Nepafenac ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Nepafenac ni umuti w'amaso wandikirwa na muganga ufasha kugabanya ububyimbirwe n'ububabare mu maso yawe nyuma yo kubagwa cyangwa gukorerwa ibindi bikorwa. Uyu muti ubarizwa mu itsinda ry'imiti yitwa imiti idakoresha imisemburo irwanya ububyimbirwe (NSAIDs), ikora by'umwihariko mu jisho ryawe kugira ngo ituze ububyimbirwe n'akababaro. Muganga w'amaso ashobora kukwandikira uyu muti kugira ngo ufashishe amaso yawe gukira neza nyuma yo kubagwa ijisho cyangwa izindi nshingano z'amaso.

Nepafenac ni iki?

Nepafenac ni umuti ushyirwa mu maso ugaragara nk'urutonde rw'amaso ruzira mikorobe. Yagenewe by'umwihariko kuvura ububyimbirwe mu maso yawe, cyane cyane nyuma yo kubagwa. Bitandukanye n'imiti irwanya ububabare inyobwa, nepafenac ikora neza aho ukeneye cyane - mu gice cy'amaso yawe.

Uyu muti ni icyo twita

Mu bihe bimwe na bimwe, nepafenac ishobora gukoreshwa mu kuvura izindi ndwara zifata amaso ziterwa n'uburwayi, nubwo ibyo bidakunze kubaho. Muganga wawe w'amaso azagena niba uyu muti ukwiriye icyo kibazo cyawe gishingiye ku byo ukeneye n'amateka yawe y'ubuvuzi.

Nepafenac ikora ite?

Nepafenac ikora ibuza za enzyme zimwe na zimwe mu jisho ryawe zikora ububyimbirwe. Tekereza ku bubyimbirwe nk'uburyo umubiri wawe usubiza ku gikomere cyangwa kubagwa - nubwo ari igice cyo gukira, bwinshi bushobora gutera ububabare butari ngombwa no kubyimba. Uyu muti ufasha kugumisha iyo myitwarire yuzuye kandi igenzurwa.

Iyo ushyizeho amavuta mu jisho ryawe, nepafenac yinjira mu bice by'ijisho hanyuma igahindurwa mu buryo bwayo bukora. Ubu buryo bukora buza gukumira ikorwa rya prostaglandins, ibyo bikaba ari imiti itera ububyimbirwe, ububabare, no kubyimba. Mugukingira iyi miti, nepafenac ifasha ijisho ryawe kumva rimeze neza kandi rigakira neza.

Nepafenac ifatwa nk'umuti urwanya ububyimbirwe ukomeye ku rugero rwo hagati ukoreshwa ku jisho. Birakora bihagije kugirango bikemure ububyimbirwe nyuma yo kubagwa ariko biroroshye bihagije kubantu benshi kugirango bakoreshe neza iyo bategetswe na muganga wabo w'amaso.

Nkwiriye gufata nepafenac nte?

Ukwiye gukoresha nepafenac nkuko muganga wawe w'amaso abitegeka, akenshi urutonyanga rumwe mu jisho ryagizweho ingaruka inshuro eshatu ku munsi. Gahunda isanzwe ni mu gitondo, ku manywa, na nimugoroba, hagati y'amasaha 8. Urashobora gukoresha aya matonyanga hamwe cyangwa nta funguro kuko ntanyura mu nzira yo mu gifu.

Mbere yo gukoresha amavuta, oza intoki zawe neza n'isabune n'amazi. Utsindagire umutwe wawe inyuma gato hanyuma ukurure neza igitwikirizo cyo hasi cy'ijisho ryawe kugirango ukore agahunda gato. Suka urutonyanga rumwe muri aka gahunda, hanyuma ufunge ijisho ryawe neza mu minota 1-2. Gerageza kutagira uruhurirane rwinshi cyangwa gufunga amaso yawe cyane, kuko ibi bishobora gusohora umuti.

Niba ukoresha izindi miti y'amaso, tegera byibuze iminota 5 hagati y'amatonyi atandukanye. Ibi bituma buri muti ufata igihe cyo kwinjira neza utarasa uwa mbere. Niba wambara amaso, ayakureho mbere yo gukoresha nepafenac utegere byibuze iminota 10 mbere yo kuyasubizamo.

Ntugakore ku mutwe w'urushinge rw'amatonyi ku jisho ryawe, ku gishishwa cy'ijisho, cyangwa ku kintu icyo aricyo cyose kugira ngo ugumane isuku. Niba ukozeho ku buryo butunguye, usukure ukoresheje igitambaro cyera mbere yo kongera kuyikoresha.

Nzagomba Gukoresha Nepafenac Igihe Kingana Gite?

