Hari igihe iyo ubabara cyane mu ngingo, asima irushaho kwiyongera, cyangwa allergie ikomeye, muganga akwandikira urushinge, si byo se? Umuti usanzwe kandi w'ingenzi cyane utangwa muri ibyo bihe ni dexamethasone. Nubwo uyu ari umuti w'ingirakamaro cyane, ni ngombwa cyane kuwumenya neza . Reka tubiganireho mu buryo burambuye uyu munsi.
Dexamethasone ni iki?
Mu magambo make, dexamethasone ni urushinge ruri mu bwoko bw'imiti yitwa corticosteroids . Inshingano yayo nyamukuru ni ukugabanya ububyimbirwe mu mubiri, bivuze kubyimba, gutukura, no kubabara. Niyo mpamvu abaganga bakoresha uyu muti nk'umuti uvura indwara nyinshi.
Dore zimwe mu nzira zikunze gukoreshwa n'uyu muti:
- Kugenzura indwara zo kubyimba mu ruhu, mu ngingo, mu bihaha, no mu zindi ngingo z'umubiri.
- Iyo asima ikomeje kwiyongera.
- Genzura ubwivumbure bukomeye.
- Ku ndwara z'ingingo nka rubagimpande .
- Ku ndwara zimwe na zimwe z'amaraso.
- Ku ndwara z'udukoko tw'intanga ngabo.
Muganga wawe ashobora kandi kukwandikira uyu muti ku zindi ndwara zitari kuri uru rutonde.
Ibintu ugomba kubwira muganga wawe mbere yo gufata imiti
Mbere yo guterwa inshinge za dexamethasone, ni ngombwa guha muganga wawe ibisobanuro byuzuye by'ubuzima bwawe. Menya neza ko wamubwiye niba ufite imwe muri izi ndwara cyangwa indwara zikurikira:
- Ubwandu buriho ubu: Niba ufite indwara zandura nka inzoka y'inkoko, iseru, herpes, cyangwa igituntu.
- Diyabete Mellitus: Uyu muti ushobora kongera urugero rw'isukari mu maraso.
- Umuvuduko ukabije w'amaraso cyangwa indwara y'umutima: Niba ufite indwara y'umutima cyangwa warigeze kugira indwara y'umutima mu bihe byashize.
- Indwara y'impyiko cyangwa umwijima: Niba ufite ikibazo ku mikorere y'impyiko cyangwa umwijima.
- Ibibazo byo mu gifu cyangwa mu mara: Indwara nk'ibisebe byo mu gifu.
- Ibibazo by'ubuzima bwo mu mutwe: Niba ufite indwara zo mu mutwe nko kwiheba.
- Izindi ndwara: Glaucoma, osteoporosis (kugabanuka kw'amagufwa), myasthenia gravis (intege nke z'imitsi), ibibyimba, cyangwa ibibazo bya tiroyide.
- Allergie:Niba ufite ubwivumbure kuri dexamethasone cyangwa indi miti ya corticosteroids, cyangwa lactose (isukari y'amata), undi muti uwo ari wo wose, cyangwa ibiryo ibyo ari byo byose.
- Gutwita cyangwa konsa: Niba utwite, ugerageza gusama, cyangwa uri umubyeyi wonsa.
Gutanga aya makuru neza bizorohereza muganga kuguvura mu buryo butekanye.
Ufata uyu muti ute?
Dexamethasone ni urushinge rusanzwe rutangwa n'umuganga (umuganga cyangwa umuforomo) mu bitaro cyangwa ivuriro. Si umuti ushobora kujyana mu rugo ukarutera.
Bitewe n'uburwayi, uru rushinge rushobora gutangwa muri bumwe muri ubu buryo bukurikira:
- mu mitsi
- Mu mutsi
- Mu gace kamwe
- Mu gisebe
Icy'ingenzi: Hakenewe ubwitonzi bwihariye mu gihe uha abana uyu muti. Kubwibyo, niba uyu muti wanditswe ku mwana wawe, ubiganireho witonze n'umuganga w'abana.
Bite ho iyo mfashe imiti myinshi?
