Muganga wawe ashobora kuba yarakwandikiye umuti witwa Cinacalcet. Ibi ni ukuri cyane cyane iyo uri kuri dialyse bitewe n'indwara y'impyiko idakira, cyangwa niba ufite calcium nyinshi mu maraso bitewe n'ikibazo cy'uturemangingo twa parathyroid. Reka tuvuge muri make ku bijyanye n'uyu muti, uko ukoreshwa, n'ibyo ugomba kumenya.
Ni ubuhe bwoko bw'umuti Cinacalcet?
Muri make, Cinacalcet ni umuti ufasha mu kugenzura urugero rwa kalisiyumu mu mubiri wacu. Udukoko twa parathyroid mu ijosi ryacu dukora imisemburo yitwa parathyroid hormone. Iyi misemburo igenzura urugero rwa kalisiyumu mu maraso yacu.
Tekereza, mu ndwara zimwe na zimwe, urugero, iyo impyiko zidakora neza, izi ngirabuzimafatizo za parathyroid zikora cyane, kandi kalisiyumu nyinshi ikazirunda mu maraso. Ibi tubyita Hypercalcemia. Iki ni cyo gihe umuti wa Cinacalcet ufasha. Icyo uyu muti ukora ni ukongerera ubushobozi bw'ingirabuzimafatizo za parathyroid, ukaziha ikimenyetso kivuga ngo "Sawa, hari kalisiyumu ihagije mu mubiri ubu, ntukongere kuyikora." Kubera iyo mpamvu, imisemburo ikorwa iragabanuka, kandi urugero rwa kalisiyumu mu maraso rugasubira ku rugero rusanzwe. Uyu muti ukunze kuboneka ku izina ry'ikirango `(Sensipar)`.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ibi ni ingenzi cyane. Mbere yo guhabwa uyu muti, ni ngombwa ko ubwira muganga wawe amateka y’ubuzima bwawe bwose. Ntugahishe ikintu icyo ari cyo cyose. Menya neza ko ubabwira ibi bintu by’umwihariko:
- Niba ufite amateka y'indwara y'umutima cyangwa umutima wawe utera nabi.
- Niba ufite indwara y'umwijima .
- Niba warigeze gusanga ufite urugero ruke rwa kalisiyumu mu maraso yawe.
- Niba warigeze kugira ibisebe mbere.
- Niba ufite ikibazo icyo ari cyo cyose mu gifu cyangwa mu mara (urugero: ibisebe).
- Niba warigeze kugira ubwivumbure kuri cinacalcet cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Ashingiye kuri aya makuru, muganga azagena niba uyu muti ukubereye, kandi niba ari byo, ni ikihe gipimo ugomba gutanga.
Uburyo bukwiye bwo gukoresha imiti
Kugira ngo umuti ugufashe neza, ugomba kuwukoresha neza.
- Mirira ikinini n'ikirahure cy'amazi.
- Icy'ingenzi kurushaho: Fata uyu muti urimo kurya cyangwa ukimara kurya.Uwufate. Ntuwufate uri mu nda idafite icyo urya. Umuti urushaho kwinjiza neza mu mubiri iyo uwufashe hamwe n'ibiryo.
- Ntukamenagure ikinini, ntukagihekenya cyangwa ngo ukimene. Mirira ikinini cyose.
- Fata urugero rwatanzwe ku gihe cyatanzwe na muganga. Ntugasimbuke urugero.
- Ntureke gufata imiti yawe mu buryo butunguranye utabanje kugirwa inama na muganga kuko wumva umeze neza.
Wakora iki niba unywa imiti irenze urugero?
Niba ubona ko wafashe ibirenze ibyo utekereza, jya ku bitaro bikuru by’ubutabazi bw’ibanze (ETU) bikwegereye vuba . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo ubagire inama. Ntubifate nk’ibi byoroshye, kuko kugabanuka gutunguranye kwa kalisiyumu bishobora guteza akaga.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate ibinini bibiri icyarimwe kugira ngo wishyure dose yabuze.
