Ese wowe cyangwa undi muntu uzi ufite imitsi ikomeye kandi ihindaguritse mu ngingo zawe? Hari igihe no gufata imiti yo kugabanya ubu burwayi ntacyo bifasha. Uyu munsi rero tugiye kuvuga ku buryo bugezweho bwo kuvura ubu bwoko bw'imitsi ikomereye cyane (spasticity). Byitwa Baclofen Pump. Iri zina rishobora kuba ari rishya kuri wewe, ariko rifite ibyiza byinshi. Reka turebe icyo ari cyo.
Pompe ya Baclofen ni iki?
Mu magambo make, ni igikoresho gito gishyirwa mu mubiri wawe mu buryo bwa "kubagwa". Kigizwe n'ibice bibiri:
- Pompe: Iyi ni disiki y'icyuma kizengurutse, ubusanzwe ifite ubugari bwa santimetero 1.5 n'umurambararo wa santimetero 1.5. Niho imiti ibikwa ikanasohorwa mu mubiri iyo bikenewe.
- Katheteri: Iyi ni umuyoboro muto kandi woroshye utwara umuti uva kuri pompe ukawujyana aho ukeneye, uri mu mugongo wawe.
Mu gihe cyo kubagwa, umuganga azashyira iyi pompe munsi y'uruhu rw'inda yawe. Hanyuma, impera imwe ya catheter izahuzwa n'ipompe indi impera ku mazi akikije uruti rw'umugongo wawe. Abaganga bayita Intrathecal Baclofen Therapy (ITB) .
Iyi pompe ifite bateri, ikigega cy'amazi, na microprocessor. Muganga akoresha mudasobwa nto n'igikoresho cyihariye (inkoni) gishyirwa ku ruhu rwawe kugira ngo ashyireho pompe. Ibi bivuze ko pompe itegetswe kuguha umuti ukwiye, mu gihe gikwiye, kandi mu buryo bukwiye umunsi wose.
None se uyu muti witwa Baclofen ni uwuhe?
Baclofen ni umuti ugabanya imitsi . Ni ingenzi mu kuvura indwara nko gukomera kw'imitsi (spasticity). Iyo uyu muti ushyizwe mu mazi akikije uruti rw'umugongo, ukora ibi bikurikira:
- Yorohereza imitsi gukora imyitozo ngororamubiri.
- Igenzura guhindagurika gukabije kw'imitsi no gukora cyane.
- Bigabanya imitsi myinshi cyane.
- Bigabanya imitsi icika intege.
Hari impamvu nyamukuru ituma ubu buryo bugira akamaro kurusha ibinini binyobwa. Iyo unyoye umuti mu kanwa, ukwirakwira mu mubiri wose ukagera mu ruti rw'umugongo. Kubwibyo, hari ingaruka mbi nyinshi nko gusinzira no gucika intege. Ariko kubera ko ipompo igeza umuti ahantu ukeneye, ushobora kubona umusaruro munini ukoresheje umuti muto cyane . Kubwibyo, ingaruka mbi nazo ni nke cyane.
Iyi pompe ikoreshwa mu bihe bimeze bite?
Ubu buryo bukoreshwa mu kuvura imitsi ikomeye (gucika intege cyane) guterwa n'indwara nyinshi zigira ingaruka ku bwonko cyangwa uruti rw'umugongo. Ingero zimwe ni izi:
- Sclerosis nyinshi
- Gukomereka gukomeye k'umugongo
- Indwara yo mu bwonko
- Ihungabana ry'ubwonko
- Igisebe cy'imitsi
Ni nde iyi pompe ya baclofen ikwiriye cyane?
Niba ufite imitsi ikomeye kandi imiti yo kunywa idafasha, muganga wawe ashobora gutekereza kuri iyi pompe. Ariko si buri wese ushobora kuyishyiramo ako kanya. Ubwa mbere, uzapimwa kugira ngo barebe niba ikubereye.
Iki kizamini kigamije gutera urushinge ruto mu mugongo wawe (umugongo utemba) hanyuma agatera baclofen nke cyane mu mazi akikije uruti rw'umugongo wawe. Itsinda ry'abaganga rizagukurikirana amasaha menshi. Bazareba uburyo ingano y'umuti igabanya gukomera kw'imitsi yawe n'uko wumva umeze. Ingaruka z'uyu muti ni iz'igihe gito, ariko amakuru atanga ni ingenzi cyane kuri muganga kugira ngo afate icyemezo cyo gushyiramo ipompo cyangwa kutayishyiramo.
