Tekereza, umuntu agize ububabare bukomeye mu gituza, agakeka ko afite indwara y'umutima, maze akinjizwa mu bitaro. Muri icyo gihe, hari amahirwe menshi ko amaraso ashobora kuzura mu mitsi itanga amaraso mu mutima ikayifunga. Uyu munsi, tugiye kuvuga ku inshinge zikomeye cyane, zidasanzwe abaganga bakoresha kugira ngo birinde kuzura amaraso mu bihe nk'ibi byihutirwa kandi bikomeye. Uyu si umuti usanzwe ukoreshwa mu rugo, ahubwo utangwa gusa mu bitaro.
Mu magambo make, Abciximab ni iki?
Abciximab (tuyite 'abciximab') ni umuti ukomeye cyane ubuza amaraso kuvura. Izina ryayo ni ReoPro. Dufite uduce duto tw’amaraso, ubwoko bw’uturemangingo duto mu maraso yacu. Ubusanzwe, iyo tugize igisebe, utu duce duto tw’amaraso turaterana tugakora agace gato k’amaraso kugira ngo tuhagarike kuva amaraso. Ibyo ni byiza.
Ariko, iyo izi platelets zirundanyije mu mitsi y'amaraso y'umutima mu gihe cy'indwara y'umutima zigatera amaraso kuzura, bishobora kubuza burundu cyangwa igice cy'amaraso gutembera mu mutima. Ibyo nibyo biteje akaga.
Uyu muti witwa Abciximab ubuza izo platelets gufatana no gukora amaraso adakenewe.
Ibi bikoreshwa cyane cyane kuri:
- Iyo habayeho indwara y'umutima.
- Ku bafite ububabare bwo mu gatuza budahindagurika (angina idahindagurika).
- Mu gihe na nyuma yo gufatirwa mu mitsi y'umutima (angioplasty na stent).
Uyu muti utangwa mu buryo bwo guterwa urushinge mu mitsi cyangwa mu buryo bwo guterwa, nk'umunyu. Ibi bikorerwa mu bitaro, munsi y'ubugenzuzi bwuzuye bw'abaganga n'abaforomo.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Kubera ko uyu muti ari umuti ukomeye cyane, ni ngombwa cyane kumenyesha itsinda ry’abaganga bawe izindi ndwara ufite cyangwa indi miti ufata. Niba hari ikintu kiri mu mbonerahamwe iri hepfo kikureba, menya neza ko wabibwiye muganga wawe.
| Ibihe cyangwa ibyabaye mu gihe cyashize | Kuki ugomba kubibwira muganga? |
|---|---|
| Indwara zo kuva amaraso cyangwa indwara iyo ari yo yose idasanzwe y'amaraso. | Uyu muti wongera ibyago byo kuva amaraso, ibyo bikaba bishobora guteza akaga niba usanzwe ufite iyo ndwara. |
| Indwara nka kanseri yo mu bwonko cyangwa aneurysm y'imitsi y'amaraso. | Ibyago byo kuva amaraso muri utwo duce biriyongera. |
| Umuvuduko ukabije w'amaraso utagenzurwa. | Umuvuduko ukabije w'amaraso ushobora gutera ibyago byo kuva amaraso mu bwonko. |
| Niba warigeze kugira ikibazo cyo gucika imitsi mbere. | Ingaruka ziba nyinshi cyane cyane iyo indwara yo gucika kw'imitsi iterwa no kuva amaraso. |
| Impanuka ikomeye cyangwa kubagwa biherutse kuba. | Ibikomere byo kubagwa bishobora kongera kuva amaraso. |
| Niba warafashe imiti igabanya amaraso nka warfarin mu cyumweru gishize. | Hari ibyago byo kuva amaraso menshi bitewe n'imikorere y'imiti yombi. |
| Indwara nka vasculitis (kubyimba imiyoboro y'amaraso). | Ibi bishobora gutera kuva amaraso mu mitsi y'amaraso idakora neza. |
| Niba waragize ikibazo cy'ubwivumbure kuri abciximab, indi miti, ibiryo, cyangwa poroteyine zikomoka ku mbeba. | Ni ngombwa kubimenyesha kugira ngo hirindwe allergie ikomeye. |
| Niba utwite, ugerageza gusama, cyangwa wonsa. | Umuganga agomba gusuzuma ingaruka zishobora kugaragara ku mwana uri mu nda cyangwa ku mwana wonsa. |
Ese hari ibibazo bishobora kubaho ku yindi miti?
