Icyo Cabergoline ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Cabergoline ni umuti wandikirwa na muganga ufasha kugenzura urugero rwo hejuru rw'imisemburo yitwa prolactin mu mubiri wawe. Muganga wawe ashobora kukwandikira uyu muti niba ufite indwara nka prolactinomas (utubyimba tudafite kanseri dukora prolactin nyinshi cyane) cyangwa izindi ndwara aho urugero rwa prolactin yawe ruri hejuru yuko bikwiye kuba biri.

Uyu muti ukora wigana imisemburo kamere yo mu bwonko yitwa dopamine, ifasha kugenzura imisemburo ikorwa. Bitekereze nk'igikoresho kigabanya gahoro gahoro umubiri wawe ukora prolactin kugira ngo uyigarure ku rugero ruzima.

Cabergoline ni iki?

Cabergoline ni mu itsinda ry'imiti yitwa dopamine agonists. Ni verisiyo ya gihanga y'imiti ubwonko bwawe bwikorera kugira ngo ifashe kugenzura urugero rwa imisemburo itandukanye mu mubiri wawe.

Uyu muti uza mu buryo bw'ibinini bito ufata unywa, akenshi rimwe cyangwa kabiri mu cyumweru. Bitandukanye n'imiti ifatwa buri munsi, cabergoline ifite ingaruka zirambye mu mubiri wawe, niyo mpamvu udakeneye kuyifata buri munsi.

Muganga wawe azakwandikira cabergoline iyo umubiri wawe ukora prolactin nyinshi cyane, imisemburo isanzwe ifasha mu gukora amata ku bagore bonsa. Iyo urugero rwa prolactin ruri hejuru cyane ku bantu batonsa, bishobora gutera ibimenyetso bitari byiza.

Cabergoline ikoreshwa mu iki?

Cabergoline ikoreshwa cyane mu kuvura indwara ziterwa na prolactin nyinshi mu maraso yawe, indwara yitwa hyperprolactinemia. Ibi bibaho iyo glande yawe ya pituitary ikora prolactin nyinshi kuruta uko umubiri wawe ukeneye.

Impamvu isanzwe abaganga bandikira cabergoline ni prolactinomas, ari utubyimba tudafite kanseri muri glande yawe ya pituitary. Uku gukura guto gushobora gutuma urugero rwa prolactin yawe ruzamuka cyane, bigatuma ibimenyetso bitandukanye bigira ingaruka ku buzima bwawe bwa buri munsi.

Ibi nibyo by'ingenzi cabergoline ifasha kuvura, dutangiriye ku mpamvu zisanzwe abaganga bashobora kuyigushakira:

• Prolactinomas (ibibyimba byiza byo mu gice cy'ubwonko gishinzwe imisemburo)
• Urugero rwo hejuru rwa prolactin rutagaragazwa
• Imisemburo idasanzwe cyangwa idahari y'imihango iterwa na prolactin nyinshi
• Umusaruro w'amata udashakishwa ku bagore batonsa
• Ibibazo by'uburumbuke bifitanye isano na prolactin nyinshi
• Imikorere mibi y'imibonano mpuzabitsina iterwa n'urugero rwa prolactin rwo hejuru

Mu bihe bimwe na bimwe, abaganga bashobora kwandikira cabergoline indwara ya Parkinson, nubwo ibi bidakunze kubaho. Umuganga wawe azemeza niba cabergoline ikwiriye kuri wowe.

Cabergoline ikora ite?

Cabergoline ikora muguhuza na dopamine receptors mu bwonko bwawe, byumwihariko mu gice cy'ubwonko gishinzwe imisemburo aho prolactin ikorerwa. Iyo umuti uhujwe n'izi receptors, yohereza ikimenyetso cyo kugabanya umusaruro wa prolactin.

Uyu muti ufatwa nk'ukomeye kandi ufite akamaro kanini kubyo ugamije. Abantu benshi babona impinduka zigaragara mu rugero rwa prolactin yabo mu byumweru bike nyuma yo gutangira kuvurwa.

Uyu muti uguma ukora mu mubiri wawe iminsi myinshi, niyo mpamvu ukeneye kuwufata rimwe cyangwa kabiri mu cyumweru. Ibi bituma byoroha kurusha imiti isaba gufatwa buri munsi.

Nkwiriye gufata cabergoline nte?

Fata cabergoline nkuko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri mu cyumweru hamwe n'ibiryo. Kuyifata hamwe n'ifunguro cyangwa ifunguro rito bifasha kugabanya isesemi kandi bigatuma umubiri wawe wumva neza umuti.

