Ni iki Atropine Sulfate (Ophthalmic): Ibikoresho, Uburyo bwo Gukoresha, Ingaruka, n'ibindi

Amavuta yo mu maso ya Atropine sulfate ni umuti wandikirwa na muganga uhagarika by'agateganyo imitsi yo mu jisho ryawe. Ibi bishobora kumvikana biteye inkeke, ariko mu by'ukuri ni igikoresho cy'agaciro abaganga b'amaso bakoresha mu mpamvu zihariye z'ubuvuzi, kuva mu kuvura indwara zimwe na zimwe zo mu maso kugeza mu gufasha mu bizami by'amaso birambuye.

Iyo wumva ijambo "uguhagarara" rifitanye isano n'amaso yawe, ni ibisanzwe kumva ufite impungenge. Ariko, atropine ikora mu buryo bugenzurwa cyane kandi bw'agateganyo, ikora gusa ku mitsi yihariye igenzura uburyo umunwa wawe ufunguka kandi ugahuma, n'uburyo ijisho ryawe ryibanda ku bintu biri mu ntera zitandukanye.

Atropine Sulfate ni iki?

Atropine sulfate ni umuti ukomoka ku gihingwa cya belladonna uhagarika ibimenyetso by'imitsi bimwe na bimwe mu jisho ryawe. Igenzurwa mu cyiciro cy'imiti yitwa anticholinergics, ihagarika by'agateganyo imitsi yihariye gukora bisanzwe.

Mu buryo bw'amavuta yo mu maso, atropine yibanda by'umwihariko ku mirimo ibiri y'ingenzi: yagura (yagura) abanyeshuri bawe kandi by'agateganyo ikabuza ijisho ryawe kwibanda ku bintu biri hafi. Iki gikorwa cyombi gituma gifatika cyane ku baganga b'amaso bakeneye gusuzuma imbere y'ijisho ryawe neza cyangwa kuvura indwara zimwe na zimwe zo mu maso.

Uyu muti umaze imyaka myinshi ukoreshwa mu buryo butekanye muri ophthalmology. Nubwo bishobora kugaragara ko biteye ubwoba gushyira amavuta mu maso yawe akagira ingaruka ku buryo akora, atropine ifite umutekano wemejwe neza iyo ikoreshejwe nkuko byategetswe n'umuganga wita ku maso.

Atropine Sulfate ikoreshwa mu iki?

Abaganga b'amaso bandikira atropine sulfate kubera impamvu nyinshi z'ubuvuzi z'ingenzi. Akenshi, ikoreshwa mugihe cy'ibizamini by'amaso birambuye kugirango ubone ishusho isobanutse ya retina yawe n'ibindi bice by'imbere by'ijisho.

Izi ni zo mpamvu nyamukuru umuganga wawe ashobora gushimira amavuta yo mu maso ya atropine:

• Kugura abanyeshuri kugira ngo bakore ibizamini by'amaso birambuye, cyane cyane iyo bagenzura ibibazo bya retine, glaucome, cyangwa izindi ndwara zikomeye
• Kuvura uveitis (uburibwe imbere mu jisho) mu kubuza iris kwegera lens
• Gucunga uburibwe bukomeye bw'amaso buturutse ku ndwara zimwe na zimwe zifite ububyimbirizi
• Gukumira imitsi y'amaso mu maso nyuma yo kubagwa mu maso
• Kuvura amblyopia (ijisho ry'umunebwe) mu bana mu guhumiriza by'agateganyo mu jisho rikomeye
• Gupima imiti y'amaso neza cyangwa amaso y'abana

Mu buryo butamenyerewe, atropine ishobora gukoreshwa ku ndwara zitamenyerewe nka accommodative esotropia, aho ijisho rihindukira imbere bitewe n'ibibazo byo kwibanda. Muganga w'amaso yawe azasobanura neza impamvu asaba atropine kubera ikibazo cyawe cyihariye.

Atropine Sulfate ikora ite?

Atropine ikora mu kubuza ibimenyetso by'imitsi ku mitsi yihariye mu jisho ryawe. Tekereza nk'aho by'agateganyo "gukuraho" imibanire iri hagati y'ubwonko bwawe n'iyi mitsi y'amaso.

Umuti ugamije ahantu habiri nyamukuru: iris (igice gifite ibara ry'ijisho ryawe) n'imitsi ya ciliary (igenga kwibanda). Iyo atropine ibuza ibi bimenyetso by'imitsi, umunyeshuri wawe aguma yagutse kandi ijisho ryawe ntirishobora guhindura kwibanda ku kureba hafi.

