Ese wigeze ubagwa? Cyangwa hari inshuti yawe yigeze kubagwa? Iyo ibyo bibaye, abantu benshi batinya cyane ni isesemi no kuruka bibaho nyuma yo kubagwa. Mu by'ukuri ni ikintu kidashimishije cyane. Uyu munsi rero tugiye kuvuga ku inshinge zidasanzwe zitangwa kugira ngo zigenzure, ni ukuvuga gukumira, ikibazo nk'iki. Izina ry'uyu muti ni Droperidol.
Mu magambo make, Droperidol ni iki?
Droperidol ni umuti uhabwa kugira ngo wirinde isesemi no kuruka bishobora kubaho nyuma yo kubagwa cyangwa ubundi buryo bwo kuvura. Utangwa nk'urushinge. By'umwihariko, ubuza imikorere y'imiti imwe n'imwe mu bwonko bwacu itera isesemi no kuruka. Ubwo bwoko bw'imiti bwitwa antiemetics. Izina risanzwe ry'iyi miti ni Inapsine.
Igikuru ni uko uyu muti atari uwo kugura muri farumasi. Utangwa gusa uyobowe n'abaganga mu bitaro cyangwa ivuriro.
Ibintu ugomba kubwira muganga wawe mbere yo kuguha uyu muti
Kimwe n'indi miti iyo ari yo yose, ni ngombwa ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo kuguha uru rushinge rwa Droperidol. Ibi biterwa nuko abantu bafite indwara zimwe na zimwe bagomba kwitonda cyane mu gihe batanga uyu muti. Kubwibyo, niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
- Kunywa: Niba ukunda kunywa inzoga buri gihe, tubwire uko bimeze.
- Indwara z'umutima: Niba ufite ikibazo cy'umutima, urugero, umutima unanirwa gukora neza, umutima utera nabi, cyangwa umutima utera buhoro.
- Indwara y'impyiko: Niba ufite indwara iyo ari yo yose y'impyiko.
- Indwara y'umwijima: Niba ufite indwara iyo ari yo yose y'umwijima.
- Allergie: Niba ufite allergie kuri Droperidol cyangwa undi muti, ibiryo, cyangwa irangi.
- Gutwita: Niba utwite cyangwa ugerageza gutwita.
- Konsa: Niba uri umubyeyi wonsa umwana wawe.
Guha aya makuru itsinda ry’abaganga ni ingenzi cyane ku mutekano wawe.
Uburyo bwo gukoresha uyu muti n'icyo wakora mu gihe cy'impanuka
Uyu muti si ikintu ushobora kujyana mu rugo. Droperidol ni urushinge rutangwa mu bitaro cyangwa mu ivuriro gusa na muganga cyangwa umuforomo. Ruterwa mu mitsi cyangwa mu mitsi.
Ese ibi urabiha abana bato?
Yego, mu bihe bimwe na bimwe byihariye, uyu muti uhabwa abana barengeje imyaka 2. Ariko ukorwa mu buryo bwihariye cyane kandi ku bushake bwa muganga gusa.
Wakora iki niba ufashe imiti myinshi (urengeje urugero)?
Kubera ko ibi bitangwa mu bitaro, amahirwe yo kubigeraho ni make cyane. Ariko, niba utekereza ko warenze urugero kuri uyu muti mu buryo ubwo aribwo bwose, ni ngombwa cyane kubimenyesha ako kanya cyangwa kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) . Nanone, hari ahantu mu gihugu cyacu hihariye ibintu nk'ibyo. Ni Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo . Ushobora kandi kubahamagara ukabagira inama.
Indi miti ishobora kugira ingaruka kuri Droperidol (Imikorere y'imiti)
Iki ni ingenzi cyane. Droperidol ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata, harimo vitamine, imiti y'ibimera, n'inyongeramusaruro. Ugomba kandi kubibwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Dore imwe mu miti ishobora kugira ingaruka kuri Droperidol. Uru si urutonde rwuzuye, ariko ni rwo rw'ingenzi ugomba kwitondera.
| Icyiciro cy'ibiyobyabwenge | Ingero n'ibisobanuro |
|---|---|
| Ntuzigere ufata Droperidol hamwe n'uyu muti. | |
| Imiti igira ingaruka ku muvuduko w'umutima | Imiti nka Dronedarone, Cisapride, Pimozide, Thioridazine. |
| Amwe mu ma antibiyotike | Kimwe na Erythromycin, Clarithromycin, Moxifloxacin. |
| Imiti imwe n'imwe irwanya udukoko | Nka Ketoconazole, Fluconazole. |
| Indi miti irwanya isesemi | Nka Dolasetron, Palonosetron. |
| Imiti imwe n'imwe ivura indwara yo kwiheba | Imiti igabanya ubukana bwa tricyclic nka Amitriptyline, Nortriptyline. |
| Ibishobora kubaho n'uyu muti. | |
| Imiti igabanya ububabare (Opioid) | Imiti igabanya ububabare ikomeye nka Morphine na Tramadol. |
| Utunyangingo tw'imitsi | Imiti igabanya ingano y'amazi n'umunyu mu mubiri. |
| Barbiturates | Imiti imwe n'imwe ivura ibitotsi n'igicuri. |
Ibintu byo kwitega n'ingaruka mbi nyuma yo gufata umuti
Nyuma yo gufata uyu muti, abaganga bazakurikirana neza ikibazo cyawe.
