Niba wowe cyangwa umuntu wo mu muryango wawe arwaye indwara ya Parkinson, ushobora kuba uzi uburyo igira ingaruka ku buzima bwawe bwa buri munsi. Kubaho uhinda umushyitsi, kugenda bigoranye, no kunanuka ntabwo byoroshye. Abaganga baguha imiti itandukanye yo kugenzura ibi bimenyetso. Uyu munsi tugiye kuvuga ku wundi muti, Istradefylline.
Mu magambo make, Istradefylline ni iki?
Istradefylline ni umuti ufasha mu kugenzura ibimenyetso by'indwara ya Parkinson. Ntabwo ikunze gutangwa yonyine. Ikoreshwa nk'umuti
w'inyongera iyo umuntu usanzwe afata imiti ikoreshwa cyane mu ndwara ya Parkinson, Carbidopa na Levodopa, adakora neza. Tekereza, muganga wawe yamaze kuguha Carbidopa/Levodopa, ariko uko igihe kigenda gihita, wumva ko inyungu z'umuti zidahagije, cyangwa wumva ko umuti utari mu gihe cy'ikiruhuko cy'umuti urimo kwiyongera. Muri ibyo bihe, muganga wawe yongeraho uyu muti wa Istradefylline kugira ngo agufashe kugenzura ibimenyetso byawe neza. Uyu muti ukora mu kuringaniza imikorere y'imiti imwe n'imwe (neurotransmitters) mu bwonko bwacu igenzura imigendere y'umubiri n'imikoranire yawo. Binyuze muri ibi, ushobora kugabanya ibimenyetso by'ingenzi by'indwara ya Parkinson, nko gukomera no gutigita.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yo gutangira umuti uwo ari wo wose, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Cyane cyane mbere yo gutangira Istradefylline, menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:
- Indwara y'umwijima : Ni ngombwa kubwira muganga wawe niba ufite indwara y'umwijima, kuko umwijima ugira uruhare runini mu gukura uyu muti mu mubiri. Niba ufite ikibazo cy'umwijima, ingaruka z'uyu muti zishobora kwiyongera bitari ngombwa.
- Indwara zo mu mutwe : Niba warigeze kugira ihungabana , guhangayika , cyangwa izindi ndwara zo mu mutwe , menyesha muganga wawe ibyabyo.
- Niba unywa itabi (ikoreshwa ry'itabi): Niba unywa itabi, ugomba no kubimenyesha muganga wawe. Ibi biterwa nuko kunywa itabi bishobora kugabanya ubushobozi bw'uyu muti. Nanone, niba uteganya kureka kunywa itabi, ugomba no kubimenyesha muganga wawe , kuko icyo gihe ingano y'umuti ishobora guhindurwa.
- Allergie: Tubwire niba ufite allergie kuri uyu muti wa Istradefylline, undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita: Ibi ni ingenzi cyane. Niba utwite, ugerageza gutwita, cyangwa ukeka ko utwite, ntugakoreshe uyu muti. Menya neza ko wavuganye na muganga wawe kuri ibi.
- Niba uri umubyeyi wonsa: Niba uri umubyeyi wonsa, bwira na muganga wawe ibyawe.
Nigute nkwiye gukoresha uyu muti neza?
Igikuru ni ugukoresha umuti neza nk'uko muganga abivuga.
- Fata uyu muti n'ikirahure cy'amazi.
- Gira akamenyero ko gufata umuti wawe mu gihe kimwe buri munsi. Ibi bizagufasha gukomeza kugira ingaruka nziza z'umuti mu mubiri wawe wose.
- Ushobora kubifata urimo kurya cyangwa utari kurya. Ariko, niba rimwe na rimwe uhura n'ikibazo cyo mu gifu, ni byiza gufata umuti hamwe n'ifunguro.
- Igikuru ni uko, ntuhagarike gufata umuti kugeza igihe muganga wawe agutegetse. Iyo uhagaritse gufata umuti mu buryo butunguranye, ushobora kugira ingaruka zikomeye.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe.
Ntugafate dose ebyiri icyarimwe kubera impamvu iyo ari yo yose. Bite se niba ufashe imiti myinshi? (Kuba warengeje urugero)
Niba ubona ko wafashe imiti myinshi cyane,
jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara
ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Uyu muti wanditswe kuri wewe gusa. Kubwibyo, ntukawusangire n'undi muntu uwo ari we wese.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Istradefylline ishobora kugira ingaruka ku yindi miti, vitamine, n'ibikomoka ku bimera ufata. Kubwibyo, ni ngombwa kubwira muganga wawe ibyo ufata byose. Uyu muti ushobora kugira ingaruka ku bikurikira:
- Amwe mu matibayotike, urugero nka `Clarithromycin`.
- Imwe mu miti itangwa kugira ngo igabanye cholesterol irimo: `Atorvastatin`, `Lovastatin`, `Simvastatin`.
- Imiti imwe n'imwe ikoreshwa mu kuvura indwara z'ibihumyo, urugero nka `Ketoconazole`, `Itraconazole`.
