Icyo Tolterodine ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Tolterodine ni umuti wandikirwa na muganga ufasha kugenzura uruhuka rurenze urugero. Ukora ukoresheje koroshya imitsi y'uruhuka, ibyo bikagabanya ibyiyumvo byihutirwa byo kwihagarika bishobora kubuza umuntu gukora ibikorwa bye bya buri munsi.

Niba umaze igihe ufite ikibazo cyo kujya kenshi mu bwiherero cyangwa icyiyumvo kitari cyiza cyo kumva ko udashobora kwihanganira, ntabwo uri wenyine. Abantu babarirwa muri za miliyoni bagira ibyo bimenyetso, kandi tolterodine itanga uburyo bwemejwe bwo gufasha kubicunga neza kandi neza.

Tolterodine ni iki?

Tolterodine ni umwe mu miti yitwa antimuscarinics cyangwa anticholinergics. Bitekereze nk'igikoresho cyoroshya imitsi y'uruhuka rwawe iyo ikora cyane.

Uruhuka rwawe rufite imitsi ikora kugira ngo isohore inkari igihe witeguye kujya kwihagarika. Rimwe na rimwe iyi mitsi irarenga urugero ikihutisha igihe bitagomba kuba. Tolterodine ifasha gutuza iki gikorwa ikoresheje kubuza ibimenyetso by'imitsi bimwe na bimwe bibwira uruhuka rwawe gukora.

Uyu muti uza mu buryo bubiri: ibinini bisohoka ako kanya ufata kabiri ku munsi, na capsules zisohoka nyuma ufata rimwe ku munsi. Byombi bikora neza, ariko verisiyo isohoka nyuma itanga uburyo bworoshye bwo gufata imiti idahora.

Tolterodine ikoreshwa mu iki?

Tolterodine ivura indwara y'uruhuka rurenze urugero, ikibazo aho imitsi y'uruhuka rwawe ikora kenshi cyangwa mu bihe bitari byo. Ibi bitera ibyo bimenyetso bibabaza bishobora gutuma wumva ko buri gihe urimo gutegura umunsi wawe ukurikije aho ubwiherero buri.

Uyu muti by'umwihariko ufasha mu bimenyetso bitatu bikunze kubaho icyarimwe. Mbere na mbere, bigabanya kenshi kwihagarika, bivuze ko ntuzongera kwihagarika kenshi umunsi wose. Abantu benshi basanga bashobora kumara igihe kirekire hagati yo gusura ubwiherero iyo umuti utangiye gukora.

Icya kabiri, tolterodine ifasha kugenzura ubushake bwo kwihagarika - icyo gihe cyo gutungurwa, umubabaro ukomeye wo kwihagarika ako kanya. Iki kimenyetso gishobora kuba gihangayikishije cyane kuko akenshi kiza nta kibazo kandi bigoye kwirengagiza.

Icya gatatu, birashobora gufasha kwirinda kwihagarika bidashakashaka, aribyo iyo uvuzwa n'inkari kuko udashobora kugera mu bwiherero ku gihe. Ibi bibaho iyo kumva ko byihutirwa bikomeye ku buryo imitsi yawe y'umubiri ikora mbere yuko witegura.

Tolterodine ikora ite?

Tolterodine ifatwa nk'umuti ukomeye wo hagati ukora ubugenzuzi bwihariye mu mitsi yawe y'umubiri. Izi reseptori, zizwi nka reseptori ya muscarinic, mubisanzwe zakira ibimenyetso biva mu mikorere yawe ikubwira igihe umubiri wawe ugomba gukora.

Iyo ufata tolterodine, yicara kuri izi reseptori nk'umurinzi woroshye, yirinda bimwe mu bimenyetso bitera imikorere idashimishije y'umubiri. Ibi ntibihagarika umubiri wawe gukora bisanzwe iyo ukeneye kwihagarika - bigabanya gusa gukanda cyane bibaho mu bihe bitari byiza.

