Icyo Oxybutynin ari cyo: Ibikoreshwa, Uburyo bwo Gufata, Ingaruka Zishobora Kugaragara n'ibindi

Oxybutynin ni umuti wandikirwa na muganga ufasha kugenzura uruhago ruremereye mu gatuza mu kuruhura imitsi yo ku rukuta rw'uruhago rwawe. Niba umaze igihe ufite ibyiyumvo byo kwihutira kunyara, kujya kenshi mu bwiherero, cyangwa gushoka rimwe na rimwe, muganga wawe ashobora kuba yaragusabye uyu muti kugira ngo agufashe kongera kugenzura no kumva umeze neza mu buzima bwawe bwa buri munsi.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa anticholinergics, ikora mu guhagarika ibimenyetso by'imitsi bituma uruhago rwawe rwikurura mu buryo butunguranye. Tekereza nk'uburyo bwo gutuza uruhago ruremereye rwakubabaje kandi rukakubangamira.

Oxybutynin ni iki?

Oxybutynin ni umuti unyobwa mu kanwa wagenewe cyane cyane kuvura ibimenyetso by'uruhago ruremereye. Uvuzwe neza mu myaka myinshi ishize kugira ngo ufashishe abantu gucunga ibibazo byo kugenzura uruhago bishobora kugira uruhare runini mu mibereho y'umuntu.

Uyu muti ukora ukoresha imitsi yoroshye iri mu ruhago rwawe, ukamufasha gukomeza inkari nyinshi neza mbere yo kumva ushaka kujya. Ibi bivuze ko utazajya uhagarika ibikorwa byawe byo gusinzira, akazi, n'ibikorwa byawe bya buri munsi.

Muganga wawe azagusaba oxybutynin iyo ubundi buryo nko kwitoza uruhago cyangwa guhindura imibereho bitatanze ubufasha buhagije. Ifatwa nk'ubuvuzi bwa mbere bw'uruhago ruremereye kubera imikorere yayo yemejwe kandi imiterere yayo y'umutekano isobanuka neza.

Oxybutynin ikoreshwa mu iki?

Oxybutynin ikoreshwa cyane cyane mu kuvura uruhago ruremereye, ikibazo aho imitsi y'uruhago rwawe yikurura kenshi cyangwa mu bihe bitari byo. Ibi bitera ibyo byiyumvo byihutirwa, bikomeye byo kunyara bishobora kugorana kugenzura.

Uyu muti ufasha ibimenyetso byinshi byihariye bishobora kugira ingaruka ku buzima bwawe bwa buri munsi:

• Gusaba cyane kwihagarika bigaragara ko bidashoboka gutinda
• Kunyara kenshi, cyane cyane nijoro
• Kutabasha kwifata, aho uvamo inkari iyo wumva ubushake bwo kwihagarika butunguranye
• Uburibwe bwo mu mpyiko butera kutumva neza cyangwa kubabara

Ibi bimenyetso bishobora gutuma ibikorwa byoroshye nk'ukujya ku kazi, kugenda, cyangwa kwishimira ibirori bisanzwe bigaragara nk'ibiteye ubwoba kandi bitunguranye. Oxybutynin ifasha gusubiza icyizere cyawe mu kukugaburira uburyo bwiza bwo kugenzura igihe n'uburyo bwo kunyara.

Abaganga rimwe na rimwe bandikira oxybutynin abana bahura n'ibibazo byo kunyagambwa cyangwa kunyara ku manywa, nubwo iyi mikoreshereze isaba gukurikiranwa neza no guhindura urugero.

Oxybutynin ikora ite?

Oxybutynin ikora ibyo ikingira imitsi ya acetylcholine mu mitsi yawe y'inkari. Acetylcholine ni ubutumwa bwa chimique bubwira inkari zawe gukora amasezerano no gusohoka, nubwo zituzuye bihagije kugirango ujye mu bwiherero.

Mugihe ukingira ibi bimenyetso, oxybutynin yemerera inkari zawe kuruhuka no gufata inkari nyinshi neza. Ibi bigabanya inshuro yo gukora amasezerano kandi biguha igihe kinini hagati yo gusura ubwiherero.

