Created at:1/13/2025
I-Tafluprost iyimithi yamehlo kadokotela esetshenziselwa ukwelapha i-glaucoma kanye nomfutho wamehlo ophezulu. Ingaphansi kohlobo lwemithi ebizwa ngokuthi ama-prostaglandin analogs asebenza ngokusiza ukukhipha uketshezi oluningi emehlweni akho ngempumelelo.
Uma utholwe ukuthi une-glaucoma noma i-ocular hypertension, udokotela wakho kungenzeka ukuthi ukunikeze i-tafluprost ukusiza ukuvikela umbono wakho. Le mithi ingaba yingxenye ebalulekile yokuvimbela ukulahlekelwa umbono uma isetshenziswa njalo njengoba kuqondisiwe.
I-Tafluprost iyi-prostaglandin analog eyenziwe ngumuntu elingisa izinto zemvelo emzimbeni wakho. Iza njengesisombululo esicacile, esingenambala samaconsi amehlo owasebenzisa ngqo esweni lakho elithintekile noma emehlweni.
Le mithi yenzelwe ngokuqondile ukunciphisa umfutho we-intraocular, okungumfutho woketshezi ngaphakathi kweso lakho. Uma lo mfutho uhlala uphezulu isikhathi eside, ungalimaza imithambo ye-optic futhi uholele ezinkingeni zombono noma ubumfama.
I-Tafluprost itholakala ngama-vial angasetshenziswa kanye angenazinto ezigcina izinto, okuyenza ibe mnene emehlweni akho kunezinye izidakamizwa ze-glaucoma. I-vial ngayinye encane iqukethe imithi eyanele yomthamo owodwa emehlweni womabili uma kudingeka.
I-Tafluprost iphatha izimo ezimbili eziyinhloko zamehlo ezihilela umfutho ophakeme ngaphakathi kweso. Udokotela wakho uyikhipha lapho umfutho wamehlo akho udinga ukwehliswa ukuvimbela ukulimala kombono.
Isimo esiyinhloko yi-open-angle glaucoma, uhlobo oluvamile lwe-glaucoma. Kulesi simo, uhlelo lokukhipha amanzi esweni lakho alusebenzi kahle ngokuhamba kwesikhathi, okubangela ukuthi uketshezi lwakheke futhi umfutho ukhuphuke kancane kancane.
I-Tafluprost iphinda iphathe i-ocular hypertension, okusho ukuthi unomfutho wamehlo ophezulu kunokujwayelekile kodwa awukabi nazo izimpawu ze-glaucoma. Ukwelapha lokhu kusenesikhathi kungasiza ekuvikeleni i-glaucoma ekuthuthukiseni.
Abanye abantu basebenzisa i-tafluprost kanye neminye imithi ye-glaucoma lapho ukwelashwa okukodwa kunganele ukulawula ingcindezi yamehlo abo ngempumelelo.
I-Tafluprost isebenza ngokwandisa ukuphuma koketshezi emehlweni akho ngemigudu yemvelo yokukhipha amanzi. Ibopha kuma-receptors athile ezicutshini zamehlo akho futhi ibangela izinguquko ezithuthukisa ukukhipha amanzi.
Cabanga ngeso lakho njengokushisa ngempompi evulekile kanye nomgodi wokukhipha amanzi. Ngokuvamile, inani loketshezi olukhiqizwayo lilingana nenani eliphuma, okugcina ingcindezi izinzile. Lapho umgodi wokukhipha amanzi uvaleka kancane, ingcindezi iyakhula.
Lo muthi ngokuyisisekelo usiza ukuvula iziteshi ezengeziwe zokukhipha amanzi futhi wenza lezo ezikhona zisebenze kahle. Umphumela uvame ukuqala phakathi kwamahora angu-2-4 ngemva kokusetshenziswa futhi uhlala cishe amahora angu-24.
I-Tafluprost ithathwa njengemaphakathi phakathi kwemithi ye-glaucoma. Ivame ukusebenza njengokwelashwa kokuqala, nakuba abanye abantu bengase badinge eminye imithi ukuze balawule ingcindezi kahle.
