Omusawo ayinza okuba nga yakulagidde empiso ya methotrexate wansi w’olususu. Mpozzi olina embeera nga arthritis, oba olyawo olina embeera y’olususu nga psoriasis. Kya bulijjo okuwulira ng’otya katono era ng’oyagala okumanya eddagala lino. Kale leero, katukyogereko mu ngeri ennyangu gy’osobola okutegeera.
Ddala Methotrexate kye ki?
Mu ngeri ennyangu, eddagala lya methotrexate ddagala erikendeeza ku buzimba mu mubiri gwo. Bw’oba n’embeera ng’endwadde z’enkizi, abaserikale b’omubiri balumba ennyondo zo. Kino kireeta obulumi n’okuzimba. Ekintu kye kimu kibaawo ne ku shingles.
Kale eddagala lino kye likola kwe kufuga omulimu guno ogutayagala ogw’abaserikale b’omubiri gwo n’okukendeeza ku buzimba. Kino tekikoma ku kukendeeza ku bulumi na kuzimba , naye era kiziyiza okwonooneka kw'ennyondo oba olususu lwo okumala ebbanga eddene .
Ebintu by’olina okubuulira omusawo nga tonnatandika ddagala lino
Olw’obukuumi bwo, kyetaagisa okuteesa ku nsonga zino n’omusawo wo. Bw’oba olina emu ku mbeera zino wammanga, kakasa nti ozibuulira nga tonnatandika ddagala.
- Bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oyonsa. (Kino kikulu nnyo)
- Bw’oba olina embeera ng’olubuto oba amawuggwe gajjudde amazzi
- Bw’oba onywa omwenge bulijjo
- Bw’oba olina yinfekisoni oba abaserikale b’omubiri abanafuye
- Bw’oba olina obulwadde bw’ekibumba
- Bw’oba olina obulwadde bw’ekibumba
- Bw’oba olina obutoffaali obumyufu obutono, obutoffaali obweru oba platelets
- Bw’oba olina obulwadde bw’amawuggwe
- Bw’oba obadde ofunye obujjanjabi obw’amasannyalaze (radiation therapy).
- Bwoba olina endwadde nga amabwa mu lubuto oba ulcerative colitis
- Bw’oba olina allergy eri methotrexate oba eddagala eddala lyonna, emmere oba langi.
Ddala eddagala lino erigema likozesebwa litya?
Eddagala lino erigema liweebwa ng’empiso eri wansi w’olususu. Eddwaaliro oba eddwaaliro lijja kukuyigiriza engeri y’okugiwa awaka. Kale tokitya.
Kino ky’olina okujjukira: Eddagala lino lirina okuweebwa omulundi gumu gwokka mu wiiki. Togimira buli lunaku olw’ensonga yonna! Funa eddagala erigema ku lunaku lwennyini n’essaawa omusawo w’akugamba.
Tosuula mpiso n’empiso ebikozesebwa mu kasasiro. Waliwo ekintu eky’enjawulo kye baziteeka (sharps container). Bw’oba tolina, buuza omusawo engeri gy’oyinza okufunamu.
Kiki ky’olina okukola singa oyitiridde okukozesa?
Bw’oba olowooza nti eddagala lino olimira nnyo mu nsobi, tolwawo. Amangu ago kuba ku ssimu ya National Poisons Information Center mu ddwaaliro ly'eggwanga erya Colombo . Oba genda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
Watya singa nneerabira okugema?
Bw’oba osubiddwa ddoozi gy’otegese, oba bw’oba tokakasa oba eddagala lino lyafuna bulungi, tofuna ddoozi ndala. Kuba essimu y’omusawo mu bwangu akuwe amagezi.
Eddagala eddala eritakwatagana na ddagala lino (Drug Interactions) .
Methotrexate ddagala eriyinza okukwatagana n’eddagala eddala. N’olwekyo, kikulu nnyo okutegeeza omusawo wo ku ddagala lyonna ly’omira (omuli vitamiini, eddagala ly’omuddo, n’ebirungo ebiyamba omubiri). Wansi waliwo ebyokulabirako ebitonotono.
