Ni iki Amavuta yo mu maso ya Corticosteroid: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Amavuta yo mu maso ya Corticosteroid ni imiti yandikirwa na muganga igabanya ububyimbirwe n'ukubyimba mu maso yawe. Iyi miti ikomeye irwanya ububyimbirwe ikora neza aho uyikeneye cyane, ifasha gutuza imitsi y'amaso irakaye iyo izindi miti zitagikora.

Muganga wawe yandika aya mavuta iyo amaso yawe arwaye ububyimbirwe bukomeye bushobora kugira ingaruka ku miyoborere yawe cyangwa ku mutuzo wawe. Utekereze nk'ubufasha bugamije gukora neza ku isoko ry'ikibazo.

Ni iki Amavuta yo mu maso ya Corticosteroid ari cyo?

Amavuta yo mu maso ya Corticosteroid ni ubwoko bwa hormone umubiri wawe ukora mu buryo bwa kamere kugira ngo urwanye ububyimbirwe. Iyo ashyizwe mu maso yawe, akora vuba kandi neza kurusha ibinini cyangwa izindi miti.

Aya mavuta arimo imiti nka prednisolone, dexamethasone, cyangwa fluorometholone. Buri bwoko bufite imbaraga zitandukanye, ariko zose zikora zigabanya uburyo umubiri wawe urwanya indwara ukora mu gice cy'ijisho.

Bitandukanye n'amavuta yo mu maso agurishwa atandikiwe na muganga atanga gusa ubushuhe cyangwa ubufasha buto, amavuta ya corticosteroid ni imiti ikomeye yandikirwa na muganga. Yagenewe kuvura indwara zikomeye z'amaso zikeneye ubufasha bukomeye.

Amavuta yo mu maso ya Corticosteroid akoreshwa mu iki?

Abaganga bandika amavuta yo mu maso ya corticosteroid kugira ngo bavure indwara zitandukanye z'amaso ziterwa n'ububyimbirwe zishobora gutera ububabare, umutuku, n'ibibazo byo kureba. Izi ndwara akenshi zikubiyemo uburyo umubiri wawe urwanya indwara ukabije kandi ugatera ububyimbirwe bubi.

Dore indwara nyamukuru aya mavuta afasha kuvura:

• Uveitis (uburibwe mu jisho bushobora gutera ububabare bukomeye no kubura icyerekezo)
• Allergic conjunctivitis ikaze idasubiza ku miti isanzwe y'allergie
• Uburibwe nyuma yo kubagwa mu maso nko kubaga ijisho ry'ikirahure
• Uburibwe bwa koroneya buturutse ku mvune cyangwa indwara zandura
• Scleritis (uburibwe bw'igice cyera cy'ijisho)
• Indwara y'ijisho ryumye riterwa n'uburibwe

Muganga wawe ashobora no kukwandikira iyi miti ku ndwara zitamenyerewe nka sympathetic ophthalmia cyangwa indwara ya Vogt-Koyanagi-Harada. Izi ndwara zitamenyerewe zishobora gutera ibibazo bikomeye byo kutabona neza iyo zitavuwe neza.

Ni gute imiti yo mu maso ya corticosteroid ikora?

Imiti yo mu maso ya corticosteroid ikora igabanya imikorere y'ubwirinzi bw'umubiri mu kuburibwa mu gice cy'ijisho. Ifatwa nk'imiti ikomeye ishobora gutanga ubufasha bukomeye iyo ikoreshejwe neza.

Iyo uburibwe bubaye mu maso yawe, ubwirinzi bw'umubiri butuma uturemangingo n'imiti bitera kubyimba, gutukura, no kuribwa. Iyi miti ikoma mu nkokora ibimenyetso byinshi by'uburibwe, bigafasha uturemangingo tw'ijisho gutuza no gukira.

Imiti ikora ahantu hagaragara, bivuze ko yibanda ku ngaruka zayo aho uyishyize. Ubu buryo bwihariye butuma bigira akamaro kanini mugihe bigabanya ingaruka ku bindi bice by'umubiri wawe.

Nkwiriye gufata iyi miti yo mu maso ya corticosteroid nte?

Gufata neza imiti yo mu maso ya corticosteroid ni ngombwa kugirango ubone ibisubizo byiza mugihe wirinda ibibazo. Muganga wawe azaguha amabwiriza yihariye, ariko ibi nibyo ukeneye kumenya muri rusange.

