Gabapentin ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Gabapentin ni umuti wandikirwa na muganga ufasha gutuza ibimenyetso by'imitsi bikabije mu mubiri wawe. Ubusanzwe yari yarateguwe kugira ngo ivure indwara yo gufatwa n'ibihungabanyo, ubu abaganga bakunze kuyandika ku mubabaro w'imitsi n'izindi ndwara aho imikorere y'imitsi yawe ikeneye kugenzurwa buhoro.

Tekereza gabapentin nk'umuhuza ufasha uza iyo imitsi yawe yohereza ibimenyetso byinshi by'ububabare cyangwa igakora vuba cyane. Ikora igihe yifatanya n'inzira zihariye za kalisiyumu mu mikorere y'imitsi yawe, ibyo bikagabanya ubukana bw'ububabare bujyanye n'imitsi n'ibikorwa byo gufatwa n'ibihungabanyo.

Gabapentin ni iki?

Gabapentin ni mu cyiciro cy'imiti yitwa anticonvulsants cyangwa imiti ivura gufatwa n'ibihungabanyo. Nubwo yari igamije icyo, yamenyekanye cyane nk'umuti uvura neza ubwoko butandukanye bw'ububabare bw'imitsi.

Uyu muti wigana imisemburo kamere yo mu bwonko yitwa GABA (gamma-aminobutyric acid), nubwo atagendera mu nzira zimwe. Ahubwo, igabanya irekurwa ry'imisemburo imwe yohereza ibimenyetso byongera ububabare n'ibikorwa byo gufatwa n'ibihungabanyo.

Gabapentin iboneka mu buryo bwa capsule, tablet, n'umuti unyobwa, bituma iboneka ku bantu bagorwa no kumira ibinini. Uyu muti usaba uruhushya rwa muganga kandi uza mu ngufu zitandukanye kugira ngo zihure n'ibyo ukeneye.

Gabapentin ikoreshwa mu kuvura iki?

Gabapentin ivura indwara nyinshi, aho ububabare bw'imitsi no gufatwa n'ibihungabanyo ari byo bikunze kugaragara. Muganga wawe ashobora kuyikwandikira iyo imiti isanzwe yo kurwanya ububabare itatanze ubufasha buhagije ku kutamererwa neza ku bijyanye n'imitsi.

Izi ni zo ndwara nyamukuru gabapentin ifasha kuvura:

• Uburwayi bw'imitsi nyuma yo kurwara shingles (ububabare bw'imitsi nyuma yo kurwara shingles)
• Diabetic neuropathy (kwangirika kw'imitsi biturutse kuri diyabete)
• Gufatwa n'ibihungabanyo bya gice (nk'ubuvuzi bwongerwa)
• Uburwayi bw'amaguru adatuje
• Ububabare bwa fibromyalgia
• Indwara z'ububabare bwa kroniki zirimo kwangirika kw'imitsi

Rimwe na rimwe, abaganga bandika gabapentin ku bibazo bitamenyerewe cyane nko guhangayika, gushyuha mu gihe cyo gucura, cyangwa ubwoko bumwe na bumwe bw'umutwe. Ibi bifatwa nk'uburyo bwo gukoresha "hanze y'icyapa", bisobanura ko bitaremerwa ku mugaragaro ariko byagaragaje icyizere mu bikorwa by'ubuvuzi.

Gabapentin ikora ite?

Gabapentin ikora igabanya imikorere idasanzwe y'amashanyarazi mu mikorere y'imitsi yawe. Ifatwa nk'umuti ufite imbaraga ziringaniye utanga ubufasha buhoraho kandi buhamye aho gutanga ingaruka zihuse kandi zikomeye.

Uyu muti wifatanya n'inzira za kalisiyumu mu ngirangingo zawe z'imitsi, ibi bikagabanya irekurwa ry'ubwonko butera ibyiyumvo. Iki gikorwa gifasha gutuza imitsi ikabije ikora itanga ibimenyetso by'ububabare cyangwa itera ibibazo byo gufatwa.

Bitandukanye n'imiti ikomeye yo kurwanya ububabare nka opioids, gabapentin ntigira ibyago byo kubatwa cyangwa guhumeka nabi. Yiyongera buhoro buhoro mu mubiri wawe, ni yo mpamvu ushobora kutabona ingaruka zayo zose mu byumweru byinshi.

