Brimonidine ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Brimonidine ni umuti ushyirwa ku ruhu ufasha kugabanya umutuku ku ruhu rwawe mu kugabanya imitsi y'amaraso hafi y'uruhu. Bitekereze nk'inzira yoroheje yo gutuza ahantu hatukura cyane bishobora gutuma wumva ufite isoni.

Uyu muti wandikirwa abantu bafite umutuku udashira ku maso. Wateguwe neza kugirango ugere ku buryo bwihariye butera umutuku hatabayeho ingaruka zikomeye.

Brimonidine ni iki?

Brimonidine ni umuti uhitamo alpha-2 receptor agonist uza nk'igeli ishyirwa ku ruhu. Mu magambo yoroheje, ni umuti ubwira abantu bamwe na bamwe muri imitsi y'amaraso yawe kwiyongera, bigabanya isura y'umutuku.

Uyu muti wabanje gukoreshwa mu matonyi y'amaso yo kuvura glaucoma. Abashakashatsi bavumbuye ko uburyo bumwe bushobora gufasha abantu bafite umutuku ku maso iyo ushyizwe ku ruhu.

Uzabona brimonidine iboneka nk'igeli ya 0.33% ushyira rimwe ku munsi. Ni umuti woroshye ukora ahantu ushyizeho, aho kugira ingaruka ku mubiri wawe wose.

Brimonidine ikoreshwa mu iki?

Brimonidine ikoreshwa cyane cyane mu kugabanya umutuku udashira ku maso bifitanye isano na rosacea mu bantu bakuru. Rosacea ni indwara isanzwe yo ku ruhu itera umutuku, cyane cyane ku matama yawe, izuru, umutwe, n'igihanga.

Uyu muti wihariye ugamije ubwoko bwa papulopustular bwa rosacea, burimo umutuku n'udusimba duto. Bifasha cyane cyane iyo umutuku ubuza icyizere cyawe cya buri munsi cyangwa imibanire yawe.

Abaganga b'uruhu bamwe bashobora kandi gukoresha brimonidine ku bundi bwoko bw'umutuku ku maso. Ariko, bifite akamaro cyane ku mutuku ujyanye na rosacea ukomeza umunsi wose.

Brimonidine ikora ite?

Brimonidine ikora yibanda ku byitwa alpha-2 adrenergic receptors mu miyoboro mito y'amaraso yo ku ruhu rwo mu maso yawe. Iyo izo receptors zikoreshejwe, zituma imiyoboro y'amaraso ifunga cyangwa igabanuka.

Uku gufunga kugabanya umubare w'amaraso anyura muri iyi miyoboro, ibyo bigabanya mu buryo butaziguye isura itukura y'uruhu rwawe. Icyo kintu gisa n'uko ikirere gikonjesha gishobora gutuma mu maso hawe hatukura cyane binyuze mu gufunga imiyoboro y'amaraso mu buryo busanzwe.

Uyu muti ufatwa nk'ukomeye ku rugero rwo hagati mu kuvura ubushyuhe bwo ku ruhu. Akenshi bitangira gukora mu minota 30 kugeza ku isaha imwe nyuma yo kuwushyiraho, ibikorwa byinshi bikaba bibaho mu isaha 3-6.

Ibyo bikorwa ni iby'agateganyo kandi akenshi bimara nk'amasaha 12. Ibi nibyo bituma ugomba kuwushyiraho buri munsi kugira ngo ugire ibisubizo bihamye.

Nkwiriye gufata Brimonidine nte?

Shyira gel ya brimonidine rimwe ku munsi ku ruhu rwo mu maso rumeze neza kandi rwohanaguye. Igihe cyiza ni akenshi mu gitondo, kuko ibyo biguha uburyo bwo kugenzura ubushyuhe mu gihe ukora imirimo yawe yose.

Tangira ukaraba mu maso hawe ukoresheje isabune yoroheje hanyuma ukomeze ukume neza. Shyira gel ntoya ku bice byagizweho ingaruka, wirinda amaso yawe, iminwa yawe, n'imbere mu zuru rwawe.

Koresha nk'umubare ungana n'ishaza ku maso yawe yose. Kora gel mu buryo bworoshye ku bice bitukura utarushaho gukora cyane. Reka imare iminota mike mbere yo gushyiraho sunscreen cyangwa makeup.

Ntabwo ukeneye gufata uyu muti hamwe n'ibiryo kuko ushyirwa ku ruhu. Ariko, irinda kuwushyiraho ako kanya nyuma yo kurya ibiryo bishyushye cyangwa birimo ibirungo, kuko ibyo bishobora gutera ubushyuhe bwo mu maso.

