Ese wowe cyangwa umuntu wo mu muryango wawe ufite indwara ya Parkinson? Niba ari uko bimeze, muganga wawe ashobora kuba yaraguhaye ikinini cyakozwe mu guhuza iyi miti itatu. Nubwo izina ry'uyu muti rishobora gusa n'aho rigoye, umaze gusobanukirwa uburyo ukora, biroroshye cyane. Uyu munsi, reka tuganire kuri uyu muti, icyo ukora, n'icyo ugomba kwitondera, mu buryo bw'inshuti kandi bworoshye.
Bigenda bite iyo iyi miti itatu ivanze?
Muri make, iyi ni imiti itatu ivanze: Carbidopa, Levodopa, na Entacapone . Intwari y'iki kinini ni Levodopa. Indwara ya Parkinson iterwa no kugabanuka kwa 'Dopamine' mu bwonko bwacu. Umuti witwa Levodopa ukora ujya mu bwonko ugafasha kongera kubaka iyi dopamine yagabanutse.
None se ibindi biyobyabwenge bibiri bizagenda bite? Tekereza ko Levodopa ari umuntu uzanye ubutumwa bw'ingenzi.
- Karubidopa ni nk'umurinzi urinda umuntu ibibazo biri mu nzira (ibiyobyabwenge bishobora kwangirika mu bindi bice by'umubiri mbere yuko bigera mu bwonko).
- Entacapone ni nk'undi mufasha ukomeza akazi k'umurinzi kandi agatuma Levodopa ikora igihe kirekire kandi neza.
Iyo ibi bitatu bihuye, bishobora gufasha cyane mu kugenzura ibimenyetso bya Parkinson (nk'imitingito, kunyeganyega no kugenda buhoro).
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Ni ngombwa cyane ko muganga wawe amenya amateka yawe yose y’ubuvuzi mbere yo kuguha uyu muti. Ibi biterwa nuko tugomba kwitonda cyane mu gihe dukoresha uyu muti hamwe n’indwara zimwe na zimwe. Niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
| Indwara cyangwa imimerere | Kuki ugomba gutanga amakuru? |
|---|---|
| Ihungabana cyangwa izindi ndwara zo mu mutwe | Uyu muti rimwe na rimwe ushobora kugira ingaruka ku miterere y'ubwonko. |
| Diyabete | Uwo muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso. |
| Indwara ya Glaucoma | Kubera ko bishobora kugira ingaruka ku muvuduko w'amaso. |
| Indwara z'umutima, amateka y'indwara z'umutima, umutima utera nabi | Umuvuduko w'umutima n'umuvuduko w'amaraso bishobora kugira ingaruka. |
| Indwara y'impyiko cyangwa umwijima | Kubera ko bigira ingaruka ku nzira yo gukuraho ikiyobyabwenge mu mubiri. |
| Indwara z'ibihaha nka asima | Hari igihe uburyo bwo guhumeka bushobora kugira ingaruka. |
| Indwara yo guhumeka mu gihe cyo gusinzira cyangwa indwara yo kubura ibitotsi | Kubera ko uyu muti ushobora gutera gusinzira. |
| Ibisebe byo mu gifu cyangwa indwara zo mu mara | Ingaruka zimwe na zimwe zishobora kwiyongera. |
| Niba utwite, ugerageza gutwita, cyangwa wonsa | Ugomba kuvugana na muganga wawe ku ngaruka zishobora kugeraho ku mwana wawe. |
| Allergie ku yindi miti, ibiryo cyangwa ibindi bintu | Menya neza ko uyu muti ushobora kugira allergie. |
Ukoresha uyu muti ute?
- Mirira ikinini n'ikirahure cy'amazi. Ugifate neza nk'uko muganga yabigutegetse, mu gihe gikwiye.
- Icy'ingenzi kurushaho: Ntukavune ikinini, ntukagishegeshe cyangwa ngo ugihekenye. Uramire cyose.
- Witondere ibiryo: Uyu muti ushobora gufatwa n'ibiryo cyangwa utabifashe. Ariko, witondere igihe ufata umuti.Irinde kurya ibiryo birimo ibinure byinshi, karori na poroteyine (nk'inyama, amafi, amagi, n'ibikomoka ku mata) , kuko ibi biribwa bishobora kugabanya kwinjiza Levodopa. Vugana na muganga wawe ku bijyanye n'imirire yawe.
- Ntucikwe n'umuti: Fata umuti wawe ku gihe. Ntukarenze urugero rwatanzwe cyangwa ngo uhagarike kuwufata mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora kugira ingaruka zikomeye.
- Niba wabuze dose: Fata dose wabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose wabuze hanyuma ufate ikinini gikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Icy'ingenzi: 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 rishinzwe kuvura byihutirwa (ETU) ry'ibitaro biri hafi yawe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Ni ngombwa cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine, ibyatsi, n'inyongeramusaruro), kuko imiti imwe n'imwe ishobora kugira ingaruka kuri iyi miti.
