Nta kintu kibi nko gukorora no kuziba izuru iyo ufite ibicurane. Ntushobora guhumeka neza, ntushobora gusinzira nijoro, kandi ntacyo ushobora gukora. Rero iyo ugiye kwa muganga mu gihe nk'iki, ashobora kukwandikira sirupe yo kugenzura ibyo bimenyetso. Uyu munsi, turimo kuvuga ku muti umwe ukoreshwa cyane. Ugizwe n'ibintu bitatu.
Uyu ni ubwoko ki bw'umuti?
Mu magambo make, iyi ni imiti itatu ivanze, buri imwe muri zo ikaba ikora akazi kayo.
1. Dextromethorphan: Iyi ikoreshwa mu kugenzura inkorora . Ihagarika by'agateganyo ikimenyetso cy'inkorora kijya mu bwonko.
2. Phenylephrine: Iyi ni umuti ugabanya ububabare bw'imitsi . Igabanya by'agateganyo imiyoboro y'amaraso imbere mu mazuru, ikagabanya kuziba kw'izuru no kuva amazi mu mazuru.
3. Pyrilamine: Uyu ni umuti uvura indwara ya antihistamine ikoreshwa mu kuvura indwara ya allergie . Urwanya ibimenyetso bya allergie nko kuribwa, gusohora amazi mu mazuru no kwitsamura.
Igikuru ni uko uyu muti ugenzura gusa ibimenyetso by'ibicurane cyangwa aleriji. Ntabwo ushobora gukiza indwara mu mubiri wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Noneho, iki ni cyo gice cy'ingenzi cyane. Mbere yuko muganga wawe akwandikira uyu muti, azakenera kumenya amateka yawe yose y'uburwayi . Cyane cyane niba ufite imwe muri izi ndwara zikurikira, ugomba kubibwira muganga wawe .
- Asima
- Indwara z'imitsi y'amaraso
- Diyabete
- Eczema cyangwa izindi aleriji z'uruhu
- Glaucoma, indwara yo kwiyongera k'umuvuduko mu maso
- Umuvuduko ukabije w'amaraso cyangwa indwara z'umutima
- Indwara y'impyiko cyangwa umwijima
- Ibibazo bya prostate cyangwa ingorane zo kunyara
- Ibisebe byo mu gifu cyangwa izindi ndwara zo mu gifu
- Indwara ya tiroyide
- Niba ufite ubwivumbure ku kintu icyo ari cyo cyose kiri muri uyu muti cyangwa ku wundi muti uwo ari wo wose, ibiryo, cyangwa imiti irinda kwangirika.
- Niba utwite, cyangwa utegereje umwana vuba aha
- Niba uri umubyeyi wonsa
Nigute nkwiye gukoresha uyu muti?
Menya neza ibi bintu mugihe ukoresha uyu muti.
- Iyi ni sirupe inyobwa.
- Fata igipimo cyatanzwe na muganga wawe, mu gihe gikwiye. Ntukinywe kenshi cyangwa ngo ugifate birenze urugero.
- Ntugakoreshe utuyiko two mu rugo cyangwa ibiyiko byo gupimira kugira ngo upime umuti. Ntabwo ari ukuri. Koresha igikombe cyangwa ikiyiko cyihariye kiri kumwe n'umuti cyangwa gishobora kuboneka muri farumasi kandi gishobora gupimwa neza muri mililitiro (ml).
- Iyo uhawe abana: Nubwo uyu muti rimwe na rimwe uhabwa abana barengeje imyaka 2, ugomba gukorwa gusa ubanje kugirwa inama na muganga w'abana. Ntukawuhe abana wenyine.
- Abantu barengeje imyaka 65: Abantu bakuze bashobora kumva ingaruka z'uyu muti cyane, bityo akenshi bahabwa dose nto.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero rw’umuti watanzwe, ntutinde. Hita uhamagara 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.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Mu gihe ufata uyu muti, hashobora kubaho ingaruka mbi (imikoranire) n'ibindi bintu ukoresha. Rero menya neza ibi.
| Ikoreshwa ry'ibiyobyabwenge | |
|---|---|
| Ntugafate imiti hamwe n'ibi. | |
| Imiti imwe n'imwe ishaje yo kuvura indwara yo kwiheba yitwa MAOIs (urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate). Menya neza ko wabibwiye muganga wawe niba ufata imwe muri iyi miti. | |
| Niba ubijyanye, baza muganga wawe. | |
| Inzoga cyangwa ikindi kintu cyose kirimo inzoga | Ingaruka mbi z'umuti (gusinzira) zishobora kuba mbi cyane. |
| Imiti ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe | Gusinzira n'izindi ngaruka mbi bishobora kwiyongera. |
| Imiti ivura umuvuduko ukabije w'amaraso | Bishobora kubangamira imikorere y'imiti imwe n'imwe. |
| Ibinini byo gusinzira | Gusinzira cyane bishobora kubaho. |
| Indi miti yo gukorora n'ibicurane | Umuti mwinshi cyane ushobora kwinjira mu mubiri. |
Uru rutonde rushobora kuba rutuzuye, bityo rero menya neza ko wabwiye muganga wawe imiti yose ufata (ndetse na vitamine, imiti y'ibimera, n'inyongeramusaruro).