Urashobora gufata cabergoline n'amazi, amata, cyangwa umutobe. Kugira ibiryo mu gifu cyawe mbere yo gufata umuti bifasha kwirinda isesemi, ikaba ari imwe mu ngaruka zisanzwe iyo utangiye uyu muti.

Ibi nibyo ukwiriye kumenya kubyerekeye gufata cabergoline neza:

• Fata ku munsi umwe mu cyumweru kugira ngo urugero ruzamuke rugume
• Fata ifunguro rito cyangwa agafunguro gato mbere y'iminota 30 yo gufata imiti
• Irinde inzoga ku minsi ufata cabergoline
• Ntugasya cyangwa urye ibinini
• Bika imiti ahantu hakonje kandi humutse

Niba wumva uribwa umutwe cyangwa urumva utameze neza nyuma yo gufata cabergoline, ryamira akanya wirinde gutwara imodoka cyangwa gukoresha imashini. Ibi bikorwa mubisanzwe birakosoka umubiri wawe umaze kumenyera imiti.

Nzamara Igihe Kingana iki Ndafata Cabergoline?

Abantu benshi bakeneye gufata cabergoline mu mezi menshi kugeza ku myaka, bitewe n'uburwayi bwabo bwihariye. Muganga wawe azagenzura urugero rwa prolactin yawe buri gihe kugira ngo amenye igihe ukeneye kuvurwa.

Kubera prolactinomas, ushobora gukenera gufata cabergoline mu myaka 2-3 cyangwa irenga. Abantu bamwe bafite ibibyimba bito bashobora gushobora guhagarika imiti igihe urugero rwa prolactin rwabo rusanzwe rukagaruka kandi rugahoraho.

Umuvuzi wawe azategura ibizamini by'amaraso bisanzwe kugira ngo agenzure urugero rwa prolactin yawe kandi ashobora no gutumiza ibizamini by'umutima bya buri gihe. Ntukigere uhagarika gufata cabergoline ako kanya utabanje kuvugana na muganga wawe, kuko ibi bishobora gutuma urugero rwa prolactin yawe ruzamuka vuba.

Ni Iyihe Miterere Ibyara Cabergoline?

Abantu benshi bafata cabergoline neza, ariko nk'imiti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi zoroheje kandi akenshi zikosoka umubiri wawe umaze kumenyera imiti.

Ingaruka zisanzwe zikora ku bantu benshi zirimo isesemi, kuribwa umutwe, no kuribwa umutwe. Ibi mubisanzwe bibaho mu byumweru bike bya mbere byo kuvurwa kandi akenshi bigabanya umubabaro uko igihe kigenda.

Dore ingaruka zivugwa cyane, zateguwe kuva ku zisanzwe kugeza ku zitari zisanzwe:

• Isesemi no kuribwa mu nda
• Kuribwa umutwe cyangwa kutameze neza
• Kuribwa umutwe
• Kugira umunaniro cyangwa kumva unaniwe
• Kuguma mu nda
• Umunwa wumye
• Ibibazo byo gusinzira cyangwa inzozi zigaragara

Ingaruka zidakunze kubaho ariko zikomeye zirashobora kubaho, nubwo zifata abantu bake. Izi zikeneye ubufasha bwihuse bw'abaganga niba bibaye kuri wowe:

• Kubabara mu gituza cyangwa umutima gutera cyane
• Kugufuka umwuka
• Kubyimba amaguru cyangwa ibirenge
• Gutangira vuba gukunda gukina urusimbi cyangwa ibyifuzo by'imibonano mpuzabitsina
• Kugira ibitekerezo bidahuye n'ukuri cyangwa urujijo
• Kubabara cyane mu nda

Ingaruka zidakunze kubaho ariko zikomeye zirimo ibibazo by'imitsi y'umutima, niyo mpamvu muganga wawe ashobora gutegeka ibizamini by'umutima buri gihe. Niba ubonye ibimenyetso bidasanzwe, vugana n'umuganga wawe ako kanya.

Ninde utagomba gufata Cabergoline?

Cabergoline ntabwo ifitiye buri wese umutekano, kandi indwara zimwe na zimwe zituma itabereye. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kwandika uyu muti.

Abantu bafite umuvuduko ukabije w'amaraso udakontrolwa ntibagomba gufata cabergoline, kuko bishobora gutuma iyi ndwara irushaho kuba mibi. Uyu muti kandi ushobora gukorana nabi n'imiti imwe n'imwe y'umutima n'imiti igabanya umuvuduko w'amaraso.