Uyu muti ufite uburyo bworoshye ugereranije n'ubuvuzi bukomeye bwo kurwanya ububabare bw'imitsi. Ibi bituma iba uburyo bwiza bwo gutangiriraho ku bantu benshi bahanganye n'ibibazo bihoraho bifitanye isano n'imitsi.

Nkwiriye gufata gabapentin nte?

Fata gabapentin nk'uko umuganga wawe abitegeka, akenshi inshuro 2-3 ku munsi hamwe cyangwa hatariho ibiryo. Urashobora kuyifata n'amazi, amata, cyangwa umutobe - icyo cyose cyumvikana neza mu gifu cyawe.

Gutangira hamwe n'ibiryo birashobora gufasha kugabanya ibibazo bishobora guterwa n'igifu, cyane cyane mu byumweru byawe bya mbere. Abantu benshi basanga kuyifata hamwe n'akantu gato cyangwa ifunguro bifasha umubiri wabo kumenyera umuti byoroshye.

Niba ufata urugero rw'ikibahasha, urumira rwose utarukanda cyangwa urumena. Ku gisubizo cyo kunywa, pima urugero rwawe neza ukoresheje igikoresho cyo gupima kizana n'umuti.

Fata imiti yawe mu gihe kimwe ku munsi, kandi ugerageze kuyifata mu gihe kimwe buri munsi. Ibi bifasha kugumana urugero rwa imiti mu mubiri wawe kugira ngo ikore neza.

Ntukareke gufata gabapentin ako kanya, n'ubwo wumva umeze neza. Muganga wawe azakuyobora mu buryo bwo kugabanya buhoro buhoro kugira ngo wirinde ibimenyetso byo kuva mu miti cyangwa gufatwa n'indwara.

Nzamara igihe kingana iki mfata Gabapentin?

Igihe cyo kuvura na gabapentin gitandukanye cyane bitewe n'uburwayi bwawe n'uko wakira imiti. Abantu bamwe bayikeneye mu mezi make, mu gihe abandi bungukirwa no kuyikoresha igihe kirekire.

Kubera uburwayi bw'imitsi nk'uburwayi bw'imitsi nyuma yo gufatwa n'indwara ya herpetic, ushobora gukenera gabapentin mu mezi make kugeza ku mwaka mu gihe imitsi yawe ikira. Uburwayi burambye nk'uburwayi bw'imitsi ya diyabete akenshi busaba kuvurwa buri gihe kugira ngo bagumane uburibwe.

Niba ufata gabapentin kubera gufatwa n'indwara, birashoboka ko uzayikeneye igihe kirekire nk'igice cy'umugambi wawe wo gucunga gufatwa n'indwara. Muganga wawe azagenzura uko wakira imiti kandi ashobora guhindura igihe bitewe n'uko gufatwa n'indwara yawe bigenda bigabanuka.

Inama zisanzwe zifasha muganga wawe kumenya igihe cyiza cyo kuvura kuri wewe. Bazagenzura ibimenyetso byawe, ingaruka ziterwa n'imiti, n'ubuzima bwawe muri rusange kugira ngo bafate icyemezo cyiza cyo gukomeza kuvurwa.

Ni izihe ngaruka ziterwa na Gabapentin?

Abantu benshi bakira neza gabapentin, ariko nk'indi miti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi ziterwa n'imiti zoroheje kandi akenshi zikora neza uko umubiri wawe wimenyereza imiti.

Dore ingaruka zikunze kugaragara ushobora guhura nazo:

• Gusinzira cyangwa kunanirwa
• Kuribwa umutwe cyangwa kutagira imbaraga
• Kubyimba mu ntoki, ibirenge, cyangwa amaguru
• Kureba ibintu bibiri cyangwa guhumirwa
• Umunwa wumye
• Kongera ibiro
• Kuzunguzwa cyangwa guhinda umushyitsi

Ibi bimenyetso bigaragara cyane cyane mu byumweru bya mbere kandi akenshi bigenda bigabanuka uko umubiri wawe ubimenyera. Gutangira n'urugero ruto hanyuma ukagenda urongera buhoro buhoro birashobora kugufasha kugabanya ibi bimenyetso.