Ingaruka mbi zishobora guterwa no gufata umuti
Kimwe n'indi miti iyo ari yo yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Zimwe muri zo ni mbi cyane, izindi ni izisanzwe.
| Niba ubonye ibi bimenyetso, hita ubibwira muganga wawe. | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, cyangwa ku rurimi. |
| Guhumeka bigoranye | Guhumeka nabi, guhumeka vuba. |
| Impinduka mu cyerekezo | Kubona nabi. |
| Impinduka mu gipimo cy'umutima | Kumva umutima wawe urimo gutera cyane cyangwa utera nabi. |
| Impinduka z'umuvuduko w'amaraso | Kuzamuka cyangwa kugabanuka cyane k'umuvuduko w'amaraso. |
| Indwara zo mu mutwe n'iz'imitsi | Kudatuza, guhungabana, guhinda umushyitsi, guhungabana. |
| Ibibazo byo kunyara | Kugorwa no kunyara cyangwa impinduka mu rugero rw'inkari ukora. |
| Umunaniro udasanzwe | Kumva unaniwe cyane cyangwa ufite intege nke. |
| Niba ibi bimenyetso bikomeje cyangwa bikaba ikibazo, bwira muganga wawe. | |
| Umutwe | Kugorwa no gusinzira |
| Gukunda kurya | Uruhu rushobora kwiyumvamo izuba |
| Isesemi, kuruka | Kubabara mu nda |
Ni gute wabika umuti?
- Bika ahantu hatekanye kandi kure y'abana. Ibi ni ingenzi cyane.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25).
- Bika kure y'izuba ryinshi n'ubushuhe.
- Ugomba gufunga neza umupfundikizo w'icupa.
- Tara umuti warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Uyu muti ni uruvange rw'imiti itangwa kugira ngo igabanye ibimenyetso by'ibicurane na aleriji, nko gukorora no kuziba izuru. Ntabwo uvura indwara zandura.
- Mbere yo gufata umuti, bwira muganga wawe indwara zose ufite n'indi miti yose ufata.
- Koresha ikiyiko cyangwa igikombe cyihariye gipimye neza kugira ngo upime umuti. Ntugakoreshe ibiyiko byo mu gikoni mu rugo.
- Uyu muti ushobora kugutera gusinzira, bityo irinde gutwara imodoka no gukora imirimo isaba kwitonda. Irinde kunywa inzoga burundu.
- Niba ukeka ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe.
- Niba ugize ingaruka mbi zikomeye, nko kugorwa no guhumeka, kubyimba cyane, cyangwa gukomereka, menyesha muganga wawe vuba.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ibinini bya Alosetron (Alosetron / Lotronex) ni umuti wa nyuma w'indwara iyihe?
Uyu si umuti usanzwe! Uyu ni umuti ukomeye cyane (5-HT3 receptor antagonist) wa nyuma (Restricted/REMS) uhabwa by'umwihariko 'Abagore gusa' bafite 'IBS-D' ikomeye (Irritable Bowel Syndrome with Diarrhea), kandi nta wundi muti ushobora kugabanya, kandi ugufasha kugenzura impiswi ikomeye n'ububabare bwo mu gifu byahungabanyije ubuzima bwawe!
💬 Ni gute ikinini (Alosetron) gihabwa aba bagore gihagarika kuribwa mu nda cyane/impiswi mu gihe indi miti yose yananiwe?
Imitsi myinshi yo mu mara y'abagore ikorwaho/iterwa cyane n'ikinyabutabire cyitwa 'Serotonin (5-HT3)'! Iyo uyu muti ukimara kwinjira mu gifu, ufunga 100% bya serotonin receptors (5-HT3) muri ayo mara hanyuma ukayifunga. Kubera ko nta buryo ubutumwa buhari bwo kujyayo, ubwiyongere bw'imitsi (visceral hypersensitivity) buhita bushira kandi kwihutira kwituma ndetse n'ububabare bwo mu gifu bugashira.
💬 Kuki ibihugu byinshi ku isi byahagaritse iki kinini? Ni izihe ngaruka zishobora gutera urupfu (Imiburo y'Akasanduku k'Umukara)?
Ingaruka mbi ni mbi cyane! Ingaruka mbi cyane ni uko ibi bihagarika amaraso atembera mu nda kandi amara akabora 100% (Ischemic Colitis)! Iyo umurwayi avuye amaraso mu gifu mu buryo butunguranye, agomba kujya mu bitaro, ndetse bamwe bakaba baranapfuye. Nanone, ibi bishobora gutuma impatwe igera ku cyiciro cya nyuma gikomeye (Severe Complicated Constipation), kandi amara ashobora kuziba no guturika, bityo ibi bigomba gufatwa gusa munsi y’ubugenzuzi bwihariye bwa muganga.
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