Ese muganga wawe yaba yaraguteye urushinge rwa aside folike? Wenda utwite, cyangwa se wararuhawe kubera ikindi kibazo cy'ubuzima. Kumva iri zina bishobora gutera ibibazo byinshi. Ni ibisanzwe ko ibintu nka "Iki gikoreshwa iki?", "Kizagenda bite kuri iki?", "Ese nta kibazo?" biza mu mutwe. None rero uyu munsi, reka tuvuge kuri uru rushinge, akamaro karwo, n'ibintu ugomba kwitondera mu gihe urukoresha, mu buryo bworoshye kandi bwiza.
Reka tubanze turebe, aside folike ni iki?
Mu magambo make, aside folike ni vitamine B ikenewe cyane ku mubiri wacu. Mu by’ukuri, ni ubwoko bwa vitamine B9 ikorwa mu buryo bw’ubukorano. Tekereza ku mubiri wacu nk'inzu. Dukeneye ubwoko butandukanye bw'amatafari kugira ngo twubake iyi nzu, si byo se? Mu buryo nk'ubwo, izi vitamine zirakenewe kugira ngo twubake kandi tubungabunge ibintu by'ingenzi mu mubiri wacu.
Aside folike ikora imirimo myinshi y'ingenzi mu mubiri wacu:
- Gukora uturemangingo dutukura tw'amaraso: Aside folike ni ingenzi mu gukora uturemangingo dutukura tw'amaraso, dutwara umwuka wa ogisijeni mu mibiri yacu. Iyo tubuze, turwara indwara yitwa anemia.
- Ubuzima bw'ubwonko: Ibi binafasha mu kubungabunga imikorere myiza y'ubwonko.
- Mu gihe cyo gutwita: Aside folike ni ingenzi ku mubyeyi no ku mwana uri mu nda. Ni ingenzi cyane cyane mu mikurire y'ubwonko bw'umwana n'umugongo. Kubura aside folike bigabanya cyane ibyago byo kuvukana ibibazo bikomeye mu mitsi.
Ubusanzwe ibi tubibona mu buryo bw'ibinini. Ariko rimwe na rimwe, iyo umubiri udashobora kubikuramo neza binyuze mu biryo, cyangwa iyo ukeneye kongera vuba urugero rwa aside folike mu mubiri wawe, abaganga bakugira inama yo kubitera urushinge.
Ibintu ugomba kubwira muganga wawe mbere yo gukingirwa
Nubwo iyi ari vitamine, ni ngombwa ko umuganga wawe amenya neza ubuzima bwawe, cyane cyane ibi bikurikira:
| Uko umeze | Kuki ibyo ari ingenzi? |
|---|---|
| Indwara y'impyiko | Kubera ko umuti uvanwa mu mubiri binyuze mu mpyiko, igipimo gishobora kuba ngombwa ko gihindurwa. |
| Kubura amaraso cyangwa kubura vitamine B12 | Ibi ni ingenzi cyane. Aside folike ishobora gukumira ibimenyetso byo kubura vitamine B12. Ariko kwangirika kw'imitsi biracyakomeza. Kubwibyo, aya makuru ni ingenzi kugira ngo muganga akore isuzuma ryimbitse. |
| Allergie | Bwira muganga wawe niba ufite allergie kuri aside folike, izindi vitamine B, ibindi bigize urukingo (urugero: benzyl alcohol), cyangwa indi miti cyangwa ibiryo. |
| Gutwita cyangwa kugerageza gutwita | Nubwo ibi bikunze gusabwa mu gihe utwite, ni ngombwa ko muganga wawe amenya uko umeze. |
| Konsa | Ni ngombwa kuganira na muganga wawe ku bijyanye no gukoresha imiti mu gihe cyo konsa. |
Uru rukingo rukoreshwa rute?
Urukingo rwa aside folike rukunze gutangwa mu bitaro cyangwa mu ivuriro. Rutangwa na muganga cyangwa umuforomo. Hari uburyo bwinshi bwo kubona urukingo:
- Iterwa mu mitsi (IV) - `(Ijya mu mitsi)`
- Indwara zo mu nda (IM)
- Munsi y'uruhu - `(Subcutaneous cyangwa SC)`
Hari igihe muganga wawe ashobora kukwereka uburyo bwo gutanga urukingo mu rugo. Niba ari uko bimeze, kurikiza amabwiriza neza . Ni ngombwa cyane gufata doze ikwiye mu gihe gikwiye.
Icy'ingenzi cyane: Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Bishobora guteza akaga abandi. Hari agasanduku kabigenewe. Niba udafite, baza muganga wawe ibyabyo.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero ku bushake, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo .
Bite ho ninsiba gahunda yo gufata imiti?
