Nifedipine ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Nifedipine ni umuti wandikirwa na muganga ufasha koroshya no kwagura imitsi y'amaraso yawe, bigatuma umutima wawe woroherwa no gusukuma amaraso mu mubiri wawe. Uyu muti woroshye ariko ukora neza ubarizwa mu itsinda ryitwa calcium channel blockers, ikora ibi ikingira calcium kwinjira mu ngirangingo z'imitsi ziri mu nkuta z'imitsi y'amaraso yawe. Iyo calcium yakingiwe, iyi mitsi iraruhuka, bigatuma amaraso atembera neza kandi bigabanya umuvuduko ku mikorere y'umubiri wawe w'imitsi y'amaraso.

Nifedipine ni iki?

Nifedipine ni umuti ukingira calcium channel ukora by'umwihariko ku ngirangingo z'imitsi yoroshye mu mitsi yawe y'amaraso. Tekereza nk'urufunguzo rubuza calcium gufungura urugi rwo kwikurura kw'imitsi mu miyoboro yawe y'amaraso.

Uyu muti uza mu buryo bubiri bukuru: ibinini bikora ako kanya bikora vuba na formulations zirekura buhoro buhoro zitanga urugero rwa imiti ruhamye umunsi wose. Ubwoko burekura buhoro buhoro bukoreshwa cyane kuko butanga kugenzura umuvuduko w'amaraso uhamye hamwe n'imiti mike ya buri munsi.

Muganga wawe ashobora kukwandikira nifedipine nk'igice cy'umugambi wo kuvura urambye ushobora kuba urimo impinduka mu mibereho nk'imihindagurikire y'imirire no gukora imyitozo ngororamubiri buri gihe. Ifatwa nk'umuti usanzwe ukora neza umaze imyaka myinshi ufasha abantu gucunga indwara z'imitsi y'amaraso.

Nifedipine ikoreshwa mu kuvura iki?

Nifedipine ikoreshwa cyane mu kuvura umuvuduko ukabije w'amaraso (hypertension) n'ubwoko bumwe bw'ububabare bwo mu gituza bwitwa angina. Izi ni indwara ebyiri zikomeye uyu muti wagaragaje ko ukora neza kandi utagira ingaruka mbi.

Ku ruhande rw'umuvuduko ukabije w'amaraso, nifedipine ifasha kugabanya imbaraga umutima wawe ukeneye gusukuma amaraso, ibi bishobora kurengera umutima wawe, impyiko, n'izindi ngingo zitangirika uko igihe kigenda. Abantu benshi bafite umuvuduko ukabije w'amaraso ntibumva ibimenyetso, bityo uyu muti ukora mu buryo bwitwikiriye kugira ngo ugumane ubuzima bwiza bw'imitsi yawe y'amaraso.

Mu gihe cy'indwara ya angina, nifedipine ishobora gufasha kwirinda ibihe by'ububabare mu gituza binyuze mu kunoza imikorere y'amaraso mu mikaya y'umutima wawe. Ibi bifasha cyane abantu bagira ibibazo mu gituza igihe bakora imyitozo ngororamubiri cyangwa bahuye n'umunaniro.

Rimwe na rimwe abaganga bandikira nifedipine kubera izindi ndwara nka Raynaud's phenomenon, aho intoki n'amano bihora cyane cyane kandi bigahindura ibara. Muri ibi bihe, umuti ufasha kunoza imikorere y'amaraso muri izo ngingo.

Nifedipine ikora ite?

Nifedipine ikora ibyara ibice bya calcium mu ngingo zifite imitsi yoroshye y'imitsi y'amaraso yawe. Iyo calcium itashobora kwinjira muri izo ngingo, imitsi ntishobora kwikurura cyane, ibyo bikemerera imitsi y'amaraso yawe kuruhuka no kwaguka.

Ubu buryo bubaho buhoro buhoro kandi buke, niyo mpamvu nifedipine ifatwa nk'umuti woroshye ugereranije n'ubundi buryo bwo kuvura umuvuduko w'amaraso. Kuruhuka kw'imitsi y'amaraso bigabanya urugamba umutima wawe uhura narwo igihe utera amaraso, bigatuma akazi kawo koroha.