Uyu muti ufatwa nk'ukomeye kandi akenshi utangira gukora nyuma yamasaha make yo gufata urugero rwawe rwa mbere. Ariko, birashoboka ko uzabona impinduka zigaragara cyane mu bimenyetso byawe nyuma yo kubifata buri gihe mu gihe cy'icyumweru.

Ni ngombwa gusobanukirwa ko oxybutynin idakiza inkari zikabije, ahubwo igenzura neza ibimenyetso. Abantu benshi basanga imibereho yabo irushaho kumera neza iyo babonye urugero rukwiye rukora ku mubiri wabo.

Nkwiriye gufata oxybutynin nte?

Fata oxybutynin nkuko umuganga wawe abyandika, akenshi inshuro 2-3 kumunsi hamwe cyangwa nta funguro. Urashobora kubifata hamwe n'ikirahure cy'amazi, amata, cyangwa umutobe - icyo aricyo cyose cyumvikana neza mu gifu cyawe.

Niba wumva umubiri utameze neza, gerageza gufata umuti urya cyangwa unywa amata. Abantu bamwe basanga kurya agafunguro gato nk'imigati cyangwa toast bifasha kugabanya ibibazo byose byo mu gifu.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo ugumane urugero rwawo mu mubiri wawe. Abantu benshi babona ko bifasha guhuza imiti yabo n'ibikorwa bisanzwe nk'amafunguro cyangwa gahunda yo kuryama.

Ntugasenye, utwike, cyangwa umene ibinini keretse muganga wawe akubwiye kubikora. Niba ufata verisiyo irekura gahoro, ni ngombwa cyane kumira ikinini cyose kugira ngo kirekure umuti gahoro gahoro umunsi wose.

Guma neza amazi mugihe ufata oxybutynin, ariko ntugahagarike kunywa amazi menshi. Kunywa amazi bisanzwe birakwiriye kandi ntibizabangamira imikorere y'umuti.

Nzagomba Kumara Igihe Kingana Gite Ndafata Oxybutynin?

Igihe cyo kuvura na oxybutynin gitandukanye cyane ku muntu ku muntu, bitewe n'uburwayi bwawe bwihariye n'uburyo witwara neza ku muti. Abantu bamwe barayikeneye mu mezi make gusa, mu gihe abandi bungukirwa no kuyikoresha igihe kirekire.

Muganga wawe ashobora gutangira akugerageza mu byumweru bike kugira ngo arebe uko umubiri wawe witwara. Muri iki gihe, muzakorana kugira ngo mubone urugero rukwiye rwo kugenzura ibimenyetso byawe bitateje ingaruka zibabaje.

Abantu benshi bafite uruhara rurenze basanga ibimenyetso byabo bigenda neza cyane mu kwezi kwa mbere ko kuvurwa. Ariko, bamwe bashobora gukenera gufata oxybutynin mu mezi menshi cyangwa imyaka kugira ngo bagumane kugenzura neza uruhara.

Kugenzura buri gihe kwa muganga wawe ni ngombwa kugira ngo ukurikirane uko umuti ukora neza niba hariho impinduka zikenewe. Ntukigere uhagarika gufata oxybutynin ako kanya utabanje kubiganiraho n'umuganga wawe, kuko ibimenyetso byawe bishobora kugaruka.

Ni Iyihe Ngaruka Ziterwa na Oxybutynin?

Kimwe n'imiti yose, oxybutynin ishobora gutera ingaruka zidakunda, nubwo abantu benshi bayihanganira neza. Ingaruka zikunze kugaragara muri rusange ziroroshye kandi akenshi ziragenda zikemuka uko umubiri wawe wimenyereza umuti.

Dore ingaruka zishobora kugaragara cyane, zashyizwe ku rutonde kuva ku zikunze kugaragara cyane kugeza ku zitagaragara cyane:

• Umunwa wumye, ukora ku bantu bagera kuri 70% bafata oxybutynin
• Kugwiza umubiri, bikunze kugaragara ku bagera kuri 15% bakoresha uyu muti
• Gusinzira cyangwa kuribwa umutwe, cyane cyane igihe utangiye kuvurwa
• Kureba nabi cyangwa kugorwa no kureba ibintu biri hafi
• Isesemi cyangwa kuribwa mu nda gake
• Umutwe cyangwa kunanirwa

Inyinshi muri izi ngaruka zishobora gucungwa n'uburyo bworoshye nko kurumana chingamu idafite isukari kubera umunwa wumye, kongera ibiryo birimo fibre kubera kugwiza umubiri, cyangwa gufata umuti mbere yo kuryama niba gusinzira bibangamiye.

