Chii chinonzi Baclofen (Nzira yeIntrathecal): Zvinoshandiswa, Dosage, Migumisiro uye Zvimwe

Baclofen inotumirwa kuburikidza nenzira ye intrathecal kurapwa kwakakosha uko mushonga uyu unozorodza mhasuru unotumirwa zvakananga mumvura yakatenderedza musana wako. Iyi nzira yakatarwa inobatsira kubata spasticity yakakomba yemhasuru kana mishonga yemuromo isina kupa zororo rakakwana.

Kana iwe uri kubata nekuoma kwemhasuru kwakanyanya kana spasms zvinokanganisa hupenyu hwezuva nezuva, chiremba wako angangodaro akataura nezve sarudzo iyi yekurapa. Iyo therapy inobatanidzwa zvakanyanya kupfuura kutora mapiritsi, asi inogona kupa zororo rakakosha kune mamiriro akakodzera.

Chii chinonzi Baclofen (Nzira yeIntrathecal)?

Intrathecal baclofen ndiyo imwechete mushonga unozorodza mhasuru waungaziva muchimiro chepiritsi, asi unotumirwa kuburikidza nehutachiona hwakaiswa pombi system. Pombi inogara pasi peganda rako, kazhinji mudumbu rako, uye inotumira mushonga zvakananga kumvura yako yemuzongoza kuburikidza netube rakatetepa.

Iyi nzira inopfuura zvachose hurongwa hwako hwekugaya, ichibvumira madhizi madiki kuti asvike munzvimbo chaiyo uko kutonga kwemhasuru kunoitika. Funga nezvazvo sekutumira mushonga zvakananga kunobva pane kuve nawo uchifamba nemuviri wako wese kutanga.

Iyo pombi system inenge yakakura sehockey puck uye inoda kuzadzwa nemushonga mwedzi mishoma yega yega kuburikidza neiyo hofisi iri nyore. Chiremba wako anoronga pombi kuti ipe madhizi chaiwo zuva rese zvichienderana nezvido zvako.

Chii chinonzi Baclofen (Nzira yeIntrathecal) Inoshandiswa?

Kurapa uku kunonyanya kubatsira vanhu vane spasticity yakakomba yemhasuru isina kupindura zvakanaka kumishonga yemuromo. Spasticity zvinoreva kuti mhasuru dzako dzinoramba dzakasimba, dzakaoma, kana kudzikisa zvisina kufanira, zvichiita kuti kufamba kuve kwakaoma kana kurwadza.

Mamiriro akajairika anobatsirwa ne intrathecal baclofen anosanganisira multiple sclerosis, kukuvara kwemuzongoza, cerebral palsy, uye mamwe maronda emuropi. Mamiriro aya anogona kukonzera kuti tsandanyama dzive dzakasimba zvekuti dzinokanganisa kufamba, kugara, kurara, kana kuzvichengeta.

Vamwe vanhu vanogashirawo kurapwa uku nekuda kwezvirwere zvakanyanya zvemuviri, dystonia (kusazvidira kwemhasuru), kana mamiriro ekurwadziwa kwenguva refu uko kusimba kwemhasuru kunoita basa guru. Chiremba wako achanyatsoongorora kana iwe uri munhu akakodzera kuburikidza nemuedzo wekutanga.

Baclofen (Intrathecal Route) Inoshanda Sei?

Baclofen inoshanda nekudzivisa zviratidzo zveimwe tsinga mumuzongoza wako dzinoudza tsandanyama kuti dzibvumirane kana kuramba dzakasimba. Kana ichipihwa intrathecally, inoita zvakananga panzira idzi dze nerve padanho remuzongoza uko kutonga kwemhasuru kunotanga.

Izvi zvinoita kuti ive kurapwa kwakasimba uye kwakanangana zvichienzaniswa nemapiritsi ebaclofen emuromo. Nepo mushonga wemuromo uchifanira kufamba nemuropa rako uye unokanganisa muviri wako wese, nzira ye intrathecal inopa mushonga chaipo panodiwa zvakanyanya.

