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

Ciclesonide ni umuti wa corticosteroid uhumeka kugira ngo ufashwe kugenzura asima no kugabanya umubyimbirwe mu nzira yawe y'ubuhumekero. Ni icyo abaganga bita "prodrug," bivuze ko ikora gusa umaze kuyihumeka mu muhaha wawe, bigatuma ikora neza kandi ikagira umutima mwiza ku mubiri wawe.

Tekereza ciclesonide nk'umufasha wibanda ku kintu runaka ukora cyane aho ukeneye cyane. Bitandukanye n'indi miti imwe ya asima ikora ku mubiri wawe wose, iyi yibanda ku mbaraga zayo zirwanya umubyimbirwe mu muhaha wawe no mu nzira yawe y'ubuhumekero.

Ciclesonide ikoreshwa mu iki?

Ciclesonide ikoreshwa cyane cyane mu gukumira ibitero bya asima no gucunga ibimenyetso bya asima bikomeje mu bantu bakuru n'abana bafite imyaka irenga 12. Ntabwo ari inhaler yo gutabara ukoresha mu gihe cy'igitero cya asima, ahubwo ni umuti ukoreshwa buri munsi ufasha kugumisha inzira yawe y'ubuhumekero ituje kandi ifunguye.

Muganga wawe ashobora kugutera ciclesonide niba ufite asima ikomeje ikeneye kugenzurwa buri gihe. Uyu muti ukora neza iyo uwukoresha buri munsi, kabone niyo wumva umeze neza. Bifasha cyane abantu bakeneye gucunga asima igihe kirekire ariko bifuza kugabanya ingaruka zishobora guterwa na corticosteroids.

Abaganga bamwe kandi bandika ciclesonide kubwoko runaka bwa rhinitis ya allergique, nubwo ibi bidakunze kubaho. Uyu muti ufasha kugabanya igisubizo cy'umubyimbirwe gitera ingorane nyinshi zo guhumeka.

Ciclesonide ikora ite?

Ciclesonide ikora igihe gusa igeze mu muhaha wawe, aho ihinduka mu buryo bwayo bukora bita des-ciclesonide. Iyi myumvire y'ubwenge isobanura ko umuti wibanda ku mubyimbirwe neza neza aho uwukeneye cyane mugihe ugabanya ingaruka ahandi mu mubiri wawe.

Iyo imaze gukoreshwa mu nzira zawe z'umwuka, ciclesonide igabanya ububyimbirwe, guhaga, no gukora ururenda. Mu by'ukuri ituza sisitemu yawe y'ubudahangarwa yarengereye ku bintu bitera nk'ibitera allergie, imyitozo, cyangwa ibishobora kurakaza bisanzwe bituma inzira zawe z'umwuka zifunga kandi zigakora ururenda rwinshi.

Uyu muti ufatwa nk'ufite imbaraga ziringaniye muri corticosteroids ihumeka. Irusha imbaraga izindi nyinshi ariko iroroshye kurusha izindi, bituma iba uburyo bwiza bwo hagati ku bantu benshi bafite asima.

Nkwiriye Gufata Ciclesonide Nte?

Ubusanzwe uzajya ufata ciclesonide rimwe ku munsi, akenshi nimugoroba, nubwo muganga wawe azaguha amabwiriza yihariye ashingiye ku byo ukeneye. Uyu muti uza mu giti gihumeka gitanga umubare wuzuye wa buri gihumeka.

Uku niko wakoresha neza igiti cyawe gihumeka ciclesonide:

1. Kura umupfundikizo hanyuma uhuhure neza igiti gihumeka imyanya 5
2. Humeka cyane, uvuye ku giti gihumeka
3. Shyira iminwa yawe ku kanwa kandi ukore ikimenyetso gikomeye
4. Tangira guhumeka buhoro buhoro kandi cyane ukanda ku giti
5. Fata umwuka wawe imyanya 10, hanyuma uhumeke buhoro
6. Karanura umunwa wawe n'amazi hanyuma uyacire

Intambwe yo gukaraba umunwa ni ingenzi kuko ifasha kwirinda thrush, indwara y’imyungu ishobora kwaduka mu kanwa kawe kuva muri corticosteroids ihumeka. Ntabwo ukeneye gufata ciclesonide hamwe n'ibiryo, ariko guhora ukoresha igihe bifasha kubungabunga urwego ruzigama mu mubiri wawe.

