Ese wigeze ugira akanya ko guseka cyane nta mpamvu igaragara, cyangwa igihe cyo kurira cyane nubwo utari ufite agahinda? Wenda hari umuntu uzi wigeze agira ibi bibazo. Mu by'ukuri iyi ni indwara ishobora guterwa n'indwara zimwe na zimwe zo mu bwonko. Mu buvuzi, iyi ndwara twita Pseudobulbar Affect (PBA) . Uyu munsi rero tugiye kuvuga ku muti wihariye ushobora gufasha mu kugenzura uku guseka no kurira kudasanzwe.
Uyu muti ni uwuhe?
Muri make, iyi ni imiti ibiri ivanze. Ni Dextromethorphan na Quinidine . Iyi miti yombi ivangwa mu turemangingo kandi ikoreshwa mu kuvura indwara yitwa Pseudobulbar Affect (PBA). Ushobora kuba warabonye iyi miti ku izina rya Nuedexta . Iyi miti ikora mu kugenzura ibimenyetso bimwe na bimwe mu bwonko, igafasha mu kugenzura guseka no kurira bitagira urugero.
Muganga wawe ashobora kandi kukwandikira uyu muti ku zindi ndwara, bityo niba ufite ikibazo, ganira na muganga wawe kuri icyo kibazo.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo kuguha uyu muti, muganga wawe agomba kumenya amateka y’ubuzima bwawe bwose. Menya neza ko umubwiye indwara iyo ari yo yose iri hano, cyane cyane niba uyifite.
- Indwara z'umutima: Niba ufite indwara z'umutima, urugero nk'umutima utera nabi (arrhythmia).
- Indwara y'umwijima cyangwa impyiko: Iyo hari ikibazo ku mikorere y'umwijima cyangwa impyiko.
- Myasthenia Gravis: Niba ufite indwara y'imitsi yo mu bwonko nka Myasthenia Gravis.
- Igipimo cya potasiyumu cyangwa manyeziyumu mu maraso kiri hasi: Niba ibizamini by'amaraso byasanze ikintu nk'icyo.
- Dementia: Niba ufite ibibazo byo kwibuka cyangwa indwara yo kwibagirwa.
- Ubusinzi bw'ibiyobyabwenge cyangwa inzoga: Niba warigeze kuba imbata y'ibiyobyabwenge cyangwa inzoga cyangwa niba ufite icyo kibazo ubu.
- Allergie: Niba ufite allergie kuri uyu muti (Dextromethorphan, Quinidine), indi miti, ibiryo, cyangwa amarangi.
- Gutwita cyangwa konsa: Niba utwite, ugerageza gusama, cyangwa wonsa.
Mu kumenyesha muganga wawe ibi bintu, azabasha kuguha ubuvuzi bwizewe.
Ni gute ukoresha uyu muti neza?
Menya neza ibi bintu mugihe ukoresha uyu muti.
- Mirira uyu muti n'ikirahure cy'amazi.
- Fata neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye.Ntukigere ufata ibirenze urugero rw'umuti watanzwe.
- Ibi bishobora gufatwa mbere cyangwa nyuma yo kurya, ariko niba ugize ikibazo mu gifu, ni byiza kubifata hamwe n'ibiryo.
- Ntugahagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Niba uha abana uyu muti, vugana n'umuganga w'abana kuri wo kandi ukurikize inama ze.
Umuburo: Uyu muti wanditswe kuri wewe gusa. Ntugasangire uyu muti n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya mu bitaro bikuru by’ubutabazi bwihuse (ETU) byihuta. Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo .
Wakora iki niba wabuze dose y'umuti?