Nkwiriye gufata Brimonidine igihe kingana iki?

Abantu benshi bakoresha brimonidine nk'igikoresho cyo gucunga igihe kirekire ubushyuhe bwa rosacea. Nta tariki ntarengwa yo kuvurwa, kuko rosacea akenshi ni indwara idakira isaba gucungwa buri gihe.

Ugomba gutangira kubona ibisubizo mu minsi mike ya mbere yo gukoresha. Abantu benshi babona impinduka zigaragara mu itukura mu byumweru 2-4 byo gukoresha buri munsi.

Umuvuzi wawe w'uruhu ashobora gusaba gukomeza imiti igihe cyose ifasha itukura ryawe kandi utagira ingaruka zikubangamiye. Abantu bamwe bayikoresha buri munsi imyaka myinshi mu buryo bwizewe.

Niba ushaka guhagarika gukoresha brimonidine, urashobora kubihagarika utagabanya. Ariko, itukura ryawe rishobora gusubira ku rwego rwari ruriho mbere mu munsi umwe cyangwa ibiri.

Ni izihe ngaruka ziterwa na Brimonidine?

Ingaruka zisanzwe ziterwa na brimonidine muri rusange ziba zoroheje kandi zikagaragara aho ikoreshwa. Kuzisobanukirwa bifasha kumenya icyo witegura mugihe uruhu rwawe rwikwiza imiti.

Abantu benshi bagira ingaruka zimwe na zimwe mbere na mbere, ariko ibi bikunze gukira mugihe uruhu rwawe rumenyereye imiti:

• Uburibwe bw'uruhu cyangwa gutwika ahakoreshejwe
• Urumuri cyangwa gushishuka kw'uruhu rwavuwe
• Kongera itukura ry'agateganyo (erythema ya paradoxe)
• Kumva utwika kumara iminota 10-15 nyuma yo gukoresha
• Uruhu rugenda cyangwa kumva uruhu rwawe "rukurura"
• Gucyuragura gake cyangwa kuruma

Izi ngaruka zisanzwe zikunze gukira mu byumweru 1-2 byo gukoresha buri gihe. Niba zikomeje cyangwa zikiyongera, vugana n'umuvuzi wawe w'uruhu kugirango akugire inama.

Hariho kandi ingaruka zimwe na zimwe zitari zisanzwe ariko zikwiye kwitabwaho:

• Uburibwe bukomeye bw'uruhu cyangwa ibimenyetso by'uburwayi bwo kwanga imiti
• Gutwika kudahagarara
• Impinduka z'amabara y'uruhu cyangwa kwijimisha
• Urumuri rwinshi rutuma uruhu rucika cyangwa ruva amaraso
• Itukura risubira inyuma ribi kurusha mbere yo kuvurwa

Gahoro cyane, abantu bamwe bagira ingaruka zikwirakwira niba imiti myinshi yinjijwe:

• Kuribwa umutwe cyangwa kumva uruhuka
• Kugira umunaniro cyangwa gusinzira
• Umutima utera gahoro
• Umubiri ufite igipimo gito cy'amaraso

Niba ubonye ibimenyetso byose by'ibi, vugana n'umuganga wawe ako kanya. Ibi bishobora kubaho cyane niba ukoresha imiti myinshi cyangwa ukayishyira ku ruhu rwangiritse.

Ninde utagomba gufata Brimonidine?

Brimonidine ntibereye buri wese, kandi indwara zimwe na zimwe cyangwa ibihe bishobora gutuma bitaba byiza. Umuganga wawe w'uruhu azareba amateka yawe y'ubuzima mbere yo kuyandika.

Ntabwo ugomba gukoresha brimonidine niba ufite kimwe muri ibi bikurikira:

• Kugira allergie kuri brimonidine cyangwa ibintu byose bigize gel
• Indwara zikomeye z'umutima cyangwa ibibazo by'umutima bitagenzurwa
• Indwara zikomeye z'impyiko cyangwa umwijima
• Kugira agahinda gakabije cyangwa amateka y'indwara zo mu mutwe zikomeye
• Indwara ya Raynaud cyangwa izindi ndwara z'imitsi
• Gusama cyangwa konsa (umutekano ntushyizweho)

Ukwitonda bidasanzwe birakenewe niba ufite ibi bikurikira, nubwo ushobora gukoresha brimonidine ukurikiranwa neza:

• Indwara zoroheje z'umutima cyangwa umutima utera nabi
• Umubiri ufite igipimo kinini cyangwa gito cy'amaraso
• Diabetes
• Indwara za thyroid
• Imyaka irenze 65

Abana n'ingimbi bari munsi y'imyaka 18 ntibagomba gukoresha brimonidine, kuko umutekano wayo utarashyirwaho mu byiciro by'imyaka mito.

