Icyo Fludrocortisone ari cyo: Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo, n'ibindi

Fludrocortisone ni umuti wa corticosteroid ukorwa mu buryo bwa gihanga ufasha umubiri wawe kugumana umunyu n'amazi mu buryo bukwiye. Ni umuti wandikirwa na muganga ukora kimwe na aldosterone, imisemburo ikorwa mu buryo busanzwe n'udusabo twa adrenal dutuma impyiko zawe zikoresha sodium na potasiyumu.

Uyu muti ugira uruhare runini mu kuvura indwara aho umubiri wawe utabasha kwigenzura neza imiterere y'amazi. Wibuke ko biha umubiri wawe ibikoresho ukeneye kugira ngo ugumane umuvuduko w'amaraso muzima kandi wirinde kumuka ku rwego rw'uturemangingo.

Fludrocortisone ikoreshwa mu kuvura iki?

Fludrocortisone ikoreshwa cyane mu kuvura indwara ya Addison, indwara aho udusabo twa adrenal tutagira imisemburo ihagije. Ikoreshwa kandi mu kuvura hyperplasia ya adrenal ya congenital, indwara ya genetike igira ingaruka ku mikorere y'imisemburo kuva mu gihe cyo kuvuka.

Muganga wawe ashobora no kukwandikira uyu muti ku ndwara ya hypotension ya orthostatic, indwara aho umuvuduko w'amaraso yawe umanuka cyane iyo uhagaze. Ibi bibaho kuko umubiri wawe ugorwa no kugumana umubano ukwiye w'amaraso n'imikorere y'umuvuduko.

Mu bihe bimwe na bimwe, abaganga bakoresha fludrocortisone ku buryo butemewe na gahunda ya postural orthostatic tachycardia syndrome (POTS) cyangwa syndrome yo kunanirwa kw'ibihe byose iyo hari ibibazo byo gufata amazi. Izi nshingano zifasha abarwayi bafite imibiri igorwa no kugumana umuvuduko w'amaraso uhamye n'imikorere y'amaraso.

Fludrocortisone ikora ite?

Fludrocortisone ikora yigana aldosterone, imisemburo ibwira impyiko zawe gufata sodium no kurekura potasiyumu. Ubu buryo bufasha umubiri wawe gufata amazi akwiye no kugumana umuvuduko w'amaraso muzima.

Iyo ufata uyu muti, wifatanya n'uturemangingo twihariye mu mpyiko zawe n'izindi nyama. Iki gikorwa cyo kwifatanya gituma umubiri wawe wongera gukurura umunyu wa sodium, ibyo bikurura amazi menshi mu maraso yawe kandi bigafasha kugumana umubare w'amaraso ukwiye.

Uyu muti ufatwa nk'ufite imbaraga ziringaniye mu ngaruka zawo ku mikoranire y'imyunyu ngugu, ariko woroshye cyane kurusha izindi corticosteroids mu bijyanye n'imirwano irwanya ububyimbirwe. Ibi bituma ukwiriye cyane gukoreshwa igihe kirekire mu kuvura indwara zifitanye isano n'imisemburo.

Nkwiriye gufata Fludrocortisone nte?

Fata fludrocortisone uko muganga wawe abikwandikiye, akenshi rimwe ku munsi mu gitondo. Urashobora kuyifata urya cyangwa utarya, ariko kuyifata urya birashobora kugufasha kugabanya ibibazo byo mu nda.

Ni byiza gufata uyu muti ku gihe kimwe buri munsi kugira ngo ugumane urwego ruzigama mu mubiri wawe. Gufata imiti mu gitondo ni ibisanzwe bikorwa kuko byigana imiterere y'imisemburo y'umubiri wawe kandi bishobora gufasha kwirinda imbogamizi zo gusinzira.

Niba ukeneye kuyifata urya, hitamo ikintu cyoroheje nka toast cyangwa crackers. Irinde kuyifata n'umutobe wa pome, kuko ibi bishobora kugira ingaruka ku buryo umubiri wawe ukoresha uyu muti. Uhora umira ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi.

Nkwiriye kumara igihe kingana iki mfata Fludrocortisone?

Abantu benshi barwaye indwara ya Addison cyangwa hyperplasia ya adrenal y'umuvuko bakeneye gufata fludrocortisone ubuzima bwabo bwose. Izi ndwara zisaba ubuvuzi buhoraho bw'imisemburo kuko umubiri wawe utabasha kuyikora mu buryo bukwiriye.

