Chii chinonzi Dipivefrin: Zvinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Dipivefrin mushonga wemaziso unobatsira kuderedza kumanikidzwa mukati memaziso ako, kunyanya kushandiswa kurapa glaucoma uye ocular hypertension. Iyi mishonga yemaziso inoshanda nekuderedza huwandu hwemvura inogadzirwa nemaziso ako ukuwo ichibatsira mvura iripo kuti ibude nyore nyore.

Kana wakaongororwa uine glaucoma kana kumanikidzwa kwakanyanya kwemaziso, chiremba wako anogona kukurudzira dipivefrin sechikamu chekurapa kwako. Kunzwisisa kuti mushonga uyu unoshanda sei uye zvekutarisira zvinogona kukubatsira kuti unzwe wakavimbika nezvekuchengetwa kwemaziso ako.

Chii chinonzi Dipivefrin?

Dipivefrin mushonga wemaziso unopiwa nachiremba uyo ari muboka remishonga inonzi sympathomimetics. Ichokwadi kuti mushonga weprodrug, zvinoreva kuti muviri wako unochinja kuita epinephrine (adrenaline) kana wangopinda muziso rako.

Iyi nzira yekushandura yakangwara kwazvo - dipivefrin inogona kupinda pamusoro peziso rako nyore nyore kupfuura epinephrine yakajairika. Kana wangopinda mukati, ma enzymes ako echisikigo anochinja kuita chimiro chinoshanda icho chaicho chinoita basa rekuderedza kumanikidzwa kwemaziso.

Mishonga iyi inouya semhinduro yakajeka, isina ruvara yaunoshandisa zvakananga kumaziso ako. Yave ichishandiswa zvakachengeteka kwemakumi emakore kubatsira vanhu kudzora kumanikidzwa kwemaziso avo uye kuchengetedza chiono chavo.

Chii chinonzi Dipivefrin chinoshandiswa?

Dipivefrin inonyanya kupihwa kurapa mamiriro maviri ane chekuita nemaziso ayo anosanganisira kumanikidzwa kwakakwira mukati memaziso ako. Mamiriro ese ari maviri anogona kukuvadza tsinga yako yeoptic kana ikasabatwa.

Mamiriro makuru ayo dipivefrin inorapa iopen-angle glaucoma, iyo mhando yakajairika ye glaucoma. Mumamiriro ezvinhu aya, mvura inovaka muziso rako nekuti haigone kubuda zvakanaka kuburikidza neiyo yechisikigo drainage system yeziso. Izvi zvinogadzira kumanikidzwa kunogona zvishoma nezvishoma kukuvadza tsinga yeoptic, zvichikonzera kurasikirwa kwechiono kana zvisina kutarisirwa.

Dipivefrin inoshandiswawo kurapa ocular hypertension, iyo inenge iri high eye pressure isina kukuvadzwa kwetsinga dzeoptic kunoonekwa muglaucoma. Fungidzira sechiratidzo chenyevero - eye pressure yako yakakwira, asi maonero ako haasati akanganiswa. Kurapa nekukurumidza kunogona kubatsira kudzivirira kufambira mberi kuita glaucoma.

Mune dzimwe nguva, chiremba wako angangokurudzira dipivefrin pamwe chete nemimwe mishonga yeziso kuti uwane kutonga kwakanaka kwe pressure. Iyi nzira yekubatanidza yakajairika uye inowanzoita zvakanyanya kubudirira pane kushandisa mushonga mumwe chete.

Dipivefrin Inoshanda Sei?

Dipivefrin inoshanda kuburikidza nematanho maviri anoderera pressure mukati meziso rako. Inoonekwa semushonga wakasimba zvine mwero unogona kupa kuderedzwa kukuru kwe pressure kana uchishandiswa nemazvo.

Kutanga, mushonga unoderedza huwandu hwemvura (inonzi aqueous humor) inogadzirwa nemaziso ako. Maziso ako anogadzira mvura iyi yakajeka nguva dzose, asi muglaucoma, zvakawanda zvakanyanya zvinogadzirwa kana kuti hazvina kunyatsodururwa. Nekuderedza kugadzirwa, dipivefrin inobatsira kugadzirisa rimwe divi rekuyera uku.

