Reka twige kuri izi capsule zikora igihe kirekire (Carbidopa; Levodopa Extended-Release Capsules) zikoreshwa mu kuvura indwara ya Parkinson.

Ese ufite ingorane mu gukora imirimo yawe ya buri munsi bitewe n'indwara ya Parkinson? Wenda wumva ukomeretse cyangwa amaguru yawe arimo kunyeganyega? Tuzi ko bigoye kwihanganira ibi bimenyetso. Uyu munsi rero tugiye kuvuga ku muti ushobora kugufasha kugabanya ibyo bibazo. Ni ukuvuga, Kapsule zirekurwa byihuse, zigizwe n'imiti ibiri yitwa Carbidopa na Levodopa.

Ni iki koko kigenda gitya kuri uyu muti?

Muri make, uyu muti, Carbidopa; Levodopa, ukoreshwa mu kugenzura ibimenyetso by'indwara ya Parkinson. Ubwonko bwacu bugizwe n'ikinyabutabire cyitwa dopamine. Ibi nibyo bifasha kugenzura imigendere y'umubiri wacu n'imikorere yawo. Iyo indwara ya Parkinson itangiye, ingano ya dopamine mu bwonko iragabanuka. Ni bwo ibimenyetso nko gukomera no gutigita bigaragara. Bityo uyu muti ukora wongera ingano ya dopamine mu bwonko no kugabanya ibyo bimenyetso. Uyu muti rimwe na rimwe ushobora gukoreshwa no mu bindi bintu. Ushobora kubaza muganga wawe cyangwa umufarumasiye. Izina ry'ikinyabutabire cy'uyu muti ni Rytary.

Ibintu ugomba kubwira muganga wawe mbere yo gutangira gufata uyu muti

Mbere yo gutangira uyu muti, ni ngombwa cyane kumenyesha itsinda ry’abaganga bawe (itsinda ryita ku barwayi) ibintu bimwe na bimwe. Kuko ayo makuru azagena niba uyu muti ukubereye cyangwa utakubereye, n’uko ukwiye gutangwa.

Niba ufite kimwe muri ibi bibazo, menya neza ko ubivuze:

• Niba ufite ihungabana cyangwa indi ndwara yo mu mutwe.
• Niba urwaye diyabete.
• Niba ufite glaucoma mu maso.
• Indwara z'umutima, bivuze kuba warigeze kugira indwara y'umutima mu bihe byashize, cyangwa kuba ufite amateka yo gutera k'umutima mu buryo butari bwo.
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Urugero, niba ufite indwara y'ibihaha, asima.
• Narcolepsy - Indwara ituma uhita usinzira ku manywa.
• Niba ufite ikibazo cyo guhumeka mu gihe cyo gusinzira, ni ukuvuga indwara ituma uhagarika guhumeka mu gihe usinziriye.
• Niba ufite ibibazo byo mu gifu cyangwa mu mara.
• Niba waragize ikibazo cy’ubwivumbure cyangwa ikibazo kidasanzwe kuri Levodopa, Carbidopa, indi miti, ibiryo, amarangi y’ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita.
• Niba uri umubyeyi wonsa.

Ni ingenzi cyane ku mutekano wawe kubwira muganga ibi bintu utamuhishe, sibyo?

Ni gute neza neza nkoresha uyu muti?

Uyu muti ugomba gufatwa n'ikirahure cy'amazi. Kurikiza amabwiriza ari ku rupapuro rwa muganga waguhaye nk'uko bivugwa. Agapfukamunwa kagomba kumirwa kose. Ntugasye, ntukagaheke cyangwa ngo ucikemo kabiri.

Tuvuge ko bigoye kumira iyi kapsule. Muri icyo gihe, ushobora gufungura kapsule witonze hanyuma ugasuka umuti wose imbere hejuru y'ikiyiko kimwe cyangwa bibiri bya pome sauce. Ariko, ugomba gukoresha umuti ako kanya nyuma yo kuwuvanga n'ibiryo. Ntukawubike kugira ngo uzawukoreshe nyuma. Fata umuti wawe icyarimwe buri munsi, buri gihe. Ntugafate umuti urenze uwo muganga wawe akubwira. Nanone, ntugahagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga.

Nanone, niba uriye ifunguro ririmo ibinure byinshi na karori, bishobora gufata igihe kirekire kugira ngo umuti winjire mu mubiri wawe. Ibi bishobora gutinza igihe cyo gutangira umuti ho amasaha abiri cyangwa atatu. Kubwibyo, tekereza gufata dose yawe ya mbere y'umunsi isaha imwe cyangwa abiri mbere y'ifunguro. Ariko, niba wumva ufite isesemi nyuma yo gufata umuti, ushobora kuwufata hamwe n'ibiryo.