Yego rwose. Ugomba kubwira muganga wawe indi miti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti ikomoka ku bimera, vitamine) mu gihe ufata uyu muti. Uyu muti ushobora kugira ingaruka ku bikurikira, cyane cyane:
- Izindi miti zigabanya amaraso: Imiti nka Aspirine, Clopidogrel, Ticlopidine, Dipyridamole.
- Imiti igabanya amaraso: Imiti ikomeye itangwa mu ndwara z'umutima nka Alteplase, Reteplase, na Streptokinase.
- Indi miti n'ibinini bigabanya amaraso: Imiti nka Warfarin, Enoxaparin (Clexane), Dalteparin, Argatroban.
- Imiti igabanya ububabare (NSAIDs): Imiti nka Ibuprofen, Naproxen, Diclofenac.
- Ibikomoka ku bimera: Ibirimo ibintu nka tungurusumu, tangawizi, ginkgo, feverfew.
Iyo ibi bintu bikoreshejwe hamwe, ibyago byo kuva amaraso menshi byiyongera cyane. Bityo rero, ni ngombwa cyane ku mutekano wawe kubwira muganga wawe imiti yose ufata.
Ni izihe ngaruka mbi zishobora guterwa no gufata umuti?
Nk’uko bimeze ku muti uwo ari wo wose, Abciximab ishobora gutera ingaruka mbi. Kubera ko uri mu bitaro, abakozi bazakomeza kugukurikirana. Ariko niba wumva ikintu kidasanzwe, ugomba guhita ugitangaza.
| Ibimenyetso bikomeye bigomba kumenyeshwa muganga cyangwa umuforomo ako kanya | |
|---|---|
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa cyangwa ururimi, no kugorwa no guhumeka. |
| Ibimenyetso byo kuva amaraso |
|
| Ibimenyetso bya Stroke | Kuribwa umutwe cyane, kugorwa no kuvuga, gucika intege cyangwa intege nke mu maso, mu kuboko cyangwa mu kuguru, no mu ihinduka ry'amaso. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kuvugwa niba zikomeje) | |
| Kubabara umugongo | Kuzungera |
| Umutwe | Isesemi cyangwa kubabara mu nda |
Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, ntutinye kuvugana n'itsinda ry'abaganga ku byerekeye ibyo.
Bite ho niba urugero rw'umuti rwiyongereye?
Uyu muti utangwa n'abakozi b'ibitaro witonze cyane, bityo ntugomba guhangayikishwa no gukoresha imiti irenze urugero. Bazaguha ingano ikwiye. Niba ubonye ibimenyetso bidasanzwe, menyesha abakozi b'ibitaro ako kanya. Muri Sri Lanka, ushobora kandi guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo bakugire inama ku kibazo icyo ari cyo cyose kijyanye n'imiti. Mu gihe cy'impanuka, uzahita woherezwa mu Kigo cyita ku Buvuzi bw'Ingoboka (ETU).
Ubutumwa bwo kujyana mu rugo
- Abciximab ni umuti ukomeye cyane utangwa mu bitaro gusa kugira ngo hirindwe kubyimba kw'amaraso mu bihe byihutirwa nko kurwara indwara z'umutima.
- Ni ingenzi cyane kubwira muganga wawe izindi ndwara zose ufite (cyane cyane izijyanye no kuva amaraso), ubwivumbure, n'indi miti yose ufata.
- Ingaruka nyamukuru z'uyu muti ni ukuva amaraso. Kubwibyo, niba ubonye ibimenyetso byo kuva amaraso, nko gukomereka bidasanzwe, kwitumamo imyanda y'umukara, cyangwa kuruka amaraso, menyesha abakozi b'ibitaro ako kanya.
- Uzakurikiranirwa hafi mu bitaro muri ubu buryo bwo kuvurwa. Niba ufite gushidikanya cyangwa ikibazo, ntuzigere utinya kubaza muganga wawe cyangwa umuforomo wawe.
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