Mepenzolate ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Mepenzolate ni umuti ugabanya imitsi y'umubiri, ufasha gutuza imitsi ikora cyane mu rwungano ngogozi. Uyu muti ubarirwa mu itsinda ry'imiti yitwa anticholinergics, ikora ibyo ikoresheje kubuza ibimenyetso by'imitsi bituma imitsi y'umubiri ikora cyane ndetse n'umusonga mwinshi mu gifu.

Uyu muti cyane cyane wandikirwa kuvura ibibazo byo mu gifu n'izindi ndwara zo mu gifu aho kugabanya imitsi ikora cyane no gukora umusonga bishobora gutanga ubufasha. Muganga wawe ashobora kugusaba mepenzolate igihe ufite kuribwa mu gifu cyangwa ibisebe bikeneye ubufasha bwihariye kugira ngo bikire neza.

Mepenzolate ikoreshwa mu kuvura iki?

Mepenzolate cyane cyane yandikirwa kuvura ibisebe byo mu gifu, ari ibisebe bibabaza bikomoka mu gifu cyangwa mu gice cyo hejuru cy'urwungano ngogozi. Uyu muti ufasha mu kugabanya umusonga wo mu gifu no gutuza imitsi ikora cyane ishobora gutuma kuribwa kw'ibisebe kwiyongera.

Usibye ibisebe, abaganga rimwe na rimwe bandikira mepenzolate ibindi bibazo byo mu rwungano ngogozi aho imitsi ikora cyane itera kutamererwa neza. Ibi bishobora kuba birimo ubwoko runaka bwo kuribwa mu gifu cyangwa ibimenyetso bya syndrome ya irritable bowel, nubwo atari wo murimo wayo w'ibanze.

Umuvuzi wawe azemeza niba mepenzolate ikwiriye indwara yawe yihariye ishingiye ku bimenyetso byawe n'amateka yawe y'ubuzima. Birakwiye kumenya ko uyu muti utandikirwa cyane uyu munsi, kuko imiti mishya yo kuvura ibisebe yabonetse.

Mepenzolate ikora ite?

Mepenzolate ikora ibyo ikoresheje kubuza acetylcholine, intumwa y'imiti ibwira imitsi yo mu gifu gukora no gukora umusonga. Tekereza nk'uko ugabanya ijwi kuri ibi bimenyetso bikora cyane mu rwungano ngogozi rwawe.

Mugabanya ibimenyetso by'imitsi, uyu muti ufasha imitsi yo mu gifu kuruhuka kandi ukagabanya umunyu mwinshi. Ibi bikorwa byombi bishobora gutanga umuti ku mubabaro wo mu gifu no gushya bikunze kuza n'ibibazo byo mu gifu.

Uyu muti ufatwa nk'ufite akamaro gakwiye ku byo ukoreshwa, nubwo utameze neza nk'izindi nzira zigezweho. Abantu benshi babona impinduka mu bimenyetso byabo mu minsi mike kugeza ku cyumweru nyuma yo gutangira kuvurwa.

Nkwiriye gufata Mepenzolate nte?

Fata mepenzolate uko umuganga wawe abitegeka, akenshi iminota 30 mbere yo kurya no kuryama. Iki gihe gifasha umuti gukora neza ukora igihe igifu cyawe gisanzwe gitanga umunyu mwinshi.

Ushobora gufata uyu muti urya cyangwa utarya, nubwo bifatwa neza kuwufata n'amazi make. Irinde kuwufata n'amafunguro menshi, kuko ibi bishobora kugabanya uburyo umubiri wawe wakira umuti.

Ntugasenye, utahe cyangwa ucagagure ibinini keretse umuganga wawe abikubwiye. Ubimire byose n'ikirahure cyuzuye cy'amazi kugirango byinjire neza mu gifu cyawe.

Niba ufata indi miti, uyitandukanye byibuze amasaha abiri uvuye ku doze yawe ya mepenzolate igihe bibaye ngombwa. Ibi bifasha kwirinda uburyo ubwo aribwo bwose bushobora kugabanya imikorere y'umuti uwo ariwo wose.

Nkwiriye kumara igihe kingana iki mfata Mepenzolate?

Igihe cyo kuvurwa na mepenzolate gitandukana bitewe n'uburwayi bwawe n'uburyo wakira umuti. Ku bibazo byo mu gifu, kuvurwa bikunze kumara ibyumweru 4 kugeza ku 8, nubwo abantu bamwe bashobora gukenera igihe kirekire.

Umuganga wawe azakurikiza uko urimo urushaho kandi ashobora guhindura igihe cyo kuvurwa bitewe n'uko ibimenyetso byawe bigenda bikira. Ni ngombwa kurangiza igihe cyose nubwo utangiye kumva umeze neza, kuko guhagarara kare bishobora gutuma ibimenyetso bisubira.