Chechipiri, dipivefrin inobatsira kuvandudza kuyerera kwemvura iripo kubva mumaziso ako. Inoshanda pane sisitimu yekuyerera yeziso kubatsira mvura kuyerera kunze zvakanyanya, ichiwedzera kuderedza pressure buildup.

Mishonga inowanzo kutanga kushanda mukati meawa yekushandisa, nemhedzisiro yepamusoro inoitika maawa 4-6 mushure mekushandisa. Vanhu vazhinji vanocherechedza mhedzisiro yekuderedza pressure inogara kwemaawa anenge gumi nemaviri, ndosaka ichiwanzo kurairwa kaviri pazuva.

Ndingatora Sei Dipivefrin?

Kutora dipivefrin nemazvo kwakakosha kuti uwane mhedzisiro yakanaka uchideredza mhedzisiro. Mushonga unouya semadonhwe emaziso aunozoshandisa zvakananga kune ziso rako kana maziso ako akakanganiswa.

Tangira nekugeza maoko ako zvakanyatsonaka nesipo nemvura. Tsamira musoro wako kumashure zvishoma uye zvinyoro nyoro dhonza pasi chifukidzo chako chepasi kuti ugadzire homwe diki. Bata muromo we dropper pedyo ziso rako usingaribati, wobva wadzvanya donhwe rimwe muhomwe yawakagadzira.

Mushure mekuisa donhwe, vhara ziso rako zvinyoro nyoro uye dzvanya zvishoma pakona yemukati yeziso rako pedyo nemhino yako kweminiti imwe. Iyi nzira, inonzi nasolacrimal occlusion, inobatsira kudzivirira mushonga kubva pakudonha mumatsipa ako emvura yemisodzi uye zvinogona kukonzera mhedzisiro.

Kana uchida kushandisa mamwe mishonga yeziso, mirira angangoita maminitsi mashanu kusvika gumi pakati pemadonhwe akasiyana. Izvi zvinopa mushonga wega wega nguva yekutorwa zvakanaka pasina kugeza imwe yapfuura.

Haufaniri kutora dipivefrin nechikafu kana mukaka sezvo ichishandiswa zvakananga kumaziso ako. Zvisinei, edza kuishandisa panguva imwe chete zuva rega rega kuti uchengetedze kudzora kusingachinji kumanikidzwa.

Ndingatora Dipivefrin Kwenguva Yakareba Sei?

Dipivefrin inowanzoita mushonga wenguva refu waunozofanira kushandisa nguva dzose kuti uchengetedze kudzora kwakakodzera kumanikidzwa kweziso. Glaucoma uye ocular hypertension mamiriro echronic anoda kurapwa kwenguva refu panzvimbo yekurapa kwenguva pfupi.

Vanhu vazhinji vanoda kushandisa dipivefrin zvachose, sezvo kumisa mushonga kazhinji kunokonzera kumanikidzwa kweziso kudzoka kumazinga akakwira mukati memazuva kana mavhiki. Chiremba wako achatarisa kumanikidzwa kweziso rako nguva dzose kuti ave nechokwadi chekuti mushonga unoramba uchishanda nemazvo.

Mumwedzi yako yekutanga yekurapa, ungangove uine kuongororwa kakawanda kuti uve nechokwadi chekuti mushonga uri kushanda zvakanaka uye usingakonzere mhedzisiro inonetsa. Kana kumanikidzwa kwako kwagadzikana, kushanya kunowanzoita kushoma, kazhinji mwedzi mitatu kusvika mitanhatu yega yega.

Vamwe vanhu vangazoda kuchinja kumishonga yakasiyana kana kuwedzera mamwe marapirwo kana dipivefrin ikashanda zvishoma nekufamba kwenguva. Izvi zvakajairika uye hazvirevi kuti mushonga wakundikana - zvinongoreva kuti chirongwa chako chekurapa chinoda kugadziriswa.

Ndezvipi Zvakaipa zveDipivefrin?

