Icyo Diazepam y'urushinge ari cyo: Ibyo ikoreshwa, urugero rwayo, ingaruka zayo, n'ibindi

Umuti wa Diazepam w'urushinge ni umuti ukora vuba wo mu itsinda ry'imiti yitwa benzodiazepines. Ukora utuza ubwonko bwawe n'imitsi iyo urimo guhura n'ubwoba bukomeye, ibibazo byo mu mutwe, cyangwa imitsi yikanyaga ikeneye ubufasha bwihuse bw'abaganga.

Ubu bwoko bwa diazepam buterwa mu rushinge busanzwe bukoreshwa mu bitaro, mu mavuriro, cyangwa mu bihe by'ubutabazi aho gufasha vuba ari ngombwa. Bitandukanye na pilule za diazepam ushobora gufata mu rugo, urushinge rutanga umuti mu maraso yawe kugira ngo ugereho ibisubizo byihuse.

Diazepam y'urushinge ikoreshwa mu iki?

Diazepam y'urushinge ivura indwara nyinshi zikomeye zikeneye ubufasha bwihuse. Muganga wawe ashobora kugusaba uyu muti iyo imiti yo kunywa itagikora vuba cyangwa iyo udashobora gufata pilule unywa.

Impamvu zisanzwe abaganga bakoresha diazepam y'urushinge zirimo guhagarika ibibazo byo mu mutwe bitahagarara byonyine, gutuza ubwoba bukomeye cyangwa ibitero by'ubwoba, no kuruhura imitsi mu gihe cy'imikorere y'ubuvuzi. Ikoreshwa kandi mbere yo kubagwa kugira ngo igufashe kumva utuje kandi woroshye.

Dore indwara z'ingenzi aho diazepam y'urushinge yerekana ko ifasha cyane:

• Status epilepticus (ibibazo byo mu mutwe bimara iminota irenga 5)
• Ibitero by'ubwoba bukomeye bikeneye ubufasha bwihuse
• Imitsi yikanyaga iterwa n'imvune cyangwa indwara
• Ibimenyetso byo kuva ku nzoga mu bitaro
• Guhumuriza mbere yo kubagwa kugira ngo ugabanye ubwoba
• Imitsi yikanyaga ya tetanusi

Itsinda ryawe ry'ubuzima rizasesengura neza uko umeze kugira ngo rimenye niba diazepam y'urushinge ari yo nziza kuri wowe. Bazatekereza ibintu nk'amateka yawe y'ubuvuzi, ibimenyetso byawe by'ubu, n'uko ukeneye ubufasha vuba.

Diazepam y'urushinge ikora ite?

Umuti wa diazepam uterwa mu mushonga ukora mu kongera ingaruka z'imiti karemano yo mu bwonko yitwa GABA (gamma-aminobutyric acid). GABA ikora nk'ipeda y'ubwonko isanzwe igabanya ibimenyetso by'imitsi bikabije bitera impungenge, ibibazo byo gufatwa n'indwara, cyangwa imitsi yikanyaga.

Iyo watewe umuti wa diazepam uterwa mu mushonga, bituma GABA ikora neza mu gutuza imitsi yawe. Bitekereze nk'ugabanya ijwi rya alarme y'ubwonko bwawe iyo irimo kuvuga cyane.

Umuti uterwa mu mushonga ukora vuba cyane kurusha ibinini kuko utanyura mu nzira yo mu gifu. Ushobora gutangira kumva utuje mu minota 1-5 iyo utewe mu urwungano rw'amaraso, cyangwa mu minota 15-30 iyo utewe mu gice cy'umubiri.

Diazepam ifatwa nk'umuti ukomeye wo mu muryango wa benzodiazepine. Ufite imbaraga zihagije zo guhagarika ibibazo byo gufatwa n'indwara no gutanga ubufasha bukabije ku mpungenge, ariko abaganga bashobora guhindura urugero rwawo hakurikijwe ibyo ukeneye n'uburwayi bwawe.