Kubagwa bikorwa gute?
Iyo bimaze gufatwa icyemezo cy'uko uri umukandida mwiza wo gukoresha pompe, hashyirwaho umunsi wo kubagwa. Ibi bikunze gukorwa n'umuganga w'indwara z'imitsi cyangwa umuganga w'inzobere mu kuvura ububabare.
Ku munsi wo kubagwa, uzaba watewe ikinya burundu . Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye. Hanyuma umuganga uzabaga azakurikiza izi ntambwe:
1. Hakorwa akato gato ku ruhu rw'inda yawe, aho ipompo ishyirwa munsi y'uruhu.
2. Hanyuma hakorwa akandi gasatsi gato mu mugongo wawe wo hasi, hanyuma impera ya catheter (umuyoboro) ishyirwa mu mugongo wawe.
3. Hanyuma, catheter ihuzwa n'ipompo iri mu nda munsi y'uruhu.
4. Pompe yuzuyemo umuti wa Baclofen ukenewe.
5. Ukoresheje mudasobwa, ushyiraho porogaramu ya pompe kugira ngo itange imiti uko ubyifuza.
Kubagwa kose akenshi bifata amasaha abiri. Uzakenera kumara iminsi mike mu bitaro nyuma yo kubagwa. Hari igihe ushobora no koherezwa mu buvuzi bwo kuvura indwara kugira ngo bigufashe kumenyera ipompo no kugarura imbaraga z'imitsi mbere yo gutaha.
Ni gute wagenzura kandi ugafata neza ipompo?
Ni ingenzi cyane kubungabunga ipompo neza nyuma yo kuyishyiramo.
- Kuzuza: Umuti uri mu ipompo urangira uko igihe kigenda. Ubusanzwe rimwe mu kwezi kugeza rimwe mu mezi atandatu.Rimwe na rimwe, ugomba kongera kuzuza ipompo yawe. Ibi bisaba ko muganga wawe agutera inshinge z’imiti ahantu hihariye ku ruhu rwawe (aho kuzuza imiti) akoresheje urushinge. Gusimbuka iyi tariki yo kongera kuzuza imiti bishobora guteza akaga , kuko bishobora gutera ibimenyetso bikomeye byo kuyireka iyo utabonye imiti yawe.
- Bateri: Bateri ya pompe isanzwe imara imyaka 6-7 . Pompe iratanga inzogera iyo bateri igiye kurangira. Hanyuma hakenewe ubundi bubagwa kugira ngo ipompe ishaje ikureho indi nshya. Ariko, catheter (umuyoboro) ntihinduka. Ubu bubagwa bwa kabiri bworoshye cyane kurusha ubwa mbere.
- Ibibazo: Iyo habayeho ikibazo cya tekiniki cyangwa kuziba kw'ipompo cyangwa catheter, bizakenera gusanwa cyangwa gusimbuzwa.
Niba ufite amakenga ko pompe idakora neza, hamagara muganga wawe ako kanya .
Ibyiza, ingaruka, n'ingaruka z'ubu buvuzi
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza ndetse n’ingaruka zimwe na zimwe. Reka tubirebe byombi.
| Inyungu | Ibisobanuro |
|---|---|
| Intsinzi ikomeye | Uburyo bwiza cyane bwo kugenzura imitsi ikomeretse cyane. |
| Gutanga imiti ku buryo buhoraho | Kubera ko umuti utangwa icyarimwe umunsi wose, gukomera kw'imitsi kuragenzurwa neza. |
| Ingaruka mbi nke | Ingaruka mbi (gusinzira, intege nke) ni nke cyane kurusha imiti inyobwa. |
| Igipimo gihindurwa | Ushobora gutegura ingano zitandukanye z'imiti mu bihe bitandukanye by'umunsi, bitewe n'ibyo ukeneye. |
| Ishobora gukurwaho bibaye ngombwa. | Iyo bibaye ngombwa kubera impamvu runaka, pompe na catheter bishobora gukurwaho hakoreshejwe uburyo bwo kubaga. |
Ingorane zishoboka
- Ibijyanye no kubagwa: kwandura indwara yo gucikamo ibice, kuva amaraso, gukomereka, kuva amazi mu bwonko.