Ibi bifatwa nk'umuti ukomeye mu muryango w'amaso. Mugihe amavuta amwe yo kugura akora mu masaha make, atropine ishobora kugira ingaruka ku iyerekwa ryawe muminsi myinshi cyangwa mu byumweru, bitewe n'ubwinshi bukoreshwa. Ibi byongera igihe cyo gukora neza mu kuvura indwara zifite ububyimbirizi zikeneye kuvurwa.

Nkwiriye gufata Atropine Sulfate nte?

Muganga w'amaso yawe azaguha amabwiriza yihariye yo gukoresha amavuta ya atropine, kandi ni ngombwa kuyakurikiza neza. Igihe n'uburyo bikurikira bitewe n'impamvu ukoresha umuti.

Ubu ni uburyo rusange bwo gukoresha amavuta y'amaso ya atropine:

1. Komesa gukaraba intoki zawe neza n'isabune n'amazi
2. Uterure umutwe gato hanyuma ukure hasi urupfunsi rwawe kugira ngo ureme agahombo gato
3. Fata agafuka hejuru y'ijisho ryawe utariko urikora ku jisho ryawe cyangwa urupfunsi
4. Kanda urutonyanga rumwe mu gahombo waremye
5. Funga ijisho ryawe buhoro buhoro mu gihe cy'umunota umwe hanyuma ukande gato ku gice cy'imbere hafi y'izuru ryawe
6. Irinde guhuma cyane cyangwa gukora ku jisho ryawe

Ntabwo bisaba gufata atropine hamwe n'ibiryo cyangwa amazi kuko bigera mu jisho ryawe. Ariko, ugomba kwirinda gutwara imodoka cyangwa gukora ibikorwa bisaba kureba neza kugeza igihe ingaruka zishize burundu.

Niba ukoresha izindi miti y'amaso, tegera nibura iminota 10 hagati y'urutonyanga rutandukanye kugira ngo wirinde ko rwoza. Kora atropine uko byategetswe – gukoresha urutonyanga rwinshi cyangwa kubikoresha kenshi ntibizatuma bikora neza kandi bishobora kongera ingaruka ziterwa na yo.

Nzagomba Gufata Sulfate ya Atropine Igihe Kingana Gite?

Igihe cyo kuvurwa na atropine giterwa rwose n'impamvu uyikoresha. Mu bizami by'amaso, ushobora gukenera doze imwe cyangwa ebyiri gusa, mugihe kuvura indwara zifite ububyimbirwe bishobora gusaba ibyumweru byinshi byo kuyikoresha buri gihe.

Niba muganga wawe yaragutegetse atropine mu bizami by'amaso, mubisanzwe uzayikoresha rimwe mbere yo kujya mu gihe cyagenwe. Ingaruka zizashira buhoro buhoro mu minsi mike cyangwa mu byumweru bikurikira, bitewe n'ubwinshi bukoreshwa.

Mu kuvura indwara nka uveitis, ushobora gukenera gukoresha atropine buri munsi mu gihe cy'ibyumweru byinshi. Muganga wawe azakurikiza iterambere ryawe hanyuma ahindure gahunda yo kuvura uko ijisho ryawe rikira. Ntukigere uhagarika gukoresha atropine ako kanya niba uvura indwara ifite ububyimbirwe, kuko ibi bishobora gutuma ibimenyetso byawe bisubira.

Ni Iyihe Ngaruka Ziterwa na Sulfate ya Atropine?

Abantu benshi boroherwa n'amatonyi ya atropine mu maso, ariko nk'imiti yose, ashobora gutera ingaruka zidakunda. Ingaruka zikunze kugaragara zifitanye isano ya hafi n'uburyo umuti ukora mu jisho ryawe.

Dore ingaruka zishobora kukugaragaraho cyane:

• Kureba nabi, cyane cyane mu gusoma cyangwa mu mirimo ya hafi
• Kugira ubwumvikane bwinshi ku rumuri n'urumuri rwinshi
• Kumva ubushye cyangwa gutukura ako kanya nyuma yo gushyira amatonyi mu jisho
• Umunwa wumye (niba umuti winjiye mu mubiri wawe)
• Uburibwe buke mu jisho cyangwa gutukura
• Kugorana kwibanda ku bintu biri hafi

Izi ngaruka akenshi ziba iz'igihe gito kandi zitezwe. Ariko, abantu bamwe bashobora guhura n'ibimenyetso bikomeye bisaba ubufasha bw'abaganga.

