Ni iki AbobotulinumtoxinA: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'iyo miti n'ibindi

AbobotulinumtoxinA ni umuti wandikirwa na muganga ugabanya by'agateganyo imitsi ikora cyane cyane ibuza ibimenyetso by'imitsi. Ushobora kuyimenya neza ku izina ry'ubucuruzi rya Dysport, kandi ni igice cy'umuryango umwe w'imiti nka Botox, nubwo bakora mu buryo butandukanye gato mu mubiri wawe.

Uyu muti ukorwa muri poroteyine isukuye iva mu mikorobe yitwa Clostridium botulinum. Nubwo bishobora kumvikana biteye impungenge, uburyo bukoreshwa mu buvuzi butunganywa neza kandi burinzwe rwose iyo butanzwe n'abakora mu buvuzi babihuguwe. Bimaze gufasha abantu gucunga ibibazo bitandukanye bifitanye isano n'imitsi mu myaka myinshi.

AbobotulinumtoxinA ikoreshwa mu iki?

AbobotulinumtoxinA ifasha kuvura ibibazo byinshi aho imitsi iba ikomeye cyane cyangwa ikora cyane. Muganga wawe ashobora kubikugiraho inama iyo imitsi yawe idasubiza neza ku bundi buvuzi cyangwa iyo ukeneye ubufasha bwihariye.

Impamvu isanzwe abaganga bandikira uyu muti ni cervical dystonia, ikibazo aho imitsi yo mu ijosi yikururira ku bushake kandi igatuma umutwe wawe uhinduka cyangwa ugahinduka. Irashobora kandi kuvura muscle spasticity mu maboko yawe n'amaguru, akenshi bibaho nyuma ya stroke cyangwa ku bantu bafite cerebral palsy.

Abantu bamwe bakira inshinge za abobotulinumtoxinA kubera impamvu z'ubwiza, cyane cyane kugabanya imirongo yo hagati y'amaso. Iyo ikoreshejwe muri ubu buryo, igabanya by'agateganyo imitsi itera iyi mirongo yerekana, igaha isura yawe igaragara neza.

Bitari kenshi, abaganga bashobora gukoresha uyu muti kubindi bibazo nko kubira ibyuya birenze urugero, migrenes ihoraho, cyangwa uruhago rukora cyane. Ariko, izi nkoresho zishingiye ku miterere yawe yihariye n'isuzuma rya muganga wawe ry'icyo gishobora kugukorera neza.

AbobotulinumtoxinA ikora ite?

AbobotulinumtoxinA ikora mu buryo bwo kubuza by'agateganyo imibanire hagati y'imitsi yawe n'imitsi. Bitekereze nk'aho ushyize buto yo guhagarika gahoro ku bimenyetso bibwira imitsi yawe kwikurura.

Iyo yatewe mu mitsi runaka, umuti ubuza irekurwa ry'ubutumwa bw'imirasire bwa chimique bita acetylcholine. Uyu muti wa chimique ubusanzwe ubwira imitsi yawe igihe cyo kwikurura. Mu kubuza iki kimenyetso, umuti wemerera imitsi ikora cyane kuruhuka no gukora neza.

Ingaruka ntizihuta - ubusanzwe uzatangira kubona impinduka mu minsi mike cyangwa icyumweru nyuma yo guterwa urushinge. Uyu muti ufashwe nk'ufite imbaraga ziringaniye, bivuze ko utanga ubufasha bukomeye utagize urugomo rwinshi. Abantu benshi basanga bituma bagira ubugenzuzi bwiza ku bimenyetso byabo batuma imitsi yabo iba micye cyane.

Ingaruka zo kuruhuka zigenda zigabanuka buhoro buhoro mu mezi menshi nk'uko imitsi yawe isanzwe yongera kwivugurura kandi igatangira kongera kuvugana n'imitsi yawe. Ibi nibyo bituma ukeneye kuvurwa buri gihe kugira ngo ugumane inyungu.

Nkwiriye gufata AbobotulinumtoxinA nte?

AbobotulinumtoxinA buri gihe itangwa nk'urushinge rutewe mu mitsi runaka, bityo ntuzayifata nk'ipilule cyangwa icyo kunywa. Umuganga wawe azagena neza aho n'ingano yo gutera bitewe n'uburwayi bwawe n'ibimenyetso.

