He aha te Brimonidine: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Brimonidine he rongoā topata kanohi e āwhina ana ki te whakaheke i te pēhanga i roto i ō kanohi. He mea whakahau noa mō te hunga e pangia ana e te glaucoma, te pēhanga kanohi rānei, he āhuatanga e taea ai e te pēhanga i ō kanohi te whakangaro i tō tirohanga i te roanga o te wā. E mahi ana tēnei rongoā ngawari engari whai hua mā te whakaiti i te nui o te wai e whakaputaina ana e ō kanohi, me te āwhina hoki i te wai kia rere atu mā te māmā ake.

He aha te Brimonidine?

No te kāwai rongoā e kīia ana ko te alpha-2 adrenergic agonists te Brimonidine. Whakaarohia he taputapu motuhake e āwhina ana i ō kanohi ki te pupuri i ngā taumata pēhanga hauora. Ka tae mai te rongoā hei topata kanohi e whakamahia tika ana ki ō kanohi, e rua ki te toru ngā wā i ia rā.

E āwhina ana tēnei rongoā i te hunga ki te tiaki i ō rātou tirohanga mō ngā tau maha. E whakaarohia ana he rongoā tuatahi pono e whakawhirinaki ana te tini o ngā tākuta kanohi ki te whakahaere i te pēhanga kanohi i runga i te haumaru me te whai hua.

He aha te Brimonidine e whakamahia ana?

Ko te Brimonidine te tuatahi e rongoā ana i ngā āhuatanga kanohi e rua e pā ana ki te pēhanga tiketike. Ka whakahau tō tākuta i tēnei hei āwhina i te tiaki i tō tirohanga mai i te whakangaro i pā mai i te pēhanga nui i roto i ō kanohi.

Ko te whakamahinga noa mō te glaucoma koki-wātea, he āhuatanga e kore ai te wai e rere tika mai i ō kanohi. Ka piki haere te pēhanga, ka whakangaro i te io whatu e hono ana i tō kanohi ki tō roro. Ki te kore he rongoā, ka taea e tēnei whakangaro te arahi ki te ngaronga o te tirohanga.

Ka whakahau pea tō tākuta i te brimonidine mō te pēhanga kanohi. Ko te tikanga he tiketike ake tō pēhanga kanohi i te tikanga engari kāore anō kia whakangaro i te glaucoma. Whakaarohia he mehua ārai hei pupuri i ō kanohi kia hauora me te tiaki i tō tirohanga mō ngā tau kei mua.

Me pēhea te mahi a te Brimonidine?

Ka mahi a Brimonidine mā te tukanga e rua hei whakaheke i te pēhanga o te kanohi. Tuatahi, ka whakaiti i te nui o te wai e hangaia ana e ō kanohi i te roanga o te rā. Tuarua, ka āwhina i te wai kei roto i ō kanohi kia ngāwari ake te rere mā tō pūnaha rerenga wai tūturu.

E kiia ana he kaha ngawari tēnei rongoā, ko te tikanga he whai hua me te kore e kaha rawa. E whai ana i ngā kaiwhakawhiwhi motuhake i ō kanohi e kiia ana ko ngā kaiwhakawhiwhi alpha-2, e whakahaere ana i te hanga me te rerenga wai. Ka whakahohehia e Brimonidine ēnei kaiwhakawhiwhi, ka tohu i ō kanohi kia iti ake te wai me te rere pai ake.

Ko te pānga whakaheke pēhanga ka tīmata i roto i te 30 meneti i muri i te whakamahi i ngā topata. Ko te tino whai huatanga ka puta i roto i te 2 hāora, ā, ka taea e ngā painga te roa mō te maha o ngā hāora i mua i tō horopeta e whai ake nei.

Me pēhea taku tango i te Brimonidine?

Ko te tango tika i te brimonidine ka āwhina kia whiwhi koe i ngā hua pai rawa atu i te wā e whakaiti ana i ngā pānga taha. Ko te tikanga ka tohua e tō tākuta tētahi topata ki ia kanohi e pā ana, e rua ki te toru ngā wā i te rā, ka wehea i te 8 ki te 12 hāora.