Abantu bamwe bahura n'ibimenyetso bitamenyerewe ariko biteye impungenge bikaba bisaba ubufasha bwihuse bw'abaganga:

• Urugero rukabije rw'uburwayi (uruhu rurashya, guhumeka bigoranye, kubyimba mu maso cyangwa mu muhogo)
• Impinduka zidasanzwe mu myifatire cyangwa imyitwarire
• Kutwaza kwiyahura cyangwa kwica
• Urugero rukabije rw'isazi cyangwa ibibazo byo guhuza ibice by'umubiri
• Urubavu rubabaza cyangwa intege nke

Vugana n'umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetanyo bikomeye. Nubwo bitagaragara kenshi, bisaba isuzuma ryihuse ry'abaganga kugirango umutekano wawe wizerwe.

Ninde utagomba gufata Gabapentin?

Gabapentin muri rusange iratekanye ku bantu bakuru benshi, ariko abantu bamwe bagomba kuyirinda cyangwa bakayikoresha bafite ubwitonzi. Umuganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kuyandika.

Ntabwo ugomba gufata gabapentin niba ufite allergie yayo cyangwa ibiyigize. Abantu bafite indwara ikomeye y'impyiko bashobora gukenera guhindura urugero cyangwa imiti isimbura, kuko impyiko zikuraho gabapentin mu mubiri wawe.

Ubwitonzi bwihariye bukenewe kuri izi nzego:

• Abagore batwite cyangwa bonka
• Abantu bafite indwara y'impyiko cyangwa imikorere y'impyiko yagabanutse
• Abantu bafite amateka yo kwiheba cyangwa gutekereza kwiyahura
• Abantu bakuze (ibibazo byinshi byo kugwa bitewe n'isazi)
• Abantu bafata indi miti itera gusinzira

Niba ufite amateka yo gukoresha ibiyobyabwenge, umuganga wawe azakugenzura neza, kuko gabapentin rimwe na rimwe ishobora gukoreshwa nabi. Ariko, ibi ntibigutera guhagarika kuvurwa - bisobanura gusa ko uzakenera kugenzurwa neza.

Amazina y'ubwoko bwa Gabapentin

Gabapentine iboneka mu mazina menshi y'ubucuruzi, Neurontin ikaba ari izina ry'ubucuruzi rizwi cyane. Gabapentine rusange ikubiyemo ibintu bikora kimwe kandi ikora neza nk'ubwoko bw'amazina y'ubucuruzi.

Amazina asanzwe y'ubucuruzi arimo Neurontin, Gralise, na Horizant. Gralise na Horizant ni imiti ikora igihe kirekire ituma umuntu atanga imiti kenshi ugereranije na gabapentine isanzwe.

Farumasi yawe ishobora gusimbuza gabapentine rusange ku bwoko bw'izina ry'ubucuruzi keretse muganga wawe asabye by'umwihariko izina ry'ubucuruzi. Iyi simburana irashobora kukugabanyiriza amafaranga mugihe itanga inyungu zimwe zo kuvura.

Izindi miti isimbura Gabapentine

Hariho izindi miti nyinshi isimbura niba gabapentine itagukundiye cyangwa itera ingaruka zitishimirwa. Muganga wawe ashobora kugufasha gushakisha izi nzira zishingiye ku burwayi bwawe bwihariye n'amateka yawe y'ubuvuzi.

Kubera ububabare bw'imitsi, izindi miti isimbura irimo pregabaline (Lyrica), ikora kimwe na gabapentine ariko ishobora gukora cyane. Imiti irwanya depression ya tricyclic nka amitriptyline cyangwa nortriptyline nayo irashobora kuvura neza ububabare bw'imitsi.

Izindi miti ivura ububabare bw'imitsi yo gutekereza:

• Pregabaline (Lyrica) - uburyo bumwe ariko bushobora gukora neza
• Duloxetine (Cymbalta) - umuti urwanya depression ufasha ububabare bw'imitsi
• Ubuvuzi bwo hanze nka patch ya lidocaine cyangwa cream ya capsaicin
• Imiti irwanya ibihungabanyo nka lamotrigine cyangwa carbamazepine

Kubera ibihungabanyo, izindi miti isimbura irimo levetiracetam (Keppra), lamotrigine (Lamictal), cyangwa izindi miti irwanya ibihungabanyo. Guhitamo biterwa n'ubwoko bw'ibihungabanyo byawe n'uburyo witwara ku miti itandukanye.

