Hari igihe indwara z'ibihumyo mu mubiri wacu zibabaza cyane, si byo se? Izi zishobora kugaragara ku ruhu, ku nzara, cyangwa no mu mubiri. Rero, mu bihe nk'ibi, umuti ukomeye muganga aguha witwa Ketoconazole. Uyu muti kandi uzwi cyane ku izina rya Nizoral. Ariko hari ibintu bike tugomba kwitondera cyane mu gihe dukoresha uyu muti. Uyu munsi, tuzaganira kuri uyu muti kuva kuri A kugeza kuri Z mu buryo bworoshye ushobora gusobanukirwa.
Ketoconazole ni iki?
Mu magambo make, ketoconazole ni umuti urwanya udukoko . Ibi bivuze ko wica udukoko twangiza umubiri wacu.
Wibuke ikintu kimwe cy'ingenzi cyane. Uyu muti ukorera gusa indwara z'ibihumyo. Ntabwo uzakiza ibicurane, grippe, cyangwa izindi ndwara ziterwa na bagiteri cyangwa virusi ufite. Kubwibyo , koresha uyu muti gusa ari uko muganga yagusuzumye neza kandi akagundikira.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yuko muganga wawe akwandikira uyu muti, azakenera kumenya neza ubuzima bwawe. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, banza ubibwire muganga wawe .
- Niba warigeze kugira ubwivumbure kuri ketoconazole cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba uri umusinzi .
- Niba ufite indwara y'umutima cyangwa umutima unaniwe.
- Niba umutima wawe utera nabi cyangwa utinze cyane.
- Niba ufite indwara y'umwijima .
- Niba ufite ikibazo mu rugero rwa electrolytes , nka manyeziyumu cyangwa potasiyumu, mu maraso yawe.
- Niba adrenal glands yawe idakora neza.
- Niba utwite cyangwa utegereje umwana vuba.
- Niba uri umubyeyi wonsa .
Ni ingenzi cyane ku mutekano wawe kuvugana na muganga udahishe aya makuru.
Ni ubuhe buryo bwiza bwo gufata umuti?
Nk'uko muganga abivuga, ni ingenzi cyane gufata igipimo gikwiye mu gihe gikwiye.
- Fata iki kinini n'ikirahure cy'amazi.
- Gerageza gufata umuti mu gihe kimwe buri munsi.
- Uyu muti unyurwa neza kandi ugakora neza iyo uwufashe hamwe n'amafunguro .
- Ntugahagarike gufata umuti hagati y’igihe kuko ibimenyetso byawe byagabanutse. Ugomba kurangiza iyi miti , ari yo minsi muganga wawe yagutegetse. Kutabikora bishobora gutuma ubwandu bugaruka.
- Niba ufata imiti igabanya aside cyangwa indi miti igabanya aside mu gifu (PPIs) ku ndwara nka gastritis, ntuyifate icyarimwe na ketoconazole. Uyifate isaha imwe mbere cyangwa amasaha abiri nyuma yo gufata ikinini cya ketoconazole.
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.
Wakora iki niba ufashe imiti myinshi? (Kuba warengeje urugero)
Niba ubona ko wafashe imiti myinshi cyane, ntutinde. Jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Cyangwa uhamagare Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo bakugire inama.
Itondere! Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Iki ni cyo gice cy'ingenzi cyane muri iyi nkuru. Ketoconazole ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Iyi miti rimwe na rimwe ishobora guteza akaga gakomeye. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata (wandikiwe n'abandi baganga, waguzwe muri farumasi, vitamine, imiti gakondo, imiti gakondo).
Imbonerahamwe ebyiri ziri hepfo zigaragaza imiti y'ingenzi ishobora kugira ingaruka kuri ketoconazole.