Amazina y'ubwoko bwa Brimonidine

Izina risanzwe rya brimonidine topical gel ni Mirvaso, irimo 0.33% brimonidine tartrate. Iyi ni formulation y'umwimerere yemejwe na FDA yagenewe umutuku wo mu maso.

Amavuriro amwe ashobora kugira ubwoko bwa generic bwa brimonidine topical gel. Izi zirimo ibintu bimwe bikora kandi bikomeye nk'ubwoko bw'izina.

Birakwiye kwibuka ko brimonidine iboneka kandi mu buryo bw'amatonyi y'amaso mu mazina y'ubucuruzi atandukanye nka Alphagan P, ariko ibi ni uburyo butandukanye rwose kandi ntibigomba na rimwe gukoreshwa ku maso yawe.

Uburyo bwo gusimbura Brimonidine

Niba brimonidine idakora neza kuri wowe cyangwa ikaba itera ingaruka zikomeye, hari ubundi buryo butandukanye bushobora gufasha kugabanya umutuku wo mu maso. Umuganga wawe w'uruhu ashobora kugufasha gushakisha izi nzira zindi.

Dore uburyo bumwe bwo hanze bukora binyuze mu buryo butandukanye:

• Oxymetazoline gel (Rhofade) - ikora kimwe na brimonidine ariko ishobora kwihanganirwa neza
• Metronidazole gel cyangwa cream - umuti urwanya ububyimbirwe ufasha kurwanya rosacea
• Aside ya Azelaic - ifasha kugabanya ububyimbirwe n'umutuku
• Ibicuruzwa bishingiye kuri sulfure - uburyo bworoshye burwanya ububyimbirwe
• Niacinamide creams - ishobora gufasha gukomeza uruhu no kugabanya ubworoherane

Kubibazo bikomeye cyane, muganga wawe ashobora kugusaba imiti yo kunywa:

• Doxycycline yo mu gipimo gito - antibiyotike irwanya ububyimbirwe
• Isotretinoin - kubibazo bikomeye, bitavurwa
• Beta-blockers - ishobora gufasha mugihe cyo gutukura

Uburyo butari ubw'imiti bushobora kandi kugira akamaro kanini, cyane cyane iyo buhuriye n'imiti yo hanze. Ibi birimo laser therapy, urumuri rukomeye (IPL), no kumenya no kwirinda ibitera umutuku ku giti cyawe.

Ese Brimonidine iruta Oxymetazoline?

Bose brimonidine na oxymetazoline bakora binyuze mu guhagarika imitsi y'amaraso kugirango bagabanye umutuku wo mu maso, ariko bafite itandukaniro rikomeye. Nta numwe uruta undi - guhitamo neza biterwa n'uruhu rwawe rwawe n'uburyo witwara kuri buri muti.

Brimonidine niyo muti wa mbere wo hanze wemejwe byumwihariko kubera umutuku wa rosacea. Bikunda gukora vuba kandi neza kubantu benshi, ariko bamwe bahura n'umutuku iyo igihe cyayo kirangiye.

Oxymetazoline ni mushya kandi ishobora gutera ubushyuhe buke ku bantu bamwe. Ikindi kandi, ikunda kuba yoroshye ku ruhu rworoshye kandi ishobora gutera ingaruka nke nk'ubushye cyangwa gutoboka.

Itandukaniro rikomeye ushobora kubona harimo igihe cy'ingaruka, igihe cy'ibikorwa, n'ingaruka z'uruhande. Muganga wawe w'uruhu ashobora kugusaba kubanza kugerageza kimwe, hanyuma ukimurira ku kindi niba bibaye ngombwa.

Ibikunze Kubazwa Kuri Brimonidine

Ese Brimonidine irakwiriye ku bantu barwaye indwara z'umutima?

Brimonidine bisaba kwitonderwa niba urwaye indwara y'umutima. Kubera ko bishobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, ugomba kuganira ku ndwara yawe yihariye y'umutima na muganga wawe w'uruhu ndetse na muganga w'umutima mbere yo gutangira kuvurwa.

