He aha te Midodrine: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā whakahau a Midodrine e āwhina ana ki te whakanui i te pēhanga toto i roto i ngā tāngata e heke ana te pēhanga toto i te wā e tū ana. Ko tēnei āhuatanga, e kīia ana ko te hypotension orthostatic, ka waiho koe kia mārō, kia ngoikore, ā, ka ngaro pea koe i te wā e whakatika ana koe i te noho, i te takoto rānei.

Ka whakahau pea tō tākuta i te midodrine i te wā e pā ana tō pēhanga toto iti ki ō mahi o ia rā, ā, kāore anō ētahi atu rongoā i pai te mahi. E whakaarohia ana he rongoā motuhake e hiahia ana kia mātakitaki āta, engari he tino āwhina pea mō ngā tāngata e raru ana i tēnei āhuatanga uaua.

He aha te Midodrine?

He rongoā pēhanga toto a Midodrine e mahi rerekē ana i te nuinga o ērā atu e mōhio ana koe. Ahakoa he maha ngā rongoā pēhanga toto e whakaheke ana i tō pēhanga, ka whakanui te midodrine i tōna pēhanga mā te whakakaha i ō uaua toto.

No tētahi karaehe te rongoā e kīia ana ko alpha-1 agonists, ko te tikanga ka whakahohe i ētahi kaiwhiwhi i roto i ō uaua toto. Whakaarohia me te mea e hoatu ana ki ō uaua toto he kōpeke ngawari hei āwhina i te pupuri i te rere toto pai ake i te wā e tū ana koe.

Ka tae mai te Midodrine hei papa e tangohia ana e koe mā te waha, e toru pea ngā wā i te rā. E wātea ana anake mā te whakahau rongoā nā te mea e hiahia ana kia mātakitaki āta i te rongoā kia mōhio ai e mahi ana i te haumaru mō tō āhuatanga motuhake.

He aha te Midodrine e whakamahia ana?

Ko te mea nui e whakahaua ana te Midodrine mō te hypotension orthostatic, he āhuatanga e heke nui ana tō pēhanga toto i te wā e tū ana koe. Ka pā tēnei i te wā e raru ana tō tinana ki te whakatika i te rere toto i te wā e huri ana koe i ō tūnga.

He maha ngā tāngata e pā ana ki tēnei āhuatanga e pā ana ki ngā tohumate raruraru ka pā tika ki te kounga o te oranga. Ka mārō pea koe, ka mamae rānei te mahunga i te wā e tū ana, ka pā ki te ngoikore, te ngenge rānei, ā, ka ngaro pea koe i te wā e kore e tatarihia.

Ka whakaarohia e tō tākuta te midodrine i te wā kāore anō ngā huringa oranga me ētahi atu rongoā i whai hua. Kua whakaaetia te rongoā mō ngā tāngata e tino pā ana te hypotension orthostatic ki te kaha ki te whakatutuki i ngā mahi o ia rā.

I ētahi wā ka tohua pea e ngā tākuta te midodrine mō ētahi atu āhuatanga e pā ana ki te pēhanga toto iti, ahakoa ka whakaarohia tēnei he whakamahi 'off-label' e hiahia ana ki te whakatau rongoā tupato.

Me pēhea te mahi a Midodrine?

Ka mahi a Midodrine mā te noho kaha i tō tinana i muri i tō tango. Ko te rongoā tonu kāore i te kaha tae noa ki te wā e huri ai tō ate ki tōna āhua mahi, e kiia nei ko desglymidodrine.

Kia whakahohehia, ka whakahihiko i ngā kaiwhakawhiwhi alpha-1 i roto i ō uaua toto, ka pā mai te kōpī, te whakakaha rānei. Mā tēnei kōpī e āwhina ki te pupuri i te pēhanga toto teitei ake, ina koa ka tū tika koe.

E whakaarohia ana he kaha ngawari te rongoā i ōna pānga. Kāore i te kaha pērā i ētahi rongoā pēhanga toto ohorere, engari he kaha ake i te maha o ngā kōwhiringa 'over-the-counter' me ngā huringa oranga noa.