Mishonga inobatsira kudzorera chiyero chiri nani pakati pezviratidzo zve nerve zvinoita kuti tsandanyama dzibvumirane uye izvo zvinovabatsira kuzorora. Izvi zvinogona kuderedza zvakanyanya kusimba kwemhasuru, spasms, uye kurwadziwa uku uchivandudza kugona kwako kufamba nekushanda.

Ndinofanira Sei Kutora Baclofen (Intrathecal Route)?

Hautori mushonga uyu muchirevo chechinyakare sezvo uchipihwa otomatiki kuburikidza ne pump yako yakaiswa. Zvisinei, uchada kutevera purogiramu yachiremba wako yekuzadza pump uye kugadzirisa.

Usati wawana pump yechigarire, uchaenda munguva yekuedzwa uko baclofen inojekeswa zvakananga mumvura yako yemuzongoza kuburikidza ne lumbar puncture. Muedzo uyu unobatsira kuona kana mushonga uchashanda kwauri uye rudzii rwemushonga waungade.

Kana pombi yako yaiswa, uchava nemisangano yenguva dzose mwedzi 1-3 kuti uzadze chitoro chemushonga. Chiremba wako anogonawo kugadzirisa chirongwa chekushandisa mushonga zvichienderana nekuti uri kupindura sei uye chero mhedzisiro yaunowana.

Zvakakosha kuchengeta misangano yako yese yakarongwa uye usambofa wakabvumira pombi yako kuti ishande isina chinhu zvachose. Kupedza mushonga kamwe kamwe kunogona kukonzera zviratidzo zvakakomba zvekubviswa uye kudzoka kwe spasticity yakakomba.

Ndingatora Baclofen (Intrathecal Route) Kwenguva Yakareba Sei?

Vanhu vazhinji vanobatsirwa ne intrathecal baclofen vanoenderera mberi nekurapa kwenguva refu, kazhinji kwemakore kana kunyange zvachose. Mamiriro ezvinhu ari pasi anokonzera spasticity yakakomba haawanzoenda, saka kurapwa kunoenderera mberi kunowanzoita.

Chiremba wako achatarisa kupindura kwako uye anogona kugadzirisa mushonga nekufamba kwenguva, asi kumisa mushonga zvachose hakusi kwakajairika kana wangowana zororo. Bhatiri repombi rinogara anenge makore 5-7 uye richada kutsiviwa kwekuvhiya kana richidzika.

Vamwe vanhu vanogona kuda kuzorora kubva mukurapa kune nzira dzekurapa kana kana matambudziko akamuka. Chiremba wako achanyatso ronga chero mazororo emishonga uye anogona kukuchinjisa kwenguva pfupi kumishonga yemuromo panguva idzi.

Ndezvipi Zvipingamupinyi zveBaclofen (Intrathecal Route)?

Semishonga yese, intrathecal baclofen inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvigamuchira zvakanaka. Mhedzisiro yakajairika inowanzoita nyoro uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.

Heano mhedzisiro yaungasangana nayo, uchifunga kuti havasi vese vanozviwana uye vanowanzoitika:

• Kuvhiringidzika kana kunzwa kurara masikati
• Dizziness kana kunzwa lightheaded
• Nausea kana dumbu rakatsamwa
• Kutemwa nemusoro
• Kushaya simba kana kunzwa usina simba kupfuura zvakajairika
• Kuvharika
• Kutambudzika nekutaura kana mazwi akatsveyama
• Matambudziko nekuenzanisa kana kubatana

Zvizhinji zvezvinhu izvi zvinowanzoita zvishoma nezvishoma sezvo chiremba wako achigadzirisa mushonga wako. Vanhu vazhinji vanoona kuti zvakanakira zvinopfuura izvi zvinogadzirisika.