Umuti wubaka mu mubiri wawe uko igihe kigenda, niyo mpamvu ushobora kutabona ingaruka zose ako kanya. Abantu benshi batangira kumva impinduka mu cyumweru cya mbere, ariko birashobora gufata ibyumweru 4-8 kugirango ubone inyungu nyinshi.

Nkwiriye gufata tolterodine nte?

Fata tolterodine nkuko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi bitewe n'uburyo ukoresha. Urashobora kuyifata hamwe cyangwa nta funguro, nubwo kuyifata hamwe n'ibiryo bishobora gufasha niba ufite ikibazo cyo mu gifu.

Niba ufata ibinini byihutirwa, mubisanzwe uzajya ufata ikinini kimwe kabiri ku munsi, amasaha 12. Gerageza kubafata mu gihe kimwe buri munsi kugirango ugumane urwego ruzigama mu mubiri wawe. Abantu benshi basanga bifasha guhuza imiti yabo n'ibikorwa bisanzwe nka safti na dineri.

Ku bijyanye n'ibinini birekura umuti mu gihe kirekire, uzajya ufata ikinini kimwe rimwe ku munsi, ahanini ku isaha imwe buri munsi. Minywa ikinini cyose - ntukigaye, ntukicyomogore, cyangwa ngo ukigumure, kuko ibi bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe.

Ushobora gufata tolterodine hamwe n'amazi, umutobe, cyangwa ikindi kinyobwa cyose ukunda. Nta mbogamizi zihariye z'imirire, nubwo kuguma ufite amazi ahagije ari ingenzi ku buzima bw'urugingo rw'inkari.

Nzamara Igihe Kingana Iki Ndafata Tolterodine?

Abantu benshi bafata tolterodine mu mezi menshi kugeza ku myaka, bitewe n'ibimenyetso byabo n'uburyo umuti ubakorera. Muganga wawe azagufasha kumenya igihe gikwiye gishingiye ku miterere yawe bwite.

Abantu bamwe babona impinduka mu cyumweru cya mbere, ariko ni ngombwa guha umuti nibura ibyumweru 4-8 kugira ngo ubashe gukora neza. Muri iki gihe, muganga wawe ashobora guhindura urugero rwawe cyangwa kureba uko witwara ku buvuzi.

Abantu benshi bafata tolterodine igihe kirekire kuko urugingo rw'inkari rukora cyane akenshi ni indwara idakira ifashwa no gukomeza kuyivura. Ariko, muganga wawe ashobora gutanga igitekerezo cyo kugerageza guhagarika umuti rimwe na rimwe kugira ngo urebe niba ibimenyetso byawe byarushijeho gukira mu buryo bw'umwimerere.

Ni Iyihe Ngaruka Ziterwa na Tolterodine?

Kimwe n'indi miti yose, tolterodine ishobora gutera ingaruka, nubwo abantu benshi bahura n'izoroheje gusa cyangwa nta zo na rimwe. Ingaruka zisanzwe zikunze gucungwa kandi akenshi zikongera uko umubiri wawe wimenyereza umuti.

Dore ingaruka ushobora guhura nazo cyane, wibuke ko buri wese yitwara mu buryo butandukanye ku miti:

• Umunwa wumye - ibi bigira ingaruka ku bantu bagera kuri 35% kandi ni yo ngaruka rusange cyane
• Kugugara - bibaho ku bantu bagera kuri 7% bafata uyu muti
• Umutwe - bigira ingaruka ku bagera kuri 7% bakoresha uyu muti
• Urugero - byibagirwa n'abantu bagera kuri 5%
• Amaso yumye - ntibisanzwe ariko birashoboka
• Kureba nabi - mubisanzwe biroroshye kandi by'igihe gito
• Urubuza cyangwa kutagira igogora - gufata ibiryo birashobora gufasha

Izi ngaruka zisanzwe mubisanzwe ziba zoroshye kandi akenshi ntizigaragara cyane uko umubiri wawe umenyera umuti. Niba umunwa wumye ukubangamiye, gerageza gushyiraho chingamu idafite isukari cyangwa kunywa amazi kenshi.

