Ese muganga wawe yaba yaragundikiye ikinini cyitwa Guanidine cyangwa undi muntu uzi? Ushobora kugira amatsiko, cyangwa se ugatinya gato, iyo wumvise iri zina. Kuko uyu atari umuti dukunze kumva. Guanidine ni umuti ukoreshwa mu kuvura indwara yihariye kandi idakunze kugaragara. Kubwibyo, ni ngombwa cyane kubimenya. Uyu munsi rero turaganira kuri ibi binini bya Guanidine, indwara bivura, uko bikoreshwa, n'ibintu ugomba kwitondera.
Guanidine ni iki kandi ni iyihe ndwara ivura?
Muri make, Guanidine ni umuti utera imitsi no kunoza imikorere y'imitsi. Mu buvuzi, uri mu bwoko bw'imiti yitwa 'cholinergic muscle stimulants'.
Uyu muti ukoreshwa cyane cyane mu kuvura indwara idakunze kugaragara yo kwirema umubiri yitwa Lambert-Eaton Myasthenic Syndrome (LEMS) .
Reka dusobanukirwe gato icyo LEMS ari cyo.
Tekereza, ingendo z'umubiri wacu zigenzurwa n'ubutumwa buturuka mu bwonko. Iyo ubwo butumwa bunyuze mu mitsi bugagera ku mitsi, tuba dushobora kwimura amaboko n'amaguru no kugenda. Aho imitsi n'imitsi bihurira, imyuka yitwa 'Acetylcholine' irasohoka mu mpera z'imitsi. Iyo iyi myuka igeze ku mitsi, imitsi irakora, ni ukuvuga irakora.
Ariko ku muntu urwaye LEMS, ubudahangarwa bw'umubiri bwibasira iyo mitsi. Ingaruka zabyo ni uko ingano ya 'Acetylcholine' ikenewe idasohoka. Ingaruka ni intege nke cyane n'umunaniro uterwa n'uko imitsi idakira ubutumwa neza. Intege nke z'imitsi zikunze kugaragara cyane mu maguru no mu matako.
Guanidine ikora mu gukangura irekurwa ry'umusemburo w'imitsi (Acetylcholine). Ibi bivuze ko itera imbaraga mu gutembera kw'ubutumwa bufunze kandi igafasha imitsi kongera gukora neza.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Guanidine ni umuti ugomba gukoreshwa witonze. Kubwibyo, ni ngombwa cyane kumenyesha muganga wawe amateka yawe yose y’ubuzima mbere yo kumuha uyu muti. Menya neza ko umubwiye niba ufite kimwe muri ibi bikurikira:
- Indwara z'impyiko: Ugomba kubwira muganga wawe niba ufite ikibazo cy'impyiko, kuko impyiko zigira uruhare runini mu gukuraho uyu muti mu mubiri.
- Indwara y'umwijima: Niba hari intege nke mu mikorere y'umwijima, nabyo bivuze.
- Ibibazo by'uturemangingo tw'amaraso: Niba byavuzwe ko ufite uturemangingo tw'umweru, uturemangingo dutukura, cyangwa uduce duto tw'amaraso mu maraso yawe, ayo ni amakuru y'ingenzi cyane.
- Indwara zo mu mutwe: Niba urimo kuvurwa cyangwa ufite amateka y'indwara iyo ari yo yose yo mu mutwe, turagusaba kubimenyesha.
- Allergie: Iyo ufite ubwivumbure kuri guanidine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Gutwita cyangwa gutwita: Niba utwite cyangwa uteganya gutwita, ibi ni ngombwa kubivugaho.
- Konsa: Bibwire kandi muganga niba uri umubyeyi wonsa.
Uyu muti nkwiye kuwukoresha nte?
Igikuru ni ugukurikiza amabwiriza ya muganga wawe neza neza mu gihe ukoresha uyu muti.
- Mirira iki kinini n'ikirahure cy'amazi.
- Koresha umuti neza neza nk'uko byavuzwe ku rupapuro rwa muganga. Ntugafate ingano irenze cyangwa iri munsi y'iyo muganga akubwira gufata.
- Ibi bishobora gufatwa mbere cyangwa nyuma yo kurya. Ariko, niba ugize ikibazo cyo mu gifu, kugifata hamwe n'ibiryo bishobora kugufasha kugigabanya.
- Igire akamenyero ko gufata imiti yawe ku gihe kimwe buri munsi, ku gihe.