Nkwiriye Gute Kubona Umuti wa Diazepam Uterwa mu Mushonga?

Umuti wa diazepam uterwa mu mushonga buri gihe utangwa n'abakozi b'ubuzima babihuguriwe mu bigo by'ubuvuzi nk'ibitaro, amavuriro, cyangwa ibitaro by'indembe. Ntabwo witegera uyu muti wenyine mu rugo, kuko bisaba gukurikiranwa neza n'ibikoresho by'ubuvuzi bikwiye.

Umuvuzi wawe azagena urugero nyarwo n'uburyo hakurikijwe uburwayi bwawe, imyaka, uburemere, n'amateka yawe y'ubuvuzi. Uyu muti uterwa mu urwungano rw'amaraso (intravenously) kugira ngo ukore vuba, cyangwa mu gice cy'umubiri (intramuscularly) iyo kubona urwungano rw'amaraso bigoye.

Mbere yo guterwa uyu muti, ikipe yawe y'ubuvuzi izagenzura ibimenyetso byawe by'ingenzi kandi ikubaze ku miti yose urimo gufata. Bazashaka kandi kumenya ibijyanye n'uburwayi bwose cyangwa ibimenyetso byabayeho mbere byerekeye imiti isa.

Mugihe cyo guterwa uyu muti, uzakurikiranwa hafi kugira ngo umenye uko witwara ku muti. Guhumeka kwawe, umuvuduko w'umutima, n'umuvuduko w'amaraso bizagenzurwa buri gihe kugira ngo umutekano wawe urindwe mu gihe cyose cy'ubuvuzi.

Nshobora Gufata Inshinge ya Diazepam Igihe Kingana Gite?

Inshinge ya Diazepam ikoreshwa cyane cyane mu gihe gito, kugira ngo ihumurize umuntu ako kanya aho gukoreshwa igihe kirekire. Abantu benshi bahabwa doze imwe cyangwa nke gusa mu gihe cy'ikibazo cyabo cyangwa igihe bari gukorerwa ibizamini by'ubuvuzi.

Igihe kimara giterwa n'uko ubuzima bwawe bumeze. Mu kugenzura ibibazo byo gufatwa, ushobora guhabwa doze kugeza igihe ibibazo byo gufatwa bihagaze. Mu gihe cy'umujinya mbere yo kubagwa, ubusanzwe uhabwa doze imwe gusa iminota nka 30 mbere yo gukorerwa ibizamini.

Niba ukeneye kuvurwa igihe kirekire kubera umujinya cyangwa imitsi yagurumbye, muganga wawe ashobora kuguha diazepam yo kunywa cyangwa agashaka ubundi buryo bwo kuvura igihe kirekire. Uburyo bwo gutera inshinge bubikirwa mu bihe ngombwa byo gufata ingamba ako kanya.

Itsinda ryawe ry'ubuzima rizakomeza gusuzuma niba ugikeneye umuti kandi rizawuhagarika vuba na bwangu ibibazo byawe by'ubuzima byakemutse. Ubu buryo bufasha kwirinda kwishingikiriza ku muti kandi bugabanya ibyago byo kugira ingaruka mbi.

Ni Iyihe Ngaruka Ziterwa n'Inshinge ya Diazepam?

Inshinge ya Diazepam ishobora gutera ingaruka mbi, nubwo abantu benshi bagira izoroheje gusa zishira umuti umaze gushira. Itsinda ryawe ry'ubuzima rigukurikiranira hafi kugira ngo ribone kandi rikore ku ngaruka zose ziteye impungenge vuba.

Ingaruka zisanzwe ushobora kugira zirimo kumva unaniwe cyangwa usinziriye, guhinda umushyitsi gato iyo wimuka, guhuzagurika gake cyangwa kumva

Abantu bamwe bashobora kugira ingaruka zikomeye zikeneye ubufasha bwihuse bwa muganga. Izi zikubiyemo ibibazo bikomeye byo guhumeka, igabanuka rikomeye ry'umuvuduko w'amaraso, cyangwa impinduka zidasanzwe mu mutima.

