Ese hari igihe wumva umutima wawe utera cyane, cyangwa se umeze nk'aho utera cyane? Disopyramide ni umuti wihariye abaganga baguha kugira ngo uvure indwara nk'iyi yitwa arrhythmia. Niba warahawe uyu muti, ni ngombwa kumenya neza uwo ari wo. Reka tubiganireho uyu munsi.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, Disopyramide ni umuti ugenzura umuvuduko w'umutima. Mu buvuzi, uyu ni umuti uri mu cyiciro cya "antiarrhythmic". Umutima wacu utera ukoresheje sisitemu y'amashanyarazi yoroshye cyane. Hari igihe, imikorere y'iyi sisitemu y'ibimenyetso ishobora kwiyongera cyane. Icyo gihe ni bwo umutima utera cyane, cyangwa umuvuduko ukabangamira. Rero, icyo Disopyramide ikora ni ukugenzura izi bimenyetso by'amashanyarazi bikabije mu mutima no kugarura umuvuduko w'umutima ku muvuduko uhamye kandi ukwiye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo kuguha Disopyramide, muganga wawe azakenera kumenya amateka y’ubuzima bwawe. Kubwibyo, menya neza ko wabibwiye muganga wawe niba ufite kimwe muri ibi bikurikira:
- Niba urwaye diyabete .
- Niba ufite ikibazo cyo kunyara.
- Niba urwaye glaucoma, indwara ituma umuvuduko mu maso wiyongera.
- Izindi ndwara z'umutima, cyane cyane niba warigeze kugira indwara y'umutima mbere.
- Niba ufite indwara y'impyiko cyangwa indwara y'umwijima.
- Niba umuvuduko w'amaraso uri hasi.
- Niba urwaye indwara y'imirire mibi.
- Niba ufite indwara yitwa myasthenia gravis, itera intege nke z'imitsi.
- Niba waragize ikibazo cy'ubwivumbure kuri disopyramide cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa umwana wawe.
Ntugahishe umuganga wawe aya makuru, kuko aya makuru ari ingenzi cyane mu gufata icyemezo niba uyu muti ukubereye cyangwa utakubereye, kandi niba ari uko bimeze, ingano y'umuti ugomba gutanga.
Nigute nkwiye gukoresha uyu muti?
Uzirikane izi ngingo mu gihe ukoresha uyu muti.
- Fata uyu muti unywa n'ikirahure cy'amazi.
- Fata urugero rwatanzwe neza neza nk'uko muganga yabigutegetse, ku gihe cyagenwe. Ntukihutire gufata urugero rwa kabiri.
- Igikuru ni uko utareka gufata uyu muti mu buryo butunguranye.Kubikora bishobora gutera ingaruka mbi zikomeye zijyanye n'umutima. Niba ukeneye guhagarika gufata imiti, bikora nk'uko muganga yabigutegetse, ugabanya buhoro buhoro urugero rw'imiti.
- Niba wabuze dose: Fata dose wabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose wabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
- Kunywa imiti irenze urugero: Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Uyu muti wanditswe kuri wewe gusa. Ntugasangire umuti wawe n'abandi.
Ese hari ibibazo bishobora kubaho mu yindi miti? (Imikoranire)
Yego, Disopyramide ishobora kugira ingaruka ku yindi miti. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe n'abandi baganga, imiti igurishwa mu kigo, imiti y'ibimera, vitamine).