Zvimwe zvinokanganisa zvakanyanya hazviwanzoitiki asi zvinoda kutariswa kwechiremba nekukasira. Izvi zvinosanganisira kurara zvakanyanya kwauri usingakwanise kumuka, matambudziko ekufema, kusimba kwemhasuru, kana zviratidzo zveutachiona munzvimbo ye pump senge kutsvuka, kuzvimba, kana fivha.

Zvisingawanzoitiki asi zvakakomba zvinogona kusanganisira kukanganisa kwe pump, matambudziko e catheter, kana kubuda kwemvura yemu spinal. Chikwata chako chekurapa chichakudzidzisa zviratidzo zvekuchenjerera zvekutarisa uye kukupa ruzivo rwekukurumidzira.

Ndiani Asingafaniri Kutora Baclofen (Intrathecal Route)?

Kurapa uku hakukodzeri munhu wese, kunyangwe avo vane spasticity yakakomba. Chiremba wako achanyatsoongorora hutano hwako hwese uye mamiriro ako chaiwo usati warumbidza intrathecal baclofen.

Unogona kunge usiri munhu akakodzera kana uine zvirwere zviripo, matambudziko ekubuda ropa, kana mamwe mamiriro emoyo anoita kuti kuvhiyiwa kuve kwakanyanya. Vanhu vane kuora mwoyo kwakanyanya kana mamiriro ehutano hwepfungwa vangangoda kuongororwa kwakawedzerwa sezvo baclofen inogona kukanganisa mafungiro nekufunga.

Mamiriro anotevera anogona kuita kuti intrathecal baclofen isakukodzere:

• Zvirwere zviripo zve systemic kana zvirwere zvepaganda pedyo nenzvimbo ye pump
• Kukomba kwezvirwere zveitsvo kana chiropa
• Kusadzora matambudziko ekubata
• Matambudziko akakomba emoyo kana mapapu anoita kuti kuvhiyiwa kuve kwakanyanya
• Mamwe mamiriro ehutano hwepfungwa kana kuderera kwekuziva
• Kuzvitakura kana zvirongwa zvekuva nepamuviri
• Allergy ku baclofen kana zvikamu zve pump system

Chiremba wako achafungawo kana iwe uchikwanisa kuvimbika kuchengeta misangano yekutevera uye kunzwisisa kuzvipira kunobatanidzwa mukuchengetedza pump. Kurapa uku kunoda kurapwa kwekurapa kunoenderera mberi uye kuongorora.

Baclofen (Intrathecal Route) Mazita eBrand

Zita rinonyanya kuzivikanwa re baclofen intrathecal ndi Lioresal Intrathecal, iyo yakagadzirirwa zvakananga kuendeswa kuburikidza nemapampu masisitimu. Mhinduro iyi isina utachiona yakasiyana nemahwendefa e baclofen emuromo aunogona kuziva.

Masisitimu emapampu pachavo ane mazita akasiyana-siyana semapampu eMedtronic's SynchroMed, asi mushonga uri mukati unowanzoita imwechete baclofen formulation. Chiremba wako achataura kuti ndeupi pump system uye baclofen concentration inoshanda zvakanyanya zvaunoda.

Mamwe masangano ekurapa anogona kushandisa compounded baclofen solutions yakagadzirirwa nemakemisi akakosha, asi izvi zvinotevera mitemo imwechete yekuchengeteka uye kushanda sezviri mumhando dzakagadzirwa.

Baclofen (Intrathecal Route) Zvimwe Zvinhu

Kana baclofen intrathecal isiri iyo yakakunakira, dzimwe nzira dzekurapa dzinogona kubatsira kubata spasticity yakakomba. Chiremba wako angakurudzira kuyedza madosi akakwirira emuromo muscle relaxants kutanga, kana kusanganisa mishonga yakasiyana-siyana kuti uwane mhedzisiro iri nani.