Ntugasize gufata mepenzolate mu buryo butunguranye utabanje kuvugana n'umuganga wawe. Bashobora gushaka kugabanya urugero rwawe buhoro buhoro cyangwa bakaguherereza undi muti kugira ngo birinde ibimenyetso byose byagaruka.

Mbese ni izihe ngaruka ziterwa na Mepenzolate?

Kimwe n'imiti yose, mepenzolate irashobora gutera ingaruka, nubwo atari buri wese uzigira. Ingaruka zisanzwe zikunze kuba zoroshye kandi akenshi zikagenda zikorohera uko umubiri wawe wimenyereza umuti.

Dore ingaruka ushobora guhura nazo, dutangiriye ku zikunze kubaho cyane:

• Umunwa wumye no kunyota kwiyongera
• Kuguma mu nda
• Gusinzira cyangwa kuribwa umutwe
• Kureba nabi
• Kugorana kwihagarika
• Isesemi cyangwa kurwara inda
• Umutwe

Izi ngaruka zisanzwe zikunze gushira mu minsi mike cyangwa mu byumweru umubiri wawe umaze kumenyera umuti. Kuguma ufata amazi menshi no kurya ibiryo birimo fibre birashobora gufasha guhangana n'umunwa wumye no kuguma mu nda.

Abantu bamwe bashobora guhura n'ingaruka zitakunze kubaho ariko zikomeye zisaba ubufasha bw'abaganga:

• Kuvurungana cyane cyangwa ibibazo byo kwibuka
• Umutima utera cyane cyangwa utajegajega
• Kuguma mu nda bikomeye bimara iminsi irenga mike
• Kutabasha kwihagarika
• Uburibwe bukomeye mu maso cyangwa impinduka mu burebure
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu, kubyimba, cyangwa kugorana guhumeka

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya. Nubwo bitaba kenshi, ibi bimenyetso bishobora kwerekana ko umuti atari wo ukwiriye cyangwa ko urugero rwawe rugomba guhindurwa.

Ni bande batagomba gufata Mepenzolate?

Abantu bamwe bagomba kwirinda mepenzolate kubera kwiyongera kw'ibibazo cyangwa kugabanya imikorere. Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kwandika uyu muti.

Ntabwo ugomba gufata mepenzolate niba ufite izi ndwara:

• Glaucoma (umuvuduko mwinshi mu jisho)
• Prostate yabyimbye ifite ingorane zo kunyara
• Indwara ikomeye y'umutima cyangwa umutima utera nabi
• Myasthenia gravis (uburwayi bw'intege nke z'imitsi)
• Indwara ikomeye y'impyiko cyangwa umwijima
• Ibiziba mu gifu cyangwa mu mara yawe
• Allergie izwi kuri mepenzolate cyangwa imiti isa nayo

Izi ndwara zirashobora kwiyongera iyo ukoresha mepenzolate, bityo imiti isimbura yaba ifite umutekano kurushaho kuri wowe. Muganga wawe ashobora kugusaba izindi nzira zikora mu buryo butandukanye kandi zitazabangamira ibi bibazo by'ubuzima.

Ukwitonda by'umwihariko birakenewe niba ushaje urengeje imyaka 65, kuko abantu bakuze bafite ubworoherane bwinshi ku miti ya anticholinergic. Abagore batwite cyangwa bonka bagomba kandi kuganira ku byago n'inyungu n'umuganga wabo mbere yo gutangira kuvurwa.

Amazina y'ubwoko bwa Mepenzolate

Mepenzolate iboneka munsi y'amazina menshi y'ubwoko, nubwo itandikirwa kenshi uyu munsi kurusha uko byari bimeze mu myaka yashize. Izina ry'ubwoko rizwi cyane ni Cantil, yakoreshwaga cyane mu kuvura ibisebe byo mu gifu.

Andi mazina y'ubwoko ushobora guhura nayo arimo ibinini bya Mepenzolate Bromide, nubwo kuboneka bitandukanye bitewe n'igihugu na farumasi. Uburyo bumwe bushobora guhagarikwa cyangwa bukaba buboneka gusa binyuze mu itegeko ryihariye.

Buri gihe genzura na farumasi yawe kubyerekeye ubwoko bwa generic, kuko burimo ibintu bikora kimwe ariko bishobora kugura make. Muganga wawe ashobora kugufasha kumenya niba ubwoko bwa generic bukwiye kuvurwa kwawe.

Uburyo bwo gusimbura Mepenzolate

Uburyo bwinshi bwo gusimbura mepenzolate buraboneka, menshi muri yo akoreshwa cyane uyu munsi mu kuvura ibisebe byo mu gifu n'indwara zifitanye isano. Muganga wawe ashobora kubisaba bitewe n'ibyo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Ubuvuzi bwa none bw'ibibazo by'ibisebe akenshi burimo imiti ikoresha ibikoresho bya proton pump nka omeprazole cyangwa lansoprazole, ifasha cyane mu kugabanya aside yo mu gifu. Iyi miti ikora vuba kandi ifite ingaruka nke ugereranyije n'imiti ya kera ya anticholinergic.

