Icyo Mesalamine (inzira yo mu mpagarara) ari cyo: Ibikoreshwa, Uburyo bwo kuyifata, Ingaruka zayo n'ibindi

Inzira ya mesalamine yo mu mpagarara ni umuti utanga imiti irwanya ububyimbirizi mu mpagarara yawe no mu gice cyo hasi cy'urura runini kugira ngo uvure indwara zifitanye isano n'ububyimbirizi mu mara. Iza mu buryo bwa suppositories, enemas, cyangwa urubura ushyira mu mpagarara yawe, bigatuma umuti ukora neza aho ububyimbirizi buri mu nzira yawe yo mu mara.

Ubu buryo bugamije gufasha kugabanya ububyimbirizi mu gice cy'impagarara yawe n'urura runini rwa sigmoid. Abantu benshi basanga mesalamine yo mu mpagarara ifasha cyane kuko itanga umuti mu gice cyibasiwe aho kugira ngo unyure mu nzira yawe yose yo mu mara mbere.

Mesalamine ni iki?

Mesalamine ni umuti urwanya ububyimbirizi wo mu cyiciro cy'imiti yitwa aminosalicylates. Ikora by'umwihariko mu nzira yawe yo mu mara kugira ngo ituze ububyimbirizi kandi ifashe gukiza ibice byangiritse mu gice cy'urura rwawe.

Uburyo bwo mu mpagarara butuma umuti ugera mu bice by'urura rwawe bishobora kuba bigoye kuvura hakoreshejwe imiti yo kunywa gusa. Tekereza nk'uko ushyira umuti ku gikomere aho gufata ikinini ukizera ko kigera ahantu hakwiye.

Uyu muti kandi uzwi ku izina ry'ubutare rya 5-aminosalicylic acid cyangwa 5-ASA. Imaze imyaka myinshi ikoreshwa neza mu kuvura indwara zifitanye isano n'ububyimbirizi mu mara kandi ifite amateka meza y'ubushobozi bwo kuvura.

Mesalamine ikoreshwa mu kuvura iki?

Inzira ya mesalamine yo mu mpagarara ikoreshwa cyane mu kuvura ulcerative colitis, cyane cyane iyo ububyimbirizi bugira ingaruka ku mpagarara yawe no mu gice cyo hasi cy'urura runini. Ifasha cyane mu kuvura ulcerative proctitis, ari ububyimbirizi mu mpagarara gusa.

Muganga wawe ashobora kugusaba mesalamine yo mu mpagarara niba ufite amaraso, ububabare, cyangwa ibyiyumvo byihutirwa bifitanye isano n'ububyimbirizi mu gice cyo hasi cy'urura rwawe. Irashobora gukoreshwa yonyine ku bimenyetso byoroheje kugeza ku birenzeho cyangwa igahuzwa na mesalamine yo kunywa ku bubyimbirizi burenzeho.

Abaganga bamwe na bo barayandika ku ndwara ya Crohn igihe ifashe mu rukurura, nubwo ibyo bidakunze kubaho. Uyu muti ufasha kugabanya ibimenyetso nk'amaraso ava mu rukurura, umwanda usohoka, no kugira inyota yo kujya ku musarani kenshi.

Mesalamine ikora ite?

Mesalamine ikora ibuza imisemburo imwe n'imwe mu mubiri wawe itera kubyimba mu rukuta rw'amara yawe. Ifatwa nk'umuti urwanya kubyimba ufite imbaraga ziringaniye kandi wagenewe gukora mu nzira yawe yo mu gifu.

Iyo ukoresha uburyo bwo mu rukurura, umuti ushyirwa ku gice cyabyimbye mu buryo butaziguye kandi ukinjira mu rukuta rw'amara. Ibi bituma ugabanya kubyimba, ukagabanya umusaruro w'ibintu bitera kubyimba, kandi ugatuma urukuta rw'amara yawe rukira.

Uyu muti kandi ufasha urugingo rw'umubiri ruzwiho kurwanya indwara gusubiza mu buryo busanzwe ahantu hafashwe. Aho kwirengagiza no gutera kubyimba bikomeza, mesalamine ifasha gusubiza ubuzima busanzwe mu buryo umubiri urwanya indwara ukora mu mara yawe.