Sebenzisa i-tafluprost ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku kusihlwa. Umthamo ovamile yiconsi elilodwa esweni ngalinye elithintekile, nakuba udokotela wakho ezochaza ukuthi yimaphi amehlo adinga ukwelashwa.
Ngaphambi kokusebenzisa amaconsi, geza izandla zakho kahle ngensipho namanzi. Vula ibhodlela elilodwa elisetshenziswa kanye ngaphambi kokulisebenzisa futhi ungalondolozi umuthi osele ukuze uwuse kamuva.
Nakhu ukuthi ungafaka kanjani amaconsi ngokuphepha nangempumelelo:
Ungasebenzisa i-tafluprost ngaphandle noma ngaphandle kokudla njengoba isetshenziswa ngqo esweni lakho. Nokho, linda okungenani imizuzu emi-5 phakathi kwemithi ehlukene yamehlo uma usebenzisa amaconsi amaningi.
Uma ugqoka amalensi okuxhumana, wasuse ngaphambi kokusebenzisa i-tafluprost bese ulinda imizuzu eyi-15 ngaphambi kokuwabuyisela. Umuthi ungasetshenzwa ngamalensi okuxhumana.
Abantu abaningi badinga ukusebenzisa i-tafluprost isikhathi eside ukuze bagcine ingcindezi yamehlo enempilo. I-Glaucoma kanye ne-ocular hypertension yizimo ezingapheli ezidinga ukuphathwa okuqhubekayo ukuvimbela ukulahlekelwa umbono.
Udokotela wakho uzoqapha ingcindezi yamehlo akho njalo, ngokuvamile njalo emavikini ama-3-6, ukuze aqinisekise ukuthi umuthi usebenza ngempumelelo. Abanye abantu babona ukuthuthuka kwengcindezi emasontweni ambalwa, kanti abanye bangase badinge izinyanga eziningana.
Ungayeki ukusebenzisa i-tafluprost ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ingcindezi yamehlo akho ingabuyela emazingeni ayingozi ngokushesha, okungenzeka kubangele ukulimala kombono okungenakulungiseka.
Abanye abantu bangase badinge ukushintsha imithi noma bangeze ukwelashwa okwengeziwe ngokuhamba kwesikhathi uma isimo sabo sishintsha noma uma bethuthukisa imiphumela emibi eba nenkinga.
Njengayo yonke imithi, i-tafluprost ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi imnene futhi ithinta indawo yamehlo lapho usebenzisa khona amaconsi.
Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukucasuka kwamehlo, ububomvu, kanye nomuzwa wokuthi kukhona okuthile esweni lakho. Lezi zimpawu zivame ukuthuthuka njengoba amehlo akho ezivumela emuthini emasontweni ambalwa okuqala.
Nansi imiphumela emibi ebikwa kaningi:
Lezi zinto ngokuvamile zibuthuntu futhi zithambile, kodwa xhumana nodokotela wakho uma ziqhubeka noma ziba zimbi ngokuhamba kwesikhathi.
Abanye abantu bahlangabezana nezinguquko zokubukeka ngokusetshenziswa kwesikhathi eside, okuhlanganisa ukumnyama kwe-iris (ingxenye yamehlo enemibala) nokukhula okwandisiwe kwemivimbo yamehlo. Ukumnyama kwe-iris ngokuvamile kuqhubeka unomphela, kuyilapho izinguquko zemivimbo yamehlo ngokuvamile zibuyela uma uyeka umuthi.
Imiphumela engavamile kodwa ebucayi kakhulu ingenzeka, nakuba ingavamile. Lokhu kuhlanganisa ubuhlungu obukhulu emehlweni, izinguquko ezibukhali ekuboneni, noma izimpawu zokuphendula komzimba njengokuvuvukala kobuso noma ubunzima bokuphefumula.