Abantu bamwe bahura n'ingaruka zitagaragara cyane ariko ziteye impungenge zikeneye ubufasha bw'abaganga:

• Kugwiza umubiri gukomeye kumara iminsi irenga mike
• Kugorwa no kwihagarika cyangwa kutabasha kwihagarika na gato
• Umutima utera cyane cyangwa utajegajega
• Kuribwa umutwe cyane cyangwa guta ubwenge
• Urujijo cyangwa ibibazo byo kwibuka, cyane cyane ku bantu bakuze
• Urubavu rukabije cyangwa kubyimba

Niba uhuye n'izo ngaruka zikomeye, vugana n'umuganga wawe vuba. Bashobora kugufasha kumenya niba ukeneye guhindura urugero rw'umuti wawe cyangwa guhindurirwa undi muti.

Gahoro, abantu bamwe bashobora guhura n'ibimenyetso byo kwivumbura ku miti birimo ibimenyetso nko kuribwa, kurigata, kubyimba, cyangwa kugorwa no guhumeka. Niba ubonye ibimenyetso byo kwivumbura ku miti, shaka ubufasha bw'abaganga ako kanya.

Ninde utagomba gufata Oxybutynin?

Oxybutynin ntabwo ikwiriye kuri buri wese, kandi umuganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Ibyiciro bimwe na bimwe bishobora gutuma uyu muti utaba mwiza cyangwa utagira akamaro kuri wewe.

Ntabwo ugomba gufata oxybutynin niba ufite kimwe muri ibi bibazo:

• Kuguma kw'inkari (kunanirwa gusuka inkari yawe yose)
• Kuguma kw'ifumbire ikabije cyangwa kubangamirwa kw'amara
• Glaucoma idafashwe neza y'impande zose
• Ulcerative colitis ikabije cyangwa toxic megacolon
• Myasthenia gravis (indwara yo kunanuka kw'imitsi)
• Allergie izwi kuri oxybutynin cyangwa imiti isa nayo

Muganga wawe azakoresha kandi ubwitonzi bwihariye niba ufite ibibazo by'ubuzima runaka bishobora kugirwaho ingaruka n'ingaruka za oxybutynin ku mubiri wawe.

Ibi bibazo bisaba gukurikiranwa neza kandi birashoboka ko imiti ihindurwa:

• Indwara y'impyiko cyangwa umwijima
• Ibibazo by'umutima, cyane cyane imirimo idahwitse
• Prostate yagutse ku bagabo
• Indwara ya gastroesophageal reflux (GERD)
• Kunanirwa kumenya cyangwa ubusazi
• Glaucoma ifashwe neza

Niba utwite cyangwa wonka, ganira ku byago n'inyungu na muganga wawe. Nubwo oxybutynin itazwiho gutera ubumuga bwo kuvuka, buri gihe ni byiza gupima neza icyo gikenewe cyo kuvurwa n'ibishobora kubaho byose.

Amazina y'ubwoko bwa Oxybutynin

Oxybutynin iboneka munsi y'amazina menshi y'ubwoko, nubwo verisiyo rusange ikora neza nk'uburyo bw'amoko. Izina risanzwe ni Ditropan, ryabayeho imyaka myinshi.

Urashobora kandi kubona verisiyo zirekura zicuruza nka Ditropan XL cyangwa oxybutynin rusange irekura. Ubu buryo butuma umuntu afata imiti rimwe ku munsi, abantu benshi babona ko byoroshye kuruta gufata imiti myinshi umunsi wose.

Andi mazina y'ubwoko arimo Oxytrol (iboneka nk'igishishwa cyo ku ruhu) na Gelnique (gel yo hejuru), nubwo ubu ari uburyo butandukanye muganga wawe yategeka kubera impamvu zihariye.