Ko te mea e tino whai hua ai te midodrine ko te mea e pā ana ki ngā uaua toto i ō ringa me ō waewae, kaua ki tō ngākau. Mā tēnei mahi whāinga e āwhina ki te whakanui i te pēhanga toto me te kore e nui te pēhanga ki tō uaua ngākau.

Me pēhea taku tango i te Midodrine?

Tangohia te midodrine kia rite ki te tohutohu a tō tākuta, te tikanga e toru ngā wā i ia rā me te iti rawa 3-4 haora i waenga i ngā horopeta. Ko te hōtaka noa ko te ata, te poutūtanga o te rā, me te ahiahi wawe, engari kaua rawa e tango i tō horopeta whakamutunga i muri i te 6 PM.

Ka taea e koe te tango midodrine me te kore kai rānei, ahakoa e kite ana ētahi tāngata he māmā ake ki tō rātou puku ina tangohia me te paramanawa iti. He pai rawa te wai hei tango, ā, kāore koe e hiahia miraka, he inu motuhake rānei.

I mua i tō tango i tō rongoā, he mea pai ki te kai i tētahi mea māmā mēnā kāore anō koe i kai i tētahi kai i ngā wā tata nei. Mā tēnei e āwhina ai ki te ārai i ngā pōrearea o te puku, ahakoa kāore i te tino tika.

He mea nui te wā o tō horopeta whakamutunga nā te mea ka taea e te midodrine te whakanui i tō pēhanga toto ahakoa e takoto ana koe. Ko te tango i te rā roa rawa pea ka piki rawa tō pēhanga toto i te wā e moe ana koe.

Kia Pēhea te Roa e Tango Ana ahau i te Midodrine?

He rerekē te roa o te maimoatanga midodrine mai i te tangata ki te tangata, e whakawhirinaki ana ki tō āhuatanga o raro me te pai o tō urupare ki te rongoā. E hiahia ana ētahi tāngata i te rongoā mō ētahi marama noa iho, i te wā e hiahia ana ētahi atu ki te maimoatanga wā-roa.

Ka arotakehia e tō tākuta i ngā wā katoa mēnā e hiahia ana tonu koe ki te midodrine mā te aroturuki i ō tohumate me ngā urupare pēhanga toto. Ka tūtohu pea rātou i ngā okiokinga wā-wā mai i te rongoā kia kite mēnā kua pai ake tō āhuatanga i te taiao.

Mō ētahi tāngata e pā ana ki ngā āhuatanga tawhito e pā ana ki te hypotension orthostatic, ka hiahiatia pea te midodrine mō ngā wā roa. Heoi, ka whai tonu tō tākuta ki te whakamahi i te horopeta whai hua iti rawa mō te wā poto rawa e tika ana.

Kaua rawa e mutu te tango i te midodrine ohorere me te kore e kōrero tuatahi ki tō tākuta. Ka hiahia pea rātou ki te whakaiti haere i tō horopeta kia kore ai e tere rawa te heke o tō pēhanga toto.

He Aha ngā Pānga Taha o te Midodrine?

Pērā i ngā rongoā katoa, ka taea e te midodrine te pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko te nuinga o ngā pānga taha e pā ana ki ōna pānga whakanui pēhanga toto, ā, he ngawari ki te āhua.

Ko ngā pānga taha tino noa ka kitea pea e koe ko te ngau, te ngāwari rānei i runga i tō mahunga, te kiri heihei, te mātao rānei. Ka puta ēnei ngāwari nā te mea ka pā te midodrine ki ngā oko toto i tō kiri, ā, ka iti ake te kitea i te wā e whakatika ana tō tinana.

Anei ngā pānga taha noa e pā ana ki ngā tāngata:

• Ngā ngāwari, ngāwari rānei i te kiri o te mahunga
• Te pūhihi, te tū rānei o ngā makawe
• Te mākū, te makariri rānei
• Te uaua ki te mimi, te pupuri mimi rānei
• Te whakapairuaki, te mamae rānei o te puku
• Te ānini
• Te whanoke i te takoto

Ko ēnei pānga noa ka taea te whakahaere, ā, he maha ngā wā ka pai ake i te wā e waia ana tō tinana ki te rongoā. Ka taea e tō tākuta te āwhina i a koe ki te kimi huarahi hei whakaiti i ngā mamae e pā ana ki a koe.

