Umuntu ubana n'indwara ya Parkinson rimwe na rimwe agira ibihe byo 'gucika intege' aho umubiri uhita ubura ubuzima, amaguru n'amaboko bigatakaza imbaraga, kandi ntibibashe kugenda neza. Muri ibi bihe, yumva nta cyo ashoboye kandi ntashobora no gukora imirimo ya buri munsi. Rero, uyu munsi turimo kuvuga ku muti wihariye ufasha mu kugenzura vuba igihe nk'icyo cyo 'gucika intege' gitunguranye.
Uyu muti witwa Apomorphine ni uwuhe?
Mu magambo make, Apomorphine ni umuti ukoreshwa mu kuvura indwara ya Parkinson, ikaba ari ukwimuka gutunguranye kandi bigoye. Uza nk'agace gato gashonga munsi y'ururimi. KYNMOBI ni izina rizwi cyane ry'uyu muti.
Tekereza, ubwonko bwacu bufite ikintu cyihariye cyitwa dopamine. Ibi nibyo bidufasha kugenzura imigendere y'umubiri wacu n'imikorere yawo. Urugero rw'iyi dopamine mu bwonko bw'umuntu urwaye indwara ya Parkinson ruragabanuka. Apomorphine yongera ingano ya dopamine mu bwonko, ikagabanya vuba ibimenyetso nko gukomera, gutitira, no kugenda buhoro.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti
Ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo kuguha uyu muti. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
| Reba niba ufite ibi bibazo |
|---|
| Niba usinziriye mu buryo butunguranye uri gukora imirimo ya buri munsi (urugero: kuvuga, kurya) |
| Niba ufite ikibazo cyo kugenzura imitsi yawe |
| Niba ufite ubwoko ubwo aribwo bwose bw'indwara y'umutima, umutima utera nabi, cyangwa imihindukire y'imitsi |
| Niba ufite umuvuduko w'amaraso uri hasi |
| Niba ufite indwara y'impyiko cyangwa umwijima |
| Niba ufite ibibazo by'ubuhumekero nk'indwara z'ibihaha cyangwa asima |
| Niba warigeze kugira ikibazo cyo gucika imitsi |
| Niba ufite ubwoko ubwo aribwo bwose bw'indwara yo mu mutwe |
| Niba ufite ikibazo cyo guhumeka mu gihe cyo gusinzira |
| Niba ukunda kunywa inzoga buri gihe |
| Niba ufite allergie kuri apomorphine, sulfite, cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa ibara |
| Niba utwite cyangwa wifuza gutwita |
| Niba uri umubyeyi wonsa |
Ni gute neza neza nkoresha uyu muti?
Ibi biroroshye cyane kubikoresha, ariko ugomba gukurikiza amabwiriza neza.
1. Koresha uyu muti gusa iyo ikibazo cy'uko utari uhari gitangiye .
2. Amaboko yawe agomba kuba yumye neza mbere yo gufata umuti.
3. Menya agafuka k'umuti gafunze karimo umuti hanyuma ukuremo witonze agapfukamunwa gashongesha.
4. Shyira iyo firime munsi y'ururimi rwawe .
5. Reka bishonge byonyine. Ntukabikate, ntukabishenjagure cyangwa ngo ubihekenye.
6. Ntugakoreshe ibirenze urugero rwatanzwe na muganga.
Icy'ingenzi kurushaho, ntuhagarike gufata uyu muti keretse muganga wawe abikubwiye. Kuwuhagarika mu buryo butunguranye bishobora gutuma indwara yawe irushaho kuba mbi ndetse bikakuviramo ingaruka mbi zikomeye.
Wakora iki niba urenze urugero rw'umuti ?
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami ryita ku butabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. Uyu muti wanditswe kuri wowe gusa. Ntukigere uwusangira n’abandi.
Bite se nintakaza dose?
Uyu si umuti ugomba gufatwa inshuro nyinshi ku munsi. Ukoreshwa gusa iyo ufite imihango yo "guhagarara". Rero igitekerezo cyo kubura dose ntikikurikizwa hano. Ariko, niba utabonye ubutabazi bw'ibimenyetso nyuma yo gukoresha agace kamwe mu gihe cyo "guhagarara", ntugakoreshe akandi gace muri icyo gihe. Vugana na muganga wawe kuri ibi.
Indi miti ishobora kugira ingaruka kuri uyu muti
Apomorphine ni umuti ushobora kugira ingaruka ku yindi miti. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
| Ntugafate Apomorphine na gato hamwe n'iyi miti. | |
|---|---|
| Imiti imwe n'imwe ivura isesemi/kuruka (urugero: dolasetron, granisetron, ondansetron, palonosetron) | |
| Cisapride, Dronedarone, Pimozide, Thioridazine | |
| Witondere cyane niba ufata Apomorphine hamwe n'iyi miti. | |
| Inzoga | |
| Umuti uvura guhangayika cyangwa gusinzira | |
| Imiti ivura umuvuduko w'amaraso, indwara z'umutima, n'indwara z'umutima | |
| Imiti igabanya ububabare bw'ibiyobyabwenge | |
| Nitroglycerin | |
| Haloperidol, Metoclopramide, Phenothiazines (urugero: chlorpromazine, prochlorperazine) | |
| Indi miti igira ingaruka ku mikorere y'umutima (igabanya igihe cy'umutima mu gihe cya QT) |
Uru rutonde ntirwuzuye, bityo rero menya neza ko wabwiye muganga wawe imiti yose ufata.