| Ekika ky’eddagala | Eby’okulabirako |
|---|---|
| Eddagala eriwonya endwadde z’olususu ezimu | Eddagala lya Acitretin |
| Eddagala eriweweeza ku bulumi n’eddagala eriziyiza okuzimba (NSAIDs) . | Aspirin, Ibuprofen, Naproxen, eddagala eriweweeza ku bulwadde bwa Aspirin |
| Eddagala erimu eritta obuwuka | Penicillin, Tetracycline, Eddagala lya Trimethoprim/sulfamethoxazole |
| Eddagala eriweweeza ku bulwadde bw’olubuto (PPIs) . | Esomeprazole, Omeprazole, Eddagala lya Pantoprazole |
| Okugema akawuka akalamu | Weewale okufuna eddagala erigema obulamu ng’omira eddagala lino. |
| Eddagala eddala | Eddagala lya Hydroxychloroquine, Sulfasalazine, Theophylline, Phenytoin |
Ebintu by’osaanidde okwegendereza ng’omira eddagala
Omwenge n’omusana
Weewale okunywa ddala omwenge ng’omira eddagala lino. Ekirala, eddagala lino liyinza okuleetera olususu lwo okuwulira omusana. N’olwekyo, kkomo ku musana nga bwe kisoboka. Bw’oba ogenda mu musana, ssaako eddagala eddungi eriziyiza omusana era yambala engoye ezibikka omubiri gwo.
Obukuumi okuva ku yinfekisoni
Methotrexate asobola okukendeeza ku busobozi bw’omubiri gwo okulwanyisa yinfekisoni. N'olw'ekyo,
- Bw’ofuna obubonero ng’omusujja, omusujja, oba okulumwa emimiro, teweejjanjaba era olabe omusawo mu bwangu.
- Fuba okwewala abantu abalina endwadde ng’omusujja.
- Weegendereze ng’osenya amannyo n’okusiimuula amannyo. Okuvaamu omusaayi mu nnyindo n’okukwatibwa yinfekisoni bitera okubaawo. Bw’oba olina obujjanjabi bwonna obw’amannyo, tegeeza omusawo w’amannyo nti omira eddagala lino.
Okufuna embuto n’okuzaala
Kino kikulu nnyo. Bw’oba oli mukyala tofuna lubuto lwa nsonga yonna ng’omira eddagala lino. Toteekateeka kuzaala mwana okumala waakiri emyezi 6 ng’omaze okuyimiriza eddagala. Bw’oba oli musajja weewale okuzaala omwana ng’omira eddagala lino n’okumala emyezi 3 ng’olikomye. Eddagala lino liyinza okukosa ennyo omwana ali mu lubuto. Buuza omusawo wo okumanya ebisingawo ku nsonga eno.
Ekirala weewale okuyonsa omwana ng’omira eddagala lino n’okumala wiiki emu ng’omaze okulekera awo.
Biki ebiyinza okuvaamu?
Okufaananako n’eddagala lyonna, lino liyinza okuvaako ebizibu. Ebimu bya siriyaasi, ebimu bya bulijjo.
| Side Effect | Okunnyonnyola |
|---|---|
| Ebizibu by’osaanidde okutegeeza omusawo mu bwangu | |
| Obulwadde bwa alergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa, olulimi oba emimiro |
| Obuvune mu kibumba | Obulumi mu lubuto olwa waggulu ku ddyo, obutayagala mmere, okuziyira, omusulo ogwa langi enzirugavu, omusulo ogwa kyenvu enzirugavu, amaaso oba olususu okufuuka ekya kyenvu, okukoowa ennyo |
| Ebizibu ebikwatagana n’amawuggwe | Okusesema okukalu okutannyonnyolwa, okukaluubirirwa okussa |
| Obubonero obulaga nti omuntu alina obulwadde | Omusujja, okuwunya, okulumwa emimiro, ebiwundu ebitawona, yinfekisoni z’omusulo |
| Okuvaamu omusaayi mu ngeri etaali ya bulijjo | Okunyiga okutannyonnyolwa n’olususu olwa bbululu, ennyindo okuvaamu omusaayi |
| Obuvune mu kibumba | Okukendeera kw’omusulo, okuzimba enkizi, emikono oba ebigere |
| Bwe kiba nga kisigala oba nga kikutawaanya, buulira omusawo wo. | |
| Ebizibu ebitera okuvaamu | Okuziyira, okusiiyibwa, ekiddukano, okuziyira, amabwa mu kamwa, enviiri okugwa. |
Obubaka Obutwala Awaka
- Methotrexate alina okuweebwa omulundi gumu gwokka mu wiiki . Weewale okugimira buli lunaku.
- Buulira omusawo wo ku ddagala eddala lyonna, vitamiini z’omira, n’embeera yonna ey’obujjanjabi gy’olina.
- Weewale okufuna olubuto ng’omira eddagala lino n’okumala ebbanga omusawo lw’akulagira.
- Noonya mangu omusawo singa wabaawo ebizibu eby’amaanyi (omusujja, okukaluubirirwa okussa, okuvaamu omusaayi mu ngeri etaali ya bulijjo).
- Weewale ddala omwenge.
- Bulijjo goberera ddala ebiragiro n’ebiragiro by’omusawo wo.
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