Ku zindi ndwara nka orthostatic hypotension, igihe bizamara biterwa n'ubuzima bwawe bw'ibanze. Abantu bamwe bashobora kuyikenera by'agateganyo mu gihe bakemura ibibazo by'ibanze, mu gihe abandi bakeneye ubuvuzi bw'igihe kirekire kugira ngo bagumane umuvuduko w'amaraso uhamye.

Muganga wawe azajya akurikirana uko ubuzima bwawe bumeze kandi ashobora guhindura gahunda yawe y'imiti uko igihe kigenda. Ntukigere na rimwe uhagarika gufata fludrocortisone ako kanya, kuko ibyo bishobora gutera igabanuka ry'amaraso rishobora guteza akaga ndetse n'ibibazo by'imyunyu ngugu bishobora gushyira ubuzima mu kaga.

Ni Ibihe Bikorwa Bigaragara Biterwa na Fludrocortisone?

Ibyo bikorwa bisanzwe bigaragara biterwa na fludrocortisone muri rusange birashobora kugenzurwa kandi bifitanye isano n'ingaruka zayo ku mazi n'umunyu. Umubiri wawe ushobora gukenera igihe kugira ngo umenyere umuti, bityo ibikorwa bimwe na bimwe bya mbere bigaragara bikunze gukira iyo ukomeje kuwukoresha.

Dore ibikorwa bigaragara bikunze kuvugwaho cyane ushobora guhura nabyo:

• Kubika amazi bituma amaguru yawe, ibibero byawe, cyangwa amaboko yawe bibyimba
• Umubare w'amaraso wiyongera, cyane cyane niba wumva umunyu
• Umutwe, cyane cyane mu byumweru bya mbere by'imiti
• Ubugufi bw'imitsi cyangwa kuribwa mu mitsi uko urwego rw'imyunyu ngugu ruzamuka
• Inyota yiyongera no kongera ibiro bishoboka
• Impinduka z'amarangamutima nk'uburakari cyangwa kutagira umutuzo

Ibi bikorwa bisanzwe bikunze kugabanuka uko umubiri wawe umenyera umuti. Muganga wawe ashobora kugufasha kubigenzura binyuze mu guhindura urugero rw'imiti cyangwa guhindura imibereho yawe.

Ibyo bikorwa bitagaragara cyane ariko bikomeye bisaba ubufasha bwihuse bw'abaganga. Nubwo bidasanzwe, izi ngorane zishobora kuvuka niba urugero rw'imyunyu ngugu rwawe ruhungabanye cyane cyangwa niba ugize allergie.

Vugana n'umuganga wawe ako kanya niba uhuye na:

• Ukwibyimba gukabije kutagabanuka iyo uzamuye igice cy'umubiri
• Uburibwe mu gituza cyangwa guhumeka bigoranye
• Umutwe ukabije hamwe n'impinduka mu mbono
• Ibimenyetso bya potasiyumu nkeya nk'ubugufi bukomeye bw'imitsi cyangwa umutima utera nabi
• Ibimenyetso by'ubwandu nk'umuriro, kuko umuti ushobora guhagarika imikorere y'ubudahangarwa
• Impinduka zikabije z'amarangamutima cyangwa agahinda gakabije

Ibikomere bike ariko bikomeye bishobora kurimo ibibazo by'umutima, umuvuduko ukabije w'amaraso, cyangwa ibimenyetso byo guhura n'ikibazo cy'imisemburo ya adrenal niba uhagaritse imiti ako kanya. Ibi bihe bisaba ubufasha bwihutirwa bw'abaganga.

Ninde Utagomba Gufata Fludrocortisone?

Fludrocortisone ntibereye buri wese, kandi indwara zimwe na zimwe zishobora kubigira ibyago. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugushyiriraho uyu muti.

Ntabwo ugomba gufata fludrocortisone niba ufite indwara ziterwa n'imvungure, kuko uyu muti ushobora kugabanya imikorere y'ubwirinzi bw'umubiri wawe kandi bikongera izo ndwara. Abantu bafite allergie zizwi kuri fludrocortisone cyangwa imiti isa na corticosteroids bagomba kwirinda uyu muti.

