Ese ufite ibinure byinshi na cholesterol mu maraso yawe? Reka twige kuri Gemfibrozil!

Ushobora kuba warumvise ko bamwe mu baganga bacu basaba umuti witwa Gemfibrozil ku bantu bafite ibinure byinshi mu maraso, cyane cyane abafite ibyago byo kurwara indwara yitwa pancreatitis . Uyu ni wo muti tugiye kuvugaho uyu munsi. Kubera ko abantu benshi batamenyereye ubwo bwoko bw'umuti, reka tubisobanure mu buryo bworoshye.

Ni ubuhe bwoko bw'umuti Gemfibrozil?

Mu magambo make, iki gipimo cyitwa Gemfibrozil gikoreshwa mu kugabanya ibinure byangiza (ibinure / Triglycerides ) na cholesterol mu maraso yacu. Uyu si umuti uhabwa buri wese. By'umwihariko, abaganga bawuha abantu bafite ibinure byinshi mu maraso yabo, ni ukuvuga byinshi cyane, kandi bafite ibyago byinshi byo kurwara pancreatitis. Nanone, uyu muti ugirwa inama ku batashoboye kugenzura iki gipimo cy'amavuta binyuze mu kugenzura indyo yabo gusa. Izina rizwi cyane ry'uyu muti ni Lopid.

Tekereza imiyoboro y'amaraso yacu nk'imiyoboro itwara amazi. Iyo amavuta yirundanyije muri iyo miyoboro, biragorana ko amazi atemba. Iyo hari amavuta menshi mu maraso, ashobora kubangamira amaraso atembera neza ndetse agatera ibibazo bitandukanye by'ubuzima. Ni bwo ubwo bwoko bw'imiti bugira icyo bukora.

Ni ibihe bintu ngomba kubwira muganga mbere yo gufata uyu muti?

Reka tuvuge ko muganga wawe yakwandikiye uyu muti witwa Gemfibrozil. Hari ibintu ugomba kubwira muganga wawe mbere yuko utangira gufata uyu muti. Kuko bashaka kumenya niba ufite kimwe muri ibi bikurikira:

• Urwaye cataract ?
• Urwaye indwara y'agasabo k'inkari ?
• Urwaye indwara y'umutima ?
• Urwaye impyiko cyangwa indwara y'umwijima ?
• Ese wigeze ugira ikibazo kidasanzwe cyo kugira ubwivumbure kuri gemfibrozil, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe?
• Ugomba kandi kubwira muganga wawe niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa, nawe ugomba kubimenya.

Ni ingenzi cyane ku mutekano wawe kuvuga ibi bintu utarinze kubihisha.

Ni gute neza neza ukoresha uyu muti?

Ni ngombwa kandi kumenya neza uburyo bwo gufata uyu muti. Ugomba gukurikiza amabwiriza ari ku rupapuro rwa muganga nk'uko muganga wawe abikubwira.

• Iki ginini kigomba gufatwa n'ikirahure cy'amazi .
• Muri rusange birasabwa gufata ibi iminota 30 mbere yo kurya .
• Gerageza gufata imiti yawe mu gihe kimwe buri munsi .
• Ntukanywe kenshi ugereranyije n'ibyo muganga wawe yagutegetse.
• Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Niba ugize ikibazo icyo ari cyo cyose, vugana na muganga wawe.

Niba uha abana uyu muti: Niba uha abana bato uyu muti, menya neza ko uganira na muganga w'abana ku bijyanye nawo kandi ukabagira inama. Hari igihe bashobora gukenera kwitabwaho by'umwihariko.

Niba wafashe uyu muti urenze urugero ku bushake (overdose): Niba wafashe uyu muti urenze urugero ku bushake, ni ukuvuga urenze urugero rwagenwe, jya mu ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe.

Icyitonderwa cy'ingenzi:Uyu muti wanditswe na muganga wawe. Kubwibyo, ntuwuhe undi muntu uwo ari we wese, kabone niyo ibimenyetso byawo byaba bisa n'ibyawe, ariko si byiza kuwusangira udafite inama ya muganga.

Wakora iki niba wabuze dose y'umuti?

Hari igihe biroroshye kubura doze y'umuti bitewe n'ibikorwa byawe bya buri munsi. Niba ibyo bibaye, fata vuba uko wibuka. Ariko, niba igihe cyo gufata doze ikurikira kigeze, jya usimbuka doze yabuze hanyuma ufate doze ikurikira ku gihe cyagenwe. Ntukigere ufata doze ebyiri cyangwa zirenzeho. Kubikora bishobora kongera ibyago byo kugira ingaruka mbi.

Ese uyu muti ushobora guteza ibibazo hamwe n'indi miti? (Imikoranire)

Iki ni ikintu cy'ingenzi cyane. Gemfibrozil ishobora kugira ingaruka ku yindi miti. Ibi bivuze ko kuyifata hamwe n'indi miti bishobora gutera ibibazo bidakenewe, ingorane, cyangwa kongera cyangwa kugabanya imikorere y'imiti.