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nobuhlungu obuqhubekayo emehlweni, ukulahlekelwa okungazelelwe kombono, noma yiziphi izimpawu ezikukhathazayo kakhulu.
I-Tafluprost ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zingenza kungafaneleki kuwe. Udokotela wakho uzobukeza umlando wakho wezokwelapha ngaphambi kokukuchazela lo muthi.
Akufanele usebenzise i-tafluprost uma unokungezwani nayo noma yimiphi imithi ye-prostaglandin analog. Abantu abanezinhlobo ezithile ze-glaucoma, ikakhulukazi i-angle-closure glaucoma, kungenzeka bangabi ngabazokwenza kahle kulokhu kwelashwa.
Xhumana nodokotela wakho mayelana nalezi zimo ngaphambi kokuqala i-tafluprost:
Izingane nentsha ngokuvamile akufanele zisebenzise i-tafluprost ngaphandle uma kunconywe ngqo uchwepheshe wamehlo wezingane, njengoba idatha yokuphepha kubantu abasebancane ilinganiselwe.
Abantu abanezimo ezithile zenhliziyo kufanele baqaphele, njengoba ama-prostaglandin analogs ngezinye izikhathi angathinta ukushaya kwenhliziyo noma umfutho wegazi kubantu abazwelayo.
I-Tafluprost iyatholakala ngaphansi kwamagama amaningi emakethe ngokuya ngendawo ohlala kuyo. Igama elivamile kakhulu emakethe yi-Zioptan, etholakala kabanzi e-United States.
Kwamanye amazwe, ungathola i-tafluprost ithengiswa ngaphansi kwamagama afana ne-Taflotan noma i-Saflutan. Lezi ziqukethe isithako esifanayo esisebenzayo kodwa zingase zibe nomehluko omncane ekwakhekeni noma ekupakisheni.
Zonke izinhlobo ze-tafluprost zisebenza ngendlela efanayo, kodwa ngaso sonke isikhathi sebenzisa uhlobo oluthile namandla odokotela bakho abakuyalela ngayo. Ungashintshi phakathi kohlobo olulodwa nolunye ngaphandle kokubonisana nodokotela wakho kuqala.
Eminye imithi eminingi ingelapha i-glaucoma kanye nokucindezela kwamehlo okuphezulu uma i-tafluprost ingakulungele. Udokotela wakho angase acabangele lezi ezinye izindlela ngokusekelwe ezidingweni zakho ezithile kanye nomlando wakho wezokwelapha.
Ezinye izinhlobo ze-prostaglandin zihlanganisa i-latanoprost, i-bimatoprost, kanye ne-travoprost. Lezi zisebenza ngendlela efanayo ne-tafluprost kodwa zingase zibe nemiphumela ehlukene noma amashejuli okulinganisa.
Izinhlobo ezihlukene zemithi ye-glaucoma zihlanganisa:
Udokotela wakho uzocabangela izinto ezinjengamazinga akho okucindezela kwamehlo, ezinye izimo zezempilo, nokuthi ukubekezelela kanjani imithi ehlukene lapho ekhetha ukwelashwa okungcono kakhulu kuwe.
Kokubili i-tafluprost ne-latanoprost ziyizinhlobo ze-prostaglandin ezisebenzayo ezisebenza ngendlela efanayo ukwehlisa ukucindezela kwamehlo. Akukho noyedwa othi ngokuqinisekile “ungcono” kunomunye, njengoba ukukhetha okungcono kuncike ekuphenduleni kwakho komuntu ngamunye nokubekezela.
I-Tafluprost iza ngamabhodlela amancane angasetshenziswa kanye ngaphandle kwezinto ezigcina ukudla, okungaba mnene emehlweni akho uma uzwela ezintweni ezigcina ukudla. Lokhu kuyenza ibe yindlela enhle kubantu abathola ukucasuka ngamaconsi amehlo agcinwe.
I-Latanoprost itholakala ngamafomula agciniwe nangaphandle kwezinto ezigcina ukudla futhi isetshenziswe isikhathi eside, ngakho-ke kukhona idatha ephephile yesikhathi eside etholakalayo. Ivame ukungabizi kakhulu kune-tafluprost.
