Tuzi ko kubaho urwaye indwara ya Parkinson rimwe na rimwe bishobora kugorana. Ushobora kuba usanzwe ufata imiti itandukanye kugira ngo umenye ibimenyetso byawe. Rero, uyu munsi tugiye kuvuga ku muti ukoreshwa mu kuvura indwara ya Parkinson ushobora kuba ari mushya kuri wewe. Witwa Istradefylline.
Mu magambo make, Istradefylline ni iki?
Istradefylline ni umuti ukoreshwa mu kuvura indwara ya Parkinson. Ariko, akenshi si wo muti ukoreshwa ku rwego rwa mbere. Akenshi ukoreshwa nk' "umuti wongeraho" ku miti isanzwe ya Parkinson, nka Levodopa na Carbidopa (Levodopa/Carbidopa).
Urugero, niba wumva ko umuti wawe w’ingenzi udahagije mu kugenzura ibimenyetso byawe, bivuze ko urimo kujya mu mihango myinshi, muganga wawe ashobora kukwandikira uyu muti kugira ngo agufashe kugenzura ibimenyetso byawe neza. Uyu muti ukunze kuboneka ku izina rya Nourianz.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Ni ngombwa cyane ko umuganga wawe amenya neza uko ubuzima bwawe buhagaze. Icyo gihe ni bwo ashobora kuguha uburyo bwiza kandi bwizewe bwo kuvura. Kubwibyo, mbere yo gutangira Istradefylline, ntukibagirwe kumenyesha umuganga wawe ibi bintu.
- Niba unywa itabi: Kunywa itabi bishobora kugira ingaruka ku buryo uyu muti ukora, bityo rero menya neza ko ubibwiye muganga wawe.
- Niba ufite indwara y'umwijima: Niba imikorere y'umwijima wawe yangiritse, ingano y'imiti yawe ishobora gukenerwa guhindurwa.
- Niba warigeze kugira cyangwa ufite ikibazo cyo mu mutwe: Ni ngombwa kubwira muganga wawe ibibazo byose byo mu mutwe wigeze kugira.
- Niba ufite aleriji: Tubwire aleriji iyo ari yo yose ufite, atari kuri uyu muti gusa, ahubwo no ku yindi miti, ibiryo, cyangwa amarangi.
- Niba utwite, ugerageza gutwita, cyangwa wonsa: Uyu muti ntiwifuzwa gukoreshwa muri ibi bihe. Rero menya neza ko wavuganye na muganga wawe kuri ibi.
Nigute nkwiye gukoresha uyu muti neza?
Mirira iki kinini n'ikirahure cy'amazi. Ushobora kugifata uri kumwe n'ibiryo cyangwa utagifashe. Ariko, niba urwaye igifu, ni byiza kugifata uri kumwe n'ibiryo. Icy'ingenzi ni ugufata doze nyayo, ku gihe nyacyo, nk'uko muganga yabigutegetse. Ntugafate ingano irenze iyagenwe, cyangwa ngo uyifate kenshi.
Icy'ingenzi cyane: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutera ingaruka mbi zikomeye. Iyo ubihagaritse, hari uburyo bwo kubikora, kandi muganga wawe azabigusobanurira.
Wakora iki niba ufashe imiti myinshi? (Kuba warengeje urugero)
Niba ufite amakenga ko wafashe uyu muti urenze urugero rwagenwe, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo ako kanya. Bitabaye ibyo, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry'ibitaro biri hafi yawe vuba.
