Ese hari umuntu wo mu muryango wawe, wenda mama wawe, so wawe, cyangwa uwo ukunda, urwaye indwara ya Parkinson? Noneho ushobora kuba uzi ko rimwe na rimwe umubiri we uhinduka ukagira intege nke , agatangira kunyeganyega, kandi nta cyo ashobora gukora. Ni nk'imodoka ihagarara mu buryo butunguranye. Uyu munsi turimo kuvuga ku inshinge zidasanzwe zikoreshwa mu gutanga ubutabazi bwihuse kuri ibi byitwa "ibihe byo mu gihe cyo kuruhuka." Niyo inshinge ya Apomorphine.
Apomorphine ni iki?
Muri make, Apomorphine ni umuti ukoreshwa mu kuvura ibimenyetso bya Parkinson. Ukora nk'umuti witwa dopamine mu bwonko bwacu. Ese wari uzi ko indwara ya Parkinson iterwa no kubura uturemangingo mu bwonko bwacu dukora uyu muti witwa dopamine? Iyi dopamine ifasha kugenzura imikorere y'umubiri wacu n'imikorere yawo.
Rero, iyo dopamine idafite ihagije, ibimenyetso nko gukomera no gutigita bigaragara. Urushinge rwa apomorphine rukora nka dopamine, rwuzuza by'agateganyo icyo cyuho, kandi rufasha kugarura imikorere y'umubiri. Ibi bikunze kuboneka ku isoko ku izina rya Apokyn .
Tekereza ko indwara ya Parkinson yaguteye ikibazo, nk'urugi rufunze rudafite urufunguzo. Urushinge rwa apomorphine ni nk'urufunguzo rwihariye rufungura urwo rugi. Rutuma umubiri wawe usubira mu buzima busanzwe vuba. Ariko rushobora no gukoreshwa no mu bindi bintu, niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti
Mbere yo kuguha uyu muti, muganga wawe azakenera kumenya amateka y’ubuzima bwawe. Ibi biterwa nuko hari indwara zimwe na zimwe zisaba kwitabwaho by’umwihariko mu gihe ukoresha uyu muti. Menya neza ko wabwiye muganga wawe kimwe muri ibi bikurikira:
- Niba urwaye asima.
- Niba ufite akamenyero ko gusinzira kenshi ku manywa cyangwa gusinzira mu buryo butunguranye.
- Niba ukunda kunywa inzoga kenshi.
- Niba warigeze kugira ikibazo cyo gucika imitsi mbere.
- Niba ufite indwara y'umutima .
- Niba ufite amateka yo kugwa mu bibazo buri gihe.
- Iyo umutima utera nabi cyangwa ukagira impinduka mu mikorere y'umutima.
- Niba ufite indwara y'impyiko cyangwa umwijima .
- Niba ufite umuvuduko w'amaraso uri hasi .
- Niba ufite ibibazo by'ubuzima bwo mu mutwe (nk'ihungabana).
- Niba wigeze kugira ikibazo cyo kugira ubwivumbure kuri apomorphine, sulfite, cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Guha muganga wawe aya makuru neza ni ingenzi cyane ku mutekano wawe.
Ni gute wakoresha urukingo neza?
Uru ni urushinge rwo mu mubiri. Iyo utangiye gufata uyu muti, muganga wawe cyangwa umuforomo azaguha amabwiriza arambuye y'uburyo bwo gutegura urushinge n'uburyo bwo kurutera ubwawe. Ni ngombwa cyane gukurikiza aya mabwiriza neza.
- Koresha neza neza nk'uko muganga wawe akubwira: Ntugakoreshe ibirenze urugero cyangwa inshuro byagenwe.
- Ntuhagarike gufata uyu muti mu buryo butunguranye: Ntuhagarike gufata uyu muti keretse muganga wawe abikubwiye. Kuwuhagarika mu buryo butunguranye bishobora gutera ingaruka mbi zikomeye kandi bigatuma ubuzima bwawe burushaho kuba bubi.
