Icyo ugomba kumenya kuri Baclofen Intrathecal Injection!

Ese wowe cyangwa umuntu uzi rimwe na rimwe uhura n'imitsi igoramye, kuribwa mu nda, ndetse no kubabara cyane? Cyangwa amaguru n'amaboko byawe birushaho gukomera ku buryo bigoye kugenda? Ubu ni uburyo bwihariye bwo kuvura abantu bafite imitsi igoramye cyane bwitwa "Baclofen Intrathecal Injection". Nubwo izina rishobora kumvikana nk'irigoye, reka tubikomeze.

Uyu muti witwa Baclofen ni uwuhe? Ukora ute?

Mu magambo make, baclofen ni umuti ugabanya imitsi mu mubiri wawe. Mu by’ukuri, ni umuti uri mu cyiciro cya "umuti ugabanya imitsi". Uyu muti ugabanya gukaza, kubabara, no kubabara imitsi yawe bitari ngombwa. Tekereza, bitewe n’indwara zimwe na zimwe z’imitsi cyangwa indwara z’umugongo, imitsi ishobora gukomera mu buryo butunguranye. Icyo gihe ni bwo uyu muti witwa baclofen uba ingirakamaro cyane.

Urushinge rwo mu nda ni iki? Rutangwa rute?

Dore ikintu cy'ingenzi. Uyu muti wa baclofen nawo utangwa nk'ikinini. Ariko mu bihe bimwe na bimwe bikomeye, cyangwa iyo ibinini bidahagije kugira ngo bigenzurwe, abaganga batera uyu muti mu mazi akikije uruti rw'umugongo wawe (`(amazi yo mu bwonko)`). Ibyo nibyo byitwa `(Intrathecal Injection)`.

Tekereza, hari amazi yihariye akikije ubwonko bwacu n'umugongo wacu kugira ngo arindwe. Iyo uyu muti ushyizwe muri ayo mazi, ujya neza neza mu mitsi igenzura imitsi. Hanyuma, nubwo waba ufite dose nke, ushobora kubona umusaruro mwiza.

Ibi bikunze gukorwa n'inzobere mu bitaro cyangwa mu ivuriro. Hari abantu bafite pompe yihariye (implanted pump) bashyira munsi y'uruhu kugira ngo bakomeze gutanga umuti mu mubiri wabo. Uzakenera kujya kwa muganga wawe kugira ngo wuzuze umuti. Kubera ko ubu buryo ari uburyo bugoye bwo kuvura, bukorwa n'itsinda ry'abaganga bazi neza ibi.

Ni ibihe bintu ugomba kubwira itsinda ry'abaganga mbere yo kuvurwa?

Mbere yo gutangira gufata ubu buryo bwo kuvura baclofen mu gihe cy'imiti, ni ngombwa kubwira muganga wawe cyangwa umuforomo ibi bikurikira:

• Ufite ikibazo cyo kuva amaraso ?
• Urwaye diyabete (`(Diabete Mellitus)`)?
• Ese ubu uri kuvurwa indwara iyo ari yo yose yo mu mutwe (`(indwara yo mu mutwe)`) cyangwa wigeze uyirwara mbere?
• Urwaye impyiko ?
• Ese uherutse kugira ikibazo cyo gucika kw'imitsi mu bwonko (stroke)?
• Ese ufite indwara zo mu mutwe nk'igicuri ?
• Ikirenze byose, ese ufite allergie kuri baclofen, undi muti, ibiryo, cyangwa irangi?
• Uratwite? Cyangwa wifuza gutwita?
• WoweEse uri umubyeyi wonsa?

Mu kumenya aya makuru neza, itsinda ry’abaganga rishobora gufata icyemezo niba ubu buryo bw’ubuvuzi bukubereye cyangwa butakubereye, ndetse n’uburyo bwo kwirinda bugomba gukorwa.

Ese ubu buvuzi buhabwa abana bato?

Yego, mu bihe bimwe na bimwe byihariye, abana bafite imyaka 4 bahabwa ubu buryo bwo kuvura baclofene mu nda. Ariko hagomba kuba hari impamvu zidasanzwe zibitera, kandi bikorwa witonze cyane kandi uyobowe n'umuganga w'inzobere. Niba urimo gutekereza kuri ubu buryo bwo kuvura umwana, ni ngombwa kuvugana na muganga w'abana kuri ubwo buryo no kumusaba inama.

Nakora iki iyo ntabonye gahunda yo gufata imiti cyangwa imiti irangiye mu ipompo yanjye?

Ibi ni ingenzi cyane. Niba warahawe umunsi wagenwe wo guterwa inshinge, cyangwa umunsi wo kuzuza ipompo yawe, ni ngombwa kujyayo uwo munsi neza neza. Ibi bishobora guteza ibibazo niba uhagaritse gufata umuti mu buryo butunguranye.

Niba ku mpamvu iyo ari yo yose udashobora kwitaba ku itariki yagenwe, nyamuneka hamagara itsinda ry'abaganga bawe vuba kugira ngo bafate gahunda yo kongera kuyisubiramo. Ntubisubike.

Ni iki cyakorwa niba ingano y'imiti yiyongereye?

Niba ubona ko wafashe uyu muti urenze urugero mu buryo butari bwo, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe ako kanya, cyangwa uhamagare ikigo gishinzwe kurwanya uburozi. Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoreshereze y'imiti)

Imiti imwe ishobora guteza ibibazo iyo ifashwe na baclofen. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine, n'inyongeramusaruro).