Gemfibrozil ntigomba na rimwe gufatwa hamwe n'iyi miti:

• Bexarotene
• Ezetimibe
• Indi miti igabanya cholesterol nka Clofibrate na Fenofibrate
• Repaglinide
• Imiti igabanya cholesterol nka Atorvastatin, Cerivastatin, Fluvastatin, Lovastatin, Pravastatin, cyangwa Simvastatin

Nanone, imiti ikurikira ishobora kugira ingaruka ku mikorere ya Gemfibrozil:

• Warfarin (umuti ugabanya kuvura amaraso)
• Umuceri w'umusemburo utukura (hari abantu bawukoresha mu gutanga cholesterol)

Uru rutonde rushobora kuba rutarimo byose. Kubwibyo, menya neza ko wabwiye muganga wawe imiti yose ufata - imiti yanditswe na muganga, imiti idatangwa na muganga, ibikomoka ku bimera, n'inyongeramusaruro mu mirire. Menya neza ko wabwiye muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti, kuko rimwe na rimwe bishobora kugira ingaruka ku miti yawe.

Ni iki kindi tugomba kwitondera mu gihe dufata uyu muti?

Hari ibintu bike ugomba kwitondera mu gihe ukoresha uyu muti, Gemfibrozil.

• Jyana na muganga wawe buri gihe: Muganga wawe agomba kukubona buri gihe kugira ngo arebe uko umeze n'uko imiti yawe ikora. Muganga wawe azakora kandi ibizamini by'amaraso, nk'ibinure mu maraso, buri gihe.
• Iki ni igice kimwe gusa cya gahunda yuzuye: Wibuke ko uyu atari umuti gusa, ahubwo ni igice cy'ingenzi cya gahunda yuzuye yo kugabanya cholesterol yawe. Muganga wawe cyangwa inzobere mu mirire azakugira inama ku ndyo irimo cholesterol nkeya n'ibinure bike. Ni ingenzi kandi kwirinda inzoga n'itabi burundu, no gukomeza gukora imyitozo ngororamubiri myiza buri munsi. Iyo ibi byose bihuye, ushobora kugabanya ibyago byo kurwara indwara z'umutima n'indwara z'imitsi y'amaraso.
• Niba urwaye diyabete: Niba urwaye diyabete, gukomeza kugabanya igipimo cy'isukari mu maraso bizafasha no kunoza urugero rw'ibinure mu maraso. Gemfibrozil ishobora guhindura uburyo imiti yawe ya diyabete ikora. Ibi bishobora gusaba impinduka mu gipimo cy'iyo miti. Rero, buri gihe vugana na muganga wawe kuri ibi kandi umugire inama.
• Gusinzira/Kuzungera: Uyu muti ushobora gutuma usinzirira cyangwa uzungera. Kubwibyo, ni byiza kwirinda gutwara imodoka, gukoresha imashini ziremereye, cyangwa gukora indi mirimo isaba ubwenge kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahaguruke cyangwa ngo uhaguruke wicaye mu buryo butunguranye, cyane cyane niba ugeze mu za bukuru.Kubikora bizagabanya amahirwe yo kuzungera no kugwa.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Gemfibrozil ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo zigomba guhita zimenyeshwa muganga wawe.

Ingaruka mbi zigomba kumenyeshwa umuganga cyangwa umuganga vuba bishoboka:

• Ibimenyetso by'ibicurane cyangwa ibicurane
• Inkari z'umuhondo wijimye cyangwa iz'umukara
• Ububabare bwo mu mugongo wo hasi cyangwa ku ruhande
• Ububabare bw'imitsi - cyane cyane iyo buherekejwe n'intege nke
• Kubabara cyangwa kugorwa no gusohora inkari
• Kubabara mu gifu hamwe no kugira isesemi no kuruka
• Kumva unaniwe bidasanzwe
• Guhinduka umuhondo w'amaso cyangwa uruhu - ibi bishobora kugira ingaruka ku mwijima

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

• Kutabona neza gato
• Kugabanuka k'imikorere y'imibonano mpuzabitsina cyangwa ubushake
• Umutwe
• Imyuka yo mu gifu, kuribwa mu gifu

Ushobora kandi guhura n'izindi ngaruka mbi zitari kuri uru rutonde. Kubwibyo, niba uhuye n'ikintu kidasanzwe cyangwa gitandukanye n'ibisanzwe, ni byiza kugisha inama muganga wawe. Ushobora kumenyesha muganga wawe ingaruka mbi. Hari ibihugu bimwe bifite ibigo byihariye bitanga raporo kuri izi ngaruka (urugero, FDA muri Leta Zunze Ubumwe za Amerika).

Ni gute wabika uyu muti mu buryo butekanye?

Ni ngombwa kandi kubika uyu muti neza.

• Bishyire hejuru, kure y'abana bato.
• Bika ahantu hari ubushyuhe bw'icyumba, ni ukuvuga hagati ya dogere selisiyusi 20 na 25 (dogere selisiyusi 68 na 77).
• Irinde izuba ryinshi n'ubushuhe. Ibyo bivuze ko utagomba kuyibika ahantu nk'ubwiherero.
• Tara imiti yarengeje igihe utayikoresheje.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, ndizera ko usobanukiwe icyo twaganiriyeho kuri uyu muti witwa Gemfibrozil. Nubwo uyu ari umuti w'ingenzi cyane, ikintu cyo kwibuka ni uko ugomba gukoreshwa gusa ku nama n'inama byatanzwe na muganga.

Niba ufite ikibazo cyangwa impungenge kuri uyu muti, uko ukoreshwa, ingaruka mbi, cyangwa izindi mpungenge, ntutinye cyangwa ngo ugire isoni. Baza muganga wawe, umufarumasiye, cyangwa undi muhanga mu by'ubuzima kugira ngo agusobanurire byose.

Iyi nkuru itanga incamake rusange gusa. Ishobora kuba idakubiyemo buri kantu kose. Kubwibyo, ni ngombwa gushaka inama nyazo ku buzima bwawe bwite. Komeza ugire ubuzima bwiza!