Semishonga yese, dipivefrin inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvitsungirira zvakanaka. Kunzwisisa zvekutarisira kunogona kukubatsira kusiyanisa pakati pemhedzisiro yekugadzirisa yakajairika uye zviratidzo zvinoda kutariswa kwechiremba.

Mhedzisiro yakajairika yaungasangana nayo inobatana nemaziso ako uye inowanzoita nyoro. Mhedzisiro iyi inowanzoita nani sezvo maziso ako achigadzirisa kumushonga mumavhiki mashoma ekutanga ekushandisa.

Mhedzisiro yakajairika ine chekuita nemaziso inosanganisira:

• Kunanzva kana kurwadza paunotanga kushandisa madonhwe
• Kuvhiringidzika kwechinguvana kwemaziso kwemaminitsi mashoma mushure mekushandisa
• Kuwedzera kunzwisiswa kune chiedza
• Kunzwa sekunge chimwe chinhu chiri muziso rako
• Kutsvedza kwemaziso kana kutsamwa
• Maziso ane mvura

Zviratidzo izvi zvinowanzoita zvechinguvana uye zvinowanzoderera sezvo maziso ako achijaira mushonga. Kana vakaenderera mberi kana kuipa mushure memavhiki mashoma, zivisa chiremba wako.

Mhedzisiro isingawanzoitiki asi inonyanya kukosha inogona kuitika nekuti dipivefrin inoshanduka kuita epinephrine mumuviri wako. Nepo mushonga wakawanda uchigara muziso rako, huwandu hudiki hunogona kupinda muropa rako uye kukanganisa dzimwe nhengo dzemuviri wako.

Mhedzisiro yesystemic inoda kutariswa kwechiremba inosanganisira:

• Kurova kwemoyo nekukurumidza kana kusina kujairika
• Kurwadziwa muchipfuva kana kusimba
• Kufema zvishoma
• Kurwadziwa kwemusoro kwakanyanya
• Kudedera kana kudedera
• Kuzvidya mwoyo kana kusagadzikana
• Kusvotwa kana kurutsa

Mhedzisiro isingawanzoitiki asi yakakomba inoda kutariswa kwechiremba nekukasira. Izvi zvinosanganisira maitiro akakomba ekugadzirisa muviri ane zviratidzo zvakaita sekuzvimba kwechiso, kuoma kufema, kana rash yakapararira.

Taura nachiremba wako nekukasira kana ukaona zviratidzo zvinokunetsa kana kana migumisiro yakajairika ikava yakanyanya kana kusavandudzika nekufamba kwenguva.

Ndiani Asingafaniri Kutora Dipivefrin?

Dipivefrin haina kukodzera munhu wese, uye mamiriro ezvinhu kana mamiriro ezvinhu anoita kuti isachengeteke kana kushanda zvishoma. Chiremba wako achatarisa nhoroondo yako yekurapa zvakanyatsonaka asati akurudzira mushonga uyu.

Haufaniri kushandisa dipivefrin kana uine mhando dze glaucoma, kunyanya angle-closure glaucoma kana narrow-angle glaucoma. Mumamiriro ezvinhu aya, dipivefrin inogona kuita kuti dambudziko riwedzere nekuita kuti kona iyo mvura inoyerera ivhare zvakare.

Vanhu vane mamiriro emoyo akakosha vanoda kufunga zvakakosha vasati vashandisa dipivefrin. Mushonga unogona kukanganisa kurova kwemoyo wako uye rhythm, saka haigone kukodzera kana uine matambudziko emoyo.

Mamiriro ezvinhu anogona kudzivirira kushandiswa kwedipivefrin anosanganisira:

• Chirwere chemoyo chakanyanya kana kurwisa kwemoyo kwemazuva ano
• High blood pressure isingadzoreki
• Kusagadzikana kwemoyo kwakanyanya
• Hyperthyroidism (thyroid inoshanda zvakanyanya)
• Kuziva allergy kune dipivefrin kana epinephrine
• Mhando dze glaucoma (angle-closure)

Kungwarira kwakakosha kunodiwa kune vanhu vane chirwere cheshuga, sezvo dipivefrin inogona kukanganisa mazinga eshuga yeropa. Kana uine chirwere cheshuga, chiremba wako achakutarisa zvakanyanya paunotanga mushonga uyu.