Ese Gabapentine iruta Pregabaline?

Gabapentine na pregabaline zombi zikora kimwe kubera ububabare bw'imitsi n'ibihungabanyo, ariko zifite itandukaniro rikomeye. Nta na kimwe muri byo cyiza cyane - guhitamo neza biterwa n'imimerere yawe bwite n'uburyo witwara ku miti yombi.

Pregabaline (Lyrica) akenshi iruta cyane gabapentine, bivuze ko ushobora gukenera doze nto kugira ngo ugereranye ingaruka. Ifite kandi imitsi yoroshye mu mubiri wawe, bishobora gutuma ubabara buhoro.

Ariko, gabapentine imaze igihe kinini iboneka kandi ihendutse cyane kurusha pregabaline. Gahunda nyinshi z'ubwishingizi zikunda gabapentine nk'ubuvuzi bwa mbere kubera itandukaniro ry'ibiciro.

Gabapentine isaba doze nyinshi ku munsi (muri rusange inshuro 2-3), mugihe pregabaline ifatwa kabiri ku munsi. Abantu bamwe basanga gahunda ya doze ya pregabaline yoroshye kubuzima bwabo.

Muganga wawe ashobora gutangira na gabapentine kubera igiciro cyayo gito n'amateka y'umutekano. Niba itatanga ubufasha buhagije cyangwa itera ingaruka zikomeye, pregabaline irashobora kuba intambwe ikurikira.

Ibikunze Kubazwa Kuri Gabapentine

Ese Gabapentine irinzwe ku ndwara z'umutima?

Gabapentine muri rusange irinzwe ku bantu bafite indwara z'umutima, kuko ntigira ingaruka zikomeye ku mutima cyangwa umuvuduko w'amaraso. Bitandukanye n'imiti imwe yo kurwanya ububabare, ntongera ibyago byo gufatwa n'umutima cyangwa stroke.

Ariko, kubyimba (edema) gabapentine ishobora gutera birashobora kuba bibangamiye niba ufite umutima wananiwe. Muganga wawe azagukurikiranira hafi kandi ashobora guhindura doze yawe cyangwa agasaba undi muti niba kubika amazi bibaye ikibazo.

Buri gihe menyesha umuganga wawe w'umutima ko urimo gufata gabapentine, cyane cyane niba ubonye kubyimba kwiyongera mu maguru yawe, mu birenge, cyangwa mu nda. Barashobora gufasha kumenya niba kubyimba bifitanye isano na gabapentine cyangwa indwara yawe y'umutima.

Nigira iki niba nifashishije cyane gabapentine?

Niba utunguye ukafata gabapentine nyinshi kurusha uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Gufata nyinshi cyane birashobora gutera ingaruka zikomeye nko gusinzira cyane, kuvuga nabi, cyangwa guhumeka nabi.

Ntugategereze kureba niba ibimenyetso bigaragara - hamagara kugira ngo ubone inama z'ubuvuzi ako kanya. Ujye ufite icupa ry'umuti hamwe nawe igihe uhamagara kugira ngo ushobore gutanga amakuru nyayo y'umuti wanyoye.

Ibimenyetso byo kurenza urugero rwa gabapentine birimo gusinzira cyane, kureba ibintu bibiri, intege nke z'imitsi, n'ibibazo byo guhuza ibintu. Mu bihe bikomeye, bishobora gutera koma cyangwa guhagarara kw'ubuhumekero, bikaba bisaba ubuvuzi bwihutirwa.

Ntuzigere utera kuruka keretse ubitegetswe n'abavuzi. Niba umuntu atazi ibiri kuba cyangwa afite ibibazo byo guhumeka, hamagara 911 ako kanya.

Nkwiriye gukora iki niba nciwe urugero rwa gabapentine?

