Tamsulosin ni iki: Ibikoresho, Uburyo bwo Gukoresha, Ingaruka, n'ibindi

Tamsulosin ni umuti ufasha abagabo bafite ibimenyetso byo kwiyongera kwa prostate kunyara byoroshye. Ukora ureka imitsi ikikije prostate yawe n'ijosi ry'urugingo rw'inkari, ibyo bikaba bigabanya umunaniro n'akababaro ushobora kumva mugihe ugerageza gusukura urugingo rw'inkari. Uyu muti woroshye ariko ukora neza wafashije abagabo babarirwa muri za miliyoni kugarura ubushobozi bwo kugenzura ibimenyetso byabo byo kunyara no kunoza imibereho yabo.

Tamsulosin ni iki?

Tamsulosin ni mu cyiciro cy'imiti yitwa alpha-blockers. Tekereza nk'umuti woroshya imitsi wibanda cyane ku mitsi yoroshye muri prostate yawe n'agace k'urugingo rw'inkari. Iyo iyi mitsi ifashe cyane, ishobora gukanda urethra yawe (urugingo rutwara inkari hanze y'umubiri wawe) kandi bigatuma kunyara bigorana cyangwa bitaryoshye.

Uyu muti wabanje gukorwa mu myaka ya za 1990 kuva icyo gihe wabaye umwe mu miti ikoreshwa cyane mu kuvura benign prostatic hyperplasia (BPH), iryo rikaba ari izina ry'ubuvuzi ry'umuti wiyongereye wa prostate. Ifatwa nk'ubuvuzi bwa mbere, bisobanura ko abaganga bakunze kuyisaba nk'inzira ya mbere kubera imikorere yayo n'ingaruka zoroheje.

Tamsulosin ikoreshwa mu kuvura iki?

Tamsulosin ikoreshwa cyane mu kuvura ibimenyetso byo kunyara bya benign prostatic hyperplasia (BPH). Iyo abagabo bakuze, urugingo rwabo rwa prostate rukura mu buryo busanzwe, kandi uku gukura gushobora gukanda kuri urethra, bigatuma habaho ingaruka zituma kunyara bigorana.

Ibimenyetso tamsulosin ifasha gukemura birimo urugingo rw'inkari rutagira imbaraga, kugorana gutangira kunyara, kunyara kenshi (cyane cyane nijoro), no kumva ko urugingo rw'inkari rwawe rutuzuye neza nyuma yo kunyara. Abagabo benshi kandi bahura no guhura n'ibishuko byo kunyara bishobora kugorana kugenzura.

Rimwe na rimwe, abaganga bashobora kwandika imiti ya tamsulosin idakoreshwa mu buryo bwemewe kugira ngo ifashe mu guca ibuye ryo mu mpyiko. Imiterere imwe yo kuruhura imitsi ifasha mu bimenyetso bya prostate irashobora no gufasha amabuye kunyura byoroshye mu nzira yawe y'inkari, nubwo iyi mikoreshereze isaba kugenzurwa neza na muganga.

Ni gute Tamsulosin ikora?

Tamsulosin ifatwa nk'umuti ukomeye cyane ukora mu guhagarika imiterere yihariye yitwa alpha-1 receptors. Izi receptors ziboneka mu mitsi yoroshye ya prostate yawe, ijosi ry'umubiri w'inkari, na urethra. Iyo tamsulosin ihagaritse izi receptors, irinda ibimenyetso byimiti bimwe na bimwe guhagarika iyi mitsi.

Ibyavuyemo ni uko imitsi iruhuka, bigatuma inzira y'inkari yaguka. Ibi ntibigabanya prostate yawe, ariko bigabanya umuvuduko n'ubushobozi butuma kunyara bigorana. Abantu benshi babona impinduka mu minsi mike kugeza ku cyumweru nyuma yo gutangira umuti.

Igituma tamsulosin ikora neza cyane ni ubushobozi bwayo bwo guhitamo. Yagenewe kwibanda cyane kuri alpha-1A receptors, ziboneka cyane mu gice cya prostate. Ubu bushobozi bwo guhitamo bufasha kugabanya ingaruka ku bindi bice by'umubiri wawe mugihe wongera inyungu ku bimenyetso by'inkari.

Nkwiriye gufata Tamsulosin nte?

