Icyo Isosorbide Dinitrate ari cyo: Ibyo ikoreshwa, Uburyo bwo kuyifata, Ingaruka zayo, n'ibindi

Isosorbide dinitrate ni umuti w'umutima ufasha kwirinda kuribwa mu gituza (angina) mu kurekura no kwagura imitsi yawe y'amaraso. Ibi bituma amaraso menshi n'umwuka wa oxygène bigera ku mikaya y'umutima wawe, bigabanya umuvuduko ku mutima wawe igihe ukora imyitozo ngororamubiri cyangwa ufite umunabi.

Bitekereze nk'aho ufasha imitsi y'amaraso y'umutima wawe kuguma ifunguye kandi ikora neza. Imaze imyaka myinshi ikoreshwa neza mu gufasha abantu bafite indwara z'umutima kubaho neza kandi bagakomeza gukora ibikorwa byabo.

Isosorbide Dinitrate ni iki?

Isosorbide dinitrate ni umwe mu itsinda ry'imiti yitwa nitrates. Ikora ihinduka muri nitric oxide mu mubiri wawe, ikaba ari ikintu gisanzwe gifasha imitsi y'amaraso kurekura no kwaguka.

Uyu muti uza mu buryo butandukanye burimo ibinini bisanzwe, ibinini bifata igihe kirekire, n'ibinini bishyirwa munsi y'ururimi. Ubwoko bwo munsi y'ururimi bukora vuba, akenshi mu minota 2-5, bigatuma bifasha mu gufasha vuba igihe uribwa mu gituza.

Muganga wawe ashobora kwandika uyu muti nk'igice cy'umugambi wo kwita ku mutima wawe. Akenshi ikoreshwa hamwe n'indi miti y'umutima kugirango iguhe uburinzi bwiza bushoboka no kugabanya ibimenyetso.

Isosorbide Dinitrate ikoreshwa mu iki?

Igikoreshwa cyane cya isosorbide dinitrate ni ukwirinda ibitero bya angina, aribyo bihe byo kuribwa mu gituza biterwa no kugabanuka kw'amaraso agera ku mutima wawe. Bifasha cyane abantu bafite indwara y'imitsi y'umutima aho imitsi itera umutima igabanuka.

Muganga wawe ashobora kwandika uyu muti niba uribwa mu gituza igihe ukora imyitozo ngororamubiri nko kugenda, kuzamuka amategeko, cyangwa ndetse no mu gihe ufite umunabi. Irashobora kandi gufasha niba uribwa mu gituza bikunda kubaho, nk'igihe runaka cy'umunsi cyangwa nyuma yo kurya.

Mu bindi bihe, abaganga bandika isosorbide dinitrate ku barwayi bafite umutima wanze gukora, aho ifasha kugabanya umurimo umutima wawe ukora mu koroshya amaraso gutembera mu mubiri wawe.

Isosorbide Dinitrate ikora ite?

Uyu muti ufatwa nk'umuti wo hagati ukoreshwa ku mutima ukora mu kwagura imitsi yawe y'amaraso. Iyo uwufashe, umuti uhinduka nitric oxide, itegeka imitsi yoroshye mu nkuta z'imitsi yawe y'amaraso kuruhuka.

Iyo imitsi yawe y'amaraso iruhutse kandi yagutse, umutima wawe ntugomba gukora cyane kugira ngo utembereze amaraso muri yo. Ibi bigabanya icyifuzo cya ogisijeni cy'umutsi w'umutima wawe, ibi bifasha kwirinda ibihe by'ububabare mu gituza.

Uyu muti kandi ufasha amaraso gusubira mu mutima wawe neza, bigabanya umuvuduko uri mu byumba by'umutima wawe. Iyi nyungu ebyiri ituma umutima wawe ukora akazi kawo neza utarushye.

Nkwiriye gufata Isosorbide Dinitrate nte?

Fata isosorbide dinitrate nk'uko umuganga wawe yabigutegetse, akenshi ku gifu kitarimo icyo kurya n'ikirahure cyuzuye cy'amazi. Kuyifata hamwe n'ibiryo birashobora gutinda uburyo umubiri wawe wumva umuti.

Ku mapiritsi asanzwe, uyumira yose utayishenye cyangwa ngo uyimene. Niba ukoresha amapiritsi asohoka buhoro buhoro, ni ngombwa cyane kutayamenagura, kuko ibi bishobora gutuma umuti mwinshi usohoka icyarimwe.

Ku mapiritsi yo munsi y'ururimi, uyashyira munsi y'ururimi rwawe ukayareka agashonga rwose. Ntuyumire, ntuyishenye, cyangwa ngo unywe ikintu icyo aricyo cyose kugeza igihe ipiritsi rishongeye rwose. Ibi bisanzwe bifata iminota 1-3.

Gerageza gufata umuti wawe mu masaha amwe buri munsi kugira ngo ugumane urwego ruzigama mu mubiri wawe. Niba umuganga wawe yaragutegetse doze nyinshi, uzitandukanye mu gihe cy'umunsi nk'uko byategetswe.

Nkwiriye kumara igihe kingana iki mfata Isosorbide Dinitrate?

