Ese muganga wawe yakwandikiye umuti nka Pradaxa wo kwirinda kubyimba kw'amaraso? Cyangwa se umuntu wo mu muryango wawe cyangwa inshuti ye arimo gukoresha uyu muti? Uyu ni umuti w'ingenzi cyane ushobora kurokora ubuzima bw'abantu. Ariko nanone, hari ibintu bike tugomba kwitondera cyane mu gihe tuwukoresha. None rero uyu munsi, reka tuvuge kuri uyu muti, Dabigatran, uzwi mu gihugu cyacu nka Pradaxa.
Dabigatran (Pradaxa) ni iki?
Mu magambo make, iki ni umuti woroshya amaraso . Mu buvuzi, tucyita "Anticoagulant". Amaraso yacu afite ubushobozi bwo kuvura amaraso. Niyo mpamvu kuva amaraso bihagarara iyo habayeho igikomere. Ariko rimwe na rimwe, amaraso ashobora kuzura mu mubiri bitari ngombwa, imbere mu mitsi. Iki ni ikibazo gikomeye.
Dabigatran ikora mu gukumira kurema amaraso adakenewe. Ikoreshwa cyane cyane muri ibi bikurikira:
- Irinde indwara ya Stroke: Kugabanya ibyago byo kubyimba kw'amaraso mu bwonko no gucika kw'amaraso mu bwonko ku barwayi bafite umutima utari umeze neza (Atrial Fibrillation).
- Kuvura amaraso apfutse: Kuraho amaraso apfutse mu bihaha (Pulmonary Embolism) cyangwa imitsi yo mu birenge (Deep Vein Thrombosis - DVT).
- Irinde kubumba amaraso: Uyu muti utangwa kugira ngo wirinde ko amaraso yongera kubumba amaraso nyuma yo kubagwa, nko gusimbuza ikibuno, cyangwa ku muntu wigeze kugira ikibazo cy'amaraso mu gihe cyashize.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yuko muganga wawe akwandikira Dabigatran, ni ngombwa cyane ko amenya amateka y’ubuzima bwawe bwose. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zavuzwe haruguru.
| Indwara cyangwa amahirwe | Kuki wagombye kubyitaho? |
|---|---|
| Indwara zo kuva amaraso | Uyu muti ushobora kongera ibyago byo kuva amaraso. |
| Niba ufite valve y'umutima ikoreshwa mu buryo bwa mechanical | Uyu muti ntugirwa inama ku barwayi nk'abo. |
| Indwara y'impyiko | Kubera ko umuti uvanwa mu mubiri binyuze mu mpyiko, igipimo gishobora kuba ngombwa ko gihindurwa. |
| Niba wigeze kuva amaraso mu nda mbere | Ibyago byo kongera kuva amaraso bishobora kwiyongera. |
| Niba uherutse kugira cyangwa ugiye kubagwa uruti rw'umugongo cyangwa epidural | Hari ibyago byo kuva amaraso mu ruti rw'umugongo. |
| Niba utwite, ugerageza gutwita, cyangwa uri umubyeyi wonsa | Muri ibi bihe, ugomba kuvugana na muganga wawe ku bijyanye n'umutekano w'umuti. |
| Niba ufite aleriji ku yindi miti, ibiryo cyangwa ibindi bintu | Ibi ni ingenzi kumenya niba ushobora kuba ufite ubwivumbure kuri dabigatran. |
Ni gute neza neza nkoresha uyu muti?
Kugira ngo uyu muti wungukire neza kandi wirinde ingaruka mbi, ni ngombwa cyane kuwukoresha neza.
Icy'ingenzi kurushaho: Ntugace, ntugace, ntugace, ntugapfumure cyangwa ngo unywe ibikubiye muri uyu muti ku mpamvu iyo ari yo yose. Kubikora bishobora gutuma umuti mwinshi winjira mu mubiri ako kanya, bishobora gutera kuva amaraso menshi. Uwo muti ugomba kumira wose.
- Uko wafata: Mirira umuti wose hamwe n'ikirahure cy'amazi.