Ushobora kumva usinziriye cyangwa urwaye isereri . Ibi ni ibisanzwe. Kubwibyo, irinde ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe ingaruka z'uyu muti zizaba zashize burundu. Cyane cyane niba ugeze mu zabukuru, ntuhaguruke uva aho wicaye giturumbuka. Tegereza iminota mike mbere yo guhaguruka. Ibi bizagabanya ibyago byo kurwara isereri no kugwa. Nanone, irinde kunywa inzoga burundu .
Ingaruka mbi
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Zimwe muri zo ni mbi cyane, izindi ni izisanzwe.
| Ingaruka mbi zigomba kumenyeshwa itsinda ry'abaganga bawe ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Impinduka mu gipimo cy'umutima | Kumva umutima wawe utera cyane cyangwa utera nabi, kuzungera, kubabara mu gituza, no guhumeka bigoranye. |
| Umuvuduko w'amaraso uri hasi | Kuzunguza, kubabara mu mutwe, kutabona neza. |
| Indwara y'indwara y'imitsi (NMS) | Iyi ni indwara idasanzwe ariko ikomeye. Ibimenyetso birimo umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera cyane, no kumva utameze neza. |
| Ibimenyetso byo mu mubiri utari mu gifu (EPS) | Kudashobora kugenzura imigendere y'umubiri, gukomera kw'imitsi cyangwa guhinda umushyitsi, kubura amahoro, no kugenda mu buryo budasanzwe. |
| Ihungabana ry'imitsi yo hagati (CNS depression) | Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gusinzira cyane, urujijo. |
| Ibintu byo gutangariza itsinda ry'abaganga niba bikomeje cyangwa bikagira ingaruka mbi | |
| Guhangayika, ubwoba | Kumva ufite ubwoba kandi udafite aho ubogamiye nta mpamvu. |
| Gusinzira | Ni ikintu gitegerejwe muri rusange, ariko niba ari byinshi cyane, vuga. |
| Kurota ibintu bitagaragara | Kubona cyangwa kumva ibintu bitariho. |
Ubutumwa bwo kujyana mu rugo
- Droperidol ni urushinge rukomeye rutangwa kugira ngo hirindwe isesemi no kuruka bibaho nyuma yo kubagwa no ku bundi buryo bwo kuvura.
- Uyu muti utangwa gusa mu bitaro cyangwa mu ivuriro uyobowe n'abaganga.
- Ni ngombwa kumenyesha muganga wawe izindi ndwara zose ufite (cyane cyane indwara z'umutima, umwijima n'impyiko) hamwe n'imiti yose ufata.
- Irinde ibikorwa bisaba kwitonda kuko gusinzira no kuzungera bishobora kubaho nyuma yo gufata umuti. Irinde inzoga burundu.
- Niba ugize ingaruka mbi zikomeye nko guhinduka k'umuvuduko w'umutima, umuriro mwinshi, cyangwa gukomera kw'imitsi, menyesha itsinda ry'abaganga ako kanya.
- Niba ufite ikindi kibazo kuri uyu muti, ntutinye kuvugana na muganga wawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ni uruhe rushinge rwa Droperidol / Inapsine rukoreshwa mu bitaro?
Ibi ntabwo bimeze nka Domperidone, ifatwa mu gihe cyo kuruka bisanzwe! Uyu ni wo muti ukomeye cyane (Usanzwe wo kurwanya indwara zo mu mutwe / kurwanya indwara zo mu mutwe) ku isi uhita uhagarika kuruka no kugira isesemi kandi ugatuza umurwayi! Uyu muti utangwa cyane cyane nyuma yo kubagwa cyane (kubagwa / Anesthesia) kugira ngo ufunge/ufunge isesemi ikomeye umurwayi adashobora kwihanganira kugeza aho amara/amara asohokera.
💬 Ni gute uru rushinge rukomeye (Droperidol) rugera mu bwonko bwacu rugahagarika kuruka cyane?
Imiti igabanya ububabare (Anesthesia/Opioid) itangwa mu gihe cyo kubaga ituma imiti myinshi yitwa 'Serotonin/Dopamine' mu bwonko irekurwa, ikajya mu kigo cyo kuruka (CTZ) igatera kuruka nk'aho hari akabuto kakanzwe. Iyo uru rushinge rwinjiye mu maraso, 'Dopamine Receptors' mu bwonko irafungwa burundu (Dopamine blockade). Kubera ko nta buryo ubutumwa bushobora koherezwa, umurwayi ntaruka kandi umurwayi nawe arasinzira (Sedation).
💬 Ni iyihe miburo y'agasanduku k'umukara abantu batera iyi miti igabanya ububabare (Droperidol) bagomba kumenya?
Akaga gakomeye ni ugutakaza ubuzima aho guhagarika kuruka! Ibi bishobora 'guhindura cyane imikorere y'umutima, bigatuma umutima utera mu buryo budasanzwe, bigatera indwara y'umutima iteye ubwoba ndetse no guhagarara k'umutima (QT Prolongation / Torsades de pointes / Cardiac Arrest)'. Kubwibyo, abaterwa uru rushinge bagomba kuba bafite imashini ya ECG/EKG ifunguye amasaha 2-3! Ikindi ni uko ibi bishobora no gutuma umurwayi agira igicuri (EPS).
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