Reka twige ku rukingo rwa Fosphenytoin. Ese ibi bizadufasha mu gihe cy'ihungabana?

Ese wowe cyangwa umuntu uzi ufite ikibazo cyo gucika intege, indwara nk'igicuri? Cyangwa ukeneye ubufasha bwo guhagarika gucika intege nyuma yo kubagwa ubwonko, cyangwa kugenzura gucika intege bibaho icyo gihe? Fosphenytoin ni urushinge rwihariye abaganga bakoresha muri bene ibyo bihe. Mu by'ukuri ibi bigenzura gucika intege binyuze mu gutuza uturemangingo tw'imitsi mu mubiri wacu duhita dusohora vuba cyane. Mu magambo make, ubwonko bwacu rimwe na rimwe bwohereza ubutumwa bw'ikoranabuhanga butari ngombwa, nk'uko ikimenyetso cya telefoni gihagarara kandi guhamagara ntibigende neza. Uyu muti ufasha kubigenzura.

Uyu muti witwa Fosphenytoin ni iki mu by'ukuri?

Muri make, Fosphenytoin ni umuti ukoreshwa mu gukumira no kugenzura indwara z'igicuri. Ibi ni ingenzi cyane ku bantu barwaye igicuri . Nanone ukoreshwa mu gukumira indwara z'igicuri mu gihe cyo kubagwa ubwonko na nyuma yabwo. Akamaro k'uyu muti ni ugutuza imitsi yacu ikora cyane. Ukora nk'aho uhumuriza umwana uhora ababaye.

Uyu muti rimwe na rimwe ushobora kwandikirwa n'abaganga ku zindi ndwara, bityo niba ufite ikibazo kuri uyu muti, ni byiza kubaza muganga wawe cyangwa umufarumasiye. Kimwe mu birango by'uyu muti ni Cerebyx .

Ni iki nabwira itsinda ry'abaganga mbere yo gukoresha uyu muti?

Mbere yuko uterwa urushinge rwa Fosphenytoin, hari ibintu bike itsinda ry’abaganga rigomba kumenya. Ibi ni ingenzi ku mutekano wawe.

• Ese waba waratwawe n'inzoga? (Indwara yo kunywa inzoga)
• Ese ukomoka muri Aziya? - Kubera ko imiterere yacu y'uturemangingo ishobora kugira ingaruka ku mikorere y'imiti imwe n'imwe.
• Ese ufite indwara cyangwa indwara z'amaraso?
• Ufite ikibazo cy'umutima? (Indwara z'umutima)
• Urwaye impyiko?
• Urwaye umwijima?
• Ese ufite umuvuduko w'amaraso uri hasi?
• Ese wowe cyangwa undi muntu wo mu muryango wawe yaba yarigeze gutekereza, ateganya, cyangwa agerageza kwiyahura?
• Ese wigeze ugira ikibazo kidasanzwe cyo kugira ubwivumbure kuri Phenytoin , indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe?
• Uratwite? Cyangwa urimo gushaka gusama? (Uratwite cyangwa urimo gushaka gusama)
• Ese uri umubyeyi wonsa? (Urimo konsa)

Niba hari kimwe muri ibi kikureba, ni ngombwa cyane kubibwira itsinda ry’abaganga kugira ngo bagufashe mu buryo bukwiye.

Ukoresha uyu muti ute?

Uyu muti witwa Fosphenytoin, utangwa nk'urushinge . Utangwa mu buryo butaziguye mu mitsi (guterwa mu mitsi cyangwa guterwa mu mitsi), cyangwa rimwe na rimwe mu mitsi (guterwa mu mitsi). Uyu ni umuti utangwa uyobowe na muganga mu bitaro cyangwa ivuriro . Si umuti ushobora kujyana mu rugo.

Ese uyu muti ushobora guhabwa abana?

