Ese nawe urimo gukingirwa igituntu? Reka tuvuge kuri uru rukingo rwa Isoniazid (INH)!

Igituntu, cyangwa nkuko twese tubizi, igituntu (TB) ni indwara isaba kwitabwaho. Rero, imwe mu miti ikomeye itangwa kuri iki kibazo ni Isoniazid, bamwe bayita INH. Nanone yitwa Nydrazid ku isoko. Wenda nawe wahawe uyu muti nk'uruvange. Niba ari uko bimeze, iyi nkuru izaba ingenzi cyane kuri wewe. Reka turebe icyo ukeneye kumenya kuri uyu muti.

Ni iki nabwira muganga mbere yo gutangira uyu muti?

Mbere yo gutangira gufata Isoniazid, hari ibintu bike ugomba kubwira muganga wawe cyangwa umuforomo. Izi ni zimwe mu ndwara zishobora gutera ibibazo mu gihe ufata uyu muti. Reba niba ibi bikureba:

• Niba urwaye diyabete.
• Niba ufite agakoko gatera SIDA.
• Niba usanzwe unywa inzoga.
• Niba ufite indwara iyo ari yo yose y'impyiko.
• Niba ufite indwara y'umwijima.
• Niba ufite imirire mibi, bivuze ko umubiri wawe utari kubona intungamubiri zihagije.
• Niba intoki zawe n'amano byawe bitameze neza, cyangwa se usanzwe ufite indi ndwara y'imitsi.
• Niba warigeze kugira ikibazo cy'ubwivumbure kuri uyu muti wa isoniazid, undi muti, ibiryo, irangi ry'ibiryo, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa wifuza gusama.
• Niba uri umubyeyi wonsa.

Niba hari ikintu nk'iki, ni ngombwa cyane kubibwira muganga.

Uyu muti nkwiye kuwukoresha nte?

Isoniazide ikunze guterwa mu mitsi. Ubusanzwe iyi miti uyiterwa n'inzobere mu by'ubuzima mu bitaro cyangwa mu ivuriro.

Ariko, hari igihe ushobora gukenera gukoresha uru rukingo mu rugo. Niba ari uko bimeze, uzigishwa uburyo bwo kurutegura n'uburyo bwo kurutera. Ugomba kubikora neza nk'uko byategetswe. Fata umuti ku gihe gikwiye, mu rugero rukwiye. Ntukigere ufata urugero rurenze cyangwa rurenze urwo muganga wawe akubwira.

Nubwo waba wumva umeze neza, ntugabanye cyangwa ngo uhagarike gufata imiti yawe kugeza igihe muganga wawe azakubwiriye. Gusimbuka doze bishobora gutuma igituntu cyawe kidakira uyu muti n'indi miti. Ibi bivuze ko bizagorana gukira indwara.

Ikindi kintu cy'ingenzi ni ugushyira inshinge n'inshinge wakoresheje mu kintu gikoreshwa mu gutwika. Ntuzigere ubijugunya mu myanda. Niba udafite, saba farumasi cyangwa umuganga wawe.

Niba uha abana uyu muti, ugomba kubibwira muganga w’abana. Hashobora kuba hakenewe ubwitonzi bwihariye.

Kurenza urugero rw'umuti: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi kiri hafi yawe cyangwa icyumba cy’ubutabazi bw’ibanze cy’ibitaro ako kanya .

Nanone ibuka: Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Wakora iki niba wabuze dose y'umuti?

Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikiraho kiri hafi (urugero, ni amasaha make gusa), jya usimbuka dose yabuze hanyuma ufate dose ikurikiraho ku gihe cyagenwe. Ntuzigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze. Niba ibi bibaye, baza muganga wawe.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Hari indi miti n'ibintu bishobora guteza ibibazo iyo ikoreshejwe n'uyu muti, Isoniazid, bivuze ko hari aho ihurira.