Mu gihe uha abana uyu muti, ugomba kwitonda cyane, bityo vugana n'itsinda ry'abaganga bawe kuri ibyo.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntuzigere usangiza uyu muti abandi.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse.

Bite se nintakaza imiti yanjye?

Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri cyangwa dose y'inyongera.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Hari imiti imwe n'imwe, nka Carbidopa; Levodopa, ishobora guteza ibibazo iyo uyifashe hamwe. Kubwibyo, niba ufata indi miti iyo ari yo yose, ni ngombwa kubimenyesha muganga wawe .

Ntuzigere ufata uyu muti hamwe n'imiti ikurikira:

• Imiti yo mu bwoko bw'imiti yitwa MAOIs, nka Marplan, Nardil, na Parnate.
• Reserpine
• Tetrabenazine

Hari kandi n'imiti ishobora kugira ingaruka ku iyi miti:

• Inzoga
• Droperidol
• Entacapone
• Inyongeramusaruro z'icyuma cyangwa vitamine nyinshi zirimo icyuma
• Isoniazide (INH)
• Linezolide
• Imiti ivura indwara zo kwiheba, guhangayika, cyangwa indwara zo mu mutwe
• Umuti uvura umuvuduko ukabije w'amaraso
• Ibinini byo gusinzira
• Metoclopramide
• Papaverine
• Procarbazine
• Tedizolide
• Rasagiline
• Selegiline
• Tolcapone

Uru rutonde rushobora kuba rudakubiyemo imiti yose ikoreshwa. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, uyihabwa ku giciro cya muganga, imiti ikomoka ku bimera, vitamine). Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Bimwe muri ibyo bishobora kugira ingaruka ku miti yawe.

Ibintu ugomba kuzirikana mugihe ufata uyu muti

Jyana na muganga wawe buri gihe kugira ngo agusuzume uko umeze mu gihe ufata uyu muti. Bwira muganga wawe niba ibimenyetso byawe bitaragenda neza cyangwa niba birushaho kwiyongera. Ntugahagarike gufata uyu muti udafite inama ya muganga wawe. Kubikora bishobora gutera ingaruka zikomeye. Muganga wawe azakubwira ingano y'umuti ugomba gufata.

• Gusinzira no kuzungera: Ushobora kumva usinziriye cyangwa uzungera. Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahaguruke cyangwa ngo uhaguruke wicaye mu buryo butunguranye, cyane cyane niba ugeze mu za bukuru. Kubikora bishobora kugabanya ibyago byo kuzungera no kugwa. Inzoga zishobora kubangamira uburyo uyu muti ukora. Rero irinde kunywa inzoga.

• Gusinzira mu buryo butunguranye: Mu gihe ufata uyu muti, ushobora gusinzira mu buryo butunguranye nta nteguza . Ushobora gusinzira uri mu modoka, uganira cyangwa urya. Ushobora kutwumva usinziriye mbere yuko ibi bibaho. Ibi nibikubaho, bwira muganga wawe ako kanya.

• Irari ridasanzwe: Hari abantu bavuze ko bagira irari ridasanzwe ry’imibonano mpuzabitsina mu gihe bafata uyu muti, cyangwa ko bagira irari ritagenzurwa ryo gukina urusimbi, kurya cyane, cyangwa kugura ibintu badakeneye. Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe vuba bishoboka.

• Ingaruka zo 'gushira' no 'guhagarika': Hari igihe, mbere y'uko igihe cyo gufata dose yawe itaha kigera, ushobora kumva ko umuti ushize (ingaruka zo 'gushira'). Nanone, hari igihe umuti ushobora guhagarara gukora mu buryo butunguranye (kuva ku minota mike kugeza ku masaha make) hanyuma ugatangira gukora (ingaruka zo 'gushira'). Ni nko gufungura 'cana' cyangwa 'kuzimya'. Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe . Dose yawe ishobora gukenera guhindurwa.

• Ibyokurya birimo poroteyine nyinshi:Kurya ifunguro rifite poroteyine nyinshi bishobora gutinza cyangwa bikabuza uyu muti kwinjiza. Kubwibyo, kugira ngo wirinde ibi bibazo, irinde kurya ifunguro rifite poroteyine nyinshi (urugero, inyama nyinshi, amafi, lentils, nibindi) hafi yigihe ufata umuti. Fata umuti nibura iminota 30 mbere cyangwa isaha imwe nyuma yo kurya. Ushobora kurya ifunguro rifite poroteyine nyinshi nyuma yumunsi cyangwa ku rugero ruto. Vugana na muganga wawe kuri ibi.

