Impanuka zishobora kubaho mu buzima bwacu mu bihe bitunguranye. Tekereza, wakora iki umuntu aramutse yinjije icyuma gikomeye nka arsenic, mercure, zahabu, cyangwa lisansi mu buryo butunguranye maze agahinduka uburozi? Iki ni ikibazo gikomeye cyane. Uyu munsi turimo kuvuga ku inshinge zidasanzwe zitangwa mu bitaro gusa mu gihe gikomeye nk'iki. Izina ry'uru rushinge ni Dimercaprol. Ushobora kuba wararubonye rimwe na rimwe rwitwa 'BAL in Oil'.
Mu magambo make, Dimercaprol ni iki?
Ibi biragoye gato, ariko reka tubikomeze byoroshye. Tekereza ko hari icyuma kibi cyinjiye mu mubiri wawe. Utu duce tw'icyuma duhambira ku ngingo zitandukanye z'umubiri hanyuma tugatangira kwangiza. Umuti wa Dimercaprol ukora nk'umukuru ukomeye .
Iyo uru rukingo rwinjiye mu mubiri, rukurura uduce twangiza tw’icyuma kiruhije turimo maze rugafatana na two cyane. Nyuma yo gufatana muri ubwo buryo, ubwo burozi ntibushobora kongera kwangiza umubiri. Nyuma y’ibyo, uyu muti wa Dimercaprol ufata utwo duce twa cyuma hanyuma ugasohoka mu mubiri hamwe n’inkari. Muri make, iyi ni inzira "ifata kandi igakuraho" uburozi buri mu mubiri. Iyi nzira yitwa chelation mu buvuzi.
Ibintu ugomba kubwira muganga wawe mbere yo gutanga uyu muti
Nubwo uyu ari umuti wihutirwa, ni ngombwa cyane ko itsinda ry’abaganga rimenya amakuru amwe n’amwe yerekeye ubuzima bwawe cyangwa ubw’umurwayi, kuko aya makuru azagena intsinzi n’umutekano w’ubuvuzi.
- Izindi ndwara ufite:
- Indwara z'impyiko: Kubera ko uyu muti uva mu mubiri unyuze mu mpyiko, ni ngombwa kubibwira muganga wawe niba ufite ikibazo cy'impyiko.
- Indwara y'umwijima: Niba hari ikibazo ku mikorere y'umwijima, ni ngombwa kubimenyesha muganga.
- Kubura G6PD: Iki ni ikibazo cy’ibura rya enzymes bamwe bavukana, kikaba kigira uruhare mu turemangingo dutukura tw’amaraso. Niba ufite iyi ndwara, muganga wawe agomba kwitondera cyane kuguha uyu muti.
- Allergie ufite:
- Tubwire niba ufite ubwivumbure kuri uyu muti wa Dimercaprol cyangwa undi muti, ibiryo, cyangwa irangi.
- By’umwihariko, uyu muti uza mu mavuta. Hari imiti ishobora kuba irimo amavuta y’ubunyobwa. Niba rero ufite ubwivumbure ku bunyobwa , menya neza ko wabibwiye muganga wawe.
- Ubundi burozi: Uyu muti ntukoreshwa mu kuvura uburozi bw'ibyuma nka icyuma, cadmium, cyangwa selenium. Niba hari ukekwaho ikibazo nk'icyo, nacyo kigomba kuvugwa.
- Gutwita no konsa:Niba utwite, ugerageza gutwita, cyangwa wonsa, ni ngombwa kubimenyesha muganga wawe mbere yo gufata uyu muti.
Igikuru ni ukubwira muganga wawe ibyo uzi byose ku buzima bwawe, nta kintu na kimwe uhisha. Ni ku bw'umutekano wawe.
Uru rukingo rukoreshwa rute?
Iki ni ikintu cy'ingenzi cyane. Dimercaprol si umuti ushobora kugura muri farumasi ukawujyana mu rugo.
- Ibi bitangwa gusa n'inzobere mu by'ubuzima yabyigiye mu bitaro cyangwa mu bitaro .
- Urukingo rutangwa hakoreshejwe urushinge mu mitsi , akenshi mu mitsi yo mu kibuno cyangwa mu matako.
- Hakenewe ubwitonzi bwihariye mu gihe uha abana bato uyu muti. Bityo, ibi bigomba gukorwa nyuma yo kugisha inama muganga w'abana no gukurikiza inama ze.
Ni iki cyakorwa niba igipimo cy'urukingo cyiyongereye?