Ntugafate ibi hamwe na isoniazid:

Ntugakoreshe iyi miti niba ufata Isoniazid:

• Entacapone
• Icyayi cy'icyatsi kibisi (cyane cyane ku bwinshi)
• Levodopa
• Imiti ya MAOI (ingero: Carbex, Eldepryl, Marplan, Nardil, na Parnate)
• Procarbazine
• Ranolazine
• Tolcapone

Ibibazo bishobora no kubaho kuri uyu muti:

Imiti ikurikira ishobora no kugira ingaruka kuri Isoniazid, bityo ni ngombwa kubibwira muganga wawe niba uyifata:

• Acetaminophen (parasetamol nkuko twese tuyizi)
• Inzoga
• Antacids (imiti ivura kubyimba mu gifu na gastritis)
• Imiti ivura diyabete
• Imiti ivura indwara z'ibihumyo (urugero: Ketoconazole, Itraconazole)
• Imiti ivura indwara nk'iz'igicuri (urugero: Carbamazepine, Phenobarbital, Phenytoin, aside Valproic)
• Theophylline
• Zalcitabine

Uru rutonde rushobora kuba rudakubiyemo imiti yose ishoboka. Kubwibyo, menya neza ko wabwiye muganga wawe imiti yose, ibyatsi, imiti idasaba muganga, vitamine, n'inyongeramusaruro ufata. Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge bitemewe n'amategeko. Bimwe muri ibi bintu bishobora kugira ingaruka kuri uyu muti.

Ibintu ugomba kwitondera mugihe ufata uyu muti

Hari ibintu bike ugomba kwitondera cyane cyane mu gihe ufata uyu muti:

• Jyana na muganga wawe buri gihe kugira ngo agupime buri gihe. Muganga wawe azagutegeka ko ukorerwa isuzuma ry’amaraso buri gihe. Ibi ni ingenzi cyane.
• Mu gihe ufata uyu muti, ushobora gusabwa gufata inyongeramusaruro za vitamine, cyane cyane vitamine B6. Vugana na muganga wawe ku byo urya n'ubwoko bwa vitamine ufata.
• Inzoga zishobora kubangamira cyane imikorere y'uyu muti ndetse zikanangiza umwijima. Kubwibyo, irinde kunywa inzoga burundu mu gihe ufata uyu muti. Iyi ni inama y'ingenzi cyane.
• Niba urwaye diyabete, banza usuzume isukari mu maraso yawe nk'uko muganga akubwira. Nanone, ibizamini bisuzuma isukari mu nkari zawe rimwe na rimwe bishobora gutanga igisubizo kitari cyo. Vugana na muganga wawe kuri ibi.
• Uyu muti ushobora kugabanya urugero rwa Vitamine D na Vitamine B6. Kubwibyo, ugomba kumenya neza ko uhabwa izi vitamine zihagije mu gihe ufata uyu muti. Uretse kurya indyo yuzuye, ganira n'umuganga wawe ku bijyanye no gufata inyunganiramirire ya vitamine nibiba ngombwa.

Ingaruka mbi zishobora guterwa n'uyu muti

Kimwe n'indi miti yose, Isoniazid ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Zimwe muri zo ni mbi cyane, bityo ugomba kuzibwira muganga wawe ako kanya. Zimwe ntabwo ari mbi cyane, ariko niba zigutera ikibazo, ugomba kuzibwira muganga wawe.

Bibwire muganga wawe ako kanya niba uhuye n'izi ngaruka mbi:

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe cyangwa umuganga wawe vuba bishoboka:

