Mankhwala a Anticholinergic Othandizira Chikhodzodzo Chogwiritsa Ntchito Kwambiri

Zamkati

• Momwe mankhwala a chikhodzodzo anticholinergic amagwirira ntchito
• Mankhwala a Anticholinergic a OAB
• Oxybutynin
• Tolterodine
• Kuthamanga
• Zamgululi
• Darifenacin
• Solifenacin
• Kuwongolera chikhodzodzo kumabwera ndi zoopsa
• Gwiritsani ntchito dokotala wanu

Ngati mumakodza pafupipafupi ndikukhala ndikudontha pakati paulendo wakubafa, mutha kukhala ndi zizindikilo za chikhodzodzo chopitilira muyeso (OAB). Malinga ndi chipatala cha Mayo, OAB imatha kukupangitsani kuti mukodze maulendo osachepera asanu ndi atatu munthawi yamaola 24. Mukadzuka nthawi zambiri pakati pausiku kuti mukasambe, OAB ikhoza kukhala chifukwa chake. Palinso zifukwa zina zomwe mungafunikire kugwiritsa ntchito bafa usiku wonse, komabe. Mwachitsanzo, anthu ambiri amafunika kugwiritsa ntchito bafa usiku wonse akamakalamba chifukwa cha kusintha kwa impso komwe kumadza ndi ukalamba.

Ngati muli ndi OAB, zingakhudze moyo wanu. Dokotala wanu angakuuzeni kuti musinthe momwe mumakhalira kuti muchepetse matenda anu. Ngati kusintha zizolowezi zanu sikugwira ntchito, mankhwala atha kuthandiza. Kusankha mankhwala oyenera kungapangitse kusiyana konse, chifukwa chake dziwani zosankha zanu. Onani mankhwala ena a OAB otchedwa anticholinergics pansipa.

Momwe mankhwala a chikhodzodzo anticholinergic amagwirira ntchito

Mankhwala oletsa anticholinergic nthawi zambiri amapatsidwa kuti athetse OAB. Mankhwalawa amagwira ntchito pochepetsa minofu yanu ya chikhodzodzo. Amathandizanso kupewa kutuluka kwa mkodzo poletsa kutuluka kwa chikhodzodzo.

Ambiri mwa mankhwalawa amabwera ngati mapiritsi akumwa kapena makapisozi. Amabweranso m'magulu otsekemera komanso ma gels apakhungu. Zambiri zimangopezeka ngati mankhwala, koma chigamba chimapezeka pakauntala.

Mankhwala a Anticholinergic a OAB

Oxybutynin

Oxybutynin ndi mankhwala a anticholinergic a chikhodzodzo chambiri. Ipezeka m'njira izi:

• Piritsi lamlomo (Ditropan, Ditropan XL)
• chigamba chopatsirana (Oxytrol)
• apakhungu gel osakaniza (Gelnique)

Mumamwa mankhwalawa tsiku ndi tsiku. Ipezeka mu mphamvu zingapo. Piritsi la pakamwa limabwera mumafomu otulutsira pomwepo kapena otulutsidwa. Mankhwala omwe amatulutsidwa nthawi yomweyo amatuluka m'thupi lanu nthawi yomweyo, ndipo mankhwala otulutsira m'thupi amatulutsidwa pang'onopang'ono mthupi lanu. Mungafunike kutenga fomu yotulutsira nthawi yomweyo katatu patsiku.

Tolterodine

Tolterodine (Detrol, Detrol LA) ndi mankhwala ena owongolera chikhodzodzo. Amapezeka mu mphamvu zambiri, kuphatikizapo mapiritsi a 1-mg ndi 2-mg kapena 2-mg ndi 4-mg capsules. Mankhwalawa amangobwera m'mapiritsi otulutsira pomwepo kapena makapisozi otulutsidwa.

Mankhwalawa amalumikizana ndi mankhwala ena, makamaka akagwiritsidwa ntchito pamlingo waukulu. Onetsetsani kuti mwauza adotolo za mankhwala owonjezera omwe mumalandira, mankhwala owonjezera, ndi zitsamba zomwe mukumwa. Mwanjira imeneyi, dokotala wanu amatha kuyang'anitsitsa kuyanjana koopsa kwa mankhwala.

