Ese muganga wawe yagutegetse urushinge rwa heparin kugira ngo wirinde ko amaraso apfundika mu mubiri wawe cyangwa kugira ngo amaraso apfundika akomeze kwiyongera? Cyangwa se uha uyu muti umuntu wo mu muryango wawe? Ushobora gutinya kumva iri zina. Ariko ntugahangayike. Uyu ni umuti w'ingenzi cyane ukoreshwa kenshi. Uyu munsi, turaganira kuri uyu muti witwa heparin mu magambo yoroheje.
Mu magambo make, Heparin ni iki?
Heparin ni umuti ubuza amaraso kuvura . Mu buvuzi, tuyita "anticoagulant". Tekereza, iyo amaraso apfunditse mu mitsi yacu, bishobora kubangamira urujya n'uruza rw'amaraso. Utu dupfundo tw'amaraso dushobora kwirema mu mitsi, mu mitsi, mu bihaha, cyangwa mu mutima. Icyo inshinge ya heparin ikora ni ukubuza amaraso kuvura cyangwa kubuza amaraso kuvura kwiyongera.
Byongeye kandi, ikoreshwa no mu bihe bimwe na bimwe byihariye.
- Mu gihe cyo kubaga umutima ufunguye.
- Mu gihe cyo gusukura impyiko (dialyse).
- Irinde kubyimba kw'amaraso ku barwayi bamara igihe kirekire baryamye mu buriri nyuma yo kubagwa cyangwa bitewe n'indi ndwara.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo kuguha heparin, muganga wawe azakenera kumenya amateka y’ubuzima bwawe. Menya neza ko wabibwiye muganga wawe niba ufite imwe mu ndwara zavuzwe haruguru.
| Indwara cyangwa amahirwe | Nyamuneka bwira muganga. |
|---|---|
| Indwara zo kuva amaraso | Urugero, indwara nka hemophilia cyangwa indwara aho urugero rwa plaquettes mu maraso rugabanuka. |
| Indwara z'igogora | Indwara nk'indwara y'amara cyangwa diverticulitis. |
| Indwara z'umutima | Indwara nka `Endocarditis` (indwara y’umutima). |
| Umuvuduko ukabije w'amaraso | Niba ufata imiti y'umuvuduko ukabije w'amaraso cyangwa niba idagenzurwa. |
| Indwara z'umwijima | Ubwoko ubwo aribwo bwose bw'indwara y'umwijima. |
| Kubagwa cyangwa kubyara vuba aha | Niba uherutse kubagwa cyangwa kubyara. |
| Ibisebe byo mu gifu | Ibisebe byo mu gifu biriho cyangwa byabanje. |
| Allergie | Niba ufite ubwivumbure kuri heparin, sulfite, indi miti, ibiryo, cyangwa imiti irinda ubushyuhe. |
| Gutwita no konsa | Niba utwite, ugerageza gusama, cyangwa wonsa. |
Ukoresha uyu muti ute?
Uru rukingo rukunze gutangwa mu bitaro cyangwa mu ivuriro n'umuganga wabihuguwe. Rutangwa nk'urushinge mu mitsi (`injection`) cyangwa nk'igitonyanga mu mitsi (`infusion`) nk'umunyu. Hari igihe, haterwa utuntu duke munsi y'uruhu.
Ushobora gukenera kwitera uru rushinge mu rugo. Niba ari uko bimeze, uzigishwa uburyo bwo kurutegura no kurutera neza. Ni ngombwa cyane gufata umuti neza uko wabitegetswe, mu gihe gikwiye. Ntugahagarike gufata umuti nta nama ya muganga. Nubikora, ibyago byo kurwara amaraso bishobora kongera kwiyongera.
Ukoresha iki inshinge n'inshinge zakoreshejwe?
Ibi ni ingenzi cyane. Ntukajugunye inshinge n'inshinge zakoreshejwe mu myanda. Koresha agasanduku kabigenewe kabigenewe. Niba udafite, ushobora gusaba muganga wawe.
Bite ho niba ingano y'imiti yiyongereye?
Niba ubona ko wafashe ikinini kirenze urugero, jya ku ishami rishinzwe ubutabazi bwihutirwa (ETU) riri hafi yawe. Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusuzumwa buri gihe: Jya ku isuzuma ryateguwe na muganga wawe. Ushobora kandi gukenera gupimwa amaraso. Ntugasimbuke izi gahunda.