Fata urugero wibagiwe vuba na bwangu uko wibuka, keretse igihe cyegereye urugero rwawe ruteganyijwe. Niba hafi y'igihe cy'urugero rwawe ruteganyijwe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usubize urugero wibagiwe, kuko ibi byongera ibyago byo kugira ingaruka ziterwa n'umuti. Ahubwo, subiza gahunda yawe isanzwe yo gufata imiti kandi ushobora gushyiraho ibyibutso kuri terefone kugira ngo bigufashe kwibuka urugero ruzaza.

Niba ukunda kwibagirwa urugero, ganira na muganga wawe ku bijyanye n'uburyo bwo kunoza imikoreshereze y'imiti. Bashobora gutanga ibitekerezo byo gukoresha ibikoresho bifasha kwibuka imiti, porogaramu za terefone, cyangwa guhindura gahunda yawe yo gufata imiti kugira ngo ijyane neza n'imikorere yawe ya buri munsi.

Gucikanwa n'urugero rumwe na rumwe mubisanzwe ntibigira akaga, ariko guhora ukoresha umuti bifasha kugumana imbaraga zo kugabanya ububabare cyangwa kugenzura ibyago byo gufatwa n'indwara. Niba ucikanwa n'urugero buri gihe, ibimenyetso byawe bishobora kugaruka cyangwa bikarushaho kuba bibi.

Nshobora guhagarika ryari gufata gabapentine?

Ntuzigere uhagarika gufata gabapentine mu buryo butunguranye utabanje kubaza muganga wawe. Guhagarika umuti mu buryo butunguranye bishobora gutera ibimenyetso byo kuva mu muti nk'umujinya, ibyuya, isesemi, kandi mu bihe bidasanzwe, gufatwa n'indwara n'iyo utari kuwufata kubera indwara y'igicuri.

Muganga wawe azakora gahunda yo kugabanya urugero rwawe buhoro buhoro mu gihe cy'ibyumweru byinshi cyangwa amezi. Ibi bituma umubiri wawe uhinduka buhoro buhoro kandi bigabanya ibyago byo kugira ibimenyetso byo kuva mu muti cyangwa kugaruka kw'ibimenyetso.

Uburyo bwo kugabanya imiti busanzwe bukubiyemo kugabanya urugero rwawe rwa imitiho ku kigereranyo cya 25-50% buri minsi mike cyangwa ibyumweru, bitewe n'igihe umaze uyifata n'urugero rwawe rwa ubu. Abantu bamwe na bamwe bakeneye kugabanya buhoro buhoro mu gihe cy'amezi menshi.

Ushobora guhagarika gabapentin niba uburwayi bwawe bwateye imbere, niba ingaruka ziterwa n'imiti zikubangamiye cyane, cyangwa niba wimukiye ku rundi ruvange rw'imiti. Muganga wawe azagufasha kumenya igihe gikwiye n'uburyo bwo guhagarika.

Nshobora kunywa inzoga nkanwa gabapentin?

Nibyiza kwirinda cyangwa kugabanya cyane inzoga mugihe ufata gabapentin. Ibintu byombi bishobora gutera gusinzira no kuribwa umutwe, kandi kubivanga byongera izi ngaruka kandi bikongera ibyago by'impanuka cyangwa kugwa.

Inzoga kandi irashobora gukomeza zimwe mu ngaruka ziterwa na gabapentin, harimo urujijo, ibibazo byo guhuza ibintu, no guhagarika umwuka. Ndetse n'inzoga ntoya zirashobora kukugiraho ingaruka kurusha uko bisanzwe mugihe ufata uyu muti.

Niba uhisemo kunywa rimwe na rimwe, tangira n'inzoga ntoya cyane kugirango urebe uko umubiri wawe witwara. Ntukigere utwara imodoka cyangwa ukoresha imashini nyuma yo kunywa inzoga iyo ari yo yose mugihe ufata gabapentin.

Ganira mu buryo bweruye na muganga wawe ku bijyanye no kunywa inzoga. Bashobora gutanga ubuyobozi bwihariye bushingiye ku rugero rwawe, amateka yawe y'ubuvuzi, n'ibintu byihariye by'ibibazo. Abantu bamwe na bamwe bashobora gukenera kwirinda inzoga rwose mugihe bafata gabapentin.