Ese muganga wawe yaba yarakwandikiye umuti w'amazi witwa 'Fenfluramine', umuntu wo mu muryango wawe, cyane cyane umwana, ku ndwara yitwa 'Epilepsy'? Izina ry'uyu muti rishobora kuba Fintepla. Ni ibisanzwe kugira ibibazo bimwe na bimwe, amatsiko, ndetse no kugira ubwoba gato iyo ubonye umuti mushya nk'uyu. None rero uyu munsi, reka tuganire mu buryo bworoshye kandi mu kinyabupfura ku bijyanye n'uyu muti n'icyo tugomba kumenya mu gihe tuwukoresha.
Ni iki koko kigenda gitya kuri uyu muti?
Muri make, Fenfluramine ni umuti ukoreshwa mu kurwanya indwara zo mu bwonko cyangwa indwara zo mu mutwe ziterwa n'igicuri. Izi ndwara ziba iyo imitsi yo mu bwonko bwacu rimwe na rimwe ikora cyane. Bityo icyo uyu muti ukora ni ugutuza iyo mitsi ikora cyane. Binyuze muri ibi, irinda cyangwa ikagenzura indwara zo mu mutwe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yuko muganga wawe akwandikira uyu muti, azakenera kumenya amateka yawe (cyangwa ay'umurwayi). Ni ngombwa ko umenya ukuri kuri ibi bintu kugira ngo umutekano wawe ube inyangamugayo.
Mu kubwira muganga wawe ibyerekeye imiti yose ufata n'indwara zose ufite, ashobora kuguha uburyo bwiza kandi bwizewe bwo kuvura.
Niba ufite kimwe muri ibi bikurikira, banza ubwire muganga wawe mbere yo gutangira imiti.
| Indwara cyangwa amahirwe | Kuki ugomba kubimenyesha muganga? |
|---|---|
| Indwara z'umutima cyangwa umuvuduko ukabije w'amaraso | Uyu muti rimwe na rimwe ushobora kugira ingaruka ku mutima no ku muvuduko w'amaraso. |
| Indwara y'impyiko cyangwa umwijima | Igipimo gishobora gukenera guhindurwa kuko gishobora kugira ingaruka ku gikorwa cyo gukura umuti mu mubiri. |
| Ibibazo by'ubuzima bwo mu mutwe (kwiheba, ibitekerezo byo kwiyahura) | Uyu muti rimwe na rimwe ushobora guhindura imiterere y'ubwonko, bityo rero hakenewe kwitabwaho by'umwihariko. |
| Kurwara ubwivumbure ku yindi miti, ibiryo, cyangwa ibindi bintu | Ibi ni ingenzi kumenya niba hari ubwivumbure ku muti cyangwa ibikoresho byawo. |
| Niba utwite, ugerageza gutwita, cyangwa wonsa | Muri ibi bihe, ni ngombwa kuvugana na muganga ku ngaruka z'umuti. |
Uyu muti nkwiye kuwukoresha nte?
- Igipimo gikwiye: Buri gihe fata umuti wawe nk'uko muganga wawe yabigutegetse, mu gihe gikwiye. Kubera ko uyu ari umuti w'amazi, koresha seringe cyangwa igikombe cyo gupimira cyatanzwe kugira ngo uwupime. Ntugakoreshe ibiyiko byo gupimira mu gikoni cyangwa utuyiko, kuko atari byo kandi bishobora gutera igipimo kitari cyo.
- Mbere cyangwa nyuma yo kurya?: Uyu muti ushobora gufatwa n'ibiryo cyangwa utabirya. Ariko, niba urwaye igifu, ni byiza kuwufata hamwe n'ibiryo.
- Ntugahagarike giturumbuka: Uko waba wumva umeze kose, ntugahagarike gufata imiti giturumbuka utabanje kugirwa inama na muganga. Kubikora bishobora gutuma indwara yo kuruhuka igaruka vuba.
- Iyo abana bahawe: Uyu muti uhabwa abana barengeje imyaka 2 mu bihe bimwe na bimwe. Ariko, ugomba kwitonda cyane, bityo ukurikize amabwiriza ya muganga witonze.
Wakora iki niba wabuze dose y'umuti?
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. Ntugafate dose ebyiri kugira ngo wishyure dose yabuze.
