Ese ugomba kujya mu bwiherero kenshi? Ese hari igihe ujya wumva ushaka kunyara mu buryo butunguranye kandi ukumva udashoboye kubyifatamo? Iyi ni indwara iteye ishozi kandi iteye agahinda. Nubwo waba ugiye mu rugendo n'inshuti cyangwa ugiye mu birori, wumva ufite ubwoba uti "Bite se nibiba ngombwa ko njya mu bwiherero?". Tolterodine ni umuti usanzwe utangwa na muganga wawe kuri iyi ndwara witwa "Indwara yo mu gisebe ikora cyane". Reka tubiganireho mu buryo bworoshye ushobora gusobanukirwa.
Tolterodine ni iki? Mu magambo make...
Tekereza ku ruhago rwacu nk'umupira wuzuye amazi. Inkari zikorwa n'impyiko zacu zigenda zihurira muri aka gafuka kitwa uruhago. Iyo rwuzuye bihagije, imitsi yo mu ruhago irakoragurika, ikatumenyesha ko "tujya mu bwiherero ubu ngubu."
Ariko, muri iki kibazo cyitwa "uruhago rukora cyane," imitsi yo mu ruhago iba yoroshye cyane igatangira kwifata itaragera kuzura burundu. Niyo mpamvu ugomba kunyara kenshi kandi byihutirwa.
Uyu muti witwa Tolterodine, ukora mu kuruhuka imitsi yo mu ruhago rwawe ikora cyane. Uyu muti uri mu bwoko bw'imiti yitwa "antispasmodics." Iyo imitsi iruhutse, uruhago rwawe rushobora kubika inkari nyinshi igihe kirekire. Ibi bivuze ko uzagira ubushake buke bwo kujya mu bwiherero kandi bizakorohera kugenzura inkari zawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yuko muganga wawe akwandikira Tolterodine, agomba kumenya neza ubuzima bwawe. Kubwibyo, niba ufite imwe muri izi ndwara zavuzwe hepfo, menya neza ko wabibwiye muganga wawe. Ntumuhishe. Ibi bizamufasha gufata icyemezo niba uyu muti ukubereye, niba ukeneye ubundi buryo bwo kuvurwa, cyangwa niba ingano yawo igomba guhindurwa.
| Indwara cyangwa ukuri kw'ubuzima | Ibisobanuro |
|---|---|
| Kugorwa no kunyara | Niba usanzwe ufite ikibazo cyo kunyara cyangwa ufite akamenyero ko kutanyara burundu, vuga. |
| Indwara ya Glaucoma | Uyu muti ushobora kugira ingaruka kuri wewe niba urwaye glaucoma, indwara ituma umuvuduko w'amaso wiyongera. |
| Ibibazo byo mu mara | Niba ufite indwara nko kuziba amara. |
| Indwara z'umutima | Uguhindagurika kw'imitsi y'umutima, cyangwa niba hari umuntu wo mu muryango ufite amateka nk'ayo. |
| Indwara y'impyiko cyangwa umwijima | Iyo impyiko zawe cyangwa umwijima wawe bigira ingaruka ku mikorere y’umuti, uburyo umuti ukurwa mu mubiri wawe bushobora kugira ingaruka. |
| Myasthenia gravis | Iyi ni indwara ituma imitsi icika intege. |
| Allergie | Niba ufite ubwivumbure kuri tolterodine cyangwa indi miti isa nayo (fesoterodine), indi miti, ibiryo, cyangwa imiti irinda ubushyuhe. |
| Gutwita cyangwa konsa | Ibi ni ngombwa kubivuga niba utwite, ugerageza gusama, cyangwa wonsa. |
Ni gute neza neza ukoresha uyu muti?
Ibi biroroshye cyane.
- Mirira iki kinini n'ikirahure cy'amazi .
- Gerageza gufata umuti wawe ku gihe kimwe buri munsi , nk'uko muganga wawe yabigutegetse. Ibi bizagufasha kugumana imikorere myiza y'umuti mu mubiri wawe ku rwego rumwe.
- Komeza gukoresha umuti kugeza igihe muganga wawe azakubwiye ngo "reka noneho. "Nubwo waba ubona ko urimo kumva umeze neza gato, ntugahagarare mu buryo butunguranye.
- Abana bashobora gukenera kwitabwaho by’umwihariko mu gihe bafata uyu muti, bityo vugana na muganga wawe kuri ibyo.
Icy'ingenzi kurushaho: Uyu muti wanditswe kuri wewe gusa. Ntuwuhe inshuti cyangwa umuntu wo mu muryango ufite ibimenyetso nk'ibyawe. Ushobora guteza akaga.
Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)
Tekereza ko wafashe uyu muti urenze urugero ku bushake. Ibi nibibaho , jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) byihuta. Cyangwa uhamagare Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo . Ntubifate nk'ibintu byoroshye, kuko gufata umuti urenze urugero bishobora gutera ingaruka mbi.
Bite ho nintakaza urugero rw'umuti?
Ntabwo buri gihe twibuka byose, bityo dushobora kwibagirwa gufata imiti yacu.
- Nywa dose yabuze ukimara kwibuka .
- Ariko, niba igihe cyo gufata dose ikurikira kigeze hafi, jya ureka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe.
