Baclofen (Uburyo bwo mu ngingo): Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Baclofen itangwa mu buryo bwo mu ngingo ni uburyo bwihariye bwo kuvura aho uyu muti woroheje imitsi utangwa mu mazi akikije umugongo wawe. Ubu buryo bugamije gufasha mu gucunga imitsi ikomeye cyane iyo imiti yo kunywa itatanze umuti uhagije.

Niba urimo guhangana n'imitsi ikomeye cyane cyangwa imitsi yikubita idashaka, ikabuza ubuzima bwawe bwa buri munsi, muganga wawe ashobora kuba yaravuze kuri ubu buryo bwo kuvura. Ni uburyo bwo kuvura burimo uruhare rurenze gufata ibinini, ariko bushobora gutanga umuti ukomeye ku bibazo bikwiye.

Baclofen (Uburyo bwo mu ngingo) ni iki?

Baclofen yo mu ngingo ni umuti umwe worohereza imitsi ushobora kuba uzi mu buryo bw'ibinini, ariko utangwa binyuze muri sisitemu ya pompe ishyirwa mu buryo bw'ubuvuzi. Iyi pompe yicara munsi y'uruhu rwawe, akenshi mu nda yawe, ikohereza umuti mu mazi yawe yo mu mugongo unyuze mu tuyunguruzo duto.

Ubu buryo buca mu nzira y'igogora ryawe rwose, bigatuma doze ntoya cyane zigera ahantu nyabwo imitsi igenzurirwa. Tekereza nk'uko utanga umuti ukagera ku isoko aho kugira ngo ubanze unyure mu mubiri wawe wose.

Sisitemu ya pompe ifite ubunini nk'ubw'agahato ka hockey kandi igomba kongerwamo umuti buri mezi make binyuze mu buryo bworoshye bwo mu biro. Muganga wawe ategura pompe kugira ngo itange doze zihagije umunsi wose hashingiwe ku byo ukeneye.

Baclofen (Uburyo bwo mu ngingo) ikoreshwa mu iki?

Ubu buryo bwo kuvura bufasha cyane cyane abantu bafite imitsi ikomeye cyane ititabiriye neza imiti yo kunywa. Spasticity bisobanura ko imitsi yawe iguma ikomeye, igoye, cyangwa yikubita itabishaka, bigatuma kugenda bigorana cyangwa bikababaza.

Indwara zisanzwe zifashishwa baclofen itangwa mu gice cy'umugongo zirimo sclerose multiple, imvune zo mu mugongo, cerebral palsy, n'imvune zimwe na zimwe zo mu bwonko. Izi ndwara zishobora gutuma imitsi ihinduka ikomeye cyane ku buryo ibangamira kugenda, kwicara, gusinzira, cyangwa kwitaho.

Abantu bamwe kandi bakira ubu buvuzi kubera imitsi ikomeye cyane, dystonia (imitsi idashaka kwikurura), cyangwa indwara z'ububabare bwa hato na hato aho imitsi igira uruhare runini. Muganga wawe azasuzuma neza niba uri umukandida mwiza binyuze mu buryo bwo kugerageza mbere.

Baclofen (inzira ya intrathecal) ikora ite?

Baclofen ikora ibuza ibimenyetso by'imitsi bimwe na bimwe mu mugongo wawe bibwira imitsi kwikurura cyangwa kuguma ikomeye. Iyo itanzwe muri intrathecal, ikora mu buryo butaziguye kuri izi nzira z'imitsi ku rwego rw'umugongo aho kugenzura imitsi bitangirira.

Ibi bituma iba ubuvuzi bukomeye kandi bugamije ugereranije na pille za baclofen zinyobwa. Mugihe imiti yinyobwa igomba kunyura mu maraso yawe kandi ikagira ingaruka ku mubiri wawe wose, inzira ya intrathecal itanga imiti neza aho ikenewe cyane.