Nkwiriye gufata Mesalamine nte?

Uburyo ufata mesalamine buterwa n'uburyo umuganga wawe yayanditse - ibinini bishyirwa mu rukurura, enema, cyangwa ifuro. Uburyo bwose bufite amabwiriza yihariye akwiriye gukurikizwa kugira ngo umuti ukore neza.

Ku binini bishyirwa mu rukurura, mubisanzwe ushyiramo kimwe mu rukurura rwawe rimwe cyangwa kabiri ku munsi, akenshi mbere yo kuryama. Gerageza gusukura amara yawe mbere yo kubishyiramo niba bishoboka, hanyuma uryame ku ruhande rwawe ukoresheje ubwitonzi ushyira ikinini kinyuze mu rukurura rwawe.

Niba ukoresha enema, uzaryama ku ruhande rwawe rw'ibumoso hanyuma ukoreshe ubwitonzi ushyireho urushinge mu rukurura rwawe. Kanda ibiri muri yo gahoro hanyuma ugerageze kubika umuti igihe kirekire gishoboka - byaba byiza amasaha 8 cyangwa ijoro ryose.

Ku myiteguro y'ifuro, nyeganyeza neza ikibindi hanyuma ushyireho urushinge mu rukurura rwawe. Kanda ku gipfundikizo kugira ngo ureke ifuro, hanyuma ugerageze kuribika amasaha menshi niba bishoboka.

Ntago ukeneye gufata uyu muti hamwe n'ibiryo kuko ntunyura mu gifu cyawe. Ariko, kuguma unywa amazi buri gihe bifasha mu kuvura indwara zifitanye isano no kubyimbirwa kw'amara.

Nzamara igihe kingana iki mfata Mesalamine?

Igihe cyo kuvurwa na mesalamine gitandukana bitewe n'uburwayi bwawe bwihariye n'uburyo umubiri wawe wakira umuti. Mu gihe cyo kubyimbirwa gukabije, ushobora kuwukoresha buri munsi mu gihe cy'ibyumweru 3-6 kugeza igihe ibimenyetso bigabanukira.

Abantu bamwe na bamwe bakeneye gukoresha mesalamine mu nzira y'umubiri inyura mu kibuno kugira ngo birinde kongera kubyimbirwa. Muri ibyo bihe, ushobora kuwukoresha kenshi - wenda buri munsi cyangwa inshuro nke mu cyumweru - nk'uko byategetswe na muganga wawe.

Muganga wawe azakurikiza uko urimo urwara kandi ahindure gahunda yo kuvura bitewe n'uko ibimenyetso byawe byitwara. Abantu bamwe basanga bashobora kureka umuti igihe kubyimbirwa kwabo gukize, mu gihe abandi bungukirwa no gukomeza kuvurwa.

Ntuzigere uhagarika gufata mesalamine ako kanya utabanje kuvugana na muganga wawe. N'iyo wumva urimo urushaho kumera neza, guhagarika kare bishobora gutuma kubyimbirwa bigaruka mbere y'uko urukuta rw'amara yawe rukira neza.

Ni izihe ngaruka ziterwa na Mesalamine?

Abantu benshi bakira neza mesalamine ikoreshwa mu kibuno, ariko nk'undi muti uwo ari wo wose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka zikomeye zitamenyerewe, kandi abantu benshi ntibagira ingaruka na mba.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Uburibwe cyangwa gushya mu kibuno
• Gusohoka kw'imyuka myinshi cyangwa kubyimba
• Kubabara mu nda gake
• Umutwe
• Isesemi
• Urugero
• Kongera ururenda rw'impiswi by'agateganyo

Ibi bimenyetso mubisanzwe biroroshye kandi akenshi bigenda neza uko umubiri wawe ukimenyereza umuti. Uburibwe mu kibuno mubisanzwe bugabanuka nyuma yo gukoreshwa bwa mbere.

Ingaruka zidakunze kubaho ariko zikomeye zikeneye ubufasha bwihuse bw'abaganga. Izi ngorane zitabaho kenshi zirimo allergie ikomeye, ibibazo by'impyiko, cyangwa indwara z'amaraso.

