Ese ukunze gusinzira ku manywa? Uko ibitotsi byawe byaba bingana kose nijoro, uracyarushye kandi ukagira ubunebwe ku manywa? Cyangwa wigeze wumva uhita utakaza ubwenge maze ukagwa hasi? Uyu munsi, tugiye kuvuga ku muti wihariye ufite izina rigoye cyane witirirwa ibibazo bifitanye isano n'ibitotsi nk'ibi.
Uyu ni ubwoko ki bw'umuti?
Muri make, uyu ni umuti w'amazi wanditswe kugira ngo uvure indwara zitandukanye ziterwa no gusinzira. By'umwihariko, abaganga bandika uyu muti kuri:
- Narcolepsy: Iyi ni indwara yo gusinzira cyane ku manywa.
- Idiopathic Hypersomnia: Iyi nayo ni indwara yo gusinzira cyane ku manywa, ariko biragoye kubona impamvu yihariye.
- Cataplexy: Iyi ni indwara idasanzwe cyane. Ni igihe imitsi y'umubiri itakaza imikorere yayo mu buryo butunguranye iyo ihuye n'amarangamutima akomeye , nko guseka cyane cyangwa gutungurwa.
Uyu muti ukora mu kugabanya ibitotsi byo ku manywa no kugufasha gusinzira neza nijoro. Ugabanya kandi inshuro nyinshi indwara ya cataplexy. Uyu muti uboneka muri Sri Lanka ku izina rya `(Xywav)`.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira uyu muti, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Uyu muti ushobora kugira ingaruka ku ndwara zimwe na zimwe. Niba ufite imwe mu ndwara zavuzwe mu mbonerahamwe iri hepfo, menya neza ko wabibwiye muganga wawe.
| Uko umeze | Kuki ukwiye kubimenyesha muganga? |
|---|---|
| Ihungabana cyangwa izindi ndwara zo mu mutwe | Kubera ko uyu muti rimwe na rimwe ushobora kugira ingaruka ku byiyumvo. |
| Ibitekerezo byo kwiyahura (kuri wowe ubwawe cyangwa uwo mu muryango wawe) | Ibi ni ingenzi cyane kuzirikana ibi bitekerezo mu gihe ufata imiti. |
| Ubusinzi cyangwa ibiyobyabwenge | Kunywa uyu muti hamwe n'inzoga ni bibi cyane. Nanone, uyu ni umuti ushobora gutuma umuntu afatwa n'ibiyobyabwenge. |
| Indwara y'umwijima | Igipimo gishobora gukenera guhindurwa kuko umwijima ugira ingaruka ku gikorwa cyo gukura imiti mu mubiri. |
| Indwara zo guhumeka (urugero: asima, COPD) cyangwa indwara yo guhumeka mu gihe umuntu asinziriye | Uyu muti ushobora gutuma guhumeka bigorana gato, bityo ukaba ushobora guteza akaga niba usanzwe ufite ibibazo byo guhumeka. |
| Indwara y’uturemangingo yitwa succinic semialdehyde dehydrogenase deficiency | Iyi ni indwara idakunze kugaragara. Niba uyirwaye, uyu muti ntukwiriye na gato. |
| Allergie ku yindi miti, ibiryo cyangwa ibindi bintu | Kugira ngo umenye niba hari ubwivumbure ku muti cyangwa kimwe mu bigize uwo muti. |
| Gutwita, kugerageza gutwita, cyangwa konsa | Gusuzuma ingaruka zishobora kugaragara ku mwana mu gihe atwite no konsa. |
Ni gute wakoresha umuti neza?
Uburyo ukoresha uyu muti ni ingenzi cyane. Kurikiza neza icyo muganga avuze.
- Igipimo: Koresha seringe cyangwa igikombe cyihariye kiri kumwe n'umuti kugira ngo ubipime. Ntugakoreshe utuyiko two mu rugo cyangwa ibiyiko by'isupu. Ntabwo bizaguha igipimo nyacyo.
- Kuvanga: Vanga umuti n'amazi nk'uko muganga yabigutegetse, hanyuma unywe.
- Igihe cyo gufata: Ibi bigomba gufatwa mu nda irimo ubusa . Ni ukuvuga nibura amasaha 2 nyuma yo kurya.
- Mbere yo kuryama: Uyu muti ugomba gufatwa nijoro mbere yo kuryama, ukimara kuryama , kuko nyuma yo kuwunywa, uzasinzira vuba.
- Igipimo cya kabiri: Hari abantu bategetswe gufata iki gipimo kabiri mu ijoro. Muri icyo gihe, fata igipimo cya mbere hanyuma ufate icya kabiri nyuma y'amasaha 2.5 kugeza kuri 4 nyuma yo kugifata.
- MedGuide: Iyo uhawe umuti, uzahabwa agapapuro k'amabwiriza yihariye ``(MedGuide)``. Buri gihe usome witonze. Niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe. Ntutinde.