Vakadzi vane pamuviri uye vanoyamwisa vanofanira kukurukura njodzi nemabhenefiti nemupi wavo wehutano. Kunyange dipivefrin inogona kushandiswa panguva yekuzvitakura kana zvichidikanwa, inofanira kushandiswa chete kana mabhenefiti achipfuura njodzi dzinogona kuitika.

Mazita eDipivefrin Brand

Dipivefrin inowanikwa pasi pemazita akati wandei emhando, kunyangwe iyo yekutanga zita remhando formulation isisawanikwi zvakanyanya munyika zhinji. Zita remhando rinozivikanwa zvakanyanya raive Propine, iro raiwanzorayirwa kwemakore mazhinji.

Nhasi, dipivefrin inowanikwa zvakanyanya semushonga wegeneric, zvinoreva kuti inotengeswa pasi pezita rayo remakemikari panzvimbo pezita remhando chaiyo. Mhando dzeGeneric dzinoshanda zvakafanana nemishonga yemhando uye kazhinji inodhura.

Kana chiremba wako akanyora dipivefrin, mushonga unogona kuiisa pasi pemazita akasiyana evagadziri vegeneric. Chinhu chinoshanda uye kushanda zvinoramba zvakafanana zvisinei nekuti ndekupi kambani inogadzira.

Kana iwe uchishandisa vhezheni yemhando uye uchida kuchinjira kune generic, usanetseka - mushonga uchashanda nenzira imwechete. Zvisinei, gara uchizivisa chiremba wako nezve chero shanduko mumushonga wako.

Zvimwe Zvinhu Zvokushandisa Panzvimbo peDipivefrin

Mishonga yakati wandei inogona kurapa glaucoma uye ocular hypertension kana dipivefrin isina kukodzera kwauri kana ikamira kushanda zvakanaka. Chiremba wako ane sarudzo dzakawanda dzekubatsira kudzora kumanikidzwa kwemaziso ako.

Zvimwe zvinhu zvinowanzo nyorwa zvinobva kumakirasi akasiyana emishonga anoshanda kuburikidza nemaitiro akasiyana. Kirasi imwe neimwe ine mabhenefiti ayo uye migumisiro inogona kuitika, ichibvumira chiremba wako kuti awane zvakakodzera kune mamiriro ako chaiwo.

Zvimwe zvinhu zvinowanzo shandiswa zvinosanganisira:

• Prostaglandin analogs (senge latanoprost, travoprost) - kazhinji kurapwa kwekutanga
• Beta-blockers (senge timolol, betaxolol) - kuderedza kugadzirwa kwemvura
• Alpha-agonists (senge brimonidine) - kuderedza kugadzirwa kwemvura uye kuwedzera drainage
• Carbonic anhydrase inhibitors (senge dorzolamide) - kuderedza kugadzirwa kwemvura
• Mishonga yakasanganiswa inosanganisira makirasi akawanda emishonga

Chiremba wako achafunga nezvezvinhu zvakaita sehutano hwako hwese, mimwe mishonga yaunotora, uye kuti unotsungirira sei migumisiro kana uchisarudza zvimwe zvinhu. Dzimwe nguva musanganiswa wemishonga unoshanda zvirinani pane chero mushonga mumwe chete.

Kana madonhwe emaziso asingakwani, mamwe marapirwo akadai semaitiro e laser kana kuvhiyiwa anogona kurairwa. Sarudzo idzi dzinogona kushanda zvakanyanya kune vanhu vasingapinduri zvakanaka kumishonga kana kuwana matambudziko ekushandisa madonhwe emaziso nguva dzose.

Dipivefrin iri nani kupfuura Timolol here?

Dipivefrin na timolol vese mishonga inoshanda yekudzikisa kumanikidzwa kwemaziso, asi vanoshanda zvakasiyana uye vane zvakanakira nezvakaipira zvakasiyana. Hapana kana imwe iri yakanaka zvachose - sarudzo yakanakisa inoenderana nemamiriro ako ega.