Tamsulosin ikwiriye gufatwa neza nkuko muganga wawe abyandika, akenshi rimwe ku munsi hafi y'iminota 30 nyuma y'ifunguro rimwe buri munsi. Kuyifata nyuma yo kurya bifasha umubiri wawe gukurura umuti neza kandi birashobora kugabanya ibyago byo kuribwa umutwe cyangwa kumva uruhuka.

Mimina ikinini cyose hamwe n'ikirahure cyuzuye cy'amazi. Ntukamenagure, ntukome cyangwa ufungure ikinini, kuko ibi bishobora kurekura imiti myinshi icyarimwe kandi bikongera ibyago byo kugira ingaruka ziterwa n'umuti. Ikinini cyagenewe kurekura umuti buhoro buhoro umunsi wose kugirango ukore neza.

Niba ugitangira gufata tamsulosin, muganga wawe ashobora gutangira n'urugero ruto kugira ngo arebe uko umubiri wawe witwara. Bashobora kongera urugero buhoro buhoro niba bibaye ngombwa. Ni ngombwa kwihangana, kuko bishobora gufata ibyumweru byinshi kugira ngo wumve inyungu zose z'umuti.

Gerageza gufata tamsulosin ku gihe kimwe buri munsi kugira ngo ugumane urugero rwo hejuru mu mubiri wawe. Abantu benshi babona ko bifasha guhuza gufata imiti yabo n'akazi ka buri munsi, nk'inyuma ya saa sita cyangwa saa moya, kugira ngo bibafashe kwibuka urugero rwabo rwa buri munsi.

Nzagomba Gufata Tamsulosin Igihe Kingana Gite?

Tamsulosin akenshi ni uburyo bwo kuvura burambye uzakomeza igihe cyose bifasha ibimenyetso byawe kandi ukabyihanganira neza. Kubera ko BPH ari indwara idakira ikunda gutera buhoro buhoro uko igihe kigenda, abagabo benshi bakeneye kuvurwa buri gihe kugira ngo bagumane imbaraga zo kugabanya ibimenyetso.

Muganga wawe azagenzura buri gihe uko umuti ukora neza kuri wewe niba hari ingaruka mbi zikubaho. Ibi bisuzumwa akenshi bibaho buri mezi make mbere na mbere, hanyuma bishobora gutandukanywa igihe ubuvuzi bwawe bumaze gukomera.

Abagabo bamwe bashobora kugabanya urugero rwabo uko igihe kigenda niba ibimenyetso byabo bigabanuka cyane, mu gihe abandi bashobora gukenera kongera urugero cyangwa kongeraho indi miti. Ikintu cyingenzi ni ugukorana bya hafi n'umuganga wawe kugira ngo abone uburyo bukora neza ku miterere yawe yihariye.

Ntuzigere uhagarika gufata tamsulosin ako kanya utabanje kuvugana na muganga wawe. Nubwo muri rusange ari byiza guhagarika, kubikora bishobora gutuma ibimenyetso byawe bisubira, kandi rimwe na rimwe, guhagarara ako kanya bishobora gutera ibibazo by'agateganyo byo kunanirwa kwihagarika.

Ni Iyihe Ngaruka Ziterwa na Tamsulosin?

Kimwe n'indi miti yose, tamsulosin ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Kumva icyo witegura bishobora kugufasha kumva ufite icyizere cyinshi ku buvuzi bwawe kandi ukamenya igihe wakwiyambaza umuganga wawe.

Ingaruka zikunze kugaragara zikunze kuba nto kandi akenshi zikagenda zikemuka umubiri wawe umaze kumenyera umuti:

• Kuribwa umutwe cyangwa kumva uruhuka, cyane cyane iyo uhagurutse vuba
• Kuribwa umutwe
• Izuru riva amazi cyangwa ryiziba
• Gusinzira cyangwa kumva unaniwe
• Isesemi cyangwa kuribwa mu nda
• Kuribwa mu mugongo
• Kugabanyuka kw'umusemburo w'amasohoro igihe cy'imibonano mpuzabitsina

Izi ngaruka zisanzwe zikunze gushira mu minsi mike cyangwa mu byumweru umubiri wawe umaze kumenyera umuti. Niba zikomeje cyangwa zikaba zikomeye, muganga wawe akenshi ashobora guhindura urugero rw'umuti cyangwa igihe wo ufata kugirango agabanye ibi bibazo.