- Kubifata ukoresheje ibiryo: Ibi bishobora gufatwa mbere cyangwa nyuma yo kurya. Ariko, niba ugize ikibazo cyo kubura ibiribwa cyangwa igifu kikubabaza, gufata umuti hamwe n'ibiryo bishobora kugufasha kubigabanya.
- Ntugasimbuke doze: Fata imiti yawe neza neza uko wabitegetswe, mu gihe gikwiye, kandi mu gipimo gikwiye. Gusimbuka doze cyangwa guhagarika imiti yawe utabanje kugirwa inama na muganga bishobora kongera ibyago byo kurwara indwara yo kubyimba kw'amaraso cyangwa indwara yo gucika imitsi mu buryo butunguranye.
- Niba wasibye kurya:Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba hasigaye amasaha atarenze 6 ngo dose ikurikira igere , jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
- Niba ufata uyu muti urenze urugero: Niba ubona ko wafashe uyu muti urenze urugero, ntugapfushe umwanya ahubwo ujye mu bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Ibintu ugomba kuzirikana mugihe ufata uyu muti
Ugomba gutekereza cyane cyane ku mutekano wawe mu gihe ufata uyu muti.
- Irinde imvune: Irinde siporo (urugero: rugby, umupira w'amaguru) n'imirimo ishobora gutera imvune ku mubiri. Ndetse no kugwa gato bishobora gutera kuva amaraso menshi imbere mu mubiri.
- Ibikoresho bityaye: Tekereza kabiri mbere yo gukoresha ibikoresho bityaye nk'imihoro n'imikasi. Niba wogosha, ni byiza gukoresha urwembe rw'amashanyarazi aho gukoresha icyuma.
- Koza amenyo yawe: Itondere kugira ngo utakomeretsa ishinya yawe mu gihe woza amenyo cyangwa ukoresha icyuma gisukura amenyo.
- Kubagwa: Niba ugiye kubagwa cyangwa gukurwa iryinyo, menya neza ko wabwiye muganga wawe cyangwa umuganga w'amenyo ko ugiye gufata Dabigatran. Ubusanzwe uzasabwa guhagarika gufata uyu muti iminsi mike mbere yo kubagwa.
- Kujya kwa muganga: Sura ivuriro ku minsi yagenwe hanyuma urebe muganga. Azakurikirana uburwayi bwawe kandi aguhe inama zikenewe.
Ingaruka mbi zishobora guterwa n'imiti
Nk'uko bimeze ku muti uwo ari wo wose, Dabigatran ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Ni ngombwa kuzimenya.
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
|---|---|
| Uburyo bwo kubabara umubiri | Uruhu rushyushye, kuribwa, kubyimba iminwa/ururimi/isura, guhumeka bigoranye. |
| Ibimenyetso byo kuva amaraso | Amasambu y'umukara cyangwa amaraso; inkari zitukura cyangwa umukara wijimye; kuruka ikintu gisa n'ikawa; kuva amaraso kudasanzwe mu mazuru, mu ishinya, cyangwa mu maso; ibisebe binini cyangwa utudomo dutukura ku mubiri; kuva amaraso ku buryo budashobora guhagarara. |
| Ibimenyetso bya Stroke | Guhinduka mu buryo butunguranye mu maso; kuvuga nabi, kugorwa no kuvuga cyangwa kumva; kuribwa umutwe cyane; kugira ibinya cyangwa intege nke mu maso, ku kuboko cyangwa ku kuguru; kugorwa no kugenda, isereri. |
| Ibimenyetso by'amaraso yangiritse | Kubabara mu gituza; kugorwa no guhumeka; kubabara, kubyimba, cyangwa gushyuha mu kuguru (cyane cyane ku kuguru ko hasi). |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe niba zikomeje | |
| Kubabara mu nda | Kubabara mu gifu, kutagira impumuro nziza mu gifu, isesemi (ibi bishobora kugabanuka iyo ufashe umuti hamwe n'ibiryo). |
Indi miti ishobora kugira ingaruka kuri Dabigatran
Ugomba kubwira muganga wawe imiti yose ufata, atari iyo muganga wawe yagutegetse gusa, ahubwo n'imiti igabanya ububabare igurishwa mu mabwiriza, vitamine, ibikomoka ku bimera, ndetse n'imiti ya Sinhala. Imiti imwe n'imwe ishobora kugira ingaruka ku mubiri wa Dabigatran no kongera ibyago byo kuva amaraso.