Kuthamanga

Fesoterodine (Toviaz) ndi mankhwala owonjezera kutulutsa chikhodzodzo. Ngati mukusintha mankhwala omwe amamasulidwa mwachangu chifukwa cha zovuta zake, fesoterodine ikhoza kukhala chisankho chabwino kwa inu. Izi ndichifukwa choti mitundu yotulutsa nthawi yayitali ya mankhwala a OAB imayambitsa zovuta zochepa kuposa zomwe zimatulutsidwa mwachangu. Komabe, poyerekeza ndi mankhwala ena a OAB, mankhwalawa atha kukhala olumikizana ndi mankhwala ena.

Fesoterodine imabwera mu mapiritsi amlomo a 4-mg ndi 8-mg. Mumatenga kamodzi patsiku. Mankhwalawa atha kutenga milungu ingapo kuti ayambe kugwira ntchito. M'malo mwake, mwina simungamve mphamvu yonse ya fesoterodine kwa milungu 12.

Zamgululi

Ngati simukuyankha mankhwala ochepa a chikhodzodzo, dokotala wanu angakulimbikitseni trospium. Mankhwalawa amapezeka ngati piritsi yotulutsa 20-mg yomwe mumamwa kawiri patsiku. Zimabweranso ngati capsule yotulutsa 60-mg yomwe mumatenga kamodzi patsiku. Simuyenera kumwa mowa pasanathe maola awiri mutatenga fomu yotulutsira. Kumwa mowa ndi mankhwalawa kumatha kuwonetsa kugona.

Darifenacin

Darifenacin (Enablex) imathandizira kuphulika kwa chikhodzodzo ndi kutuluka kwa minofu mkati mwa thirakiti. Imabwera ndi piritsi lotulutsira 7.5-mg ndi 15-mg. Mumatenga kamodzi patsiku.

Ngati simukuyankha mankhwalawa pakatha milungu iwiri, dokotala wanu akhoza kukulitsa mlingo wanu. Musawonjezere mlingo wanu nokha. Ngati mukuganiza kuti mankhwalawa sakugwira ntchito kuti muchepetse zizindikilo zanu, lankhulani ndi dokotala wanu.

Solifenacin

Monga darifenacin, solifenacin (Vesicare) imayang'anira spasms mu chikhodzodzo ndi thirakiti lanu. Kusiyanitsa kwakukulu pakati pa mankhwalawa ndi mphamvu zomwe zimabwera. Solifenacin amabwera m'mapiritsi a 5-mg ndi 10-mg omwe mumamwa kamodzi patsiku.

Kuwongolera chikhodzodzo kumabwera ndi zoopsa

Mankhwalawa amakhala pachiwopsezo cha zotsatirapo zake. Zotsatira zoyipa zimatha kupezeka mukamamwa mankhwala aliwonse pamlingo waukulu. Zotsatirazo zingakhale zovuta ndi mitundu yowonjezera ya mankhwala a OAB.

Zotsatira zoyipa zimatha kuphatikiza:

• pakamwa pouma
• kudzimbidwa
• Kusinza
• mavuto okumbukira
• chiopsezo chowonjezeka chakugwa, makamaka kwa okalamba

Mankhwalawa amathanso kusintha kusintha kwa kugunda kwa mtima wanu. Ngati mtima wanu umasintha, onani dokotala wanu nthawi yomweyo.

Mankhwala ambiri omwe amagwiritsidwa ntchito pochiza OAB amatha kulumikizana ndi mankhwala ena. Kuyanjana kumatha kukhala kotheka ndi mankhwala a OAB mukawatenga pamlingo waukulu. Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumalandira, mankhwala, ndi zitsamba zomwe mukumwa. Dokotala wanu amayang'ana kuyanjana kuti akuthandizeni kukhala otetezeka.

Gwiritsani ntchito dokotala wanu

Mankhwala oletsa anticholinergic atha kukupatsani mpumulo kuzizindikiro zanu za OAB. Gwiritsani ntchito dokotala kuti mupeze mankhwala omwe angakuthandizeni. Kumbukirani kuti ngati mankhwala a anticholinergic sakusankha bwino, pali mankhwala ena a OAB. Lankhulani ndi dokotala wanu kuti muwone ngati mankhwala ena omwe mungagwiritse ntchito angakuthandizeni.