Icyo Alvimopan ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Alvimopan ni umuti wandikirwa na muganga ufasha kugarura imikorere isanzwe y'amara nyuma y'ubwoko bumwe na bumwe bw'ububaga. Yagenewe by'umwihariko kurwanya imyitwarire yo guhagarika imyenda n'igabanuka ry'igogora rishobora kubaho iyo wabazwe mu nda cyangwa mu gatuza.

Bitekereze nk'umufasha wihariye ukorera mu igogora ryawe kugira ngo ibintu bigende neza igihe umubiri wawe ukeneye ubufasha bwongereyeho mu gihe cyo gukira. Muganga wawe ashobora kukwandikira uyu muti niba uri kubagwa mu mara cyangwa izindi nzira zishobora kugira ingaruka ku mikorere isanzwe y'igogora ryawe.

Alvimopan ni iki?

Alvimopan ni mu cyiciro cy'imiti yitwa opioid antagonists. Ikora ibi ikingira ibice bimwe na bimwe byo mu igogora ryawe bishobora gutuma imyenda igenda gahoro, cyane cyane nyuma yo kubagwa cyangwa iyo uri gufata imiti igabanya ububabare.

Uyu muti ni uwihariye kandi ukoreshwa cyane mu bitaro. Bitandukanye n'indi miti myinshi yo mu igogora ushobora kumenya, alvimopan yagenewe gukoreshwa igihe gito mu gihe cyo gukira. Si ikintu wakwifashisha mu rugo ku bibazo bya buri munsi byo mu igogora.

Alvimopan ikoreshwa mu iki?

Alvimopan ikoreshwa cyane cyane mu gufasha abarwayi kugarura imikorere isanzwe y'amara nyuma yo kubagwa mu mara. Ubu bwoko bw'ububaga bukubiyemo gukuraho igice cy'amara manini cyangwa mato, bishobora guhagarika by'igihe gito imikorere isanzwe y'igogora ryawe.

Nyuma y'ubu bwoko bw'ububaga, abantu benshi bahura n'icyo abaganga bita "postoperative ileus." Ibi ni igihe amara yawe ahagarika by'igihe gito gukora ibiryo n'imyanda mu mubiri wawe mu buryo busanzwe. Ni igisubizo gisanzwe cyo kubagwa, ariko gishobora kuba kidashimishije kandi kigakerereza gukira kwawe.

Itsinda ryawe rishinzwe ubuzima rishobora no gutekereza ku gukoresha alvimopan niba uri kubagwa izindi nda aho hariho ibyago byo gutinda mu igogora. Intego ni ugufasha umubiri wawe gusubira mu buryo busanzwe bwo kugogora vuba, ibyo bishobora kugufasha kumva umeze neza kandi bikaba bishobora gutuma utaha vuba.

Alvimopan ikora ite?

Alvimopan ifatwa nk'umuti ukomeye wo hagati ukora mu buryo bwihariye. Ikomanga imitsi yihariye ya opioid mu nzira yawe yo kugogora itabangamiye imiti igufasha kugabanya ububabare ushobora kuba urimo guhabwa.

Iyo ubazwe, uburyo umubiri wawe usanzwe witwara mu gihe cy'umunaniro n'imiti iyo ari yo yose igabanya ububabare uhabwa bishobora gutuma igogora ryawe ritinda. Alvimopan ifasha guhangana n'ibi ikumira ibi bimenyetso byo guhagarika bitagera mu mara yawe. Ibi bituma imitsi yo mu igogora ryawe itangira kongera gukora bisanzwe.

Uyu muti ukora ahantu honyine mu igogora ryawe, bivuze ko ushyira imbaraga ze ahantu ukeneye cyane. Ntabwo yinjira cyane mu maraso yawe cyangwa ngo igire icyo ihindura ku bindi bice by'umubiri wawe nk'uko imiti imwe ibikora.

Nkwiriye gufata Alvimopan nte?

Alvimopan itangwa mu buryo bw'ikibahasha kimirwa, akenshi ukiri mu bitaro. Itsinda ryawe rishinzwe ubuzima rizagutera urugero rwa mbere mbere yo kubagwa, akenshi mu masaha make nyuma y'igikorwa.

