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

Primidone ni umuti uvura ibibazo byo gufatwa n'indwara y'impyisi ufasha kugenzura ibimenyetso byo gufatwa n'indwara y'impyisi no kuvura umutwaro w'ingenzi. Uyu muti ukora utuza ibimenyetso by'imitsi ikora cyane mu bwonko bwawe, bigatuma uba uburyo bwiza bwo kuvura abantu bafite indwara y'impyisi cyangwa guhinda umushyitsi kudashoboka. Muganga wawe ashobora kugutera primidone iyo izindi miti zitatanze ubufasha buhagije, cyangwa nk'igice cy'uburyo bwo kuvura bugari kugirango ibimenyetso byawe bigenzurwe neza.

Primidone ni iki?

Primidone ni mu cyiciro cy'imiti yitwa anticonvulsants cyangwa imiti ivura indwara y'impyisi. Ni umuti wandikirwa na muganga usaba gukurikiranwa neza n'umuganga wawe. Iyo primidone yinjiye mu mubiri wawe, ihinduka ibintu bibiri bikora - phenobarbital na phenylethylmalonamide - bikorera hamwe kugirango bigenzure ibimenyetso byo gufatwa n'indwara y'impyisi.

Uyu muti umaze imyaka myinshi ukoreshwa neza mu gufasha abantu kubaho ubuzima bwuzuye nubwo bafite ibibazo byo mu bwonko. Nubwo bishobora gutera ubwoba mbere, primidone muri rusange yihanganirwa neza iyo ifashwe nkuko byategetswe na muganga wawe.

Primidone ikoreshwa mu kuvura iki?

Primidone ivura ibibazo bibiri by'ingenzi: indwara y'impyisi n'umutwaro w'ingenzi. Ku ndwara y'impyisi, ifasha gukumira ubwoko butandukanye bwo gufatwa n'indwara y'impyisi, harimo gufatwa n'indwara y'impyisi igice na gufatwa n'indwara y'impyisi rusange ya tonic-clonic. Muganga wawe ashobora kuyandika wenyine cyangwa akayihuza n'indi miti ivura indwara y'impyisi kugirango iguhe uburyo bwiza bwo kugenzura.

Umutwaro w'ingenzi ni ikindi kintu cy'ibanze primidone ikoreshwa. Iki kibazo gitera guhinda umushyitsi ku bushake, akenshi mu ntoki zawe, bishobora kubangamira ibikorwa bya buri munsi nko kwandika, kurya, cyangwa kunywa. Primidone irashobora kugabanya cyane uyu mutwaro, ikagufasha kongera kwigirira icyizere mu mirimo yawe ya buri munsi.

Rimwe na rimwe, abaganga bandika primidone ku bindi bibazo bifitanye isano n'imikorere idasanzwe y'ubwonko. Ibyo bishobora kuba birimo uburyo bumwe na bumwe bwo kutagenda neza cyangwa nk'igice cy'umugambi wihariye wo kuvura wa muganga w'imitsi y'ubwonko yateguye by'umwihariko ku byo ukeneye.

Primidone ikora ite?

Primidone ikora igihe ituma imikorere y'amashanyarazi mu bwonko bwawe ihagarara. Tekereza ku turemangingo tw'ubwonko bwawe nk'aho dufite utuzu duto tw'amashanyarazi dushobora gukora vuba cyangwa mu buryo butunguranye. Uyu muti ufasha guteza imbere utwo tuzu, ukabuza ibitero by'amashanyarazi bitunguranye bitera ibibazo byo gufatwa cyangwa guhinda umushyitsi.

Uyu muti ufashwe nk'ukomeye mu buryo buciriritse mu miti igabanya gufatwa. Ntabwo ari wo muti woroshye uboneka, ariko kandi si wo ukomeye cyane. Uku gukomera guciriritse bituma bikwira abantu benshi bakeneye kugenzura neza gufatwa batagize ingaruka zikabije.

Umubiri wawe ukoresha primidone ukawuhinduramo phenobarbital, ikomeza gukora mu mubiri wawe amasaha menshi. Iyi mikorere yagutse ifasha gutanga uburinzi buhamye, bw'amasaha yose ku gufatwa cyangwa ibihe byo guhinda umushyitsi.

Nkwiriye gufata Primidone nte?