Nkwiriye Gufata Ciclesonide Igihe Kingana Gite?

Ciclesonide ubusanzwe ni umuti w'igihe kirekire uzakoresha amezi cyangwa imyaka, bitewe n'uburyo asima yawe igenzurwa. Abantu benshi bakeneye kuwufata buri gihe kugirango bagumane inyungu zo kurwanya ububyimbirwe no kwirinda ibimenyetso bya asima gusubira.

Ushobora gutangira kubona impinduka mu guhumeka kwawe mu minsi mike, ariko inyungu zose zisanzwe zigaragara nyuma y'icyumweru kimwe cyangwa bibiri cyo gukoresha neza. Abantu bamwe babona imikoreshereze ikomeza kuzamuka kugeza ku byumweru 4-6 igihe umuti wubaka ingaruka zirinda mu nzira zawe zo guhumeka.

Muganga wawe azagenzura buri gihe uburyo bwo kugenzura asima yawe kugirango amenye niba ushobora kugabanya urugero cyangwa inshuro. Ntukigere uhagarika gufata ciclesonide mu buryo butunguranye utabihuguriwe na muganga, kuko ibi bishobora gutuma ibimenyetso bya asima birushaho kuba bibi.

Ni Ibihe Bikorwa Bigaragara bya Ciclesonide?

Abantu benshi bafata ciclesonide neza kuko yateguwe gukora cyane cyane mu muhaha wawe aho gukora mu mubiri wawe wose. Ariko, nk'imiti yose, ishobora gutera ingaruka ku bantu bamwe.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Umutwe
• Uburibwe mu muhogo cyangwa ijwi ritumuka
• Inkorora
• Indwara zo mu nzira zo hejuru zo guhumeka
• Umuzigo mu mazuru
• Uburibwe mu mugongo

Izi ngaruka zisanzwe zoroheje kandi akenshi zikongera uko umubiri wawe wimenyereza umuti. Uburibwe mu muhogo n'ijwi ritumuka akenshi birinda no gukaraba umunwa wawe nyuma yo gukoresha buri gihe.

Ingaruka zitagaragara cyane ariko zikomeye zirimo thrush (ikintu cyera, gisa na foromaje mu kanwa kawe), impinduka mu iyerekwa, cyangwa ibimenyetso byo gukandamiza adrenal nk'umunaniro udasanzwe cyangwa intege nke. Nubwo ibi bidakunze kubaho kuri ciclesonide kubera imikorere yayo yagenewe, ni ngombwa kumenyesha muganga wawe ibimenyetso byose bibangamiye.

Gahoro cyane, abantu bamwe bashobora guhura n'uburwayi bwo kwanga imiti, impinduka zikomeye mu myitwarire, cyangwa guhagarika gukura ku bana. Niba ubonye ibimenyetso bidasanzwe, cyane cyane kugorana guhumeka, uruhu rurya, cyangwa impinduka zikomeye mu myitwarire, vugana na muganga wawe vuba.

Ninde Utagomba Gufata Ciclesonide?

Ciclesonide ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kuyandika. Ntugomba gukoresha ciclesonide niba ufite allergie ku muti ubwawo cyangwa ibice byawo.

Abantu bafite ibibazo bimwe na bimwe bakeneye kwitabwaho by'umwihariko cyangwa gukurikiranwa mugihe bakoresha ciclesonide:

• Infekisiyo zikora cyangwa ziheruka zo mu myanya y'ubuhumekero
• Ubukana cyangwa izindi ndwara ziterwa na mikorobe
• Infekisiyo ziterwa na fungi mu bihaha
• Infekisiyo ziterwa na virusi nka chickenpox cyangwa rubella
• Indwara ikomeye y'umwijima
• Cataracts cyangwa glaucoma
• Osteoporose cyangwa ibibazo byo gukomera kw'amagufa

Abana bari munsi y'imyaka 12 muri rusange ntibagomba gukoresha ciclesonide, kuko umutekano n'imikorere byayo bitarashyirwaho muri iki cyiciro cy'imyaka. Abagore batwite kandi bonka bagomba kuganira ku byago n'inyungu na muganga wabo, nubwo ciclesonide muri rusange ifatwa nk'umutekano kurusha izindi corticosteroids nyinshi mugihe cyo gutwita.