Indi miti ishobora kugira ingaruka kuri uyu muti
Indi miti ufata ishobora kugira ingaruka kuri Fenfluramine, bityo rero bwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro) .
| Ntugafate Fenfluramine hamwe n'uyu muti. | |
|---|---|
| Linezolid, Tedizolid | MAOIs (urugero: Carbex, Eldepryl, Marplan) |
| Ubururu bwa Methylene | |
| Menya neza ko wabibwiye muganga wawe niba ufata ibi. | |
| Imiti ivura ibicurane n'allergie (Antihistamines) | Imiti ivura ibibazo by'ubuzima bwo mu mutwe n'ihungabana |
| Indi miti itangwa ku ndwara yo gupfukama (urugero: Clobazam, Phenobarbital) | Imiti itera gusinzira no guhangayika |
| Imiti igabanya ububabare (cyane cyane morphine) | Imiti itangwa kugira ngo itume umuntu asinzira mu gihe cyo kubagwa |
| Rifampin (umuti uvura igituntu) | Umuti wa St. John (inyongeramusaruro y'ibimera) |
Ibintu ugomba kuzirikana mu gihe ufata imiti n'ingaruka mbi
Tugomba kwitondera cyane ibintu bimwe na bimwe mu gihe dufata uyu muti.
Ibintu ugomba kumenya muri rusange
- Gusinzira no kuzungera: Uyu muti ushobora gutera gusinzira no kuzungera. Kubwibyo , irinde ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
- Guhindura imiterere: Iyo uhagurutse mu buryo butunguranye uvuye mu mwanya wicaye cyangwa uhagaze, ushobora kumva uzunguza umutwe ukagwa. Rero hindura imiterere kenshi.
- Inzoga:Kunywa inzoga bishobora guhindura ingaruka z'imiti no kongera gusinzira. Kubwibyo, ni byiza kwirinda inzoga.
- Impinduka mu myitwarire: Ibi ni ingenzi cyane. Niba ubonye impinduka nshya mu myitwarire yawe cyangwa ku muntu ufata imiti, nko kumva ubabaye, wihebye, cyangwa ufite ibitekerezo byo kwiyangiza, hamagara muganga wawe vuba vuba.
Ingaruka mbi
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Niba ubonye ibi bimenyetso, hita ubibwira muganga wawe. | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Ibibazo by'imitsi y'umutima | Guhumeka bigoranye, kubabara mu gituza, umunaniro udasanzwe, isereri, kwiyongera ibiro mu buryo butunguranye. |
| Umuvuduko ukabije w'amaraso mu mitsi y'ibihaha (PAH) | Kugorwa no guhumeka, kubyimba utubuto tw'amaguru, amaboko n'ibirenge, kubabara mu gituza, n'iminwa y'ubururu. |
| Indwara ya Serotonin | Kudatuza, umutima utera cyane, imitsi irushaho gukomera, ibyuya byinshi, umuriro, kuruka, impiswi. |
| Impinduka mu cyerekezo | Kubabara amaso mu buryo butunguranye, kutabona neza, kubona impeta zikikije amatara. |
| Impinduka mu mutwe | Ibitekerezo byo kwiyahura, ihindagurika ry'amarangamutima, kwiheba. |
| Ibimenyetso akenshi bitari bikomeye, ariko bigomba kumenyeshwa muganga mu gihe bikomeje | |
| Kubabara mu gifu, impiswi, impatwe | Kubura ubushake bwo kurya no kugabanya ibiro |
| Kuzungera, gusinzira | Kumva ufite intege nke, ugatakaza uburinganire mu gihe ugenda |
Bite se niba ufashe imiti myinshi? (Kuba warengeje urugero)
Niba utekereza ko wafashe imiti myinshi cyane wibeshye, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Ni gute nabika umuti?
Bika uyu muti ahantu abana n'amatungo batagera. Uwurinde ubujura, kuko uyu ari umuti ushobora gukoreshwa nabi. Ntugakoreshe umuti warengeje igihe. Baza muganga wawe inama z'uburyo bwo kujugunya neza umuti utarakoreshejwe cyangwa warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Fenfluramine ni umuti uhabwa umuntu uvura indwara. Buri gihe fata neza nk'uko muganga akubwira, ku gipimo gikwiye, kandi mu gihe gikwiye.
- Ntugahagarike gufata umuti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga ataguhaye inama.
- Bwira muganga wawe indi miti yose ufata (harimo na vitamine).
- Niba ugize ingaruka mbi zikomeye nko guhindura imyitwarire, kugorwa no guhumeka, cyangwa kubabara mu gituza mugihe ufata imiti, shaka ubufasha bwa muganga byihutirwa.
- Bika uyu muti ahantu abana batagera. Uyu muti ni uw'umuntu wanditsweho. Ntukawusangize abandi.
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