Menya ibimenyetso by'imburira kandi uvugishe muganga wawe ako kanya niba ubonye:

• Urubavu rukabije cyangwa kuribwa
• Urubavu cyangwa guhinda umushyitsi
• Guhumeka bidasanzwe cyangwa gukomereka
• Umutwe ukabije cyangwa kuribwa mu gituza
• Kugorana guhumeka cyangwa kumira
• Uruhu ruruka cyangwa imyatsi
• Impinduka mu kunyara cyangwa imikorere y'impyiko

Izi ngaruka zikomeye zibaho gake cyane, ariko ni ngombwa kuzimenya kugira ngo usabe ubufasha niba bibaye ngombwa.

Ninde utagomba gufata Mesalamine?

Nubwo mesalamine muri rusange ifite umutekano ku bantu benshi, hariho ibihe bimwe na bimwe bitaba byiza. Muganga wawe azasuzuma amateka yawe y'ubuzima kugira ngo yemeze ko ifite umutekano kuri wewe.

Ntugomba gukoresha mesalamine rectal niba ufite allergie kuri mesalamine, sulfasalazine, cyangwa aspirine. Abantu bafite indwara zikomeye z'impyiko nabo bashobora gukenera kwirinda uyu muti cyangwa bakawukoresha bafite ubwitonzi bwihariye.

Dore ibintu bisaba kwitonderwa mbere yo gukoresha mesalamine:

• Indwara y'impyiko cyangwa imikorere y'impyiko igabanutse
• Indwara y'umwijima
• Indwara y'umutima
• Asima cyangwa izindi ngorane zo guhumeka
• Indwara z'amaraso
• Ibibazo byo mu gifu

Niba utwite cyangwa wonka, ganira na muganga wawe ku byago n'inyungu. Mesalamine muri rusange ifatwa nk'ifite umutekano mugihe cyo gutwita, ariko muganga wawe azashaka kugukurikiranira hafi.

Abantu bafata imiti imwe n'imwe, cyane cyane imiti igabanya amaraso cyangwa izindi miti irwanya ibyuririzi, bashobora gukenera guhindura urugero cyangwa gukurikiranwa byihariye.

Amazina ya Mesalamine

Mesalamine rectal iboneka munsi y'amazina menshi y'ubwoko, buri kimwe gifite uburyo butandukanye gato. Ubwoko busanzwe burimo Rowasa, Canasa, na sfRowasa.

Rowasa isanzwe iza mu buryo bwa enema, naho Canasa iboneka mu buryo bwa suppositories. sfRowasa ni uruvange rushya rutagira sulfite rwakozwe ku bantu bafite ubwumvikane ku bisulfite.

Muganga wawe azahitamo ubwoko bwihariye n'uruvange rishingiye ku burwayi bwawe, aho umubiri wawe wabyimbye, n'ibyo ukunda. Ubwoko bwose burimo umuti umwe ukora ariko bushobora kugira ibindi bintu bitagira akamaro.

Uburyo bwo gusimbuza Mesalamine

Niba mesalamine itagukundiye cyangwa ikagutera ingaruka mbi, hari ubundi buryo bwo kuvura buriho. Muganga wawe ashobora gutanga imiti itandukanye cyangwa uburyo bwo kuvura buhuriweho.

Izindi nzira zo kurwanya umubiri wabyimbye zirimo sulfasalazine, irimo mesalamine ihuriweho n'umuti wa sulfa. Abantu bamwe basubiza neza ku enema ya corticosteroid nka hydrocortisone yo gukoreshwa igihe gito mugihe cyo kwiyongera kw'uburwayi.

Kubibazo bikomeye, muganga wawe ashobora kugusaba imiti igabanya ubudahangarwa bw'umubiri cyangwa imiti ya biologique. Ibi bikunze gukoreshwa ku bantu batitabira mesalamine cyangwa bafite indwara ikaze.

Uburyo butari ubw'imiti nk'imihindagurikire y'imirire, gucunga umunabi, na probiotics birashobora kandi gufasha gahunda yawe yo kuvurwa. Muganga wawe azakorana nawe kugirango abone uburyo bwiza bwo kuvura.

Ese Mesalamine iruta Sulfasalazine?

Mesalamine na sulfasalazine ni imiti ikora neza mu kuvura indwara zifata urwungano rw'igifu, ariko zikora mu buryo butandukanye kandi zifite ingaruka zitandukanye. Guhitamo hagati yazo biterwa n'uko ubuzima bwawe bumeze.

