Ese wigeze wumva umutima wawe utera cyane, utera vuba cyane nta muvuduko, cyangwa se urimo utera cyane mu gituza cyawe? Mu buvuzi, ubu bwoko bw'umutima utera nabi bwitwa arrhythmia. Rero, umuti wihariye abaganga basaba kuvura iyi ndwara ni Dronedarone. Uyu munsi, reka tuvuge kuri uyu muti mu magambo make.
Dronedarone ni iki?
Muri make, dronedarone ni umuti ugenzura umutima wawe wihuta cyangwa utari mwiza. Umutima wacu utera mu buryo bw'ibimenyetso by'amashanyarazi. Hari igihe imikorere y'iyi sisitemu y'ibimenyetso ishobora kwiyongera gato. Icyo gihe ni bwo umutima utera utari mwiza. Rero, icyo uyu muti wa dronedarone ukora ni ukugenzura bimwe muri ibyo bimenyetso by'amashanyarazi bitari ngombwa no gufasha umutima gusubira ku murongo wawo usanzwe. Uyu muti ni uwo mu itsinda ry'imiti yitwa antiarrhythmics . Muri Sri Lanka no ku isi yose, uboneka ku izina ry'ikirango `Multaq`.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Ibi ni ingenzi cyane. Mbere yo gutangira gukoresha dronedarone, ni ngombwa kubwira muganga wawe amakuru akurikira. Uyu muti ntukwiriye buri wese.
- Niba ufite cyangwa warigeze kugira ikibazo cy'umutima ubu.
- Niba ufite amateka y'izindi ndwara ziterwa n'umutima.
- Niba ufite indwara y'umwijima .
- Niba warigeze kugira ibibazo by'umwijima cyangwa ibihaha nyuma yo gukoresha umuti wa amiodarone .
- Niba muganga yakubwiye ko ufite potasiyumu nkeya cyangwa manyeziyumu mu maraso yawe.
- Niba ufite indi ndwara y'umutima.
- Niba ufite allergie kuri dronedarone cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa .
Ni ingenzi cyane ku mutekano wawe kuvugana na muganga udahisha ibi bintu.
Ni gute neza neza ukoresha uyu muti?
Mu gihe ukoresha uyu muti, ugomba gukurikiza amabwiriza ya muganga neza.
- Fata iki kinini n'ikirahure cy'amazi.
- Ubusanzwe, muganga avuga ko ugomba gufata ikinini kimwe mu gitondo n'ikindi kimwe mu ifunguro rya nimugoroba . Ni ingenzi cyane kugifata mu gihe urya.
- Ntuzigere unywa ibirenze urugero muganga wawe yagutegetse.
- Igikuru ni ukudahagarika gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma indwara yawe irushaho kuba mbi.
Niba ubona ko wafashe uyu muti urenze urugero, 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. Ntugapfushe umwanya.
Nanone, ibuka ko uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu kuko afite ibimenyetso nk'ibyawe.
Wakora iki niba wabuze dose y'umuti?
Biratandukanye kuri buri wese. Niba wibagiwe gufata dose, uyifate 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.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Iki ni ikintu cyo kwitondera cyane. Dronedarone ni umuti ufite ubushobozi bwinshi bwo gukorana n'indi miti n'ibiribwa bimwe na bimwe. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
Reka tubisobanure neza mu mbonerahamwe iri hepfo.
| Ni iki gishobora gutera ibibazo? | Ibisobanuro n'ingero |
|---|---|
| Ntuzigere ufata dronedarone hamwe n'ibi | |
| Amwe mu ma antibiyotike | Urugero: clarithromycin, erythromycin, telithromycin |
| Indwara zirwanya fungane | Urugero: ketoconazole, itraconazole, voriconazole |
| Indi miti y'umutima | Urugero: amiodarone, sotalol, quinidine, flecainide |
| Imwe mu miti igabanya ubukana bw'imitsi | Urugero: imiti igabanya ubukana bwa tricyclic, nefazodone |
| Ritonavir mu kuvura agakoko gatera SIDA | Ritonavir |
| Ibi bishobora no guteza ibibazo (bikoreshwe gusa ku nama za muganga) | |
| Umutobe w'imbuto z'imizabibu | Irinde kunywa umutobe wa jambola na jambola mu gihe ufata uyu muti. |
| Imiti igabanya cholesterol (Statines) | Urugero: atorvastatin, lovastatin, simvastatin |
| Umuti w'umuvuduko w'amaraso cyangwa indwara z'umutima | Urugero: diltiazem, verapamil, metoprolol, propranolol |
| Imiti igabanya amaraso mu mubiri | Urugero: Warfarin, Dabigatran |
| Ibindi | Digoxin, Umuti wa Mutagatifu Yohani, Rifampin, Sirolimus, Tacrolimus |
Uru rutonde ntirwuzuye, bityo ni byiza kumenyesha muganga wawe ibyo ufata byose.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Iyo utangiye uyu muti, muganga wawe ashobora kugushyira mu bitaro kugira ngo arebe uko umubiri wawe witwara ku muti.
- Mu gihe cyose ufata imiti, komeza kuvugana na muganga wawe kandi witabire amavuriro kugira ngo akurikirane uko umerewe.
- Ushobora kumva usinziriye kandi ukagira isereri mugihe ufata uyu muti.Ushobora kumva uzuzumwe. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko umuti ukugiraho ingaruka.
- Guhaguruka mu buryo butunguranye uvuye mu mwanya wawe wicaye cyangwa uvuye ku buriri bishobora gutera isereri no kugwa. Bikore buhoro buhoro, cyane cyane niba ugeze mu za bukuru.
Ni izihe ngaruka mbi nshobora kugira?
Nk'uko bimeze ku muti uwo ari wo wose, dronedarone ishobora gutera ingaruka mbi. Zimwe 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, ku rurimi cyangwa mu muhogo. |
| Umutima urushaho kunanirwa | Kugorwa no guhumeka, kubyimba utubuto, ibirenge cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro ukabije. |
| Gukomereka k'umwijima | Kubabara mu gice cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, uruhu cyangwa amaso bihinduka umuhondo, inkari z'umuhondo wijimye/umukara. |
| Gukomereka mu bihaha | Kugorwa no guhumeka, gukorora, kubabara mu gatuza, umuriro. |
| Gukomereka kw'impyiko | Kugabanuka k'umuvuduko w'inkari ugereranije n'amazi yakoreshejwe, kubyimba utubuto tw'ibirenge, amaboko, cyangwa ibirenge. |
| Umutima utera buhoro cyane | Kuzungera, kumva nta cyo umaze, umunaniro ukabije. |
| Ubusanzwe ntabwo ari ikibazo gikomeye, ariko niba kigikomeje, bwira muganga wawe. | |
| Kubabara mu gifu | Impiswi |
| Isesemi | Kuruka |
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata ibinini bya Dronedarone mu ifunguro rya mu gitondo n'irya nimugoroba.
- Ntukareke gufata imiti cyangwa ngo uhindure igipimo cy'imiti utabanje kugisha inama muganga wawe.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, kubyimba umubiri, cyangwa guhinduka umuhondo w'uruhu, shaka ubufasha kwa muganga byihutirwa.
- Irinde burundu umutobe w'imbuto z'umuhondo n'iz'imbuto z'umuhondo mu gihe ufata uyu muti.
- Niba wabuze dose, ntuzigere ufata dose ebyiri icyarimwe.
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