Mbere yo guhura nawe, ntugomba kwirinda kurya cyangwa kunywa, kandi nta myiteguro idasanzwe ikenewe. Ariko, birafasha kwambara imyenda yoroshye yemerera kwinjira byoroshye ahantu havurwa. Niba urimo guterwa inshinge mu ijosi cyangwa mu ntugu, ishati ifite ijosi rigari ikora neza.

Uburyo bwo gutera urushinge ubusanzwe bufata iminota mike gusa. Muganga wawe ashobora gukoresha urushinge ruto cyane kandi ashobora gutera ahantu henshi mu gice cy'imitsi yafashwe. Abantu bamwe basanga bifasha gukora imyitozo yo kuruhuka mbere, kuko kuguma utuje bishobora gutuma ibyabaye birushaho kuba byiza.

Nyuma yo guterwa urushinge, mubisanzwe ushobora gusubira mu bikorwa byawe bisanzwe ako kanya. Muganga wawe ashobora kugusaba kwirinda imyitozo ikomeye cyangwa kuryama amasaha make, bitewe n'aho watewe urushinge. Izi ngamba zoroheje zifasha kumenya neza ko umuti uguma ahantu hakwiye.

Mbonye Kangahe Nzakoresha AbobotulinumtoxinA?

Igihe cyo kuvurwa na abobotulinumtoxinA giterwa rwose n'uburwayi bwawe bwite n'uburyo witwara neza ku muti. Abantu benshi bakeneye kuvurwa buri gihe kuko ingaruka ziba iz'igihe gito, akenshi zimara amezi atatu kugeza kuri atandatu.

Muganga wawe ashobora gutangira n'igihe cy'igerageza kugirango arebe uko umubiri wawe witwara. Niba urushinge rwa mbere rufasha ibimenyetso byawe, birashoboka ko uzategura gahunda yo gusubira kwa muganga buri mezi atatu cyangwa ane. Abantu bamwe basanga ibimenyetso byabo bikomeza kugenzurwa igihe kirekire, mu gihe abandi bashobora gukenera kuvurwa kenshi.

Inkuru nziza ni uko abantu benshi bashobora gukomeza gukoresha uyu muti mu buryo bwizewe imyaka myinshi igihe ufasha ubuzima bwabo. Umuganga wawe azagenzura uko witwara kandi ahindure igihe n'urugero uko bikwiye. Abantu bamwe basanga bakeneye imiti mike cyane uko igihe kigenda, mu gihe abandi bakomeza gahunda imwe.

Niba ukoresha abobotulinumtoxinA kubw'impamvu z'ubwiza, ufite umwanya wo guhitamo igihe. Urashobora guhitamo gukomeza kuvurwa kugirango ugumane ibisubizo, cyangwa urashobora guhagarika igihe cyose ushaka. Uyu muti ntutera impinduka zihoraho, bityo guhagarika kuvurwa bisobanura ko imitsi yawe izasubira buhoro buhoro mu gihe cyayo cyabanje.

Ni Iyihe Ngaruka Ziterwa na AbobotulinumtoxinA?

Abantu benshi bafata neza abobotulinumtoxinA, ariko nk'undi muti uwo ari wo wose, ushobora gutera ingaruka. Kumva icyo witeguye bishobora kugufasha kumva witeguye kandi umenye igihe wakwibutsa umuganga wawe.

Ingaruka zikunze kugaragara zibera hafi y'aho umuti watewe kandi akenshi ziba zoroshye. Muri rusange, zikubiyemo kubabara by'igihe gito, kubyimba, cyangwa gushwanyagurika ahatewe urushinge. Ushobora kandi kubona intege nke mu mikaya mu gice cyavuwe, ibyo bikaba ari bumwe mu buryo umuti ukora.