By’umwihariko, imiti ya MAOI (Monoamine Oxidase Inhibitors) ivura indwara zo mu mutwe (urugero: Marplan, Nardil, Parnate) ntigomba na rimwe gufatwa hamwe n’uyu muti.
Byongeye kandi, uyu muti ushobora kugira ingaruka ku bikurikira:
- Inzoga
- Inyongeramusaruro za feri - Niba ufata inyongeramusaruro za feri, zifate amasaha 2 mbere cyangwa nyuma yo gufata uyu muti.
- Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso
- Imiti ivura indwara zo mu mutwe, imihangayiko, n'ibitotsi
- Amwe mu matibayotike (urugero: ampicillin, erythromycin, rifampin)
- Imiti ivura ububabare
- Warfarin (umuti ukoreshwa mu gukumira kuvura amaraso)
Uru rutonde ntirwuzuye, bityo bwira muganga wawe ibyo ufata byose.
Ingingo zihariye zigomba kwitabwaho mu gihe ufata umuti
Gusinzira no gusinzira bitunguranye
Uyu muti ushobora gutuma usinzirira cyangwa ukagira isereri. Hari igihe, nta nteguza , ushobora gusinzira utwaye imodoka cyangwa uvuga. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Cyane cyane niba ugeze mu zabukuru, ntugahaguruke vuba uva aho wicaye cyangwa uhagaze. Ibi bishobora kugabanya ibyago byo kurwara isereri no kugwa.
Imyitwarire n'ibitekerezo bidasanzwe
Ni gake cyane, bamwe mu bantu bafata uyu muti bagiye bavugwaho kugira irari ridasanzwe. Urugero, bashobora kugira irari rikomeye ryo gukina urusimbi, gukora imibonano mpuzabitsina, gukoresha amafaranga bitari ngombwa, cyangwa kurya cyane. Niba wowe cyangwa umuryango wawe mubonye imwe muri izi mpinduka, menyesha muganga wawe ako kanya.
Ingaruka zo 'Kurambirwa' no 'Kuzimya'
Hari igihe, uko urugero rw'umuti rukurikira rugenda rwegereza, ushobora kumva nk'aho umuti urimo gutakaza imbaraga zawo kandi ibimenyetso bya Parkinson bikongera kugaruka. Ibi byitwa ingaruka zo 'gucika intege'. Hari n'igihe, ushobora kumva nk'aho umuti utari gukora na gato (igihe cyo 'gucika intege'), hanyuma ugatangira gukora nyuma y'igihe runaka (igihe cyo 'gucika intege'). Ibi nibikubaho, bwira muganga wawe. Ashobora kuba yahindura urugero rw'umuti wawe.
Ihinduka ry'ibara ry'inkari n'ibyuya
Uyu muti ushobora guhindura inkari, amacandwe, cyangwa ibyuya umukara wijimye, umutuku, cyangwa umukara. Ibi si ibintu byo guhangayikisha. Ariko, witondere kuko bishobora kwanduza imyenda.
Wite ku ruhu rwawe.
Mu gihe ufata uyu muti, genzura uruhu rwawe buri gihe kugira ngo urebe impinduka mu bisebe byawe bihari cyangwa uko ibisebe bishya bigaragara. Bibwire muganga wawe niba hari impinduka ubonye.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Inyinshi muri zo ntabwo ari mbi cyane. Ariko hari ibintu bimwe na bimwe tugomba kumenya.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| • Indwara zo kugira ubwivumbure nko kurwara uduheri ku ruhu, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi | • Ingendo zitagenzurwa z'amaboko, mu maso, mu kanwa, mu ijosi, cyangwa mu gice cyo hejuru cy'umubiri |
| • Gusinzira mu buryo butunguranye | • Impinduka mu miterere y'imitekerereze cyangwa imyitwarire, kubona ibintu nk'aho nta bwenge |
| • Umutima utera vuba kandi utari usanzwe | • Kubabara mu gifu, umuriro, kubabara imitsi |
| • Kuzungera, gucika intege | • Kugorwa no kunyara cyangwa impinduka mu rugero rw'inkari |
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje) | |
| • Impatwe | • Umutwe |
| • Kubura ubushake bwo kurya | • Kubabara mu nda, isesemi |
| • Kugorwa no gusinzira | • Umunwa wumye |
Ubutumwa bwo kujyana mu rugo
- Fata uyu muti neza neza nk'uko muganga yabigutegetse, mu gihe gikwiye, kandi mu gipimo gikwiye. Ntukavune cyangwa ngo ujanjagure ikinini.
- Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga ataguhaye inama.
- Menyesha muganga wawe indi miti yose, vitamine, n'izindi ndwara zose ushobora kuba ufite.
- Niba uhuye n'ibitotsi bitunguranye cyangwa ihungabana ridasanzwe ryo mu mutwe uri gufata imiti, hita ubibwira muganga wawe.
- Irinde kurya ibiryo birimo poroteyine nyinshi na feri hafi y'igihe ufata umuti. Vugana na muganga wawe kuri ibi.
- Niba ufite ikibazo cyangwa impungenge ku buzima bwawe, ntutinye kuvugana na muganga wawe.
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