Icyo Sulindac ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'iyo miti n'ibindi

Sulindac ni umuti wandikirwa na muganga urwanya kubyimbirwa, ukaba mu itsinda ry'imiti yitwa NSAIDs (imiti itari iya steroid irwanya kubyimbirwa). Ukora ugabanya kubyimbirwa, ububabare, n'umuriro mu mubiri wawe ubuza zimwe mu nzego zikora ibyo bimenyetso.

Muganga wawe ashobora kukwandikira sulindac igihe urwaye indwara nka artrite, ububabare bw'ingingo, cyangwa izindi ndwara ziterwa no kubyimbirwa zitavuwe neza n'imiti igurishwa itagomba kwandikwa na muganga. Uyu muti ushobora gufasha cyane abantu bahanganye n'ububabare buhoraho no kubyimbirwa.

Sulindac ikoreshwa mu kuvura iki?

Sulindac ifasha kuvura indwara nyinshi zibabaza kandi ziterwa no kubyimbirwa zishobora gutuma imirimo ya buri munsi igorana. Muganga wawe akenshi azayikwandikira igihe ukeneye imiti ikomeye yo kugabanya ububabare kurusha iyo ushobora kubona mu miti isanzwe igurishwa.

Indwara zisanzwe sulindac ivura zirimo artrite ya reumatoyide, itera kubyimbirwa kw'ingingo no gukakara mu mubiri wawe wose. Ifasha kandi mu kuvura osteoartrite, ubwoko bwa artrite buterwa no gusaza kw'ingingo bukunda gufata ingingo zikoreshwa cyane nko mu ivi no mu kibuno.

Byongeye kandi, sulindac ifasha mu kuvura ankylosing spondylitis, ubwoko bwa artrite bukunda gufata umugongo wawe kandi bushobora gutera ububabare bukomeye mu mugongo no gukakara. Abaganga bamwe kandi bayandikira indwara zibabaza zifata igitugu nka bursite cyangwa tendinite.

Mu bihe bimwe na bimwe, umuganga wawe ashobora kugusaba sulindac ku zindi ndwara ziterwa no kubyimbirwa zitagaragajwe hano, bitewe n'uburwayi bwawe bwihariye n'ibyo ukeneye.

Sulindac ikora ite?

Sulindac ikora ibuza zimwe mu nzego ziri mu mubiri wawe zifite akazi ko gukora ibintu bita cyclooxygenase (COX) enzymes. Izi nzego zisanzwe zikora ibintu bita prostaglandins, bitera kubyimbirwa, ububabare, n'umuriro igihe umubiri wawe wakomeretse cyangwa urwana n'indwara.

Mugukoresha sulindac, bigabanya umubare wa prostaglandin, bigafasha kugabanya ububyimbirwe mu ngingo zawe n'imitsi. Ibi bituma ubabara bike, ububyimbirwe bugabanuka, kandi ubushobozi bwo kugenda mu bice byagizweho ingaruka burushaho.

Sulindac ifatwa nk'umuti ukomeye wo mu rwego rwo hagati wa NSAID, ukomeye kurusha ibuprofen ariko muri rusange ukaba woroshye ku gifu kurusha imiti imwe n'imwe ivura ibibazo by'ububyimbirwe. Yagenewe gutanga ubufasha burambye, niyo mpamvu ikunze gufatwa kabiri ku munsi aho gufatwa inshuro nyinshi umunsi wose.

Uyu muti akenshi utangira gukora mu masaha make, ariko ushobora kutumva ingaruka zose zo kurwanya ububyimbirwe mu minsi mike cyangwa mu byumweru byo kuwukoresha buri gihe.

Nkwiriye gufata Sulindac nte?

Fata sulindac nk'uko muganga wawe abikwandikiye, akenshi kabiri ku munsi hamwe n'ibiryo cyangwa amata kugira ngo urinde igifu cyawe. Kuwufata hamwe n'ibiryo bifasha kugabanya ibyago byo kurwara igifu, kimwe mu ngaruka zikunze kugaragara z'uyu muti.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi, kandi gerageza gufata imiti yawe mu gihe kimwe buri munsi kugira ngo ugumane urwego rwo mu maraso ruri kuri gahunda. Niba uwufata kabiri ku munsi, shyira intera y'amasaha 12 hagati y'imiti yawe.