| Imiti idakwiye gufatwa na Disopyramide | |
|---|---|
| Ubwoko bw'ibiyobyabwenge | Ingero |
| Imiti imwe n'imwe ikoreshwa mu kuvura virusi itera SIDA | (Imiti igabanya ubukana bwa virusi itera SIDA cyangwa SIDA) |
| Amwe mu ma antibiyotike | Clarithromycin, Erythromycin, Pentamidine |
| Imiti imwe n'imwe ikoreshwa mu kuvura indwara yo kwiheba | Amoxapine, Maprotiline |
| Imiti imwe n'imwe ifatwa ku ndwara z'ibihumyo | Fluconazole, Itraconazole, Ketoconazole |
| Indi miti ivura umutima utera neza | Dronedarone, Ranolazine, Verapamil |
| Indi miti | Cisapride, Droperidol, Haloperidol, Methadone, Pimozide, Tacrolimus |
Indi miti ishobora guterana:
- Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso cyangwa indwara z'umutima (urugero: beta-blockers)
- Imiti ivura indwara zo mu mutwe (urugero: Carbamazepine, Phenytoin)
- Indi miti igira ingaruka ku mikorere y'amashanyarazi y'umutima (imiti igira ingaruka ku gihe cya QT)
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ibyo ufata byose.
Ibintu ugomba kwitondera mugihe ufata uyu muti
- Gusuzumwa buri gihe: Menya neza ko ugiye kwa muganga wawe. Ashobora kandi gutumiza ibizamini nka ECG kugira ngo arebe uko uhagaze.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Kubwibyo, irinde ibikorwa biteje akaga nko gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntukabyuke utunguranye uvuye mu mwanya wicaye cyangwa uvuye mu buriri. Tegereza gato hanyuma ubyuke buhoro buhoro.
- Umunwa wumye: Umunwa wumye ushobora guterwa n'uyu muti. Guhekenya shim idafite isukari no kunywa amazi menshi bishobora gufasha.
- Amaso yumye no kutabona neza: Amaso yawe ashobora kumva yumye kandi amaso yawe ashobora kuba adasobanutse neza. Ibi bishobora kugorana iyo wambaye indorerwamo z'amaso. Baza muganga wawe ibijyanye no gukoresha ibitonyanga bisiga amavuta.
- Irinde ubushyuhe bukabije: Uyu muti ushobora kugabanya ibyuya. Kubwibyo, itondere ubushyuhe bukabije. Bitabaye ibyo, ubushyuhe bw'umubiri wawe bushobora kuzamuka mu buryo buteje akaga kandi ushobora kugira ikibazo cyo gushyuha.
- Ku bantu barwaye diyabete: Uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso. Niba urwaye diyabete, vugana na muganga wawe mbere yo guhindura indyo yawe cyangwa ingano y'imiti yawe ya diyabete.
Ingaruka mbi z'umuti
Kimwe n'indi miti yose, Disopyramide ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi zikaba zisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso by'indwara y'umutima | Kugorwa no guhumeka, kubyimba utubuto, ibirenge, cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, kumva unaniwe bidasanzwe. |
| Impinduka mu mikorere y'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye. |
| Umuvuduko w'amaraso uri hasi | Kuzungera, gucika intege, kutabona neza. |
| Isukari nke mu maraso (Hypoglycemia) | Guhinda umushyitsi, ibyuya, kubura amahoro, umutima utera cyane, urujijo. |
| Kugorwa no kunyara | Kugorwa no kunyara cyangwa kutanyara na gato. |
| Ingaruka mbi akenshi zidasaba ubuvuzi (ariko bwira muganga wawe niba zikomeje) | |
| Ibibazo by'igogora | Kubyimba, kuribwa mu nda, kubyimba mu nda, isesemi, kubabara mu gifu. |
| Ibindi | Kuma mu kanwa, amaso yumye, kuribwa umutwe, impinduka mu mikorere y'imibonano mpuzabitsina. |
Ubutumwa bwo kujyana mu rugo
- Disopyramide ni umuti w'ingenzi ugenzura imivuduko y'umutima idakora neza. Buri gihe fata urugero n'igihe nyacyo wategetswe na muganga wawe.
- Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose udafite inama ya muganga.
- Menyesha muganga wawe indi miti yose, vitamine, n'imiti gakondo ufata.
- Shaka abaganga vuba niba habayeho ingaruka zikomeye (kubabara mu gatuza, guhumeka nabi, gucika intege).
- Bika uyu muti neza ku bushyuhe bw'icyumba, kure y'abana.
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