Ka pā pea ētahi tāngata i ngā pānga taha nui ake e hiahia ana kia rongoā tonu. He iti noa iho tēnei, engari he mea nui kia mōhiotia:

• Te pēhanga toto tiketike rawa i te takoto
• Te puhoi o te ngākau, te ngākau rānei e rere ana i te ara rerekē
• Te mamae, te pēhanga rānei o te uma
• Te ānini nui kāore e pai ake
• Ngā huringa o te tirohanga, te tirohanga rānei e pāwera ana
• Te uaua ki te hā
• Te mamae nui o te puku

Mēnā ka pā ki a koe ētahi o ēnei tohumate nui ake, whakapā atu ki tō tākuta tonu, rapu rānei i te rongoā ohorere. He mea onge ēnei pānga, engari e hiahia ana kia aro wawe kia mōhio ai kei te haumaru koe.

Ko wai kāore e tika ana kia tango Midodrine?

Kāore te Midodrine i te haumaru mō te katoa, ā, ko ētahi āhuatanga hauora, āhuatanga rānei, ka kore e tika, ka mōrearea rānei. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakarite i tēnei rongoā.

Me karo ngā tāngata e pā ana ki ētahi āhuatanga o te ngākau i te midodrine, nā te mea ka nui ake te pēhanga ki te pūnaha cardiovascular. Kei roto i tēnei ko te hunga e pā ana ki te mate ngākau nui, ētahi momo raruraru o te manawataki, te kore rānei o te ngākau.

Ko ēnei ngā āhuatanga nui e kore ai e tika te midodrine:

• Te mate ngakau nui, te korenga o te ngakau koi ranei
• Te tairoiro nui (hyperthyroidism)
• Te glaucoma kuiti-koki
• Te mate tākihi nui
• Pheochromocytoma (he puku onge o te repe adrenal)
• Te pēhanga toto tiketike tonu i te takoto
• Te hapū, te whāngai u rānei

Ka tūpato hoki tō tākuta ki te whakahau i te midodrine mēnā he mate huka tō, he raruraru ate, he raruraru rongoa mimi rānei. Kāore ēnei āhuatanga e aukati i a koe ki te tango i te rongoā, engari me nui ake te aroturuki.

He take anō te pakeke, nā te mea he nui ake te tairongo o ngā pakeke ki ngā pānga o te midodrine. Ka tīmata pea tō tākuta ki te horopeta iti ake, ā, ka āta aroturuki i a koe mēnā kei runga ake koe i te 65 tau.

Ngā Ingoa Waitohu Midodrine

E wātea ana te Midodrine i raro i ētahi ingoa waitohu, ko ProAmatine te mea e mōhiotia ana i te United States. Koinei te ingoa waitohu tuatahi i te wā i whakaaetia tuatahitia te rongoā.

Ko ētahi atu ingoa waitohu ko Orvaten, ahakoa ko ProAmatine te mea e mōhiotia whānuitia ana. E wātea whānuitia ana hoki ngā putanga generic o te midodrine, ā, he rite tonu te mahi ki ngā putanga ingoa waitohu.

Ahakoa ka whiwhi koe i te midodrine ingoa waitohu, i te generic rānei, he rite tonu te whakauru kaha me te whai hua. Ka whai rongoā pea tō whare rongoā i ngā putanga mai i ngā kaihanga rerekē, engari e tutuki ana i ngā paerewa kounga me te haumaru.

Mēnā he āwangawanga āu mō te huri i waenga i ngā putanga rerekē o te midodrine, kōrero ki tō tākuta, ki te kaipūtaiao rongoā rānei. Ka taea e rātou te whakautu i ngā pātai mō te rite, te whai hua rānei.

Ngā Kōwhiringa kē atu mō te Midodrine

He maha ngā kōwhiringa kē atu mō te midodrine mō te rongoā i te hypotension orthostatic, ahakoa ko te kōwhiringa pai rawa atu ka whakawhirinaki ki tō āhuatanga motuhake me ngā take e pūtake ana. Ka whakaaro tō tākuta ki ēnei kōwhiringa mēnā kāore te midodrine e tika ana, e whai hua ana rānei mōu.

Ko te Fludrocortisone tētahi atu rongoā e whakamahia ana mō te hypotension orthostatic. He rerekē tana mahi mai i te midodrine mā te āwhina i tō tinana ki te pupuri i te tote me te wai, e whakanui ana i te rōrahi toto me te pēhanga.