Ingaruka zitabaho cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga. Nubwo ibi bitabaho cyane, ni ngombwa kubimenya kugirango ushobore gushaka ubufasha niba bibaye ngombwa.

Vugana n'umuganga wawe ako kanya niba ubonye izi ngaruka zitabaho ariko zikomeye:

• Kugugara gukabije kutagira icyo guhinduka n'imiti
• Kugorana kwihagarika cyangwa kutabasha kwihagarika rwose
• Umutima utera cyane cyangwa utagenda neza
• Urugero rukabije cyangwa guta ubwenge
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu, kubyimba, cyangwa kugorana guhumeka
• Kuvurungana cyangwa ibibazo byo kwibuka
• Urubuza rukabije

Mu buryo butazwi cyane, abantu bamwe bashobora guhura n'ibibazo bikomeye nk'impyisi (kutabasha gusohora inkari) cyangwa gukubitwa n'izuba bitewe no gushonga guke. Ibi bishobora kubaho cyane mu gihe cy'ubushyuhe bwinshi cyangwa mu gihe cy'imirimo ikomeye.

Ninde utagomba gufata Tolterodine?

Tolterodine ntabwo ari umutekano kuri buri wese, kandi umuganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Ibyiciro bimwe na bimwe bishobora gutuma uyu muti ugira akaga cyangwa utagira akamaro kuri wewe.

Ntabwo ugomba gufata tolterodine niba ufite impyisi yuzuye, bivuze ko udashobora kwihagarika na gato. Uyu muti ushobora gutuma iyi ngaruka irushaho kuba mibi no kuruhura imitsi yawe y'uruhu.

Abantu bafite ikibazo cyo gutinda kw'igifu (ibibazo bikomeye byo gusohoka kw'ibiryo mu gifu) bagomba kwirinda tolterodine. Ibi birimo indwara nka gastroparesis ikomeye, aho ibiryo bigenda gahoro cyane mu nzira yo mu gifu.

Niba ufite glaucoma idafashwe neza y'urugero ruto, tolterodine irashobora kongera umuvuduko mu maso yawe kandi bikaba byatera ibibazo byo kureba. Muganga wawe w'amaso ashobora kumenya niba ufite ubu bwoko bwa glaucoma.

Izindi ndwara nyinshi zisaba kwitonda cyane mugihe utekereza gukoresha tolterodine. Muganga wawe azagereranya inyungu n'ibishobora guteza ibibazo niba ufite izi ndwara:

• Indwara y'impyiko - ushobora gukenera urugero ruto
• Indwara y'umwijima - umuti ukoreshwa n'umwijima wawe
• Ibibazo by'umutima - tolterodine irashobora kugira ingaruka ku mutima wawe
• Myasthenia gravis - indwara itera intege nke mu misitsi
• Prostate yagutse ku bagabo - irashobora gutuma ibibazo byo kunyara birushaho kuba bibi
• Kugara cyane cyangwa kubura urugero rw'amara
• Glaucoma y'urugero ruto ifashwe neza

Imyaka nayo irashobora kuba impamvu, kuko abantu bakuze bashobora kwumva cyane ingaruka ziterwa n'imiti nko kuvurungana, isereri, cyangwa kugara. Muganga wawe ashobora gutangira kugutera urugero ruto niba urengeje imyaka 65.

Amazina y'ubwoko bwa Tolterodine

Tolterodine iboneka munsi y'amazina menshi y'ubwoko, Detrol na Detrol LA akaba ariyo azwi cyane. Detrol yerekeza ku binini bisohoka ako kanya, mugihe Detrol LA ari capsule isohoka buhoro.

Ubwoko bwa tolterodine rusange buraboneka kandi bukora neza nk'ubwoko bw'izina. Imiti rusange ikubiyemo ibintu bikora kimwe kandi ikubahiriza ubuziranenge bumwe, akenshi ku giciro gito.