Indi miti ishobora gutera ibibazo bya Cinacalcet
Niyo mpamvu ari ngombwa kubwira muganga wawe imiti yose ufata. Imiti imwe n'imwe ishobora kugira ingaruka kuri Cinacalcet igatera ibibazo.
| Ubwoko bw'umuti / ibikomoka ku muti | Ibintu byo kwitabwaho by'umwihariko |
|---|---|
| Thioridazine | Uyu ni umuti uvura indwara zo mu mutwe. Ntuwukoreshe hamwe na Cinacalcet ku mpamvu iyo ari yo yose. |
| Imiti irwanya fungal (urugero: ketoconazole, itraconazole) | Ibi bishobora guhindura uburyo Cinacalcet ikora. |
| Antibiyotike nka Erythromycin | Ibi bishobora kandi kugira ingaruka ku mikorere y'umuti. |
| Imiti y'umutima (urugero: flecainide) | Ni ngombwa kubimenyesha muganga. |
| Imiti ivura kwiheba no guhangayika | Bibwire muganga nawe ibi bintu. |
| Umutobe w'imbuto z'imizabibu | Irinde kurya imbuto z'umuhondo cyangwa kunywa umutobe wazo mu gihe ufata uyu muti. |
Uru rutonde ntirwuzuye. Bwira muganga wawe ibyerekeye vitamine, ibikomoka ku bimera, cyangwa inyongeramusaruro ufata.
Ingaruka mbi ugomba kumenya mu gihe ufata imiti
Kimwe n'indi miti iyo ari yo yose, Cinacalcet ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Icy'ingenzi ni ukumenya ibi bimenyetso no gufata ingamba vuba bibaye ngombwa.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Ibimenyetso by'ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba iminwa, ururimi cyangwa isura, no kugorwa no guhumeka. |
| Ibimenyetso by'uko umunyu wa kalisiyumu uri hasi | Kubura ibinya mu ngingo cyangwa hafi y'umunwa, imitsi irahinda umushyitsi, umutima utera cyane, no kugira 'gufatwa n'indwara' (gufatwa n'icyorezo). |
| Ibimenyetso by'umuvuduko w'amaraso uri hasi | Kuzunguza, kubabara umutwe, gucika intege, kugwa. |
| Ibimenyetso byo kuva amaraso imbere mu mubiri | Umukara, kwituma mu gihe gito, kuruka ikintu gisa n'ikawa, cyangwa amaraso. |
| Impinduka mu mutwe | Gucika intege cyane. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibibazo by'igogora | Isesemi, kuruka, impiswi, kubura ubushake bwo kurya. |
| Kubabara umubiri | Kubabara amagufwa, kubabara ingingo. |
Ni gute wabika imiti mu buryo butekanye?
- Bishyire kure y'abana.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15-30). Birinde ubushyuhe bwinshi n'ubushuhe.
- Ntugakoreshe imiti yarengeje igihe . Ijugunye neza.
Uyu muti ni uwawe gusa. Ntuwuhe undi muntu kuko ari wo wakubereye. Ushobora kuba ufite akaga.
Ubutumwa bwo kujyana mu rugo
- Cinacalcet ni umuti ukoreshwa mu kugenzura urugero rwa kalisiyumu mu maraso mu ndwara z'impyiko n'ibibazo by'udukoko twa parathyroid.
- Buri gihe fata uyu muti mbere yo kurya cyangwa nyuma yo kurya . Ntukamenagure ibinini cyangwa ngo uhekenye.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite, cyane cyane indwara z'umutima n'umwijima.
- Niba ubonye ibimenyetso by'uko umunyu wa kalisiyumu mu mubiri wawe ari muke (gucika intege mu biganza no mu birenge, imitsi ihindagurika), umuvuduko w'amaraso uri hasi, cyangwa aleriji, bwira muganga wawe vuba.
- Ntugahagarike gufata umuti cyangwa ngo uhindure igipimo nta nama ya muganga. Suzuma amaraso yawe ku gihe.
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