Ese muganga wawe yakwandikiye umuti uvura umuvuduko ukabije w'amaraso cyangwa, niba uri umugabo, wo kongera prostate? Niba ari byo, birashoboka ko uyu muti ari umuti ugabanya alpha. Nubwo izina rishobora kumvikana nk'irigoye, uyu ni ubwoko bw'imiti ikoreshwa cyane mu gufasha mu kugenzura indwara zimwe na zimwe mu mubiri wacu. None rero uyu munsi, reka tuvuge kuri izi miti zigabanya alpha mu buryo bworoshye ushobora kumva.
Izi alpha-blockers zakora zite?
Kugira ngo tubisobanukirwe neza, reka dutekereze ku buryo bw'itumanaho bw'umubiri wacu. Uturemangingo tw'imitsi dusa na serivisi yo kohereza ubutumwa bw'ibinyabutabire (twakwita "Neurotransmitters") mu bice bitandukanye by'umubiri wacu. Kugira ngo twakire ubwo butumwa, uturemangingo twacu dufite "receptors" zihariye. Ni nk'urufunguzo n'ingufuri. Iyo ubutumwa bw'ibinyabutabire bugeze aho bugashyirwa muri receptor ikwiye (ingufuri), ni bwo ako karemangingo gatangira gukora.
Uturemangingo twa Alpha ni ubwoko bwa receptor mu mubiri wacu. Dukunze kuboneka mu mitsi yacu y'amaraso no mu bice nka prostate gland. Iyo utwo turemento twa alpha twakiriye ubutumwa, utwo turemangingo dutangira gufungana. Urugero, iyo receptor za alpha mu mitsi y'amaraso zikora, imitsi y'amaraso irafungana kandi umuvuduko w'amaraso ukiyongera.
Rero, icyo alpha-blocker ikora ni nko gushyira urufunguzo rudakwiye mu gisimba cy’imbwa hanyuma ukagifunga. Uyu muti ujya gufata kuri izo alpha-receptors maze ukazibuza kubona ubutumwa bwiza. Ni ukuvuga ko 'ufunga' izo receptor. Hanyuma izo ngirabuzimafatizo ntizikora, ziraruhuka. Iyo uturemangingo mu mitsi y’amaraso turuhutse, imitsi y’amaraso iraguka, kandi umuvuduko w’amaraso uragabanuka. Iyo imitsi yo muri prostate iruhutse, biroroha kunyara. Ibyo ni byo bibaho.
Ubwoko bwa alpha-receptors n'imikorere yazo
Hari ubwoko bubiri bw'ingenzi bwa alpha-receptors: alpha-1 (A1) na alpha-2 (A2). Byombi bifite imirimo itandukanye gato.
| Ubwoko bwa Receptor | Aho biherereye n'ibikorwa by'ingenzi |
|---|---|
| Receptor ya Alpha-1 (A1) |
|
| Receptor ya Alpha-2 (A2) |
|
Ni ibihe bibazo alpha-blockers ikoreshwa?
Ubwo bwoko bw'imiti bukoreshwa cyane cyane mu kuvura indwara zitandukanye.
1. Umuvuduko ukabije w'amaraso (Umuvuduko ukabije w'amaraso)
Iyi ni yo mikoreshereze nyamukuru. Nkuko twabiganiriyeho mbere, imiti igabanya amaraso igabanya umuvuduko w'amaraso. Imiti nka Doxazosin, Prazosin, na Terazosin ikunze gukoreshwa muri iyi ntego.
2. Kurwara indwara ya Prostatic Hyperplasia (BPH)
BPH ni indwara ikunze kugaragara ku bagabo uko bagenda bakura. Muri iyi ndwara, prostate gland irakura ikanakanda urethra, bigatera ibibazo nko kugorwa no kubura inkari. Alpha-blockers nka Tamsulosin, Alfuzosin, na Silodosin ziruhura imitsi ya prostate n'ijosi ry'uruhago, bigatuma inkari zitemba neza.
3. Izindi ngaruka (Ikoreshwa ritari mu kirango)
Hari igihe abaganga, bashingiye ku bunararibonye bwabo n'ibimenyetso by'ubuvuzi, batanga umuti ku bindi bibazo bitari ibyo byemewe. Ibi byitwa gukoresha umuti "bitari mu rwego rwo kuvura".
- Amabuye yo mu mpyiko: Imiti nka Tamsulosin itangwa kugira ngo ifashe utubuye duto dufata mu nzira y'inkari kugenda byoroshye.
- Indwara yo guhangayika nyuma y’ihungabana (inzozi mbi zijyanye na PTSD): Umuti Prazosin rimwe na rimwe ukoreshwa mu kuvura iyi ndwara.
