi bafata imiti yo kudasinzira barashobora kugabanuka mubwenge bwo mumutwe nubwo bumva bakangutse bukeye bwaho nyuma yo kuyikoresha.
Amakuru yinyongera kumurwayi
• Eszopicone, Zaleplon, Zolpidem irashobora gutera imyitwarire igoye yo gusinzira, harimo gusinzira, gutwara ibitotsi, nibindi bikorwa udasinziriye neza.Iyi myitwarire igoye yo gusinzira ntisanzwe ariko yateje imvune nurupfu.
• Ibi bintu bishobora kubaho hamwe numuti umwe gusa wibiyobyabwenge cyangwa nyuma yigihe kinini cyo kuvura.
• Niba umurwayi afite imyitwarire itoroshye yo gusinzira, reka guhita uyifata hanyuma ushakishe inama kwa muganga bidatinze.
• Fata imiti nkuko byerekanwa na muganga wawe.Kugirango ugabanye ibintu bibi, ntugakabya, imiti irenze urugero.
• Ntugafate eszopiclone, zaleplon cyangwa zolpidem niba udashobora gusinzira bihagije nyuma yo gufata imiti.Niba wihuta cyane nyuma yo gufata imiti, urashobora kumva usinziriye kandi ufite ibibazo byo kwibuka, kuba maso cyangwa guhuza.
Koresha eszopiclone, zolpidem (flake, ibinini bisohora bikomeza, ibinini bya sublingual cyangwa spray yo mu kanwa), bigomba kuryama ako kanya nyuma yo gufata ibiyobyabwenge, hanyuma ukarara mumasaha 7 kugeza 8.
Koresha ibinini bya zaleplon cyangwa ibinini bike bya zolpidem ibinini, bigomba gufatwa muburiri, byibuze amasaha 4 muburiri.
• Mugihe ufata eszopiclone, zaleplon, na zolpidem, ntukoreshe indi miti igufasha gusinzira, harimo imiti irenga imiti.Ntunywe inzoga mbere yo gufata iyi miti kuko byongera ingaruka zingaruka n'ingaruka mbi.
Amakuru yinyongera kubakozi bo kwa muganga
• Eszopiclone, Zaleplon, na Zolpidem byavuzwe ko bitera imyitwarire igoye yo gusinzira.Imyitwarire igoye yo gusinzira bivuga ibikorwa byumurwayi udakangutse rwose, bishobora gukomeretsa no gupfa.
• Ibi bintu bishobora kubaho hamwe numuti umwe gusa wibiyobyabwenge cyangwa nyuma yigihe kinini cyo kuvura.
• Abarwayi babanje kugira imyitwarire igoye yo gusinzira hamwe na eszopiclone, zaleplon, na zolpidem birabujijwe kwandika imiti.
• Menyesha abarwayi kureka gukoresha imiti yo kudasinzira niba barabonye imyitwarire igoye yo gusinzira, kabone niyo bidatera ibikomere bikomeye.
• Mugihe wandikira umurwayi eszopiclone, zaleplon cyangwa zolpidem, kurikiza ibyifuzo bya dosiye mumabwiriza, uhereye kumiti mike ishoboka.
• Shishikariza abarwayi gusoma umurongo ngenderwaho wibiyobyabwenge mugihe ukoresheje eszopiclone, zaleplon cyangwa zolpidem, kandi ubibutse kudakoresha indi miti idasinzira, inzoga cyangwa inzitizi zo mumitsi yo hagati.
(Urubuga rwa FDA)
Igihe cyo kohereza: Kanama-13-2019