- Icy'ingenzi kurushaho: Ntugahagarike gufata imiti yawe ku mpamvu iyo ari yo yose utabanje kugirwa inama na muganga. Guhagarika mu buryo butunguranye bishobora gutuma ibimenyetso byawe bigaruka kandi bikarushaho kuba bibi.
- Iyo ihawe abana: Mu gihe uha abana uyu muti, ni ngombwa kugisha inama muganga w'abana.
Bite ho iyo mfashe imiti myinshi? (Kuba narengeje urugero rw'umuti)
Niba utekereza ko ushobora kuba warafashe imiti myinshi kurusha uko ubyibwira, ntutinde. Hita uhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Reka kandi twige ku ngaruka mbi n'uburyo zikoreshwa.
Kimwe n'indi miti yose, Guanidine ishobora gutera ingaruka mbi. Ishobora kandi kugira ingaruka mbi ku yindi miti.
Ingaruka mbi zishobora kubaho
Bimwe muri ibi bishobora kuba bikomeye, ibindi bikaba bisanzwe. Ni ngombwa kubimenya.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
| Ubushobozi bwo kugira ubwivumbure | Kuryarya uruhu, kuribwa, kubyimba |
| Ingorane zo guhumeka | Guhumeka bigoranye |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza |
| Ibimenyetso by'ubwandu | Umuriro, kubabara mu muhogo |
| Impinduka mu mutwe | Kubona cyangwa kumva ibintu bitari ukuri (Hallucinations) |
| Ibibazo by'inkari | Kugorwa no kunyara cyangwa impinduka mu rugero rw'inkari ukora |
| Intege nke zidasanzwe | Kumva ufite umunaniro ukabije n'intege nke mu mubiri |
| Ingaruka ku mwijima | Guhinduka umuhondo w'amaso cyangwa uruhu (nk'umuhondo w'umuhondo) |
| Ingaruka mbi zisanzwe zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibiranga rusange | Kumunga umunwa, kuzungera, kuribwa umutwe, kubabara mu gifu, kugira isesemi/kuruka, impiswi, kubura ubushake bwo kurya |
| Ingaruka ku mikorere y'imitsi | Gucika intege, kuribwa mu nda, cyangwa kubabara mu maguru, impinduka mu byiyumvo |
Indi miti ikorana na Guanidine (Imikorere y'imiti)
Indi miti ufata ishobora kugira ingaruka ku mikorere ya Guanidine. Bwira muganga wawe imiti yose ufata (harimo na vitamine n'ibikomoka ku bimera), cyane cyane niba ufata kimwe muri ibi bikurikira:
- Imiti imwe n'imwe ifatwa ku ndwara ya kanseri
- Imiti itangwa kugira ngo igenzure ubudahangarwa bw'umubiri nyuma yo guterwa ingingo
- Imiti imwe n'imwe ivura indwara zo mu mutwe (urugero: 'Carbamazepine')
- Imiti ivura indwara zo mu mutwe nka "Clozapine"
- Phenothiazine (urugero: Chlorpromazine)
- Imiti yo mu bwoko bwa steroid (urugero: `Prednisone`, `Cortisone`)
- 'Sulfinpyrazone'
Wibuke ko uru rutonde rutararangira, bityo rero ku bw'umutekano wawe, ni byiza kubwira muganga wawe ibyo ufata byose.
Ubutumwa bwo kujyana mu rugo
- Guanidine ni umuti ukoreshwa mu kuvura indwara idakunze kugaragara kandi yihariye y’imitsi yitwa Lambert-Eaton Myasthenic Syndrome (LEMS).
- Menya neza ko wabwiye muganga wawe imiti yose ufata, cyane cyane niba ufite ibibazo by'impyiko, umwijima, cyangwa amaraso.
- Ntugomba gutangira, guhagarika, cyangwa guhindura ingano y'imiti utabanje kugirwa inama na muganga.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, impinduka mu gutera k'umutima, guhinduka umuhondo mu maso, cyangwa umuriro, shaka ubufasha bwa muganga vuba.
- Niba ukeka ko warenze urugero rw'umuti, jya ku Kigo cy'Igihugu gishinzwe Amakuru ku Burozi cyangwa mu Kigo cyita ku Butabazi bw'Ingoboka (ETU) byihutirwa.
- Bika umuti ahantu hizewe ku bushyuhe bw'icyumba, kure y'aho abana batagera.
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