Yego, mu bihe bimwe na bimwe byihariye, uyu muti ushobora no guhabwa abana bavutse. Ariko ingamba zihariye zigomba gukurikizwa. Niba rero uha umwana wawe uyu muti, vugana n'itsinda ry'abaganga bawe witonze kandi umenye amakuru arambuye.

Bigenda bite iyo ufashe imiti myinshi? (Ingano irenze urugero)

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse. Kubera ko uyu muti utangwa mu bitaro, abakozi bo kwa muganga nibo bazawufata.

Uyu muti ni uwawe gusa!

Ibi ni ingenzi cyane. Uyu muti ni uwawe gusa. Ntuzigere usangiza uyu muti undi muntu uwo ari we wese.

Bite se nintakaza dose?

Kubera ko uyu muti utangwa mu bitaro, akenshi si ngombwa gusiba dose. Abakozi bo kwa muganga nibo bazabikora.

Indi miti ishobora kugira ingaruka kuri uyu muti (Interactions)

Iki ni ingenzi cyane. Niba ufata indi miti, imwe muri yo ishobora kugira ingaruka kuri Fosphenytoin. Ibi bivuze ko gufata iyi miti yombi hamwe bishobora guhindura uburyo umuntu akora cyangwa kongera ingaruka mbi.

Hari imiti myinshi idakwiye gufatwa hamwe n'uyu muti:

• Imiti imwe ikoreshwa mu kuvura ubwandu bwa virusi itera SIDA cyangwa SIDA, iyo itanzwe hamwe na cobicistat .
• Delavirdine
• Ibrutinib
• Ranolazine

Uretse ibi, hari indi miti ishobora gukorana na Fosphenytoin:

Tekereza urimo gufata imiti ku kindi kintu. Wenda ni umuti w'ibicurane, cyangwa umuti wa cholesterol, cyangwa umuti w'umuvuduko w'amaraso. Iyo ari yo yose muri iyi miti, yaba uyigura muri farumasi cyangwa kwa muganga, ishobora kugira ingaruka kuri fosfenitoin. Niyo mpamvu ari ngombwa kubwira muganga wawe imiti yose ufata, ndetse na vitamine. Hasi hari ingero nke:

• Albendazole
• Inzoga
• Aspirin n'imiti imeze nka aspirine
• Imiti imwe n'imwe ivura umuvuduko w'amaraso, urugero nifedipine, nimodipine, na verapamil
• Imiti imwe n'imwe ivura kanseri
• Imiti imwe ikoreshwa mu kugabanya cholesterol, urugero nka atorvastatin, simvastatin, na fluvastatin
• Imiti imwe n'imwe ivura ihungabana, imihangayiko, cyangwa ibibazo byo mu mutwe
• Imiti imwe n'imwe ivura indwara z'ibihumyo, urugero nka ketoconazole na itraconazole
• Imiti imwe n'imwe ivura indwara z'umutima zidakora neza, urugero nka amiodarone na quinidine
• Indi miti ivura indwara zo mu mutwe, nka carbamazepine, phenobarbital, na topiramate
• Imiti imwe n'imwe ivura ibibazo byo mu gifu, urugero nka cimetidine na omeprazole
• Chloramphenicol
• Cyclosporine
• Diazoxide
• Digoxin
• Disulfiram
• Doxycycline ( Doxycycline )
• Imisemburo ya estrogene cyangwa progestin
• Furosemide
• Halothane
• Isoniazide
• Imiti iruhura imitsi yo kubagwa
• Imiti ikoreshwa mu kuvura ubwandu bwa virusi itera SIDA cyangwa indwara ya SIDA
• Methylphenidate
• Imiti yo kugabanya ububabare ya Opioid
• Phenothiazine, urugero nka chlorpromazine, mesoridazine, prochlorperazine, thioridazine
• Praziquantel
• Reserpine
• Rifampine
• Umuti wa Mutagatifu Yohani (iki ni icyatsi)
• Imiti ya steroid, nka prednisone cyangwa cortisone
• Sulfonamides, nka sulfamethoxazole cyangwa sulfasalazine
• Intungamubiri z'inyongera nka aside folike cyangwa vitamine D
• Theophylline
• Ticlopidine
• Tolbutamide
• Warfarin

