Ese muganga wawe yakwandikiye umuti witwa Clopidogrel? Ushobora kuba uzwi ku izina rya Plavix. Uyu ni umuti w'ingenzi cyane ukoreshwa mu gukumira indwara z'umutima, indwara zo gucika kw'imitsi, n'amaraso kuzura mu mitsi. Muri make, ubuza platelets mu maraso yacu gufatana, kwivanga, no gukora amaraso kuzura. Kimwe n'imodoka zifatanye mu muvuduko w'imodoka mu muhanda, amaraso kuzura mu mitsi ni akaga cyane. Bityo uyu muti ugabanya ibyo byago.
Ni iki nabwira muganga mbere yo gutangira uyu muti?
Mbere yo gutangira Clopidogrel, ni ngombwa cyane guha muganga wawe ishusho yuzuye y'ubuzima bwawe. Ni ngombwa cyane kumubwira niba ufite imwe mu ndwara zavuzwe haruguru.
| Ikibazo ugomba gutangaza | Kuki ibyo ari ingenzi? |
|---|---|
| Indwara zo kuva amaraso. | Uyu muti wongera ibyago byo kuva amaraso, bityo ushobora guteza akaga niba usanzwe ufite iyo ndwara. |
| Niba hari amaraso ava mu bwonko. | Abaganga bakwiye gutekereza kabiri ku guha uyu muti abantu bafite amateka nk'aya. |
| Niba ugomba kubagwa cyangwa gukurwa amenyo mu gihe kizaza. | Muganga wawe ashobora kukugira inama yo guhagarika gufata uyu muti iminsi mike mbere yo kubagwa, bitabaye ibyo bizagorana kugenzura kuva amaraso mu gihe cyo kubagwa. |
| Niba warigeze kugira imvune mu gifu itera kuva amaraso (amateka yo kuva amaraso mu gifu). | Clopidogrel ishobora kongera ibyago byo kongera kuva amaraso bitewe n'ibisebe byo mu gifu. |
| Niba utwite, ugerageza gusama, cyangwa wonsa. | Muri ibi bihe, ugomba kuvugana na muganga wawe ku ngaruka z'umuti hanyuma ugafata umwanzuro. |
| Niba ufite allergie ku yindi miti, ibiryo, cyangwa ibindi bintu. | Ni ngombwa kumenya niba ufite ubwivumbure kuri Clopidogrel cyangwa ikindi kintu kirimo. |
Ni gute wakoresha umuti neza?
Uburyo bwo gukoresha uyu muti ni bworoshye cyane, ariko ni ingenzi cyane gukurikiza amabwiriza neza.
- Mirira ikinini n'ikirahure cy'amazi. Ntukagishegeshe cyangwa ngo ugiheke. Kimire cyose.
- Ushobora kubifata uri mu biryo cyangwa utabirya. Ariko, niba urwaye igifu, ni byiza kubifata uri mu biryo.
- Gira akamenyero ko gufata imiti yawe hafi igihe kimwe buri munsi. Ntugafate imiti irenze iyo muganga akubwira.
- Icy'ingenzi kurushaho: Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose utabanje kugisha inama muganga. Wibuke ko hari abantu bahagarika gufata uyu muti batabanje kugisha inama muganga wabo nyuma yo kumva bakize. Ibi ni bibi cyane, kuko amaraso ashobora kubyimba mu buryo butunguranye kandi akakongera kugorana. Ibi ni bibi cyane cyane iyo ufite stent.
Bite ho iyo mfashe imiti myinshi?
Niba ufite amakenga 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.
Bite se nintakaza dose?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose wibagiwe.
Imiti idakwiye gukoreshwa hamwe na Clopidogrel
Clopidogrel ni umuti ushobora kugira ingaruka ku yindi miti. Ibi bivuze ko iyo ufashwe n'undi muti, ingaruka za Clopidogrel zishobora kugabanuka cyangwa kwiyongera, cyangwa ingaruka mbi zishobora kwiyongera.
Icy'ingenzi: Uru rutonde ntabwo rukubiyemo ibintu byose.Bwira muganga wawe imiti yose ukoresha, atari iyo muganga wawe yandikiwe gusa, ahubwo na vitamine, ibyatsi, n'inyongeramusaruro ufata.
| Icyiciro cy'ibiyobyabwenge | Ingero |
|---|---|
| Indi miti ibuza amaraso kuzura | Warfarin, Aspirine (nta muganga wanditse) |
| Imiti imwe n'imwe ivura ububabare n'ububyimbirwe (NSAIDs) | Ibuprofen, Naproxen, Diclofenac |
| Imiti imwe n'imwe ivura indwara ya gastritis (Proton Pump Inhibitors) | Omeprazole, Esomeprazole (ibi bishobora kugabanya imikorere ya Clopidogrel) |
| Imiti imwe n'imwe ivura indwara yo kwiheba (SSRIs/SNRIs) | Fluoxetine, Sertraline, Venlafaxine |
Ni izihe ngaruka mbi zishobora kubaho?