Abantu benshi bakoresha nepafenac mu byumweru 2-4 nyuma yo kubagwa amaso, ariko igihe uvurwa kigendera ku buryo amaso yawe akira. Muganga w'amaso azaguha igihe ntarengwa gishingiye ku miterere yawe bwite n'imikurire yo gukira.

Ku kwita ku nyuma yo kubagwa ijisho ry'ikirahure, ubuvuzi butangira akenshi iminsi 1-2 nyuma yo kubagwa kandi bugakomeza mu byumweru 2-3. Abantu bamwe bashobora gukenera kuyikoresha igihe gito kirekire niba amaso yabo afata igihe kirekire cyo gukira cyangwa niba bafite ibyago byinshi byo kugira ibibazo.

Ntuzigere uhagarika gukoresha nepafenac mu buryo butunguranye utabanje kuvugana na muganga w'amaso, kabone n'iyo amaso yawe yumva ameze neza rwose. Guhagarika kare bishobora gutuma umubyimbire ugaruka, bishobora gutinda gukira kwawe cyangwa gutera ibibazo. Muganga wawe azakumenyesha igihe byemewe guhagarika umuti.

Niba umaze gukoresha nepafenac igihe kirekire kuruta uko byari byitezwe, ntugahagarike - muganga wawe arimo gukurikirana imikurire yawe kandi azahindura ubuvuzi bwawe uko bikwiye. Abantu bamwe bakeneye igihe gito gusa kugira ngo amaso yabo akire rwose.

Ni Ibihe Bikorwa Bigaragara Byo Ku Ruhande Rwa Nepafenac?

Abantu benshi bakoresha nepafenac neza, ariko nk'undi muti uwo ari wo wose, ushobora gutera ibikorwa bigaragara ku ruhande. Inkuru nziza ni uko ibikorwa bikomeye bigaragara ku ruhande bidakunze kubaho, kandi abantu benshi bahura gusa n'ububabare buke, bw'igihe gito niba hari icyo aricyo cyose.

Ibi ni bimwe mu ngaruka zisanzwe zishobora kukubaho, wibuke ko abantu benshi batagira izo ngaruka na gato:

• Uburibwe bworoheje mu jisho cyangwa kumva biruma igihe utangiye gutonyanga imiti mu jisho
• Igihe gito cyo kutabona neza mu gihe cy'iminota mike nyuma yo gukoresha imiti itonyanga
• Amaso yumye cyangwa kumva hari umucanga mu jisho
• Umutwe woroheje
• Kugira ubushyuhe bwinshi ku rumuri

Izi ngaruka zisanzwe zikunda kuvaho uko amaso yawe amenyera umuti kandi akenshi ntizitera impungenge.

Hariho n'izindi ngaruka zitajya zibaho kenshi ariko zikwiye kwitabwaho cyane, zisaba kwitabwaho n'abaganga vuba. Nubwo bidasanzwe, ni ngombwa kumenya ibyo ugomba kwitaho:

• Uburibwe bukomeye mu jisho cyangwa kurushaho kuribwa
• Impinduka zikomeye mu kubona cyangwa kutabona
• Ibimenyetso byo kwandura mu jisho nk'ukwiyongera kw'itukura, umwanda, cyangwa kubyimba
• Umutwe ukomeye udashira
• Umwanda udasanzwe mu jisho cyangwa gukara

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n'umuganga w'amaso ako kanya. Ashobora kumenya niba ibimenyetso bifitanye isano n'umuti cyangwa niba hari ikindi kigomba kwitabwaho.

Gahoro cyane, abantu bamwe bashobora kugira ibimenyetso byo kwibasirwa n'umubiri kubera nepafenac. Ibimenyetso byo kwibasirwa n'umubiri birimo kubyimba cyane mu jisho, ibiheri hirya no hino ku maso, cyangwa guhumeka bigoranye. Niba ubonye ibi bimenyetso, genda kwa muganga ako kanya.

Ninde utagomba gufata Nepafenac?

Nepafenac ntabwo ikwiriye buri wese, kandi umuganga w'amaso azasuzuma neza amateka yawe mbere yo kuyikwandikira. Ikintu cy'ingenzi cyo kumenya ni niba warigeze kugira ibimenyetso byo kwibasirwa n'umubiri ku miti isa n'iyi mu gihe cyashize.

Ntabwo ugomba gukoresha nepafenac niba urwaye allergie yayo cyangwa izindi miti ya NSAID nka ibuprofen, naproxen, cyangwa aspirine. Nubwo nepafenac ishyirwa mu jisho, abantu bafite allergie ya NSAID baracyashobora kugira ibibazo. Niba warigeze kugira ibibazo bya miti igabanya ububabare cyangwa imiti igabanya ububyimbirwe mbere, gerageza kubibwira muganga wawe.

Abantu bafite indwara zimwe na zimwe z'amaso bakeneye kwitonderwa mbere yo gukoresha nepafenac. Niba warigeze kugira amateka y'indwara zo kuva amaraso, ibibazo bya korone, cyangwa ubwoko bumwe na bumwe bwo kubagwa mu maso, muganga wawe azagereranya inyungu n'ibibazo neza.

Abagore batwite cyangwa bonka bagomba kuganira ku mikoreshereze ya nepafenac na muganga wabo. Nubwo umuti ushyirwa mu jisho, biracyakomeye gutekereza niba ari uburyo bwiza mu gihe cyo gutwita cyangwa mu gihe cyo konka.

Niba ufite amateka yo gukira ibikomere bitinze, ibibazo byo gushyira amaraso hamwe, cyangwa ufata imiti ituma amaraso atavura vuba, muganga wawe azakugenzura neza mugihe ukoresha nepafenac. Ibi bibazo ntibisobanura ko biguhamagarira kutagikoresha umuti, ariko bisaba kwitonderwa by'umwihariko.

Amazina y'ubwoko bwa Nepafenac

Nepafenac iboneka mu mazina menshi y'ubwoko, Nevanac ikaba ari yo ikoreshwa cyane. Farumasi yawe ishobora gutanga Nevanac cyangwa andi mazina y'ubwoko bitewe n'ubwishingizi bwawe n'uko iboneka.

Andi mazina y'ubwoko arimo Ilevro, ikaba ari umuti ukomeye wa nepafenac ukoreshwa rimwe ku munsi aho gukoreshwa gatatu ku munsi. Muganga wawe azahitamo ubwoko bwihariye n'imbaraga zikwiriye kubera uko ubuzima bwawe bumeze.

Uko wakwakira izina ry'ubwoko cyangwa verisiyo rusange, ikintu gikora (nepafenac) ni kimwe. Verisiyo rusange zikora neza nk'amazina y'ubwoko kandi akenshi zirahoraho. Umufarumasi wawe ashobora gusobanura verisiyo urimo kwakira no gusubiza ibibazo byose bijyanye n'itandukaniro riri hagati y'ubwoko.

Izindi miti isimbura Nepafenac

Niba nepafenac itagukwiriye, hariho izindi miti y'amaso ishobora kugufasha gucunga ububyimbirwe nyuma yo kubagwa. Muganga w'amaso yawe ashobora gutekereza izi nzira zindi bitewe n'ibyo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Andi matonyi y'amaso ya NSAID nka ketorolac (Acular) cyangwa diclofenac (Voltaren) akora kimwe na nepafenac ariko afite imitungo itandukanye gato. Abantu bamwe babyihanganira neza kurusha abandi, bityo muganga wawe ashobora kugerageza NSAID itandukanye niba nepafenac itera ingaruka zidakurikira.

Amatonyi y'amaso ya steroid nka prednisolone ni ubundi buryo bwo kugenzura ububyimbirwe nyuma yo kubagwa mu maso. Izi zikora mu buryo butandukanye na NSAID kandi rimwe na rimwe zikoreshwa zonyine cyangwa zifatanyije n'amatonyi ya NSAID ku bantu bakeneye kugenzura ububyimbirwe bukomeye.

Ku bantu batashobora gukoresha amatonyi arwanya ububyimbirwe gakondo, muganga wawe ashobora kugusaba amarira y'ubwenge, ibintu bikonjesha, cyangwa izindi ngamba zishyigikiye kugirango bifashe gucunga kutumva neza mugihe cyo gukira.

Ese Nepafenac iruta Ketorolac?

Nepafenac na ketorolac byombi ni amatonyi y'amaso ya NSAID akora neza, ariko afite itandukaniro rishobora gutuma imwe ikwiriye neza imiterere yawe. Nta na rimwe riruta irindi - biterwa n'ibyo ukeneye byihariye n'uko amaso yawe yitwara.

Nepafenac ifite inyungu yo kuba prodrug, bivuze ko yagenewe kwinjira mu bice by'amaso neza kandi igahinduka ikora aho ikenewe cyane. Ibi bishobora gutanga kugenzura ububyimbirwe neza hamwe no gutanga imiti kenshi ku bantu bamwe.

Ku rundi ruhande, ketorolac imaze igihe kirekire iboneka kandi akenshi ihendutse. Iraboneka kandi mu buryo bwa rusange, bushobora kuyigira iyegeranye. Abantu bamwe basanga ketorolac itera kuruma gake mugihe ishyizweho.