Igikoresho cyo kuvura isosorbide dinitrate gitwara igihe kirekire bitewe n'uburwayi bwawe n'uburyo umubiri wawe wakiriye imiti. Abantu bamwe barayikoresha amezi make, abandi bakayikoresha imyaka myinshi mu kwita ku mutima.

Muganga wawe azajya akurikirana uko umuti ukora neza kuri wowe niba hari ingaruka mbi zikubaho. Ashobora guhindura urugero rw'umuti ukoresha cyangwa akagusaba guhindura ibintu bitewe n'ibimenyetso byawe n'ubuzima bw'umutima wawe muri rusange.

Ntuzigere uhagarika gufata uyu muti ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya rimwe na rimwe bishobora gutera ingaruka zikomeye aho ububabare bwo mu gituza buba bubi by'agateganyo.

Ni izihe ngaruka ziterwa na Isosorbide Dinitrate?

Abantu benshi bakira isosorbide dinitrate neza, ariko nk'imiti yose, ishobora gutera ingaruka mbi. Ingaruka zikunze kugaragara zikunda kuba nto kandi akenshi zigenda zikemuka uko umubiri wawe umenyera umuti.

Dore ingaruka ushobora guhura nazo, zashyizwe mu matsinda bitewe n'uko zikunze kubaho:

Ingaruka zisanzwe

Izi ngaruka zibaho ku bantu benshi kandi akenshi ntizikomeye:

• Umutwe (akenshi ni ingaruka ya mbere uzabona)
• Urugero cyangwa umutwe, cyane cyane iyo uhagaze
• Kwisuka cyangwa gushyuha mu maso no mu ijosi
• Isesemi cyangwa kurwara inda
• Intege nke cyangwa umunaniro

Umutwe akenshi ukemuka nyuma y'iminsi mike cyangwa ibyumweru uko umubiri wawe umenyera umuti. Muganga wawe ashobora kugusaba gutangira n'urugero ruto kugirango ugabanye iyi ngaruka.

Ingaruka zitagaragara cyane

Izi ngaruka zibaho kenshi ariko biracyakenerwa kuzimenya:

• Umutima wihuta cyangwa umutima ukubita cyane
• Kureba nabi
• Umunwa wumye
• Kwisuka
• Kutagira umutuzo cyangwa guhangayika

Niba izi ngaruka zikomeje cyangwa zikaba zikubangamiye, menyesha muganga wawe. Ashobora guhindura urugero rw'umuti ukoresha cyangwa igihe cyo kuwufata kugirango agufashe kuzigabanya.

Ingaruka zidakunze ariko zikomeye

Nubwo bidakunze, izi ngaruka zikeneye ubufasha bwihuse bw'abaganga:

• Igabanuka rikomeye ry'umuvuduko w'amaraso ritera kuruka
• Urugero rw'umubiri ruterwa n'imiti rugaragarira mu gashishi, kuribwa, cyangwa kubyimba
• Umutwe ukaze udashira
• Urubavu rubabaza rukomeza cyangwa ruhindura imiterere
• Kugorwa no guhumeka cyangwa guhumeka bigufi

Vugana n'umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso. Bishobora kwerekana ko umuti utagukwiriye cyangwa ko urugero rwawo rugomba guhindurwa.

Ninde utagomba gufata Isosorbide Dinitrate?

Abantu bamwe ntibagomba gufata isosorbide dinitrate kuko byabangamira ubuzima bwabo. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugushyiriraho uyu muti.

Ntugomba gufata uyu muti niba ufite anemia ikomeye, kuko bishobora gutuma iyi ndwara irushaho. Abantu bafite indwara zimwe na zimwe z'umutima, nk'indwara ya hypertrophic cardiomyopathy, nabo bashobora gukenera kwirinda uyu muti.

Niba ufata imiti ivura uburemba (nka sildenafil, tadalafil, cyangwa vardenafil), ntushobora gufata isosorbide dinitrate. Ubu buryo bushobora gutera igabanuka ry'umuvuduko w'amaraso rishobora guteza akaga mu buzima.

Abantu bafite umuvuduko w'amaraso muke cyane, ubwoko bumwe bwa glaucoma, cyangwa abafite ibikomere byo mu mutwe bya vuba aha nabo bagomba kwirinda uyu muti. Buri gihe bwire umuganga wawe ku miti yose n'ibyongerera imiti ufata.

Amazina y'ubwoko bwa Isosorbide Dinitrate

Isosorbide dinitrate iboneka mu mazina menshi y'ubwoko, Isordil ikaba ari rimwe mu rimenyekana cyane. Ushobora kandi kubona igurishwa nka Dilatrate-SR kuri verisiyo irekura gahoro.

Verisiyo rusange zirahari kandi zikora neza nk'izina ry'ubwoko. Umufarumasiti wawe ashobora kugufasha gusobanukirwa uburyo urimo kwakira kandi akemeza ko uyifata neza.

Niba wakira izina ry'urugero cyangwa verisiyo rusange akenshi biterwa n'ubwishingizi bwawe n'uko farumasi ziboneka. Zombi zifite umutekano kimwe kandi zikora neza iyo zikoreshwa nk'uko byategetswe.