Ushobora gufata uyu muti urya cyangwa utarya, kandi ntisaba ibintu byihariye byo kurya. Niba ushobora kunywa amazi, ni byiza rwose kuyanywa hamwe n'ikibahasha cyawe. Itsinda ryawe ry'abaganga rizagenzura igihe kandi rirebe ko ubona imiti yawe igihe uyikeneye.

Kubera ko uyu muti ukoreshwa mu bitaro, ntuzagomba guhangayika no kwibuka kuwufata wenyine. Abaforomo bawe bazakuzanira igihe cyiza kandi bashobora gusubiza ibibazo byose ufite ku bijyanye no kuwufata.

Nkwiriye kumara igihe kingana iki mfata Alvimopan?

Alvimopan iteganyirizwa gukoreshwa igihe gito, akenshi ntirenza iminsi 7. Abantu benshi barayifata iminsi 3 kugeza kuri 5, bitewe n'uko igifu cyabo gisubira mu buryo busanzwe nyuma yo kubagwa.

Itsinda ry'abaganga bazakurikirana uko urimo urwanya indwara, hanyuma bafate icyemezo cyo guhagarika umuti bitewe n'uko urimo urwanya indwara. Ibimenyetso byerekana ko witeguye guhagarika umuti bishobora kuba harimo kugira urugendo rwa mbere rw'amara, kumva utabyimbye cyane, cyangwa kuba ushobora kongera kurya ibiryo bisanzwe.

Umuti ugamije by'umwihariko gufasha mu gihe cyo hagati yo kubagwa no gukira kwawe. Iyo igifu cyawe gikora neza, ntuzongera kuwufata.

Ni izihe ngaruka ziterwa na Alvimopan?

Abantu benshi bafata neza alvimopan, ariko nk'indi miti yose, ishobora gutera ingaruka zimwe na zimwe. Inkuru nziza ni uko ingaruka zikomeye zitaba kenshi, kandi itsinda ry'abaganga rizakurikirana neza igihe urimo uwufata.

Dore ingaruka zisanzwe ushobora guhura nazo, wibuke ko nyinshi muri zo zishobora no kuba zifitanye isano no kubagwa kwawe vuba:

• Urugimbu cyangwa kutamererwa neza mu gifu
• Umutwe
• Isesemi
• Kugira umunaniro cyangwa gucika intege
• Kubabara umugongo
• Kugira umwanda muke (nubwo ibi akenshi aribyo turimo gushaka kuvura)

Ibi bimenyetso muri rusange biroroshye kandi ntibiramba. Itsinda ry'abaganga rishobora kugufasha guhangana n'ububabare bwose uhura nabwo.

Hariho ingaruka zimwe na zimwe zitaba kenshi ariko zikomeye cyane itsinda ry'abaganga rizakurikirana neza:

• Kubabara cyane mu nda bitandukanye n'ububabare bwo kubagwa
• Ibimenyetso by'ibibazo by'umutima (kubabara mu gituza, umutima utera nabi)
• Kugorwa no guhumeka
• Urugero rukomeye rw'ibimenyetso by'uburwayi (amabara ku ruhu, kubyimba, kugorwa kumeza)

Niba uhuye n'ikimenyetso icyo aricyo cyose muri ibi bikomeye, itsinda ry'abaganga rizakivuga ako kanya. Wibuke, uri ahantu hakurikiranywa aho ubufasha buhora buhari.

Ninde Utagomba Gufata Alvimopan?

Alvimopan si nziza kuri buri wese, kandi itsinda ry'ubuzima ryawe rizareba neza amateka yawe y'ubuzima mbere yo kuyandika. Hariho ibintu byinshi aho uyu muti ushobora kutaba wo guhitamo neza kuri wewe.

Ntabwo ugomba gufata alvimopan niba ufite indwara zimwe na zimwe z'umutima, cyane cyane niba umaze kugira umutima utera. Uyu muti ushobora kugira ingaruka ku mutima wawe, bityo muganga wawe azatekereza ubuzima bwawe bw'umutima neza.