Niba ufata indi miti, cyane cyane imiti irwanya fungi cyangwa imiti ya HIV, muganga wawe azakenera kugukurikirana cyane kuko ibi bishobora kugira ingaruka ku buryo ciclesonide ikora mu mubiri wawe.

Amazina ya Ciclesonide

Ciclesonide iboneka munsi y'izina rya Alvesco mu bihugu byinshi, harimo Leta Zunze Ubumwe za Amerika na Kanada. Iyi niyo nshingiro isanzwe uzahura nayo mugihe muganga wawe yanditse ciclesonide inhalation.

Ibihugu bimwe bishobora kugira amazina atandukanye cyangwa verisiyo rusange ziboneka. Buri gihe koresha igicuruzwa cyihariye muganga wawe yanditse, kuko inhalers zitandukanye zishobora kugira sisitemu zitandukanye zo gutanga cyangwa ibice byinshi.

Izindi miti isimbura Ciclesonide

Niba ciclesonide itagukundiye neza cyangwa itera ingaruka zikubangamiye, muganga wawe afite izindi corticosteroids zo guhumeka zo gutekereza. Buri imwe ifite inyungu zayo n'imiterere yayo bishobora guhuza neza ibyo ukeneye.

Izindi miti isanzwe harimo:

• Fluticasone (Flovent) - akenshi ifatwa nk'ikomeyeho gato
• Budesonide (Pulmicort) - yigishijwe neza kandi iboneka mu buryo bwinshi
• Beclomethasone (Qvar) - umuti ushaje ufite amakuru menshi y'umutekano
• Mometasone (Asmanex) - gukoresha rimwe ku munsi nk'uko ciclesonide ikora

Muganga wawe ashobora no gutekereza ku guhuza ibikoresho byo guhumeka birimo imiti yombi ya corticosteroid na bronchodilator ikora igihe kirekire, nka fluticasone/salmeterol (Advair) cyangwa budesonide/formoterol (Symbicort).

Icyo uhitamo giterwa n'ubwoko bwa asima ufite, imyaka yawe, indi miti ukoresha, n'uko witwara ku miti itandukanye. Ibyiza bikora bitandukanye ku muntu ku giti cye.

Ese Ciclesonide iruta Fluticasone?

Ciclesonide na fluticasone ni imiti ya corticosteroid ikora neza, ariko ifite imiterere itandukanye ishobora gutuma imwe ikwira kurusha indi. Nta n'imwe iruta izindi - biterwa n'ibyo ukeneye n'uko witwara.

Ciclesonide ishobora kugira inyungu mu bijyanye n'ingaruka nke z'ahantu nk'ibibazo byo mu kanwa no guhagarika ijwi kuko yagenewe gukora gusa mu muhaha wawe. Nanone ikunda kugira ingaruka nkeya ku mikurire mu bana no kugira ingaruka nke muri rusange.

Ku rundi ruhande, fluticasone imaze igihe kirekire iboneka kandi ifite amakuru menshi y'ubushakashatsi. Iboneka mu mbaraga nyinshi n'uburyo bwo kuyikoresha, kandi abantu benshi bagera ku kugenzura neza asima bakoresha yo. Ubushakashatsi bumwe buvuga ko ishobora kuba ikomeyeho gato ku bipimo bingana.

Muganga wawe azatekereza ku bintu nk'imyaka yawe, uburyo asima yawe iriho, amateka y'ingaruka ziterwa n'indi miti, n'ibyo ukunda ku giti cyawe mugihe uhitamo hagati y'ibi byemezo.

Ibikoresho Bikunze Kubazwa Kuri Ciclesonide

Ese Ciclesonide irakwiriye indwara z'umutima?

Ciclesonide ikunze gufatwa nk'umuti utagira ingaruka ku bantu barwaye indwara z'umutima kuko ntigira ingaruka nyinshi mu mubiri iyo ikoreshejwe nk'uko byategetswe. Bitandukanye na corticosteroids zinyobwa, ciclesonide ihumekwa ntigira ingaruka zigaragara ku mutima wawe, umuvuduko w'amaraso, cyangwa kubika amazi mu mubiri.

Ariko, ugomba kubwira muganga wawe ku bijyanye n'uburwayi bwose bw'umutima ufite. Ashobora kwifuza kugukurikiranira hafi, cyane cyane niba ukoresha imiti myinshi cyangwa ufite indwara ikomeye y'umutima. Inyungu zo kugenzura neza asima zikunze kurenga ingaruka nto z'umutima ziterwa na corticosteroids zihumekwa.

