Hari igihe indwara z’ibihumyo mu mibiri yacu zishobora kuba mbi cyane. Ibi ni ukuri cyane cyane ku bantu bafite ubudahangarwa bw’umubiri budakomeye cyangwa izindi ndwara zikomeye. Iyo izi ndwara zidashobora gukira hakoreshejwe ibinini bisanzwe, abaganga bakoresha imiti yihariye kandi ikomeye iterwa mu mitsi mu bitaro. Rero, uyu munsi turimo kuvuga ku muti umwe ukomeye nk’uwo, Amphotericin B Lipid Complex, cyangwa ABLC mu magambo ahinnye.
Mu magambo make, Amphotericin B Lipid Complex (ABLC) ni iki?
Uyu ni umuti ukomeye cyane urwanya imyuka ukoreshwa mu kuvura indwara zikomeye z’ibihumyo cyangwa imisemburo. Uyu si ikinini. Akenshi utangwa nk'umuti uterwa mu bitaro, nk'umunyu. Umwihariko w'uyu muti ni uko ukozwe mu bwoko bwa lipide, ubwoko bw'ibinure. Kubwibyo, wakozwe kugira ngo umubiri wihanganire. Uboneka ku isoko ku mazina nka Abelcet .
Icy'ingenzi ni uko uyu atari umuti ukoreshwa mu kuvura ibicurane bisanzwe. Ukoreshwa uyobowe na muganga mu kuvura indwara zikomeye, zishobora kwica, kandi ziterwa n'ibihumyo imbere mu mubiri.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Kubera ko uyu muti ari umuti ukomeye, ni ngombwa cyane kumenyesha muganga wawe uko ubuzima bwawe buhagaze mbere yo gutangira kuwufata. Ibuka gusa ko niba utabwiye muganga wawe ikibazo gito cy’ubwivumbure, gishobora kuba ikibazo gikomeye. Rero menya neza ko ubabwira ibi bintu.
- Allergie: Niba ufite ubwivumbure kuri uyu muti wa Amphotericin B, cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi, banza utubwire.
- Ibibazo by'ubudahangarwa bw'umubiri: Niba ufite ubudahangarwa bw'umubiri budafite imbaraga (urugero, indwara nka virusi itera SIDA), bwira muganga wawe ibyabyo.
- Izindi ndwara zidakira: Niba ufite indi ndwara idakira, nka diyabete, indwara y'umutima, cyangwa indwara y'impyiko, menyesha muganga wawe ibyayo.
- Gutwita: Ibi ni ingenzi cyane cyane niba utwite, ugerageza gutwita, cyangwa wonsa, kuko uyu muti ukomeye ushobora kugira ingaruka ku mwana uri mu nda.
Uyu muti utangwa ute ku mubiri?
Uyu muti ubusanzwe utangwa mu bitaro cyangwa mu ivuriro, uyobowe na muganga cyangwa abakozi b’abaforomo bahuguwe. Utangwa nk'umuti wa saline (infusion) buhoro buhoro ujya mu mitsi.
Ariko, ni gake cyane, ushobora gukenera gufata uyu muti mu rugo. Iyo bibaye, uzahabwa amabwiriza arambuye mu bitaro ku buryo bwo kuwutegura no kuwutera inshinge. Ni ngombwa cyane gukurikiza aya mabwiriza neza . Fata ingano nyayo ku gihe nyacyo.
Ukoresha iki inshinge zakoreshejwe?
Niba ufata imiti uri mu rugo, ntukajugunye inshinge n'inshinge zakoreshejwe mu myanda . Ahubwo, zishyire mu kintu cyabigenewe gikoreshwa mu gukaraba. Niba udafite, baza muganga wawe uko wayifata.
Bite ho niba ingano y'umuti yiyongera?
Niba ubona ko wafashe uyu muti urenze urugero, jya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ry’ibitaro biri hafi yawe . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri uyu muti
Iki ni igice cy'ingenzi cyane. Amphotericin B ni umuti ushobora gukorana n'indi miti myinshi. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata.
| Icyiciro cy'ibiyobyabwenge | Ingero n'ibisobanuro |
|---|---|
| Ntuzigere ubijyana hamwe. |
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| Imiti igomba gufatwa neza cyane kandi muganga agomba kubimenyeshwa iyo ifashwe hamwe |
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Uru rutonde ntirwuzuye. Bwira muganga wawe ibyerekeye vitamine, imiti y'ibimera, imiti igabanya ububabare, cyangwa indi miti ufata. Ni ngombwa kandi kubibwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora gutera ingaruka mbi. Zimwe ni izisanzwe, ariko zimwe zisaba kwitabwaho byihuse. Menya byinshi kuri zo mu mbonerahamwe iri hepfo.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ingaruka mbi ugomba guhita umenyesha muganga wawe cyangwa umuforomo wawe: | |
| Ibimenyetso by'ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba iminwa, umunwa, ururimi cyangwa umuhogo. |
| Impinduka mu mikorere y'imitsi | Kutuza, urujijo, kubabara umubiri, kugira ibinya, gucika intege. |
| Ibibazo by'ubuhumekero n'umutima | Guhumeka bigoranye, igituza gifunganye, umutima utera nabi, impinduka mu muvuduko w'amaraso. |
| Ibindi bimenyetso bikomeye | Umuriro, ubukonje, ibimenyetso by'ubwandu, impinduka mu bwinshi cyangwa ibara ry'inkari, impinduka mu kureba cyangwa kumva, gukomereka cyangwa kuva amaraso bidasanzwe, umunaniro ukabije. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Kubabara umubiri | Kubabara umubiri, kuribwa umutwe, kubabara mu nda, kubabara aho bateye urushinge. |
| Izindi ngingo nto | Isesemi, kuruka, impiswi, inkorora, gutukura k'uruhu, kudasinzira neza. |
Niba ubonye ikintu kidasanzwe kitari kuri uru rutonde, ntutinye kubibwira muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Amphotericin B Lipid Complex (ABLC) ni umuti ukomeye uterwa mu mitsi mu bitaro kubera indwara zikomeye z’ibihumyo.
- Mbere yo gutangira ubu buvuzi, ni ngombwa ko ubwira muganga wawe indwara zose ufite, aleriji, n'indi miti yose ufata (harimo na vitamine, imiti y'ibimera).
- Bimenyesha abakozi b'ibitaro ako kanya ibimenyetso bidasanzwe bibaho mu gihe ufata umuti, cyane cyane ingaruka z'ubwivumbure (uduheri ku ruhu, guhumeka nabi).
- Kurikiza amabwiriza ajyanye n'ingano, ikoreshwa, n'uburyo bwiza bwo guta inshinge niba ukoresha mu rugo.
- Niba ufite ikibazo icyo ari cyo cyose kijyanye n'uyu muti cyangwa uburwayi bwawe, ntugatinye kubaza muganga wawe cyangwa umuforomo wawe.
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