Mesalamine muri rusange irihanganirwa neza kuko ntirimo igice cya sulfa gishobora gutera allergie ku bantu bamwe. Nanone kandi, ikunze gutera ingaruka nkeya nk'isuka, kuribwa mumutwe, no guhinduka k'uruhu.

Sulfasalazine ishobora gukora neza ku bantu bamwe kuko irimo mesalamine na sulfapyridine, bikorera hamwe kugabanya umubyimbire. Ariko, igice cya sulfa kivuga ko ntikibereye abantu bafite allergie ya sulfa.

Muganga wawe azatekereza ku mateka yawe y'ubuvuzi, allergie, n'uburyo wabyitwayemo ku miti yakoreshejwe mbere mugihe afata iki cyemezo. Abantu benshi batangira na mesalamine kubera imikorere yayo myiza.

Ibibazo Bikunze Kubazwa Kuri Mesalamine

Q1. Ese Mesalamine irakoreshwa neza igihe kirekire?

Yego, mesalamine muri rusange irakoreshwa neza igihe kirekire mugihe igenzurwa na muganga wawe. Abantu benshi barayikoresha mugihe cyo kuvura kugirango birinde ibibazo bya ulcerative colitis.

Muganga wawe azajya agenzura imikorere y'impyiko zawe buri gihe akoresheje ibizamini by'amaraso kuko gukoresha igihe kirekire bishobora gukora ku mpyiko zawe. Abantu benshi barashobora gukoresha mesalamine imyaka myinshi nta bibazo bikomeye mugihe bigenzurwa neza.

Q2. Nkwiriye gukora iki niba nkoresheje mesalamine nyinshi bitunguranye?

Niba ukoresheje mesalamine nyinshi bitunguranye kuruta uko byategetswe, ntugahungabane. Gukoresha doze nyinshi ya mesalamine ya rectal ntabwo bisanzwe kuko umuti ukoreshwa ahantu hato aho gufatwa mu kanwa.

Ariko, niba wakoze byinshi cyane kuruta doze yategetswe, vugana na muganga wawe cyangwa umufarumasiti kugirango baguhe ubuyobozi. Reba ibimenyetso byiyongera byo kuruhande nk'imitsi ikomeye, isesemi, cyangwa kwiruka, kandi ushake ubufasha bw'ubuvuzi niba bibaye.

Q3. Nkwiriye gukora iki niba nciwe doze ya mesalamine?

Niba ucikanwe na doze ya mesalamine, yifate vuba uko wibuka. Niba hafi y'igihe cya doze yawe ikurikira, reka doze yaciwe ukomeze gahunda yawe isanzwe.

Ntugahindure doze kugirango usubize iyaciwe. Ibi bishobora kongera ibyago byo kuruhande rutarutse nta nyungu yinyongera itanzwe. Guhora ni ngombwa kuruta gusubiza doze zaciwe rimwe na rimwe.

Q4. Nshobora guhagarika ryari gufata mesalamine?

Reka gukoresha mesalamine gusa igihe muganga wawe akubwiye ko byemewe. N'iyo ibimenyetso byawe byarushijeho gukira, guhagarika kare bishobora gutuma umubyimba ugaruka.

Muganga wawe akenshi azashaka kukubona utagifite ibimenyetso mu byumweru byinshi mbere yo gutekereza guhagarika umuti. Abantu bamwe bakeneye gukomeza ku miti yo kubungabunga kugira ngo birinde kongera kurwara.

Q5. Nshobora gukoresha Mesalamine mu gihe cyo gutwita?

Mesalamine muri rusange ifatwa nk'umuti utagira ingaruka mu gihe cyo gutwita kandi akenshi niwo muti ukunda gukoreshwa mu kuvura indwara zifata amara mu bagore batwite. Inyungu zo kugenzura umubyimba zikunda kurenga ibishobora kuba byatera.

Ariko, buri gihe ganira ibi na muganga wawe mbere yo gukoresha umuti uwo ariwo wose mu gihe cyo gutwita. Muganga wawe azashaka kugukurikiranira hafi kandi ashobora guhindura gahunda yawe yo kuvurwa uko bikwiye mu gihe cyose utwite.