Timolol, beta-blocker, inowanzoonekwa semushonga wekutanga nekuti inoshanda zvakanyanya pakudzikisa kumanikidzwa kwemaziso uye inowanzotsungirirwa zvakanaka. Inoshanda nekuderedza huwandu hwemvura inogadzirwa nemaziso ako, uye vanhu vazhinji vanogona kuishandisa vasina mhedzisiro yakakosha.

Dipivefrin inogona kufarirwa mune dzimwe nguva, kunyanya kana uine mamiriro ekufema akadai se asthma kana COPD. Kusiyana ne timolol, iyo inogona kuwedzera matambudziko ekufema, dipivefrin inowanzova yakachengeteka kune vanhu vane mamiriro emapapu.

Zvisinei, timolol inowanzo shandiswa kazhinji nekuti inowanzoita kuti pave nemhedzisiro shoma ine chekuita nemaziso senge kupisa kana kurwadza. Inowanikwawo mune mamwe mafomu, kusanganisira sarudzo dzezuva rimwe chete idzo vamwe vanhu vanowana dziri nyore.

Chiremba wako achafunga nezve nhoroondo yako yese yezvokurapa, mamwe mishonga, uye zvaunofarira pachako paunenge uchisarudza pakati pesarudzo idzi. Dzimwe nguva vanogona kunyorawo pamwechete kuti vawedzere kudzora kumanikidzwa.

Mibvunzo Inowanzo bvunzwa nezve Dipivefrin

Dipivefrin yakachengeteka here kune chirwere chemoyo?

Dipivefrin inoda kufunga zvakanyanya kana uine chirwere chemoyo, sezvo ichigona kukanganisa hurongwa hwako hwemoyo. Kunyange mushonga uchiiswa mumaziso ako, huwandu hudiki hunogona kupinda muropa rako uye zvinogona kukanganisa kurova kwemoyo wako uye kumanikidzwa kweropa.

Vanhu vane matambudziko emoyo akapfava, akagadzikana vangave vachikwanisa kushandisa dipivefrin zvakachengeteka pasi pekutariswa kwakanyanya kwechiremba. Chiremba wako achayerera mabhenefiti ekudzora kumanikidzwa kweziso rako achipesana nenjodzi dzinogona kune moyo wako.

Kana uine chirwere chemoyo chakakomba, kurwisa kwemoyo kwemazuva ano, kana kuwedzera kweropa kusingadzorwe, chiremba wako anogona kusarudza mushonga wakasiyana. Kune dzimwe nzira dzakawanda dzinobudirira dzekurapa glaucoma dzisingatakure njodzi dzakafanana dzemoyo.

Ndingaita Sei Kana Ndikashandisa Dipivefrin Yakawandisa Netsaona?

Kana netsaona ukashandisa dipivefrin yakawanda kupfuura yakarairwa, usavhunduka, asi zviise mumoyo. Kushandisa yakawanda kunogona kuwedzera njodzi yako yemigumisiro, kunyanya iyo inokanganisa moyo wako uye kumanikidzwa kweropa.

Geza ziso rako zvinyoro-nyoro nemvura yakachena kuti ubvise chero mushonga wakawandisa, wobva wazvitarisa iwe pachako kuti uone zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kurwadziwa muchipfuva, kurwadziwa kwemusoro kwakanyanya, kana kunzwa kusagadzikana kana kutya. Zviratidzo izvi zvinoratidza kuti mushonga uri kukanganisa muviri wako wese, kwete maziso ako chete.

Bata chiremba wako kana muzvinamutsi kuti uwane gwara, kunyanya kana uri kusangana nezviratidzo zvinonetesa. Vanogona kukupa zano rekuti uone chii uye kana uchida kutariswa kwekurapa nekukurumidza.

Kuti udzivise mune ramangwana, gara uchitarisa kaviri kuti uri kushandisa madonhwe akakodzera uye dzivisa kutsamira bhodhoro zvakanyanya, izvo zvinogona kukonzera madonhwe akawanda kuti abude panguva imwe chete.

Ndingaita Sei Kana Ndikakanganwa Dose yeDipivefrin?