Nkwiriye gukora iki niba nanyweye ciclesonide nyinshi ku buryo butunganye?

Niba unyweye ciclesonide nyinshi ku buryo butunganye, ntugire ubwoba. Kubera ko yagenewe gukora ahantu honyine mu muhaha wawe, kunywa imiti myinshi rimwe na rimwe birashoboka ko bitazatera ibibazo bikomeye ugereranyije na corticosteroids zinyobwa.

Ushobora guhura no kuribwa mu muhogo, ijwi ryumvikana nabi, cyangwa kubabara umutwe. Kora mu kanwa neza n'amazi hanyuma uvugishe muganga wawe cyangwa umufarimasi kugira ngo baguhe ubujyanama. Bashobora kugusaba niba ukeneye gukurikiranwa byihariye cyangwa niba ugomba guhindura urugero rwawe rukurikira.

Niba umaze igihe ukoresha imiti myinshi cyane kuruta uko byategetswe, muganga wawe ashobora kwifuza kureba ibimenyetso byo guhagarika imikorere y'imisemburo cyangwa izindi ngaruka zigaragara, nubwo ibi bidasanzwe kuri ciclesonide.

Nkwiriye gukora iki niba nirengagije urugero rwa ciclesonide?

Niba wibagiwe urugero rwawe rwa ciclesonide ya buri munsi, unywe vuba uko wibuka, keretse igihe cyegereje urugero rwawe ruteganyijwe rukurikira. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere unywa urugero ebyiri icyarimwe kugira ngo usimbure urugero wibagiwe. Ibi ntibizatanga inyungu zinyongera kandi bishobora kongera ibyago byo kugira ingaruka. Niba ukunda kwibagirwa urugero, tekereza gushyiraho umwibutso kuri terefone cyangwa kunywa umuti wawe mu gihe kimwe buri munsi nk'igice cy'akamenyero kawe.

Kutafata imiti rimwe na rimwe ntibizahita bikongera umwuka mubi, ariko kuyikoresha buri gihe ni ngombwa kugira ngo urinde umubiri wawe kubyimba.

Ni ryari nshobora kureka gufata Ciclesonide?

Ugomba kureka gufata ciclesonide uyobowe na muganga wawe, kabone n'iyo wumva umeze neza cyane. Umwuka mubi ni indwara idakira isaba gukurikiranwa buri gihe, kandi guhagarika imiti ikugenzura bishobora gutuma ibimenyetso bisubira kandi bikongera ibyago byo gufatwa n'umwuka mubi.

Muganga wawe azagabanya urugero rw'umuti buhoro buhoro aho guhagarika ako kanya. Ibi bishobora kubaho niba umwuka wawe mubi waragenzurwaga neza mu mezi make ashize, cyangwa niba wimukiye ku wundi muti.

Umwanzuro wo guhagarika cyangwa kugabanya ciclesonide biterwa n'ibintu nk'igihe umaze umeze neza, ibikuviraho umwuka mubi, uko ibihe bihinduka, n'uburemere bw'umwuka wawe mubi muri rusange. Ibiganiro bya buri gihe bifasha muganga wawe gufata iyi myanzuro mu buryo butekanye.

Nshobora gukoresha Ciclesonide mu gihe ntwise inda?

Ciclesonide muri rusange ifatwa nk'imwe mu miti y'ubwoko bwa corticosteroid ihumekwa itekanye cyane mu gihe cyo gutwita. Umwuka mubi ugenda neza ni ngombwa ku buzima bwawe n'iterambere ry'umwana wawe, kandi ibyago byo gufatwa n'umwuka mubi utagenzurwa akenshi biruta ibyago bishobora guterwa na corticosteroid ihumekwa.

Ubushakashatsi bwerekana ko ciclesonide ifite ubwinjiriro buke mu mubiri, bivuze ko bike cyane bigera mu maraso yawe ndetse bike cyane byambukiranya placenta bigera ku mwana wawe. Ariko, ugomba buri gihe kuganira ku miti yawe y'umwuka mubi na muganga wawe wita ku bagore batwite n'umuganga w'impyiko.

Bashobora kwifuza kugukurikirana cyane mu gihe utwite kandi bashobora guhindura gahunda yawe yo kuvurwa uko umubiri wawe uhinduka. Intego ni ukugenzura neza umwuka mubi ukoresha imiti itekanye kandi ikora neza.