Mishonga mimwe ye intrathecal yakaita semorphine kana clonidine dzimwe nguva inogona kubatsira ne spasticity, kunyanya kana kurwadziwa kuriwo kunetseka kukuru. Botulinum toxin injections inoshanda zvakanaka kune localized muscle spasms uye inogona kutarisa nzvimbo dzakakosha.

Nzira dzisiri dzemishonga dzinosanganisira physical therapy, occupational therapy, uye assistive devices izvo zvinogona kuvandudza basa kunyangwe spasticity ichiripo. Vamwe vanhu vanobatsirwa kubva kumaitiro ekuvhiya anocheka tsinga dzakawandisa kana kusunungura tendons dzakasimba.

Kurapa kutsva sekukurudzira kwemuzongoza kana deep brain stimulation zvinogona kuva sarudzo kune mamwe mamiriro, kunyangwe izvi zvichiri kudzidzwa pakutungamira spasticity.

Ko Baclofen (Intrathecal Route) Zviri Nani Pane Oral Baclofen?

Baclofen inowanikwa mumutsipa haisi nguva dzose “iri nani” pane baclofen inotorwa nemuromo, asi inogona kushanda zvakanyanya kune vanhu vane spasticity yakanyanya avo vasina kuwana zororo nemapiritsi. Sarudzo inoenderana nemamiriro ako chaiwo uye kuti mishonga yemuromo yakashanda sei kwauri.

Chinhu chikuru chinobatsira chekuendesa mumutsipa ndechekuti inogona kupa mhedzisiro yakasimba iine mashoma mativi emuviri wese. Sezvo mushonga uchienda zvakananga kumusana wako, unoda madosi madiki zvikuru uye unonzwa kushaya hope kana kusava nesimba mumuviri wako wese.

Zvisinei, baclofen inowanikwa mumutsipa inoda kuvhiyiwa, kugadzwa kwekurapa kunoenderera mberi, uye inotakura njodzi iyo mishonga yemuromo isina. Vanachiremba vazhinji vanokurudzira kuyedza baclofen yemuromo nemimwe mishonga kutanga vasati vafunga nezve sisitimu yepombi.

Kune vanhu vane spasticity yakapfava kusvika pakati nepakati, baclofen yemuromo inowanzoita yakakwana uye iri nyore kwazvo kubata. Nzira ye intrathecal inova sarudzo inofarirwa kana mishonga yemuromo isingapi zororo rakakwana kana kukonzera mativi akawanda.

Mibvunzo Inowanzo Bvunzwa Nezve Baclofen (Intrathecal Route)

Baclofen (Intrathecal Route) Yakachengeteka Here Kune Vanhu vane Chirwere cheItsvo?

Baclofen inowanikwa mumutsipa inogona kuva yakachengeteka kune vanhu vane matambudziko eitsvo zvichienzaniswa ne baclofen yemuromo, asi ichiri kuda kunyatsoongororwa. Sezvo mushonga uchipfuura nehurongwa hwako hwekugaya uye uchishandisa madosi madiki zvikuru, pane kushushikana kushoma pamapapu ako.

Zvisinei, chiremba wako achiri kuda kuongorora basa rako reitsvo nguva dzose uye anogona kugadzirisa chiyero chako zvichienderana nekuti itsvo dzako dziri kushanda sei. Vanhu vane chirwere cheitsvo chakanyanya vangangoda kuongororwa kakawanda kana dzimwe nzira dzekurapa.

Ndoita Sei Kana Ndikagamuchira Baclofen yakawandisa netsaona?

Kupfuudzwa kwemishonga yeBaclofen kubva mupombi ye intrathecal hakusi kazhinji asi kwakakomba uye kunoda kutariswa kwekurapa nekukasira. Zviratidzo zvekuwandisa zvinosanganisira kurara zvakanyanya, matambudziko ekufema, kusimba kwemhasuru, kuvhiringidzika, kana kurasikirwa nekuziva.