Dore ingaruka zidakunze kugaragara ariko zikomeye zo kwitondera:

• Uburibwe bukomeye mu jisho cyangwa impinduka zidasanzwe mu kureba
• Ibimenyetso byo kwibasirwa n'umubiri nk'uku byo kubyimba hirya no hino y'amaso, kugorana guhumeka, cyangwa uruhu rutukura
• Umutima utera cyane cyangwa kuribwa umutwe
• Urujijo cyangwa imyitwarire idasanzwe (cyane cyane ku bana cyangwa abarwayi bakuze)
• Umutwe ukabije cyangwa isesemi

Niba uhuye n'izo ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa. Ingaruka nyinshi ziterwa na atropine zoroheje kandi zirakira igihe umuti utangiye gushira.

Ninde utagomba gufata Atropine Sulfate?

Nubwo atropine muri rusange ifitiye abantu benshi umutekano, abantu bamwe bagomba kwirinda uyu muti cyangwa bakawukoresha bafite ubwitonzi bwinshi. Muganga w'amaso azareba amateka yawe y'ubuzima mbere yo kugutera atropine.

Ugomba kubwira muganga wawe niba ufite izi ndwara:

• Glokoma y'uruhinja cyangwa amateka ya glokoma ifunganye
• Uburwayi bukomeye bw'ijisho ryumye
• Allergie izwi kuri atropine cyangwa alkaloids ya belladonna
• Ibibazo by'umutima cyangwa igitero cy'umutima cyabaye vuba
• Prostate yagutse cyangwa ibibazo byo guhagarika inkari
• Ifungwa ry'amara cyangwa guhagarara gukabije

Ingamba zidasanzwe zirakenewe ku matsinda amwe y'abantu. Abana n'abarwayi bakuze bashobora kwitwara neza ku ngaruka za atropine, cyane cyane imitsi ishobora gutera umunwa wumye, umutima wihuta, cyangwa urujijo.

Abagore batwite cyangwa bonka bagomba kuganira ku ngaruka n'inyungu na muganga wabo, nubwo atropine yo mu maso isanzwe ifatwa nk'umutekano iyo ikoreshejwe nkuko byategetswe. Abantu bafite amaso yoroheje barashobora guhura n'ingaruka zirambye za atropine ugereranije n'abafite amaso yijimye.

Amazina y'ubwoko bwa Atropine Sulfate

Atropine sulfate yo mu maso iboneka munsi y'amazina menshi y'ubwoko, nubwo amavuriro menshi nayo afite verisiyo rusange. Amazina y'ubwoko asanzwe arimo Isopto Atropine na Atropine Care.

Atropine sulfate rusange ifite akamaro kimwe na verisiyo y'ubwoko kandi akenshi ihendutse. Umuganga wawe w'imiti ashobora kugufasha gusobanukirwa niba wakira ubwoko cyangwa verisiyo rusange y'umuti.

Ubwitabire bwa atropine burashobora gutandukana hagati y'ibicuruzwa, akenshi kuva kuri 0.01% kugeza kuri 1%. Muganga wawe azavuga neza ubwitabire ukeneye, kandi ni ngombwa gukoresha neza icyo cyategetswe, kuko ubwitabire butandukanye bufite ingaruka zitandukanye n'igihe.

Uburyo bwa Atropine Sulfate

Imiti itandukanye irashobora kwagura abanyeshuri cyangwa kuvura umuvumo w'ijisho, nubwo buri kimwe gifite imbaraga zitandukanye n'igihe cyo gukora. Muganga wawe w'amaso ashobora guhitamo ikindi kintu gishingiye ku burwayi bwawe bwihariye n'igihe ingaruka zigomba kumara.

Andi amavuta yo kwagura amaso arimo cyclopentolate (Cyclogyl), ikora vuba ariko igashira vuba kurusha atropine. Homatropine ni ubundi buryo bushoboka bumara igihe kirekire kurusha cyclopentolate ariko ntibimare igihe kirekire nka atropine.

Mugukiza umubyimbire wo mu jisho, muganga wawe ashobora kukwandikira amavuta yo mu jisho ya steroid nka prednisolone cyangwa amavuta arwanya umubyimbire nka ketorolac aho gukoresha cyangwa hamwe na atropine. Guhitamo biterwa nicyateye ikibazo cyo mu jisho ryawe n'uburyo umubiri wawe witwara ku miti itandukanye.

Ese Atropine Sulfate iruta Cyclopentolate?

Atropine na cyclopentolate byombi ni amavuta yo kwagura amaso akora neza, ariko akora mu buryo butandukanye kandi akoreshwa mu ntego zitandukanye. Nta na rimwe ryose "riruta" - guhitamo neza biterwa n'icyo uri gukora.