| Biteje akaga! Ntuzigere ubifata hamwe na ketoconazole! | |
|---|---|
| Icyiciro cy'ibiyobyabwenge | Ingero |
| Imiti imwe igabanya cholesterol | Lovastatin, Simvastatin, Cerivastatin |
| Imiti imwe n'imwe ivura indwara y'umutima idakora neza | Disopyramide, Dofetilide, Dronedarone, Quinidine |
| Imiti imwe n'imwe ivura indwara yo kwiheba cyangwa gusinzira | Alprazolam, Midazolam, Triazolam |
| Imiti imwe n'imwe ivura migraine (ubwoko bwa Ergot) | Ergotamine, Dihydroergotamine |
| Indi miti | Cisapride, Colchicine, Methadone, Pimozide, Ranolazine, Sirolimus, Tolvaptan, Lurasidone |
| Witondere! Ibi bishobora gutera ibyiyumvo - inama z'abaganga ni ngombwa | |
|---|---|
| Icyiciro cy'ibiyobyabwenge | Ingero |
| Ibikoresho birimo inzoga cyangwa inzoga | - |
| Imiti imwe n'imwe y'umuvuduko w'amaraso | Amlodipine, Nifedipine, Verapamil |
| Imiti ivura virusi itera SIDA | (Baza muganga) |
| Imiti imwe n'imwe ivura kanseri | Dasatinib, Imatinib, Docetaxel |
| Imiti imwe n'imwe ivura indwara zo mu mutwe | Karubamazepine, Phenytoin |
| Umuti ugabanya amaraso mu mubiri | Warfarin, Rivaroxaban |
| Imiti ivura indwara z'ibitsina by'abagabo | Sildenafil, Tadalafil |
| Imiti ya steroid | Deksamethasone, Methylprednisolone |
| Imiti imwe itangwa ku ndwara y'igituntu | Rifampine, Isoniazide |
Uru rutonde ntirwuzuye. Hashobora kuba hari indi miti. Kubwibyo, ni byiza kumenyesha muganga wawe imiti yose ufata.
Ingaruka mbi zishobora kubaho mu gihe ufata umuti
Kimwe n'indi miti iyo ari yo yose, ketoconazole ishobora gutera ingaruka mbi. Zimwe ntabwo ari mbi cyane, ariko zimwe tugomba kuzitondera cyane.
| Ubwoko bw'ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe ako kanya | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso by'Indwara y'Umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'inda, kubura ubushake bwo kurya, isesemi, uruhu cyangwa amaso bihinduka umuhondo , inkari z'umuhondo wijimye/umukara, n'umunaniro udasanzwe. Ibi ni ibimenyetso biteje akaga cyane. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, kumva nta cyo ushoboye, kubabara mu gatuza, guhumeka bigoranye. |
| Kugabanuka k'imikorere y'inkondo y'umura | Isesemi, kuruka, kubura ubushake bwo kurya, umunaniro udasanzwe, isereri. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Kubabara mu nda | Ibi bishobora kugabanuka iyo ufashe umuti hamwe n'ibiryo. |
| Isesemi | - |
| Umutwe | - |
| Impiswi | - |
Ni gute wabika kandi ugajugunya imiti mu buryo bwizewe?
- Bika imiti kure y'abana n'amatungo .
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25), birinzwe ubushuhe n'izuba ryinshi, kandi bifunze neza mu kintu gipfundikiye.
- Uburyo bwiza bwo kujugunya imiti yarengeje igihe cyangwa idakenewe ni ukuyishyira ku bitaro cyangwa muri farumasi "gahunda yo kuyisubiza mu mubiri." Niba bidashoboka, kura ibinini mu gikoresho, ubyivange n'ikintu nk'ikawa, ivu, cyangwa imyanda y'injangwe zakoreshejwe, ubishyire mu gikapu cyangwa ikindi gikoresho, ubifunge neza, hanyuma ubijugunye mu myanda. Baza muganga wawe inama zirambuye.
Ubutumwa bwo kujyana mu rugo
- Ketoconazole ni umuti ukomeye ukoreshwa gusa mu kuvura indwara z'ibihumyo.
- Mbere yo gutangira uyu muti, ni ngombwa kubwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Ntugatangire imiti mishya utabanje kugirwa inama na muganga, bitewe n'uko bishobora guteza akaga bishobora gutera n'indi miti.
- Niba ubonye ibimenyetso by'umwijima byangiritse, nko kuba amaso cyangwa uruhu rwarahindutse umuhondo, inkari zijimye, cyangwa ububabare ku ruhande rw'iburyo rw'igifu, hita ubonana na muganga.
- Rangiza imiti yose wahawe na muganga wawe. Guhagarika imiti kubera ko ibimenyetso byawe byagabanutse bishobora gutuma ubwandu bugaruka.
- Uyu ni umuti wagenewe wowe gusa. Ntukigere uwusangira n'abandi.
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