Mbere na mbere, jya ukaraba intoki neza mbere yo gukoresha imiti. Utsindagire umutwe wawe gato hanyuma ukururemo gato igice cyo hepfo cy'ijisho ryawe kugirango ukore agahunda gato.

Fata umuti hafi y'ijisho ryawe utariko urikora, hanyuma ushyiremo urutonyanga rumwe mu gahunda. Funga ijisho ryawe buhoro hanyuma ukande gato ku gice cy'imbere hafi y'izuru ryawe mu gihe cy'umunota umwe.

Ushobora gufata izi ntero urya cyangwa utarya kuko zishyirwa mu maso yawe. Ariko, niba ukoresha imiti myinshi y'amaso, tegereza byibuze iminota 5 hagati y'amavuta atandukanye kugirango wirinde ko asukana.

Nzakoresha Iminota y'Amaso ya Corticosteroid Igihe Kingana Gite?

Igihe cyo kuvura hamwe n'iminota y'amaso ya corticosteroid gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo wemera kuvurwa. Ubuvuzi bwinshi bumara iminsi mike cyangwa ibyumweru.

Kubera kubyimba nyuma yo kubagwa, ushobora kubikoresha mu byumweru 1-2. Kubera ibibazo nka uveitis, kuvura byashobora kumara ibyumweru cyangwa amezi, muganga wawe agabanya buhoro buhoro inshuro uko amaso yawe akira.

Ntuzigere uhagarika aya mavuta ako kanya utabanje kuvugana na muganga wawe. Muganga wawe azagabanya buhoro buhoro urugero rwawe, akoresha bike uko igihe kigenda mbere yo guhagarara burundu.

Gukoresha igihe kirekire bisaba gukurikiranwa neza kuko gukoresha igihe kirekire bishobora gutera ibibazo nk'iyongera ry'umuvuduko w'amaso cyangwa gukora cataract.

Ni Ibihe Bikorwa Bigaragara by'Iminota y'Amaso ya Corticosteroid?

Mugihe iminota y'amaso ya corticosteroid muri rusange ifite umutekano iyo ikoreshwa nkuko byategetswe, irashobora gutera ibibazo, cyane cyane iyo ikoreshwa igihe kirekire. Abantu benshi bahura gusa n'ingaruka zoroheje, ariko ni ngombwa kumenya icyo kwitondera.

Ingaruka zisanzwe ushobora kubona zirimo:

• Gushyushya by'agateganyo cyangwa gutwika iyo ubanza gushyira amavuta
• Kureba nabi iminota mike nyuma yo gushyiraho
• Uburibwe bworoheje bw'amaso cyangwa gutukura
• Kongera ubushobozi bwo kumva urumuri
• Amaso yumye cyangwa kurira cyane

Ingaruka zikomeye zirashobora gutezwa no gukoresha igihe kirekire kandi bisaba ubufasha bwihutirwa bw'ubuvuzi:

• Umuvuduko w'ijisho wiyongera (ushobora gutera glaucoma)
• Urubuto rw'amaso, cyane cyane inyuma y'uruziga rw'ijisho
• Gukira kw'ibikomere bitinda nyuma yo gukomereka kw'ijisho cyangwa kubagwa
• Ibyago byiyongera byo kwandura indwara z'amaso
• Gucika intege kw'uruhu rw'ijisho mu bihe bidasanzwe

Ingorane zikomeye ariko zikaba zibaho cyane zirimo gutoboka urukuta rw'ijisho cyangwa gutakaza ubushobozi bwo kureba. Ibi bikunda kubaho gusa iyo umuntu amaze igihe kinini akoresha imiti cyangwa ku bantu bafite ibyago byihariye.

Ni bande batagomba gufata amavuta yo mu maso ya corticosteroid?

Abantu bamwe bagomba kwirinda amavuta yo mu maso ya corticosteroid cyangwa bakayafata ari uko babanje kugisha inama umuganga. Muganga wawe azasuzuma neza amateka yawe mbere yo kugutera imiti.

