Chii chinonzi Tenapanor: Zvinoshandiswa, Madosi, Migumisiro, nezvimwe

Tenapanor mushonga unopiwa nachiremba unobatsira kubata chirwere che irritable bowel syndrome ine kuvharika (IBS-C) muvanhu vakuru. Mushonga uyu mutsva unotora nzira yakasiyana nemamwe marapirwo e IBS nekunangana nemaitiro chaiwo mumukati mako kuti ubatsire kuderedza kurwadziwa mudumbu uye kuvandudza kufamba kwematumbo.

Kana uri kutarisana nekusagadzikana kwekugaya chikafu uye kuvharika, chiremba wako angangodaro akataura nezve tenapanor sechisarudzo chekurapa. Ngatitarisei zvese zvaunoda kuziva nezvemushonga uyu mumashoko akareruka, akajeka.

Chii chinonzi Tenapanor?

Tenapanor mushonga mudiki unovhara nzira dzakasiyana mumutsara wematumbo ako. Funga nezvazvo semaitiro akanangana anoshanda zvakananga mumugwagwa wako wekugaya chikafu pane kukanganisa muviri wako wese.

Mushonga uyu unouya muchimiro chepiritsi uye unotorwa nemuromo. Yakagadzirirwa kuti igare zvakanyanya mumukati mako, izvo zvinoreva kuti zvishoma zvinotorwa muropa rako. Chiito ichi chemuno chinobatsira kuderedza migumisiro inogona kukanganisa dzimwe nhengo dzemuviri wako.

Tenapanor yakagamuchira mvumo yeFDA muna 2019 mushure mekunge zvidzidzo zvekiriniki zvairatidza kuti zvinogona kubatsira vanhu vane IBS-C kuti vasawirwe nekurwadziwa mudumbu uye kufamba kwematumbo nguva dzose. Mushonga uyu unomiririra nzira itsva yekurapa iyi mamiriro ekugaya chikafu akajairika.

Chii chinonzi Tenapanor chinoshandiswa?

Tenapanor inobvumidzwa zvakananga kurapa irritable bowel syndrome ine kuvharika (IBS-C) muvanhu vakuru. Mamiriro aya anotambudza mamiriyoni evanhu uye anokonzera kusanganiswa kwekurwadziwa mudumbu, kuzvimba, uye kuoma kuva nekufamba kwematumbo nguva dzose.

Chiremba wako angakurudzira tenapanor kana uine kurwadziwa mudumbu kunoramba kuripo pamwe nekuzvimbirwa kunokanganisa zvikuru hupenyu hwako hwezuva nezuva. Mushonga uyu unobatsira zvikuru vanhu vasina kuwana zororo rakakwana nekuchinja kudya, zvinowedzera fiber, kana mamwe marapirwo ekutanga.

Parizvino, tenapanor haina kubvumirwa kune dzimwe mhando dzekuvharika kana mamiriro ekugaya. Yakagadzirirwa zvakananga kusanganiswa kwakasiyana kwezviratidzo zvinoratidza IBS-C, uko kurwadziwa mudumbu uye kuvharika kunoitika pamwe chete.

Tenapanor Inoshanda Sei?

Tenapanor inoshanda nekudzivisa sodium-hydrogen exchanger 3 (NHE3) channels mumutsara wako wematumbo. Aya machannel anowanzo rubatsira matumbo ako kutora sodium nemvura kubva muzvokudya zvaunodya.

Kana tenapanor ikadzivisa aya machannel, shoma sodium nemvura zvinotora zvakare mumuviri wako. Izvi zvinoreva kuti mvura yakawanda inogara mumatumbo ako, izvo zvinobatsira kupfavisa chigaro uye kuita kuti kufamba kwematumbo kuve nyore uye kunyaradza.