Ingaruka zidakunze kubaho ariko zikomeye abaganga bakurikirana zirimo:

• Kugorana cyane guhumeka cyangwa guhumeka gake cyane
• Gusinzira cyane ku buryo utabasha gukanguka byoroshye
• Urujijo rukabije cyangwa umujinya
• Umutima utera nabi cyangwa kuribwa mu gituza
• Urugero rukabije rw'uburwayi bw'uruhu, kubyimba, cyangwa kugorana guhumeka
• Impinduka zidasanzwe mu myitwarire cyangwa imyifatire

Inkuru nziza ni uko ingaruka zikomeye zitabaho cyane iyo inshinge ya diazepam itanzwe n'abantu babihuguriwe mu bigo by'ubuvuzi. Itsinda ryawe ry'ubuzima ryiteguye guhangana n'ingaruka zishobora kubaho.

Ninde utagomba gufata inshinge ya Diazepam?

Inshinge ya Diazepam ntikoreshwa kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kugusaba ubu buvuzi. Uburwayi runaka n'imiti bishobora gutuma inshinge ya diazepam iba mbi cyangwa idakora neza.

Ntabwo ugomba guhabwa inshinge ya diazepam niba ufite allergie ya diazepam cyangwa izindi benzodiazepines, ufite ibibazo bikomeye byo guhumeka cyangwa kubura umwuka mu gihe uryamye, cyangwa ufite uburwayi bwa myasthenia gravis butera intege nke zikomeye z'imitsi.

Muganga wawe azitonda cyane mu gukoresha inshinge ya diazepam niba ufite ubu burwayi:

• Indwara y'umwijima cyangwa impyiko
• Amateka yo gukoresha ibiyobyabwenge cyangwa inzoga
• Ibibazo byo guhumeka nka asima cyangwa COPD
• Kugira agahinda gakabije cyangwa gutekereza kwikomeretsa
• Glaucoma (umuvuduko w'amaso wiyongereye)
• Porphyria (indwara idasanzwe y'amaraso)

Kugira imbaga no konsa bisaba kwitonderwa byihariye, kuko diazepam ishobora kugira ingaruka ku mwana wawe. Muganga wawe azagereranya inyungu z'ubuvuzi bwihutirwa n'ibishobora kuba byatera ingaruka kugira ngo amenye niba inshinge ikenewe.

Niba ufata izindi miti itera gusinzira, harimo imiti igabanya ububabare ikorwa muri opiyoide, imiti isinziriza, cyangwa imiti imwe na rimwe igabanya ubwoba, muganga wawe ashobora guhindura doze cyangwa agahitamo imiti itandukanye kugira ngo yirinde guhura kwangiza.

Amazina y'ubwoko bwa Diazepam Injection

Diazepam injection iboneka mu mazina menshi y'ubwoko, nubwo ibitaro byinshi na za clinique bikoresha verisiyo rusange. Izina risanzwe ry'ubwoko ushobora guhura naryo ni Valium injection, iryo rikaba ari izina ry'ubwoko rya mbere rya diazepam.

Andi mazina y'ubwoko arimo Diastat (nubwo iyi ikunze kuba gel ikoreshwa mu mpuzandaka), na verisiyo zitandukanye rusange zanditse gusa nka "diazepam injection." Uyu muti ukora kimwe na kimwe hatitawe ku izina ry'ubwoko, kuko verisiyo zose zikubiyemo ikintu kimwe gikora.

Umuvuzi wawe azakoresha uburyo ubwo aribwo bwose buboneka mu kigo cye kandi bukwiye cyane kubera uburwayi bwawe. Ikintu cy'ingenzi ni ukubona doze ikwiye ku gihe cyiza, atari izina ry'ubwoko bwihariye.

Uburyo bwa Diazepam Injection

Imiti myinshi ishobora gutanga inyungu zisa na diazepam injection, bitewe n'ibyo ukeneye mu buvuzi. Muganga wawe ashobora guhitamo izindi miti bitewe n'uburwayi bwawe, amateka yawe y'ubuvuzi, n'uko ukeneye guhumurizwa vuba.