Indwara nyinshi zisaba kwitonda cyane cyangwa zishobora gutuma fludrocortisone itakugirira akamaro:

• Kunanirwa kw'umutima cyangwa indwara ikomeye y'umutima, kuko kubika amazi bishobora gutuma izo ndwara zirushaho
• Umuvuduko ukabije w'amaraso bigoye kugenzura
• Indwara y'impyiko, kuko uyu muti ugira ingaruka ku buryo impyiko zawe zikoresha electrolytes
• Indwara y'umwijima, ishobora kugira ingaruka ku buryo umubiri wawe ukoresha uyu muti
• Uburwayi bwa diyabete, kuko uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso
• Osteoporose, kuko gukoresha igihe kirekire bishobora kugira ingaruka ku gukomera kw'amagufa

Muganga wawe azagereranya inyungu n'ibishobora kuba byiza niba ufite izi ndwara zose. Rimwe na rimwe uyu muti uracyakenewe, ariko uzakenera gukurikiranwa cyane kandi birashoboka ko uvurwa ibindi kugirango ukumire ingaruka ziterwa n'uyu muti.

Amazina y'ubwoko bwa Fludrocortisone

Izina risanzwe rya fludrocortisone ni Florinef Acetate, ikorwa n'amasosiyete menshi y'imiti. Ubu bwoko bumaze imyaka myinshi kandi bwemewe n'abakora mu buvuzi.

Ushobora kandi guhura n'ubwoko bwa rusange bwitwa gusa "fludrocortisone acetate" buva mu nganda zitandukanye. Ubu bwoko bwa rusange burimo ibikoresho bikora kimwe kandi bikora neza nk'ubwoko bw'izina ry'ubucuruzi.

Buri gihe koresha ubwoko bumwe bw'izina ry'ubucuruzi cyangwa rusange niba bishoboka, kuko itandukaniro rito mu gukora rimwe na rimwe rishobora kugira ingaruka ku buryo umubiri wawe witwara. Niba farumasi yawe yahinduye ubwoko, bimenyeshe muganga wawe kugirango ashobore gukurikirana impinduka zose zigaragara mu bimenyetso byawe.

Uburyo bwo gusimbura Fludrocortisone

Kubijyanye na indwara ya Addison, nta bundi buryo bwo gusimbura fludrocortisone kuko isimbura by'umwihariko imisemburo ya mineralocorticoid umubiri wawe ubura. Ariko, muganga wawe ashobora guhindura urugero rwa hydrocortisone cyangwa agasaba kongera umunyu mu mafunguro nk'ingamba zo gushyigikira.

Kubijyanye na orthostatic hypotension, hariho uburyo bwinshi bwo gusimbura bitewe n'uko ubuzima bwawe bumeze. Midodrine ni uburyo busanzwe bwo gusimbura bukora mugufunga imitsi y'amaraso kugirango agumane umuvuduko w'amaraso iyo uhagaze.

Izindi mpamvu muganga wawe ashobora kuzirikana zirimo:

• Kongera umunyu n'amazi binyuze mu mpinduka z'imirire
• Amashuka yo gukanda kugirango yongere urujya n'uruza rw'amaraso
• Droxidopa kubwoko bumwe bwa orthostatic hypotension
• Impinduka z'imibereho nk'impinduka zigenda buhoro

Uburyo bwo gusimbura bwiza buterwa n'uburwayi bwawe bwihishe n'uburyo wihanganira imiti itandukanye. Muganga wawe azakorana nawe kugirango abone uburyo bwiza bujyanye n'ibyo ukeneye.

Ese Fludrocortisone iruta Hydrocortisone?

Fludrocortisone na hydrocortisone bikora ibintu bitandukanye, bityo kubigereranya ntibyoroshye. Fludrocortisone ahanini igira ingaruka ku kuringaniza imyunyu ngugu n'umuvuduko w'amaraso, mugihe hydrocortisone ahanini itanga ingaruka zirwanya ububyimbirwe no gusimbuza imisemburo y'umuvuduko.

Abantu benshi barwaye indwara ya Addison bakenera imiti yombi kuko isimbura imisemburo itandukanye imitsi ya adrenal isanzwe ikora. Hydrocortisone isimbura cortisol, naho fludrocortisone ikasimburwa na aldosterone.