Kana uchifungidzira kuti wanyanyisa mishonga, fonera 911 kana kuenda kuchipatara chepedyo nekukasira. Usaedze kuzvirapa iwe pachako kana kumirira kuti uone kana zviratidzo zvichivandudzika. Nyanzvi dzekurapa dzinogona kudzosa mhedzisiro uye kugadzirisa marongero ako epombi.

Pombi yako ine zvinhu zvekuchengetedza kudzivirira kuwandisa, asi matambudziko emuchina anogona kuitika dzimwe nguva. Ichi ndicho chikonzero nei kuongorora pombi nguva dzose uye kutevera chirongwa chako chekuzadza zvakakosha.

Ndingaita Sei Kana Pombi Yangu Ikashaya Mishonga?

Usambofa wakabvumira pombi yako kuti ishande isina chinhu zvachose, sezvo izvi zvinogona kukonzera zviratidzo zvinotyisa zvekubvisa zvinosanganisira kudzoka kwe spasticity yakakomba, kubatwa, uye zvimwe zvakakomba. Chengeta nguva dzekuzadza kwako uye taura nachiremba wako nekukasira kana uchifunga kuti pombi yako ingave yakaderera.

Zviratidzo zvekutanga zvekuti pombi yako ingave iri kushaya zvinosanganisira kudzoka kwekuoma kwemhasuru, kuwedzera kwemaspasms, kana zviratidzo zvawakawana usati watanga kurapwa. Usamirira kuti zviratidzo izvi zviwedzere kuoma usati watsvaga rubatsiro.

Chikwata chako chekurapa chichakupa nhamba yekukurumidzira yekutaurirana yenyaya dzine chekuita nepombi. Vanogona kukuona nekukasira kuti uzadzwe nekukurumidza kana zvichidikanwa.

Ndingamira Rini Kutora Baclofen (Intrathecal Route)?

Kumisa intrathecal baclofen kazhinji hakukurudzirwi kunze kwekunge uine mhedzisiro yakakomba kana matambudziko. Mamiriro ezvinhu ari pasi ayo anoda kurapwa uku kazhinji haavandudzi zvakakwana kuti umise mishonga zvachose.

Kana uchida kumira nekuda kwezvikonzero zvekurapa, chiremba wako achaderedza zvishoma nezvishoma muyero wako kwemavhiki akati wandei kana mwedzi. Kumira kamwe kamwe kunogona kukonzera zviratidzo zvinotyisa zvekubvisa zvinosanganisira spasticity yakakomba, kubatwa, uye zvimwe zvakakomba.

Vamwe vanhu vangamira kurapwa nekuda kwekuvhiwa kana mamwe maitiro ekurapa, asi izvi zvinoda kuronga zvakanaka uye kazhinji kuchinjirwa kwenguva pfupi kumishonga inotorwa nemuromo. Usambomira kana kusvetuka mishonga usina kutanga wataurirana nachiremba wako.

Ndingave neMRI Scans neIntrathecal Pump here?

Mupampu zhinji dzemazuva ano dze intrathecal dzinoenderana neMRI, asi uchafanirwa kutevera mitemo yakatarwa yekuchengetedza. Nguva dzose zivisa chero mupi wehutano nezvepampu yako usati waita chero zvidzidzo zvekuongorora kana maitiro ekurapa.

Pampu yako inogona kuda kurongwa zvakasiyana kwenguva pfupi isati yaitwa MRI scans, uye unogona kuda kudzivisa mamwe marudzi eminda yakasimba yemagineti. Mugadziri wepampu yako anopa nhungamiro dzakatarwa dzinoteverwa nechikwata chako chekurapa.

Chengeta kadhi rako rekuzivikanwa kwepampu newe nguva dzose uye zivisa kuchengetedzwa kwendege, vashandi vezvokurapa, uye chero munhu anoshandisa michina yekurapa nezvechishandiso chako chakaiswa.