- Shyira inshinge n'inshinge mu buryo bwizewe: Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Zigomba gushyirwa mu kintu cyabigenewe gikoreshwa mu gutwika . Niba udafite, ushobora gusaba muganga wawe.
- Soma agapapuro k'amabwiriza: Soma witonze agapapuro k'amabwiriza kazanwa n'uyu muti. Niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Bite ho nindamuka nkoresheje imiti irenze urugero?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya ku bitaro bikuru byita ku butabazi bw’ibanze (ETU) cyangwa uhamagare Ikigo cy’Igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo .
Uyu muti wanditswe kuri wewe gusa. Kubwibyo, ntukawusangire n'undi muntu uwo ari we wese.
Ni iyihe miti yindi idakwiye gukoreshwa hamwe n'uyu muti?
Imiti imwe n'imwe ishobora kugira ingaruka kuri apomorphine bigatera ibibazo bikomeye. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata, harimo vitamine, imiti y'ibimera, n'inyongeramusaruro.
| Icyiciro cy'ibiyobyabwenge | Ibisobanuro n'ingero |
|---|---|
| Imiti idakwiye gufatwa na gato | |
| Imiti imwe n'imwe ivura isesemi/kuruka | Urugero: dolasetron, granisetron, ondansetron, palonosetron |
| Indi miti | Dronedarone, Ketoconazole, Levoketoconazole, Pimozide, Thioridazine |
| Ibintu byo gukoresha witonze/ibishobora kubaho | |
| Inzoga | Ingaruka mbi zigira ingaruka zikomeye ku kwiyongera kw'ibiyobyabwenge. |
| Umuti uvura guhangayika cyangwa gusinzira | Urugero: Benzodiazepines nka alprazolam, diazepam, lorazepam |
| Imiti imwe n'imwe y'umuvuduko w'amaraso | Menya neza ko ubaza muganga wawe ibi. |
| Nitroglycerin | Umuvuduko w'amaraso ushobora kugabanuka cyane (ibi birasobanurwa hano hasi). |
| Indi miti | Haloperidol, Metoclopramide, Opioids, indi miti igira ingaruka ku mikorere y'umutima, Phenothiazines. |
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ibyo ufata byose.
Ibintu ugomba kuzirikana mugihe ufata uru rukingo
Hari ibintu byinshi ugomba kwitaho ku bijyanye n'umutekano wawe mu gihe ukoresha uyu muti.
Jyana na muganga kenshi.
Jyana na muganga wawe buri gihe kugira ngo urebe niba ibimenyetso byawe birushaho kuba byiza cyangwa birushaho kuba bibi. Niba ibimenyetso byawe bitarushijeho kuba byiza cyangwa birushaho kuba bibi, bwira muganga wawe .
Isesemi no kuruka
Uyu muti ushobora gutera isesemi no kuruka, rimwe na rimwe ushobora kuba mubi cyane. Muganga wawe azaguha undi muti. Ntugafate umuti uwo ari wo wose wo kuvura isesemi wenyine. Ibi biterwa nuko imiti imwe n'imwe yo kuvura isesemi ishobora kugira ingaruka kuri apomorphine.
Gusinzira no gutwara imodoka
Uyu muti ushobora kugira ingaruka ku mikorere yawe no ku gihe cyo gusubiza ibintu mu buryo. Kubwibyo, kugeza igihe umenye neza uko uyu muti umeze , irinde gukora ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini. Nanone, haguruka buhoro iyo uhagurutse giturumbuka, cyangwa iyo uhagurutse wicaye. Bitabaye ibyo, ushobora kumva uzuzuwe kandi udafite umutwe. Ibi byago biba byinshi kurushaho iyo unyoye inzoga.
