Hari igihe ushobora kumva umunwa wawe wumye rwose, nk'ubutayu. Ibi bituma bigorana kuvuga, kumira ibiryo gusa, ndetse rimwe na rimwe no kuryoherwa. Iyi ndwara tuyita 'Umunwa Wumye'. Bitewe n'indwara zimwe na zimwe nka Sjögren's syndrome cyangwa bitewe n'indi miti, umusaruro w'amacandwe mu kanwa ushobora kugabanuka muri ubu buryo. Rero, umuti wihariye abaganga batanga nk'umuti witwa Cevimeline. Uyu munsi, tuzavuga kuri uyu muti mu magambo yoroshye.
Cevimeline ni iki?
Muri make, Cevimeline ni umuti utera imbaraga imiyoboro y'amacandwe mu kanwa kawe kandi ukongera umusaruro w'amacandwe. Amacandwe ni ingenzi kugira ngo mu kanwa kawe hagume hari ubushuhe. Bityo icyo uyu muti ukora ni ukongera umusaruro w'amacandwe no kugabanya ubwumye mu kanwa kawe. Hanyuma biroroha cyane kuvuga no kumira ibiryo. Rimwe mu mazina akunzwe cyane kuri ibi ku isoko ni Evoxac.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira Cevimeline, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Uyu muti ushobora kuba udahuye n'indwara zimwe na zimwe. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zavuzwe haruguru.
- Angina ( kubabara mu gituza guterwa no kudatanga amaraso ahagije ku mitsi y'umutima).
- Glaucoma (indwara iterwa no kwiyongera k'umuvuduko w'amaso).
- Indi ndwara iyo ari yo yose y'umutima.
- Niba warigeze kugira indwara y'umutima mbere.
- Indwara zo kubyimba mu jisho nka irite .
- Umutima utari mwiza.
- Niba ufite indwara z'ibihaha nka asima .
- Niba ufite ubwivumbure kuri Cevimeline cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba utwite cyangwa wifuza gusama .
- Niba uri umubyeyi wonsa .
Ntugahishe umuganga aya makuru, kuko ni ingenzi cyane ku mutekano wawe.
Nigute nkwiye gukoresha uyu muti?
Uyu muti ugomba gukoreshwa neza neza nk'uko muganga wawe yabigutegetse. Hari ibintu bike ugomba kuzirikana kuri ibi.
- Uyu muti uza mu ishusho ya kapsule. Uwumire wose n'ikirahure cy'amazi .
- Kurikiza amabwiriza ari ku rupapuro rwa muganga neza.
- Ibi bishobora gufatwa biriwe cyangwa bitabiryo.
- Igikuru ni ugufata dose ikwiye mu gihe gikwiye. Ntugafate irenze iyo muganga akubwira.
- Ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Abana bashobora gukenera kwitabwaho by’umwihariko mu gihe bafata uyu muti. Vugana na muganga wawe kuri ibi.
Wakora iki niba ufashe imiti myinshi (urengeje urugero)?
Tekereza uramutse ufashe imiti myinshi kuruta uko bikwiye, bishobora guteza akaga. Niba ibyo bibaye, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa uhamagare Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu ngo ni uko wagukoreye. Ushobora kutawukorera uwo muntu.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata dose, uyifate ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri uyu muti
Cevimeline ishobora kugira ingaruka ku yindi miti ufata. Ibi bishobora kugabanya ubushobozi bw'uyu muti cyangwa byongera ibyago byo kugira ingaruka mbi. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, cyangwa vitamine).
| Icyiciro cy'ibiyobyabwenge | Ubwoko bw'imiti ishobora kugira ingaruka ku bandi |
|---|---|
| Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso | (urugero: Beta-blockers) |
| Imiti imwe itangwa ku ndwara z'ibicurane | Karubamazepine, Phenytoin, Phenobarbital |
| Amwe mu ma antibiyotike | Clarithromycin, Erythromycin |
| Indwara zirwanya fungane | Fluconazole, Itraconazole, Ketoconazole |
| Imiti ivura virusi itera SIDA | (Nk'imiti ibuza poroteyine) |
| Imiti imwe n'imwe ivura igituntu | Rifabutin, Rifampin |
Uru rutonde ntirwuzuye, bityo rero menya neza ko wabwiye muganga wawe imiti yose ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Guhinduka k'amaso: Ushobora kugira impinduka zimwe na zimwe mu kureba kwawe, cyane cyane kutabona neza nijoro, mu gihe ufata uyu muti. Kubwibyo, ni byiza kwirinda ibikorwa bisaba kwitonda cyane, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
- Kubira ibyuya no kubura amazi: Imwe mu ngaruka mbi z'uyu muti ni uko wongera ibyuya. Iyo ubira ibyuya birenze uko bisanzwe, ushobora gutakaza amazi menshi mu mubiri wawe no kubura amazi. Kugira ngo wirinde ibi, nywa amazi menshi n'ibinyobwa byinshi umunsi wose. Niba wumva ubira ibyuya byinshi, vugana na muganga wawe.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose, Cevimeline ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Zimwe muri zo zishobora kuba zikomeye, bityo ni ngombwa kuzimenya.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye. |
| Guhumeka bigoranye | Guhumeka nabi gushya cyangwa kwiyongera. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Impinduka mu cyerekezo | Ibintu nk'ibyo kutabona neza. |
| Impiswi | Impiswi. |
| Kubira ibyuya byinshi | Kubira ibyuya birenze ibisanzwe. |
| Umutwe | Umutwe . |
| Isesemi | Kumva ushaka kuruka. |
| Izuru rivamo amazi cyangwa rizibye | Izuru riva cyangwa izuru rizibye. |
Ubika imiti yawe ute?
Ni ngombwa kandi kubika imiti neza.
- Uyu mutiBibike ahantu hatekanye kure y'abana n'amatungo.
- Ni byiza kubikwa ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30).
- Tara imiti yarengeje igihe utayikoresheje.
Ubutumwa bwo kujyana mu rugo
- Cevimeline ni umuti wongera umusaruro w'amacandwe kandi ukagabanya ubwumye mu kanwa.
- Mbere yo gutangira uyu muti, ugomba kubwira muganga wawe izindi ndwara zose ufite (cyane cyane indwara z'umutima, asima, glaucoma) hamwe n'indi miti yose ufata.
- Fata umuti ku gipimo cyagenwe no ku gihe cyagenwe. Ntugahagarike kuwufata utunguranye utabanje kugirwa inama na muganga.
- Niba ugize ikibazo cy’ubwivumbure gitunguranye (uduheri ku ruhu, guhumeka bigoranye), ububabare mu gituza, cyangwa impinduka mu gutera k’umutima, shaka ubufasha kwa muganga byihutirwa.
- Kureba nijoro bishobora guhinduka mugihe ufata imiti, bityo rero witondere mugihe utwaye imodoka no mugihe ukora imirimo isaba kwitabwaho.
- Niba ubyuya byinshi, nywa ibinyobwa byinshi kugira ngo wirinde umwuma.
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