Bite ho nintakaza dose? (Dose yabuze)
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. Ntukigere ufata dose ebyiri kugira ngo wishyure dose wibagiwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Indi miti, ibyatsi, n'inyongeramusaruro ufata bishobora kugira ingaruka kuri Istradefylline. Kubwibyo, ha muganga wawe urutonde rw'imiti yose ufata, harimo na vitamine n'imiti y'ibimera . Hano hari imwe mu miti isanzwe ishobora gutera ibibazo.
| Itsinda ry'ibiyobyabwenge cyangwa izina ryabyo | Ingero n'ibisobanuro |
|---|---|
| Amwe mu ma antibiyotike | Urugero: Clarithromycin |
| Imiti imwe igabanya cholesterol | Urugero: Atorvastatin, Lovastatin, Simvastatin |
| Imiti ivura indwara z'ibihumyo | Urugero: Ketoconazole, Itraconazole, Posaconazole |
| Imiti imwe n'imwe ivura igicuri ( ibisebe ) | Urugero: Carbamazepine, Phenobarbital, Phenytoin |
| Indi miti | Imiti y'ibimera nka Digoxin, Rifampin, na St. John's wort. |
Ibintu ugomba kwitondera cyane cyane mu gihe ufata umuti
Menya ibyifuzo bidasanzwe
Ibi ni ingenzi cyane. Hari abantu bashobora kugira ubushake budasanzwe kandi budashobora kugenzurwa iyo bafata uyu muti. Urugero:
- Icyifuzo gikomeye cyo gukina imikino y'amahirwe.
- Gukoresha amafaranga bitari ngombwa.
- Ukwiyongera kudasanzwe k'ubushake bw'imibonano mpuzabitsina.
- Kurya cyane bitagenzuwe.
Ibi si ikosa ryawe cyangwa intege nke zawe. Iyi ni ingaruka mbi zishobora guterwa n'ingaruka z'imiti. Niba wowe cyangwa umuryango wawe mubonye impinduka nk'izi, ntimugire isoni cyangwa ngo mugire ubwoba, ahubwo bwira muganga wawe ako kanya.
Kunywa itabi no gutwita
Niba unywa itabi, ubushobozi bw'uyu muti bushobora kugabanuka. Nanone, niba urimo gutekereza kureka kunywa itabi, bwira muganga wawe kuko ingano y'umuti ishobora guhindurwa.
Irinde gutwita mu gihe ufata uyu muti. Hari ibyago bikomeye byo kwangiza umwana. Niba uteganya gutwita cyangwa ukeka ko utwite, vugana na muganga wawe vuba.
Ni izihe ngaruka mbi zishobora kugaragara?
Kimwe n'indi miti iyo ari yo yose, Istradefylline ishobora gutera ingaruka mbi. Zimwe muri zo zishobora kuba zikomeye naho izindi zikaba zisanzwe.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Impinduka mu mutwe | Guhangayika, urujijo mu mutwe, kubona cyangwa kumva ibintu bitariho (ibintu bitagaragara). |
| Ibitekerezo bikomeye (Ibitekerezo) | Urusimbi rushya cyangwa rwiyongera, amafaranga akoreshwa, irari ry'imibonano mpuzabitsina, nibindi. |
| Ingendo zitagenzurwa (Dyskinesia) | Gutigita cyangwa kubyina mu buryo butunguranye amaboko, ibirenge, mu maso, mu kanwa, mu ijosi cyangwa mu gice cyo hejuru cy'umubiri. |
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje) | |
| Impatwe | Kugorwa no kujya mu bwiherero. |
| Kuzungera | Kuzungera . |
| Isesemi | Kumva ushaka kuruka. |
| Gusinzira | Kugorwa no gusinzira nijoro. |
Uru rutonde si ingaruka mbi zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, ganira na muganga wawe ku bikureba.
Ubutumwa bwo kujyana mu rugo
- Istradefylline ni umuti utangwa usibye imiti y'ingenzi nka Levodopa/Carbidopa kugira ngo ugenzure ibimenyetso bya Parkinson.
- Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose (cyane cyane indwara z'umwijima, ibibazo byo mu mutwe) ndetse n'uko unywa itabi.
- Irinde guhagarika imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Niba ugize irari ridasanzwe kandi rikomeye, nko gukina urusimbi cyangwa gukoresha amafaranga menshi, mu gihe ufata imiti, ntugatinye kubimenyesha muganga wawe vuba kuko ibi bishobora kuba ingaruka mbi z'imiti.
- Menyesha muganga wawe imiti yose ufata (harimo n'imiti ya Sinhala).
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