Umuti ubusanzwe utangira gukora mu minota 30 kugeza ku masaha 2 ku buryo bwihuse, mu gihe ubwoko bwo gukora buhoro buhoro butanga ingaruka zihamye umunsi wose. Umuvuduko w'amaraso yawe ntugabanuka mu buryo butunguranye, ibyo bifasha kwirinda isereri cyangwa umutwe ushobora kubaho hamwe n'indi miti.

Nkwiriye gufata nifedipine nte?

Fata nifedipine nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi bitewe n'uburyo bwo kuyifata. Ibinini bikora buhoro buhoro bikwiriye kumirwa byose hamwe n'ikirahure cyuzuye amazi kandi ntibikwiriye gukubitwa, kuribwa, cyangwa gucibwamo.

Urashobora gufata nifedipine hamwe cyangwa ntafunguye, nubwo kuyifata hamwe n'ibiryo bishobora gufasha kugabanya ibibazo byo mu gifu niba hari ibyo uhura nabyo. Abantu bamwe basanga kuyifata mu gihe kimwe buri munsi bibafasha kwibuka kandi bigakomeza urwego rwo gufata imiti.

Irinde imbuto za pome na umutobe wazo igihe ufata nifedipine, kuko bishobora kongera ingaruka z'umuti kandi bikaba byatera igipimo cy'amaraso yawe kugabanuka cyane. Iyi ngaruka iterwa n'uko pome igira uruhare mu buryo umwijima wawe utunganya umuti.

Niba ufata umuti utinda gusohoka mu mubiri, ushobora kubona uruhu rw'ikibahasha cy'umuti mu musarani wawe. Ibi ni ibisanzwe kandi bivuze ko umuti winjiye neza mu mubiri wawe.

Nzagomba kumara igihe kingana iki mfata Nifedipine?

Abantu benshi bafata nifedipine mu mezi cyangwa imyaka, kuko umuvuduko ukabije w'amaraso na angina akenshi ni indwara zirambye zisaba ubuvuzi buhoraho. Muganga wawe azagenzura uko ubuzima bwawe bumeze kandi ahindure gahunda yawe y'ubuvuzi uko bikwiye.

Igihe cy'ubuvuzi giterwa n'uburwayi bwawe bwihariye n'uko witwara neza ku muti. Abantu bamwe bashobora gukenera kuwufata iteka ryose kugira ngo bagumane urugero rwiza rw'amaraso, mu gihe abandi bashobora kugabanya urugero rwabo cyangwa bagahindura imiti.

Ntuzigere uhagarika gufata nifedipine ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera umuvuduko w'amaraso yawe kuzamuka cyangwa kuribwa mu gituza kugaruka, ibyo bishobora guteza akaga ku mutima wawe n'ubuzima bwawe muri rusange.

Mbese ni izihe ngaruka ziterwa na Nifedipine?

Kimwe n'indi miti yose, nifedipine ishobora gutera ingaruka ziterwa n'imiti, nubwo abantu benshi batagira ibibazo bike cyangwa nta bibazo. Ingaruka zisanzwe zikunze kuba zoroshye kandi akenshi zikagenda zikemuka uko umubiri wawe wimenyereza umuti.

Dore ingaruka ushobora guhura nazo, dutangiriye ku zisanzwe cyane:

• Kubyimba mu birenge, ibirenge, cyangwa amaboko (edema)
• Umutwe, cyane cyane igihe ugitangira gufata umuti
• Urugero cyangwa kumva uruka igihe uhagurutse
• Kumva unaniwe cyangwa ufite intege nke
• Gushyuha cyangwa kumva ushyushye
• Isesemi cyangwa kutumva neza mu gifu
• Kuribwa mu misitsi cyangwa mu ngingo

Ibi bimenyetso bisanzwe bikunze kugabanuka uko umubiri wawe umenyera umuti. Niba bikomeje cyangwa bikabangamira, muganga wawe ashobora guhindura urugero rw'umuti cyangwa akagusaba uburyo bwo kubigenza.

Abantu bamwe bashobora guhura n'ingaruka zitari nyinshi ariko zikomeye zikeneye ubufasha bw'abaganga:

• Umutima utera cyane cyangwa utagenda neza
• Urugero rwo kuribwa cyane cyangwa guta ubwenge
• Urubavu rubabaza cyangwa rugufi
• Kugufiwa umwuka
• Urubura rukabije rutagabanuka
• Ibimenyetso by'ibibazo by'umwijima (gushirira kw'uruhu cyangwa amaso, inkari z'umukara)

Gake cyane, abantu bamwe bashobora guhura n'uburwayi bukomeye bwo kwanga imiti burimo uruhu rurya, kuribwa, kubyimba mu maso cyangwa mu muhogo, cyangwa kugorwa no guhumeka. Niba ubonye ibimenyetso byose muri ibi, shakisha ubufasha bw'abaganga ako kanya.