Dore indwara nyamukuru n'ibihe cabergoline igomba kwirindwa:

• Kumenya allergie kuri cabergoline cyangwa imiti isa nayo
• Umuvuduko ukabije w'amaraso udakontrolwa
• Indwara y'imitsi y'umutima cyangwa amateka y'ibibazo by'umutima
• Indwara ikomeye y'umwijima
• Gusama (keretse iyo byanditswe na muganga wawe)
• Ababyeyi bonka bagerageza guhagarika umukamo

Imiti imwe n'imwe irashobora gukorana na cabergoline, harimo imiti imwe yo kuvura indwara zo mu mutwe, imiti igabanya umuvuduko w'amaraso, n'imiti irwanya isesemi. Buri gihe bwire muganga wawe imiti yose, ibyongerera imbaraga, n'imiti ikomoka ku bimera urimo gufata.

Amazina y'ubwoko bwa Cabergoline

Cabergoline iboneka mu mazina menshi y'ubwoko, Dostinex ikaba ariyo izwi cyane. Farumasi yawe ishobora gutanga uyu muti mu mazina atandukanye bitewe n'uwabikoze.

Izindi nshuti z'izina zirimo Cabaser na Cabaseril, nubwo kuboneka bitandukanye bitewe n'igihugu. Urugero rusanzwe rwitwa gusa "cabergoline" ruraboneka cyane kandi rukora neza nk'izina ry'ubwoko.

Bitewe n'ubwoko wakira, ibikoresho bikora n'imikorere biracyari kimwe. Umuganga wawe w'imiti ashobora gusubiza ibibazo byose bijyanye n'ubwoko bwihariye barimo kugutanga.

Izindi nzira za Cabergoline

Imiti myinshi ishobora kuvura urwego rwo hejuru rwa prolactin niba cabergoline itagukwiriye. Bromocriptine ni indi nzira isanzwe kandi ikora kimwe na cabergoline.

Bromocriptine isaba gukoreshwa buri munsi kandi ishobora gutera ingaruka nyinshi kurusha cabergoline, ariko akenshi ihendutse kandi imaze imyaka myinshi ikoreshwa neza. Abantu bamwe boroherwa na bromocriptine kurusha cabergoline.

Izindi nzira muganga wawe ashobora gutekereza zirimo:

• Bromocriptine (Parlodel) - ifatwa buri munsi
• Quinagolide - ifatwa buri munsi
• Kubaga prolactinomas nini
• Ubuvuzi bwo gukoresha imirasire mu bihe bidasanzwe

Muganga wawe azagufasha guhitamo uburyo bwo kuvura bwiza bushingiye ku burwayi bwawe bwihariye, izindi ngorane z'ubuzima, n'uburyo wihanganira imiti itandukanye.

Ese Cabergoline iruta Bromocriptine?

Cabergoline muri rusange ifatwa nk'ikora neza kandi yihanganirwa neza kurusha bromocriptine mu kuvura urwego rwo hejuru rwa prolactin. Abantu benshi bakunda cabergoline kuko ifatwa kenshi kandi itera ingaruka nke.

Ubushakashatsi bwerekana ko cabergoline ikora neza mu gusanzura urwego rwa prolactin no kugabanya prolactinomas. Abantu bagera kuri 85-90% bagera ku rwego rusanzwe rwa prolactin hamwe na cabergoline, ugereranije na 70-75% hamwe na bromocriptine.

Ibyiza bya cabergoline ugereranije na bromocriptine birimo kunywa imiti gake (inshuro ebyiri mu cyumweru ugereranije n'umunsi ku munsi), ingaruka nke zo mu gifu, n'ibisubizo byiza by'igihe kirekire. Ariko, cabergoline akenshi ihenze kurusha bromocriptine.

Muganga wawe azatekereza ibintu nk'urugero rwa prolactine yawe, ubunini bwa tumor, kwihanganira ingaruka, n'ikiguzi mugihe uhitamo hagati y'iyi miti. Abantu bamwe babaho neza na bromocriptine nubwo cabergoline ifite ibyiza rusange.

Ibikunze Kubazwa Kuri Cabergoline

Q1. Ese Cabergoline irakwiriye abarwayi b'umutima?

Cabergoline isaba gukurikiranwa neza kubantu bafite indwara z'umutima. Muganga wawe ashobora gutumiza echocardiogram mbere yo gutangira kuvura kandi buri gihe mugihe cyo kuvura kugirango arebe imitsi y'umutima wawe.