Ingaruka zitagaragara cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga, nubwo bidakunze kubaho:

• Kumva uribwa cyane cyangwa kugwa igihumure
• Kuribwa mu gituza cyangwa umutima wihuta
• Kugira imboro ireguka iruta amasaha 4
• Ubwivumbagatanyo bukomeye bwo mu mubiri hamwe n'uruhu rurya, kubyimba, cyangwa guhumeka bigoranye
• Impinduka zidasanzwe mu mbono cyangwa kuribwa mu jisho

Ikintu cyihariye gihangayikishije ku bagabo bateganyirijwe kubagwa ijisho ryitwa cataract ni indwara yitwa Intraoperative Floppy Iris Syndrome (IFIS). Niba ufata tamsulosin kandi ukeneye kubagwa ijisho, gerageza kubwira muganga wawe w'amaso mbere y'igihe kugirango ashobore gufata ingamba zikwiye.

Ninde utagomba gufata Tamsulosin?

Tamsulosin ntabwo ikwiriye kuri buri wese, kandi ibibazo by'ubuzima runaka cyangwa ibihe bituma bitagendwa neza. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba uyu muti kugirango yemeze ko ari mutekano kuri wewe.

Ntabwo ugomba gufata tamsulosin niba ufite allergie kuri wo cyangwa kuri kimwe mu bigize wo, cyangwa niba ufite amateka y'ubwivumbagatanyo bukomeye bwo mu mubiri ku bindi bice bya alpha. Abantu bafite indwara ikomeye y'umwijima bashobora kandi gukenera kwirinda tamsulosin cyangwa gukenera gukurikiranwa byihariye no guhindura urugero rw'umuti.

Ibibazo byinshi by'ubuzima bisaba kwitonda cyane no gukurikiranwa hafi mugihe cyo gutekereza kuri tamsulosin:

• Umutsi w'amaraso make cyangwa amateka yo guta umutwe
• Indwara y'umutima cyangwa imikorere idasanzwe y'umutima
• Indwara y'impyiko
• Kubagwa ijisho rya kataraki cyangwa izindi operasiyo z'amaso ziteganyijwe
• Amateka ya kanseri ya prostate

Tamsulosin ishobora gukururana n'izindi miti, cyane cyane iyifashishwa mu kuvura umuvuduko ukabije w'amaraso, kutagira ubushobozi bwo gushyira mu bikorwa, cyangwa imiti imwe na rimwe ikoreshwa mu kurwanya imyungu. Buri gihe jya uha muganga urutonde rwuzuye rw'imiti yose, ibyongerera imbaraga, n'ibicuruzwa by'ibyatsi urimo gufata.

Abagore n'abana ntibagomba gufata tamsulosin, kuko yagenewe by'umwihariko imiterere y'inzira y'inkari y'abagabo kandi ntirigeze yigwaho umutekano wayo muri iyi miryango.

Amazina y'ubwoko bwa Tamsulosin

Tamsulosin iboneka mu mazina menshi y'ubwoko, Flomax ikaba ari ryo zina ry'ubwoko bw'umwimerere rizwi cyane. Andi mazina y'ubwoko arimo Flomaxtra, Urimax, na Tamnic, nubwo kuboneka bitandukanye bitewe n'igihugu n'akarere.

Tamsulosin rusange iboneka cyane kandi ikubiyemo ibikoresho bikora kimwe n'ubwoko bw'amazina. Imiti rusange igomba kuzuza ubuziranenge bukomeye n'amabwiriza y'imikorere kimwe n'imiti y'amazina y'ubwoko, ibituma iba igisubizo cyiza cyane ku barwayi benshi.

Uramutse wakira tamsulosin y'ubwoko cyangwa rusange, umuti ukora kimwe kandi utanga inyungu zimwe. Farumasi yawe ishobora guhita isimbura tamsulosin rusange keretse muganga wawe asabye by'umwihariko ubwoko bw'izina.

Uburyo bwo gusimbura Tamsulosin

Niba tamsulosin itagukundiye cyangwa ikaba itera ingaruka zikubangamiye, hari uburyo bwinshi bwo kuvura buriho. Muganga wawe ashobora kugufasha gushakisha izi nzira kugirango abone uburyo bwiza bw'imikorere y'ikibazo cyawe.

Izindi alpha-blockers zikora kimwe na tamsulosin ariko zishobora kugira ingaruka zitandukanye. Muri zo harimo alfuzosin (Uroxatral), doxazosin (Cardura), terazosin (Hytrin), na silodosin (Rapaflo). Buri imwe ifite ibiranga bitandukanye bishobora gutuma imwe ikwira kurusha izindi.