Kana ukakanganwa dose ye dipivefrin, iise paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Muchiitiko ichocho, skip the missed dose and continue with your regular schedule.

Usambofa wakashandisa zvikamu zviviri panguva imwe chete kuti "ubate" - izvi zvinogona kutungamira kuzviratidzo zve overdose uye zvinogona kuita migumisiro ine njodzi. Kudzora kumanikidzwa kweziso rako kunochengetwa zviri nani nemadosi anowirirana, akaiswa zvakanaka pane kuyedza kugadzirisa ayo akarasika.

Kana uchikanganwa mishonga kakawanda, funga nezvekugadza zviyeuchidzo zvefoni kana kushandisa chirongwa chemishonga. Kushandisa nguva dzose kwakakosha kuchengetedza kutonga kwakakodzera kwekumanikidzwa kwemaziso uye kuchengetedza chiono chako.

Bata chiremba wako kana wakanganwa mishonga yakawanda kana kana uchinetseka kuyeuka kushandisa mishonga yako nguva dzose. Vanogona kukwanisa kupa mazano kana kurapwa kwakasiyana uko kunokodzera zviri nani nezuva rako.

Ndingamira rini kutora Dipivefrin?

Haufanire kumira kutora dipivefrin usina kutanga wabvunza chiremba wako, kunyangwe uchinzwa zvakanaka kana uchifunga kuti maziso ako ari nani. Glaucoma uye ocular hypertension mamiriro echronic anoda kurapwa kunoenderera mberi kudzivirira kurasikirwa kwechiono.

Kumanikidzwa kwemaziso ako kunogona kudzokera kumatanho akakwira mukati memazuva kana mavhiki ekumisa mishonga, zvichiisa chiono chako panjodzi. Izvi zvinogona kuitika kunyangwe iwe usingaone chero zviratidzo, sezvo kumanikidzwa kwemaziso kwakakwira kazhinji hakukonzere kurwadziwa kana shanduko dzinooneka dzechiono kusvikira kukuvara kwaitika.

Chiremba wako achasarudza kana zvakachengeteka kumisa dipivefrin zvichibva pakumanikidzwa kwemaziso ako, hutano hwemaziso hwese, uye mhinduro yekurapa. Dzimwe nguva vanogona kukuchinjira kumishonga yakasiyana pane kumisa kurapwa zvachose.

Kana uri kusangana nemigumisiro inonetsa kana uchinetseka kushandisa mishonga, kurukura izvi zvinhu nachiremba wako. Vanogona kugadzirisa chirongwa chako chekurapa kugadzirisa nyaya idzi vachiri kuchengetedza chiono chako.

Ndingapfeka makontakiti lensi ndichishandisa Dipivefrin?

Unogona kazhinji kupfeka makontakiti lensi uchishandisa dipivefrin, asi uchada kutevedzera matanho chaiwo kudzivirira matambudziko. Mishonga inogona kuita pamwechete nemhando dzakasiyana dzemakontakiti lensi uye inogona kukonzera kusagadzikana kana isina kushandiswa nemazvo.

Bvisa magirazi ako ekuona usati waisa dipivefrin, wobva wamirira angangoita maminitsi gumi nemashanu usati waaisa zvakare. Izvi zvinobvumira mushonga kuti unyatsotora uye zvinoderedza njodzi yekuti zvinochengetedza zviri mumadonhwe emaziso zvikonzere kukuvadzwa kwegirazi rekuona kana kutsamwa kwemaziso.

Vamwe vanhu vanowana kuti dipivefrin inoita kuti maziso avo anzwe akaoma kana kutsamwa, izvo zvinogona kuita kuti kupfeka girazi rekuona kusava kwakanaka. Kana iwe ukasangana neizvi, taura nachiremba wako nezvekushandisa misodzi yekugadzira isina zvinochengetedza kana kugadzirisa chirongwa chako chegirazi rekuona.

Nguva dzose tevera mirairo chaiyo yechiremba wako weziso nezvekushandiswa kwegirazi rekuona nemishonga yako yeglaucoma, sezvo mamiriro emunhu mumwe nemumwe angada nzira dzakasiyana.