Fata primidone nk'uko umuganga wawe abitegeka, akenshi inshuro 2-4 ku munsi hamwe n'ibiryo cyangwa utabifite. Urashobora kuyifata hamwe n'amata cyangwa amazi - icyo cyose wumva kigushimishije mu gifu cyawe. Abantu benshi basanga kuyifata hamwe n'ibiryo bifasha kugabanya ibibazo byose byo mu gifu.

Gutangira primidone bisaba kwihangana kuko umuganga wawe ashobora gutangira n'urugero ruto buhoro buhoro akarwongera mu byumweru byinshi. Ubu buryo butinda bufasha umubiri wawe guhuza kandi bugabanya ingaruka nk'izindi zirimo isereri cyangwa gusinzira bishobora kubaho igihe utangiye vuba cyane.

Gerageza gufata imiti yawe ku masaha amwe buri munsi kugira ngo ugumane urugero rwo hejuru mu maraso yawe. Gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'imiti birashobora kugufasha kuguma ukurikiza gahunda. Niba uyifata inshuro nyinshi ku munsi, shyira intera hagati y'imiti mu masaha yawe yo kubyuka.

Mimina ibinini byose hamwe n'amazi menshi. Ntugasenye, utahe cyangwa ubice keretse muganga wawe akubwiye kubikora. Abantu bamwe basanga byoroshye gufata imiti yabo hamwe n'akantu gato ko kurya cyangwa ifunguro kugirango birinde kutagira ibibazo byo mu gifu.

Mbonye kumara igihe kingana iki mfata Primidone?

Abantu benshi bafata primidone mu mezi cyangwa imyaka, kuko akenshi ni uburyo bwo kuvura igihe kirekire aho kuba igisubizo kigufi. Igihe nyacyo giterwa n'uburwayi bwawe bwihariye n'uburyo wemera imiti. Kubijyanye na epilepsi, abantu benshi bakomeza kuyifata nyuma y'imyaka myinshi batagifite ibibazo byo gufatwa.

Muganga wawe azagenzura buri gihe uko urimo utera imbere kandi ashobora guhindura gahunda yawe yo kuvura uko igihe kigenda. Abantu bamwe bashobora gukora nyuma yo kugabanya urugero rwabo cyangwa guhagarika gufata primidone rwose, mugihe abandi bashobora kuyikomeza iteka kugirango bagumane kugenzura neza ibibazo byo gufatwa cyangwa gucunga umutima.

Ntuzigere uhagarika gufata primidone ako kanya, kuko ibi bishobora gutera ibibazo byo gufatwa bikomeye niba utari watangiye kuyifata kubera epilepsi. Muganga wawe azashyiraho gahunda yo kugabanya buhoro buhoro niba ukeneye guhagarika imiti.

Ni izihe ngaruka ziterwa na Primidone?

Kimwe n'imiti yose, primidone irashobora gutera ingaruka, nubwo abantu benshi bayihanganira neza igihe umubiri wabo umaze kuyimenyera. Kumenya icyo witegura birashobora kugufasha kumva witeguye kandi ukamenya igihe wahamagara umuganga wawe.

Ingaruka zisanzwe ushobora guhura nazo zirimo gusinzira, kuribwa umutwe, no kumva utagendera neza ku birenge byawe. Izi ngaruka akenshi zigaragara cyane iyo utangiye gufata primidone cyangwa iyo urugero rwawe ruzamutse.

• Gusinzira cyane cyangwa kumva unaniwe
• Kuribwa umutwe cyangwa kumva uruka
• Urugaruka cyangwa kubabara mu nda
• Kubura ubushake bwo kurya
• Ibibazo byo guhuza ibice by'umubiri
• Kwirakwiza cyangwa guhinduka kw'amarangamutima

Ibi bimenyetso bikunze koroha uko umubiri wawe ukimenyereza umuti mu byumweru bike bya mbere. Gufata primidone hamwe n'ibiryo no kuruhuka bihagije bishobora gufasha kugabanya ibi bimenyetso.

Ingaruka zikomeye zikeneye ubufasha bwihuse bw'abaganga kandi ntizikunze kubaho ariko ni ngombwa kuzimenya. Izi ngaruka zitabaho kenshi ariko zikomeye zikeneye isuzuma ryihuse na muganga wawe.