Dore bimwe mu bintu bishobora gutuma alvimopan itakugirira akamaro:

• Umutima utera vuba cyangwa indwara ikomeye y'umutima
• Indwara ikomeye y'impyiko
• Indwara ikomeye y'umwijima
• Allergie izwi kuri alvimopan cyangwa imiti isa nayo
• Gusama cyangwa konsa (amakuru make y'umutekano arahari)
• Kubura kw'amara kwuzuye

Itsinda ry'abaganga bazareba ibi bintu byose mbere yo gufata icyemezo niba alvimopan ikwiriye kuri wewe. Bazareba kandi indi miti urimo gufata kugirango barebe ko nta ngaruka mbi zizabaho.

Izina ry'ubwoko bwa Alvimopan

Alvimopan igurishwa ku izina ry'ubwoko rya Entereg muri Leta Zunze Ubumwe z'Amerika. Ubu ni bwo buryo busanzwe uzabona buvugwa mu bitaro no mu byanditswe byawe by'ubuvuzi.

Niba itsinda ryawe ry'ubuzima ribivuga nka alvimopan cyangwa Entereg, baba bavuga umuti umwe. Abaganga bamwe bakoresha izina rusange (alvimopan) mu gihe abandi bashobora gukoresha izina ry'ubwoko (Entereg).

Uburyo bwo gusimbuza Alvimopan

Hariho izindi nzira nyinshi itsinda ryawe ry'ubuzima rishobora gutekereza mu gucunga ibibazo byo mu gihe cyo kubagwa, nubwo alvimopan yagenewe icyo gikorwa. Guhitamo biterwa n'imimerere yawe bwite n'amateka y'ubuzima.

Ibimwe mu bisubizo muganga wawe ashobora gutekereza harimo:

• Methylnaltrexone (Relistor) - undi muti urwanya opiyo ukora mu buryo butandukanye
• Simethicone - ifasha kugabanya gazi no kubyimba
• Docusate - umuti woroshya imyanda ushobora gufasha mu kwituma bigoranye
• Gukora imyitozo hakiri kare no guhindura imirire
• Gukuramo ibiryo binyuze mu zuru mu bihe bimwe na bimwe

Buri bumwe muri ubu buryo bukora mu buryo butandukanye, kandi itsinda ry'abaganga bakubaze bazahitamo uburyo bwiza bushingiye ku bwoko bwihariye bwo kubagwa, ubuzima bwawe muri rusange, n'uburyo uri gukira. Rimwe na rimwe guhuza uburyo butandukanye nibyo bikora neza.

Ese Alvimopan iruta Methylnaltrexone?

Byombi, alvimopan na methylnaltrexone ni imiti irwanya opiyo, ariko yagenewe ibihe bitandukanye. Alvimopan yaremewe by'umwihariko gukoreshwa igihe gito nyuma yo kubagwa mu mara, naho methylnaltrexone ikunze gukoreshwa igihe kirekire cyane iyo umuntu afite ikibazo cyo kwituma bigoranye giterwa na opiyo.

Alvimopan ikunze kwerekezwa cyane mu gukira nyuma yo kubagwa kuko itangwa mbere na nyuma y'uko kubagwa. Yagenewe gukumira gutinda mu igogora risanzwe ribaho nyuma yo kubagwa mu nda. Methylnaltrexone ikoreshwa cyane iyo umuntu amaze igihe akoresha imiti igabanya ububabare ya opiyo kandi akagira ikibazo gikomeye cyo kwituma bigoranye.

Itsinda ry'abaganga bazahitamo umuti ukwiriye cyane kubera uko ubuzima bwawe buhagaze. Bazatekereza ku bintu nk'ubwoko bwo kubagwa uri gukorerwa, gahunda yawe yo kugabanya ububabare, n'ubuzima bwawe muri rusange.

Ibikunze Kubazwa Kuri Alvimopan

Ese Alvimopan irakwiriye abarwayi b'umutima?