Ka whai hua hoki ngā huarahi kore-rongoā mō te whakahaere i te hypotension orthostatic. Ko ēnei rautaki oranga he pai te mahi anake, i te taha rānei o te rongoā:

• Te mau kākahu kōpeke hei whakapai ake i te rere toto
• Te whakanui i te kai tote (i raro i te tirotiro hauora)
• Te inu wai nui ake, ina koa te wai
• Te ara ake pōturi mai i ngā tūnga noho, takoto rānei
• Te moe me tō upoko e whakatikahia ana
• Te karo i ngā taiao wera me ngā ua roa

Ka tūtohu pea tō tākuta ki te rongoā i ngā āhuatanga e takoto ana e whai wāhi ana ki tō hypotension orthostatic. I ētahi wā, ka taea e te whakatika i te take pūtake te whakapai ake i ō tohumate me te kore e hiahia rongoā pērā i te midodrine.

He Pai Ake Te Midodrine I Te Fludrocortisone?

Kāore te midodrine, te fludrocortisone rānei i te pai ake i tētahi atu. Ka whakawhirinaki te whiriwhiri ki ō āhuatanga takitahi, ngā āhuatanga hauora e takoto ana, me te pai o tō urupare ki ia rongoā.

He tere ake te mahi a te Midodrine, he iti ake ngā pānga taha wā-roa, e waiho ana hei kōwhiringa tuatahi pai mō te nuinga o ngā tāngata. Kāore hoki e pā ana ki te pupuri wai e taea ana e te fludrocortisone, he mea nui tēnei ki te whai raruraru ngākau, whatukuhu rānei.

Ko te Fludrocortisone, i tērā taha, he pai ake pea mō ētahi tāngata, ā, ka taea te tango i te iti ake o te auau. Heoi, ka taea e ia te pānga taha nui ake i te wā, tae atu ki ngā taumata pāhare pāporo iti me te piki ake o te tūponotanga o ngā mate.

Ka whakaaro tō tākuta ki ngā āhuatanga pērā i ō atu āhuatanga hauora, ngā rongoā o nāianei, me te oranga i te wā e whakatau ana ko tēhea kōwhiringa ka pai ake mō koe. Ka whai hua ētahi tāngata mai i te tango i ngā rongoā e rua i te taha o te tirotiro hauora.

Ngā Pātai Auau mō te Midodrine

Q1. He Haumaru te Midodrine mō te hunga mate huka?

Ka taea te whakamahi haumaru te Midodrine mō te hunga mate huka, engari me nui ake te aroturuki me te tūpato. Ka pā te mate huka ki ō uaua toto me ō io, ā, ka huri pea tēnei i te āhua o te urupare a tō tinana ki te rongoā.

Me aroturuki e tō tākuta tō pēhanga toto, ā, ka tīmata pea koe ki te horopeta iti ake. Ka pā hoki te mate huka ki te āhua o te whakahaere a tō tinana i te pēhanga toto, nō reira ka kaha ake pea ngā pānga o te midodrine.

Mēnā he mate tākihi tō te mate huka, ka tino tūpato tō tākuta ki te whakahau i te midodrine, nā te mea ka pā te raruraru tākihi ki te āhua o te tukatuka a tō tinana i te rongoā. Me kōrero tonu ki tō tākuta mō tō whakahaere mate huka me ngā raruraru i pā ki a koe.

Q2. Me pēhea ahau ki te tango nui rawa atu i te Midodrine?

Mēnā ka tango nui rawa atu koe i te midodrine i te mea i whakahaua, whakapā atu ki tō tākuta, ki te mana whakahaere paitini rānei, inā koa i tango koe i te nui rawa atu i tō horopeta o mua. Ko te tango nui rawa atu ka piki te pēhanga toto ki te taumata mōrearea.

Ngā tohu o te tango nui rawa atu i te midodrine ko te mamae nui o te upoko, te tirohanga kōaro, te mamae o te uma, te āhua rānei o te ngākau e pōturi ana. Mēnā ka pā ki a koe ēnei tohu, rapua tonu te āwhina hauora ohorere.