Nibyiza gufata sulindac hamwe n'ifunguro cyangwa ifunguro ryuzuye aho ku gifu cyambaye ubusa. Ibiryo birimo amavuta cyangwa poroteyine bishobora gufasha umubiri wawe kwinjiza umuti neza mu gihe bitanga uburinzi bw'inyongera ku gifu.

Ntugasenye, utahe cyangwa ucagagure ibinini keretse muganga wawe akubwiye kubikora. Niba ugira ikibazo cyo kumira ibinini, ganira n'umuganga wawe ku bindi bisubizo.

Nkwiriye kumara igihe kingana iki mfata Sulindac?

Igihe cyo kuvura na sulindac giterwa n'uburwayi bwawe bwihariye n'uburyo wemera umuti. Kubibazo bikomeye nka bursitis cyangwa tendinitis, ushobora kubikenera mu minsi mike cyangwa mu byumweru bibiri.

Niba ufite indwara zirambye nka rheumatoid arthritis cyangwa osteoarthritis, muganga wawe ashobora kugusaba gukoresha umuti igihe kirekire kugira ngo ucunge umubyimbirwe n'ububabare buriho. Ariko, bazajya bakureba buri gihe bareba niba hari ingaruka zishobora kubaho.

Umuzamuza w'ubuzima azatangira akenshi akoresha urugero ruto rw'umuti rukora neza hanyuma akajya arwongera bitewe n'uko ubuzima bwawe bwitwara n'ingaruka zose ubona. Ntuzigere uhagarika gufata sulindac ako kanya utabanje kubiganiraho na muganga wawe, cyane cyane niba umaze igihe kinini uyifata.

Abantu bamwe babona impinduka mu minsi mike, mu gihe abandi bashobora gukenera ibyumweru byinshi kugira ngo babone inyungu zose. Ihangane kandi ukurikize gahunda yo gufata imiti kugira ngo ubashe kubona ibisubizo byiza.

Mbese ni izihe ngaruka ziterwa na Sulindac?

Kimwe n'imiti yose, sulindac ishobora gutera ingaruka, nubwo atari buri wese uzibona. Ingaruka nyinshi ni nto kandi zirashobora gucungwa, ariko ni ngombwa kumenya icyo ugomba kwitaho kugira ngo ushobore kuganira ku bibazo byose na muganga wawe.

Ingaruka zisanzwe ushobora guhura nazo zirimo kuribwa mu nda, isesemi, cyangwa kutagira ubushake bwo kurya. Ibi bibazo byo mu gifu bikunze gukira iyo ufata umuti hamwe n'ibiryo kandi akenshi bigenda bigabanuka uko umubiri wawe ubimenyera.

Dore ingaruka zikunze kugaragara abantu bamwe bahura nazo:

• Urubavu cyangwa kutumva neza mu nda
• Isesemi cyangwa kuruka
• Impiswi cyangwa kubura amazi
• Uruzi cyangwa umutwe
• Umutwe
• Gusinzira cyangwa kunanirwa
• Uruhurirane rw'uruhu cyangwa gushishimura

Izi ngaruka zisanzwe akenshi zikemuka zonyine uko umubiri wawe umenyera umuti. Ariko, niba zikomeje cyangwa zikaba zikubangamiye, muganga wawe ashobora kugufasha guhindura gahunda yawe yo kuvurwa.

Nubwo bitajyenda bibaho kenshi, abantu bamwe bashobora guhura n'ingaruka zikomeye zisaba ubufasha bwihuse bwa muganga. Izi zirimo ibimenyetso byo kuva amaraso mu gifu nk'imyanda yirabura cyangwa ivanzemo amaraso, kuribwa cyane mu nda, cyangwa kuruka amaraso.