Umuti ufasha kugarura uburinganire buri hagati y'ibimenyetso by'imitsi bituma imitsi yikurura n'ibyo bifasha kuyiruhura. Ibi birashobora kugabanya cyane imitsi ikomeye, imitsi yikurura, n'ububabare mugihe byongera ubushobozi bwawe bwo kwimuka no gukora.

Nkwiriye gufata nte Baclofen (inzira ya intrathecal)?

Mu byukuri ntabwo "ufata" uyu muti mu buryo busanzwe kuko utangwa mu buryo bwikora binyuze muri pompe yawe yashyizweho. Ariko, uzakenera gukurikiza gahunda ya muganga wawe yo kongera pompe no guhindura.

Mbere yo kubona pompe ihoraho, uzanyura mu gihe cyo kugerageza aho baclofen iterwa mu maraso yawe y'umugongo binyuze muri lumbar puncture. Iyi igerageza rifasha kumenya niba umuti uzagukorera kandi n'urugero ushobora gukenera.

Iyo pompe yawe imaze gushyirwamo, uzajya ugaruka buri mezi 1-3 kugira ngo wongere imiti mu kigega. Muganga wawe ashobora no guhindura gahunda yo gutanga imiti bitewe n'uko urimo witwara n'ingaruka zose zikubaho.

Ni ngombwa ko witabira gahunda zose zagenwe kandi ntuzigere na rimwe wemerera pompe yawe gushiramo imiti burundu. Gushiramo imiti mu buryo butunguranye bishobora gutera ibimenyetso bikomeye byo kuva mu miti no gusubira inyuma kw'uburwayi bukomeye.

Nzamara Igihe Kingana Gite Ndafashe Baclofen (Uburyo bwo kuyinjiza mu mubiri)?

Abantu benshi bafashwa na baclofen itangwa mu mubiri bakomeza kuyikoresha igihe kirekire, akenshi imyaka myinshi cyangwa burundu. Indwara zibitera ubwo burwayi bukomeye akenshi ntizishira, bityo kuvurwa buri gihe birakenewe.

Muganga wawe azakurikiza uko witwara kandi ashobora guhindura urugero rw'imiti uko igihe kigenda gihita, ariko guhagarika imiti burundu ntibisanzwe iyo umaze kubona ubufasha. Batterie ya pompe imara imyaka 5-7 kandi izasabwa gusimburwa mu kubagwa igihe itangiye gushira.

Abantu bamwe bashobora gukenera guhagarika kuvurwa kubera ibikorwa by'ubuvuzi cyangwa niba hari ibibazo bibayeho. Muganga wawe azategura neza ikiruhuko cyose cy'imiti kandi ashobora kukwimurira mu miti yo kunywa by'agateganyo muri ibyo bihe.

Ni Iyihe Ngaruka Ziterwa na Baclofen (Uburyo bwo kuyinjiza mu mubiri)?

Kimwe n'imiti yose, baclofen itangwa mu mubiri ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Ingaruka zisanzwe zikunda kuba zoroshye kandi akenshi zigenda zikemuka uko umubiri wawe wimenyereza imiti.

Dore ingaruka ushobora guhura nazo, wibuke ko atari buri wese uzazibona kandi akenshi zishobora gucungwa:

• Gusinzira cyangwa kumva unaniwe ku manywa
• Kuribwa umutwe cyangwa kumva ureremba
• Isesemi cyangwa kurwara inda
• Kuribwa umutwe
• Ubugwari cyangwa kumva udakomeye nk'uko bisanzwe
• Kugorana kw'imyenda
• Kugorana kuvuga cyangwa amagambo atumvikana neza
• Ibibazo byo kugendera cyangwa guhuza ibikorwa

Ibi bintu bisanzwe bikunda kugabanuka uko umuganga wawe agabanya urugero rw'umuti. Abantu benshi basanga inyungu ziruta izi ngaruka zishobora kwitabwaho.

Ingaruka zikomeye ntizikunda kubaho ariko zisaba ubufasha bwihuse bw'abaganga. Ibi birimo gusinzira cyane aho udashobora gukomeza kuba maso, guhumeka nabi, kunanuka kw'imitsi cyane, cyangwa ibimenyetso byo kwandura hafi y'aho pompe ishyirwa nk'umutuku, kubyimba, cyangwa umuriro.