Ntugomba gukoresha aya mavuta niba ufite:

• Indwara zandura zifata amaso, nka herpes simplex keratitis
• Indwara zandura ziterwa na bagiteri cyangwa imyungu zitavurwa n'imiti iboneye ya antibiyotike
• Allergie izwi kuri corticosteroid cyangwa ibintu byose bigize amavuta
• Ubwo bwoko bw'ibisebe byo ku ruhu rw'ijisho cyangwa uruhu rw'ijisho rutari rukomeye

Abantu bakeneye kwitonda by'umwihariko barimo abafite:

• Amateka ya glaucoma cyangwa umuvuduko w'ijisho wiyongera
• Kubagwa mu maso mbere cyangwa ibyago byo kurwara urubuto rw'amaso
• Diabetes, ishobora kugira ingaruka ku gukira kw'ibikomere no kwandura indwara
• Amateka y'indwara z'amaso cyangwa ibikomere bikira bitinze

Abagore batwite kandi bonka bashobora gukoresha aya mavuta mu buryo butekanye, ariko muganga wawe azagereranya inyungu n'ibyago bishobora kubaho kuri wowe no ku mwana wawe.

Amazina y'amavuta yo mu maso ya Corticosteroid

Amazina menshi y'amavuta yo mu maso ya corticosteroid araboneka, buri rimwe rikaba rikubiyemo ibintu bitandukanye bikora n'imbaraga zitandukanye. Muganga wawe azahitamo irikwiriye cyane ku buzima bwawe bwihariye.

Amazina y'ubwoko busanzwe burimo Pred Forte na Econopred (prednisolone), Maxidex na Ozurdex (dexamethasone), na FML na Flarex (fluorometholone). Ibindi bishya birimo Durezol (difluprednate) na Lotemax (loteprednol).

Imiti rusange iraboneka kuri iyi miti myinshi kandi ikora neza nk'amazina y'ubwoko. Umufarimasi wanyu ashobora kubafasha gusobanukirwa ubwoko murimo kwakira kandi akabizeza ko muyikoresha neza.

Izindi nzira zo kuvura amaso zikoresha imiti ya Corticosteroid

Niba imiti yo mu maso ya corticosteroid itagukwiriye cyangwa idakora neza bihagije, muganga wawe afite ubundi buryo bwo kuvura bwo gutekereza. Guhitamo neza biterwa n'uburwayi bwawe bwihariye n'amateka yawe y'ubuvuzi.

Imiti yo mu maso idakoresha steroid (NSAIDs) nka ketorolac cyangwa bromfenac irashobora kugabanya umubyimbirwe idafite ibyago bifitanye isano na steroid. Ibi bikora neza ku mubyimbirwe woroshye kugeza ku gicucu no kwitabwaho nyuma yo kubagwa.

Kubijyanye n'indwara ziterwa n'uburwayi, imiti yo mu maso ya antihistamine, mast cell stabilizers, cyangwa imiti ivura allergie ihuriweho irashobora kuba ikwiriye kurushaho. Ibi birimo amavuta nka olopatadine cyangwa ketotifen.

Mu bihe bikomeye, muganga wawe ashobora gushimangira imiti yo kurya irwanya umubyimbirwe, imiti ikumira ubudahangarwa, cyangwa ndetse no kuvura inshinge hirya no hino y'ijisho. Imwe mu miti mishya ya biologic irashobora kandi gufasha mu ndwara zimwe na zimwe zifitanye isano n'umubyimbirwe w'amaso.

Ese imiti yo mu maso ya Corticosteroid iruta NSAIDs?

Imiti yo mu maso ya Corticosteroid na NSAID zifite imbaraga zazo kandi zikwiriye neza mu bihe bitandukanye. Nta na kimwe muri byo cyiza kurusha ikindi.

Amavuta ya Corticosteroid ni imiti ikomeye irwanya umubyimbirwe kandi ikora neza ku mubyimbirwe ukomeye, indwara ziterwa n'ubudahangarwa bw'umubiri, n'ibihe ukeneye ubufasha bwihuse kandi bukomeye. Akenshi ni yo hitamo rya mbere ku ndwara zikomeye nka uveitis.

Amaso ya NSAID arinda amaso kandi ntashobora gutera ibibazo byo kongera umuvuduko mu jisho cyangwa gukora ibicurane. Akenshi akoreshwa mu kurwanya ububyimbirwe bworoshye cyangwa buringaniye no kwita ku maso nyuma yo kubagwa.

Dokiteri wawe ashobora rimwe na rimwe kugusaba gukoresha ubwoko bwombi icyarimwe, kuko bikora mu buryo butandukanye kandi bishobora gufashanya. Guhitamo biterwa n'uburwayi bwawe bwihariye, ubukana bwarwo, n'ibintu byihariye bigushyira mu kaga.