Uru rutonde ntirurimo imiti yose. Kubwibyo, ni ngombwa kwandika imiti yose ufata, harimo imiti ikomoka ku bimera, imiti igurishwa mu kigo cya leta, n'inyongeramusaruro.Bwira muganga wawe ibijyanye n'imiti yawe. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Ibi bintu bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu bimwe na bimwe tugomba kwitondera cyane cyane mu gihe dufata uyu muti?

Iyo uhawe Fosphenytoin, itsinda ry'abaganga bawe rizasuzuma ubuzima bwawe buri gihe.

• Gusuzumwa kwa muganga buri gihe: Muganga wawe azagusuzuma buri gihe kugira ngo arebe ko umeze neza kandi arebe neza ko umuti ukora neza. Bashobora kandi gukenera gukora ibintu nko gupima amaraso . Ibi biterwa nuko ugomba gukurikiranwa witonze cyane mu gihe ukoresha uyu muti.
• Ntuhagarike gufata umuti mu buryo butunguranye: Ntuhagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora kongera ibyago byo kurwara indwara zo mu mutwe.
• Ikarita iranga umuntu: Ni byiza kwambara ikarita iranga umuntu, umukufi, cyangwa umukufi uriho ibisobanuro birambuye ku ndwara yawe n'imiti ufata, kuko ishobora kuba ingirakamaro cyane mu gihe cy'impanuka.
• Indwara zikomeye z'uruhu: Indwara zikomeye z'uruhu zishobora kubaho mu byumweru bike cyangwa amezi make uhereye igihe utangiye uyu muti. Bibwire itsinda ry'abaganga ako kanya niba ugize uduheri ku ruhu tugaragaza ibimenyetso nk'umuriro cyangwa ubukonje. Uduheri dushobora kuba dutukura cyangwa umuhengeri, hanyuma tugashobora gucika uduheri. Cyangwa ushobora kubona uduheri dutukura mu maso, ku minwa, mu ijosi, cyangwa mu maha yawe hamwe n'uturemangingo tw'imitsi tubyimbye. Niba ubonye ikintu nk'iki , shaka ubufasha kwa muganga ako kanya .
• Kuzungera no gusinzira: Ushobora kumva uzungera cyangwa usinziriye. Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikindi kintu cyose gisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Kugira ngo ugabanye ibyago byo kuzungera cyangwa gucika intege, ntukicare cyangwa ngo uhaguruke bitunguranye. Ibi ni ingenzi cyane cyane niba ugeze mu za bukuru. Kunywa inzoga bishobora gutuma uzungera, ukagira isereri, kandi umutima wawe utera vuba. Irinde rero kunywa inzoga.
• Indwara y'ishinya: Uyu muti ushobora gutera gukura ku buryo budasanzwe kw'ishinya. Kubwibyo, jya kwa muganga w'amenyo buri gihe. Niba ukeneye kuvurwa amenyo, witondere kutangiza ishinya yawe mugihe woza amenyo yawe buri munsi.
• Ibitekerezo byo kwiyahura: Uyu muti ushobora kongera ibyago byo gutekereza cyangwa gukora ibikorwa byo kwiyahura. Kubwibyo, shyira imbere cyane imiterere y'imitekerereze yawe mu gihe ufata uyu muti. Niba umerewe nabi, wumva ugiye gupfa, cyangwa ufite ibitekerezo byo kwiyahura , bwira itsinda ry'abaganga ako kanya .
• Kubura aside folike:Uyu muti ushobora kugabanya urugero rwa aside folike yawe. Bityo rero ugomba kumenya neza ko ubona aside folike ihagije mu gihe ufata uyu muti. Vugana n'itsinda ry'abaganga ku byerekeye ibiribwa na vitamine ufata.

