Muganga wawe ashobora kuba yaraguteye urushinge rwo kwirinda kubyimba kw'amaraso nyuma yo kubagwa cyangwa bitewe n'indi ndwara. Izina ry'urushinge ni Enoxaparin. Ubusanzwe urushinge ruhabwa mu rugo mu gihe cy'iminsi mike cyangwa ibyumweru, bityo ushobora kugira ubwoba cyangwa amatsiko yo kurukoresha. Ntugahangayike rero, uyu munsi turaganira ku buryo bworoshye ku buryo bwo kubikoresha neza n'icyo ugomba kwitondera.
Enoxaparin ni iki?
Muri make, Enoxaparin ni umuti ubuza amaraso kubumba cyangwa ugafasha gushonga amaraso kubumba yamaze kwirema. Ibi bikunze kwitwa imiti igabanya amaraso.
Tekereza imiyoboro y'amaraso yacu nk'imiyoboro itwara amazi. Iyo amaraso apfunditse muri iyo miyoboro, bibuza amaraso gutembera. Ibi ni bibi cyane, kuko iyo iki gipfunditse gishobora guhagarika gutembera kw'amaraso mu ngingo z'ingenzi nk'ibihaha, ubwonko n'umutima. Uyu muti witwa Enoxaparin ukora mu guhagarika ikorwa ry'ayo maraso apfunditse. Ni ukuvuga ko 'ugabanya' amaraso gato kandi bigatuma atembera byoroshye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Muganga wawe azakenera kumenya amateka y’ubuzima bwawe mbere yo kuguha uyu muti. Kubwibyo, niba ufite imwe mu ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
| Indwara cyangwa amahirwe | Kuki wagombye kubyitaho? |
|---|---|
| Indwara zo kuva amaraso (urugero: hemophilia) cyangwa kuva amaraso menshi. | Uyu muti ushobora kongera ibyago byo kuva amaraso. |
| Indwara z'umutima cyangwa imitsi y'umutima. | Muri ibyo bihe, igipimo cy'umuti gishobora gukenera guhindurwa. |
| Indwara y'impyiko cyangwa umwijima. | Uburyo bwo gukuramo imiti mu mubiri bushobora kugira ingaruka. |
| Niba warigeze kugira ikibazo cyo gucika imitsi mbere. | Hagomba kwitabwaho cyane iyo indwara yo gucika kw'imitsi iterwa no kuva amaraso. |
| Niba warashyizwemo agakoresho k'umutima gakozwe mu buryo bw'inyongera. | Abarwayi nk'abo bakeneye ingano yihariye. |
| Kuba uherutse kubagwa cyangwa kubyara. | Muri ibyo bihe, ibyago byo kuva amaraso biba byinshi. |
| Ibisebe byo mu gifu cyangwa izindi ndwara zo mu mara (urugero: Diverticulitis). | Byongerera ibyago byo kuva amaraso imbere mu mubiri. |
| Niba ufite ubwivumbure kuri Enoxaparin, Heparin, ibikomoka ku ngurube cyangwa indi miti/ibiribwa. | Ibi ni ingenzi kugira ngo hirindwe ingaruka zikomeye z'ubwivumbure. |
| Niba utwite, ugerageza gusama, cyangwa wonsa. | Muri ibyo bihe, ugomba kuvugana na muganga wawe ku bijyanye n'umutekano w'umuti. |
Uru rukingo rukoreshwa gute neza?
Uru rukingo ruterwa munsi y'uruhu. Umuforomo wo mu bitaro cyangwa ivuriro azakwereka neza uburyo bwo kurutera mu buryo bworoshye. Ubusanzwe, uruhu rwo mu nda cyangwa inyuma y'ukuboko rwo hejuru ni rwo rukoreshwa muri ibi.
Icy'ingenzi ni ugufata dose wahawe na muganga wawe, mu gihe gikwiye, mu minsi ikwiye. Kubura umunsi umwe bishobora kongera ibyago byo kuvura amaraso. Kubwibyo, komeza gufata uyu muti kugeza igihe muganga wawe azakubwiriye kubihagarika.
Ukoresha iki inshinge zakoreshejwe?
Ibi ni ingenzi cyane. Ntukigere ujugunya inshinge n'inshinge byakoreshejwe mu myanda.Kubikora bishobora gushyira abandi mu kaga. Hari agasanduku ka pulasitiki k'umuhondo (agasanduku k'ibishari) kabigenewe ushobora gukoresha mu kujugunya ibyo bintu. Bishyiremo kandi nibyuzuye, ubishyire mu bitaro cyangwa mu ivuriro ryawe. Niba udafite, ubaze ibyako hanyuma ubisabe.
Bite ho iyo mfashe imiti myinshi?
Niba utekereza ko wafashe ikinini kirenze urugero ku bushake, 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.
Bite ho ninsiba gahunda yo gufata imiti?
Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Ugomba kandi kwitondera indi miti ufata mugihe ufata enoxaparin. Imiti imwe ishobora kugira ingaruka kuri yo bigatuma ibyago byo kuva amaraso biyongera.
| Ibintu byo kwitondera cyane cyane |
|---|
| Asipirine n'indi miti isa nayo. |
| Indi miti igabanya amaraso (urugero: Warfarin, Clopidogrel). |
| Imiti igabanya ububabare n'imiti igabanya ububyimbirwe (NSAIDs). Urugero: Ibuprofen, Naproxen, Diclofenac Sodium. |
| Imiti nka Dipyridamole. |
Kubwibyo, bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti gakondo).
