Icyo Tolmetin ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'ibindi

Tolmetin ni umuti utari steroidal anti-inflammatory drug (NSAID) ufasha kugabanya ububabare, kubyimba, no gukakara mu ngingo zawe n'imitsi yawe. Tekereza nk'umuti utuza umubiri wawe, kimwe n'uko urubura rugabanya kubyimba nyuma yo gukomereka. Muganga wawe ashobora kugutera tolmetin igihe urwaye indwara nka artrite cyangwa izindi ndwara zifitanye isano n'uburwayi zituma ibikorwa bya buri munsi bitaryoha.

Tolmetin ni iki?

Tolmetin ni umwe mu muryango w'imiti yitwa NSAIDs, ikora ibyo ikora ibuza imisemburo imwe n'imwe mu mubiri wawe itera ububabare no kubyimba. Yagenewe by'umwihariko kugira ngo yite ku mpamvu nyamukuru y'ububabare bw'ingingo no kubyimba, ntabwo ihisha gusa ibimenyetso. Uyu muti umaze imyaka myinshi ufasha abantu gucunga indwara zifitanye isano n'uburwayi, kandi ifatwa nk'uburyo bwizewe iyo izindi miti itanga ubufasha buhagije.

Uyu muti ukora ubuzira umubiri wawe gukora ibintu byinshi byitwa prostaglandins. Ibi ni imisemburo itera ububabare, umuriro, no kubyimba iyo umubiri wawe wakomeretse cyangwa urwana n'indwara. Mugukabanya iyi prostaglandins, tolmetin ifasha ingingo zawe kumva ziryoshye kandi zigenda neza.

Tolmetin ikoreshwa mu iki?

Tolmetin ikoreshwa cyane cyane mu kuvura artrite ya reumatoyide, osteoartrite, na artrite ya reumatoyide ya bana. Izi ndwara ziteza ingingo zawe kubyimba, kubabara, no gukakara, bigatuma bigorana gukora imirimo ya buri munsi nko gufungura amacupa cyangwa kuzamuka amategeko. Uyu muti ufasha gusubiza zimwe muri izo ngendo zatakaye n'ihumure.

Muganga wawe ashobora no kugusaba tolmetin kubera izindi ndwara zifata imitsi ziteza ibimenyetso bisa. Rimwe na rimwe ikoreshwa mu kugabanya ububabare no kubyimbirwa nyuma yo gukomereka cyangwa kubagwa, nubwo ibi bidakunze gukoreshwa cyane nko gukoreshwa mu kurwanya umusonga. Ikintu cy'ingenzi ni uko tolmetin ikora neza cyane iyo kubyimbirwa ari ikibazo gikomeye gitera kutumva neza.

Mu bana, tolmetin ifasha cyane kurwanya umusonga w'uruhinja, indwara ishobora kugira ingaruka zikomeye ku bushobozi bw'umwana bwo gukina, kwiga, no gukura neza. Umuti ushobora gufasha abarwayi bato gukomeza imibereho yabo ikora kandi bagacunga ibimenyetso byabo neza.

Tolmetin ikora ite?

Tolmetin ifatwa nk'umuti ukomeye wo kurwanya kubyimbirwa ugamije kubyimbirwa ku isoko ryabyo. Ikora ibyo yitambika enzyme yitwa cyclooxygenase, umubiri wawe ukoresha mu gukora prostaglandins. Iyo iyi enzyme yitambitswe, umubiri wawe ukora imiti mike yo kubyimbirwa, bigatuma ububabare no kubyimbirwa bigabanuka.

Umuti mubisanzwe utangira gukora mu masaha make nyuma yo kuwufata, ariko ushobora kutumva ingaruka zose zo kurwanya kubyimbirwa mu minsi mike cyangwa mu byumweru. Ibi ni ibisanzwe kandi ntibisobanura ko umuti utari gukora. Umubiri wawe ukeneye igihe cyo kugabanya kubyimbirwa bihari no gukumira kubyimbirwa bishya.

Bitandukanye n'imiti imwe yo kurwanya ububabare ikingiriza gusa ibimenyetso, tolmetin ifasha mu gukemura inzira yo kubyimbirwa. Ibi bivuze ko bishobora gufasha kugabanya kwangirika kw'ingingo mu ndwara nka umusonga, ntigutume wumva neza by'agateganyo gusa.

Nkwiriye gufata tolmetin nte?

Fata tolmetin nk'uko muganga wawe abitegeka, mubisanzwe inshuro ebyiri cyangwa eshatu ku munsi hamwe n'ibiryo cyangwa amata. Kuyifata hamwe n'ibiryo ni ngombwa kuko bifasha kurengera uruhu rw'igifu rwawe kuva mu kurakara. Urashobora kuyifata hamwe n'ifunguro ryuzuye, ifunguro rito, cyangwa n'ikirahure cy'amata.