5-alpha reductase inhibitors nka finasteride (Proscar) na dutasteride (Avodart) zikora mu buryo butandukanye binyuze mu kugabanya prostate uko igihe kigenda gishira. Izi miti zishobora gukoreshwa zonyine cyangwa zifatanyije na alpha-blockers ku bagabo bafite prostate nini.

Ku bagabo batitabira imiti neza, hari uburyo butandukanye butagira ingaruka nyinshi ndetse n'uburyo bwo kubaga burahari. Ibi birimo kuvurira mu biro kugeza ku buryo bwo kubaga burambuye, bitewe n'ubunini bwa prostate yawe n'uburemere bw'ibimenyetso byawe.

Ese Tamsulosin iruta Alfuzosin?

Zombi tamsulosin na alfuzosin ni alpha-blockers zikora neza mu kuvura ibimenyetso bya BPH, ariko zifite itandukaniro rikomeye rishobora gutuma imwe ikwira kurusha iyindi. Nta n'imwe iruta izindi - guhitamo biterwa n'uko ubuzima bwawe bwite bumeze n'uko umubiri wawe witwara kuri buri muti.

Tamsulosin yihariye cyane ku gice cya prostate, bivuze ko bidashoboka ko byagira ingaruka ku mitsi yawe. Ibi bituma iba nziza ku bagabo bafite umuvuduko w'amaraso usanzwe cyangwa abafite impungenge zo kuribwa. Ariko, tamsulosin irashobora kugira ingaruka ku gusohora, ibintu abagabo bamwe babona ko bibahangayikisha.

Alfuzosin igira ingaruka nkeya ku gusohora ariko ishobora gutera kuribwa n'imihindagurikire y'umuvuduko w'amaraso. Akenshi ifatwa kabiri ku munsi, mu gihe tamsulosin ikunze gufatwa rimwe ku munsi, ibintu abantu bamwe babona ko byoroshye mu gukomeza gahunda yo gufata imiti.

Imiti yombi ikoreshwa neza kandi ifitiye akamaro abagabo benshi bafite BPH. Muganga wawe azatekereza ku bintu nk'umuvuduko w'amaraso yawe, indi miti urimo gufata, n'ibyo ukunda kugira ngo agushakire umuti wa alpha-blocker wakugirira akamaro.

Ibibazo Bikunze Kubazwa Kuri Tamsulosin

Ese Tamsulosin irakwiriye ku barwayi b'indwara z'umutima?

Tamsulosin irashobora gukoreshwa neza n'abagabo benshi bafite indwara z'umutima, ariko bisaba gukurikiranwa neza no gusuzuma indwara yawe y'umutima. Kubera ko tamsulosin ishobora kugabanya umuvuduko w'amaraso, muganga wawe azagomba gusuzuma niba iyi ngaruka ishobora kugirana imikoranire n'imiti yawe y'umutima cyangwa indwara yawe.

Niba ufite indwara y'umutima, muganga wawe ashobora gutangira n'urugero ruto hanyuma akagenzura umuvuduko w'amaraso yawe neza igihe utangiye gufata tamsulosin. Bazanasuzuma imiti yawe yose y'umutima kugira ngo barebe ko nta mikoranire igoye ishobora kugira ingaruka ku buzima bwawe bw'imitsi y'umutima.

Indwara zimwe na zimwe z'umutima, nk'ubwoko bumwe na bumwe bw'ibibazo by'umutima cyangwa kunanirwa gukomeye k'umutima, bishobora gusaba ingamba zidasanzwe cyangwa uburyo bwo kuvura butandukanye. Buri gihe ganira ku mateka yawe yose y'umutima na muganga wawe mbere yo gutangira gufata tamsulosin.

Nkwiriye gukora iki niba nifashishije tamsulosin nyinshi ku buryo butunguranye?

Niba ufashishije tamsulosin nyinshi ku buryo butunguranye kuruta uko byategetswe, hamagara muganga wawe cyangwa ikigo gishinzwe kurwanya uburozi ako kanya, kabone n'iyo wumva umeze neza. Gufata tamsulosin nyinshi bishobora gutera umuvuduko w'amaraso muke cyane, bishobora guteza akaga kandi bigasaba ubufasha bwa muganga.