• Uruhu rurwaye cyane cyangwa gushishuka
• Kubura umwuka cyangwa kubura kumeza
• Kuvurungana cyane cyangwa ibibazo byo kwibuka
• Kutekereza kwikomeretsa cyangwa kwiyahura
• Kugufuka cyane cyangwa kubabara mu magufa
• Ukuva amaraso cyangwa gukomeretsa bidasanzwe

Vugana n'umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye. Nubwo bitabaho kenshi, bishobora kwerekana ingaruka zishobora guteza akaga zikeneye ubufasha bwihuse bw'abaganga.

Ninde utagomba gufata Primidone?

Abantu bamwe bagomba kwirinda primidone kubera kwiyongera kw'akaga ko kugira ibibazo bikomeye. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugutangira uyu muti kugirango yemeze ko ari mutekano kuri wowe.

Ntabwo ugomba gufata primidone niba ufite allergie izwi kuri primidone, phenobarbital, cyangwa imiti iyo ariyo yose ya barbiturate. Abantu bafite porphyria idahoraho, indwara idasanzwe ya genetike igira ingaruka ku mikorere y'amaraso, bagomba kandi kwirinda uyu muti kuko ushobora gutera ibitero biteje akaga.

Indwara nyinshi zisaba kwitonda cyane mugihe cyo gutekereza ku kuvura primidone. Umuganga wawe azagereranya inyungu n'akaga gashoboka niba ufite kimwe muri ibi bimenyetso.

• Indwara ikomeye y'impyiko cyangwa umwijima
• Indwara zo mu myanya y'ubuhumekero nka asima ikomeye cyangwa COPD
• Amateka yo kwiheba cyangwa kugerageza kwiyahura
• Ibibazo byo gukoresha ibiyobyabwenge
• Indwara zo mu bwonko

Kuba utwite no konsa bisaba kwitondera cyane primidone. Nubwo umuti ushobora gukoreshwa mu gihe cyo gutwita iyo kugenzura ibyuririzi ari ngombwa, bishobora kongera ibyago byo kuvuka kw'abana bafite ubumuga kandi bisaba gukurikiranwa neza n'inzobere.

Amazina y'ubwoko bwa Primidone

Primidone iboneka ku izina rya Mysoline muri Leta Zunze Ubumwe z'Amerika. Ariko, ubwoko bwa primidone busanzwe buboneka kandi bukora neza nk'umuti w'izina ry'ubwoko.

Farumasi yawe ishobora gusimbuza primidone rusange ku bwoko bw'izina ry'ubwoko keretse muganga wawe asabye by'umwihariko izina ry'ubwoko. Imiti rusange irimo ibikoresho bikora kimwe kandi ikuzuza ibisabwa by'ubuziranenge kimwe, akenshi ku giciro gito.

Uburyo bwa Primidone

Imiti myinshi isimbura ishobora kuvura igituntu na tremor y'ingenzi niba primidone itagukwiriye. Muganga wawe ashobora gutekereza kuri izi nzira ashingiye ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, no kwihanganira imiti itandukanye.

Ku gituntu, ibindi bisimbura birimo imiti mishya irwanya ibyuririzi nka levetiracetam, lamotrigine, cyangwa carbamazepine. Iyi miti ikora hakoreshejwe uburyo butandukanye kandi ishobora kugira ingaruka zitandukanye zishobora gukwira neza ibyo ukeneye.

Tremor y'ingenzi nayo ishobora kuvurwa na propranolol, umuti wa beta-blocker akenshi ukoreshwa mbere na mbere mu kuvura iyi ndwara. Abantu bamwe basubiza neza kuri propranolol kurusha primidone, mu gihe abandi bakeneye uruvange rw'iyo miti yombi kugirango bagenzure neza tremor.

Ese Primidone iruta Phenytoin?

Primidone na phenytoin zombi ni imiti ikora neza igabanya ibibazo byo mu bwonko, ariko zikora mu buryo butandukanye kandi zifite inyungu zihariye. Nta muti n'umwe ushobora kuvugwa ko "aruta undi" - guhitamo neza biterwa n'uburyo umubiri wawe ubyakira, uko wihanganira ingaruka mbi, n'ubwoko bw'ibibazo byawe byihariye byo mu bwonko.

Primidone ishobora gukundwa ku bantu bagira ingaruka mbi zikomeye za phenytoin, nk'uko imyaka y'ishinya yiyongera cyangwa impinduka zigaragara ku mubiri. Abantu bamwe kandi basanga primidone ikora neza ku bwoko bumwe bw'ibibazo byo mu bwonko, cyane cyane ibibazo bya partial.