Niba wakira oxybutynin rusange cyangwa izina ry'ubucuruzi, ibikoresho by'ingenzi n'imikorere birasa. Farumasi yawe ishobora guhita ishyiraho izindi nyunganizi rusange kugira ngo igabanye amafaranga y'imiti yawe.

Izindi miti isimbura Oxybutynin

Niba oxybutynin itagukundiye cyangwa ikagutera ibibazo, hari imiti myinshi isimbura ishobora kugufasha gucunga ibimenyetso by'umuvuduko mwinshi w'urugingo rw'inkari. Muganga wawe ashobora kugufasha gushakisha izi nzira kugira ngo ubone iyikwiriye neza.

Izindi miti ya anticholinergic ikora kimwe na oxybutynin ariko ishobora kugira ingaruka zitandukanye:

• Tolterodine (Detrol) akenshi itera umunwa wumye gake
• Solifenacin (Vesicare) ishobora gufatwa rimwe ku munsi
• Darifenacin (Enablex) ishobora gutera ingaruka nke zo mu mutwe
• Fesoterodine (Toviaz) ikorwa mu buryo butandukanye n'umwijima wawe

Imiti mishya yitwa beta-3 agonists ikora mu buryo butandukanye kandi ishobora kuba inzira nziza niba anticholinergics itagukundiye.

Uburyo butari ubw'imiti nabwo bushobora kugira akamaro kanini, cyane cyane iyo buhuriye n'imiti:

• Imyitozo yo kwitoza urugingo rw'inkari
• Ubuvuzi bw'umubiri bw'urugingo rw'imbere
• Guhindura imirire
• Ingendo zateguwe zo kujya mu bwiherero
• Inshinge za Botox ku bantu bafite ibibazo bikomeye

Abantu benshi basanga guhuza imiti n'uburyo bwo kwitwara neza bitanga umusaruro mwiza w'igihe kirekire wo gucunga ibimenyetso by'umuvuduko mwinshi w'urugingo rw'inkari.

Ese Oxybutynin iruta Tolterodine?

Oxybutynin na tolterodine ni imiti ikoreshwa bwa mbere mu kuvura umuvuduko mwinshi w'urugingo rw'inkari, ariko bakora mu buryo butandukanye kandi bafite ingaruka zitandukanye. Nta n'imwe iruta indi - guhitamo akenshi biterwa n'icyo gikora neza ku kibazo cyawe cyihariye.

Oxybutynin ikunda gukora cyane kandi ishobora gutanga imiti myiza ku bantu bamwe. Nanone, akenshi ihendutse, cyane cyane mu buryo rusange, bituma iboneka ku buryo bukoreshwa igihe kirekire.

Ariko, tolterodine akenshi itera ingaruka nke, cyane cyane umunwa wumye n'ukwigunga. Abantu bamwe batashoboye kwihanganira oxybutynin basanga tolterodine yoroshye cyane gufata buri munsi.

Muganga wawe azatekereza ibintu byinshi muguhitamo hagati yiyi miti, harimo ibimenyetso byawe byihariye, izindi ndwara, imiti ikoreshwa ubu, nibyo ukunda kubijyanye no gutanga imiti.

Niba umuti umwe utagukundiye, akenshi birakwiye kugerageza undi. Abantu bamwe basubiza neza kuri oxybutynin, mugihe abandi bakunda tolterodine - nta buryo bwo kumenya niba bizagukundira neza utabigerageje.

Ibibazo Bikunze Kubazwa Kuri Oxybutynin

Ese Oxybutynin irinzwe kubantu barwaye indwara z'impyiko?

Oxybutynin irashobora gukoreshwa neza kubantu barwaye indwara z'impyiko zoroheje kugeza hagati, ariko muganga wawe ashobora guhindura urugero rwawe akagukurikirana neza. Kubera ko impyiko zawe zifasha gutunganya no gukuraho imiti, kugabanuka kw'imikorere y'impyiko bishobora gutuma oxybutynin yiyongera mumubiri wawe.

Niba ufite indwara zikomeye z'impyiko, muganga wawe ashobora gutangira kugutangira urugero ruto cyangwa agatekereza ku yindi miti. Igeragezwa ry'amaraso risanzwe rishobora gukenerwa kugirango hamenyekane niba imiti itera ibibazo byose byerekeye imikorere y'impyiko zawe.

