Urabizi ko umwana wawe azakenera kwitabwaho by’umwihariko kuko yavutse igihe kitageze. Hari igihe umutsi muto w’amaraso mu mutima w’abana nk’abo ushobora kuguma ufunguye nyuma yo kuvuka, ukaba waragombaga gufunga. Uyu munsi, turimo kuvuga ku inshinge zidasanzwe zitangwa kugira ngo zivure ibi. Ni ibisanzwe kumva ufite ubwoba n’impungenge mu gihe nk’iki. Ariko numara kumenyeshwa neza ibi, uzumva uhumurijwe cyane.
Indomethacin ni iki?
Mu magambo make, indomethacin ni umuti uri mu itsinda ry’imiti yitwa imiti igabanya ubushyuhe idakoresha steroide . Mu buvuzi, iri tsinda twita NSAID (Umuti Urwanya Ubushyuhe Udakoresha steroide) .
Intego nyamukuru y'uru rukingo ni ukuvura indwara runaka iba mu mutima w'abana bavutse badashyitse. Iyi ndwara twita Patent Ductus Arteriosus (PDA) . Tekereza, iyo umwana ari mu nda, umuyoboro w'amaraso wihariye mu mutima uhita wifunga mu masaha make ya mbere nyuma yo kuvuka. Ariko ku bana bamwe bavutse badashyitse, uyu muyoboro w'amaraso ukomeza gufunguka. Rero, icyo uru rukingo rwa indomethacin rukora ni ugufasha uwo muyoboro w'amaraso gufunga.
Ibintu by'ingenzi ugomba kubwira muganga mbere yo guha umwana wawe uyu muti
Mbere yo gutangira ubu buvuzi ku mwana wawe, itsinda ry’abaganga rizasuzuma byinshi ku buzima bw’umwana wawe. Ariko, niba umwana wawe afite imwe muri izi ndwara zikurikira, menya neza ko ubimenyesheje muganga.
- Ibibazo byo kuva amaraso: Niba umwana afite ikibazo cyo kuvura amaraso cyangwa afite ibyago byo kuva amaraso mu buryo bworoshye.
- Indwara z'umutima: Iyo hari indi ndwara y'umutima yiyongera ku ndwara ya PDA.
- Kwandura: Iyo hari ubwandu mu mubiri.
- Indwara z'impyiko: Iyo hari ikibazo ku mikorere y'impyiko.
- Indwara y'umwijima: Iyo hari ikibazo mu mikorere y'umwijima.
- Ibibazo by'igogora: Niba hari ikibazo kijyanye n'amara.
- Allergie yabanje: Niba warigeze kugira allergie kuri indomethacin, aspirine cyangwa indi NSAID, cyangwa undi muti cyangwa ibiryo.
Nanone, ni ingenzi cyane kumenyesha muganga wawe ibibazo byose by'ubuzima wagize mu gihe utwite.
Ni gute waha uyu muti umwana?
Uyu muti utangwa buhoro buhoro mu mitsi unyuze muri kanula. Ubu buvuzi bukorerwa mu bitaro byose, munsi y’ubugenzuzi bwa hafi bw’abaganga n’abaforomo.Ubusanzwe, uyu muti uhabwa umwana mu byiciro bitatu, hagati y'amasaha 12 na 24.
Ubu ni uburyo bwo kuvura buhabwa abana bavutse, cyane cyane abana bavutse igihe kitageze, gusa ku mpamvu z'ubuvuzi bwihariye. Si uburyo bwo kuvura mu rugo.
Bigenda bite iyo utanze umuti urenze urugero?
Kubera ko uyu muti utangwa mu bitaro ukurikiranwe n'abaganga cyane, ntugomba guhangayikishwa no gukoresha imiti irenze urugero. Itsinda ry'abaganga riritondera cyane. Iyo hari ukeka ko ikintu nk'icyo kibaye, abaganga bafata ingamba zikenewe ako kanya. Iyo bibaye ngombwa, bashobora no guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro bya Colombo kugira ngo babagire inama z'inzobere. Biteguye kandi kohereza umwana mu ishami ryita ku buvuzi bwihutirwa (ETU) mu gihe habaye ikibazo icyo ari cyo cyose.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Indomethacin ishobora kugira ingaruka ku yindi miti umwana wawe afata, bityo ni ngombwa kubwira muganga wawe imiti yose uha umwana wawe.