Mushonga uyu unoitawo kuderedza kunzwisiswa kwetsinga mumadziro ako ematumbo. Izvi zvinogona kubatsira kuderedza kurwadziwa mudumbu uye kusagadzikana kunowanzo kuuya neIBS-C. Mhedzisiro yakasanganiswa inogadzirisa zvese kuvharika uye kurwadziwa kwemamiriro acho ezvinhu.

Tenapanor inoonekwa semushonga unonyatso shanda weIBS-C. Kunyangwe isingashande kune vese, zvidzidzo zvekiriniki zvinoratidza kuti vanhu vazhinji vanowana kuvandudzwa kunoreva muzviratidzo zvavo mukati memavhiki mashoma ekutanga kurapwa.

Ndinofanira Kutora Sei Tenapanor?

Tora tenapanor sezvakanyorwa nachiremba wako, kazhinji kaviri pazuva usati wadyisa. Mushonga wenguva dzose i50 mg inotorwa maminitsi makumi matatu vasati vadya mangwanani uye maminitsi makumi matatu vasati vadya chisvusvuro.

Kutora tenapanor usati wadyisa kunobatsira kuvandudza mashandiro emushonga mumuviri wako wekugaya. Unogona kuitora nemvura shoma, asi haufanirwe kuitora nemukaka kana chero rudzi rwechikafu.

Edza kutora mishonga yako panguva imwe chete zuva rega rega kuti uchengetedze mazinga emushonga mumuviri wako. Kugadzira zviyeuchidzo zvefoni kunogona kukubatsira kumisa tsika iyi, kunyanya kana uchitanga kurapwa.

Kana uine dambudziko rekumedza mahwendefa, taura nachiremba wako nezve nzira dzinogona kubatsira. Usapwanye kana kuputsa mahwendefa, nekuti izvi zvinogona kukanganisa mashandiro emushonga mumuviri wako.

Ndingatora Tenapanor Kwenguva Yakareba Sei?

Vanhu vazhinji vanotanga kuona kuvandudzwa muzviratidzo zvavo zveIBS-C mukati memavhiki maviri kusvika mana vachitora tenapanor nguva dzose. Zvisinei, vamwe vanhu vangada kusvika kumavhiki masere kuti vawane zvizere zvemushonga.

Chiremba wako anowanzo kuda kuongorora kuti tenapanor iri kushanda sei kwauri mushure mekunge watora kwemavhiki anenge mana kusvika matanhatu. Izvi zvinopa nguva yakakwana yekuona kana mushonga uchiunza rubatsiro runokosha kubva muzviratidzo zvako.

Kana tenapanor ichibatsira zviratidzo zvako, chiremba wako anogona kukurudzira kuenderera mberi nayo chero bedzi ichiramba ichishanda uye ichigamuchirwa zvakanaka. Vamwe vanhu vanoi tora kwemwedzi kana kunyange makore sechikamu chechirongwa chavo chekuchengetedza IBS-C kwenguva refu.

Sarudzo yekuti ungaita sei kuenderera mberi ne tenapanor inoenderana nemhinduro yako yega, chero mhedzisiro yaunowana, uye zvinangwa zvako zvese zvekutarisirwa. Kutarisa nguva dzose nachiremba wako kuchabatsira kuona nzira yakanakisa yemamiriro ako ezvinhu.

Ndezvipi Zviri Zvakaipa ZveTenapanor?

Semishonga yese, tenapanor inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese achizviona. Mhedzisiro yakajairika inowanzoita nyoro uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.

Heano mhedzisiro yaunonyanya kusangana nayo, uchifunga kuti vanhu vazhinji vanogashira tenapanor zvakanaka:

• Manyoka (iyi ndiyo mhedzisiro yakajairika)
• Kuzvimba mudumbu kana gasi
• Nausea
• Kurwadziwa mudumbu kana cramping
• Dizziness
• Flatulence

Izvi zvinowanzoitika zvinowanzoita zvishoma mushure memavhiki mashoma ekurapa. Kana manyoka akava akakomba kana kuramba, taura nachiremba wako, sezvo vachigona kuda kugadzirisa muyero wako kana kukurudzira nzira dzekugadzirisa iyi mhedzisiro.