Minya imiti cyangwa ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasenye, utwike, cyangwa uvunagure keretse muganga wawe akubwiye byihariye. Niba ufata mu buryo bw'amazi, upime neza ukoresheje igikoresho cyo gupima kizana n'umuti, ntabwo ukoresha ikiyiko cyo mu rugo.

Gerageza gufata tolmetin mu gihe kimwe buri munsi kugirango ugumane urwego ruzigama mu maraso yawe. Ibi bifasha kumenya neza ububabare no kubyimba umubiri umunsi wose. Niba uyafata inshuro nyinshi ku munsi, shyira imiti hagati.

Birashoboka rwose gufata tolmetin hamwe n'ibiryo byoroheje nk'ibigori, toast, cyangwa yogati niba udashaka ifunguro ryuzuye. Intego ni ugushyira ikintu mu gifu cyawe kugirango gifashe imiti mu ngaruka zayo ku gifu cyawe.

Nzamara Igihe Kingana Nde Ndafata Tolmetin?

Igihe cyo kuvura na tolmetin giterwa rwose n'uburwayi bwawe bwihariye n'uburyo wemera imiti. Kuburwayi burambye nk'indwara ya rheumatoid arthritis, ushobora gukenera kuyifata amezi cyangwa imyaka kugirango ugumane ibimenyetso byo kugenzura. Muganga wawe azagenzura buri gihe niba imiti igifasha kandi niba inyungu ziruta ingaruka zishobora kubaho.

Kuburwayi bukaze cyangwa kubyimba igihe gito, ushobora gukenera tolmetin iminsi mike kugeza ku byumweru bike. Muganga wawe azaguha ubuyobozi bugaragara kubijyanye n'igihe cyo gukomeza kuvura bitewe n'ibimenyetso byawe n'iterambere ryo gukira.

Ntuzigere uhagarika gufata tolmetin ako kanya utabanje kuvugana na muganga wawe, cyane cyane niba umaze kuyifata kuburwayi burambye. Ibimenyetso byawe bishobora kugaruka, kandi rimwe na rimwe, guhagarika ako kanya bishobora gutera ububabare bw'uburwayi bwawe.

Muganga wawe ashobora gushaka kukubona buri gihe mugihe ufata tolmetin kugirango akurikirane uburyo ikora neza kandi arebe ingaruka zose zishobora kubaho. Ibi biganiro ni ngombwa muguhindura urugero rwawe cyangwa guhindura imiti niba bibaye ngombwa.

Ni Iyihe Ngaruka Zituruka kuri Tolmetin?

Kimwe n'ibindi byose byitwa NSAIDs, tolmetin ishobora gutera ingaruka ziterwa n'imiti, nubwo abantu benshi bayihanganira neza iyo bafashe nk'uko byategetswe. Ingaruka zikunze kugaragara ni nto kandi zigira ingaruka ku igogora ryawe. Kumenya icyo witegura bishobora kugufasha kumva ufite icyizere cyo gufata umuti wawe.

Dore ingaruka zikunze kugaragara ushobora guhura nazo:

• Urubavu rw'inda, isesemi, cyangwa kuribwa mu gituza
• Impiswi cyangwa guhagarara kw'amazi
• Umuzungero cyangwa kubabara umutwe
• Gusinzira cyangwa kunanirwa
• Umusonga mu matwi
• Uruhu ruto cyangwa gushishuka

Ibi bimenyetso mubisanzwe ni bito kandi akenshi biragenda bikosoka uko umubiri wawe wimenyereza umuti. Gufata tolmetin hamwe n'ibiryo bishobora kugabanya cyane ingaruka ziterwa n'inda.

Ingaruka zikomeye ntizikunze kugaragara ariko zisaba ubufasha bwihuse bw'abaganga. Izi zirimo kuribwa cyane mu nda, imyanda yirabura cyangwa ifite amaraso, kuribwa mu gituza, guhumeka bigoranye, kubabara umutwe bikomeye, cyangwa ibimenyetso by'ibibazo by'umwijima nk'uruhu cyangwa amaso y'umuhondo.

Abantu bamwe bashobora guhura n'ingaruka zidasanzwe ariko zikomeye zisaba ubuvuzi bwihuse. Izi zirimo allergie zikomeye zirimo kubyimba mu maso cyangwa mu muhogo, ibibazo by'impyiko hamwe n'imihindukire yo kunyara, cyangwa ibibazo by'umutima hamwe no kubyimba bidasanzwe mu maguru yawe cyangwa ibirenge.