| Ubwoko bw'ibiyobyabwenge | Ibisobanuro byoroshye |
|---|---|
| Asipirine n'indi miti isa nayo | Imiti nka aspirine. |
| Amwe mu ma antibiyotike | Cyane cyane imiti igabanya ubukana bwa aminoglycoside. |
| Digoxin | Umuti uvura indwara z'umutima. |
| Utunyangingo tw'imitsi | Imiti izwi nka "ibinini by'amazi" ifasha umubiri gukuramo amazi. |
| Imiti igabanya amaraso mu mubiri | Imiti nka Warfarin. |
| Ubundi bwoko bwa NSAID | Imiti igabanya ububabare nka ibuprofen cyangwa naproxen. |
| Steroids | Imiti nka Prednisone cyangwa Cortisone. |
Uru rutonde ntabwo rukubiyemo ibintu byinshi, bityo rero menya neza ko wabwiye muganga wawe imiti iyo ari yo yose, vitamine, cyangwa ndetse n'imiti gakondo uha umwana wawe.
Ingaruka mbi tugomba kumenya
Nkuko bimeze ku miti iyo ari yo yose, uyu muti ushobora gutera ingaruka zimwe na zimwe. Kubera ko umwana wawe ari mu cyumba cy’ubuvuzi bw’abana bato (NICU) mu bitaro, itsinda ry’abaganga rizakomeza gukurikirana ibi bimenyetso. Ariko nk’umubyeyi, ni ngombwa ko nawe ubimenya.
| Ubwoko bw'ingaruka mbi | Ibintu ugomba kwitondera |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga cyangwa umuforomo ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa; kubyimba mu maso, iminwa cyangwa ururimi. |
| Kuva amaraso | Umukara, amabyi yo mu gifu; kuruka kw'ikawa; uduheri dutukura ku ruhu; kuva amaraso mu mazuru no mu ishinya bidasanzwe. |
| Gukomereka kw'impyiko | Kugabanuka k'umusaruro w'inkari cyangwa kugorwa no kunyara. |
| Gukomereka k'umwijima | Amaso cyangwa uruhu rugahinduka umuhondo; inkari z'umuhondo wijimye/umukara; ububabare mu gice cyo hejuru cy'iburyo cy'inda. |
| Indwara z'umutima cyangwa indwara y'umutima | Guhumeka bigoranye; umutima utera vuba kandi utari mwiza; kwiyongera ibiro mu buryo butunguranye; kubyimba utubuto n'ibirenge. |
| Indwara zikomeye z'uruhu | Uduheri dutukura cyangwa tw'umuhengeri tugaragara ku ruhu, hanyuma tugacika udusebe cyangwa tukavaho. |
| Igisebe cy'imitsi | Gucika intege bitunguranye, gucika intege mu maso, ku kuboko, cyangwa ku kuguru. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibibazo by'igogora | Impiswi, kuruka, kubabara mu gifu. |
| Kugorwa no kunywa amata | Umwana yanga kunywa amata cyangwa agira ikibazo cyo kunywa amata. |
| Ububabare aho umuntu atewe urushinge | Gutukura cyangwa kubyimba aho kanula ishyirwa. |
Nubwo bitavuzwe kuri uru rutonde, niba ubona ikintu kidasanzwe cyangwa gitandukanye mu myitwarire cyangwa uko umwana wawe asa, ntutindiganye kubimenyesha muganga cyangwa umuforomo ako kanya.
Ubutumwa bwo kujyana mu rugo
- Indomethacin ni umuti ukoreshwa mu kuvura indwara runaka yitwa PDA, igaragara mu mutima w'abana bavutse badashyitse.
- Ubu buvuzi bukorerwa mu bitaro byose, buyobowe neza n'abaganga n'abaforomo.
- Ni ngombwa kumenyesha muganga ibyerekeye izindi ndwara z'umwana n'indi miti anywa.
- Ikipe y'abaganga ikurikirana umwana cyane mu gihe cyo kumuvura.
- Nk'umubyeyi, niba ufite gushidikanya cyangwa impungenge ku mwana wawe, ntugatinye kuvugana n'itsinda ry'abaganga ako kanya. Ibyo ubonye ni ingenzi cyane kuri bo.
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