I mua i te whakamahi i ngā topata, horoia ō ringa ki te hopi me te wai. Whakaangahia tō upoko ki muri, ka tōia mārire i tō kamo o raro ki te hanga i tētahi pūkoro iti. Titiro whakarunga, ka kōpeke i tētahi topata ki roto i tēnei pūkoro, kia tūpato kei pā tō kanohi, tō kamo rānei ki te pito o te topata.

I muri i te whakamahi i te topata, kati mārire tō kanohi, ka pēhi mārire ki te kokonga o roto e tata ana ki tō ihu mō te meneti kotahi. Mā tēnei ka āwhina i te rongoā kia kore e tere rawa te rere atu, ka whakaiti i te tūponotanga ka uru ki tō toto mā ō rāpoi roimata.

Ka taea e koe te tango i te brimonidine me te kore kai rānei, nā te mea ka whakamahia tika ki ō kanohi. Heoi, ki te whakamahi koe i ētahi atu topata kanohi, tatari mō te 5 meneti i waenga i ngā rongoā rerekē kia kore ai e horoi tētahi i tētahi.

Kia pēhea te roa e tango ana ahau i te Brimonidine?

Ko te Brimonidine he rongoā wā-roa, ā, tērā pea ka hiahia koe ki te whakamahi tonu i tēnei rongoā mō te wā roa. Ko te glaucoma me te pēhanga kanohi nui he āhuatanga mau tonu e hiahia ana ki te whakahaere tonu hei tiaki i tō tirohanga.

Ko te nuinga o te tangata e hiahia ana ki te whakamahi i te brimonidine mō ngā marama, tau rānei hei pupuri i te pēhanga kanohi hauora. Ka aroturukihia e tō tākuta tō pēhanga kanohi i ngā wā katoa, te tikanga ia 3 ki te 6 marama, kia mōhio kei te pai tonu te mahi o te rongoā mōu.

Kaua rawa e mutu te tango i te brimonidine ohorere, me kōrero tuatahi ki tō tākuta. Ka hoki anō pea tō pēhanga kanohi ki ngā taumata tiketike i roto i ngā rā, ka tūpono pea ka tūpono tō tirohanga. Ki te hiahia koe ki te whakamutu i te rongoā, ka āwhina tō tākuta i a koe ki te huri ki tētahi atu rongoā i runga i te haumaru.

He aha ngā pānga taha o te Brimonidine?

Pērā i ngā rongoā katoa, ka taea e te brimonidine te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te whakamahi. Mā te māramatanga ki ngā mea e tūpono ana ka āwhina i a koe kia māia ake mō tō rongoā, me te mōhio ki te wā ki te whakapā atu ki tō tākuta.

Ko ngā pānga taha tino noa ka pā ki a koe, he ngawari tonu, ā, ka pā tika ki ō kanohi:

• Te wera, te ngau rānei i te wā tuatahi ka whakamahi koe i ngā topata
• Ngā kanohi maroke, te ahua rānei kei te pōhatu tētahi mea i tō kanohi
• Te whero, te riri rānei i te taha o ō kanohi
• Te tirohanga kāore i te mārama mō ētahi meneti i muri i te whakamahinga
• Te mānukanuka, te roimata rānei

Ko ēnei pānga taha e pā ana ki te kanohi ka pai ake i te wā e urutau ana ō kanohi ki te rongoā i ngā wiki tuatahi o te rongoā.

Ka pā hoki ētahi tāngata i ngā pānga taha pūnaha, arā, ngā pānga puta noa i tō tinana. Kāore i te tino noa ēnei, engari ka uru pea:

• Te moe, te ngenge rānei
• Te mamae o te upoko
• Te whanoke
• Te waha maroke
• Ngā huringa ngawari i te pēhanga toto

Ko ngā pānga taha onge engari tino nui e hiahia ana kia āwhina tonu mai i te tākuta. Whakapā atu ki tō tākuta i te wā tonu ki te pā mai te mamae nui o te kanohi, ngā huringa nui o te tirohanga, ngā tohu o te tauhohenga pānga pēnei i te pūhi o te kanohi, te whāwhā nui rānei.

