Imithi eyi-Anticholinergic Yokwelapha Isinye Esisebenza Ngaphezulu

-Delile

• Isebenza kanjani imishanguzo yesinye i-anticholinergic
• Izidakamizwa ze-Anticholinergic ze-OAB
• I-Oxybutynin
• I-Tolterodine
• I-Fesoterodine
• I-Trospium
• I-Darifenacin
• I-Solifenacin
• Ukulawula isinye kuza nezingozi
• Sebenza nodokotela wakho

Uma uchama kaningi futhi uvuza phakathi kokuvakasha endlini yangasese, ungaba nezimpawu zesinye esisebenza ngokweqile (OAB). Ngokusho kweMayo Clinic, i-OAB ingakubangela ukuthi uchame okungenani amahlandla ayisishiyagalombili esikhathini samahora angama-24. Uma uvuka kaningi phakathi kwamabili ukuze usebenzise indlu yangasese, i-OAB ingaba imbangela. Kunezinye izizathu ongazidinga ukusebenzisa indlu yokugezela ubusuku bonke, noma kunjalo. Isibonelo, abantu abaningi badinga ukusebenzisa indlu yokugezela ebusuku kaningi njengoba bekhula ngenxa yezinguquko zezinso eza nobudala.

Uma unayo i-OAB, ingathinta ikhwalithi yakho yokuphila. Udokotela wakho angase asikisele ukwenza izinguquko endleleni yakho yokuphila ukuze ulawule izimpawu zakho. Uma ukuguqula imikhuba yakho kungasebenzi, imithi ingasiza. Ukukhetha umuthi ofanele kungenza umehluko omkhulu, ngakho-ke yazi izinketho zakho. Bheka imithi ethile ye-OAB ebizwa nge-anticholinergics ngezansi.

Isebenza kanjani imishanguzo yesinye i-anticholinergic

Izidakamizwa ze-Anticholinergic zivame ukunikezwa ukwelapha i-OAB. Le mithi isebenza ngokuphumuza imisipha yakho yesinye. Zisiza futhi nasekuvikeleni ukuvuza komchamo ngokulawula ukuqhuma kwesinye.

Iningi lale mithi liza njengamaphilisi omlomo noma amaphilisi. Ziza futhi ngama-transdermal patches nama-gel ezihloko. Iningi litholakala kuphela njengemiyalo kadokotela, kepha isichibi siyatholakala ngaphezulu kwekhawunta.

Izidakamizwa ze-Anticholinergic ze-OAB

I-Oxybutynin

I-Oxybutynin iyisidakamizwa se-anticholinergic sesinye esisebenza ngokweqile. Itholakala ngamafomu alandelayo:

• ithebhulethi yomlomo (Ditropan, Ditropan XL)
• i-transdermal patch (i-Oxytrol)
• i-gel eyisihloko (Gelnique)

Uphuza lesi sidakamizwa nsuku zonke. Itholakala ngamandla amaningana. Ithebhulethi yomlomo iza ngamafomu akhululwa ngokushesha noma enwetshiwe. Imithi ekhishwa ngokushesha ikhiphela emzimbeni wakho zisuka, nemithi ekhishwa isikhathi eside ikhiphela emzimbeni wakho kancane. Ungadinga ukuthatha ifomu lokukhishwa ngokushesha kuze kube kathathu ngosuku.

I-Tolterodine

I-Tolterodine (iDetrol, iDetrol LA) ngesinye isidakamizwa sokulawula isinye. Itholakala ngamandla amaningi, kufaka phakathi amaphilisi e-1-mg kanye ne-2-mg noma ama-2-mg nama-4-mg capsules. Lesi sidakamizwa siza kuphela kumaphilisi akhishwa ngokushesha noma amaphilisi akhululiwe.

Lesi sidakamizwa sixhumana neminye imithi, ikakhulukazi uma isetshenziswa kumthamo ophakeme. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithengelayo nemithi kadokotela, izithasiselo, namakhambi owathathayo. Ngale ndlela, udokotela wakho angabheka ukuhlangana kwezidakamizwa eziyingozi.