- Ibyerekeye pompe: Imboga zidakora neza, kuziba cyangwa kuvamo kwa catheter, kwangirika k'uruhu hejuru y'ipompe.
- Ibijyanye n'imiti: Kureka imiti cyangwa kuyikoresha mu buryo burenze urugero. Ibi bibiri ni byo bibazo bikomeye cyane ugomba kwitondera.
Itandukaniro riri hagati yo kureka no gukoresha ibiyobyabwenge birenze urugero
Izi ndwara zombi zishobora guteza akaga, bityo rero ni ngombwa cyane kumenya ibimenyetso byazo byombi.
| Ibiranga | Kureka Baclofen | Baclofen yo mu bwoko bwa Overdose |
|---|---|---|
| Impamvu | ||
| Kuki ibi bibaho? | Guhagarika gutanga imiti mu buryo butunguranye bitewe n'uko pompe ibuze imiti, kuziba kwa catheter, cyangwa kwangirika. | Imiti myinshi cyane yinjira mu mubiri bitewe n'ikosa ryo kongeramo cyangwa gushyira umuti kuri porogaramu. |
| Ibimenyetso by'ingenzi | ||
| Imitsi | Gukomera cyane , gutera cyane, kunyeganyega. | Intege nke cyane , kubura ubuzima, kudashobora kwimura amaguru n'amaboko. |
| Uruhu | Kuryarya cyane k'uruhu nta cyangiritse. | Nta tandukaniro ryihariye rihari. |
| Ubushyuhe bw'umubiri | Numva mfite umuriro gato. | Kugabanuka k'ubushyuhe bw'umubiri. |
| Ibindi bintu | Kubira ibyuya byinshi, isesemi, isereri. | Gusinzira cyane, umuvuduko w'amaraso uri hasi, guhumeka bigoranye . |
| Ikibazo kibi cyane | Indwara zo mu mutwe. | Gutakaza ubwenge, gucika intege. |
Umuburo: Niba hari kimwe mu bimenyetso byavuzwe mu mbonerahamwe iri hejuru kigaragaye, ni ikibazo cyihutirwa cy’ubuvuzi . Ugomba guhita ujyana umurwayi mu bitaro bikuru by’ubutabazi (ETU) biri hafi yawe ako kanya.
Ni ryari ngomba kujya kwa muganga?
Niba watewe ipompo ya baclofen, ugomba guhora ubonana na muganga wawe.
Hamagara muganga wawe muri ibi bihe:
Niba ubonye ibimenyetso by'ubwandu aho bakorewe ubuvuzi, bimenyeshe muganga wawe ako kanya.
- Umuriro.
- Uruhu rutukura no kubyimba hafi y'aho ipompo cyangwa aho icukurwa.
- Amazi cyangwa amashyira ava mu bikomere.
- Ububabare muri ibyo bice.
Jya kuri ETU ako kanya muri ibi bihe:
- Ibimenyetso byo kureka ibiyobyabwenge byavuzwe mu mbonerahamwe iri hejuru.
- Ibimenyetso byo gukabya byavuzwe mu mbonerahamwe iri hejuru.
Izi ndwara zombi zishobora gushyira ubuzima mu kaga, bityo ubuvuzi bwihuse ni ngombwa.
Ubutumwa bwo kujyana mu rugo
- Baclofen Pump ni uburyo bwo kuvura imitsi ikomereye cyane (spasticity ikomeye) idashobora kugenzurwa n'imiti inyobwa.
- Kubera ko ibi bitanga umuti mu buryo butaziguye mu ruti rw'umugongo, umusaruro mwiza ushobora kuboneka iyo imiti mike kandi ingaruka mbi zikaba nke.
- Ni ngombwa kongera kuzuza pompe ku gihe. Kuyireka bishobora gutera ibimenyetso by'impanuka byo kuyireka.
- Ni ingenzi cyane kumenya ibimenyetso byo kureka kunywa no gukoresha ibiyobyabwenge birenze urugero. Ibi ni ibintu byihutirwa by’ubuvuzi.
- Niba ufite impungenge cyangwa ibibazo ku bijyanye n'ipompo yawe cyangwa ibimenyetso byose ubona, hita ugana muganga wawe.
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