Icy'ingenzi kurushaho: Uyu muti ni uwawe gusa . Ntukigere uwusangira n'undi muntu uwo ari we wese.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata dose, ntugahangayike. Ibagirwa dose yabuze burundu. Fata dose ikurikira uko bisanzwe. Ntugafate dose ebyiri icyarimwe kugira ngo wuzuze dose yabuze.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Uyu muti ushobora kugira ingaruka ku yindi miti ndetse n'inzoga, bityo rero ugomba kwitonda cyane kuri ibi.
| Ibintu bitagomba na rimwe gufatwa hamwe | |
|---|---|
| Inzoga | Kunywa uyu muti hamwe n'inzoga bishobora gutera ihungabana rikomeye ry'ubuhumekero, guta ubwenge, ndetse no gupfa. Ibi ni bibi cyane. |
| Izindi miti zo gusinzira | Gufata imiti ibiri imwe bishobora gutera ingaruka mbi nko gusinzira cyane no kugorwa no guhumeka. |
| Indi miti ishobora gutera ibibazo | |
| Imiti ivura imihangayiko cyangwa ibitotsi (urugero: Benzodiazepines - alprazolam, diazepam) | Bitera gusinzira cyane no kwiyongera kw'ingorane zo guhumeka. |
| Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: amitriptyline, fluoxetine) | Ingaruka z'imiti yombi zishobora gutandukana. |
| Imiti igabanya ububabare (cyane cyane `Opioids`) | Ingaruka zo kunanirwa guhumeka ni nyinshi cyane. |
| Imiti igabanya ubwivumbure (Antihistamines) | Bishobora kongera gusinzira. |
Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera) .
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Imyitwarire idasanzwe yo gusinzira: Hari abantu bafata uyu muti bashobora gukora ibintu nko kugenda mu bitotsi, guteka/kurya, no guhamagara kuri telefoni. Igiteye ubwoba cyane ni uko bashobora kutibuka ibi iyo bakangutse mu gitondo. Ibi nibibaho kuri wewe cyangwa ku wundi muntu wo mu muryango, bwira muganga wawe ako kanya.
- Impinduka mu byiyumvo: Uyu muti rimwe na rimwe ushobora gutera impinduka mu byiyumvo, nko guhangayika, kwiheba, no gutekereza kwiyahura . Niba ubonye impinduka zitunguranye kandi zikomeye mu myitwarire yawe cyangwa mu mitekerereze yawe, ntubyirengagize. Vugana na muganga wawe ako kanya.
- Gutwara imodoka: Ntugakore ikintu cyose gisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
- Ingaruka zo kuba imbata: Hari ibyago byo kuba imbata y'uyu muti. Ntugafate ibirenze urugero rwatanzwe na muganga cyangwa ngo ufate igihe kirekire kirenze igihe cyagenwe.
Ni izihe ngaruka 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 zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Ihungabana ry'imitsi yo hagati (CNS depression) | Guhumeka buhoro cyane cyangwa mu buryo buciriritse, guhumeka bigoranye, isereri rikabije, gutakaza ubwenge. |
| Impinduka mu mutwe no mu myitwarire | Guhungabana kudasanzwe, kubona ibintu nk'aho nta cyo bitwaye, gutekereza kwiyahura, kwiheba cyane. |
| Kubura umwuka wo gusinzira | Guhumeka nabi hamwe no kwishima cyane mu gihe usinziriye. |
| Kugenda n'amaguru mu gihe cyo gusinzira | Kubyuka kuva mu bitotsi no kugenda cyangwa gukora indi mirimo. |
| Niba bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Kuzungera | Umutwe |
| Isesemi/kuruka | Gukunda kurya |
| Kunyara ku buriri | |
Ni gute wakwirinda imiti?
- Bika kure y'abana n'amatungo.
- Kubera ko iki ari ikiyobyabwenge gishobora gukoreshwa nabi, gishyire ahantu hatekanye hashobora kurindwa abajura.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
- Tara umuti warengeje igihe. Ugomba kunyobwa mu masaha 24 nyuma yo kuvanga n'amazi. Shyira ibisigaye byose.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata uyu muti nk'uko muganga wawe akubwira, mu gipimo cyagenwe.
- Ntukayinywere hamwe n'inzoga cyangwa ibindi binini bisinziriza kubera impamvu iyo ari yo yose. Bishobora gushyira ubuzima mu kaga.
- Bwira muganga wawe indi miti yose ufata n'indwara zose ufite.
- Menya ingaruka mbi zikomeye nko guhinduka mu mutwe no kugenda usinziriye. Niba ikintu nk'iki kibaye, shaka ubufasha kwa muganga byihutirwa.
- Uyu ni umuti wagenewe wowe gusa. Ubike ahantu hatekanye aho abandi batagera.
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