Ibintu bidasanzwe ariko bikomeye birimo imikorere mibi ya pompe, ibibazo bya kateteri, cyangwa kuvuza amazi mu mugongo. Itsinda ryawe ry'abaganga rizakwigisha ibimenyetso byo kwitondera no gutanga amakuru yo guhamagara mu gihe cy'ubutabazi.

Ninde Utagomba Gufata Baclofen (Uburyo bwa Intrathecal)?

Ubu buvuzi ntibukwiriye kuri buri wese, ndetse n'abafite spasticity ikomeye. Umuganga wawe azasuzuma neza ubuzima bwawe muri rusange n'uko bimeze mbere yo kugusaba baclofen ya intrathecal.

Ntabwo ushobora kuba umukandida mwiza niba ufite indwara zikomeye, indwara zo kuva amaraso, cyangwa indwara zimwe na zimwe z'umutima zituma kubagwa bigira akaga. Abantu bafite ihungabana rikomeye cyangwa ibibazo by'ubuzima bwo mu mutwe bashobora gukenera gukurikiranwa by'umwihariko kuko baclofen ishobora kugira ingaruka ku myumvire no gutekereza.

Ibi bikurikira bishobora gutuma baclofen ya intrathecal itakwemerera:

• Indwara zikomeye zikwirakwira mu mubiri cyangwa indwara z'uruhu hafi y'aho pompe ishyirwa
• Indwara zikomeye z'impyiko cyangwa umwijima
• Indwara zidakira zo gufatwa n'ibihungabanyo
• Ibibazo bikomeye by'umutima cyangwa ibihaha bituma kubagwa bigira akaga
• Ibintu bimwe na bimwe by'ubuzima bwo mu mutwe cyangwa ubumuga bwo mu bwenge
• Gusama cyangwa gahunda yo gusama
• Allergie kuri baclofen cyangwa ibice bya sisitemu ya pompe

Umuganga wawe azatekereza kandi niba ushobora kwitabira inama zikurikira kandi ugasobanukirwa uruhare rugomba gukorwa mu gukomeza pompe. Ubu buvuzi busaba ubuvuzi burambye no gukurikiranwa.

Baclofen (Uburyo bwa Intrathecal) Amazina y'Ubwoko

Izina risanzwe rya baclofen itangwa mu mutsi ni Lioresal Intrathecal, ikaba iteguye by'umwihariko kugira ngo itangwe hakoreshejwe sisitemu ya pompe. Iyi mvange itagira mikorobe itandukanye n'ibinini bya baclofen byo kunywa ushobora kuba uzi.

Sisitemu ya pompe ubwayo ifite amazina atandukanye nka pompe ya Medtronic ya SynchroMed, ariko umuti urimo ubusanzwe ni baclofen imwe. Muganga wawe azavuga neza sisitemu ya pompe n'umuti wa baclofen ukwiriye kugira ngo bikore neza ku byo ukeneye.

Ibikorwa by'ubuvuzi bimwe na bimwe bishobora gukoresha imvange ya baclofen itegurwa na farumasi zihariye, ariko ibi bikurikiza amategeko amwe yo gukora neza no kugira umumaro nk'ibicuruzwa by'amazina.

Izindi nzira zo kuvura baclofen (Itangwa mu mutsi)

Niba baclofen itangwa mu mutsi itagukwiriye, hari ubundi buryo bwo kuvura bushobora gufasha mu kugabanya imitsi ikakaye. Muganga wawe ashobora kugusaba kubanza kugerageza imiti yo kunywa igabanya imitsi ifite urugero rwo hejuru, cyangwa guhuza imiti itandukanye kugira ngo ubashe kubona ibisubizo byiza.