Kugenzura ibyago, ibindi birimo lorazepam (Ativan) injection, ikora kimwe ariko ishobora gukundwa mu bihe bimwe na bimwe. Phenytoin cyangwa levetiracetam bishobora gukoreshwa mu kurinda ibyago bikomeje aho kugenzura ako kanya.

Kubwoba no gusinzira, izindi mpuzandengo zirimo lorazepam injection, midazolam injection kubikorwa bigufi, cyangwa propofol kuburyo bwo gusinzira cyane mugihe cyo kubaga. Buri kimwe gifite igihe gitandukanye cyo gutangira no gukora.

Kubera ibibazo by'imitsi, ibindi byashobora gukoreshwa harimo baclofen, tizanidine, cyangwa rimwe na rimwe, inshinge za botulinum toxin ku bibazo by'imitsi byo mu gace kamwe. Guhitamo neza biterwa n'icyateye ibibazo by'imitsi yawe n'uburemere bwabyo.

Ese inshinge za Diazepam ziruta inshinge za Lorazepam?

Inshinge zombi za diazepam na lorazepam ni imiti ya benzodiazepines ikora neza, ariko zifite imbaraga zitandukanye zituma buri imwe ikwiriye neza mu bihe byihariye. Nta na imwe iruta iyindi - guhitamo biterwa n'ibyo umubiri wawe ukeneye.

Inshinge za Diazepam zikunda kumara igihe kirekire mu mubiri wawe, ibyo bishobora gufasha ku bibazo bikeneye ubufasha burambye nk'ibibazo by'imitsi cyangwa guhangayika bikabije. Nanone bikunda gukoreshwa ku bwoko runaka bw'ibihungabana kubera ingaruka zabyo zihariye ku mikorere y'ubwonko.

Ku rundi ruhande, inshinge za lorazepam zigira ingaruka zizwi kandi zikunda gukoreshwa ku bantu bakuze cyangwa abafite ibibazo by'umwijima. Nanone bikoreshwa cyane mu kuvura abantu bava mu biyobyabwenge by'inzoga kuko bitunganywa mu buryo butandukanye n'umubiri wawe.

Muganga wawe azatekereza ku bintu nk'imyaka yawe, imikorere y'umwijima, ikibazo cyihariye kivurwa, n'igihe ukeneye ko umuti ukora mu guhitamo hagati y'izi mpuzamiti. Zombi ni nziza kandi zikora neza iyo zikoreshejwe neza n'abaganga.

Ibikunze kubazwa ku bijyanye n'inshinge za Diazepam

Ese inshinge za Diazepam ni nziza ku ndwara z'umutima?

Inshinge za Diazepam zishobora gukoreshwa neza ku bantu bafite indwara z'umutima, ariko bisaba kwitonda cyane no gukurikiranwa. Umuti rimwe na rimwe ushobora gutera impinduka mu mitsi y'amaraso n'umuvuduko w'umutima, ibyo ikipe yawe y'ubuvuzi izakurikirana neza.

Niba ufite indwara z'umutima, muganga wawe ashobora gukoresha urugero ruto kandi akagenzura umuvuduko w'umutima wawe n'umuvuduko w'amaraso yawe mu gihe cy'ubuvuzi. Bazatekereza kandi ku ndwara y'umutima wawe yihariye n'imiti urimo gufata ubu kugira ngo bakoreshe uburyo bwizewe.

Ibyiza byo kuvura ibibazo bikomeye byo gufatwa n'indwara cyangwa impungenge zikabije akenshi biruta ibyago byo ku mutima, cyane cyane iyo gukurikiranwa neza bikorwa. Itsinda ryawe ry'ubuzima ryatojwe gucunga ibi bibazo mu buryo butekanye.

Nigira iki niba mbonye urukingo rwa Diazepam rwinshi ku buryo butunguranye?

