Ese wigeze ukorerwa operasiyo nto cyangwa ikomeye? Cyangwa uteganya kuyikora mu gihe kizaza? Niba ari uko bimeze, ni ibisanzwe gutinya ububabare buzabaho nyuma yo kubagwa. Ariko ntugahangayike, ubuvuzi bw'iki gihe buteye imbere cyane. Abaganga bakoresha uburyo butandukanye bwo kugenzura ubu bubabare. Uyu munsi, turimo kuvuga ku muti wihariye ukoreshwa ku gikomere cyo kubagwa ubwacyo kandi ugakoreshwa mu gukumira ububabare mu gihe cy'amasaha menshi.
Renal function (eGFR)
Measure kidney function based on creatinine value
Uyu muti ni uwuhe? (Bupivacaine; Meloxicam)
Mu magambo make, iyi ni imiti ibiri ivanze. Igurishwa ku izina rya ZYNRELEF''. Irimo imiti ibiri, Bupivacaine na Meloxicam .
Tekereza nk'urushinge muganga aguha mbere yo gukura iryinyo. Ibyo bitera ubwoba ahantu, si byo se? Ubwo rero, Bupivacaine iri muri ibi ni yo ituma imitsi yakoreshejwe aho wabazwe by'agateganyo itera ubwoba. Hanyuma iyo mitsi ihagarika kohereza ibimenyetso by'ububabare mu bwonko, kandi wumva ububabare buke.
Umuti wa kabiri ni Meloxicam . Uyu ni umuti ugabanya ububabare kandi ugabanya kubyimba. Mu buvuzi, uyu muti tuwita (NSAID - Umuti Udakoresha Steroidal Anti-Inflammatory). Uyu muti ugenzura kubyimba no gutukura kw'igikomere nyuma yo kubagwa. Bityo, guhuza iyi miti yombi bizaguha ihumure rikomeye ku bubabare bwo kubagwa mu gihe cy'amasaha agera kuri 72.
Icy'ingenzi ni uko uyu atari umuti ushobora kujyana mu rugo. Ni umuti wihariye muganga ashyira mu gikomere mu gihe cyo kubagwa mu bitaro cyangwa ivuriro.
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Mbere yo gufata icyemezo niba uyu muti ukubereye, muganga wawe azakenera kumenya amateka y'ubuzima bwawe. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:
| Imiterere y'ubuzima cyangwa ingeso | Ibisobanuro |
|---|---|
| Indwara z'ubuhumekero | Niba ufite indwara z'ibihaha nka asima. |
| Ibibazo byo kuva amaraso | Niba ufite ikibazo cyo kuva amaraso. |
| Kubaga umutima | Niba uherutse kubagwa (mu byumweru 2) umutima wawe ukoresheje icyuma gikingira (Coronary Artery Bypass Graft - CABG). |
| Indwara z'umutima n'umuvuduko w'amaraso | Indwara nk'indwara z'umutima, umuvuduko w'amaraso uri hejuru cyangwa uri hasi. |
| Ibibazo by'igifu n'amara | Niba warigeze kugira ibisebe byo mu gifu cyangwa kuva amaraso mu bihe byashize. |
| Indwara y'impyiko cyangwa umwijima | Niba ufite ikibazo cy'uburwayi kijyanye n'imikorere y'impyiko cyangwa umwijima. |
| Izindi ngeso n'imimerere | Niba unywa inzoga buri munsi, unywa itabi, cyangwa ufite ikibazo cyo kubura G6PD. |
| Allergie | Niba ufite aleriji kuri Bupivacaine, Meloxicam, Aspirine cyangwa indi miti irwanya indwara zo mu mutwe (NSAIDs), indi miti, ibiryo, cyangwa amarangi. |
| Gutwita | Niba utwite, ugerageza gusama, cyangwa wonsa. |
Bite ho niba uyu muti urenze urugero?
Kubera ko uyu muti utangwa na muganga mu bitaro, ibyago byo kurenza urugero ni bike cyane. Ariko, niba utekereza ko ushobora kuba wararenze urugero, ugomba guhita uhamagara Ikigo cy'Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by'Igihugu , cyangwa ukajya mu Kigo cyita ku Butabazi bw'Ibanze (ETU) cy'ibitaro biri hafi.
Uburyo bwo gukorana n'indi miti
Uyu muti ushobora guteza ibibazo iyo ufashwe n'indi miti, bityo rero ni ngombwa cyane kubwira muganga wawe imiti yose ufata, harimo vitamine, ibikomoka ku bimera, n'inyongeramusaruro .
