Biperiden ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Biperiden ni umuti ufasha kugenzura ibibazo byo kwimuka biterwa n'imiti imwe ya psychiatrie cyangwa indwara zo mu bwonko. Uyu muti ubarirwa mu itsinda ry'imiti yitwa anticholinergics, ikora ibyo ikingira ibimenyetso by'imitsi mu bwonko bwawe bishobora gutera imitsi idashakashaka, gukakara, cyangwa guhinda umushyitsi.

Niba warandikiwe biperiden, birashoboka ko urimo guhangana n'ibibazo byo kwimuka biterwa n'imiti cyangwa indwara nka Parkinson. Uyu muti woroshye ariko ukora neza ushobora gufasha kugarura ihumure ryawe n'ubushobozi bwo kwimuka iyo izindi miti yateje ingaruka zikomeye.

Biperiden ikoreshwa mu iki?

Biperiden ikoreshwa cyane cyane mu kuvura indwara zo kwimuka ziterwa n'imiti igabanya ubwoba. Iyo ufata imiti imwe ya psychiatrie, rimwe na rimwe ishobora gutera imitsi idashakashaka, gukakara cyane, cyangwa guhinda umushyitsi bibuza ubuzima bwawe bwa buri munsi.

Muganga wawe ashobora kukwandikira biperiden niba urimo guhura n'ibimenyetso bya extrapyramidal biturutse ku miti nka haloperidol, chlorpromazine, cyangwa izindi miti igabanya ubwoba. Ibi bimenyetso bishobora kwerekanwa no gukakara kw'imitsi, umuvundo, cyangwa kwimuka kenshi kumva ko bidashoboka ko ubigenzura.

Byongeye kandi, biperiden ifasha mu gucunga ibimenyetso bya Parkinson, cyane cyane guhinda umushyitsi no gukakara kw'imitsi. Ishobora kandi kuvura parkinsonism iterwa n'imiti, ikora nk'indwara ya Parkinson ariko ikava mu ngaruka z'imiti aho kuba indwara ubwayo.

Mu bihe bimwe na bimwe, abaganga bandika biperiden kuri dystonia, indwara itera imitsi idashakashaka. Uyu muti ushobora gutanga ihumure iyo imitsi ikorana ububabare cyangwa ikarema imiterere idasanzwe.

Biperiden ikora ite?

Biperiden ikora ibi ikingira imitsi ya acetylcholine mu bwonko bwawe. Acetylcholine ni umutumwa wa chimique ufasha kugenzura imitsi, kandi iyo hari ibikorwa byinshi biva kuri iyi chimique, bishobora gutera ibibazo byo kugenda urimo guhura nabyo.

Tekereza ubwonko bwawe bufite uburinganire buhanitse hagati y'ibimenyetso bitandukanye bya chimique. Iyo imiti igabanya ubwonko ikingira dopamine (indi chimique y'ubwonko), bishobora gutuma uburinganire buhungabana kandi bigatuma acetylcholine iba nyinshi cyane. Biperiden ifasha gusubiza ubwo buringanire igabanya ingaruka za acetylcholine.

Uyu muti ufashwe nk'ukomeye ku rugero ruciriritse kandi akenshi ukora mu minota 30 kugeza ku masaha 2 nyuma yo kuwufata. Ingoruka zirashobora kumara amasaha 6 kugeza ku 8, niyo mpamvu abantu benshi bawufata inshuro 2 kugeza ku 3 ku munsi.

Bitandukanye n'indi miti ikomeye, biperiden itanga ubufasha bwihariye itahagaritse rwose sisitemu zigenga imikorere y'umubiri wawe. Ibi bituma bikora neza mugihe byemerera imikorere isanzwe y'imitsi yawe gukomeza.

Nkwiriye gufata Biperiden nte?

Fata biperiden nkuko muganga wawe abikwandikiye, akenshi inshuro 2 kugeza ku 3 ku munsi hamwe cyangwa hatariho ibiryo. Urashobora kuyifata n'amazi, amata, cyangwa umutobe, icyo aricyo cyose cyumvikana neza mu gifu cyawe.