Atropine irakomeye kandi imara igihe kirekire, bituma ikwiriye kuvura indwara zifite umubyimbire zikeneye kuvurwa igihe kirekire. Ariko, iki gihe kirekire gishobora kuba kidakwiriye niba ukeneye gusa kwagura amaso kugirango ukore isuzuma ry'ijisho.

Cyclopentolate ikora vuba kandi igashira vuba, bituma bikwiriye gukoreshwa mu isuzuma ry'ijisho risanzwe. Abantu benshi bashobora gusubira mu bikorwa bisanzwe nyuma y'umunsi umwe cyangwa ibiri nyuma yo gukoresha cyclopentolate, mugihe ingaruka za atropine zishobora kumara ibyumweru.

Muganga wawe w'amaso azahitamo umuti ukwiriye ibyo ukeneye mu buvuzi n'imibereho yawe. Niba ufite impungenge zerekeye igihe umuyoboro wawe uzagira ingaruka, ganira na muganga wawe mbere yo kuvurwa.

Ibikunze Kubazwa Kuri Atropine Sulfate

Q1. Ese Atropine Sulfate irakwiriye abana?

Yego, atropine sulfate irakwiriye abana iyo ikoreshwa nkuko byategetswe na muganga w'amaso. Mubyukuri, ikoreshwa cyane mukwitaho amaso kw'abana mugukiza ijisho ry'uburara (amblyopia) no kubona imiti y'amaso ikwiriye.

Abana bashobora kwumva cyane ingaruka za atropine, bityo abaganga bakunze gukoresha imiti ifite ubukana buke cyangwa imiti yabugenewe. Ababyeyi bagomba kwitondera ingaruka zirimo gushyuha mu maso, umutima wihuta, cyangwa imyitwarire idasanzwe, kandi bagahamagara muganga niba ibyo bibaye.

Q2. Nakora iki niba nkoresheje atropine sulfate nyinshi ku buryo butunganye?

Niba utunganye ukongeramo amavuta menshi cyangwa ugakoresha atropine kenshi kuruta uko byategetswe, oza ijisho ryawe n'amazi meza kandi uvugishe muganga wawe cyangwa umufarimasi kugirango bagufashe. Ntukagire ubwoba – gukoresha imiti myinshi y'amaso rimwe na rimwe ntibitera ibibazo bikomeye.

Witondere ibimenyetso byo kwinjira mu mubiri nk'umutima wihuta, umunwa wumye, isereri, cyangwa urujijo. Niba ubonye ibyo bimenyetso, cyane cyane niba bikomeye, shakisha ubufasha bw'ubuvuzi vuba.

Q3. Nakora iki niba nirengagije urugero rwa atropine sulfate?

Niba wibagiwe urugero rwa atropine, rwikoreshe vuba uko wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muricyo gihe, reka urugero wibagiwe kandi ukomeze gahunda yawe isanzwe.

Ntuzigere wongera imiti kugirango usimbuze iyo wibagiwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka. Niba utazi neza igihe, vugana na muganga wawe cyangwa umufarimasi kugirango baguhe ubuyobozi bwihariye kubyerekeye gahunda yawe yo kuvurwa.

Q4. Nshobora guhagarika ryari gufata atropine sulfate?

Hagarika gukoresha atropine gusa mugihe muganga wawe abikubwiye. Niba uyikoresha mugihe cyo gupima ijisho, ubusanzwe uzakenera urugero rumwe cyangwa ebyiri gusa. Mugukoresha mu kuvura indwara zifata umubiri, guhagarika kare bishobora gutuma ibimenyetso byawe bisubira.

Muganga wawe azakurikirana iterambere ryawe kandi akumenyeshe igihe byemewe guhagarika kuvurwa. Niba ufite ingaruka zikubangamiye, ganira na muganga wawe aho guhagarika umuti wenyine.

Q5. Nshobora gutwara imodoka mugihe nkoresha atropine sulfate?

Ntugomba gutwara imodoka igihe atropine igira icyo ihungabanya ku iyerekwa ryawe. Uyu muti utuma amaso ahumirana kandi akagira ubworoherane bukabije ku rumuri, ibyo bishobora gutuma gutwara imodoka bigira akaga kuri wowe no ku bandi bari mu muhanda.

Gena ko hari undi muntu uzagutwara akagusubiza mu rugo nyuma yo guhabwa atropine mu maso, kandi wirinde gutwara imodoka kugeza igihe iyerekwa ryawe risubiye mu buryo. Ibi bishobora gufata iminsi mike cyangwa ibyumweru byinshi, bitewe n'urugero rwakoreshejwe n'uburyo umubiri wawe wakiriye uyu muti.