Ibi bitangwa ku buyobozi bwa muganga, bityo amahirwe yo kuba ibi bibaho ni make cyane. Ariko, niba ukeka ko warenze urugero cyangwa ukagira ibimenyetso bikomeye by'ubwivumbure, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry'ibitaro biri hafi yawe.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ngombwa cyane kubibwira muganga wawe niba ufata indi miti, kuko imwe mu miti ishobora kugira ingaruka mbi kuri dexamethasone cyangwa igahindura imikorere y’imiti.
| Ubwoko bw'umuti | Ibisobanuro n'ingero |
|---|---|
| Ibidakwiye gufatwa | Urukingo rwa virusi nzima |
| Imiti igabanya ububabare | Aspirine n'indi miti igabanya ububabare ya NSAID (urugero: Ibuprofen, Naproxen) |
| Umuti wa diyabete | Ibinini bya insuline n'ibindi binini bya diyabete |
| Imiti igabanya amaraso | Warfarin |
| Imiti ivura igicuri | Karubamazepine, Phenobarbital, Phenytoin |
| Antibiyotike n'imiti irwanya udukoko | Erythromycin, Ketoconazole, Rifampin |
| Ibindi | Digoxin, Diuretics, Ibinini byo Kuboneza Imbyaro, Thalidomide |
Uru rutonde ntirurangiye, bityo bwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata.
Ibintu ugomba kwitondera mu gihe ufata umuti
Ubudahangarwa bw'umubiri bwawe bushobora kuba bucitse intege mu gihe ufata uyu muti, bityo rero witondere cyane kwirinda indwara zandura.
- Irinde indwara zandura: Shaka inama kwa muganga vuba niba ugaragaje ibimenyetso nk'umuriro, ibicurane, cyangwa kubabara mu muhogo. Gerageza kwirinda abantu barwaye.
- Wite ku gipimo cy'isukari mu maraso yawe: Niba urwaye diyabete, genzura buri gihe igipimo cy'isukari mu maraso yawe. Baza muganga wawe niba ukeneye guhindura indyo yawe cyangwa imiti ufata, niba ari ngombwa.
- Indyo: Niba muganga wawe akubwira kugabanya umunyu mu mirire yawe, kurikiza ayo mabwiriza.
- Kubagwa: Niba ugiye kubagwa cyangwa kubagwa amenyo mu gihe kizaza, bwira muganga wawe cyangwa umuganga wawe ko wafashe dexamethasone mu mezi 12 ashize.
- Indangamuntu y'ubuvuzi: Niba ufata imiti ya steroid igihe kirekire, ni ngombwa kwambara ikarita cyangwa umukufi wo kwa muganga uvuga ibyo.
Ingaruka mbi zishobora guterwa n'umuti
Kimwe n'indi miti yose, dexamethasone ishobora gutera ingaruka mbi kuri bamwe. Zimwe muri zo zishobora kuba zikomeye izindi zikaba zoroheje.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Allergie ikomeye | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Ibibazo byo mu nda | Amaraso mu gituza cyangwa mu gituza cy'umukara, ububabare bukomeye mu gifu. |
| Impinduka mu mutwe | Kudatuza, guhangayika, guhangayika cyane, kubona ibintu mu buryo butari bwo. |
| Ibimenyetso by'isukari nyinshi mu maraso | Inyota nyinshi kurusha uko bisanzwe, inzara, kwihagarika kenshi, umunaniro ukabije, kutabona neza. |
| Ibindi bimenyetso bikomeye | Guhinduka kw'amaso, ububabare bw'amaso, intege nke z'imitsi, kubyimba akaguru cyangwa ikirenge, ibikomere bidakira, gukomereka kudasanzwe. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) | |
| |
Ubutumwa bwo kujyana mu rugo
- Dexamethasone ni umuti ukomeye wa corticosteroid ukoreshwa mu kurwanya ububyimbirwe n'ubwivumbure mu mubiri.
- Mbere yo gutangira ubu buvuzi, ni ngombwa ko umenyesha muganga wawe indwara zose ufite hamwe n'indi miti yose ufata.
- Kubera ko ubudahangarwa bw'umubiri wawe bushobora kuba bucitse intege mu gihe ufata uyu muti, komeza witondere cyane kwirinda indwara zandura. Shaka inama kwa muganga vuba niba ugaragaje ibimenyetso nk'iby'ibicurane.
- Kubera ko uyu muti ushobora kugira ingaruka ku gipimo cy'isukari mu maraso n'umuvuduko w'amaraso, komeza ubikurikirane buri gihe nk'uko muganga wawe yabigutegetse.
- Ntugahagarike imiti ya steroid igihe kirekire mu buryo butunguranye utabanje kugisha inama muganga.
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