ZYNRELEF ntigomba gukoreshwa hamwe n'iyi miti by'umwihariko:
- Cidofovir
- Ketorolac (indi miti ikomeye yo kugabanya ububabare)
Byongeye kandi, ibibazo bishobora no kubaho ku miti ikurikira:
- Izindi ndwara zigabanya ububabare (urugero: Aspirine, Ibuprofen, Naproxen)
- Imiti ibuza amaraso kuzura (urugero: Warfarin)
- Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso n'indwara z'umutima
- Ubwoko butandukanye bwa antibiyotike
- Utunyangingo tw'imitsi
- Imiti ivura indwara yo kwiheba (SSRIs, SNRIs)
- Ubwoko bw'imiti itangwa ku ndwara yo kurwara indwara zo mu mutwe
- Indi miti yihariye nka Lithium, Methotrexate
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe imiti yose ufata mbere yo kubagwa.
Ibintu ugomba kwitondera nyuma yo gufata uyu muti
1. Witondere ahantu hafite ibinure: Kubera ko ahantu hakoreweho abaganga ari ibinure, ntuzumva ububabare ubwo aribwo bwose. Kubwibyo, ugomba kwitonda ntukomeretse, ntukomeretse, cyangwa ngo utwike aho hantu.
2. Menyesha abandi baganga: Niba ukeneye kubagwa cyangwa kuvurwa bundi bushya mu minsi 4 uhereye igihe ufatiye uyu muti, bwira muganga ko wahawe uyu muti.
3. Witondere kuva amaraso mu gifu: Meloxicam (NSAID) iri muri uyu muti rimwe na rimwe ishobora gutera ibisebe mu gifu cyangwa kuva amaraso. Kunywa itabi, kunywa inzoga, gusaza, no kugira ubuzima bubi bishobora kongera ibi byago. Niba ubabara mu gifu gitunguranye, kuruka bisa n'ikawa, cyangwa kwitumamo umwijima , shaka ubufasha kwa muganga vuba.
Ingaruka mbi zishobora kubaho
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ingaruka mbi | Ibimenyetso |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe cyangwa ETU ako kanya | |
| Indwara zikomeye z'ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Kuva amaraso | Imyanya y'umukara, kuruka bisa n'ikawa, inkari zitukura/iz'umukara wijimye, utudomo dutukura/iz'umuhengeri ku ruhu. |
| Indwara y'umutima | Kubabara mu gituza, mu rutugu, mu kuboko, cyangwa mu rwasaya, isesemi, no kugorwa no guhumeka. |
| Igisebe cy'imitsi | Kubura ibinure/intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, urujijo, no kugorwa no kugenda. |
| Kwangirika kw'impyiko cyangwa umwijima | Kugabanuka k'inkari, kubyimba utubuto/amaboko/ibirenge, kuba umuhondo w'amaso/uruhu, kubabara mu gice cyo hejuru cy'iburyo cy'inda. |
| Methemoglobinemia | Kuribwa umutwe, umunaniro ukabije, guhumeka nabi, umutima utera cyane, uruhu rw'ubururu cyangwa iminwa (iyi ni indwara igira ingaruka ku bushobozi bwo gutwara ogisijeni mu maraso). |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Impatwe | Kugorwa no kujya mu bwiherero. |
| Umutwe | Umutwe. |
| Kuruka | Kuruka hamwe n'isesemi. |
Ubutumwa bwo kujyana mu rugo
- ZYNRELEF ni umuti wihariye ukoreshwa mu gusiga ku gikomere cyo kubagwa kugira ngo ugabanye ububabare nyuma yo kubagwa.
- Mbere yo guhabwa uyu muti, banza ubwire muganga wawe indwara zawe zose n'imiti yose ufata.
- Kubera ko aho kubagwa hazaba hameze nabi nyuma yo guhabwa imiti, ni inshingano zawe kwitonda kugira ngo udakomeretsa aho hantu.
- Niba ubonye ibimenyetso by'ingaruka mbi nko kuva amaraso mu gifu, indwara z'umutima, ubumuga, cyangwa ingaruka zikomeye z'ubwivumbure, shaka ubufasha bwa muganga vuba vuba cyangwa ujye mu bitaro bikuru byita ku buzima bw'abantu (ETU) biri hafi yawe.
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