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, harimo n'iyo wabuze.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Uyu muti ushobora kugira ingaruka ku yindi miti ufata, bityo rero bwira muganga wawe imiti yose ufata (harimo na vitamine n'ibikomoka ku bimera).
| Imiti idakwiye gufatwa n'uyu muti | |
|---|---|
| Icyiciro cy'ibiyobyabwenge | Ingero |
| Imiti igabanya ubukana bw'indwara zo mu mutwe (imiti ivura indwara zimwe na zimwe zo mu mutwe) | chlorpromazine, haloperidol, pimozide, risperidone, thioridazine |
| Umuti uvura umutima utari umeze neza | dofetilide, encainide, flecainide, mexiletine, propafenone, quinidine |
| Imiti igabanya ubukana bwa MAOI | Karubekisi, Eldepryl, Marplan, Nardil, Parnate |
| Indi miti | cisapride, dolasetron, dronedarone, mefloquine, quinine |
| Ibindi bintu bishobora kugira ingaruka kuri uyu muti | |
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Ibintu ugomba kwitondera mu gihe ufata imiti
- Niba ibimenyetso byawe bitarushijeho kuba bibi cyangwa ngo birusheho kuba bibi, bwira muganga wawe. Jya kwa muganga ku gihe kandi ugenzure uko umerewe.
- Ushobora kumva uzu .... Niba ugize isereri cyangwa ukagira isereri mugihe ufata uyu muti, bimenyeshe muganga wawe vuba.
- Irinde gutwara imodoka, gukoresha imashini, no gukora ikintu cyose gisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka.
- Irinde guhaguruka utunguranye, cyane cyane niba ugeze mu za bukuru. Haguruka buhoro. Ibi bishobora kugabanya ibyago byo kuzungera no gucika intege.
- Irinde kunywa inzoga. Inzoga zishobora kongera isereri.
Ingaruka mbi zishobora guterwa n'imiti
Nk'uko bimeze ku muti uwo ari wo wose, uyu ushobora gutera ingaruka zimwe na zimwe.
| Niba ubonye ibi bimenyetso, shaka ubufasha kwa muganga ako kanya. | |
|---|---|
| Allergie ikomeye | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa cyangwa ururimi, no kugorwa no guhumeka. |
| Ibibazo by'umutima | Kubabara mu gituza, isereri, umutima utera vuba cyangwa utari umeze neza, gucika intege, guta ubwenge. |
| Ibimenyetso by'ibyangiritse by'umwijima | Inkari z'umuhondo wijimye cyangwa umukara, amaso cyangwa uruhu rugahinduka umuhondo, ububabare mu gice cyo hejuru cy'iburyo cy'igifu, isesemi, kubura ubushake bwo kurya. |
| Indwara ya Serotonin | Kujijinganya, kubira ibyuya byinshi, umuriro, ubukonje, gukomera kw'imitsi, impiswi. |
| Ibindi bimenyetso bikomeye | Guhinduka kw'amaso, gutakaza amatwi, gukomereka cyangwa kuva amaraso bidasanzwe, ibimenyetso bisa n'ibya lupus (urugero: kumva izuba, kubabara ingingo). |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
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Ubika imiti ute?
- Bika kure y'abana n'amatungo. Uyu muti ushobora kwica umuntu mukuru, umwana cyangwa inyamaswa.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15-30).
- Ntugakoreshe umuti warengeje igihe.
- Vanga umuti uwo ari wo wose utari wakoreshejwe n'ikintu nk'ikawa cyangwa umwanda w'injangwe, uwushyire mu kintu gifunze neza, hanyuma uwujugunye.
Ubutumwa bwo kujyana mu rugo
- Dextromethorphan; Quinidine ni umuti wihariye utangwa mu kuvura indwara yitwa Pseudobulbar Affect (PBA), ituma umuntu aseka cyane kandi akarira.
- Mbere yo gufata uyu muti, bwira muganga wawe amateka yawe yose y'ubuzima ndetse n'indi miti yose ufata.
- Kurikiza amabwiriza ya muganga wawe neza. Ntukigere uhindura ingano y'umuti cyangwa ngo uhagarike gufata umuti mu buryo butunguranye.
- Shaka abaganga vuba niba ugize ingaruka mbi nko kuzungera, gucika intege, umutima utera cyane, cyangwa allergie ikomeye.
- Gukoresha umuti urenze urugero ni bibi cyane. Jya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ako kanya cyangwa uhamagare ikigo cy'igihugu gishinzwe amakuru ku burozi.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
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