Abantu bafite ibibazo by'imitsi y'umutima bagomba kwirinda cabergoline, kuko bishobora gutuma ibi bibazo birushaho. Ariko, kubantu bafite imikorere isanzwe y'umutima, cabergoline akenshi ni nziza mugihe ikoreshwa munsi y'ubuyobozi bwa muganga.

Niba ufite indwara iyo ari yo yose y'umutima, menyesha muganga wawe mbere yo gutangira cabergoline. Bashobora guhitamo umuti utandukanye cyangwa bakagukurikirana neza mugihe cyo kuvura.

Q2. Nkwiriye gukora iki niba nanyweye cabergoline nyinshi?

Kunywa cabergoline nyinshi bishobora gutera isesemi ikabije, kuruka, isereri, n'umuvuduko muke cyane w'amaraso. Niba wanyweye byinshi kuruta uko byategetswe, hamagara muganga wawe cyangwa ikigo gishinzwe kugenzura ubumara ako kanya.

Ntugerageze kwivugisha niba utabitegetswe na muganga. Ryama ahantu hizewe kandi ugire umuntu ugusanga kugeza ubwo ushobora kubona ubufasha bwa muganga.

Ibimenyetso byo kurenza urugero rwa cabergoline birimo kwibeshya, urujijo, no guta ubwenge. Izi ngaruka zirashobora kuba ziteje akaga, bityo shakisha ubufasha bwihutirwa bwa muganga niba ubonye kimwe muri ibi bimenyetso nyuma yo kunywa imiti myinshi.

Q3. Nkwiriye gukora iki niba nirengagije kunywa cabergoline?

Niba wibagiwe gufata urugero rwa cabergoline, rufate uko wibukije, ariko niba bitarenze iminsi 1-2 ku rugero rwawe rwashyizweho. Ntukafate urugero rurenze rumwe kugira ngo usimbure urugero wibagiwe.

Niba hashize iminsi irenga 2-3 kuva wibagiwe urugero, rureke maze ufate urugero rwawe ruteganyijwe. Gufata cabergoline nyuma y'igihe ni byiza kuruta kongera urugero, ibyo bishobora gutera ingaruka zikomeye.

Tekereza gushyiraho umwibutsa buri cyumweru kuri terefone yawe cyangwa kalendari kugira ngo bigufashe kwibuka igihe ugomba gufata imiti yawe. Kwitonda bifasha kugenzura prolactine ihamye.

Q4. Ni ryari nshobora kureka gufata Cabergoline?

Ubusanzwe ushobora kureka gufata cabergoline iyo urwego rwawe rwa prolactine rumaze kuba rusanzwe byibuze amezi 6-12 kandi ibibyimba byose byagabanutse cyane. Muganga wawe azagufatira icyemezo ashingiye ku bizami byawe by'amaraso n'ibizamini by'amashusho.

Ntuzigere uhagarika cabergoline mu buryo butunguranye utabifashijwemo na muganga, kuko urwego rwawe rwa prolactine rushobora kongera kuzamuka vuba. Muganga wawe azagabanya urugero rwawe buhoro buhoro mu byumweru bike mbere yo guhagarika burundu.

Abantu bamwe na bamwe bakeneye gufata cabergoline igihe kirekire, cyane cyane niba bafite prolactinomas nini cyangwa niba urwego rwabo rwa prolactine ruzamuka nyuma yo guhagarika. Inama zisanzwe zigufasha kumenya uburyo bwiza bwo gukemura ikibazo cyawe.

Q5. Nshobora gufata Cabergoline ntwite?

Cabergoline muri rusange ntisabwa mugihe utwite keretse muganga wawe abyanditse byihariye kubera uburwayi bukomeye. Uyu muti ushobora kwambuka placenta kandi ugashobora kugira ingaruka ku mwana wawe ukiri mu nda.

Niba ugerageza gusama, ganira na muganga wawe niba wakomeza gufata cabergoline. Abagore bamwe bafite prolactinomas bakeneye gukomeza gufata uyu muti mugihe batwite kugirango birinde gukura kw'ibibyimba.

Buri gihe jya ukoresha uburyo bwiza bwo kuboneza urubyaro igihe uri gukoresha umuti wa cabergoline keretse niba uri gushaka gutwita kandi ubikore under medical supervision. Niba utwite ukoresha cabergoline, vugana n'umuganga wawe ako kanya kugira ngo muganire ku cyakorwa.