Phenytoin ifite inyungu yo kuboneka mu buryo bw'urushinge ku bibazo byihutirwa kandi biroroshye gukurikiranwa hakoreshejwe ibizamini by'amaraso. Muganga wawe azagufasha kumenya umuti utanga uburinganire bwiza bw'imikorere n'ubushobozi bwo kwihanganira ibibazo byawe byihariye.

Ibikunze Kubazwa Kuri Primidone

Ese Primidone irakwiriye ku bantu barwaye indwara z'umutima?

Primidone muri rusange irashobora gukoreshwa neza ku bantu barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza. Uyu muti rimwe na rimwe ushobora kugira ingaruka ku mutima cyangwa umuvuduko w'amaraso, cyane cyane iyo utangiye kuwufata cyangwa iyo doze zihindurwa.

Muganga wawe azatekereza ku ndwara yawe y'umutima kandi ashobora kwifuza kugukurikiranira hafi mu byumweru bya mbere by'imiti. Wibuke gutanga raporo ku kubabara mu gituza, umutima udatera neza, cyangwa guhumeka nabi ku muganga wawe vuba.

Nigira iki niba nanyweye primidone nyinshi ku buryo butunguranye?

Niba unyweye primidone nyinshi, hamagara serivisi zihutirwa cyangwa ugenzure iby'uburozi ako kanya. Kunywa primidone nyinshi bishobora gutera gusinzira cyane, urujijo, kugorwa no guhumeka, ndetse n'ibibazo bishobora guteza akaga.

Ntugerageze kwisukisha cyangwa gutegereza kureba niba wumva umeze neza. N'iyo wumva umeze neza mbere, kunywa primidone nyinshi bishobora kwiyongera uko igihe kigenda. Shakisha ubufasha bw'ubuvuzi ako kanya, kandi uzane icupa ry'umuti kugira ngo ufashe abaganga kumenya uburyo bwo kuvura neza.

Nkwiriye Gukora iki niba nciwe urugero rwa Primidone?

Niba wibagiwe gufata urugero rwa primidone, rufate uko ubyibutse, keretse igihe cyo gufata urugero rukurikira rwegereje. Muri urwo rubanza, reka urugero wibagiwe ukomeze gahunda yawe isanzwe. Ntukigere ufata urugero ebyiri icyarimwe kugirango usubize urugero wibagiwe.

Kutagera gufata urugero rimwe na rimwe ntibigira akaga, ariko gerageza kugumana urugero ruhamye mu maraso yawe kugirango ugire uburwayi bwiza cyangwa kugenzura umutwaro. Niba ukunda kwibagirwa urugero, tekereza gukoresha umuteguro w'ibinyobwa cyangwa gushyiraho ibyibutso kuri terefone kugirango bigufashe kuguma ku murongo.

Nshobora Kureka Gufata Primidone ryari?

Reka gufata primidone gusa igihe muganga wawe akubwiye ko bifite umutekano kubikora. Guhagarara ako kanya bishobora gutera ibibazo by'uburwayi bukomeye, niyo utari warabifashwe mbere kubera igituntu. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro niba guhagarika bikwiye.

Umwanzuro wo guhagarika primidone biterwa n'ibintu nk'igihe umaze utagira ibibazo by'uburwayi, uburwayi bwawe bw'ibanze, n'ubuzima bwawe muri rusange. Abantu bamwe bashobora gukura umuti, mugihe abandi bakeneye kuwukomeza igihe kirekire kugirango bagire uburwayi bwiza.

Nshobora Kunywa Alcool niba mfata Primidone?

Ugomba kwirinda alcool niba ufata primidone cyangwa unywa gusa ibintu bito cyane niba muganga wawe abibemereye. Alcool ishobora kongera ingaruka zo gutuza za primidone, bigatuma ugira ibitotsi byinshi, urujijo, n'ibibazo byo guhuza ibintu.

Ubu bwoko bushobora kandi kongera ibyago byawe byo kurwara ibibazo by'uburwayi kandi bushobora kubangamira imikorere y'umuti. Niba uhisemo kunywa rimwe na rimwe, ganira ku byerekeye umutekano n'umuganga wawe kandi ntukigere unywa niba ufite ingaruka zituruka ku muti wawe.