Farumasi yawe ishobora kugira ubwoko butandukanye bwa tolterodine rusange. Nubwo zose zingana mu gukora, urashobora kubona itandukaniro rito mu isura cyangwa ibintu bitagira akamaro hagati y'ubwoko.

Uburyo bwo gusimbuza Tolterodine

Niba tolterodine itagukorera neza cyangwa ikagutera ibibazo, hari izindi imiti nyinshi ishobora kuvura uruhuka rwinshi rw'inkari. Muganga wawe ashobora kugufasha gushaka umuti mwiza ukurikije ibyo ukeneye n'amateka yawe y'ubuvuzi.

Ibindi byongera imiti ya anticholinergic bikora kimwe na tolterodine ariko bishobora kugira ingaruka zitandukanye. Solifenacin (Vesicare) ifatwa rimwe ku munsi kandi ishobora gutera umunwa wumye ku bantu bamwe. Darifenacin (Enablex) yagenewe gutoranya cyane abakira inkari, bishobora kugabanya ingaruka zimwe.

Oxybutynin ni umwe mu miti ya kera muri iki cyiciro kandi iza mu buryo butandukanye, harimo ibinini, ibinini birebire, ndetse n'igishishwa cyo ku ruhu. Igishishwa gishobora gufasha niba ugira ikibazo cyo kwibuka gufata imiti ya buri munsi.

Imiti mishya yitwa beta-3 agonists ikora mu buryo butandukanye na tolterodine. Mirabegron (Myrbetriq) iruhura imitsi y'inkari ikoresheje uburyo butandukanye kandi ntisanzwe itera umunwa wumye cyangwa guhagarika urugendo rw'amara.

Ubuvuzi butari ubw'imiti nabwo bushobora kugira akamaro kanini, haba wenyine cyangwa hamwe n'imiti. Ibi birimo imyitozo yo guhugura inkari, imiti y'umubiri yo hasi, n'imikorere y'ubuzima nk'igihe cyo gusohora.

Ese Tolterodine iruta Oxybutynin?

Byombi tolterodine na oxybutynin bifite akamaro mu kuvura uruhuka rwinshi rw'inkari, ariko bifite ibyiza bitandukanye bishobora gutuma imwe ikwiriye neza imiterere yawe.

Tolterodine muri rusange ifatwa nk'itera ingaruka nkeya, cyane cyane umunwa wumye n'uguhagarika urugendo rw'amara. Ubushakashatsi bwerekana ko abantu bashobora gukomeza gufata tolterodine igihe kirekire kuko yihanganirwa neza.

Oxybutynin imaze igihe kirekire kandi iboneka mu buryo bwinshi, harimo igishishwa uhindura inshuro ebyiri mu cyumweru. Muri rusange kandi ihendutse, cyane cyane mu buryo bwa rusange. Ku bantu bamwe, oxybutynin ikora neza mu kugenzura ibimenyetso byabo.

Gu hitamo imiti ikunze gushingira ku buryo umuntu abyakira n'uburyo ayihanganira. Abantu bamwe babona ko imiti ya tolterodine itera ingaruka nke, mu gihe abandi babona oxybutynin ifasha kurwanya ibimenyetso byabo nubwo bishobora gutera ingaruka nyinshi.

Muganga wawe azatekereza ku bintu nk'imyaka yawe, izindi miti ufata, n'uburwayi ubwo aribwo bwose ufite igihe agushakira umuti wo kugerageza mbere.

Ibibazo bikunze kubazwa kuri Tolterodine

Ese Tolterodine irakwiriye ku bantu barwaye indwara z'umutima?

Tolterodine irashobora gukoreshwa n'abantu barwaye indwara z'umutima, ariko bisaba ko muganga wawe abikurikirana yitonze. Uyu muti ushobora kugira ingaruka ku mutima wawe, cyane cyane niba usanzwe ufite indwara zimwe na zimwe z'umutima.