Niba uhuye n'ikibazo cyo mu gifu, gufata biperiden hamwe n'ibiryo cyangwa amata birashobora gufasha kugabanya uburakari. Ifunguro ryoroshye rikora neza, nubwo udakeneye kurya ibintu byinshi. Crackers, toast, cyangwa yogurt ni amahitamo yoroshye ashobora gufasha kurengera igifu cyawe.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugirango ugumane urwego ruzigama mu mubiri wawe. Iyi mikorere ifasha kwirinda ibimenyetso bishya kandi ituma umuti ukora neza.

Mimina ibinini byose hamwe n'amazi menshi. Ntugasenya, ntukore, cyangwa ubimenagure keretse muganga wawe akubwiye kubikora, kuko ibi bishobora kugira ingaruka kumikorere y'umuti.

Nkwiriye gufata Biperiden igihe kingana iki?

Igihe cyo kuvura na biperiden giterwa n'icyateye ibibazo byo kugenda. Niba uyifata kubera ibimenyetso byatewe n'imiti, ushobora kuyikenera igihe ukoresha umuti ubiteza.

Ku bibazo bikomeye byo kutagenda neza, kuvurwa bishobora kumara iminsi mike cyangwa ibyumweru. Muganga wawe azagenzura ibimenyetso byawe kandi ahindure igihe bitewe n'uko ubyitwaramo n'uko icyateye ikibazo gikemuka.

Abantu bamwe barwaye indwara ya Parkinson cyangwa indwara zidakira bashobora gukenera biperiden igihe kirekire. Ariko, abaganga bakunda gukoresha igihe gito cyo kuvura kugira ngo bagabanye ingaruka zishobora kubaho.

Ntuzigere uhagarika gufata biperiden ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu muti cyangwa bigatuma ibibazo byawe byo kugenda bisubira inyuma cyane.

Ni izihe ngaruka ziterwa na Biperiden?

Abantu benshi bafata biperiden neza, ariko nk'imiti yose, ishobora gutera ingaruka. Kumenya icyo witegura bishobora kugufasha kumva ufite icyizere ku buvuzi bwawe.

Ingaruka zisanzwe zikunda kuba nto kandi akenshi zikagenda zikemuka umubiri wawe umaze kumenyera umuti:

• Umunwa wumye (cyane)
• Gusinzira cyangwa kuribwa umutwe
• Kureba nabi
• Kubura kwituma
• Isesemi cyangwa kutumva neza mu nda
• Kugorana kwihagarika
• Urujijo cyangwa ibibazo byo kwibuka

Izi ngaruka zikunda kubaho kuko biperiden igira ingaruka ku byakira bimwe mu mubiri wawe wose, atari mu bwonko gusa. Kuguma ufite amazi ahagije mu mubiri, gukoresha chingamu idafite isukari ku munwa wumye, no guhaguruka buhoro bishobora gufasha gukemura ibi bimenyetso.

Ingaruka zitavugwa cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga:

• Kuvurungana cyane cyangwa kugira ibitekerezo bidafututse
• Umutima utera cyane cyangwa kumva umutima uvudukira
• Kugorana cyane mu kwihagarika cyangwa kutabasha kwihagarika
• Urubavu rwinshi hamwe no gucishwa icyuya
• Kubabara cyane mu nda cyangwa kubabara mu nda
• Impinduka zikomeye mu myifatire cyangwa guhungabana

Ingorane zitabaho ariko zikomeye zirimo uburozi bwa anticholinergic, bushobora gutera delirium, ubushyuhe bwinshi cyane mu mubiri, cyangwa koma. Nubwo bidakunze kubaho, ibi bihe bisaba ubuvuzi bwihutirwa.

Ninde utagomba gufata Biperiden?

Abantu bamwe na bamwe bagomba kwirinda biperiden kubera kwiyongera kw'ingorane. Muganga wawe azasuzuma neza amateka yawe mbere yo gutanga uyu muti.

Ntabwo ugomba gufata biperiden niba ufite glaucoma ifunganye, kuko ishobora kongera umuvuduko w'amaso kandi igashobora gutera ubuhumyi. Abantu bafite prostate yagutse cyangwa guhagarara kw'inkari bagomba no kuyirinda, kuko biperiden ishobora gukomeza ibi bibazo.

Niba ufite myasthenia gravis, indwara itera intege nke z'imitsi, biperiden irashobora gukomeza ibimenyetso byawe cyane. Uyu muti urashobora kandi kuba mubi ku bantu bafite indwara zikomeye z'umutima cyangwa umutima utera nabi.