Ingaruka mbi zishobora kubaho kuri uyu muti

Kimwe n'indi miti yose, Fosphenytoin ishobora gutera ingaruka mbi. Zimwe muri zo ni ibintu ugomba kubwira muganga wawe ako kanya, mu gihe izindi akenshi ziba atari zikomeye ariko zigomba kumenyeshwa niba zikomeje.

Ingaruka mbi zigomba kumenyeshwa muganga ako kanya:

• Indwara zo kurwara cyangwa indwara ya angioedema: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, mu maso, mu minwa, mu rurimi, mu maboko cyangwa mu birenge, kugorwa no kumira cyangwa guhumeka.
• Imihindagurikire y'umutima: umutima utera vuba cyangwa utari mwiza, isereri, gucika intege, kubabara mu gatuza, guhumeka bigoranye.
• Isukari nyinshi mu maraso (Hyperglycemia): Inyota ikabije cyangwa kwihagarika kenshi, intege nke cyangwa umunaniro udasanzwe, kutabona neza.
• Kwandura: Umuriro, inkorora, inkorora, cyangwa kubabara mu muhogo.
• Gukomereka k'umwijima: Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, intege nke cyangwa umunaniro udasanzwe.
• Ububabare, kubyimba, ibara ry'ubururu cyangwa umuhengeri aho bateye inshinge.
• Uburozi bwa Phenytoin: Ingendo z'amaso zitagenzurwa, kubura uburinganire cyangwa guhuza imikorere, kugorwa no kuvuga, intege nke cyangwa umunaniro udasanzwe, isesemi, kuruka.
• Ibisebe, umuriro, n'uturemangingo tw'imitsi tubyimba.
• Gutukura, kubyimba, gukurura, cyangwa kurekura uruhu (harimo no mu kanwa).
• Umutima utera buhoro: isereri, gucika intege, urujijo, guhumeka bigoranye, intege nke cyangwa umunaniro udasanzwe.
• Utunyangingo tw’imitsi tubyimba mu ijosi, mu kibuno, mu gituza, cyangwa mu kwaha.
• Gukomereka cyangwa kuva amaraso bidasanzwe.

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje:

• Kumva ubushye cyangwa gushyuha mu biganza cyangwa ibirenge.
• Kugorwa no gutekereza, kwibuka, cyangwa kuvuga.
• Kuzungera.
• Gusinzira.
• Umutwe.

Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Niba uhuye n'izindi ngaruka mbi, vugana na muganga wawe kugira ngo akugire inama. Niba ubyifuza, ushobora kandi gutanga raporo ku kigo gishinzwe ibiribwa n'imiti (FDA) kuri 1-800-FDA-1088.

Ni gute nabika umuti?

Uyu muti witwa Fosphenytoin, utangwa mu bitaro cyangwa mu ivuriro. Ntabwo rero ugomba kuwujyana mu rugo ngo uwubike. Abakozi bo kwa muganga ni bo bazawufata.

Amaherezo, icyo kwibuka

Noneho rero ndizera ko usobanukiwe neza n'uru rushinge rwitwa Fosphenytoin. Wibuke ko uyu ari umuti w'ingenzi ukoreshwa mu kurwanya ibicurane. Ariko hari n'ibintu bike ugomba kwitondera mu gihe uwukoresha.

Igikuru ni ukumva ibyo muganga wawe avuga no kubikurikiza neza. Niba ufite ikibazo cyangwa gushidikanya, ntukabihishe, ahubwo baza muganga wawe, umuforomo, cyangwa umufarumasiye. Barahari kugira ngo bagufashe.

Uru rupapuro rw'amakuru ni incamake gusa. Rushobora kuba rudafite ibisobanuro byose. Niba rero ufite ibindi bibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi wawe.

Fosfenitoyine , ibibyimba, igicuri, inkingo, ingaruka mbi, kubagwa ubwonko, uturemangingo tw'imitsi