Abantu bafite indwara z'umutima zicungwa neza, zoroshye bashobora gukoresha brimonidine neza bakurikiranwa buri gihe. Ariko, abafite indwara z'umutima zikomeye cyangwa zitajegajega bakwiye kubyirinda.

Muganga wawe azagereranya inyungu zo kugabanya ubushyuhe n'ibishobora guteza ingaruka ku mutima. Bashobora gutangira n'agace gato ko kugerageza cyangwa bagasaba ko wajya kwa muganga kenshi.

Nigira iki niba nkoresheje Brimonidine nyinshi bitunguranye?

Niba ukoresheje brimonidine nyinshi bitunguranye, oza neza ibirenze ku maso yawe ukoresheje amazi akonje n'isabune yoroheje. Ntukakore cyangwa ngo ukube cyane, kuko ibi bishobora kongera uburakari no kwinjizwa.

Reba ibimenyetso byo kwinjizwa kw'imiti myinshi, nk'izungazunga, umunaniro, cyangwa kumva ureremba. Niba ubona ibi bimenyetso, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya.

Mu minsi mike iri imbere, ushobora gushaka kugabanya umubare ukoresha cyangwa ukareka umunsi umwe kugirango uruhu rwawe rukire. Abantu benshi bakira vuba ku mikoreshereze mibi idafite ingaruka zirambye.

Nigira iki niba nirengagije doze ya Brimonidine?

Niba wibagiwe gukoresha brimonidine mu gitondo, urashobora kuyikoresha ako kanya wibukiye, igihe cyose bikiri kare ku manywa. Umuti ukora neza iyo ukoreshejwe mu gitondo kugira ngo ugenzure ubushyuhe bw'uruhu umunsi wose.

Niba byamaze kugera nimugoroba wibuka, mubisanzwe biruta kureka urwo rugero ukongera gukoresha umuti uko bisanzwe bukeye bwaho mu gitondo. Kuyikoresha nyuma y'igihe ntacyo byagufasha kuko bishoboka ko uzayisukura mbere yo kuryama.

Ntukoreshe umuti wiyongereyeho ku munsi ukurikira kugira ngo "usimbure" urugero rwatanzwe. Ibi bishobora kongera ibyago byo kugira ingaruka zidakundawe hatagize icyo byongera ku nyungu.

Nshobora Kureka Gukoresha Brimonidine Ryari?

Urashobora kureka gukoresha brimonidine igihe icyo aricyo cyose utagombye kugabanya urugero buhoro buhoro. Bitandukanye n'imiti imwe, nta kaga ko kugira ibimenyetso byo kuva mu miti iyo uhagaritse gukoresha brimonidine yo ku ruhu.

Ariko, ubushyuhe bw'uruhu rwawe bushobora gusubira ku rwego rwari ruriho mbere mu minsi 1-2 uhagaritse. Ibi biterwa n'uko brimonidine ivura ibimenyetso bya rosacea aho gukiza indwara yihishe.

Abantu benshi bahitamo guhagarika by'agateganyo mu gihe cy'ibiruhuko cyangwa ibirori byihariye kugira ngo barebe uko uruhu rwabo rugaragara batavuwe. Abandi bayikoresha mu bihe by'imvura iyo rosacea yabo ikunda kwiyongera.

Nshobora Gukoresha Ibirungo cyangwa Ikinini cyo Kwirinda Izuba hamwe na Brimonidine?

Yego, rwose urashobora gukoresha ibirungo n'ikinini cyo kwirinda izuba hamwe na brimonidine, kandi mu by'ukuri, ikinini cyo kwirinda izuba ni ingenzi cyane kuko kwishyira ku zuba bishobora gutuma ubushyuhe bwa rosacea bwiyongera. Ikintu cy'ingenzi ni ugukoresha ibicuruzwa mu buryo bukwiye no mu gihe gikwiye.

Koresha brimonidine mbere ku ruhu rumeze neza, rwohanaguye, uruhe igihe cy'iminota 5-10 ngo rwinjire. Hanyuma ukoreshe ikinini cyawe cyo kwirinda izuba, hanyuma ukoreshe ibirungo byose cyangwa ibindi bicuruzwa byo kwita ku ruhu.

Hitamo ibicuruzwa byoroheje, bitagira impumuro zitazarakaza uruhu rwawe rworoshye rukunda rosacea. Ikinini cyo kwirinda izuba rikoresha zinc oxide cyangwa titanium dioxide akenshi byihanganirwa kurusha ikinini cyo kwirinda izuba gikoresha imiti.