Abantu bakuze bakeneye kwitabwaho by'umwihariko, kuko bafite ubwenge bwinshi ku ngaruka za biperiden. Uyu muti urashobora kongera urujijo, kugwa, n'izindi ngorane ku barwayi bakuze, bityo abaganga bakunze gutangira n'imiti mike.

Abana bari munsi y'imyaka 3 ntibagomba guhabwa biperiden, naho abana bakuze basaba gupimwa neza bitewe n'uburemere bwabo n'uburwayi bwabo.

Amazina ya Biperiden

Biperiden iboneka munsi y'amazina menshi bitewe n'aho uherereye. Izina risanzwe ni Akineton, ribera ahantu henshi mu bihugu byinshi.

Andi mazina arimo Biperiden Neuraxpharm na formulations zitandukanye. Farumasi yawe ishobora kugira ibindi birango, ariko ibikoresho bikora biracyasa nubwo bitewe n'umukora.

Ubundi, imiti ya biperiden ikorwa mu buryo rusange akenshi iragurwa ku giciro gito kandi ikora neza nk'imiti izwi ku mazina yayo. Muganga wawe cyangwa umufashamyumvire mu by'imiti ashobora kugufasha gusobanukirwa uburyo bwiza bukwiriye ubuzima bwawe n'ingengo y'imari yawe.

Izindi miti isimbura Biperiden

Imiti myinshi yindi ishobora kuvura indwara zisa n'izo biperiden ivura niba biperiden itagukwiriye. Muganga wawe ashobora gutekereza izi nzira zindi ashingiye ku ndwara yawe yihariye n'amateka yawe y'ubuzima.

Trihexyphenidyl (Artane) ni undi muti urwanya anticholinergic ukora kimwe na biperiden. Akenshi ikoreshwa ku ndwara zimwe kandi ishobora gukundwa niba wumva ibimenyetso bimwe na bimwe biterwa na biperiden.

Benztropine (Cogentin) ni undi muti usanzwe usimbura, ukunzwe cyane muri Leta Zunze Ubumwe z'Amerika. Ifite ingaruka zisa ariko ishobora kwihanganirwa neza n'abantu bamwe cyangwa igakora neza ku bwoko bwihariye bw'indwara zo kwimuka.

Ku ndwara ya Parkinson, muganga wawe ashobora gutanga carbidopa-levodopa (Sinemet) cyangwa dopamine agonists nka pramipexole. Iyi miti ikora mu buryo butandukanye na biperiden ariko ishobora kugira akamaro kurusha ibindi bimenyetso bya Parkinson.

Uburyo butari ubw'imiti nka physiotherapy, ubuvuzi bw'akazi, cyangwa gushyira imbaraga mu bwonko nabyo bishobora kuba amahitamo ku ndwara zimwe zo kwimuka.

Ese Biperiden iruta Trihexyphenidyl?

Byombi biperiden na trihexyphenidyl ni imiti ikora neza ya anticholinergic ifite inyungu n'ingaruka zisa. Guhitamo hagati yabyo akenshi biterwa n'uburyo wabyakiriye n'ubushobozi bwo kwihanganira.

Biperiden ishobora gutera umunaniro muke ku bantu bamwe, bituma bikundwa niba gusinzira ari ikibazo. Nanone bigira igihe kigaragara cyo gukora, hamwe n'ingaruka zimara amasaha 6 kugeza kuri 8 buri gihe.

Trihexyphenidyl, ku rundi ruhande, ishobora kuba nziza ku bantu bakeneye ubufasha burambye, kuko rimwe na rimwe ishobora gukora amasaha 8 kugeza kuri 12. Abantu bamwe kandi basanga ifite akamaro kurusha ubwoko bwihariye bwo guhinda umushyitsi.

Umuganga wawe azatekereza ku bintu nk'imiti yindi ufata, indwara ufite, n'imibereho yawe ya buri munsi mu gihe ahitamo hagati y'izi nzira. Rimwe na rimwe, kugerageza umuti umwe mbere na mbere bifasha kumenya uwo ukora neza kurusha abandi mu miterere yawe.

Ibibazo Bikunze Kubazwa ku Biperiden

Ese Biperiden irakwiriye ku ndwara z'umutima?