Imiti yindi itangwa mu mutsi nka morphine cyangwa clonidine rimwe na rimwe ishobora gufasha mu kugabanya imitsi ikakaye, cyane cyane iyo ububabare nabwo ari ikibazo gikomeye. Inshinge za botulinum toxin zikora neza ku mitsi yihariye kandi zishobora kwerekeza ku duce twihariye dufite ibibazo.

Uburyo butagendera ku miti burimo gukora imyitozo ngororamubiri, gukora imyitozo y'akazi, n'ibikoresho bifasha bishobora kunoza imikorere kabone n'iyo imitsi ikakaye igihari. Abantu bamwe bungukirwa n'ibikorwa byo kubaga bikata imitsi ikora cyane cyangwa bikarekurura imitsi yikakaje.

Uburyo bushya bwo kuvura nko gushyiraho imbaraga ku mugongo cyangwa gushyiraho imbaraga mu bwonko bwimbitse bishobora kuba amahitamo ku ndwara zimwe na zimwe, nubwo ibi bikiri gukorerwa ubushakashatsi mu kugabanya imitsi ikakaye.

Ese Baclofen (Itangwa mu mutsi) iruta Baclofen yo kunywa?

Baclofen itangwa mu buryo bwo mu ruti rw'umugongo ntibisaba ko buri gihe buba "bwiza" kurusha baclofen yo kunywa, ariko bishobora kugira akamaro kanini ku bantu bafite spasticity ikomeye batabonye umuti mu binini. Guhitamo biterwa n'uko ubuzima bwawe bumeze n'uko imiti yo kunywa yagufashije.

Inyungu nyamukuru yo gutanga umuti mu ruti rw'umugongo ni uko bishobora gutanga ingaruka zikomeye kandi nta ngaruka nyinshi zigaragara ku mubiri wose. Kubera ko umuti ujya mu ruti rw'umugongo wawe, ukeneye doze nto cyane kandi ntugira ibimenyetso byinshi byo gusinzira cyangwa intege nke mu mubiri wawe wose.

Ariko, baclofen itangwa mu ruti rw'umugongo bisaba kubagwa, guhura n'abaganga buri gihe, kandi bifite ibyago imiti yo kunywa idafite. Abaganga benshi basaba kubanza kugerageza baclofen yo kunywa n'indi miti mbere yo gutekereza ku buryo bwo gukoresha pompi.

Ku bantu bafite spasticity yoroheje kugeza ku yo hagati, baclofen yo kunywa akenshi irahagije kandi byoroshye kuyikoresha. Uburyo bwo gutanga umuti mu ruti rw'umugongo buhinduka uburyo bwiza iyo imiti yo kunywa itatanga umuti uhagije cyangwa itera ingaruka nyinshi.

Ibibazo bikunze kubazwa kuri Baclofen (Uburyo bwo gutanga umuti mu ruti rw'umugongo)

Ese Baclofen (Uburyo bwo gutanga umuti mu ruti rw'umugongo) ni umutekano ku bantu barwaye indwara z'impyiko?

Baclofen itangwa mu ruti rw'umugongo ishobora kuba umutekano ku bantu bafite ibibazo by'impyiko ugereranije na baclofen yo kunywa, ariko biracyasaba gukurikiranwa neza. Kubera ko umuti utanyura mu nzira yo mu gifu kandi ukoresha doze nto cyane, ntihaba umunaniro mwinshi ku mpyiko zawe.

Ariko, muganga wawe azakenera gukurikirana imikorere y'impyiko zawe buri gihe kandi ashobora guhindura doze yawe bitewe n'uko impyiko zawe zikora neza. Abantu bafite indwara zikomeye z'impyiko bashobora gukenera gukurikiranwa kenshi cyangwa uburyo bwo kuvurwa butandukanye.

Nigira iki niba mbonye baclofen nyinshi ku buryo butunguranye?

Kurenga urugero rwa Baclofen ruturutse muri pompe ya intrathecal ni gake ariko bikomeye kandi bisaba ubufasha bwihutirwa bw'abaganga. Ibimenyetso byo kurenga urugero birimo gusinzira cyane, kugorwa no guhumeka, kunanuka kw'imitsi, urujijo, cyangwa kutagira ubwenge.