Zvisingawanzoitiki asi zvakanyanya kukomba zvinogona kuitika, kunyangwe zvichiwanzodiwa. Izvi zvinogona kusanganisira kupera mvura mumuviri zvakanyanya kubva kurutsvo rusingaperi, kusagadzikana kwemagetsi, kana maitiro ekurwara. Kana ukaona kurwadziwa kwakanyanya mudumbu, zviratidzo zvekupera mvura mumuviri senge nyota yakanyanya kana dzungu, kana chero zviratidzo zvekurwara, tsvaga rubatsiro rwekurapa nekukurumidza.

Vamwe vanhu vanogona kusangana nekuchinja kwemafungiro kana kushushikana, kunyangwe izvi zvisingawanzoitiki. Kana ukaona chero shanduko dzisingaite mukuona kwako manzwiro, kurukura izvi nemupi wako wehutano.

Ndiani Asingafaniri Kutora Tenapanor?

Tenapanor haina kukodzera munhu wese, uye chiremba wako achanyatso funga nezve nhoroondo yako yekurapa asati akuraira. Mamwe mamiriro ehutano uye mamiriro anoita kuti mushonga uyu usakodzere kana kuve nenjodzi.

Haufanire kutora tenapanor kana uri pasi pemakore gumi nemasere, sezvo kuchengeteka kwayo nekushanda kwake zvisina kumiswa muvana nevechidiki. Mushonga uyu haukurudzirwiwo panguva yekuzvitakura kana uchiyamwisa nekuda kwedata rekuchengetedza rakaganhurirwa.

Vanhu vane mamwe mamiriro ekugaya vanofanira kudzivisa tenapanor. Izvi zvinosanganisira avo vane inflammatory bowel disease (senge chirwere cheCrohn kana ulcerative colitis), chirwere chechiropa chakanyanya, kana nhoroondo yekuvharika kwematumbo.

Kana uine matambudziko eitsvo, mamiriro emoyo, kana kutora mishonga inokanganisa chiyero chako chemagetsi, chiremba wako achada kuongorora kana tenapanor yakachengeteka kwauri. Mushonga uyu unogona kukanganisa mazinga esodium, izvo zvinogona kuve nedambudziko kune vanhu vane mamiriro aya.

Udza chiremba wako nezve mishonga yese yaunotora, kusanganisira zvinodhaka zvisingatengwe uye zvinowedzera. Mamwe mishonga anogona kuita ne tenapanor kana kuwedzera njodzi yako yemigumisiro.

Mazita eTenapanor Brand

Tenapanor inowanikwa pasi pezita remhando yeIbsrela muUnited States. Iri ndiro zita remhando chete iro tenapanor inotengeswa yekurapa IBS-C.

Ibsrela inogadzirwa neArdelyx, kambani yakagadzira tenapanor. Mushonga uyu unogona kuwanikwa pasi pemazita akasiyana-siyana mune dzimwe nyika, asi Ibsrela ndiro zita raunosangana naro mumakemisi eU.S.

Mishonga yakajairika ye tenapanor haisati iripo, sezvo mushonga uyu uchiri pasi pekudzivirirwa kwepatent. Izvi zvinoreva kuti Ibsrela ndiyo chete sarudzo yekuwana tenapanor, iyo inogona kukanganisa mutengo wekurapa.

Zvimwe Zvinotsiva Tenapanor

Mishonga yakati wandei inogona kurapa IBS-C kana tenapanor isiri yakanaka kwauri kana isingapi rubatsiro rwakakwana. Imwe neimwe inoshanda zvakasiyana uye inogona kunge yakakodzera zvichienderana nezviratidzo zvako zvakajeka uye hutano.