• Ku barwayi ba diyabete: Niba urwaye diyabete, uyu muti ushobora gutera isukari mu nkari zawe ingaruka mbi. Biganire na muganga wawe kuri ibi.

• Guhinduka kw'inkari cyangwa ibyuya: Uyu muti ushobora gutuma inkari cyangwa ibyuya byawe biba umukara (nk'umukara) cyangwa umutuku. Ibi si impamvu yo guhangayika. Ariko, ushobora kwanduza imyenda.

• Kubura Vitamine B6: Uyu muti ushobora gutuma urugero rwa Vitamine B6 mu mubiri rugabanuka. Kubwibyo, ugomba kumenya neza ko ubona Vitamine B6 ihagije mu gihe ufata uyu muti. Vugana na muganga wawe ku byerekeye ibyo kurya na Vitamine ufata.

Ingaruka mbi zishobora guterwa n'uyu muti

Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi si mbi cyane.

Ingaruka mbi zisaba ubuvuzi bwihuse:

Niba ugize ingaruka mbi zavuzwe hano hasi, ugomba kubimenyesha muganga wawe cyangwa itsinda ry’abaganga vuba bishoboka:

• Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Gusinzira mu buryo butunguranye mu gihe cy'akazi ku manywa.
• Impinduka mu gutera k'umutima: umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye.
• Umuvuduko w'amaraso uri hasi: isereri, gucika intege, kutabona neza.
• Impinduka mu byiyumvo no mu myitwarire: guhangayika, kubura amahoro, urujijo, kubona ibintu mu buryo butari bwo, kurakara, urwango, ibitekerezo byo kwiyahura, kugabanuka k'imitekerereze, kumva wihebye.
• Ingendo nshya cyangwa zirushaho kuba mbi, zidasubirwaho, zo mu maso, mu kanwa, cyangwa mu gice cyo hejuru cy'umubiri.
• Kuva amaraso mu nda: kwitumamo amacandwe ari amaraso cyangwa asanzwe, kuruka ikintu cy'umukara gisa n'ikawa, cyangwa amaraso.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba: urugero, kutabona neza, kubona indorerwamo zikikije amatara, cyangwa guta ubwenge.
• Ibishuko bidasanzwe:Imyitwarire idahwitse udashobora kugenzura, nko gukina urusimbi, kurya cyane, gukora imibonano mpuzabitsina, cyangwa kugura ibintu mu buryo butandukanye n'uko bisanzwe.

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

• Ibara ry'umutuku wijimye cyangwa umukara ry'amacandwe, ibyuya, cyangwa inkari.
• Kuzungera.
• Gusinzira.
• Kuribwa umutwe (umutwe).
• Isesemi.

Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi zishobora kubaho.

Ukwiye kubika gute imiti yawe?

Bika uyu muti ahantu abana batagera.

Bika ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86). Rinda urumuri n'ubushuhe. Taga umuti wose utakoreshejwe warengeje igihe.

Ibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka rero twibukiranye bimwe mu bintu by'ingenzi twavuzeho.

• Uyu muti wa Carbidopa; Levodopa ufasha kugabanya ibimenyetso bya Parkinson.
• Ni ngombwa cyane kubwira muganga wawe ibibazo byose by'ubuzima bwawe n'indi miti ufata mbere yo gutangira imiti .
• Mirira umuti wose. Ntuwusye cyangwa ngo uwuheke. Niba bigoye kumira, uhye hanyuma uwunywe hamwe n'isosi y'amapera.
• Fata igipimo cyatanzwe ku gihe cyatanzwe. Ntugahagarike kugifata utabanje kugisha inama muganga wawe.
• Witondere kuko bishobora gutera gusinzira no kuzerera. Ushobora no gusinzira mu buryo butunguranye.
• Menya ibyifuzo bidasanzwe, nko 'kunanirwa'/'gucika intege'. Ibi nibibaho, bwira muganga wawe .
• Ntukarye amafunguro arimo poroteyine nyinshi hafi y'igihe ufata imiti yawe.
• Niba ugize ingaruka zidasanzwe, cyane cyane iziri ku rutonde rw' "ingaruka mbi zisaba ubuvuzi bwihuse" twaganiriyeho, bwira muganga wawe ako kanya.

Wibuke ko aka gatabo ari incamake gusa. Gashobora kuba kadakubiyemo amakuru yose. Niba ufite ibindi bibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi. Bazagufasha.

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