Mu kugenzura umuvuduko w'amaraso no kugenzura amazi mu mubiri, fludrocortisone yagenewe iki gikorwa kandi muri rusange irakora kurusha hydrocortisone. Ariko, hydrocortisone ni nziza mu kugenzura ibibazo by'uburwayi no gutanga igisubizo umubiri wawe ukeneye mu gihe cy'uburwayi cyangwa imvune.

Ibibazo bikunze kubazwa kuri Fludrocortisone

Ese Fludrocortisone irakoreshwa neza ku ndwara z'umutima?

Fludrocortisone isaba kwitonderwa cyane niba ufite indwara y'umutima, kuko ishobora gutuma amazi yiyongera mu mubiri no kongera umuvuduko w'amaraso. Muganga w'umutima wawe n'umuganga wandika imiti bazakorana kugira ngo bamenye niba inyungu ziruta ingaruka.

Niba ukeneye fludrocortisone ufite indwara y'umutima, birashoboka ko uzakenera gukurikiranwa kenshi ku muvuduko w'amaraso yawe, uko amazi ameze mu mubiri wawe, n'imikorere y'umutima wawe. Muganga wawe ashobora gutangira n'urugero ruto hanyuma akagenda arwongera buhoro buhoro akareba ibimenyetso byo kwiyongera kw'amazi mu mubiri.

Nigira iki niba nanyoye fludrocortisone nyinshi ku buryo butunguranye?

Niba unyoye fludrocortisone nyinshi ku buryo butunguranye, vugana na muganga wawe cyangwa abashinzwe ubutabazi bwihuse. Kunywa nyinshi bishobora gutera umuvuduko w'amaraso wiyongera cyane, kwiyongera kw'amazi mu mubiri bikabije, ndetse n'ibibazo by'imyunyu ngugu bishobora guteza akaga.

Ibimenyetso byo kunywa doze nyinshi birimo kubabara umutwe cyane, guhinduka kw'ibyo ubona, kubyimba cyane, kuribwa mu gituza, cyangwa guhumeka bigoranye. Ntukategere ibimenyetso byiyongera – shakisha ubufasha bw'ubuvuzi bwihutirwa niba unyoye nyinshi kurusha uko byategetswe.

Nigira iki niba nirengagije kunywa urugero rwa fludrocortisone?

Niba wirengagije kunywa urugero rwa fludrocortisone, unywe vuba uko wibuka, keretse igihe cyo kunywa urugero rukurikira kigeze. Muri icyo gihe, reka urugero wibagiwe hanyuma ukomeze gahunda yawe isanzwe.

Ntuzigere ufata doze ebyiri icyarimwe kugira ngo usimbure doze wasibye, kuko ibyo bishobora gutera ingaruka mbi. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho alarme ya buri munsi cyangwa gukoresha umuteguro w'imiti kugira ngo bikufashe kwibuka.

Ni ryari nshobora kureka gufata Fludrocortisone?

Reka gufata fludrocortisone gusa ubikore ubisabwe n'umuganga wawe. Niba ufite indwara ya Addison cyangwa hyperplasia ya adrenal ya congenital, birashoboka ko uzakenera uyu muti ubuzima bwawe bwose, kuko umubiri wawe ntushobora gukora imisemburo ihagije mu buryo busanzwe.

Ku zindi ndwara, umuganga wawe azagena igihe bizaba byemewe guhagarika bitewe n'ubuzima bwawe bw'ibanze n'imikorere y'ibimenyetso. Guhagarika mu buryo butunguranye bishobora gutera igabanuka ry'umuvuduko w'amaraso kandi bikabangamira imyunyu ngugu, bityo guhagarika gukoresha uyu muti bigomba gukorwa buhoro buhoro kandi bikagenzurwa neza.

Nshobora gufata Fludrocortisone mu gihe cyo gutwita?

Fludrocortisone muri rusange ifatwa nk'umutekano mu gihe cyo gutwita iyo bikenewe mu buvuzi, cyane cyane ku bagore bafite indwara ya Addison. Ibishobora guterwa no kutavurwa neza kwa adrenal insufficiency muri rusange biruta ibishobora guterwa n'imiti.

Umuganga wawe azagukurikiranira hafi wowe n'umwana wawe mu gihe cyose cyo gutwita, kuko gutwita bishobora kugira ingaruka ku byo ukeneye mu miti. Ushobora gukenera guhindura doze, cyane cyane mu bihe by'umunaniro nk'umurimo wo kubyara.