Hari ubwoko bumwe bw'ingenzi bw'imiti ugomba kwitondera:
- Aspirine n'indi miti iri muri iri tsinda
- Izindi miti zigabanya amaraso (urugero: Warfarin, Heparin, Enoxaparin, Apixaban, Rivaroxaban)
- Imiti igabanya ububabare (NSAIDs) (urugero: Ibuprofen, Naproxen, Diclofenac)
- Izindi miti zigabanya amaraso, nka Clopidogrel
- Amwe mu matibayotike, nka Rifampin (umuti ukoreshwa mu kuvura igituntu)
- Imiti irwanya fungane nka ketoconazole
Uru rutonde ntirurangiye, bityo ni byiza kubwira muganga wawe ikintu cyose ufata .
Ubutumwa bwo kujyana mu rugo
- Ntuzigere uvunagura ibinini bya Dabigatran (Pradaxa), ubimenagure cyangwa ngo ubiheke.
- Ntureke gufata umuti utabanje kugirwa inama na muganga. Niba wabuze dose, ntugahangayike, fata dose yabuze niba hasigaye amasaha arenga 6 ngo dose yawe ikurikira ikore.
- Bwira muganga wawe indi miti yose ufata, cyane cyane imiti igabanya ububabare.
- Witondere uko bishoboka kose iyo uguye cyangwa wakomeretse. Ingaruka zo kuva amaraso ni nyinshi.
- Niba ubonye ibimenyetso byo kuva amaraso , nko kwitumamo imyanda y'umukara cyangwa gukomereka bidasanzwe, menyesha muganga wawe ako kanya cyangwa ujye kwa muganga wita ku buzima bw'ibitaro.
- Mbere yo kubagwa cyangwa gukurwa iryinyo, ibutsa muganga wawe/umuganga w'amenyo ko urimo gufata uyu muti.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ni iyihe ndwara ibinini/udupira twa Ramipril (Ramipril / Altace) bikoreshwa?
Iki ni ikinini cya ACE Inhibitor cy’umuvuduko w’amaraso kizwi cyane kandi cyagenze neza ku isi! Ntabwo kigabanya umuvuduko w’amaraso gusa, ahubwo kinatangwa n’abaganga kugira ngo hirindwe indwara z’umutima n’imitsi yo mu bwonko (indwara z’umutima) mu gihe kizaza ku bantu barengeje imyaka 55, abafite diyabete/cholesterol, n’abafite ibyago byinshi byo kurwara indwara z’umutima.
💬 Ni gute gufata iki gipimo cy'umuvuduko w'amaraso (Ramipril) bigabanya umuvuduko w'amaraso kandi bikarokora umutima?
Imitsi yacu y'amaraso iragabanuka/igacika intege kandi umuvuduko w'amaraso uzamuka bitewe n'ikintu kibi cyitwa 'Angiotensin II'! Iyo Ramipril yinjiye mu mubiri, ifunga/igafunga burundu uruganda rukora icyo kintu (enzyme ya ACE)! Hanyuma imitsi yose y'amaraso irarekura (Vasodilation) kandi umuvuduko uragabanuka. Iyo umuvuduko ugabanutse, biba byoroshye ko umutima ukora/utera, bityo ibyago byo kurwara indwara z'umutima bigabanukaho 100%.
💬 Ni izihe ngaruka mbi kandi ziteje akaga (Umuburo w'Akasanduku k'Umukara) zo gufata uyu muti (Ramipril)?
Akaga gakomeye ugomba kumenya kuva mu ntangiriro ni uko bibujijwe cyane ku babyeyi batwite (batwite) (bihitana umwana uri mu nda)! Ikindi kibazo gikomeye ni inkorora yumye ijyana no gufata umuti, niba utabyihanganira, ugomba guhindura ikinini (ARB). Nanone, niba hari abantu bagira "Kubyimba mu maso/iminwa no kubura umwuka" (Angioedema - Abirabura bari mu kaga gakomeye), ugomba kujya kwa muganga vuba.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.