Biperiden isaba kwitonda niba ufite indwara z'umutima, cyane cyane niba ufite umutima utera nabi cyangwa indwara zikomeye z'umutima. Uyu muti ushobora kugira ingaruka ku mutima wawe no kongera umuvuduko w'umutima wawe.

Umuganga wawe azasuzuma neza ubuzima bw'umutima wawe mbere yo kugutera biperiden. Ashobora gutegeka EKG cyangwa izindi igeragezwa ry'umutima kugirango yemeze ko bikwiriye kuri wowe. Niba ufite ibibazo byoroheje by'umutima, umuganga wawe ashobora gufata biperiden ariko akagukurikiranira hafi.

Buri gihe bwire umuganga wawe ku ndwara zose z'umutima, kubabara mu gituza, cyangwa umutima utera nabi mbere yo gutangira gufata biperiden. Bashobora gufasha kumenya niba inyungu ziruta ibyago mu miterere yawe yihariye.

Nigira nte niba mfata biperiden nyinshi bitunguranye?

Niba ufata biperiden nyinshi, hamagara umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya. Ibimenyetso byo kurenza urugero birimo urujijo rukomeye, kwibeshya, umutima utera cyane, umuriro mwinshi, no guhumeka bigoranye.

Ntugerageze kwivugisha cyangwa gufata indi miti iyo ariyo yose udafashijwe n'abaganga. Bika urupapuro rwa biperiden hamwe nawe igihe ushaka ubufasha, kuko abaganga bazakenera kumenya neza urugero wafashe.

Ubuvuzi bw'ibanze bwo kurenza urugero rwa biperiden ni ingenzi mu kwirinda ingorane zikomeye. Ibitaro byihutirwa bifite imiti yihariye iboneka, harimo imiti ishobora guhindura ingaruka za biperiden niba bibaye ngombwa.

Nigira nte niba nirengagije urugero rwa biperiden?

Niba wibagiwe gufata urugero rwa biperiden, rufate uko wibukije, keretse igihe cyo gufata urugero rukurikira cyegereje. Muri urwo rubanza, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka zidakurikira. Niba wibagirwa kenshi gufata urugero, tekereza gushyiraho alarme kuri terefone cyangwa gukoresha umuteguro w'imiti kugira ngo bigufashe kwibuka.

Niba wibagirwa kenshi gufata urugero, ganira na muganga wawe ku bijyanye no guhindura gahunda yawe cyangwa gushaka uburyo bwo kunoza imikorere. Kwibagirwa gufata urugero bishobora gutuma ibimenyetso byawe byo kugenda bisubira.

Nshobora Kureka Gufata Biperiden Ryari?

Reka gufata biperiden gusa igihe muganga wawe akubwiye ko ari byiza kubikora. Guhagarika ako kanya bishobora gutera ibimenyetso byo kuva mu miti cyangwa gutuma ibibazo byawe by'umwimerere byo kugenda bisubira mu buryo bukomeye.

Muganga wawe akenshi azagabanya urugero rwawe buhoro buhoro mu minsi cyangwa mu byumweru byinshi aho guhagarika ako kanya. Iyi ngabanyirizwa buhoro buhoro ifasha kwirinda ibimenyetso byo kuva mu miti kandi ituma umubiri wawe wimenyereza.

Igihe cyo guhagarika giterwa n'impamvu ufata biperiden. Niba ari kubera ibimenyetso biterwa n'imiti, ushobora guhagarika igihe uhagaritse imiti itera ibyo bimenyetso. Ku bibazo bihoraho, icyemezo kiragoye kandi giterwa na gahunda yawe yose yo kuvurwa.

Nshobora Kunywa Alcool Ngihe Ndafata Biperiden?

Ni byiza kwirinda alcool igihe ufata biperiden, kuko ibintu byombi bishobora gutera gusinzira no kuvurungana. Kubihuza bishobora kongera izi ngaruka cyane kandi bikagutera gushobora gukubita cyangwa kugira impanuka.

Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi buto cyane kandi ntuzigere unywa igihe ukeneye gutwara imodoka cyangwa gukoresha imashini. Uko kubihuza bishobora gutuma urubanza rwawe n'igihe cyo gusubiza inyuma kurusha ikintu icyo ari cyo cyose.

Ganira na muganga wawe ku bijyanye no gukoresha alcool mbere yo gutangira gufata biperiden. Bashobora gutanga inama zihariye zishingiye ku yindi miti ufata n'ubuzima bwawe.