Niba ubonye ingaruka zose ziguteye impungenge cyangwa zitagendaga nyuma y'iminsi mike, vugana na muganga wawe. Bashobora gufasha kumenya niba izo ngaruka zifitanye isano na tolmetin kandi niba hari impinduka zikenewe ku kuvurwa kwawe.

Ninde utagomba gufata Tolmetin?

Tolmetin ntirinzwe kuri buri wese, kandi ibintu bimwe na bimwe cyangwa ibihe bituma bidashoboka gukoresha uyu muti. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo gutegeka tolmetin kugirango yemeze ko ari wo muti ukwiriye kuri wewe.

Ntabwo ugomba gufata tolmetin niba urwaye allergie yayo cyangwa izindi NSAIDs nka ibuprofen cyangwa aspirine. Niba waragize ibitero bya asima, imyatsi, cyangwa izindi allergie kuri iyi miti mu gihe cyashize, tolmetin irashobora gutera reaction isa cyangwa ikomeye cyane.

Abantu bafite indwara zimwe na zimwe bagomba kwirinda tolmetin cyangwa bakayikoresha bitonze cyane. Izi ndwara zisaba kwitonderwa by'umwihariko kuko tolmetin yashobora kuzitera gukomera:

• Ibibazo byo mu gifu bikomeye cyangwa kuva amaraso
• Indwara ikomeye y'impyiko
• Indwara ikomeye y'umwijima
• Kunanirwa k'umutima cyangwa gutera umutima vuba aha
• Umubyigano w'amaraso ukomeye utagendera
• Uburwayi bwo kuva amaraso

Gusama ni ikindi kintu cy'ingenzi cyane, cyane cyane mu gihembwe cya gatatu aho tolmetin ishobora gukomeretsa umwana ukura kandi igatuma habaho ibibazo mu gihe cyo kubyara. Niba utwite cyangwa ufite gahunda yo gusama, ganira n'umuganga wawe ku bindi bisubizo bifite umutekano.

Abantu bakuze bashobora kwitaba cyane ingaruka za tolmetin, cyane cyane kuva amaraso mu gifu no kugira ibibazo by'impyiko. Umuganga wawe ashobora gutangira n'urugero ruto cyangwa agasaba gukurikiranwa kenshi niba urengeje imyaka 65.

Amazina ya Tolmetin

Tolmetin iboneka munsi y'izina ry'ubucuruzi rya Tolectin, nubwo iboneka kandi nk'umuti rusange witwa tolmetin gusa. Ubwoko rusange bukora neza nk'umuti w'izina ry'ubucuruzi kandi akenshi birahendutse.

Niba wakira izina ry'ubucuruzi cyangwa ubwoko rusange biterwa n'icyo umuganga wawe akunda, ubwishingizi bwawe, n'icyo kiboneka muri farumasi yawe. Ubu bwoko bwombi burimo ikintu kimwe gikora kandi gikora kimwe mu mubiri wawe.

Niba uri gufata Tolectin y'izina ry'ubucuruzi kandi farumasi yawe ikaguhindurira kuri tolmetin rusange, ntugire impungenge. FDA isaba imiti rusange kuba bioequivalent ku miti y'izina ry'ubucuruzi, bivuze ko ikora neza kandi ifite umutekano.

Uburyo bwo gusimbuza Tolmetin

Niba tolmetin itagukorera neza cyangwa ikagutera ingaruka zitishimirwa, imiti myinshi yindi ishobora gutanga akamaro nk'ako. Muganga wawe ashobora gutekereza kuguha izindi NSAIDs nka ibuprofen, naproxen, cyangwa diclofenac, zikora kimwe ariko zishobora kwihanganirwa neza n'umubiri wawe.

Ku bantu batabasha gufata NSAIDs na gato, izindi nzira zirimo acetaminophen yo kugabanya ububabare, nubwo itagabanya ibyuririzi. Imiti igabanya indwara ya antirheumatic (DMARDs) cyangwa biologics bishobora kuba amahitamo ku barwayi ba arthritis bakeneye kugenzura ibyuririzi bikomeye.

Imiti ishyirwa ku ruhu ikoreshwa ku ruhu ruri hejuru y'ingingo zibabaza rimwe na rimwe ishobora gutanga ubufasha hamwe n'ingaruka nke zikwirakwira mu mubiri. Ibi birimo NSAIDs ikoreshwa ku ruhu cyangwa capsaicin cream, ishobora gufasha cyane kubabara kwa arthritis mu ntoki cyangwa mumavi.

Uburyo butari ubw'imiti nka physiotherapy, imyitozo yoroheje, gushyushya cyangwa gukonjesha, n'uburyo bwo kugenzura umunaniro bishobora gufasha cyangwa rimwe na rimwe gusimbura imiti mu kugenzura indwara ziterwa n'ibyuririzi.