Ingaruka zidakunze kubaho ariko zikomeye zirimo:

• Ibimenyetso by'ibibazo by'umwijima (uruhu cyangwa amaso y'umuhondo, inkari z'umukara, umunaniro ukabije)
• Ibibazo by'impyiko (imihindukire mu kunyara, kubyimba amaguru cyangwa ibirenge)
• Ibibazo by'umutima (ububabare mu gituza, guhumeka bigoranye, kongera ibiro mu buryo butunguranye)
• Urugero rukabije rw'uburwayi bw'umubiri (kubura umwuka, ibiheri bikabije, kubyimba mu maso cyangwa mu muhogo)
• Indwara z'amaraso (gukomereka bidasanzwe, kubabara umuhogo bihoraho, umuriro)

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa. Wibuke ko muganga wawe yaguhaye uyu muti kuko yizeye ko inyungu ziruta ibyago mu miterere yawe yihariye.

Ninde utagomba gufata Sulindac?

Sulindac ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Indwara zimwe na zimwe n'imiti irashobora gutuma sulindac idatekanye cyangwa idakora neza kuri wowe.

Ntabwo ukwiriye gufata sulindac niba ufite allergie kuri yo cyangwa izindi NSAIDs nka ibuprofen, naproxen, cyangwa aspirine. Niba waragize allergie kuri iyi miti mu bihe byashize, harimo ibitero bya asima, imitsi, cyangwa ibibazo bikomeye byo guhumeka, sulindac irashobora gutera ibisubizo bisa.

Abantu bafite indwara zimwe na zimwe z'umutima bakwiriye gukoresha sulindac bitonze cyane cyangwa bakayirinda rwose. Niba waragize kubagwa umutima vuba aha, guturika k'umutima, cyangwa kunanirwa gukomeye k'umutima, uyu muti ntushobora kuba ukwiriye kuri wowe.

Dore indwara zisanzwe zituma sulindac idakwiriye:

• Ibibazo by'igifu cyangwa ibisebe by'amara
• Gusohoka amaraso mu gifu vuba aha cyangwa kenshi
• Indwara ikabije y'impyiko
• Indwara ikabije y'umwijima
• Indwara ikabije yo mu mara (indwara ya Crohn cyangwa ulcerative colitis)
• Gusama, cyane cyane mu gihembwe cya gatatu
• Konsa (ganira na muganga wawe ku bindi bisubizo)

Muganga wawe azitonda no mu gutanga imiti ya sulindac niba ufite umuvuduko ukabije w'amaraso, diyabete, cyangwa ufata imiti ituma amaraso atavura vuba. Ibi bibazo ntibisobanura ko utemerewe gufata sulindac, ariko bisaba gukurikiranwa cyane kandi birashoboka ko urugero rw'umuti rugomba guhindurwa.

Imyaka nayo ishobora kugira uruhare, kuko abantu bakuze bashobora kwihanganira nabi ingaruka ziterwa n'umuti, cyane cyane ibibazo byo mu gifu no mu mpyiko. Muganga wawe ashobora gutangira urugero ruto niba urengeje imyaka 65.

Amazina y'ubwoko bwa Sulindac

Izina rizwi cyane ry'ubwoko bwa sulindac ni Clinoril, ryari ubwoko bwa mbere igihe uyu muti watangiraga gukoreshwa. Ubu bwoko buracyaboneka, nubwo ubu hakoreshwa cyane sulindac yo mu bwoko busanzwe kandi ifite akamaro kamwe.

Sulindac yo mu bwoko busanzwe ikubiyemo ibintu bikora kimwe n'ubwoko bw'umuti ufite izina ryihariye kandi bigomba guhura n'ubuziranenge n'umutekano. Abantu benshi basanga ubwoko busanzwe buhendutse kandi butanga akamaro kamwe ko kuvura.

Farumasi yawe ishobora kubika ubwoko butandukanye bwa sulindac yo mu bwoko busanzwe, kandi isura y'ibinini ishobora gutandukana gato. Ariko, imikorere y'umuti irakomeza uko byagenda kose ubwoko busanzwe wakira.

Niba ufite impungenge zo guhindura hagati y'ubwoko bw'umuti ufite izina ryihariye n'ubwoko busanzwe, cyangwa hagati y'abakora ubwoko busanzwe butandukanye, ganira ibi na muganga wawe cyangwa umufarumasiti. Bashobora gusubiza ibibazo byose bijyanye n'uburinganire n'ubwizerwe.