Kubera ko urukingo rwa diazepam rutangwa n'abantu b'inzobere mu by'ubuzima mu bigo by'ubuvuzi, gufata urugero rwinshi ku buryo butunguranye ntibibaho cyane. Ariko, niba hatanzwe rwinshi, abakozi b'ubuvuzi biteguye guhita basubiza hamwe n'imiti ikwiye.

Ibimenyetso byo gufata diazepam nyinshi birimo gusinzira cyane, urujijo, guhumeka nabi, cyangwa umuvuduko w'umutima utinda cyane. Ibigo by'ubuvuzi bifite imiti ivura ibi kandi n'ibikoresho byo guhindura ibi bintu niba bibaye ngombwa.

Niba ufite impungenge ku bijyanye n'uburyo urukingo rugufashe, menyesha itsinda ryawe ry'ubuzima ako kanya. Barashobora gusuzuma uko umeze kandi bagatanga ubuvuzi ubwo aribwo bwose bukenewe kugirango bagukingire.

Nigira iki niba ntasize urukingo rwa Diazepam?

Kutagira urukingo rwa diazepam ntibisanzwe kuba impungenge kuko uyu muti akenshi utangwa uko bikwiye kubera ibibazo by'ubuvuzi byihutirwa aho gutangwa ku gihe giteganijwe.

Niba uri guhabwa imiti myinshi yo kuvura ibibazo bikomeje nko kugenzura gufatwa n'indwara, itsinda ryawe ry'ubuvuzi rizagena igihe cyo gufata urukingo rwawe rutaha hashingiwe ku buryo umeze ubu n'uburyo wakiriye imiti yabanje.

Abaganga bawe bagenzura igihe n'urugero rwa urukingo rwa diazepam, bityo ntugomba guhangayika no kutagira imiti. Bazahindura gahunda yawe yo kuvura uko bikwiye hashingiwe ku buzima bwawe.

Nshobora guhagarika ryari gufata urukingo rwa Diazepam?

Urukingo rwa diazepam akenshi ruhagarikwa igihe ikibazo cyawe cy'ubuvuzi cyihutirwa cyakemutse cyangwa igihe igikorwa cyawe kirangiye. Kubera ko ikoreshwa mu bihe bigufi, akenshi ntibisaba inzira yo kugabanya buhoro buhoro.

Itsinda ryawe ryo kuvura rizahagarika inshinge igihe ibibazo byawe byagenzurwa, impungenge zawe zikagabanuka, cyangwa igihe uburyo bwawe bwo kuvurwa burangiye. Bazagukurikiranira hafi kugirango bamenye niba uhagaze neza mbere yo guhagarika imiti.

Niba ukeneye kuvurwa buri gihe kubera impungenge cyangwa izindi ndwara, muganga wawe azaganira ku buryo bwo kuvura igihe kirekire bushobora kurimo imiti yo kunywa cyangwa ubundi buryo bwo kuvura ushobora kwifashisha mu rugo.

Ese nshobora gutwara imodoka nyuma yo guhabwa inshinge ya Diazepam?

Ntabwo ugomba gutwara imodoka cyangwa gukoresha imashini nibura amasaha 24 nyuma yo guhabwa inshinge ya diazepam, kuko umuti ushobora kugira ingaruka ku myitwarire yawe, imikoranire, n'imitekerereze nubwo wumva umeze neza.

Ingaruka zo gutuza z'inshinge ya diazepam zirashobora kumara igihe kirekire kuruta uko wabyiteze, kandi ushobora kutamenya ko ubushobozi bwawe bugihungabanye. Ni ngombwa gutegura undi muntu wo kukujyana mu rugo uvuye mu gihe cyo kwisuzumisha kwawe kwa muganga.

Itsinda ryawe ryo kuvura rizatanga amabwiriza arambuye yerekeye igihe bizaba byemewe kongera gutwara imodoka hashingiwe ku gipimo wahawe n'uburyo wabyakiriye ku muti. Jya ukurikiza amabwiriza yabo buri gihe kugirango wirinde kandi urinde n'abandi.