Izindi nshingano za Isosorbide Dinitrate

Niba isosorbide dinitrate itagukundiye cyangwa ikaba itera ingaruka zitishimira, muganga wawe afite imiti myinshi yindi yo gutekereza. Izindi nitrates nka isosorbide mononitrate cyangwa nitroglycerin zikora kimwe ariko zishobora kwihanganirwa neza nabantu bamwe.

Izindi nshingano zitari za nitrate zirimo calcium channel blockers nka amlodipine cyangwa diltiazem, na zo zifasha koroshya imitsi y'amaraso. Beta-blockers nka metoprolol irashobora kugabanya umurimo w'umutima wawe muburyo butandukanye.

Muganga wawe ashobora kandi gutekereza ku miti mishya nka ranolazine, ikora binyuze muri gahunda itandukanye yo gufasha kwirinda kubabara mu gituza. Igisubizo cyiza giterwa n'uburwayi bwawe bwihariye, indi miti urimo gufata, n'uko witwara ku miti.

Ese Isosorbide Dinitrate iruta Nitroglycerin?

Isosorbide dinitrate na nitroglycerin ni imiti ya nitrate ikora neza, ariko ikora neza kubibazo bitandukanye. Nitroglycerin ikora vuba, ibikora neza kugirango bikize ako kanya mugihe cyo kubabara mu gituza.

Isosorbide dinitrate imara igihe kirekire mumubiri wawe, ibikora neza mugukumira kubabara mu gituza umunsi wose. Abantu benshi bakoresha imiti yombi hamwe - nitroglycerin kugirango bakire vuba na isosorbide dinitrate kugirango bakomeze kwirinda.

Muganga wawe azahitamo uburyo bwiza bushingiye kubyo ukeneye byihariye, uburyo bwo kubabara mu gituza, n'uko wihanganira buri muti. Abantu bamwe babikora neza kuruta abandi, mugihe abandi bungukirwa no gukoresha byombi.

Ibikunze Kubazwa Kuri Isosorbide Dinitrate

Q1. Ese Isosorbide Dinitrate irakwiriye abantu barwaye diyabete?

Yego, isosorbide dinitrate muri rusange ni umutekano ku bantu barwaye diyabete. Ntabwo igira ingaruka ku isukari yo mu maraso, bityo ntizabangamira imicungire ya diyabete yawe.

Ariko, niba urwaye indwara y'umutima ifitanye isano na diyabete, muganga wawe azakugenzura cyane iyo utangiye gufata uyu muti. Guhuza diyabete n'indwara y'umutima bisaba gucunga neza imiti yose.

Q2. Ngenzwa n'iki niba mfashwe n'umuti wa Isosorbide Dinitrate mwinshi ku buryo butunguranye?

Niba ufashwe n'umuti wa isosorbide dinitrate mwinshi ku buryo butunguranye, vugana na muganga wawe cyangwa ugenzure uburozi ako kanya. Ibimenyetso byo kwica umuti birimo kubabara umutwe cyane, kuribwa, umutima wihuta, isesemi, no guta ubwenge.

Ntugerageze kwivugisha. Ahubwo, icara cyangwa uryame kugirango wirinde kugwa niba wumva uribwa. Niba utaye ubwenge cyangwa ufite ikibazo cyo guhumeka, hamagara serivisi zihutirwa ako kanya.

Q3. Ngenzwa n'iki niba nirengagije doze ya Isosorbide Dinitrate?

Niba wibagiwe doze, yifate ako kanya wibuka, keretse igihe kigeze cyo gufata doze yawe itaha. Ntukigere ufata doze ebyiri icyarimwe kugirango usimbuze doze wibagiwe.

Niba ukunda kwibagirwa doze, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'ibinyobwa. Gufata imiti buri gihe ni ngombwa kugirango wirinde ibihe by'ububabare bwo mu gituza neza.

Q4. Ni ryari nshobora kureka gufata Isosorbide Dinitrate?

Reka gufata isosorbide dinitrate gusa muganga wawe akubwiye ko ari umutekano kubikora. N'iyo wumva umeze neza, uburwayi bwawe bw'umutima bushobora kuba bugikeneye kuvurwa.

Muganga wawe ashobora kugabanya buhoro buhoro doze yawe mbere yo guhagarika burundu kugirango wirinde ububabare bwo mu gituza. Inama zisanzwe zigufasha kumenya igihe cyiza cyo guhindura cyangwa guhagarika imiti yawe.

Q5. Nshobora kunywa inzoga niba ndimo gufata Isosorbide Dinitrate?

Ugomba kugabanya kunywa inzoga mugihe ufata isosorbide dinitrate, kuko byombi bishobora kugabanya umuvuduko w'amaraso yawe. Kunywa inzoga birashobora kongera ibyago byo kuribwa, guta ubwenge, no kugwa.

Niba uhisemo kunywa, bikore mu rugero kandi witonze cyane iyo uhagurutse cyangwa uhinduye imyanya. Ganira na muganga wawe ku kintu cyose cy'inzoga, niba hari icyo aricyo, kigukwiriye.