Niba ukeka ko warengereye urugero, hamagara 911 cyangwa ujye mu cyumba cy'ubutabazi bwihutirwa ako kanya. Ntukagerageze kwivuza wenyine cyangwa utegereze kureba niba ibimenyetso bikira. Abaganga bashobora guhindura ingaruka no guhindura imiterere ya pompe yawe.

Pompe yawe ifite ibintu byo kwirinda kurenga urugero, ariko ibibazo bya mekaniki bishobora kubaho rimwe na rimwe. Ibi nibyo bituma kugenzura pompe buri gihe no gukurikiza gahunda yawe yo kongera imiti ari ngombwa cyane.

Nkwiriye gukora iki niba pompe yanjye irangiye imiti?

Ntuzigere ureka pompe yawe ikarangira rwose, kuko ibi bishobora gutera ibimenyetso byo gukurwaho bikomeye birimo gusubira kwa spasticity ikomeye, gufatwa n'indwara, n'izindi ngorane zikomeye. Kora urutonde rw'amasaha yo kongera imiti kandi uvugishe muganga wawe ako kanya niba utekereza ko pompe yawe ishobora kuba ifite imiti mike.

Ibimenyetso bya mbere byerekana ko pompe yawe ishobora kuba ifite imiti mike birimo gusubira kwa gukakara kw'imitsi, kwiyongera kw'imitsi, cyangwa ibimenyetso wari ufite mbere yo gutangira kuvurwa. Ntukategereze ko ibi bimenyetso bikomera mbere yo gushaka ubufasha.

Itsinda ryawe ry'abaganga rizaguhereza nimero ya contact ya mbere y'ibibazo byihutirwa bijyanye na pompe. Akenshi barashobora kukubona vuba kugirango bongere imiti byihutirwa niba bibaye ngombwa.

Nshobora guhagarika ryari gufata Baclofen (inzira ya Intrathecal)?

Guhagarika baclofen ya intrathecal mubisanzwe ntibisabwa keretse niba ufite ingaruka zikomeye cyangwa ingorane. Ibyo byago byo hasi bisaba ubuvuzi mubisanzwe ntibiteza imbere bihagije kugirango bahagarike imiti rwose.

Niba ukeneye guhagarika kubera impamvu z'ubuvuzi, muganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi. Guhagarika ako kanya bishobora gutera ibimenyetso byo gukurwaho bikomeye birimo spasticity ikomeye, gufatwa n'indwara, n'izindi ngorane zikomeye.

Abantu bamwe bashobora guhagarika imiti igihe bagiye kubagwa cyangwa mu bindi bikorwa by'ubuvuzi, ariko ibi bisaba gutegura neza kandi akenshi guhindura by'agateganyo imiti yo kunywa. Ntukigere uhagarika cyangwa ukirengagiza imiti utabanje kubiganiraho na muganga wawe.

Nshobora gukoresha MRI niba mfite pompe ya intrathecal?

Pompe nyinshi za intrathecal zigezweho zikora neza muri MRI, ariko uzakenera gukurikiza amabwiriza yihariye y'umutekano. Buri gihe menyesha umuganga wese ibyerekeye pompe yawe mbere yo gukora isuzuma iryo ariryo ryose cyangwa ibikorwa by'ubuvuzi.

Pompe yawe ishobora gukenera guhindurwa by'agateganyo mbere yo gukora MRI, kandi ushobora gukenera kwirinda ubwoko bumwe na bumwe bw'imirerere ikomeye. Uruganda rukora pompe yawe rutanga amabwiriza yihariye ikipe yawe y'ubuvuzi izakurikiza.

Bika ikarita yawe y'indangamuntu ya pompe yawe igihe cyose kandi umenyeshe abashinzwe umutekano ku kibuga cy'indege, abakozi b'ubuvuzi, n'umuntu wese ukoresha ibikoresho by'ubuvuzi ibyerekeye igikoresho cyawe cyashyizweho.