I te wā e tatari ana koe mō te āwhina hauora, takoto ki raro, me te ngana ki te noho marino. Kaua e whai wāhi ki ngā mahi ka piki ake ai tō pēhanga toto, pēnei i te whakakori tinana, i ngā wā rānei e pōhēhē ana.

Hei aukati i te horopeta nui ohorere, whakaarohia te whakamahi i te kaiwhakarite pire, te whakatakoto rānei i ngā whakamaharatanga waea hei āwhina i a koe ki te whai i te wā i tango ai koe i tō rongoā.

Q3. Me pēhea ahau ki te ngaro i te horopeta o te Midodrine?

Mēnā ka ngaro koe i te horopeta o te midodrine, tangohia i te wā e mahara ana koe, ki te kore e tata ana ki tō horopeta e whai ake nei. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō tētahi i ngaro.

Mēnā kei roto i te 2 hāora i mua i tō horopeta e whai ake nei, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau. Mā tēnei e ārai tō pēhanga toto kia kaua e tiketike rawa mai i ngā horopeta e tūhono ana.

Kia mahara, kaua rawa tō horopeta whakamutunga e tangohia i muri i te 6 PM, ahakoa i ngaro i a koe tētahi horopeta o mua. Ko te tango midodrine i te wā roa rawa i te rā ka pūtake te pēhanga toto tiketike i te wā e moe ana koe.

Mēnā he maha ngā wā e wareware ana koe ki ngā horopeta, kōrero ki tō tākuta mō ngā rautaki hei āwhina i a koe ki te mahara, pērā i te hono i ngā horopeta ki ngā kai, ki ngā mahi o ia rā rānei.

Q4. Āhea e taea ai e au te whakamutu i te tango Midodrine?

Me whakamutu anake koe i te tango midodrine i raro i te ārahitanga a tō tākuta, i te mea me mōhio rātou he haumaru, he tika hoki mō tō āhuatanga. Ko te whakamutu ohorere ka pūtake te heke tere o tō pēhanga toto, ka pūtake pea te whanoke, te ngaro rānei.

Ko te tikanga ka hiahia tō tākuta ki te whakaiti i tō horopeta i roto i ngā rā, i ngā wiki rānei, kaua ki te whakamutu ohorere. Ka aroturukihia hoki e rātou ō tohumate me tō pēhanga toto i tēnei tukanga.

Ko te whakatau ki te whakamutu i te midodrine e whakawhirinaki ana ki ētahi āhuatanga, tae atu ki te pai o te whakapai ake o tō āhuatanga i raro i te whenua, me te mea kua huri koe i ngā huringa o te oranga e āwhina ana ki te whakahaere i tō pēhanga toto i te taiao.

Ka taea e ētahi tāngata te whakamutu i te tango midodrine mēnā ka pai ake tō rātou āhuatanga, i te mea ka hiahia ētahi atu ki te wā roa. Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te hiahia tonu koe i te rongoā, me te whakatika i tō mahere maimoatanga kia rite.

Q5. Ka taea e au te inu waipiro i te wā e tango ana au i te Midodrine?

He pai ake te karo i te waipiro, te inu rānei i ngā rahinga iti rawa i te wā e tango ana koe i te midodrine, i te mea ka taea e te waipiro te whakararu i te whai huatanga o te rongoā, me te whakanui i tō tūponotanga ki ngā pānga taha.

Ka taea e te waipiro te whakaheke i tō pēhanga toto me te whakapōrearea i te hypotension orthostatic, ka pūtake pea te kino o ō tohumate ahakoa e tango ana koe i te midodrine. Ka taea hoki e ia te whakanui i tō tūponotanga ki te whanoke me te ngaro.

Mēnā ka whiriwhiria e koe te inu i ētahi wā, kōrerohia ki tō tākuta mō ngā rohe haumaru me ngā whakatūpato. Ka tūtohu pea rātou kia karo katoa i te waipiro, kia whakawhāiti rānei i a koe ki ngā rahinga iti rawa me te kai.

Me mātakitaki tonu koe i tō āhua mēnā ka inu koe i te wa e tango ana koe i te midodrine, me karo i ngā mahi pēnei i te taraiwa, i te whakahaere rānei i ngā mīhini mēnā ka pōuri, ka kore rānei koe e tū.