- Irinde gukomereka: Mu gihe ufata uyu muti, ushobora kuva amaraso byoroshye. Kubwibyo, irinde siporo n'ibikorwa bishobora gutuma ugwa cyangwa ugakomereka. Witondere cyane iyo ukoresha ibintu bityaye nk'ibyuma. Iyo wogoshe, ni byiza gukoresha urwembe rukoresha amashanyarazi. Gira witonze cyane iyo woza amenyo yawe kandi ukayasukura.
- Tanga raporo ku byakomeretse: Niba ubonye ibikomere, uduheri dutukura, cyangwa kuva amaraso menshi biturutse no ku gikomere gito, bimenyeshe muganga wawe vuba.
- Itangazo mbere yo kubagwa: Niba ugomba kubagwa (ndetse no gukuramo iryinyo), menya neza ko wabwiye muganga ko ufata heparin.
- Ibiganza n'ibirenge bikonje: Niba intoki cyangwa ibirenge byawe byumvise bikonje kandi bifite ubururu, bishobora kuba ikibazo mu gutembera kw'amaraso. Bibwire muganga wawe ako kanya.
- Gukoresha heparin igihe kirekire bishobora gutuma amagufwa acika intege kandi bikongera ibyago byo kuvunika amagufwa. Bityo, ganira na muganga wawe ku bijyanye no kubona kalisiyumu na vitamine D bihagije mu mirire yawe.
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
Kimwe n'indi miti iyo ari yo yose, heparin ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni mbi cyane, izindi zikaba zisanzwe.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Ibimenyetso byo kuva amaraso | Amasambu y'umukara cyangwa asanzwe; inkari zitukura cyangwa z'umukara wijimye; kuruka bisa n'ikawa; uduheri dutukura ku ruhu; kuva amaraso mu maso, mu ishinya cyangwa mu mazuru bidasanzwe. |
| Ibimenyetso by'amaraso yangiritse | Kubabara mu gituza; kugorwa no guhumeka; kubabara amaguru, kubyimba, cyangwa kumva ushyushye. |
| Ibimenyetso bya Stroke | Guhinduka kw'amaso; urujijo; kugorwa no kuvuga cyangwa gusobanukirwa; kuribwa umutwe cyane; gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru; kugorwa no kugenda; kuzungera. |
| Ibindi bintu | Kubabara amagufwa, umuriro, isesemi, kuruka. |
| Ingaruka mbi zisanzwe zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Gutakaza umusatsi | Gutakaza umusatsi by'agateganyo. |
| Ububabare aho umuntu atewe urushinge | Kubabara, gutukura, cyangwa kubyimba gato aho bateye urushinge. |
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Niba ufata heparin, ugomba kwirinda gufata indi miti. Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
Ingaruka zo kuva amaraso ziyongera cyane iyo ufata imiti, cyane cyane aspirine na NSAIDs (urugero: ibuprofen, naproxen), hamwe na heparin. Kubwibyo, ntugafate imiti igabanya ububabare utabanje kugirwa inama na muganga.
Ibintu nko kunywa itabi no kunywa inzoga nabyo bishobora kugira ingaruka ku mikorere y'uyu muti, bityo rero vugana ukuri na muganga wawe kuri ibyo.
Ubutumwa bwo kujyana mu rugo
- Heparin ni umuti w'ingenzi cyane ubuza amaraso kuvura. Ntukagire ubwoba.
- Fata umuti neza nk'uko muganga wawe akubwira, ku gipimo gikwiye, mu gihe gikwiye. Ntugahagarike gufata umuti wawe nta nama.
- Witondere cyane mu gihe ufata uyu muti, kuko n'igikomere gito gishobora gutera kuva amaraso.
- Niba ugize ibimenyetso bikomeye nko kuva amaraso bidasanzwe, kuribwa umutwe cyane, cyangwa kubabara mu gatuza, shaka ubufasha bwa muganga byihutirwa.
- Menyesha muganga wawe indi miti yose ufata.
- Shyira inshinge n'inshinge zakoreshejwe mu buryo bwizewe mu gikoresho cyihariye.
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