Ibibazo bikunze kubazwa ku bijyanye n'amaso ya Corticosteroid

Ese amaso ya Corticosteroid arinda indwara ya Glaucoma?

Amaso ya Corticosteroid asaba kwitonda cyane niba ufite indwara ya glaucoma cyangwa uri mu kaga ko kuyirwara. Iyi miti ishobora kongera umuvuduko mu maso yawe, ibyo abarwayi ba glaucoma bagomba kwirinda.

Niba ufite glaucoma, muganga wawe ashobora gukurikirana umuvuduko wo mu jisho ryawe kenshi mugihe ukoresha iyi miti. Bashobora guhitamo steroid ikomeye, kuyikoresha igihe gito, cyangwa bagusabe indi miti ya glaucoma kugirango umuvuduko wawe ugumane.

Amwe mumaso mashya ya corticosteroid nka loteprednol ntashobora kuzamura umuvuduko wo mu jisho kandi ashobora kuba amahitamo meza kubantu bafite impungenge za glaucoma.

Nigute nzakora niba nkoresheje cyane amasasu ya Corticosteroid?

Niba uteye amavuta menshi mu jisho rimwe, ntugahagarike. Koresha amazi meza cyangwa umuti wa saline kugirango ukureho imiti yose yarenze.

Gukoresha cyane mumiti imwe ntibishobora gutera ingaruka zikomeye, ariko bishobora kongera ingaruka zigihe gito nk'uburibwe cyangwa guhumirwa. Ibyarenze bizisuka cyangwa bikinjira.

Niba umaze iminsi myinshi ukoresha amavuta menshi, vugana na muganga wawe. Bashobora gushaka gukurikirana umuvuduko wo mu jisho ryawe cyangwa guhindura gahunda yawe yo kuvura kugirango birinde ibibazo.

Nigute nzakora niba ntasize umuti wa Corticosteroid?

Niba wibagiwe urugero, ruzane vuba uko wibukirwa, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere wongera urugero kugirango wuzuze urugero wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka mbi zitanga inyungu zinyongera.

Niba ukunda kwibagirwa urugero, gerageza gushyiraho ibyibutso kuri terefone cyangwa guhuza gahunda yawe yo gutonyanga amaso n'ibikorwa bya buri munsi nk'ukoza amenyo. Gukoresha buri gihe ni ngombwa kugirango ubone ibisubizo byiza.

Nshobora Guhagarika Ryari Gukoresha Amavuta yo mu Maso ya Corticosteroid?

Hagarika gukoresha amavuta yo mu maso ya corticosteroid gusa mugihe muganga wawe abikubwiye. Guhagarika kare cyane bishobora korohereza umubyimbirwe kugaruka, bishobora guteza ibindi byangirika ku maso yawe.

Muganga wawe azagabanya urugero rwawe buhoro buhoro aho guhagarara ako kanya. Ubu buryo bwo kugabanya bufasha kwirinda umubyimbirwe w'ububyutse kandi bugaha amaso yawe umwanya wo gukomeza iterambere ryabo mu buryo busanzwe.

N'iyo amaso yawe yumva ameze neza rwose, komeza gukoresha amavuta nk'uko byategetswe. Umubyimbirwe mu jisho urashobora gukomeza nubwo ibimenyetso byateye imbere, kandi guhagarika imiti kare cyane bishobora gutera inyuma.

Nshobora Kwambara Amaso y'Icyitegererezo Mugihe Nkoresha Amavuta yo mu Maso ya Corticosteroid?

Abaganga benshi basaba kwirinda amaso y'icyitegererezo mugihe bakoresha amavuta yo mu maso ya corticosteroid, cyane cyane niba uvura indwara y'ijisho ikora. Amavuta ashobora gukorana n'ibikoresho by'amaso y'icyitegererezo no kugabanya imikorere yayo.

Niba ugomba kwambara amaso y'icyitegererezo, uyakureho mbere yo gukoresha amavuta hanyuma utegereze byibuze iminota 15 mbere yo kuyasubizamo. Ibi bituma umuti winjizwa neza.

Uburyo bumwe bwo gukoresha amaso y'icyitegererezo bushobora no kubangamira imikorere y'amavuta, bityo ganira na muganga wawe kubyerekeye uburyo bwo kwita ku maso yawe. Bashobora kugusaba guhindurira ku kirahure by'agateganyo mugihe ukoresha umuti.