Dore ingaruka ushobora guhura nazo, dutangiriye ku zikunze kugaragara:

• Kubabara by'igihe gito, gutukura, cyangwa kubyimba ahatewe urushinge
• Gushwanyagurika gake gashira nyuma y'iminsi mike
• Intege nke mu mikaya mu gice cyavuwe
• Umutwe ukunze gushira vuba
• Ibimenyetso bisa n'ibyo muri grip, nk'umunaniro cyangwa kubabara umubiri gake
• Umunwa wumye, cyane cyane iyo batewe urushinge mu ijosi
• Kugorana kumeza niba batewe urushinge hafi y'imikaya yo mu muhogo

Izi ngaruka zisanzwe akenshi ziba z'igihe gito kandi zigakira uko umubiri wawe wimenyereza umuti. Abantu benshi babona ko zicungwa kandi zitabangamiye cyane kurusha ibimenyetso byabo by'umwimerere.

Abantu bamwe bahura n'ingaruka zitagaragara cyane ariko zigaragara cyane. Zishobora kuba zirimo amaso amanuka niba batewe urushinge mu maso, kugorana kw'igihe gito mu kuvuga niba imikaya yo mu ijosi ivuwe, cyangwa gukwirakwiza intege nke mu mikaya yo hafi. Nubwo bishobora guhangayikisha, izi ngaruka ziracyari z'igihe gito kandi zizashira uko umuti ugenda ushiramo imbaraga.

Ingaruka zidakunze kugaragara ariko zikomeye zirashobora kubaho, nubwo bitaba kenshi iyo umuti utanzwe neza. Zishobora kuba zirimo kugorana guhumeka, ibibazo bikomeye byo kumeza, cyangwa intege nke mu mikaya ikwirakwira hanze y'aho urushinge rwatewe. Ibi bihe bisaba ubufasha bwihuse bw'abaganga, ariko ntibikunda kubaho iyo umuti utanzwe neza kandi ahantu hakwiye.

Umuvuzi wawe azaganira nawe ku byerekeye ibyago byawe byihariye kandi azakugenzura neza, cyane cyane mu kuvurwa kwawe kwa mbere. Bazagufasha gusobanukirwa icyo gisanzwe kuri wowe no kumenya igihe cyo gushaka ubufasha.

Ninde utagomba gufata AbobotulinumtoxinA?

Nubwo abobotulinumtoxinA ari umutekano ku bantu benshi, ibibazo bimwe na bimwe bituma bitakwemerwa cyangwa bigasaba ingamba zidasanzwe. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi kugira ngo yemeze ko uyu muti ukwiriye kuri wowe.

Ntabwo wagombye guhabwa abobotulinumtoxinA niba ufite allergie ku bicuruzwa byose bya botulinum toxin cyangwa wigeze kugira ibibazo bikomeye kubera byo. Abantu bafite ibibazo bimwe na bimwe by'imitsi cyangwa imitsi, nka myasthenia gravis cyangwa Lambert-Eaton syndrome, bagomba kwirinda uyu muti kuko ushobora gutuma imitsi yabo irushaho kunanuka.

Niba ufite indwara ikora ahantu hateganyijwe guterwa urushinge, muganga wawe ashobora gusubika kuvura kugeza igihe indwara ikize. Ibi birinda umuti gukwirakwiza mikorobe mu bice byawe byimbitse.

Ibindi bibazo byinshi bisaba kuzirikana mbere yo kuvurwa:

• Gusama cyangwa konsa - umutekano nturashimangirwa neza
• Ibibazo byo guhumeka cyangwa kugorwa kumeza
• Ibibazo byabayeho mbere kubera ibicuruzwa bya botulinum toxin
• Ibibazo bimwe na bimwe bya autoimmune bigira ingaruka ku mitsi
• Ibibazo byo gupfuka amaraso
• Urukoreshwa rwa vuba rw'imiti imwe na mikorobe ishobora kugira ingaruka ku mikorere y'imitsi

Umuvuzi wawe azashaka kumenya imiti yose urimo gufata, harimo imiti itagurishwa ku gasoko na supplements. Imvange zimwe na zimwe zirashobora kongera ibyago byo kugira ingaruka cyangwa gutuma umuti udakora neza.

Imyaka nayo ishobora kuba impamvu, nubwo bitari ngombwa ko ari inzitizi. Abana bato cyane n'abantu bakuze bashobora gukenera ibitekerezo byihariye byo gupima cyangwa gukurikiranwa hafi. Muganga wawe azagereranya inyungu zishoboka n'ibibazo byose by'imyaka yawe yihariye.