Uburyo bwo gusimbuza Sulindac

Niba sulindac itagukundiye cyangwa itera ingaruka zikomeye, imiti myinshi isimbura ishobora gutanga akamaro kamwe ko kurwanya kubyimbirwa no kugabanya ububabare. Muganga wawe azagufasha kubona uburyo bwiza bushingiye ku burwayi bwawe bwihariye n'amateka yawe y'ubuvuzi.

Izindi miti yandikwa na muganga ya NSAIDs ikora kimwe na sulindac zirimo naproxen (Naprosyn), diclofenac (Voltaren), na celecoxib (Celebrex). Buri imwe ifite imitungo itandukanye gato n'ingaruka zayo, bityo imwe irashobora kugukorera neza kurusha izindi.

Ku bantu batabasha kwihanganira na rimwe NSAIDs, izindi nzira zishobora kuba imiti ikoreshwa hanze y'umubiri ikoreshwa mu kubabara, ushyira ku gice kibabaye. Izi zishobora gutanga ubufasha bwaho hato hamwe n'ingaruka nke zikwirakwira mu mubiri.

Uburyo butakoresha imiti nabwo bushobora gufasha cyangwa rimwe na rimwe bugasimbura sulindac, harimo:

• Kuvurwa mu buryo bw'umubiri no gukora imyitozo ngororamubiri yihariye
• Kuvura hakoreshejwe amazi ashyushye n'akonje
• Ubworoherane bwo gukora massage cyangwa acupuncture
• Kugenzura ibiro kugirango bigabanye umuvuduko ku ngingo
• Guhindura imirire kugirango bigabanye umuvuduko
• Ibikorwa bitagira ingaruka nyinshi nko koga cyangwa kugenda

Umuvuzi wawe ashobora kandi gutekereza ku miti ihindura indwara ku ndwara nka rheumatoid arthritis, ishobora gufasha kugabanya iterambere ry'indwara aho gucunga gusa ibimenyetso.

Ese Sulindac iruta Ibuprofen?

Sulindac na ibuprofen zombi ni NSAIDs, ariko zifite itandukaniro rikomeye rishobora gutuma imwe ikwiriye kurusha iyindi ku miterere yawe. Nta na imwe iruta izindi muri rusange - biterwa n'ibyo ukeneye byihariye n'imiterere yawe y'ubuvuzi.

Sulindac muri rusange ifatwa nk'ikomeye kurusha ibuprofen kandi yagenewe gutanga ubufasha burambye. Mugihe ibuprofen ikenera gufatwa buri masaha 6-8, sulindac isanzwe ifatwa kabiri ku munsi, ibyo bishobora koroha mugucunga indwara zidakira.

Kubabara gukabije cyangwa gukoreshwa igihe gito, ibuprofen irashobora guhagije kandi iboneka hanze y'urukuta, bituma iboneka kandi bikagabanya ikiguzi. Ariko, kubibazo by'indwara zidakira zifite umuvuduko nka arthritis, ingaruka za sulindac zirambye akenshi zitanga imicungire myiza y'ibimenyetso birambye.

Sulindac irashobora kuba yoroheje ku gifu cyawe kurusha izindi miti ya NSAID yandikirwa, ariko iracyashobora gutera umujinya mwinshi mu gifu kurusha ibuprofen ku bantu bamwe. Muganga wawe azatekereza ibyago byawe byo kugira ibibazo byo mu gifu mugihe ahitamo hagati yiyi miti.

Gu hitamo hagati ya sulindac na ibuprofen akenshi biterwa n'uburemere bw'uburwayi bwawe, uburyo wabyitwayemo neza kubisubizo byo hanze y'urugero, n'ibintu byawe by'ubwoko bw'ingaruka.

Ibibazo Bikunze Kubazwa Kuri Sulindac

Q1. Ese Sulindac iratekanye ku bantu bafite umuvuduko ukabije w'amaraso?

Sulindac irashobora gukoreshwa nabantu bafite umuvuduko ukabije w'amaraso, ariko bisaba gukurikiranwa neza numuganga wawe. Imiti ya NSAID nka sulindac rimwe na rimwe irashobora gutera umuvuduko w'amaraso muke cyangwa ikabangamira imiti igabanya umuvuduko w'amaraso.