I-Fesoterodine

I-Fesoterodine (Toviaz) iyimithi yokulawula isinye ekhishwe isikhathi eside. Uma ushintsha umuthi okhishwa ngokushesha ngenxa yemiphumela yawo emibi, i-fesoterodine ingaba yindlela engcono ongayikhetha. Lokhu kungenxa yokuthi izinhlobo zokukhishwa ezinwetshiwe zezidakamizwa ze-OAB zivame ukudala imiphumela emibi embalwa kunezinguqulo ezikhishwa ngokushesha. Kodwa-ke, uma kuqhathaniswa neminye imithi ye-OAB, lo muthi kungenzeka ukuthi uhlangane nezinye izidakamizwa.

I-Fesoterodine iza ngamaphilisi omlomo angu-4-mg no-8-mg. Uyithatha kanye ngosuku. Lesi sidakamizwa singathatha amasonto ambalwa ukuqala ukusebenza. Eqinisweni, ungahle ungawuzwa umphumela ophelele we-fesoterodine amasonto ayi-12.

I-Trospium

Uma ungaphenduli kumithamo emincane yezinye izidakamizwa zokulawula isinye, udokotela wakho angancoma i-trospium. Lesi sidakamizwa sitholakala njengethebhulethi ekhishwa ngokushesha engama-20-mg oyithatha kabili ngosuku. Kubuye futhi njenge-capsule ekhishwe isikhathi eside engama-60-mg oyithatha kanye ngosuku. Akufanele uphuze noma yibuphi utshwala kungakapheli amahora amabili uthathe ifomu lokukhishwa elandisiwe. Ukuphuza utshwala nalesi sidakamizwa kungadala ukozela.

I-Darifenacin

I-Darifenacin (i-Enablex) iphatha kokubili ukuqhuma kwesinye kanye nokuphazamiseka kwemisipha ngaphakathi komgudu womchamo. Ifika kuthebhulethi ekhishwa enwetshiwe ye-7.5-mg kanye ne-15-mg. Uyithatha kanye ngosuku.

Uma ungaphenduli kulo muthi ngemuva kwamasonto amabili, udokotela wakho angakhuphula isilinganiso sakho. Musa ukwandisa umthamo wakho wedwa. Uma ucabanga ukuthi umuthi awusebenzi ukulawula izimpawu zakho, khuluma nodokotela wakho.

I-Solifenacin

Njenge-darifenacin, i-solifenacin (i-Vesicare) ilawula ama-spasms esinyeni sakho nasemgodini we-urinary. Umehluko omkhulu phakathi kwale mithi amandla angena kuwo. ISolifenacin iza ngamaphilisi ama-5-mg kanye no-10-mg owaphuzayo kanye ngosuku.

Ukulawula isinye kuza nezingozi

Le mithi yonke inobungozi bemiphumela emibi. Imiphumela engemihle kungenzeka kakhulu uma uthatha noma iyiphi yalezi zidakamizwa kumthamo omkhulu. Imiphumela engemihle ingaba mibi ngohlobo lokukhishwa okwandisiwe kwemithi ye-OAB.

Imiphumela emibi ingafaka:

• umlomo owomile
• ukuqunjelwa
• ukozela
• izinkinga zememori
• ingozi eyengeziwe yokuwa, ikakhulukazi kubantu abadala

Le mithi ingadala ushintsho ekushayeni kwenhliziyo yakho. Uma unezinguquko zokushaya kwenhliziyo, bheka udokotela wakho khona manjalo.

Izidakamizwa eziningi ezisetshenziselwa ukwelapha i-OAB zingasebenzisana neminye imithi. Ukusebenzisana kungenzeka kakhulu ngezidakamizwa ze-OAB uma uzithatha kumthamo omkhulu. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithengelayo nemithi kadokotela, izidakamizwa, namakhambi owathathayo. Udokotela wakho uzobheka ukusebenzisana ukusiza ukukugcina uphephile.

Sebenza nodokotela wakho

Izidakamizwa ze-Anticholinergic zingakulethela ukukhululeka kwizimpawu zakho ze-OAB. Sebenza nodokotela wakho ukuthola umuthi olungele wena. Khumbula ukuthi uma izidakamizwa ze-anticholinergic zingesona isinqumo esihle kuwe, kukhona eminye imithi ye-OAB. Khuluma nodokotela wakho ukuze ubone ukuthi omunye umuthi uzokusebenzela yini.