Kubera ko ibi bitangwa mu bitaro, amahirwe yo kunywa imiti irenze urugero ni make cyane. Ariko, niba utekereza ko wafashe uyu muti urenze urugero, menyesha abakozi b'abaganga ako kanya. Muri Sri Lanka, hari ahantu ushobora guhita uvugana na bo kugira ngo bakugire inama z'inzobere kuri ubwo burozi n'imiti. Ni ukuvuga Ikigo cy'Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by'Igihugu i Colombo . Ni ngombwa kandi kubimenyesha Ishami ry'Ubuvuzi bwihutirwa (ETU) ry'ibitaro.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Mu gihe ufata urukingo rwa Dimercaprol, hari ibintu bike utagomba gufata hamwe na rwo. Kurufata hamwe bishobora gutera ingaruka mbi.
| Ibiyobyabwenge bitagomba gufatwa | Kuki ari ingenzi? |
|---|---|
| Umunyu w'icyuma cyangwa inyongeramusaruro | Ibinini bya fer cyangwa ibindi binini birimo fer bishobora gukora ikintu cy’uburozi iyo bifashwe n’uyu muti. Kubwibyo, fer igomba kwirindwa muri ubu buryo bwo kuvura. |
| Ibinyabutabire bya zahabu | Uyu muti ntugomba gukoreshwa hamwe n'imiti irimo zahabu (urugero: auranofin, aurothioglucose) ikoreshwa mu ndwara zimwe na zimwe (urugero: rubagimpande). |
| Kadiyumu na Selenium | Urushinge rwa Dimercaprol ntirukoreshwa mu kuvura ubu burozi bubiri bw'icyuma. Rushobora kwangiza impyiko. |
Uretse uru rutonde, bwira muganga wawe indi miti yose, ibikomoka ku bimera, na vitamine ufata.
Icyo wakwitega mu gihe cyo gufata umuti na nyuma yawo
Mu gihe urimo guhabwa uyu muti, itsinda ry’abaganga rizakurikirana indwara yawe neza cyane . Bazagenzura umuvuduko w’umutima wawe, umuvuduko w’amaraso, n’ibindi bimenyetso by’ingenzi buri gihe.
Hari igihe ushobora gusabwa gukurikiza indyo yihariye igihe gito nyuma yo gufata uyu muti. Urugero, ushobora gusabwa kurya ibiryo bifasha guhindura pH y'umubiri wawe (kugira ngo inkari zibe alkaline). Muganga wawe azakugira inama kuri ibi byose. Kurikiza ayo mabwiriza witonze.
Ingaruka mbi ni izihe?
Kimwe n'indi miti iyo ari yo yose, guterwa Dimercaprol bishobora gutera ingaruka mbi. Zimwe ni ntoya, izindi zikenera kwitabwaho byihuse.
| Ingaruka mbi zikomeye zigomba kumenyeshwa itsinda ry'abaganga vuba | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa cyane, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Kubabara mu gituza, mu muhogo, cyangwa mu maboko | Kumva ufashwe n'igitutu gitunguranye cyangwa urimo guhangayika. |
| Umuvuduko ukabije w'amaraso | Ukwiyongera gutunguranye k'umuvuduko w'amaraso. |
| Impinduka mu gipimo cy'umutima | Kumva umutima wawe urimo gutera cyane cyangwa utera nabi. |
| Umuriro | Umuriro, cyane cyane ku bana. |
| Indwara zo mu mutwe | Ikibazo kimeze nk'aho umuntu amerewe nabi. |
| Ububabare aho umuntu atewe urushinge | Ububabare bukomeye cyangwa kubyimba aho bateye urushinge. |
| Ingaruka mbi nke zigomba kumenyeshwa muganga mu gihe zikomeje cyangwa zibangamiye | |
| Kumva ubushyuhe | Kumva ubushyuhe mu minwa, mu kanwa no mu muhogo. |
| Kuribwa umutwe, isesemi, kuruka | Ingaruka mbi zisanzwe. |
| Amacandwe n'amarira byiyongera, amazuru asohoka | Ibi akenshi biba iby'igihe gito. |
| Kubabara mu gifu | Kumva umerewe nabi mu nda. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, nyamuneka menyesha muganga wawe cyangwa abakozi b'abaforomo nawe ibyo bimenyetso.
Ubutumwa bwo kujyana mu rugo
- Dimercaprol (BAL mu mavuta) ni urushinge rwihariye rutangwa mu bitaro gusa ku burozi bw'ibyuma bikomeye nka arsenic, mercure, lead, na zahabu.
- Mbere yo guhabwa uru rukingo, banza ubwire muganga wawe indwara zawe zose, aleriji (cyane cyane aleriji y'ibihwagari), n'indi miti ufata.
- Uyu si umuti ushobora kugurwa muri farumasi ugakoreshwa mu rugo, ahubwo utangwa mu nganda n'umuganga wabyigiye.
- Irinde gufata ibinini bya fer cyangwa inyunganiramirire burundu mu gihe cyo kuvurwa.
- Menya ingaruka mbi zishobora kubaho (urugero: allergie, kubabara mu gatuza, umuvuduko ukabije w'amaraso) mu gihe ufata imiti. Niba ubonye ikintu kidasanzwe , menyesha abakozi b'abaganga ako kanya .

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