Ku birebana n'imitsi y'igifu, abaganga bashobora kwandika imiti nka dicyclomine cyangwa hyoscyamine, ikora kimwe na mepenzolate ariko ishobora kwihanganirwa neza. Antacids na H2 blockers nka ranitidine (igihe bibonetse) bitanga andi mahitamo yo gucunga aside yo mu gifu.

Umuvuzi wawe azatekereza ibintu nk'indi miti ufata, indwara ufite, n'uburyo wabyitwayemo ku buvuzi bwa mbere mu guhitamo uburyo bwiza kuri wowe.

Ese Mepenzolate iruta indi miti ivura ibisebe?

Mepenzolate muri rusange ifatwa nk'itari nziza nk'imiti mishya ivura ibisebe nka proton pump inhibitors cyangwa H2 blockers. Nubwo ishobora gufasha abantu bamwe, ubuvuzi bwa none akenshi bukorera vuba kandi byizerwa.

Inyungu nyamukuru ya mepenzolate ni imikorere yayo ibiri yo kugabanya aside yo mu gifu n'imitsi y'igifu, ibyo bishobora gufasha abantu bafite ububabare. Ariko, iyi nyungu akenshi iza n'ingaruka nyinshi ugereranyije n'izindi nziza.

Abaganga benshi ubu bakunda kwandika proton pump inhibitors nk'ubuvuzi bwa mbere ku bibazo by'ibisebe byo mu gifu kuko bifasha cyane mu gukiza ibisebe kandi bifite ingaruka nke zibangamira. Mepenzolate ishobora gutekerezwa igihe izindi miti itakoze cyangwa itakwiriye.

Ibikunze Kubazwa Kuri Mepenzolate

Ese Mepenzolate irakwiriye ku bantu barwaye diyabete?

Mepenzolate irashobora gukoreshwa n'abantu barwaye diyabete, ariko bisaba gukurikiranwa neza. Uyu muti ushobora gutinda igifu gusohora ibiryo, bishobora kugira ingaruka ku buryo umubiri wawe ukoresha ibiryo n'uburyo isukari yo mu maraso yawe ihinduka nyuma yo kurya.

Niba urwaye diyabete, korana bya hafi n'umuganga wawe kugira ngo ukurikirane urugero rw'isukari mu maraso yawe igihe utangiye gufata mepenzolate. Ushobora gukenera guhindura igihe cyo kurya cyangwa urugero rw'imiti ya diyabete kugira ngo wite ku mpinduka zikurikira.

Nkwiriye gukora iki niba mfashe mepenzolate nyinshi bitunguranye?

Niba ufata mepenzolate nyinshi bitunguranye kuruta uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya. Gufata nyinshi bishobora gutera ingaruka zikomeye nk'urujijo rukabije, umutima utera cyane, cyangwa guhumeka bigoye.

Ntugerageze kwivugisha umuriro keretse niba ubitegetswe n'umuganga. Ahubwo, nywa amazi kandi ushake ubufasha bw'ubuvuzi ako kanya, cyane cyane niba urimo guhura n'ibimenyetso bikomeye nk'ububabare mu gituza cyangwa guhumeka bigoye.

Nkwiriye gukora iki niba nciwe urugero rwa mepenzolate?

Niba ucikanwe urugero rwa mepenzolate, ifate uko wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero waciwe ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo wuzuze urugero waciwe, kuko ibi byongera ibyago byo kugira ingaruka. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe igikoresho cyo gutegura imiti kugira ngo bigufashe kuguma ku murongo.

Nshobora guhagarika ryari gufata mepenzolate?

Hagarika gufata mepenzolate gusa igihe umuganga wawe akubwiye ko ari byiza kubikora. N'iyo ibimenyetso byawe byongera ubuzima, kurangiza imiti yose ni ngombwa kugira ngo wirinde ko ibibazo by'ibisebe bisubira cyangwa bikiyongera.

Umuganga wawe akenshi azakwifuza mu biganiro byo gukurikirana kugira ngo arebe uko imiti ikora neza. Bashobora kugusaba kugabanya urugero rwawe buhoro buhoro aho guhagarara ako kanya, cyane cyane niba umaze iminsi myinshi uyifata.

Nshobora kunywa inzoga niba mfata mepenzolate?

Ni byiza kwirinda cyangwa kugabanya inzoga igihe urimo gufata mepenzolate, kuko byombi bishobora gutera ibitotsi no kuribwa umutwe. Kubivanga bishobora gutuma izo ngaruka zirushaho kuba mbi kandi bikongera ibyago byo kugwa cyangwa impanuka.

Inzoga kandi ishobora kurakaza urukuta rw'igifu rwawe kandi ikongera umusaruro wa aside, ibyo bikaba bikora ibinyuranye n'icyo mepenzolate igerageza gukora. Ganira na muganga wawe ku birebana n'umubare w'inzoga wemewe niba rimwe na rimwe unywa inzoga igihe urimo gufata uyu muti.