Ka tauhohe ētahi tāngata ki te brimonidine i muri i te whakamahinga mō ētahi marama. Ka puta pea tēnei i te whero nui, te pūhi, te riri rānei e kino haere ana i te roanga o te wā, kaua e pai ake.

Ko wai kāore e tika kia tango Brimonidine?

Me karo ētahi tāngata i te brimonidine, me whakamahi rānei me te tūpato nui. Ka arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā kia mōhio ai he haumaru mōu.

Kāore koe e tika kia whakamahi i te brimonidine ki te pā mai te tauhohenga pānga ki a koe, ki ētahi o ōna kai. Ko ngā tāngata e tango ana i ētahi rongoā anti-pōuri e kīia ana ko MAO inhibitors me karo hoki i tēnei rongoā, nā te mea ka puta he tauhohenga kino.

Kāore ngā tamariki i raro i te 2 tau te pakeke e tika kia whakamahi i te brimonidine, nā te mea ka puta ngā pānga taha kino ki ngā tamariki ririki. Mō ngā tamariki i waenga i te 2 me te 12 tau te pakeke, ka whakahau ngā tākuta i tēnei rongoā i te wā e tino tika ana, me te aroturuki tupato.

Ko ngā tāngata e pā ana ki ētahi mate ngākau, te mate tākihi nui, te mate ate rānei, ngā raruraru rānei o te rerenga toto, me hiahia pea he aroturuki motuhake i te wā e whakamahi ana i te brimonidine. Ka whakatika pea tō tākuta i tō inenga, ka whiriwhiri rānei i tētahi rongoā rerekē ki te pā mai ēnei mate ki a koe.

Ki te hapū koe, ki te whāngai ū rānei, kōrerohia ngā tūponotanga me ngā painga ki tō tākuta. Ahakoa kāore i te mōhiotia te brimonidine e pā ana ki ngā hē whānau, he pai tonu te whakatau i ngā painga ka taea ki ngā tūponotanga ka taea i te wā e hapū ana.

Ngā Ingoa Waitohu Brimonidine

Kei te wātea te Brimonidine i raro i ētahi ingoa waitohu, ko Alphagan P te momo e tino whakahaua ana. I hangaia tēnei hanganga kia ngawari ake ki ō kanohi me te iti ake o ngā pūtiaki ka riri ai.

Kei roto i ētahi atu ingoa waitohu ko Alphagan, Mirvaso (mō tētahi atu āhua kiri), me ngā momo rongoā whānui. Kei roto i ngā momo rongoā whānui te whakauru kaha kotahi, ā, he rite tonu te whai hua ki ngā momo waitohu.

Ka taea e tō whare rongoā te whakakapi i tētahi momo rongoā whānui ki te kore tō tākuta e tuhi motuhake ana "waitohu anake" ki runga i tō rīhi. He rite tonu te haumaru me te whai hua o ngā momo waitohu me ngā momo rongoā whānui mō te rongoā i tō āhua kanohi.

Ngā Kōwhiringa kē mō te Brimonidine

Ki te kore te brimonidine e pai mōu, e pā rānei i ngā pānga taha raruraru, he maha atu ngā rongoā ka āwhina i te whakaheke i te pēhanga o te kanohi. Ka taea e tō tākuta te mahi tahi me koe ki te kimi i te kōwhiringa pai rawa atu e hāngai ana ki ō hiahia motuhake.

Ko ngā tūāhua prostaglandin pēnei i te latanoprost (Xalatan) rānei travoprost (Travatan) te nuinga ka whakaarohia he rongoā tuatahi. He rerekē te mahi a ēnei rongoā i te brimonidine mā te whakanui i te rerenga wai mai i ō kanohi, ā, he maha ngā tāngata e kite ana he tino whai hua.