Ninde utagomba gufata Nifedipine?

Nifedipine ntabwo ikwiriye kuri buri wese, kandi ibintu bimwe na bimwe cyangwa ibihe byatuma bitaba byiza. Muganga wawe azasuzuma neza amateka yawe mbere yo kwandika uyu muti.

Abantu bagomba kwirinda nifedipine barimo abafite umuvuduko muke w'amaraso, ubwoko bumwe na bumwe bw'ibibazo by'umutima, cyangwa guhagarara k'umutima bikabije. Uyu muti ushobora gutuma ibi bibazo birushaho kuba bibi no kugabanya umuvuduko w'amaraso cyangwa kugira ingaruka ku mikorere y'umutima.

Niba utwite cyangwa uteganya gutwita, ganira ibi na muganga wawe kuko nifedipine ishobora kutaba amahitamo meza mugihe utwite. Nubwo rimwe na rimwe ikoreshwa mugihe cyo gutwita kubera ibintu byihariye, indi miti ishobora kuba amahitamo meza.

Abantu barwaye umwijima bashobora gukenera guhindura urugero rw'imiti cyangwa uburyo bwo kuvura, kuko umwijima ukoresha nifedipine. Mu buryo nk'ubwo, abantu bakuze bakunze gukenera urugero ruto kubera uburyo imibiri yabo ikoresha imiti mu buryo butandukanye.

Amazina ya Nifedipine

Nifedipine iboneka mu mazina menshi y'ubucuruzi, ayamenyerewe cyane akaba ari Adalat CC, Procardia, na Procardia XL. Ay'amoko atandukanye akunda kwerekeza ku buryo butandukanye bw'umuti umwe.

Adalat CC na Procardia XL ni ubwoko burekura umuti buhoro buhoro, ufata rimwe ku munsi, naho Procardia isanzwe ni ubwoko burekura umuti ako kanya, akenshi ifatwa inshuro nyinshi ku munsi. Muganga wawe azakubwira ubwoko n'izina ry'ubucuruzi bikwiriye kuri wowe.

Ubundi bwoko bwa nifedipine nabwo buraboneka kandi bukora neza nk'ubwoko bw'izina ry'ubucuruzi. Guhitamo hagati y'ubwoko busanzwe n'izina ry'ubucuruzi akenshi biterwa n'ubwishingizi bwawe n'ibyo ukunda.

Izindi miti isimbura Nifedipine

Niba nifedipine itagukundiye cyangwa ikagutera ibibazo, hari indi miti ishobora kuvura umuvuduko w'amaraso mwinshi na angina. Muganga wawe ashobora kugusaba izindi miti ikumira calcium nk'amlodipine cyangwa diltiazem.

Andi mashami y'imiti ivura umuvuduko w'amaraso harimo imiti ikumira ACE (nka lisinopril), ARBs (nka losartan), imiti ikumira beta (nka metoprolol), na diuretics (nka hydrochlorothiazide). Buri shami rikora mu buryo butandukanye kandi rishobora gukwira bitewe n'ubuzima bwawe bwihariye.

Kuri angina, izindi miti zishobora kuba imiti ikumira beta cyangwa nitrates ikora igihe kirekire. Rimwe na rimwe, guhuza imiti myinshi bikora neza kuruta umuti umwe, kandi muganga wawe azakorana nawe kugirango abone uburyo bukora neza.

Ese Nifedipine iruta Amlodipine?

Nifedipine na amlodipine ni imiti ikumira calcium ivura neza umuvuduko w'amaraso mwinshi na angina, ariko ifite itandukaniro rishobora gutuma imwe ikwira kuruta indi.

Amlodipine akenshi itera kubyimba kw'akaboko gake kandi ikora igihe kirekire, bivuze ko iguma mu mubiri wawe igihe kirekire kandi igatanga uburyo bwo kugenzura umuvuduko w'amaraso buri gihe. Ifatwa kandi rimwe ku munsi, ibintu benshi babona ko byoroshye.