Linaclotide (Linzess) mumwe mushonga wemishonga wakabvumirwa zvakananga yeIBS-C. Inoshanda nekumisa mamwe ma receptors mumatumbu ako kuti awedzere kuburitswa kwemvura uye kuderedza zviratidzo zverwadzi. Vanhu vazhinji vanoona zvichibatsira, kunyangwe zvichigona kukonzera manyoka semhedzisiro.

Lubiprostone (Amitiza) imwe sarudzo inoshanda nekuwedzera mvura mumatumbu ako. Yave iripo kwenguva refu kupfuura tenapanor uye ine nhoroondo yekuchengeteka yakasimbiswa, kunyangwe vamwe vanhu vachinzwa kusvotwa pavanotora.

Plecanatide (Trulance) mushonga mutsva unoshanda zvakafanana ne linaclotide. Inogona kukonzera mhedzisiro shoma mune vamwe vanhu, zvichiita kuti ive imwe nzira yakanaka kana mamwe mishonga achikonzera zviratidzo zvisingafadzi.

Chiremba wako anogona zvakare kukurudzira kutanga nezvisarudzo zvisingatengwi semuenzaniso polyethylene glycol (MiraLAX) kana mishonga yemishonga yakaita se rifaximin (Xifaxan) kune mamwe marudzi ezviratidzo zveIBS.

Ko Tenapanor Ari Nani Pane Linaclotide?

Zvese tenapanor ne linaclotide zvinobatsira kurapa IBS-C, asi zvinoshanda nenzira dzakasiyana uye zvinogona kunge zvakakodzera kune vanhu vakasiyana. Hapana imwe iri

Tenapanor inogona kukonzera manyoka asina kuoma zvakanyanya pane linaclotide kune vamwe vanhu, izvo zvinogona kuva chinhu chakakosha kana uine hanya nezve mhedzisiro iyi. Zvisinei, linaclotide yanga iripo kwenguva refu uye ine ruzivo rwakawanda rwekurapa rwuri shure kwayo.

Vamwe vanhu vanopindura zviri nani kumushonga mumwe pane mumwe, uye hapana nzira yakavimbika yekufanotaura kuti ndeupi uchashanda zvakanaka kwauri pasina kuvaedza. Chiremba wako angatanga nemumwe uye achichinjira kune mumwe kana ukasawana rubatsiro rwakakwana kana kuona mhedzisiro inokanganisa.

Sarudzo pakati pe tenapanor ne linaclotide inowanzouya pasi pezviratidzo zvako, mamwe mamiriro ehutano, uye maitiro ako kumushonga wega wega. Zvose zvinoonekwa semishonga yekutanga-mutsara inoshanda ye IBS-C.

Mibvunzo Inowanzo Bvunzwa Nezve Tenapanor

Tenapanor Yakachengeteka Kune Vanhu vane Chirwere cheShuga Here?

Tenapanor inowanzoonekwa seyakachengeteka kune vanhu vane chirwere cheshuga, sezvo isinganyanyi kukanganisa mazinga eshuga yeropa. Mushonga unoshanda munzvimbo yako mumatumbu ako uye haupindiri nemishonga yechirwere cheshuga kana kudzora glucose.

Zvisinei, kana uine chirwere cheshuga uye ukaona manyoka akakomba uchitora tenapanor, izvi zvinogona kukanganisa manejimendi eshuga yeropa rako. Ita shuwa yekutarisa shuga yako yeropa zvakanyatsonaka uye gara uine mvura yakawanda kana ukaona mhedzisiro iyi.

Gara uchizivisa chiremba wako kuti une chirwere cheshuga usati watanga tenapanor, sezvo vachida kukutarisa zvakanyanya kana kugadzirisa chirongwa chako chekutungamira chirwere cheshuga kana zvichidikanwa.

Ndingaita Sei Kana Ndikatora Tenapanor Yakawandisa Netsaona?

Kana netsaona ukatora tenapanor yakawanda kupfuura yakarairwa, taura nachiremba wako kana wezve mishonga nekukasira kuti uwane gwara. Kutora zvakawanda kunogona kuwedzera njodzi yako yemhedzisiro, kunyanya manyoka akakomba uye kupera mvura mumuviri.