Ibintu byo kuzirikana mu buzima bwa buri munsi
- Irinde imvune: Ndetse no gukomereka gato bishobora gutera kuva amaraso menshi mu gihe ufata uyu muti. Kubwibyo, irinde ibikorwa bishobora gusaba kugwa, nko gukora siporo no gukoresha ibintu bityaye.
- Icyitonderwa: Ni byiza gukoresha urwembe rukoreshwa n'amashanyarazi mu gihe cyo kogosha. Nanone, oza amenyo yawe witonze ukoresheje uburoso bworoshye bw'amenyo.
- Mbere yo kubagwa:Niba ugiye kubagwa (ndetse no gukuramo iryinyo), menya neza ko wabwiye muganga ko ufata Enoxaparin.
- Gupima amaraso: Menya neza ko witabira ibizamini by'amaraso n'amavuriro yandikiwe na muganga wawe.
Ni izihe ngaruka mbi nshobora kugira?
Nk’uko bimeze ku muti uwo ari wo wose, Enoxaparin ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni mbi cyane, izindi zikaba zisanzwe.
| Niba ufite ibi bimenyetso, bwira muganga wawe ako kanya cyangwa ujye kwa muganga. | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso byo kuva amaraso | Amase y'umukara cyangwa amaraso, kuruka amaraso asa n'ifu y'ikawa, inkari zitukura cyangwa z'umukara wijimye, utudomo duto dutukura cyangwa tw'umuhengeri ku ruhu, gukomereka byoroshye, cyangwa kuva amaraso ku buryo budashobora guhagarara. |
| Ibi akenshi ntabwo ari ibintu bikomeye, ariko niba bikomeje, bwira muganga wawe. | |
| Aho bateye inshinge | Ububabare, gutukura, cyangwa kubyimba gato. |
| Ibindi | Kubyimba utubuto, amaboko, cyangwa ibirenge. |
Ubutumwa bwo kujyana mu rugo
- Enoxaparin ni umuti w'ingenzi urinda kubyimba kw'amaraso. Uwufate neza nk'uko muganga wawe abikubwiye, ku gihe, kandi nta munsi n'umwe usimbutse.
- Hari ibyago byinshi byo kuva amaraso mu gihe ufata uyu muti. Kubwibyo, witondere kandi wirinde ibikorwa n'imikino bishobora gutera imvune.
- Niba ubonye ibimenyetso byo kuva amaraso, nko kwitumamo imyanda y'umukara, kuruka amaraso, cyangwa gukomereka gato, shaka ubufasha kwa muganga byihutirwa.
- Bwira muganga wawe indi miti yose ufata. Niba ugiye kubagwa, mubwire mbere y'igihe.
- Shyira inshinge n'inshinge zakoreshejwe mu buryo bwizewe, gusa mu gikoresho gishyushya cyagenewe uwo murimo.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ibinini bya Isosorbide Dinitrate / Isordil bikoreshwa mu ki?
Uyu ni umuti ukomeye cyane wa 'vasodilator' uhabwa abarwayi b'umutima! Nitroglycerin ni ikintu cyo gufata mu gihe cy'ubutabazi bwihutirwa/indwara y'umutima, si ko bimeze, uyu ni umuti wizewe ushobora gufatwa buri munsi kugira ngo wirinde ububabare bwa angina/indwara y'umutima mu gihe kizaza no gufasha umutima mu gihe umutima ufite intege nke (umutima unaniwe).
💬 Nigute nakwirinda ububabare mu gituza/kurinda umutima wanjye mu gihe mfata ibi binini (Isordil) buri munsi?
Indwara y'umutima ibaho iyo umutsi w'amaraso mu mutima ugabanutse kandi nta maraso/ogisijeni ihagije ihari! Iyo ufashe iki gipimo, gihinduka umwuka witwa 'Nitric Oxide (NO)' mu mubiri. Uwo mwuka uruhura imitsi yose yo mu mutima wacu no mu mubiri wacu kandi ugakomeza kuyigumisha mu bugari (Continuous Vasodilation). Hanyuma, amaraso atembera mu mutima nta nkomyi, bityo nta bubabare bwo mu gituza buhari.
💬 Ni akahe kaga gakomeye abantu bafata iki kinini (Isosorbide Dinitrate) batagomba 'kwigera' bakora?
Itegeko rinini kandi ryonyine! Niba uri umuntu wafashe ibinini nka 'Viagra / Sildenafil / Cialis' kugira ngo ushishikazwe n'imibonano mpuzabitsina, ntuzigere ufata iki kinini cya nitrate hamwe n'ibyo binini! Iyo ubifashe byombi hamwe, imiyoboro yose y'amaraso izagabanuka cyane kandi umuvuduko w'amaraso yawe uzagabanuka kugera kuri zeru (Fatal Hypotension) kandi ushobora gupfa uri muri koma! Nanone, nukomeza kubifata, imiyoboro y'amaraso izakura, bityo 'umutwe' usanzwe uzaza.
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