Nifedipine, cyane cyane ubwoko bwo gukoresha igihe kirekire, birashobora kugira akamaro kanini kandi bishobora gukundwa niba waragize ingaruka mbi za amlodipine. Abantu bamwe basubiza neza ku muti umwe kuruta undi, nubwo bakora kimwe.

Gu hitamo hagati yiyi miti akenshi biterwa n'uburyo umuntu ku giti cye abyitwaramo, ingaruka zayo, n'izindi ndwara. Muganga wawe azatekereza ibi bintu mugihe agena icyiza kuri wowe.

Ibikunze Kubazwa Kuri Nifedipine

Ese Nifedipine iratekanye ku bantu barwaye diyabete?

Yego, nifedipine muri rusange iratekanye ku bantu barwaye diyabete kandi ntigira ingaruka ku isukari yo mu maraso nkuko imiti imwe yo kuvura umuvuduko w'amaraso ishobora kubikora. Mubyukuri, irashobora gukundwa kuruta imiti imwe ya beta-blockers ishobora guhisha ibimenyetso byisukari yo hasi mu maraso.

Abantu barwaye diyabete akenshi bagira umuvuduko mwinshi w'amaraso, kandi kugenzura ibi byombi ni ngombwa kugirango ubuzima bumare igihe kirekire. Nifedipine irashobora kuba igice cyiza cyo kugenzura umuvuduko w'amaraso murwego rwa diyabete itabangamiye imiti ya diyabete.

Nkwiriye gukora iki niba nanyweye nifedipine nyinshi bitunguranye?

Niba unyweye nifedipine nyinshi bitunguranye, hamagara muganga wawe cyangwa ikigo gishinzwe gukumira uburozi ako kanya, cyane cyane niba urimo guhura nibimenyetso nk'izunguzanye rikomeye, kugwa igihumure, cyangwa umutima utera cyane.

Kunywa imiti myinshi bishobora gutera umuvuduko w'amaraso muke cyane, bityo ni ngombwa gushaka ubufasha bw'ubuvuzi vuba. Ntukagerageze kwivura uburozi wenyine, kandi ntukavuge niba utabitegetswe n'umuganga.

Nkwiriye gukora iki niba nirengagije urugero rwa nifedipine?

Niba wirengagije urugero rwa nifedipine, unywe ako kanya wibuka, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muriki gihe, reka urugero rwarenganyijwe ukomeze gahunda yawe isanzwe.

Ntugomba gufata doze ebyiri icyarimwe kugira ngo usimbure doze wasibye, kuko ibyo bishobora gutuma umuvuduko w'amaraso yawe ugabanuka cyane. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho alarme ya buri munsi cyangwa gukoresha igikoresho gifasha kwibuka imiti kugira ngo bikufashe kwibuka.

Ni ryari nshobora kureka gufata Nifedipine?

Ugomba kureka gufata nifedipine gusa uyobowe na muganga wawe, kuko guhagarika ako kanya bishobora gutuma umuvuduko w'amaraso yawe uzamuka cyane cyangwa ububabare bwo mu gituza bugaruka. Muganga wawe azagabanya buhoro buhoro doze yawe niba guhagarika bikwiye.

Icyemezo cyo guhagarika nifedipine gishingiye ku bintu nk'uko umuvuduko w'amaraso yawe ugenzurwa neza, niba waragize impinduka nziza mu mibereho yawe, n'ubuzima bwawe bwose bw'umutima n'imitsi. Abantu bamwe bashobora gukenera gufata imiti igabanya umuvuduko w'amaraso ubuzima bwabo bwose.

Nshobora kunywa inzoga nkanwa nifata Nifedipine?

Ni byiza kugabanya kunywa inzoga nifata nifedipine, kuko inzoga ishobora kongera ingaruka zo kugabanya umuvuduko w'amaraso no kongera ibyago byo kuribwa umutwe cyangwa kugwa. Niba uhisemo kunywa, bikore mu rugero kandi umenye uko wumva.

Ganira na muganga wawe ku bijyanye n'inzoga, niba hariyo, zikwiriye kuri wowe nifata nifedipine. Bashobora gutanga ubujyanama bwihariye bushingiye ku buzima bwawe bwose n'indi miti ushobora kuba ufata.