Ko ngā aukati beta pēnei i te timolol (Timoptic) e tuku ana i tētahi atu kōwhiringa. E mahi ana rātou mā te whakaheke i te hanga wai i ō kanohi, he rite ki te brimonidine engari mā tētahi tikanga rerekē. He pai ake te aro o ētahi tāngata ki ngā aukati beta i te brimonidine.

Ko ngā aukati anhydrase waro pēnei i te dorzolamide (Trusopt) rānei brinzolamide (Azopt) e whakarato ana i tētahi atu huarahi. Ka whakaheke hoki ēnei rongoā i te hanga wai engari e mahi ana mā tētahi ara rerekē rawa atu i ō kanohi.

Mō ētahi tāngata, ko ngā rongoā whakakotahi e uru ana ki ngā momo rongoā e rua rerekē e whakaheke ana i te pēhanga i roto i te pounamu kotahi e pai ake ana i ngā rongoā kotahi. Ka taea e tō tākuta te whakaaro kia whakamātau koe i tētahi o ēnei ki te hiahia koe kia nui ake te whakahekenga pēhanga i te rongoā kotahi.

He Pai Ake Te Brimonidine I Te Timolol?

He rongoā whai hua a te brimonidine me te timolol mō te pēhanga o te kanohi, engari he rerekē te mahi a rāua, ā, he rerekē hoki ngā pānga taha. Ko te kōwhiringa "pai ake" ka whakawhirinaki ki tō āhuatanga hauora me te pai o tō whakamanawa i ia rongoā.

He nui ake ngā pānga taha e pā ana ki te kanohi i te brimonidine, pērā i te wera me te whero, ina koa i te wā tuatahi ka tīmata koe ki te whakamahi. Heoi, he pai ake mō te hunga e pā ana ki te ngākau, ki te pūkahukahu rānei, nā te mea he iti ake te pānga ki tō reiti ngākau, ki tō manawa rānei.

Ko te timolol, i tērā taha, he iti ake ngā tohumate irirangi o te kanohi, engari ka pā ki tō reiti ngākau me te pēhanga toto. Ko te hunga e pā ana ki te huangō, ētahi āhuatanga o te ngākau, ki ngā raruraru manawa rānei, kāore i te nuinga o te wā e taea te whakamahi i te timolol.

Mō te whai huanga ki te whakaheke i te pēhanga, he pai te mahi a ngā rongoā e rua mō te nuinga o te tangata. E ai ki ētahi rangahau, he rite tonu te kaha ki te whakaheke i te pēhanga o te kanohi, ahakoa he rerekē te urupare a te tangata.

Ka whakaarohia e tō tākuta tō hauora whānui, ētahi atu rongoā e whakamahia ana e koe, me ngā pānga taha i pā ki a koe i ngā tōtō kanohi i mua i te whakatau ko tēhea rongoā te pai ake mō tō āhuatanga motuhake.

Ngā Pātai Auau mō te Brimonidine

He Haumaru te Brimonidine mō te Mate Huka?

Āe, he haumaru te brimonidine mō te hunga e pā ana ki te mate huka. Kāore i te rite ki ētahi atu rongoā kanohi, kāore te brimonidine e pā ki ngā taumata huka toto, e raru rānei i ngā rongoā mate huka.

Heoi, ki te pā ana koe ki te retinopathy diabetic (te kino o te kanohi mai i te mate huka), ka mātakitaki tata atu tō tākuta i a koe. He rerekē ngā urupare a te hunga e pā ana ki te mate huka ki ngā rongoā kanohi, nā reira ka āwhina ngā arotake auau ki te whakarite kia pai tonu te mahi o te rongoā.

Me kōrero tonu ki tō tākuta kanohi mō tō mate huka me ētahi rongoā e whakamahia ana e koe mō tērā. Mā tēnei ka āwhina rātou ki te kōwhiri i te mahere rongoā haumaru me te whai hua mō tō āhuatanga kanohi me tō hauora whānui.

He aha taku mahi ki te whakamahi au i te nui rawa o te Brimonidine?