- Hari imiti imwe n'imwe itangwa kugira ngo igabanye indwara zo mu mutwe, urugero nka `Carbamazepine`, `Phenobarbital`, `Phenytoin`.
- Digoxin, umuti ukoreshwa mu kuvura indwara z'umutima.
- Rifampin, umuti ukoreshwa mu kuvura igituntu.
- Inyongeramusaruro z'ibimera nka St. John's wort.
Uru rutonde ntirukubiyemo ibintu byose, bityo rero ni ngombwa ko ubwira muganga wawe
imiti yose, vitamine, n'ibikomoka ku bimera ufata kugira ngo ugire umutekano.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Jyana na muganga wawe buri gihe: Ni ngombwa kugira gahunda zo gukurikirana indwara buri gihe kugira ngo urebe niba ibimenyetso byawe birimo kugenda neza cyangwa birushaho kwiyongera. Niba ibimenyetso byawe bitagenda neza cyangwa birushaho kwiyongera, bwira muganga wawe .
- Imyitwarire yo guhubuka: Ibi bishobora gusa n'ibidasanzwe, ariko bamwe mu bantu bafata uyu muti bashobora kugira irari rikabije ryo gukora imibonano mpuzabitsina, gukoresha amafaranga ku bintu bitari ngombwa, no kugura ibintu. Ibi si ikosa ryawe, bishobora kuba ingaruka mbi z'uyu muti. Rero niba wowe cyangwa abagize umuryango wawe mubonye imwe muri izi mpinduka, ntimugire isoni maze mubibwire muganga wawe ako kanya.
- Gutwita: Nkuko byavuzwe mbere, niba uteganya gutwita, cyangwa ukeka ko utwite, uyu muti ushobora gutera umwana wawe ibibazo bikomeye byo kubyara. Kubwibyo, ni ngombwa kuvugana na muganga wawe kuri ibi.
Ingaruka mbi zishobora kubaho kuri uyu muti
Kimwe n'indi miti iyo ari yo yose, Istradefylline ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo zishobora kuba zikomeye kandi zigasaba ubuvuzi bwihuse. Izindi ntiziba zikomeye cyane kandi zigenda zishira uko igihe kigenda.
Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya Ingaruka mbi akenshi zidasaba ubuvuzi (ariko bwira muganga wawe niba zikomeje)
| Ubwoko bw'ingaruka mbi | Ibisobanuro |
|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi, cyangwa ku muhogo. |
| Impinduka mu mutwe no mu myitwarire | Kutuza, guhangayika, urujijo mu mutwe, kubona cyangwa kumva ibintu bitari ukuri (ibintu bitagira ishingiro), ibitekerezo byo kwiyahura, kwiheba kwiyongera. |
| Ingendo zitagenzurwa | Imigendere mishya cyangwa igenda yiyongera idashoboka (dyskinesia) yo mu maso, mu kanwa, cyangwa mu gice cyo hejuru cy'umubiri. |
| Imyitwarire irangwa n'ibitekerezo bibi | Irari ritagenzurwa ryo gukina imikino ihumanye, gukora imibonano mpuzabitsina, kugura ibintu bitari ngombwa, cyangwa kurya cyane. |
| Impatwe | Kugorwa no kujya mu bwiherero. |
| Kuzungera | Kuzungera. |
| Isesemi | Kumva ushaka kuruka. |
| Ikibazo cyo gusinzira | Kugorwa no gusinzira. |
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba uhuye n'ikintu kidasanzwe, vugana na muganga wawe ku bijyanye nacyo.
Ni gute wakwita ku muti?
- Bika ahantu hatekanye , kure y'abana n'amatungo .
- Bika ku bushyuhe buri hagati ya dogere selisiyusi 15 na 30 (15-30 °C).
- Ntugakoreshe umuti warengeje igihe.
Mu gihe ujugunya imiti yarengeje igihe cyangwa idakenewe, bikora mu buryo butangiza ibidukikije. Niba bishoboka, bishyikirize gahunda yo gukusanya imiti mu bitaro bya leta cyangwa muri farumasi zimwe na zimwe. Niba bidashoboka, kuramo ibinini mu icupa, ubivange n'ibibabi by'icyayi byakoreshejwe, ikawa, cyangwa ubutaka, hanyuma ubishyire mu gikapu gifunze neza hanyuma ubijugunye mu myanda.
Ntuzigere ubijugunya mu musarani. Ubutumwa bwo kujyana mu rugo
- Istradefylline ni umuti ukoreshwa mu kugenzura ibimenyetso by'indwara ya Parkinson, akenshi uhuzwa n'indi miti nka Carbidopa/Levodopa.
- Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Niba ugize irari rikabije, nko kwifuza ibiryoshye cyangwa ibintu bitari ngombwa, mu gihe ufata imiti, bwira muganga wawe vuba kuko ibi bishobora kuba ingaruka mbi z'umuti.
- Niba utwite, cyangwa uteganya gusama, uyu muti ntukwiriye. Vugana na muganga wawe kuri ibi.
Istradefylline, istradefylline, indwara ya Parkinson, indwara ya Parkinson, Nourianz, umuti wa Parkinson, ingaruka mbi za istradefylline sinhala, itradefylline ikoresha sinhala
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