Alvimopan isaba kwitonda cyane ku bantu bafite indwara z'umutima. Niba ufite amateka y'ibibazo by'umutima, itsinda ry'abaganga bazatekereza neza inyungu n'ingaruka mbere yo kwandika uyu muti.

Uyu muti wagiye ugaragazwa ko ufite ingaruka ku mutima mu bushakashatsi bwakozwe, cyane cyane ku bantu bari bafite ibibazo by'umutima vuba aha cyangwa indwara zikomeye z'umutima. Itsinda ry'abaganga bazakurikiranira hafi imikorere y'umutima wawe niba ufata alvimopan kandi ufite ikibazo icyo aricyo cyose kijyanye n'umutima.

Niba ufite ibibazo by'umutima byoroheje bigenzurwa neza, alvimopan irashobora kuba igisubizo kuri wowe. Umuganga w'umutima wawe n'ikipe y'abaganga bazakorana kugira ngo bafate icyemezo cyiza kuri wowe.

Nkwiriye gukora iki niba nanyweye alvimopan nyinshi bitunguranye?

Kubera ko alvimopan itangwa mu bitaro, biragoye ko umuntu yanywa doze nyinshi bitunguranye. Itsinda ry'abaganga bakurikirana imibare y'imiti itangwa n'igihe itangirwa, bityo ntugomba guhangayika ku kunywa nyinshi wenyine.

Niba ufite impungenge ku rugero rw'umuti uhawe cyangwa wumva ibimenyetso bidasanzwe, menyesha umuforomo cyangwa muganga wawe ako kanya. Barashobora kumenya niba ibimenyetso byawe bifitanye isano n'umuti cyangwa ibindi bice byo gukira kwawe.

Ibitaro bitanga umutekano wihariye kuko itsinda ry'abaganga bakurikirana buri gihe kandi bashobora gusubiza vuba ku kibazo icyo aricyo cyose.

Nkwiriye gukora iki niba ntasomye doze ya alvimopan?

Mu bitaro, itsinda ry'abaganga ricunga gahunda y'imiti yawe, bityo gusiba doze ntibisanzwe. Niba hari impamvu doze yatindijwe, umuforomo cyangwa muganga wawe bazagena uburyo bwiza bwo gukora.

Ntugahangayike no kugerageza

Itsinda ryawe rishinzwe ubuzima rizagena igihe cyo guhagarika alvimopan hashingiwe ku iterambere ryo gukira kwawe. Muri rusange, ibi bibaho iyo sisitemu yawe yo mu gifu ikora neza, ibyo bishobora kugaragazwa no kugira imyanda mu gifu, kwihanganira neza ibiryo, no kumva utabyimba cyane.

Abantu benshi bafata alvimopan mu minsi 3 kugeza kuri 7 nyuma yo kubagwa. Igihe nyacyo giterwa nuko umubiri wawe ukira vuba kandi uko witwara neza ku muti.

Ntabwo bizaba ngombwa ko ugabanya uyu muti buhoro buhoro. Iyo itsinda ryawe ry’abaganga rifashe umwanzuro wo guhagarika, bazahita bawuhagarika. Sisitemu yawe yo mu gifu igomba gukomeza gukora neza idafashijwe n’umuti.

Nshobora gufata Alvimopan mu rugo?

Alvimopan ubu yemerewe gukoreshwa gusa mu bitaro aho abarwayi bashobora gukurikiranwa neza. Ntabwo iboneka ngo ikoreshwe mu rugo, ibyo mu by’ukuri ni uburyo bwo kwirinda impanuka bitewe n’ingaruka zishobora guterwa n’umuti n’uko hakenewe gukurikiranwa n’abaganga.

Iri tegeko ryo gukoresha mu bitaro gusa rituma wakira umuti mu buryo butekanye bushoboka. Itsinda ryawe ry’abaganga rishobora gukurikirana uko witwara kandi rigakemura ibibazo byose ako kanya.

Iyo uvuye mu bitaro, sisitemu yawe yo mu gifu igomba kuba ikora neza ku buryo utazakenera gukomeza uyu muti mu rugo.