Mena i te aitua ka nui rawa nga topata i roto i to kanohi, kaua e mataku. Horoi marie i to kanohi ki te wai ma, ki te otinga tote ranei hei tango i te rongoa nui.

Ko te whakamahi i nga topata taapiri i roto i to kanohi ka nui ake te wera, te ngau, te tirohanga ranei e kore e marama mo te wa poto i nga wa katoa. Ko enei tohu ka ngaro i roto i te 30 meneti ki te haora i te wa e marama ana te rongoa nui mai i to kanohi.

Mena ka pa ki a koe nga tohu kino penei i te huringa nui o te tirohanga, te mamae nui o te kanohi, nga tohu ranei o te tauhohenga mate pāwera, whakapā atu ki to taakuta, rapu ranei i te rongoa tonu. Mo nga tohu ngawari, haere tonu me to waarangi horopeta i nga wa katoa, me te karo i te whakauru i nga topata taapiri hei "whakakapi" mo te aitua.

He aha taku mahi ki te ngaro au i te horopeta o te Brimonidine?

Mena ka ngaro koe i te horopeta o te brimonidine, whakamahia i te wa e mahara ana koe, ki te kore e tata ana te wa mo to horopeta e whai ake nei. I tera keehi, pekehia te horopeta i ngaro, ka haere tonu me to waarangi i nga wa katoa.

Kaua rawa e whakamahi i nga horopeta e rua i te wa kotahi kia eke. Ka piki ake tenei i to tupono ki nga paanga taha me te kore e whai hua taapiri mo te pehanga o to kanohi.

Whakamātauria ki te whakarite i te mahinga e awhina ana i a koe ki te mahara ki o horopeta, penei i te whakamahi i nga topata i nga wa kotahi i ia ra, te whakarite ranei i nga whakamaharatanga waea. Ko te horopeta rite tonu ka awhina i te pupuri i te mana pehanga o te kanohi i te ra katoa.

Ahea ka taea e au te whakamutu i te tango Brimonidine?

Me whakamutu noa koe i te tango brimonidine i raro i te tohutohu a to taakuta. Ko te glaucoma me te ocular hypertension he mate tawhito e hiahia ana ki te rongoa mo te wa roa hei aukati i te ngaronga o te tirohanga.

Ka mutu pea e to taakuta te brimonidine mena ka whakawhanake koe i te tauhohenga mate pāwera, ka pa ki nga paanga taha e kore e taea te whakahaere, ki te hiahia ranei ratou ki te huri i a koe ki tetahi rongoa rereke. Ka ata tirotirohia e ratou te pehanga o to kanohi i nga wa katoa o nga huringa rongoa.

E whakaaro pohehe ana ētahi tāngata ka taea e rātou te whakamutu i ā rātou pata kanohi i te wā e pai ana rātou, engari ko te pēhanga kanohi tiketike kāore i te nuinga o te wā e puta he tohu kia puta rawa he kino. He mea nui te whakamahi i ngā rongoā kua tohua e koe kia tiakina tō tirohanga mo te wā roa.

Ka taea e au te mau i ngā arotahi i te wā e whakamahi ana i te Brimonidine?

Ka taea e koe te mau i ngā arotahi i te wā e whakamahi ana i te brimonidine, engari he mea nui te wā. Tangohia ō arotahi i mua i te tono i ngā pata kanohi, ā, tatari kia 15 meneti i mua i te whakahoki anō.

Kei roto i te Brimonidine ngā pūtiaki ka taea te mimiti e ngā arotahi ngohengohe, ka puta pea te riri, ka pā rānei ki te rauemi arotahi. Ko te wā tatari 15 meneti ka taea te mimiti i te rongoā, ā, ka whakaiti i te tūponotanga o ngā raruraru e pā ana ki te arotahi.

Mēnā ka pōturi te riri o tō kanohi, te maroke, te kore rānei o te pai ki ō arotahi i muri i te tīmatanga o te brimonidine, kōrero ki tō tākuta. Ka tono pea rātou kia huri ki ngā arotahi mō te whakamahi i ia rā, kia whakatika rānei i tō hōtaka mau arotahi.