Umuganga w’amaso yawe azatekereza ku bintu nk’ubwoko bw’ubuvuzi wakorewe, ibyago by’ingorane, imiti yindi urimo gufata, n’ubwishingizi bwawe mu guhitamo hagati y’ibi byemezo. Imiti yombi yagaragaje ko ifasha abantu gukira neza nyuma yo kubagwa amaso.

Ibibazo Bikunze Kubazwa Kuri Nepafenac

Q1. Ese Nepafenac irakwiriye abarwayi ba diyabete?

Yego, nepafenac muri rusange irakwiriye abantu barwaye diyabete, ariko umuganga w’amaso yawe azagukurikiranira hafi. Abantu barwaye diyabete bafite ibyago byinshi byo guhura n’ingorane zimwe na zimwe z’amaso kandi bashobora gukira gahoro nyuma yo kubagwa, bityo gukurikiranwa neza bituma habaho ibisubizo byiza.

Diyabete ishobora kugira ingaruka ku mikorere y’amaraso mu maso yawe no gutinda gukira, bivuze ko muganga wawe ashobora guhindura gahunda yawe yo kuvurwa cyangwa gahunda yo gukurikiranwa. Nepafenac ubwayo ntigira ingaruka zihariye ku rugero rw’isukari mu maraso kuko ikoreshwa ku maso aho gufatwa mu kanwa.

Q2. Nzakora iki niba nshizeho Nepafenac nyinshi ku buryo butunganye?

Niba ushyizeho urutonyanga rurenze rumwe mu jisho ryawe ku buryo butunganye, ntugahagarike - ibi mubisanzwe ntibiteje akaga. Kora isuku ku jisho ryawe ukoresheje amazi meza cyangwa umuti w’umunyu niba wumva ubushye bwinshi cyangwa kwishima. Ijisho ryawe rishobora gufata amazi make, bityo urutonyanga rwinshi ruzasohoka gusa.

Niba wakoresheje nepafenac kenshi kuruta uko byategetswe mu minsi myinshi, vugana n’umuganga w’amaso yawe kugira ngo muganire niba ukeneye guhindura gahunda yawe cyangwa ukareba ingaruka zose zishobora kubaho. Barashobora kukuyobora uko wasubira mu buryo bwawe busanzwe bwo gufata imiti mu buryo bwizewe.

Q3. Nzakora iki niba nciweho urugero rwa Nepafenac?

Niba waciweho urugero, shyiraho vuba na bwangu uko wibuka, keretse igihe kigeze cyo gufata urugero rukurikira. Muri icyo gihe, reka urugero waciweho ukomeze gahunda yawe isanzwe. Ntukongereho urugero kugira ngo usubize urwo waciweho.

Kutabona umuti umwe rimwe na rimwe ntibizagira ingaruka zikomeye ku gukira kwawe, ariko gerageza kuguma ukoresha imiti yawe uko bikwiye. Tekereza gushyiraho ibyibutsa kuri terefone yawe cyangwa gushyira amavuta yo mu maso yawe ahagaragara kugirango bikufashe kwibuka.

Q4. Ni ryari nshobora kureka gufata Nepafenac?

Ushobora kureka gufata nepafenac mugihe muganga w'amaso yawe akubwiye ko byemewe, akenshi nyuma yo gusuzuma kwawe kwemeza ko ijisho ryawe rikira neza. Ibi bikunda kuba nyuma y'ibyumweru 2-4 nyuma yo kubagwa, ariko igihe nyacyo giterwa n'imikurire yawe bwite.

Ntukareke gukoresha nepafenac kuko ijisho ryawe ryumva rimeze neza - umubyimbirwe urashobora kugaruka niba uhagaritse kare cyane. Muganga wawe akeneye gusuzuma ijisho ryawe kugirango yemeze ko gukira kurangije mbere yo guhagarika umuti.

Q5. Nshobora gutwara imodoka nyuma yo gukoresha Nepafenac?

Ubusanzwe ushobora gutwara imodoka nyuma yo gukoresha nepafenac, ariko tegereza kugeza igihe icyo aricyo cyose cyo kutabona neza kigabanutse mbere na mbere. Abantu bamwe bahura no kutabona neza byoroheje, byihuse mumasegonda make nyuma yo gushyira mu matonyi, bityo birasaba gutegereza kugeza igihe ubushobozi bwawe bwo kureba bugaragara mbere yo gutwara imodoka.

Niba uhura n'impinduka zikomeye zo kureba cyangwa kutabona neza igihe kirekire nyuma yo gukoresha nepafenac, biganireho na muganga w'amaso yawe. Bashobora gukenera guhindura uburyo bwo kuvura cyangwa gukora iperereza niba hari ikindi kintu kigira ingaruka ku burezi bwawe.