Niba ufite amateka y'ibibazo by'umutima, muganga wawe ashobora gushaka gukora electrocardiogram (EKG) mbere yo gutangira tolterodine kandi ashobora gukurikirana umutima wawe igihe uyifata.

Abantu bafite indwara z'umutima zigenzurwa neza bakunze gufata tolterodine neza, ariko ni ngombwa kubwira muganga wawe imiti yose ufata ku mutima. Imwe mu mibumbe y'imiti ishobora gukenera guhindurwa cyangwa gukurikiranwa cyane.

Ninkora iki niba nifatiye tolterodine nyinshi ku buryo butunguranye?

Niba ufata tolterodine nyinshi ku buryo butunguranye kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya. Guhata nyinshi bishobora gutera ingaruka zikomeye zikeneye ubufasha bw'ubuvuzi.

Ibimenyetso byo kurenza urugero birimo umunwa wumye cyane, kugorana kumeza, guhumirwa, umutima wihuta, umuriro, cyangwa urujijo. Mu bihe bikomeye, ushobora guhura no guhumeka cyangwa kutagira ubwenge.

Ntugerageze kwivugisha cyangwa gufata izindi miti zo kurwanya kurenza urugero. Shakisha ubufasha bw'ubuvuzi ako kanya, kandi uzane icupa ry'umuti kugira ngo abaganga bamenye neza icyo wafashe n'ingano yacyo.

Ninkora iki niba nirengagije doze ya Tolterodine?

Niba wibagiwe gufata urugero rwa tolterodine, rufate uko wibuka, keretse igihe cyo gufata urugero rukurikira cyegereje. Mu gihe nk'icyo, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usimbure urugero wibagiwe, kuko ibyo bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba ufata urugero rureba igihe kirekire kandi wibagiwe urugero, amategeko amwe arasaba - fata urugero rukurikira ku gihe gisanzwe.

Niba ukunda kwibagirwa gufata imiti, gerageza gushyiraho alarme kuri terefone cyangwa ukoreshe igikoresho cyo gutegura imiti. Gufata imiti yawe buri gihe ni ngombwa kugira ngo ugumane ibimenyetso bigenda neza.

Ni ryari nshobora kureka gufata tolterodine?

Ushobora kureka gufata tolterodine igihe muganga wawe abona ko bikwiye, akenshi biba iyo ibimenyetso byawe bigenda neza cyangwa niba ugira ingaruka ziterwa n'imiti zirenga akamaro.

Bitandukanye n'imiti imwe, ntugomba kugabanya buhoro buhoro urugero rwa tolterodine - urashobora kureka kuyifata ako kanya nta bimenyetso byo gukurwaho. Ariko, ibimenyetso byawe byo guhagarika uruhara bishobora kugaruka mu minsi mike cyangwa icyumweru.

Abantu bamwe bafata akaruhuko ka tolterodine kugira ngo barebe niba ibimenyetso byabo byarushijeho gukira mu buryo busanzwe. Muganga wawe ashobora gutanga iyi nzira, cyane cyane niba umaze igihe kirekire ufata umuti kandi ibimenyetso byawe bisa nkaho bitajegajega.

Nshobora kunywa inzoga niba mfata tolterodine?

Ushobora kunywa inzoga mu rugero ruto niba ufata tolterodine, ariko menya ko inzoga na tolterodine byombi bishobora gutera isereri no kuruhuka. Iyo byahujwe, izi ngaruka zirashobora kugaragara cyane.

Inzoga irashobora kandi kurakaza uruhara rwawe kandi bikongera ibimenyetso byo guhagarika uruhara, bishobora guhangana n'akamaro runaka ubona muri tolterodine.

Niba uhisemo kunywa inzoga, tangira n'utuntu duto kugira ngo urebe uko umubiri wawe witwara. Irinde gutwara imodoka cyangwa gukoresha imashini niba wumva urushijeho kugira isereri cyangwa kuruhuka kurusha uko bisanzwe.