Nk'uko bimeze ku muti uwo ari wo wose, Clopidogrel ishobora gutera ingaruka mbi. Abantu benshi ntibazirwara. Ariko hari n'abazirwara. Ni ngombwa kubimenya.
Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse
- Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo, no kugorwa no guhumeka.
- Kuva amaraso mu buryo budasanzwe:
- Imyanya y'umukara, intebe zo gutegereza.
- Inkari zitukura cyangwa iz'umukara wijimye.
- Kuruka bisa n'ikawa cyangwa kuruka amaraso.
- Kugaragara kw'ibisebe bikomeye (udukomere) ku ruhu.
- Kuva amaraso kenshi mu mazuru no mu ishinya.
- Bifata igihe kirekire kugira ngo n'igikomere gito gihagarike kuva amaraso.
- Indwara idasanzwe ariko ikomeye yitwa TTP (Thrombotic Thrombocytopenic Purpura):Uduheri tw'umuhengeri ku ruhu cyangwa imbere mu kanwa, uruhu rugahinduka umuhondo, amaso yera agahinduka umuhondo, umunaniro ukabije, umuriro, umutima utera cyane, urujijo, kunanirwa kuvuga cyangwa kugenda.
Ingaruka mbi ubusanzwe zitari ngombwa kuzihangayikisha, ariko zigomba kumenyeshwa muganga wawe niba zikomeje
- Impiswi
- Umutwe
- Kubabara mu nda
Menya ibimenyetso bishobora kugaragara by’indwara yo mu bwonko (stroke)!
Niba uhuye n'ibisebe cyangwa intege nke mu maso, ku kuboko cyangwa ku kuguru, kugorwa no kuvuga, kuvuga nabi, kugenda nabi, guhindura icyerekezo cy'amaso, cyangwa kuribwa umutwe cyane mu gihe ufata uyu muti, ibi bishobora kuba ikimenyetso cy'uko indwara yawe irushaho kumera nabi. Jya ku bitaro byita ku barwayi ba ETU byihutirwa.
Ibibazo Bikunze Kubazwa
Ese Clopidogrel (Plavix) igutera kunanirwa?
Yego, hari abantu bashobora kumva bananiwe cyane kurusha uko bisanzwe bitewe n'uyu muti. Niba iki ari ikibazo gikomeye kuri wewe, vugana na muganga wawe. Ariko ntureke gufata uyu muti utabanje kugirwa inama na muganga wawe.
Uyu muti umara igihe kingana iki mu mubiri?
Igipimo cy'umuti kigabanukaho kimwe cya kabiri nyuma y'amasaha agera kuri 6. Umuti uvanwaho burundu mu mubiri nyuma y'umunsi umwe. Ariko, ingaruka z'umuti, ni ukuvuga ingaruka ku miyoboro y'amaraso, zishobora kumara iminsi igera kuri 5. Niyo mpamvu ibyago byo kuva amaraso byiyongera nubwo habayeho iminsi mike uhagaritse uyu muti.
Ese Clopidogrel (Plavix) ni umuti ugabanya amaraso?
Ntabwo ari byo rwose. Uyu ni umuti urwanya udukoko two mu maraso . Imiti igabanya amaraso mu maraso (urugero: Warfarin) ikora ku bindi bintu bigize inzira yo kuvura amaraso. Clopidogrel ikora mu kubuza udukoko two mu maraso gufatana no gukora agahu. Nubwo uburyo bwo gukora butandukanye, ingaruka zabyo byombi ni ukubuza amaraso kuvura.
Ubutumwa bwo kujyana mu rugo
- Ntugahagarike gufata Clopidogrel utabanje kugisha inama muganga. Ibi ni ingenzi cyane cyane niba warashyizwemo stent.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Mbere yo kubagwa cyangwa kuvurwa amenyo, bwira muganga wawe cyangwa umuganga w'amenyo ko urimo gufata Clopidogrel.
- Niba ubonye ibimenyetso byo kuva amaraso bidasanzwe (imyanda y'umukara, kuruka bisa n'ikawa, gukomereka bidasanzwe), shaka ubufasha kwa muganga byihutirwa.
- Bitewe n'ibyago byo kuva amaraso, witondere cyane iyo ukoresha ibintu bityaye nk'imashini zogosha kandi ukirinda kugwa.
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