Ese Tolmetin iruta Ibuprofen?

Tolmetin na ibuprofen zombi ni NSAIDs zikora kimwe, ariko zifite itandukaniro rikomeye. Tolmetin akenshi ifatwa nk'ikora neza ku ndwara ziterwa n'ibyuririzi zirambye nka rheumatoid arthritis, mugihe ibuprofen ikoreshwa cyane cyane mu gihe gito cyo kugabanya ububabare n'ibyuririzi.

Inyungu nyamukuru ya tolmetin ni ingaruka zayo zirambye, bivuze ko ushobora gukenera kuyifata kenshi kurusha ibuprofen. Ibi bishobora gufasha abantu bafite indwara zirambye bakeneye kugenzura ibimenyetso bihoraho umunsi wose.

Ariko, ibuprofen iboneka ku isoko kandi akenshi ifatwa nk'ifite umutekano muke wo gukoreshwa mu gihe gito. Iragura kandi iraboneka cyane kurusha tolmetin, isaba uruhushya rwa muganga.

Muganga wawe azagufasha gufata icyemezo cy’umuti ukwiriye kubera uko ubuzima bwawe bumeze, imiti yindi urimo gufata, n’uburyo umubiri wawe wihanganira uwo muti. Igitera umuntu gukira kiratandukana cyane ku bantu batandukanye.

Ibikunze Kubazwa ku birebana na Tolmetin

Ese Tolmetin irakwiriye ku bantu barwaye indwara z’umutima?

Tolmetin, kimwe n’indi miti ya NSAIDs, ishobora kongera ibyago byo kurwara umutima no gufatwa n’urugero, cyane cyane iyo ikoreshejwe igihe kirekire cyangwa ku bantu basanzwe barwaye indwara z’umutima. Muganga wawe azagereranya neza inyungu n’ibibazo byatezwa niba ufite ibibazo by’umutima.

Niba urwaye indwara y’umutima, muganga wawe ashobora kugusaba gukoresha urugero ruto rw’umuti rushoboka mu gihe gito gishoboka. Bazanakugenzura neza kandi bashobora kugusaba imiti yongera kurinda umutima cyangwa guhindura imibereho yawe kugira ngo bagabanye ibyago.

Ninkora iki niba nanyoye Tolmetin nyinshi ku buryo butunganye?

Niba unyoye Tolmetin nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, n’iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ingaruka zikomeye zirimo kuva amaraso mu nda cyane, ibibazo by’impyiko, cyangwa ibibazo by’umutima.

Ntugerageze kwivuruguta niba utabitegetswe na muganga. Niba urimo guhura n’ibimenyetso bikomeye nk’ukugorwa no guhumeka, kuribwa mu gituza, cyangwa kuribwa mu nda cyane, hamagara serivisi zihutirwa ako kanya.

Ninkora iki niba nirengagije urugero rwa Tolmetin?

Niba wibagiwe urugero rwa Tolmetin, unywe ako kanya wibukiye, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe yo kunywa imiti.

Ntunywe urugero rwa kabiri icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka. Niba ukunze kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha igikoresho cyo gutegura imiti kugira ngo bigufashe kuguma ku murongo.

Nshobora guhagarika ryari kunywa Tolmetin?

Ushobora kureka gufata tolmetin mugihe muganga wawe yemeje ko ari byiza kubikora, akenshi mugihe ibimenyetso byawe byateye imbere cyane cyangwa niba urimo kugira ingaruka ziteye inkeke. Kubibazo bikaze, ibi bishobora kuba nyuma yiminsi mike cyangwa ibyumweru byo kuvurwa.

Kubibazo by'igihe kirekire nka rheumatoid arthritis, guhagarika tolmetin bigomba gukorwa buri gihe hakurikijwe ubuyobozi bwa muganga. Muganga wawe ashobora kugabanya buhoro buhoro urugero rwawe cyangwa akaguherereza undi muti kugirango wirinde ibimenyetso byiyongera.

Nshobora kunywa inzoga mugihe mfata Tolmetin?

Nibyiza kwirinda inzoga mugihe ufata tolmetin, kuko byombi bishobora kurakaza uruhu rwawe rw'inda kandi bikongera ibyago byo kuva amaraso. Ubu buryo kandi bwongera ibyago byawe byo kurwara umwijima kandi bushobora gutuma ingaruka zirimo isereri cyangwa gusinzira zirushaho kuba mbi.

Niba uhisemo kunywa rimwe na rimwe, wikwiriza ku bwinshi buke kandi buri gihe ufate tolmetin hamwe n'ibiryo. Ariko, niba ufite amateka y'ibibazo by'inda cyangwa ufata indi miti, birinzwe cyane kwirinda inzoga rwose mugihe ufata tolmetin.