Buri gihe menyesha muganga wawe kubyerekeye ibibazo byose byimpyiko mbere yo gutangira oxybutynin, kandi umenyeshe niba ugize ibimenyetso bishya nk'ukubyimba, impinduka mumitangire y'inkari, cyangwa umunaniro mugihe ufata imiti.

Nigute nzakora niba nifashishije cyane oxybutynin?

Niba wanyoye oxybutynin nyinshi mu buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe uburozi ako kanya, cyane cyane niba urimo guhura n'ibimenyetso nk'umunwa wumye cyane, umutima utera vuba, urujijo, cyangwa guhumeka bigoye.

Kunywa doze ebyiri rimwe na rimwe ntibiba bikunze guteza akaga, ariko ushobora guhura n'ingaruka zikomeye nk'ibitotsi, isereri, cyangwa umunwa wumye. Ntukagerageze "kwishyura" doze yiyongereye wirinda kunywa doze yawe iteganyijwe ikurikira.

Gukurikirana igihe unywa imiti yawe kugirango wirinde kunywa doze ebyiri mu buryo butunganye. Abantu benshi basanga abategura imiti cyangwa ibyibutsa bya terefone bigira akamaro mugukurikirana gahunda yabo yo kunywa imiti.

Nigute nzakora niba nanyimye doze ya Oxybutynin?

Niba wanyimye doze ya oxybutynin, yinywe ako kanya wibuka, keretse igihe kigeze cyo kunywa doze yawe iteganyijwe ikurikira. Muricyo gihe, irengagize doze wanyimye ukomeze gahunda yawe isanzwe.

Ntuzigere unywa doze ebyiri icyarimwe kugirango wishyure doze wanyimye, kuko ibi bishobora kongera ibyago byo guhura n'ingaruka. Niba ukunda kwibagirwa doze, tekereza gushyiraho alarme za terefone cyangwa gukoresha umutegurizi wimiti kugirango ugufashe kuguma ukurikiza.

Kunyima doze rimwe na rimwe ntizitera ibibazo bikomeye, ariko gerageza kugumana urwego rwa medicament muri sisitemu yawe kugirango ugire imikorere myiza y'ibimenyetso.

Nshobora guhagarika kunywa Oxybutynin ryari?

Ushobora guhagarika kunywa oxybutynin mugihe muganga wawe yemeje ko ari byiza kubikora, ibyo bikunze kuba mugihe ibimenyetso byawe byateye imbere cyane cyangwa niba urimo guhura n'ingaruka ziremereye kurusha inyungu.

Abantu bamwe bakenera oxybutynin mumyaka mike gusa mugihe bakora imyitozo yo kwitoza uruhago, mugihe abandi basaba kuvurwa igihe kirekire. Muganga wawe azagufasha kumenya igihe gikwiye gishingiye ku gisubizo cyawe n'ibyo ukeneye.

Ntugahagarike gufata oxybutynin ako kanya utabanje kubiganiraho na muganga wawe. Nubwo itagira ububata mu mubiri, kuyihagarika ako kanya bishobora gutuma ibimenyetso byawe byo kunanirwa kwihanganira inkari bisubira vuba, bishobora guteza akavuyo mu buzima bwawe bwa buri munsi.

Nshobora kunywa inzoga nkanwa oxybutynin?

Ushobora kunywa inzoga rimwe na rimwe nkanwa oxybutynin, ariko menya ko inzoga ishobora kongera ingaruka zo gutuza z'umuti. Ibi bivuze ko ushobora kumva urushije cyangwa uruka kurusha uko byari bisanzwe nyuma yo kunywa.

Gabanura kunywa inzoga kandi wirinde kunywa niba ukeneye gutwara imodoka cyangwa gukoresha imashini. Guhuza oxybutynin n'inzoga bishobora kubangamira imikorere yawe n'ubwenge kurusha uko ikintu kimwe cyonyine cyabikora.

Niba ubonye kurushaho gusinzira, kuruka, cyangwa izindi ngaruka iyo uhuje inzoga na oxybutynin, ni byiza kwirinda inzoga nkanwa uyu muti. Ganira na muganga wawe niba ufite impungenge ku bijyanye n'imikoranire y'inzoga.