Ni ngombwa! Mu gihe ufata uyu muti, hari abantu bashobora gusinzira mu buryo butunguranye batamenyeshejwe . Ibi bishobora kubaho mu gihe utwaye imodoka, uganira cyangwa urya. Ibi nibikubaho, bwira muganga wawe ako kanya.
Uburyo bwo gukorana na nitroglycerin
Niba ufata nitroglycerin yo kuvura indwara z'umutima, ugomba kwitonda cyane. Kuyifata hamwe n'uyu muti bishobora gutuma umuvuduko w'amaraso yawe ugabanuka cyane. Ibi bishobora gutera isereri, gucika intege, ndetse no kugwa.
Niba rero ukeneye gufata nitroglycerin,
1. Ubwa mbere, jya uryama.
2. Hanyuma shyira ikinini munsi y'ururimi rwawe.
3. Komeza uryame nibura iminota 45.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, apomorphine ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Ubwivumbure bukomeye (Ubwivumbure cyangwa indwara ya angioedema) | Uruhu rushyushye, kuribwa, kubyimba mu maso, mu maso, mu minwa, mu rurimi, mu maboko cyangwa mu birenge, kugorwa no kumira cyangwa guhumeka. |
| Kubabara mu gatuza (Angina) | Kumva ububabare, gufungana, cyangwa igitutu mu gituza, mu ijosi, mu mugongo, cyangwa mu maboko. |
| Gusinzira mu buryo butunguranye | Gusinzira nta nteguza mu gihe ukora ku manywa. |
| Kurota ibintu bitagaragara | Kubona cyangwa kumva ibintu bitariho. |
| Ibimenyetso by'indwara y'umutima | Kubabara mu gituza, mu rutugu, mu kuboko cyangwa mu rwasaya, isesemi, guhumeka bigoranye, ibyuya bikonje, isereri. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza. |
| Kubura amaraso mu maraso | Umunaniro udasanzwe, isereri, kuribwa umutwe, guhumeka bigoranye, inkari zijimye, uruhu cyangwa amaso bigahinduka umuhondo. |
| Imiterere idasanzwe y'imyitwarire | Irari ritagenzurwa ryo gukina urusimbi, kurya cyane, gukora imibonano mpuzabitsina, cyangwa gukoresha amafaranga bitari ngombwa. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Kuzungera, gusinzira | Ibi bishobora kubaho kenshi. |
| Isesemi, kuruka | Bikunze kugaragara mu ntangiriro zo gutangira imiti. |
| Izuru riva cyangwa izuru rizibye | Bishobora kumvikana nk'ibimenyetso by'ibicurane. |
| Kubyimba utubuto, amaboko, cyangwa ibirenge | Bishobora guterwa no kubika amazi mu mubiri. |
Niba uhuye n'izindi ngaruka zitari kuri uru rutonde, nyamuneka menyesha muganga wawe.
Ni gute wabika kandi ukajugunya imiti?
- Bika ahantu abana n'amatungo batagera.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
- Ntugakoreshe umuti warengeje igihe.
- Mu gihe ujugunya imiti idakoreshejwe cyangwa irengeje igihe, baza muganga wawe uburyo bwizewe.
Ubutumwa bwo kujyana mu rugo
- Guterwa inshinge za apomorphine ni umuti utanga ihumure ryihuse ku ndwara ya Parkinson iterwa no kugorama no gutigita mu buryo butunguranye.
- Buri gihe bwira muganga wawe indi miti yose ufata ndetse n'izindi ndwara zose ufite.
- Irinde gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko uyu muti umeze. Wibuke ko ushobora kumva usinziriye mu buryo butunguranye.
- Shaka ubufasha bwihuse kwa muganga niba ugize ingaruka mbi zikomeye nko kubabara mu gatuza, ingaruka zikomeye ku barwayi barwaye, cyangwa impinduka mu muvuduko w'umutima.
- Buri gihe jugunya inshinge n'inshinge zakoreshejwe neza mu kintu cyihariye "gikozwe mu gikoresho gishyushya".
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