• Ubwivumbure bw'uruhu: Kurwara uduheri, kubabara cyane, kubyimba iminwa, ururimi, isura cyangwa umuhogo, no kugorwa no guhumeka.
• Kugorwa no guhumeka.
• Guhinduka kw'amaso: kutabona neza, kubabara amaso.
• Inkari zifite ibara ryijimye (nk'ibara ry'icyayi).
• Umuriro, kuribwa mu muhogo, kubabara umubiri (ibi bishobora kuba ibimenyetso by'ubwandu).
• Kurota ibintu bitagaragara, cyangwa kumva ko watakaje ubwenge.
• Kubura ubushake bwo kurya, kugabanya ibiro.
• Ibibazo byo kwibuka, kugorwa no kwibanda ku bintu.
• Isesemi, kuruka (cyane cyane iyo bikomeje).
• Ububabare, kugira ibinya, kuribwa mu mutwe, no kubura ibyiyumvo mu maguru (ibi bishobora kuba ingaruka ku mitsi - indwara y'imitsi yo mu gice cy'imbere cy'umubiri).
• Uruhu rutukura, uduheri, gushibuka kw'uruhu, n'ibindi bisa n'ibisebe mu kanwa.
• Ibimenyetso by'igicuri (Indwara zo mu mutwe).
• Kubabara mu gifu cyane.
• Kuva amaraso ku buryo budasanzwe (urugero: kuva amaraso mu mazuru, kuva amaraso mu ishinya) cyangwa gukomereka k'uruhu .
• Kumva unaniwe cyane kandi unaniwe bidasanzwe.
• Umuhondo w'amaso n'uruhu (Jaundice): Ibi bishobora kuba ibimenyetso biteje akaga by'ibibazo by'umwijima.

Bwira muganga wawe niba izi ngaruka mbi zikomeje cyangwa niba zigutera ikibazo:

Izi ngaruka mbi ubusanzwe ntabwo ziba zikomeye. Ariko, niba zikomeje cyangwa zikubangamiye ku buryo zitakubuza gukora imirimo yawe ya buri munsi, bwira muganga wawe:

• Kubyimba cyangwa kubabara amabere y'abagabo (Gynecomastia).
• Impiswi.
• Umutwe.
• Nk'ububabare, gutukura, no kubyimba aho bateye inshinge.
• Ni nk'igifu kibabara, kutaryoherwa n'igogora.
• Kubura ibitotsi, kubura ituze.

Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Niba uhuye n'ikintu kidasanzwe cyangwa kidashimishije uretse ibi, ntutindiganye kubaza muganga wawe ibyacyo.

Uyu muti nawubika nte?

Uyu muti ugomba kubikwa ahantu hizewe kure y'aho abana batagera.

Niba ukoresha uyu muti mu rugo, uzabwirwa neza uburyo bwo kuwubika neza (urugero: ku bushyuhe bw'icyumba, kure y'urumuri n'ubushuhe). Tata umuti wose utakoreshejwe nyuma y'itariki izarangiriraho ku kirango.

Ibintu by'ingenzi cyane ugomba kuzirikana

Igituntu ni indwara ivurwa neza iyo ivuwe neza. Bityo rero, Isoniazid (INH) ni umuti w'ingenzi cyane utangwa kuri ibi.

• Koresha umuti neza nk'uko muganga wawe akubwira, mu gihe cyose cy'ubuvuzi. Ntugasimbuze dose cyangwa ngo uhagarike kuwufata utabanje kugirwa inama na muganga, kabone n'iyo waba wumva umeze neza.
• Menya neza ko wabwiye muganga wawe indi miti yose ufata, izindi ndwara ufite, hamwe n'ingeso zawe (cyane cyane inzoga).
• Menya ingaruka mbi. Niba ufite ikibazo cyangwa wumva ikintu kidasanzwe, ntutinye kubaza muganga wawe.
• Jya ku mavuriro ku matariki yagenwe hanyuma wipimishe.
• Irinde inzoga burundu.

Inkunga yawe ni ingenzi cyane kugira ngo iyi ndwara ikire neza! Niba ufite ikibazo icyo ari cyo cyose, ntutinye kuvugana na muganga wawe, umuforomo, cyangwa umufarumasiye.

Igituntu , Isoniazid, INH, Igituntu, imiti y'Igituntu, urukingo rwa INH, ingaruka mbi