- Pheochromocytoma: Ubu ni ubwoko bw'ikibyimba gikura mu ngirabuzimafatizo z'impyiko (adrenal glands) kandi kigakora imisemburo myinshi cyane. Alpha-blockers itangwa kandi kugira ngo igabanye umuvuduko ukabije w'amaraso uterwa n'ibi bibyimba.
Ni izihe ngaruka mbi n'ingaruka mbi za alpha-blockers?
Kimwe n'indi miti yose, imiti igabanya ubukana bw'imiti ishobora kugira ingaruka mbi. Niyo mpamvu abaganga bitonda cyane iyo baguhaye iyi miti. Ingaruka mbi uhura nazo zishobora gutandukana bitewe n'ubwoko bw'imiti ufata.
Ikintu kimwe cy'ingenzi cyane ni "ingaruka y'umuti wa mbere." Iyo ufashe ikinini cya mbere cya alpha-blocker, umuvuduko w'amaraso yawe ushobora kugabanuka cyane mu buryo butunguranye. Ibi bishobora gutera isereri , kutabona neza, no kumva uguye iyo uhagaze (orthostatic hypotension) . Kugira ngo ugabanye ibi byago, muganga wawe akubwira gufata umuti mbere yo kuryama ugatangirana n'umuti muto.
Dore zimwe mu ngaruka zikunze kugaragara:
- Kuzungera cyangwa kutabona neza (cyane cyane iyo uhagaze)
- Umutwe
- Kumva unaniwe
- Kuziba izuru
- Umutima utera cyane (tachycardia)
- Ingaruka ku mikorere y'imibonano mpuzabitsina: Abagabo bamwe bashobora kugira ikibazo cyitwa anejaculation. Ni gake cyane, guhagarara kubabaza kumara amasaha arenga 4 (priapism) bishobora kubaho. Iyi ni indwara isaba ubuvuzi bwihutirwa.
Ibintu ugomba kuzirikana mugihe ufata uyu muti
- Imibanire n'indi miti: Alpha-blockers ishobora kugira ingaruka ku yindi miti y'umuvuduko w'amaraso, imwe mu miti igabanya ubukana bw'imibonano mpuzabitsina, n'indi miti. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata.
- Kunywa inzoga: Kunywa inzoga bishobora kongera ingaruka mbi nko kuzungera .
- Kubagwa kwa cataract: Niba uteganya kubagwa cataract, ugomba kumenyesha umuganga w'amaso ko ufata imiti igabanya ubukana bw'amaso (alpha-blockers), kuko iyi miti ishobora guteza ingorane mu gihe cyo kubagwa.
- Guhagarika imiti: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugisha inama muganga wawe. Kubikora bishobora gutera ingaruka mbi zikomeye, nko kongera kurwara umuvuduko ukabije w'amaraso. Niba ukeneye guhagarika gufata uyu muti, bikora mu buryo bwizewe kandi ukurikije amabwiriza ya muganga wawe.
Ni ryari ukwiye gushaka inama z'abaganga?
Niba ufite ikibazo icyo ari cyo cyose ku bijyanye n'umuti, cyangwa niba ingaruka mbi zituma bigorana gukora imirimo ya buri munsi, vugana na muganga wawe.
Ariko, niba ubonye kimwe muri ibi bikurikira, jya kwa muganga wita ku barwayi ba ETU byihutirwa:
- Gutakaza ubwenge cyangwa gucika intege
- Kubabara mu gatuza (`(Angina)`)
- Guhumeka bigoranye
- Umutima utera cyane cyangwa utari umeze neza (gutera cyane)
- Guhagarara kubabaza bimara amasaha arenga 4 (`(Priapism)`)
- Ibimenyetso by'uko umuntu afite ubwivumbure bukomeye (urugero: uduheri, kuribwa, kubyimba mu maso/mu muhogo, kugorwa no kumira)
Ubutumwa bwo kujyana mu rugo
- Alpha-blockers ni ubwoko bw'imiti y'ingenzi ivura indwara nk'umuvuduko ukabije w'amaraso na benign prostatic hyperplasia (BPH).
- Ibi bikora mu kuruhura imitsi y'amaraso n'imitsi ya prostate.
- Mu gutangira umuti, cyane cyane nyuma yo gufata dose ya mbere, isereri ishobora kuvuka, bityo uyifate nijoro, nk'uko muganga yabigutegetse.
- Bwira muganga wawe indi miti yose ufata.
- Ntugahagarike gufata iyi miti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Niba ugize ingaruka mbi zikomeye, shaka ubufasha bwa muganga ako kanya.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment