Tekereza ko mu gihe arya ibiryo nk'ibishyimbo by'inkoko n'inshuti yawe, ahita ahura n'ingorane zo guhumeka, umubiri we wose ugahinduka umutuku, iminwa ye ikabyimba. Cyangwa arwaye asima cyane kandi arahumeka. Mu gihe nk'iki cyihutirwa gishyira ubuzima mu kaga, umuti w'ingenzi cyane abaganga bakoresha witwa epinephrine. Hari n'abandi bawita adrenaline. Reka tubiganireho mu buryo bworoshye kandi busobanutse uyu munsi.
Epinephrine ni iki?
Muri make, epinephrine ni umuti ukoreshwa mu kuvura ingaruka zikomeye z'ubwivumbure, nka anaphylaxis, cyangwa indwara zitunguranye kandi zikomeye za asima. Hari n'igihe ukoreshwa mu kuvura indwara nko kugabanuka k'umuvuduko w'amaraso no gutera buhoro k'umutima.
Uyu muti ugenzura vuba ibimenyetso by'allergie, nko kugorwa no guhumeka, kubyimba mu maso no ku minwa. Wongera kandi umuvuduko w'umutima kandi ugafunga imiyoboro y'amaraso, bigatuma umuvuduko w'amaraso ugera ku rugero ruhamye. Uyu ni umuti ukiza ubuzima by'ukuri.
Ni iki muganga agomba kumenya mbere yo gukoresha uyu muti?
Mbere yuko uhabwa uru rukingo, itsinda ry’abaganga rigomba kumenya ubuzima bwawe. Menya neza ko wabibwiye muganga wawe niba ufite kimwe muri ibi bikurikira:
- Diyabete (Diabete Mellitus)
- Indwara ya Glaucoma
- Ubwoko ubwo aribwo bwose bw'indwara z'umutima
- Umuvuduko ukabije w'amaraso
- Indwara y'impyiko
- Indwara ya Parkinson
- Indwara yitwa Pheochromocytoma
- Indwara ya tiroyide
- Niba ufite allergie kuri epinephrine cyangwa undi muti, ibiryo, cyangwa irangi
- Niba utwite cyangwa ugerageza gutwita
- Niba uri umubyeyi wonsa umwana
Ukoresha uyu muti ute?
Ibi ni ingenzi cyane. Epinephrine si umuti ushobora gukoresha mu rugo. Utangwa gusa n'itsinda ryita ku barwayi mu bitaro cyangwa ku ivuriro. Bazawutera mu mitsi, munsi y'uruhu, cyangwa mu mitsi.
Ese uyu muti muwuha abana?
Yego, mu bihe bimwe na bimwe byihutirwa, uru rukingo ruhabwa n'abana. Ariko muganga ni we wenyine ubyemeza, hamwe n'uburyo bwihariye bwo kwirinda. Bityo rero vugana na muganga wawe kuri urwo rukingo.
Bite ho iyo mfashe imiti myinshi?
Kubera ko ibi bitangwa mu bitaro, amahirwe yo kubigeraho ni make cyane. Ariko niba ikintu nk'iki kibaye cyangwa ufite gushidikanya kuri byo, shaka ubufasha bwa muganga byihutirwa.Igikenewe gukorwa ni ukumenyesha Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo cyangwa kwakirwa mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) .
Wibuke ko uyu muti ari uwawe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese, keretse umuntu wanditswe na muganga.
Ni iyihe miti yindi ishobora kugira ingaruka kuri epinephrine?
Yego, imiti imwe n'imwe ishobora kugira ingaruka kuri epinephrine, bityo rero ni ngombwa kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro).
Imbonerahamwe iri hepfo ishobora kubisobanura neza.
| Icyiciro cy'ibiyobyabwenge | Ibisobanuro / Ingero |
|---|---|
| Imiti igabanya ububabare muri rusange | Hari ubwoko bumwe na bumwe bw'imyuka ikoreshwa mu gutera ikinya mu kubaga (urugero: desflurane, isoflurane). Epinephrine ntitangwa hamwe n'ibi. |
| Imiti ivura allergie, inkorora, n'ibicurane (Antihistamines) | Ubwoko bwinshi bw'imiti igabanya ubukana bw'indwara. |
| Imiti ivura umuvuduko w'amaraso n'indwara z'umutima | Ibyiciro nka beta-blockers na ACE inhibitors. |
| Imiti ivura kwiheba, guhangayika | Amatsinda nka tricyclic antidepressants na MAOIs. |
| Indi miti | Digoxin, Diuretics, Levothyroxine, Oxytocin, Theophylline, Steroids (nka prednisone) |
Uru rutonde rushobora kuba rutuzuye, bityo rero ku bw'umutekano wawe, nyamuneka menyesha muganga wawe imiti yose ufata.
Ni izihe ngaruka mbi zishobora kubaho?
Nk’uko bimeze ku muti uwo ari wo wose, epinephrine ishobora gutera ingaruka zimwe na zimwe. Ariko si buri wese uzibona. Zimwe ni mbi cyane, izindi ni ibisanzwe. Ni ngombwa kuzimenya.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ibintu ugomba gutangariza itsinda ry'abaganga ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, umuhogo. |
| Ibimenyetso by'indwara y'umutima | Kubabara mu gituza cyangwa gufungana, kubabara mu bitugu, mu maboko, mu ruhago, isesemi, guhumeka bigoranye, kubira ibyuya byinshi. |
| Impinduka mu mikorere y'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye. |
| Gukomereka kw'impyiko | Kugabanuka k'umuvuduko w'inkari, kubyimba utubuto tw'ibirenge, amaboko n'ibirenge. |
| Ububabare aho umuntu atewe urushinge | Kubabara, gutukura, cyangwa kubyimba aho bateye urushinge. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Ingorane zo mu mutwe | Guhangayika, kubura amahoro. |
| Izindi ngingo nto | Kuzunguruka , kuribwa umutwe, gutera ubwoba cyane, intege nke z'imitsi, isesemi, guhinda, kubira ibyuya, guhinda umushyitsi, kuruka. |
Ubutumwa bwo kujyana mu rugo
- Epinephrine ni umuti w'ingenzi cyane, urokora ubuzima ukoreshwa mu bihe bishobora gushyira ubuzima mu kaga nko kugira aleriji ikomeye (anaphylaxis) no kurwara asima.
- Uru rukingo rutangwa gusa n'itsinda ry'abaganga mu bitaro cyangwa ivuriro. Si umuti wo gukoreshwa cyangwa kubikwa mu rugo.
- Ni ngombwa kumenyesha muganga wawe izindi ndwara zose ufite hamwe n'imiti yose ufata.
- Niba ugize ingaruka mbi zikomeye, nko kubabara mu gatuza cyangwa guhumeka nabi cyane, menyesha itsinda ry’abaganga ako kanya.
- Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, ntutindiganye kubaza muganga wawe.
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