Fata dose ukimara kubyibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Imiti imwe n'imwe ufata ishobora kugira ingaruka ku buryo aside folike ikora, naho aside folike ikagira ingaruka kuri iyo miti. Ingero zimwe ni izi:
- Chloramphenicol (umuti urwanya udukoko)
- `Cholestyramine` (umuti ugabanya cholesterol)
- Imiti imwe n'imwe ivura indwara zo mu mutwe
- `Methotrexate` (umuti ukoreshwa mu kuvura kanseri n'izindi ndwara)
- Nitrofurantoin (umuti urwanya udukoko)
- Pyrimethamine (umuti ukoreshwa mu kuvura indwara nka malariya)
Uru rutonde ntabwo rurambuye. Kubwibyo, menya neza ko wabwiye muganga wawe indi miti, vitamine, imiti y'ibimera, cyangwa inyongeramusaruro urimo gufata. Nanone, bwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, guterwa inshinge za aside folike bishobora guteza ingaruka mbi ku bantu bamwe na bamwe. Ariko, izi ntizikunze kubaho cyane. Reka turebere hamwe izo ngaruka mbi.
| Ubwoko bw'ingaruka mbi | Ibimenyetso |
|---|---|
| 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. |
| Guhumeka bigoranye | Kugorwa no guhumeka, guhumeka nabi, nibindi. |
| Ibimenyetso by'imitsi | Ububabare, ibinya, cyangwa kubura ibyiyumvo mu maguru. |
| Ibi akenshi ntabwo ari ibintu bikomeye, ariko niba bikomeje, bwira muganga wawe. | |
| Kubabara muri rusange | Kumva nta buzima mfite kandi ndushye. |
| Anorexia | Kugabanuka k'ubushake bwo kurya. |
| Isesemi | Kumva ushaka kuruka. |
Niba ubonye ibindi bimenyetso bidasanzwe bitari kuri uru rutonde, vugana na muganga wawe ku byerekeye ibyo bimenyetso.
Ubutumwa bwo kujyana mu rugo
- Aside folike (vitamine B9) ni ingenzi ku mubiri wacu, cyane cyane mu gukora uturemangingo dutukura tw’amaraso, imikorere y’ubwonko, no gukura kw’umwana mu gihe atwite.
- Menya neza ko wabwiye muganga wawe indi miti yose ufata n'izindi ndwara zose ufite (cyane cyane indwara z'impyiko, kubura vitamine B12).
- Niba ubona ko wafashe imiti myinshi cyane, jya mu Ishami ry’Ubutabazi bw’Ibanze (ETU) ako kanya.
- Niba ugize ibimenyetso by'ubwivumbure (uduheri ku ruhu, kuribwa, kubyimba mu maso/mu muhogo, kugorwa no guhumeka), shaka ubufasha bwa muganga vuba.
- Nubwo iyi ari vitamine, ikoreshe gusa ubigiriweho inama na muganga, mu gipimo cyagenwe. Vugana na muganga wawe nta guhishanya ku bibazo byawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ibinini/udupira twa Dofetilide (Dofetilide / Tikosyn) ni umuti ukomeye cyane ukoreshwa mu ndwara iyihe?
Uyu si umuti usanzwe! Uyu ni wo muti ukomeye kandi wa nyuma (Class III Antiarrhythmic) abaganga bakoresha kugira ngo bagarure umutima kuri 'Normal Sinus Rhythm' iyo icyumba cyo hejuru cy'umurwayi gikubise vuba cyane (Atrial Fibrillation / Atrial Flutter), indwara iteje akaga cyane aho icyumba cyo hejuru cy'umutima gikubita vuba cyane kandi mu buryo butunguranye!
💬 Iyo umutima urimo gutera cyane, ni gute uyu muti (Dofetilide) ushobora kuvugurura umuvuduko w'umutima?
Umutima utera unyuze mu bimenyetso by'amashanyarazi (Action Potentials). Iyo utera cyane, uturemangingo tw'amashanyarazi dutera vuba cyane! Icyo iki gipimo (Potassium channel blocker) gikora iyo cyinjiye mu mutima ni ukongera no gutinza igihe bifata kugira ngo uturemangingo tw'amashanyarazi tw'umutima dutere kandi twongere dusubiremo/turuhuke (Repolarization phase / QT interval)! Hanyuma umutima ntushobora gutera vuba ubutaha kandi umuvuduko w'umutima uhita usubira ku murongo (buhoro).
💬 Kuki handitse ngo 'Ugomba kumara iminsi 3 mu bitaro (Umuburo w'agasanduku k'umukara)' iyo utangiye gufata uyu muti (Tikosyn)?
Iyo ni yo ngorane ikomeye n'urupfu! Ibi ni nko gukora umuvuduko w'umutima, kandi ukimara gufata ibinini bike, 'umuvuduko mushya w'umutima wica (Torsades de pointes / Proarrhythmia)' ushobora kubaho maze umurwayi agahita apfa cyangwa akagwa muri koma! Kubwibyo, mu minsi 3 ya mbere, abaganga bakomeza kuvura umurwayi kuri ECG no kugenzura impyiko mbere yo guhindura urugero rw'umuvuduko.
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