Zvizvitarise iwe pachako kuti uone zviratidzo zvakaita sediarrhea inoramba iripo, kurwadziwa kwakanyanya mudumbu, dzungu, kana zviratidzo zvekusava nemvura mumuviri zvakaita se nyota yakanyanya, muromo wakaoma, kana kuderedzwa kwemvura. Kana ukaona zviratidzo zvakanyanya, tsvaga rubatsiro rwekurapa nekukasira.

Usaedze "kugadzirisa" nekutora zvakawanda nekusvetuka mushonga wako unotevera. Pane kudaro, tevera zano rechiremba wako pamusoro pekuti ungadzokera riini kuhurongwa hwako hwekuisa mishonga.

Ndingaita Sei Kana Ndakarasikirwa neDose yeTenapanor?

Kana ukakanganwa dose ye tenapanor, itore paunorangarira, asi chete kana iri mukati memaawa mashoma ekuti waifanira kuitora. Kana yava pedyo nenguva yedose yako inotevera, svetuka dose yakarasika uye uenderere mberi nehurongwa hwako hwenguva dzose.

Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dose yakarasika, sezvo izvi zvino wedzera njodzi yako yezvinhu zvisingadiwi. Kutora madosi maviri kunogona kukonzera diarrhea yakanyanya uye zvimwe zviratidzo zvisinganzwisisike.

Kana iwe uchikanganwa madosi kazhinji, funga nezvekuseta zviyeuchidzo zvefoni kana kushandisa chirongwa chemishonga kuti zvikubatsire kuti urambe uri munzira. Kuisa mishonga nguva dzose kunobatsira tenapanor kushanda zvakanyanya kune zviratidzo zvako zveIBS-C.

Ndingamira Rini Kutora Tenapanor?

Unogona kazhinji kumira kutora tenapanor chero iwe nachiremba wako muchisarudza kuti zvakakodzera, sezvo mushonga usingakonzere kuvimba kwemuviri. Zvisinei, zviratidzo zvako zveIBS-C zvinogona kudzoka kana ukamira kuzvitora.

Vanhu vazhinji vanosarudza kumira tenapanor kana vasiri kuona zororo rakakwana rezviratidzo mushure mekuipa kuyedzwa kwakanaka kwemavhiki 6 kusvika ku8. Vamwe vanogona kumira nekuda kwezvinhu zvisingadiwi zvisingavandudzike nekufamba kwenguva.

Kana tenapanor ichibatsira zviratidzo zvako, unogona kuda kuramba uchizvitora kwenguva refu. Kurukura nachiremba wako kana izvi zvine musoro kumamiriro ako ezvinhu uye kana zororo renguva kubva kumushonga ringave rinobatsira.

Ndingatora Tenapanor nemimwe mishonga yeIBS here?

Chiremba wako achada kuongorora mimwe mishonga yeIBS yaunotora kuti ave nechokwadi chekuti yakachengeteka kushandisa ne tenapanor. Dzimwe nzira dzekushandisa mishonga pamwe chete dzinogona kuwedzera njodzi yako yezvinhu zvisingadiwi kana kuderedza kushanda kwemishonga yacho.

Kazhinji, tenapanor inogona kutorwa nemimwe mishonga yakawanda, kusanganisira zvinoderedza acid, antispasmodics, uye mazhinji ekubatsira kugaya chikafu anowanikwa pasina mushonga. Zvisinei, kutora mishonga yakawanda inokanganisa kufamba kwematumbo kunogona kuwedzera njodzi yako yekurutsira.

Nguva dzose ipa chiremba wako runyorwa rwakakwana rwemishonga yose, zvinowedzera, uye zvigadzirwa zvisingadiwi nemishonga yaunoshandisa. Izvi zvinovabatsira kuti vaitewo kurudziro yekurapa kwakachengeteka uye kunoshanda zvakanyanya kune mamiriro ako chaiwo.