Niba ufite umuvuduko ukabije w'amaraso, muganga wawe ashobora gukurikirana umuvuduko w'amaraso yawe kenshi mugihe utangiye gufata sulindac. Barashobora kandi guhindura imiti igabanya umuvuduko w'amaraso niba bibaye ngombwa kugirango bagumane kugenzura neza.

Ikintu cyingenzi n'imikoranire isanzwe n'ikipe yawe y'ubuzima no gukurikiza ibyo basaba byo gukurikirana umuvuduko w'amaraso mugihe ufata sulindac.

Q2. Nkwiriye gukora iki niba mfashe sulindac nyinshi nkana?

Niba ufata sulindac nyinshi kuruta uko byategetswe, vugana numuganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, kabone niyo utiyumva urwaye ako kanya. Gufata nyinshi cyane birashobora gutera ingaruka zikomeye zirimo kuva amaraso mu gifu, ibibazo by'impyiko, cyangwa ibibazo by'umutima.

Ntugerageze kwikorera kuruka keretse niba byategetswe na umuganga. Guma icyayi cy'imiti hamwe nawe kugirango abaganga babone neza icyo wafashe n'ingano yacyo.

Ibimenyetso byo kurenza urugero rwa sulindac birashobora kuba birimo kubabara cyane mu gifu, isesemi, kuruka, gusinzira, cyangwa guhumeka nabi. Shakisha ubuvuzi bwihutirwa niba ubonye kimwe muri ibi bimenyetso nyuma yo gufata imiti nyinshi cyane.

Q3. Ninkora iki ninsize urugero rwa Sulindac?

Niba usize urugero rwa sulindac, urufata uko wibuka vuba, keretse igihe cyo gufata urugero rukurikira kigeze. Muri urwo rubanza, usimbuka urugero wasize ukomeza gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata urugero rwa kabiri icyarimwe kugirango wuzuze urugero wasize, kuko ibyo bishobora kongera ibyago byo kugira ingaruka zidakunda. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri terefone yawe cyangwa ukoreshe umuteguro w'imiti.

Niba usize urugero kenshi, umuti ntuzakora neza mu kugenzura umubyimbirwe n'ububabare bwawe. Ganira na muganga wawe niba ufite ibibazo byo kwibuka gufata umuti wawe buri gihe.

Q4. Nshobora guhagarika ryari gufata Sulindac?

Ugomba guhagarika gufata sulindac nyuma yo kubiganiraho na muganga wawe, kabone niyo wumva umeze neza. Kubijyanye n'indwara zikomeye, muganga wawe akenshi azaguha igihe cyihariye cyo kuvurwa, kandi urashobora guhagarika igihe icyo gihe kirangiye.

Kubijyanye n'indwara zidakira nka arthrite, guhagarika sulindac bishobora gutuma ibimenyetso byawe bisubira. Muganga wawe azagufasha kumenya niba ushobora kugabanya urugero rw'umuti cyangwa guhagarika umuti mu buryo bwizewe bitewe n'uko indwara yawe ihagaze.

Niba urimo kugira ingaruka zidakunda, ntuhagarike umuti ako kanya. Ahubwo, vugana n'umuganga wawe kugirango muganire ku miti itandukanye cyangwa guhindura urugero rw'umuti bishobora gukora neza kuri wowe.

Q5. Nshobora kunywa inzoga niba ndimo gufata Sulindac?

Nibyiza kugabanya cyangwa kwirinda inzoga niba urimo gufata sulindac, kuko byombi bishobora kurakaza urukuta rw'igifu cyawe kandi bikongera ibyago byo kuva amaraso mu gifu. Uko guhuza kandi bishobora gushyira umunaniro wiyongera ku mwijima wawe n'impyiko zawe.

Niba uhisemo kunywa inzoga rimwe na rimwe, bikore mu rugero kandi buri gihe hamwe n'ibiryo kugirango bifashe kurengera igifu cyawe. Ariko, niba ufite amateka y'ibibazo by'igifu, indwara y'umwijima, cyangwa ibibazo by'impyiko, birinzwe kwirinda inzoga rwose niba urimo gufata sulindac.

Banza uvugane ukuri n'umuganga wawe ku bijyanye no kunywa inzoga kugira ngo agufashe ku buryo bwihariye ashingiye ku buzima bwawe bwose n'ibintu bigushyira mu kaga.