Ibimenyetso byo kurenza urugero rwa tamsulosin birimo kuribwa cyane, guta umutwe, umutima wihuta, cyangwa kumva unaniwe cyane. Niba ubonye ibi bimenyetso, shaka ubufasha bwihutirwa bwa muganga ako kanya. Ntugerageze kwitwara ku bitaro - hamagara ubufasha bwihutirwa cyangwa usabe undi muntu kukujyana.

Kugira ngo wirinde gufata imiti irenze urugero, bika imiti yawe ya tamsulosin mu gikoresho cyayo cy'umwimerere gifite ibirango bisobanutse, kandi ushobora gukoresha agasanduku ko gutegura imiti niba ufata imiti myinshi. Ntukigere ufata doze ebyiri niba wibagiwe gufata umuti wawe.

Nkwiriye gukora iki niba nibagiwe gufata doze ya Tamsulosin?

Niba wibagiwe doze ya tamsulosin, uyifate ako kanya wibukije, ariko niba hashize amasaha atarenze 12 kuva igihe usanzwe ufata umuti wawe. Niba hashize amasaha arenga 12 cyangwa igihe cyo gufata doze ikurikira kigeze, reka doze wibagiwe hanyuma usubire ku gahunda yawe isanzwe.

Ntuzigere ufata doze ebyiri icyarimwe kugira ngo usubize doze wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka zirimo isereri no kugabanuka k'umuvuduko w'amaraso. Biruta kwibagirwa doze imwe kuruta gushyira mu kaga ko gufata imiti myinshi icyarimwe.

Niba ukunda kwibagirwa gufata tamsulosin yawe, tekereza gushyiraho alarume ya buri munsi cyangwa kuyihuza n'akazi ka buri munsi nk'amafunguro. Gufata imiti buri munsi bifasha gukomeza urwego rwawo mu mubiri wawe kugira ngo urwanye ibimenyetso neza.

Nshobora guhagarika ryari gufata Tamsulosin?

Ugomba guhagarika gufata tamsulosin nyuma yo kubiganiraho na muganga wawe, kuko BPH akenshi ni indwara idakira isaba gukomeza kuyivura. Muganga wawe azagufasha gusuzuma niba ibimenyetso byawe byarushijeho gukira bihagije kugira ngo ugerageze guhagarika imiti cyangwa niba izindi mvura zishobora gukwiriye.

Abagabo bamwe bashobora kugabanya doze yabo cyangwa guhagarika gufata tamsulosin niba ibimenyetso byabo byarushijeho gukira cyane, ingano ya prostate yabo yihagaze, cyangwa niba barabazwe BPH yabo. Ariko, ibimenyetso akenshi bisubira niba imiti ihagaritswe burundu.

Niba wowe na muganga wawe mwafata icyemezo cyo guhagarika tamsulosin, bashobora kugusaba kugabanya buhoro buhoro aho guhagarika ako kanya. Ubu buryo bufasha kugabanya ibyago byo gusubira kw'ibimenyetso kandi bikagufasha gukurikirana uko umubiri wawe witwara ku mpinduka z'imiti.

Nshobora gufata Tamsulosin hamwe n'indi miti?

Tamsulosin ishobora gukorana n'imiti myinshi, bityo ni ngombwa kubwira muganga wawe ibyo ufata byose, harimo imiti yandikwa na muganga, imiti igurishwa ku isoko, n'ibiyongera. Imwe mu mikoranire ishobora gucungwa hakoreshejwe guhindura urugero rw'umuti cyangwa gukurikiranwa neza, mu gihe indi ishobora gusaba imiti itandukanye.

Imiti isanzwe ikorana na tamsulosin irimo indi miti igabanya umuvuduko w'amaraso, imiti ivura uburemba nk'isildenafil (Viagra), imiti imwe na imwe irwanya imyungu, na antibiyotike zimwe na zimwe. Iyi mikoranire ishobora kongera ibyago byo kugira umuvuduko w'amaraso muke cyangwa izindi ngaruka.

Muganga wawe na farumasiye barashobora kugufasha kumenya imikoranire ishoboka no gukora gahunda y'imiti itekanye. Bashobora kugusaba gufata imiti imwe na imwe mu bihe bitandukanye by'umunsi cyangwa guhindura urugero rw'imiti kugira ngo bagabanye ibyago byo gukorana mu gihe bakomeza gukora neza.