- Ntugafate doze ebyiri icyarimwe kubera impamvu iyo ari yo yose. Ibi byongera ibyago byo kugira ingaruka mbi no gukoresha ibirenze urugero.
Indi miti ishobora kugira ingaruka kuri uyu muti (Interactions)
Iyo ufata Tolterodine, ishobora kugira ingaruka ku yindi miti ufata. Kubwibyo, bwira muganga wawe imiti yose ufata, harimo vitamine, imiti y'ibimera, n'inyongeramusaruro .
Dore imiti imwe n'imwe ishobora kugira ingaruka kuri Tolterodine:
- Amwe mu ma antibiyotike nka Clarithromycin na Erythromycin
- Cyclosporine
- Imiti ivura indwara yo kwiheba, nka Fluoxetine
- Imiti ivura indwara z'ibihumyo (urugero: fluconazole, itraconazole, ketoconazole)
- Imiti ivura ibibazo byo kwibuka (urugero: galantamine, donepezil)
- Vinblastine
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ikintu cyose urimo gufata.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Ibizamini by'ubuvuzi: Jya kwa muganga wawe wisuzumishe. Bishobora gufata igihe kugira ngo ibisubizo by'uyu muti bigaragare. Wihangane rero.
- Impinduka mu mibereho: Ese wari uzi ko icyayi, ikawa, ibinyobwa birimo kafeyine, n'inzogaEse ufite impungenge ko ibibazo by'inkari zawe bishobora kwiyongera? Rero ni byiza kubigenzura gato ufata uyu muti. Nanone, gukomeza amara yawe gukora neza nta kuribwa mu gifu nabyo bishobora kugabanya ibimenyetso by'inkari.
- Gusinzira no kuba maso: Uyu muti ushobora gutera isereri, gusinzira no kutabona neza kuri bamwe. Kubwibyo, irinde ibikorwa bisaba kuba maso, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe uzi neza uko bikugendekera. Haguruka buhoro igihe uhagurutse wicaye. Kunywa inzoga bishobora kongera izi ngaruka mbi.
- Umunwa wumye: Umunwa wumye ni ingaruka zikunze kugaragara z'uyu muti. Guhekenya shinya idafite isukari, kunywa bombo idafite isukari, no kunywa amazi menshi umunsi wose bishobora gufasha. Niba ibi bikomeje cyangwa bikomeye, bwira muganga wawe.
- Amaso yumye: Ushobora kugira amaso yumye cyangwa utabona neza. Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Ushobora gukoresha ibitonyanga byo kwisiga. Niba ikibazo kigikomeje, gana muganga.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, Tolterodine ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi cyane, izindi zikaba zoroshye. Icy'ingenzi ni ukumenya izi ngaruka no gufata ingamba vuba bibaye ngombwa.
| Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe | |
|---|---|
| Ubwivumbure bw'umubiri (Ubwivumbure bw'umubiri / angioedema) | Uruhu rushyushye, kuribwa, kubyimba mu maso, mu maso, mu minwa, mu rurimi, mu maboko cyangwa mu birenge, kugorwa no kumira cyangwa guhumeka. |
| Impinduka mu mikorere y'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye. |
| Ibindi bimenyetso bikomeye `(Uburozi bwa Anticholinergic)` | Gutukura mu maso, kutabona neza, kuma cyane mu kanwa no mu ruhu, urujijo, kugorwa no kunyara, impatwe. |
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje cyangwa kibangamiye) | |
| Kuzungera | Gusinzira |
| Amaso yumye | Umutwe |
| Isesemi | Kubabara mu gifu |
Niba ubonye ibindi bimenyetso bidasanzwe bitari kuri uru rutonde, ntutinye kubibwira muganga wawe.
Ni gute wabika kandi ukajugunya imiti mu buryo butekanye?
- Bika umuti kure y'abana n'amatungo .
- Bika hagati ya dogere selisiyusi 15 na 30 (15-30°C), ubushyuhe busanzwe bw'icyumba. Bika kure y'ubushyuhe bwinshi n'ubushuhe.
- Ntuzigere ukoresha umuti warengeje igihe .
- Ni byiza kubaza muganga wawe uburyo bwo kujugunya imiti yarengeje igihe cyangwa itagikenewe. Hari imiti idakwiriye gutabwa mu myanda. Kubwibyo, shyiramo ukurikije amabwiriza ya muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Tolterodine ni umuti ukoreshwa mu kuvura ikibazo cyo kunyara kenshi no kugorwa no kugenzura inkari bitewe n'uko uruhago rukora cyane.
- Mbere yo gutangira uyu muti, banza ubwire muganga wawe izindi ndwara zose ufite hamwe n'imiti yose ufata.
- Fata umuti wawe neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye. Ntukigere uhindura ingano y'umuti ubwawe cyangwa ngo uhagarike gufata umuti mu buryo butunguranye.
- Niba ugize ingaruka mbi zikomeye nko kubyimba mu maso, kugorwa no guhumeka, cyangwa umutima utera cyane, shaka ubufasha bwihuse bwa muganga.
- Kubera ko umuti ushobora gutera gusinzira cyangwa isereri, irinde gutwara imodoka no gukora ibikorwa bishobora guteza akaga kugeza igihe uzaba wizeye ingaruka zawo.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
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