Amazina y'ubwoko bwa AbobotulinumtoxinA

Izina risanzwe rya abobotulinumtoxinA ni Dysport, ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika no mu bindi bihugu byinshi. Iri ni ryo zina ushobora kubona ku byangombwa byawe byo kwandikisha imiti no ku mazina y'imiti.

Mu bihugu bimwe na bimwe, ushobora guhura n'andi mazina y'ubucuruzi y'umuti umwe, nka Reloxin cyangwa Azzalure. Ibi birimo ibikoresho bikora kimwe ariko bishobora gukorwa mu buryo butandukanye cyangwa byemerewe gukoreshwa mu buryo butandukanye bitewe n'amategeko yaho.

Ni ngombwa kwibuka ko nubwo ibi byose ari abobotulinumtoxinA, ntibisa neza n'ibindi bicuruzwa bya botulinum toxin nka Botox (onabotulinumtoxinA) cyangwa Xeomin (incobotulinumtoxinA). Ibipimo byo gupima n'imiti ntibishobora guhindurwa mu buryo butaziguye hagati y'ibi bicuruzwa bitandukanye.

Muganga wawe azandika izina ryihariye rikwiye cyane kubera uburwayi bwawe kandi riboneka mu karere kawe. Niba ukeneye guhindura izina ry'ubucuruzi ku mpamvu iyo ari yo yose, umuganga wawe azahindura imiti uko bikwiye kugirango wemeze ko ubona ingaruka zimwe zo kuvura.

Izindi nzira za AbobotulinumtoxinA

Niba abobotulinumtoxinA itagukwiriye cyangwa itatanga ubufasha buhagije, izindi nzira nyinshi zishobora kugufasha gucunga uburwayi bwawe. Guhitamo neza biterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'intego zo kuvura.

Ibindi bicuruzwa bya botulinum toxin bitanga inyungu zisa n'izo ariko bifite imiterere itandukanye gato. OnabotulinumtoxinA (Botox) ni yo izwi cyane kandi ikora kimwe, nubwo abantu bamwe basubiza neza ku gicuruzwa kimwe kuruta ikindi. IncobotulinumtoxinA (Xeomin) ni indi nzira itarimo proteyine zimwe zishobora gutera allergie.

Kubijyanye no gukomera kw'imitsi, muganga wawe ashobora gutanga imiti yo kunywa nka baclofen cyangwa tizanidine. Izi zikora mu mubiri wawe wose aho kuganisha ku misitsi yihariye, ibyo bishobora gufasha kubibazo by'imitsi byagutse ariko bishobora gutera ingaruka nyinshi zose.

Imiti yo gukora imyitozo ngororamubiri n'imyitozo yo gushyira imitsi mu buryo bwiza bishobora gufasha cyangwa rimwe na rimwe gusimbuza imiti y'inkingo. Gukorana n'umuganga w'imyitozo ngororamubiri birashobora kugufasha kwiga uburyo bwo gucunga imitsi ikomeye no kunoza imikorere yawe mu buryo bw'umwimerere.

Ku bijyanye n'indwara zimwe na zimwe, izindi nzira zo kuvura zishobora kuba zikwiriye. Izi zirimo gukingira imitsi, kubaga, cyangwa ibikoresho nk'amapompe ya baclofen atanga imiti mu mugongo wawe.

Uburyo butari ubw'ubuvuzi nk'imicungire y'umunaniro, gukoresha ubushyuhe, gukora massage, cyangwa acupuncture na bwo bushobora gutanga ubufasha ku bantu bamwe. Nubwo ibi bitasimbura ubuvuzi, bishobora kuba ibintu by'agaciro byongerwa ku gahunda yawe y'ubuzima muri rusange.

Ese AbobotulinumtoxinA iruta OnabotulinumtoxinA (Botox)?

Byombi abobotulinumtoxinA (Dysport) na onabotulinumtoxinA (Botox) ni imiti ikora neza ya botulinum toxin, ariko ifite itandukaniro rishobora gutuma imwe ikwira kurusha indi. Nta na rimwe riruta irindi muri rusange - biterwa n'uburyo umubiri wawe witwara n'ibyo ukeneye byihariye.

AbobotulinumtoxinA ikunda gukwirakwiraho gato kuva aho yatewe, ibyo bishobora gufasha mugihe cyo kuvura imitsi minini ariko bisaba gushyirwa neza mugihe gikoreshwa mu buryo bwo kwirimbisha. Abantu bamwe kandi basanga Dysport itangira gukora vuba kurusha Botox, ibisubizo bigaragara muminsi 2-3 aho kuba iminsi 3-7.

Uburyo bwo gupima ntibusa hagati yiyi miti, bityo ntushobora kugereranya umubare w'ibice. Muri rusange, ukeneye ibice bigera kuri 2.5 kugeza kuri 3 bya Dysport kugirango bingane n'igice 1 cya Botox, ariko muganga wawe azagena umubare ukwiriye kubijyanye n'ubuzima bwawe bwihariye.

Abantu bamwe basanga bitwara neza kuri kimwe kurusha ikindi, kabone niyo byombi byapimwe neza. Ibi bishobora guterwa n'itandukaniro rito riri mu buryo imiti ikorwamo cyangwa itandukaniro ryihariye ry'uburyo umubiri wawe uyikoresha.

Igiciro nacyo gishobora kuba ikintu cy'ingenzi, kuko ibiciro bitandukana bitewe n'ahantu n'ubwishingizi. Rimwe na rimwe imwe muri iyi miti iboneka vuba cyangwa ikishyurwa neza n'ubwishingizi bwawe.

Umuvuzi wawe ashobora kugufasha kumenya uburyo bwiza bushobora gukora neza bitewe n'uburwayi bwawe, uburyo wabanje kuvurwa, n'ibitekerezo bifatika. Abantu bamwe banahinduranya hagati y'ibicuruzwa niba bagabanije imikorere nyuma y'igihe.

Ibikunze Kubazwa Kuri AbobotulinumtoxinA

Ese AbobotulinumtoxinA irakoreshwa neza ku barwayi basaza?

AbobotulinumtoxinA irashobora gukoreshwa neza ku barwayi basaza, ariko bisaba kwitondera ubuzima bwabo muri rusange n'imiti bafata. Abantu bakuze bashobora kumva cyane ingaruka kandi bashobora gukenera imiti mike cyangwa gukurikiranwa hafi.

Umuvuzi wawe azita cyane ku bintu nk'imikorere y'impyiko, indi miti urimo gufata, n'urwego rwawe rw'ubunebwe muri rusange. Abantu benshi basaza bakoresha neza uyu muti kubera indwara nka cervical dystonia cyangwa post-stroke spasticity bafite ibisubizo byiza cyane.

Icy'ingenzi ni ugukorana n'umuvuzi ufite uburambe mu kuvura abantu basaza. Bazatangira n'imiti yoroheje hanyuma bayihindure bitewe n'uburyo wabyitwayemo, bakwemeza ko ubona inyungu nyinshi n'ibibazo bike.

Nkwiriye gukora iki niba mbonye AbobotulinumtoxinA nyinshi mu buryo butunganye?

Niba ucyeka ko wakiriye AbobotulinumtoxinA nyinshi, vugana n'umuvuzi wawe ako kanya. Nubwo kubona doze nyinshi bidakunze kubaho iyo bitanzwe n'abantu babihuguriwe, doze nyinshi zishobora gutera intege nke z'imitsi zikwirakwira kurusha uko byari byateganyijwe.

Ibimenyetso byo gufata imiti myinshi bishobora kuba bigoranye kumeza, ibibazo byo guhumeka, cyangwa intege nke zikwirakwira mu mitsi itavuwe. Ibi bimenyetso bishobora kuza nyuma y'amasaha cyangwa iminsi nyuma yo guterwa urushinge, bityo ukomeze kuba maso ku mpinduka zidasanzwe.

Nta muti wihariye wa botulinum toxin, ariko umuvuzi wawe ashobora gutanga ubufasha no kugukurikirana hafi. Ingaruka nyinshi zituruka ku doze nyinshi ziracyari iz'agateganyo kandi zizashira uko umuti ugenda ushiramo mu buryo busanzwe.

Inkuru nziza ni uko iyo itangwa neza n’abaganga babifitiye ubushobozi, kwirengagiza imiti ntibiba cyane. Muganga wawe abara imiti neza bitewe n'ibyo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Nkwiriye gukora iki niba nsubije inshinge ya AbobotulinumtoxinA?

Niba usubije inshinge yawe yateganyijwe, vugana n'umuganga wawe vuba bishoboka kugira ngo uyisubize. Gusubiza imiti imwe ntacyo bizatwara, ariko ushobora kubona ibimenyetso byawe bigaruka buhoro buhoro uko inshinge yabanje igenda ishira.

Abantu benshi bashobora gutinda inshinge yabo ikurikira mu byumweru bike nta kibazo gikomeye. Ibyo wumva bishobora gutangira gusubira ku rwego rwa mbere yo kuvurwa, ariko iki gikorwa kibaho buhoro buhoro mu byumweru byinshi.

Gerageza gusubiza mu gihe gishoboka kugira ngo ugumane kugenzura ibimenyetso byawe. Niba umaze igihe kirekire ugereranije n'igihe cyari gisanzwe, muganga wawe ashobora gukenera gusuzuma uko umeze kandi ashobora guhindura urugero rwawe ku kuvurwa gukurikira.

Abantu bamwe babona ko bifasha guteganya inshinge yabo ikurikira mbere yo kuva aho bari, cyangwa gushyiraho ibyibutsa kuri terefone yabo kugira ngo birinde gusubiza imiti y'ejo hazaza.

Nshobora guhagarika ryari gufata AbobotulinumtoxinA?

Ushobora guhagarika gufata abobotulinumtoxinA igihe cyose ubishakiye, kuko nta kwishingikiriza ku mubiri cyangwa ibimenyetso byo gukurwaho. Ariko, ibimenyetso byawe bya mbere bizagaruka buhoro buhoro uko ingaruka z'umuti zigenda zishira mu mezi akurikira.

Abantu bamwe bahitamo guhagarika kuvurwa niba indwara yabo yoroshye, niba bahuye n'ingaruka zitabasha kwihanganira, cyangwa niba bashaka kugerageza ubundi buryo bwo kuvura. Abandi bafata akaruhuko ko kuvurwa kubera impamvu zabo bwite cyangwa iz'imari.

Niba utekereza guhagarika, banza ubiganireho n'umuganga wawe. Bashobora kugufasha gusobanukirwa icyo witegura kandi niba hari uburyo bwo gukemura ibibazo byose ufite ku bijyanye no gukomeza kuvurwa.

Wibuke ko guhagarika no kongera gutangira kuvurwa nyuma ari amahitamo ahora ahari. Umuti ntugira impinduka zihoraho, bityo ushobora gusubukura inshinge mu gihe kizaza niba ibimenyetso byawe bisubiyeho kandi bikaba bibangamira.

Nshobora gukora imyitozo nyuma yo guterwa inshinge za AbobotulinumtoxinA?

Ubusanzwe ushobora gusubukura ibikorwa byoroheje ako kanya nyuma yo guterwa urushinge, ariko muganga wawe ashobora kugusaba kwirinda imyitozo ikomeye mu masaha 24 ya mbere. Ibi bifasha kumenya neza ko umuti uguma mu misitsi yagenewe kandi ntiwigeza mu bice bitateganyijwe.

Ibikorwa byoroheje nk'ukugenda cyangwa koroshya birakora ako kanya. Ariko, ibikorwa byongera cyane imigezi y'amaraso ahaterwa urushinge, nk'imyitozo ikomeye ya cardio cyangwa kuzamura ibiremereye, birinda gukorwa umunsi umwe.

Ibyo basaba bishobora gutandukana bitewe naho watewe urushinge. Inshinge zo mu maso zishobora kugira imbogamizi zitandukanye z'ibikorwa ugereranije n'inshinge zo mu ijosi cyangwa mu ngingo.

Nyuma y'umunsi wa mbere, ushobora buhoro buhoro gusubira mu myitozo yawe isanzwe. Mubyukuri, kuguma ukora imyitozo birashobora gufasha gukomeza inyungu z'ubuvuzi bwawe mugihe ukomeza imitsi yawe n'ingingo zawe zifite ubuzima bwiza.