Ibintu ugomba kuzirikana mugihe ukoresha uyu muti
- Gusinzira no kuzungera: Ushobora kumva usinziriye cyangwa uzungera. Rero , ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahaguruke wicaye cyangwa ngo wicare giturumbuka, cyane cyane niba ugeze mu za bukuru.
- Gusinzira mu buryo butunguranye: Hari abantu bashobora gusinzira mu buryo butunguranye batamenyeshejwe igihe bafata uyu muti. Ibi bishobora kubaho mu gihe utwaye imodoka, uvuga cyangwa urya. Ibi nibikubaho, bwira muganga wawe ako kanya.
- Irari ritagenzurwa: Hari abantu bavuze ko bafite irari rikomeye ryo gukora ibikorwa nko gukina urusimbi, gukora imibonano mpuzabitsina, kurya cyane, cyangwa guhaha mu gihe bafata uyu muti. Niba ugize imwe muri iyi myitwarire idasanzwe, bwira muganga wawe ako kanya.
- Isesemi no kuruka: Uyu muti ushobora gutera isesemi no kuruka cyane. Muganga wawe ashobora kuguha undi muti wo kwirinda ibi. Ariko, si imiti yose ivura isesemi ishobora gukoreshwa hamwe n'uyu muti. Baza muganga wawe umuti ukubereye.
- Gukoresha Nitroglycerin: Niba ufata Nitroglycerin, umuvuduko w'amaraso yawe ushobora kugabanuka mu buryo butunguranye iyo ufata Apomorphine. Kubwibyo, niba ufata ikinini cya Nitroglycerin kiri mu rurimi rumwe, ni ngombwa cyane kuryama mbere na nyuma yo kugifata. Ibi bishobora gufasha kwirinda kuzungera no kugwa.
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
| Ingaruka mbi ugomba guhita umenyesha muganga wawe |
|---|
| Indwara zo kugira ubwivumbure bw'uruhu - uduheri two mu ruhu, uburyaryate, kubyimba mu maso, mu minwa, mu rurimi cyangwa mu muhogo |
| Kubabara mu gituza (Angina) - ububabare, igitutu, cyangwa gufungana mu gituza, mu ijosi, mu mugongo, cyangwa mu maboko |
| Urujijo, kubona ibintu nk'aho nta bwenge bifite |
| Gusinzira mu buryo butunguranye mu gihe yakoraga imirimo ya buri munsi |
| Impinduka mu mikorere y'umutima - umutima utera vuba cyangwa utari mwiza, isereri, gucika intege, kubabara mu gituza, guhumeka bigoranye |
| Kubura amaraso mu maraso - umunaniro udasanzwe, intege nke, isereri, kuribwa umutwe, guhumeka nabi, inkari zijimye, uruhu cyangwa amaso bigahinduka umuhondo |
| Umuvuduko w'amaraso uri hasi - isereri, gucika intege, kutabona neza |
| Imigendere mishya cyangwa yiyongereye idacunganye yo mu maso, mu kanwa, cyangwa mu gice cyo hejuru cy'umubiri |
| Ibisebe byo mu kanwa cyangwa mu muhogo, gutukura, kubyimba, no kubabara |
| Kubyimba utubuto, amaboko, cyangwa ibirenge |
| Kubaho kw'ibyifuzo bidasubirwaho byavuzwe haruguru (nk'urusimbi, kurya cyane) |
| Ingaruka mbi zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye |
| Impinduka mu buryohe mu kanwa |
| Gusinzira |
| Umutwe |
| Isesemi |
| Izuru riva cyangwa izuru rizibye |
Ni gute ubibika kandi ukajugunya umuti?
- Bika ahantu abana n'amatungo batagera .
- Bika ku bushyuhe busanzwe bw'icyumba (hagati ya dogere selisiyusi 20-25).
- Bika mu gapaki gafunze kugeza igihe biteguye gukoreshwa.
- Baza muganga wawe uburyo bwiza bwo kujugunya imiti yarengeje igihe cyangwa itakikenewe.
Ubutumwa bwo kujyana mu rugo
- Filimi ya Apomorphine sublingual ni umuti utangwa ku ndwara ya Parkinson itunguranye, ntabwo ari umuti wa buri munsi.
- Komeza intoki zawe zumye mugihe ukoresha ibi, shyira munsi y'ururimi rwawe hanyuma ubireke bishonge. Ntuzigere ubihekenya cyangwa ngo ubisyege.
- Uyu muti ushobora gutuma wumva usinziriye, bityo rero witondere cyane mu gihe ukora imirimo isaba kwitonda cyane cyane iyo utwaye imodoka.
- Niba ugize irari rikabije cyangwa izindi ngaruka zikomeye, bwira muganga wawe ako kanya.
- Ni ingenzi cyane kumenyesha muganga wawe indi miti yose ufata.
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