Zombili lezi zithako zemithi zivame ukusetshenziswa kanye ngosuku kusihlwa futhi zisebenza ngendlela efanayo ekwehliseni ingcindezi yamehlo. Ukukhetha phakathi kwazo kuvame ukuncika ezindlekweni, ukutholakala, kanye nokuphendula kwakho ngakunye emithini.
Yebo, i-tafluprost ngokuvamile iphephile kubantu abanesifo sikashukela. Ngokungafani neminye imithi ye-glaucoma, ama-prostaglandin analogs afana ne-tafluprost awathinti ngokuphawulekayo amazinga kashukela egazini noma aphazamisa imithi yesifo sikashukela.
Kodwa-ke, abantu abanesifo sikashukela banengozi enkulu yezinkinga zamehlo, ngakho udokotela wakho uzoqapha amehlo akho eduze. Qiniseka ukuthi ulawula kahle isifo sakho sikashukela nengcindezi yamehlo ukuze uthole imiphumela emihle.
Uma ngengozi ufaka amaconsi engeziwe esweni lakho, ungangeni ekuqhumeni. Geza iso lakho ngamanzi ahlanzekile bese usula imithi eningi ngethishu.
Ukusebenzisa i-tafluprost eningi esweni lakho kungase kubangele ukucasuka okwandisiwe okwesikhashana noma ububomvu, kodwa izinkinga ezinzima akunakwenzeka. Uma uhlangabezana nobuhlungu obukhulu, izinguquko zombono, noma ukungakhululeki okuqhubekayo, xhumana nodokotela wakho.
Gwema ukusebenzisa amaconsi amaningi njalo, ngoba lokhu ngeke kuthuthukise ukusebenza futhi kungase kwandise imiphumela emibi.
Uma uphuthelwa umthamo wakho wasebusuku, uwusebenzise ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Uma kunjalo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungalokothi usebenzise imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma ukhohlwa imithamo kaningi, cabangela ukusetha isikhumbuzi sansuku zonke ocingweni lwakho.
Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kubangele ukulimala ngokushesha, kodwa ukuqina kubalulekile ekugcineni ukulawulwa kwengcindezi yamehlo ezinzile.
Yeka kuphela ukuthatha i-tafluprost uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. I-Glaucoma nengcindezi yamehlo ephezulu yizimo ezingapheli ezivame ukudinga ukwelashwa impilo yonke ukuvimbela ukulahlekelwa umbono.
Udokotela wakho angase ayeke i-tafluprost uma ingcindezi yakho yamehlo ihlala ijwayelekile ngokuqhubekayo isikhathi eside, uma uba nemiphumela emibi engabekezeleleki, noma uma udinga ukushintshela emuthini ohlukile.
Ungalokothi uyeke ukusebenzisa i-tafluprost ngokuzumayo ngaphandle kokuqondiswa kwezokwelapha, ngoba ingcindezi yakho yamehlo ingase ikhuphuke ngokushesha futhi ibangele umonakalo wombono ongaguquki.
Abantu abaningi bangashayela ngokuphepha ngemva kokusebenzisa i-tafluprost, kodwa linda kuze kube yilapho noma yikuphi ukubona okungacacile kwesikhashana kucaca ngokuphelele. Lokhu kuvame ukuthatha imizuzu embalwa nje ngemva kokusetshenziswa.
Uma uhlala unokubona okungacacile isikhathi eside, isiyezi, noma ezinye izimpawu ezithinta ikhono lakho lokushayela ngokuphepha, xoxa ngalokhu nodokotela wakho. Bangase badinge ukulungisa imithi yakho noma ishejuli yokulinganisa.
Sebenzisa ukuqapha okwengeziwe lapho ushayela ebusuku, njengoba abanye abantu behlangabezana nokwanda kokuzwela ekukhanyeni okukhanyayo ngenkathi besebenzisa ama-prostaglandin analogs.