Ni ngombwa cyane cyane kudafata baclofen hamwe n'ibi bintu:

• Imiti imwe n'imwe y'inkorora iri mu itsinda ry'ibiyobyabwenge (`(Imiti y'ibiyobyabwenge ivura inkorora)`)

Nanone, witondere cyane kuko baclofen ishobora kugira ingaruka kuri ibi bintu:

• Inzoga (`(Inzoga)`)
• Amwe mu mati arwanya uburibwe (akoreshwa mu kuvura indwara z'ubwivumbure, inkorora, n'ibicurane)
• Imiti imwe n'imwe ivura guhangayika cyangwa gusinzira
• Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: amitriptyline, fluoxetine, sertraline)
• Imiti imwe n'imwe ivura indwara zo mu mutwe (urugero: phenobarbital, primidone)
• Imiti igabanya ububabare ikoreshwa mu gihe cyo kubaga (urugero: halothane, isoflurane, methoxyflurane, propofol)
• Imiti igabanya ububabare mu gace runaka (urugero: lidocaine, pramoxine, tetracaine)
• Indi miti itangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa
• Imiti igabanya ububabare
• Phenothiazine (urugero: chlorpromazine, mesoridazine, prochlorperazine, thioridazine) ni imiti ikoreshwa mu kuvura indwara zimwe na zimwe zo mu mutwe.

Uru rutonde ntirwuzuye, bityo rero menya neza ko wabibwiye muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge.

Ni ibihe bintu bindi ngomba kwitondera mu gihe nfata uyu muti?

• Niba ibimenyetso byawe (nk'ububabare bw'imitsi n'imitsi) bitarushijeho kuba bibi cyangwa ngo birusheho kwiyongera, menyesha itsinda ry'abaganga ako kanya.
• Ntugahagarike gufata uyu muti mu buryo butunguranye kubera impamvu iyo ari yo yose. Kubikora bishobora gutera ingaruka mbi zikomeye (`(ibimenyetso byo kureka)`). Niba muganga wawe ashaka ko uhagarika gufata uyu muti, azagabanya buhoro buhoro urugero. Bityo rero kurikiza amabwiriza ya muganga wawe neza.
• Uyu muti ushobora gutuma usinzirira kandi ukagira isereri. Kubwibyo, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu cyose gisaba kuba maso kugeza igihe umenye neza uko uyu muti umeze.
• Ntugahagarare cyangwa ngo wicare giturumbuka, cyane cyane niba ugeze mu za bukuru. Kubikora bishobora gutera isereri ndetse no kugwa.
• Irinde inzoga burundu. Inzoga zishobora kubangamira imikorere y'uyu muti.
• Niba ufata indi miti igutera gusinzira (urugero: imiti igabanya ububabare, ibinini bisinziriza, imiti igabanya allergie), gufata iyi miti hamwe na baclofen bishobora gutuma urushaho gusinzira. Bwira muganga wawe imiti yose ufata.
• Niba ufite ikibazo cyo guhumeka cyangwa wumva usinziriye bidasanzwe , jya mu cyumba cy’ubutabazi bw’ibanze ako kanya.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Nkuko bigenda ku miti iyo ari yo yose, kuvurwa na baclofen mu buryo bwa intrathecal bishobora guteza ingaruka mbi kuri bamwe mu bantu.

Ingaruka mbi zigomba kumenyeshwa muganga ako kanya:

• Indwara zo kugira ubwivumbure : Kuryarya uruhu, kuribwa, kubyimba (cyane cyane mu maso, ku minwa, ku rurimi, cyangwa mu muhogo - ibi ni bibi kuko bishobora gutera imbogamizi mu guhumeka).
• Guhumeka gahoro gahoro cyangwa gahoro, guhumeka bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• Umuvuduko w'amaraso uri hasi : isereri, gucika intege cyangwa kubabara umutwe, kutabona neza.

Niba ubonye kimwe muri ibi bimenyetso, ntugatekereze ko ari ibisanzwe. Shaka inama kwa muganga ako kanya.

Ingaruka mbi ubusanzwe zidasaba ubuvuzi (ariko zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye):

• Kumva ushyushye cyangwa urimo gushyuha mu maguru
• Kuzungera (`(Kuzungera)`)
• Gusinzira (`(Gusinzira)`)
• Kuribwa umutwe (`(Umutwe)`)
• Intege nke z'imitsi (`(Intege nke z'imitsi)`)
• Isesemi (`(Isesemi)`)
• Kuruka (`(Kuruka)`)

Uru rutonde si ingaruka mbi zose zishobora kubaho. Niba ubonye ikindi kintu kidasanzwe, vugana na muganga wawe kuri icyo kibazo.

Uyu muti uwubika he?

Uyu si umuti usanzwe uhabwa mu rugo. Baclofen itangwa mu mitsi mu bitaro cyangwa mu ivuriro, bityo ikabikwa aho ngaho. Niba ufite pompe, uzakenera kujya ku bitaro/ivuriro kugira ngo wongererwe.

Hanyuma, hari ibintu bike byo kwibuka

Iyi ni incamake y'uburyo bwo kuvura hakoreshejwe Baclofen Intrathecal Injection. Uburyo igira ingaruka kuri buri wese bushobora gutandukana. Kubwibyo, niba ufite ikibazo cyangwa impungenge kuri ubu buryo, ntutindiganye kubaza muganga wawe, umuforomo, cyangwa umufarumasiye.

Ubu ni uburyo bwihariye bwo kuvura. Ni ngombwa cyane gukurikiza amabwiriza ya muganga neza, kujya kwivuza ku minsi yagenwe, no kumenya ingaruka mbi. Niba ari uko bimeze, ubu buryo buzagufasha kugabanya iki kibazo gikomeye cyo gufunga imitsi.

Ndakwifurije gukira vuba!

Baclofen , Injection Intrathecal, imitsi itera imitsi, umuti ugabanya imitsi, uruti rw'umugongo, ingaruka mbi, imiti ikoreshwa