Iyo tumenye ko umubyeyi wacu, data wacu, cyangwa undi muntu wa hafi cyane arwaye indwara ya Alzheimer, twumva tubabaye cyane kandi dufite impungenge. Biragoye cyane kubona kwibuka kwabo kugenda gucika buhoro buhoro kandi bakibagirwa ibintu. Ariko ntugahangayike. Nubwo nta muti uhari w'iyi ndwara, hari ubwoko bwinshi bw'imiti ishobora gufasha mu kugenzura ibimenyetso, kugabanya ikwirakwira ry'iyi ndwara, no koroshya ubuzima bwabo. Uyu munsi, tuzavuga kuri iyo miti.
Ni iki kiba ku bwonko mu ndwara ya Alzheimer?
Mbere yuko tuvuga kuri uyu muti, reka dusobanukirwe mu buryo bworoshye ibibera ku bwonko mu ndwara ya Alzheimer. Ubutumwa buhererekanwa hagati y’uturemangingo tw’imitsi mu bwonko bwacu binyuze mu binyabutabire. Mu ndwara ya Alzheimer, poroteyine zidasanzwe (amyloid na tau) zitangira kwirundanya mu bwonko. Ibi byangiza uturemangingo tw’imitsi kandi bigahagarika itumanaho hagati yatwo. Ibi bigira ingaruka zikomeye ku bice by’ubwonko bigenzura kwibuka, gutekereza, n’imyitwarire .
Imiti iriho ubu igenzura cyane cyane iyi gahunda. Imiti imwe n'imwe iringaniza urugero rw'ibinyabutabire mu bwonko, mu gihe imiti mishya igerageza gukuraho poroteyine zidasanzwe.
Imiti y'ingenzi ivura indwara ya Alzheimer
Imiti ivura indwara ya Alzheimer igabanywamo ibice bibiri by'ingenzi. Kimwe ni imiti igenzura ibimenyetso. Ikindi ni imiti mishya igerageza kugenzura uko indwara igenda ikura, ni ukuvuga uko indwara irushaho kuba mbi.
1. Ibikoresho bibuza kolinesterase
Iyi ni yo miti ikunze kwandikirwa abarwayi bari mu cyiciro cya mbere n'icya kabiri cy'indwara ya Alzheimer.
Bikora bite?
Muri make, ubwonko bwacu bufite ubutumwa bw'ibinyabutabire bwitwa acetylcholine , bukenewe cyane mu bintu nko kwibuka no kwiga. Mu ndwara ya Alzheimer, urugero rw'iyi acetylcholine ruragabanuka. Icyo iyi miti ikora ni ukubuza gusenyuka kwa acetylcholine mu bwonko. Ibi bituma ubutumwa bwoherezwa hagati y'uturemangingo tw'imitsi neza gato.
Iyi miti ntabwo ivura indwara. Ariko ishobora gutinza ibimenyetso bikomeza kwiyongera mu gihe cy'amezi agera kuri 6 kugeza kuri 12. Ku barwayi bamwe, ishobora kongera ubushobozi bwabo bwo kwita ku bintu, kwibuka no gukora imirimo ya buri munsi.
| Izina ry'umuti | Imiterere y'ikoreshwa | Uburyo bwo gutanga |
|---|---|---|
| Donepezil | Ku byiciro byose by'indwara | Ikinini gifatwa rimwe ku munsi |
| Rivastigmine | Ku mashuri abanza n'ayisumbuye | Ikinini gifatwa kabiri ku munsi cyangwa agace k'uruhu |
| Galantamine | Ku mashuri abanza n'ayisumbuye | Ibinini/amazi bifatwa rimwe cyangwa kabiri ku munsi |
Ingaruka mbi z'ibi ni izihe?
Si buri wese ugira ingaruka mbi, ariko hari abantu bashobora kugira isesemi, kuruka, kubabara mu nda, kubyimba no kunanirwa.
2. Memantine
Uyu muti ukunze guhabwa abantu bari mu byiciro biri hagati kugeza ku bikomeye by'indwara. Hari igihe muganga ashobora kuwutanga hamwe na Donepezil twavuze haruguru.
Bikora bite?
Indi misemburo y’ibinyabutabire mu bwonko yitwa glutamate iba nyinshi cyane mu ndwara ya Alzheimer. Ibi bishobora kwangiza uturemangingo tw’imitsi. Memantine ikora mu kugenzura urugero rw’ibinyabutabire. Ibi bishobora gufasha umurwayi kunoza uburyo yita ku barwayi, gutekereza neza, no kuvuga. Bishobora kandi gufasha mu kugenzura ibimenyetso nko kubura amahoro, gukaza umurego, no kubona/kumva ibintu bitariho .
Ingaruka mbi: Kurwara impatwe, kuzungera, kuribwa umutwe, no gusinzira bishobora kubaho.
3. Imiti mishya yibasira ubwinshi bw'amafi ya amyloid mu bwonko
Iyi ni intambwe iheruka mu kuvura indwara ya Alzheimer. Iyi ni imiti yihariye yitwa "antibodies monoclonal." Iyi miti yibasira poroteyine mbi zitwa amyloid plaques zirundanya mu bwonko. Itangwa binyuze mu mitsi (IV). Ubu yemerewe abarwayi bari mu ntambwe za mbere z'iyi ndwara gusa.
- Lecanemab (Leqembi)
- Donanemab (Kisunla)
Iyi miti yagaragaye mu igeragezwa ko igabanya cyane iterambere ry’iyi ndwara. Ariko, ishobora gutera ingaruka mbi nko kubyimba ubwonko by’igihe gito cyangwa kuva amaraso make, bityo itangwa witonze cyane kandi gusa ikurikiranwe na muganga.
Ibintu ugomba kumenya mu gihe uha umurwayi umuti
Nk'umuntu urera umuntu urwaye indwara ya Alzheimer, ufite inshingano zikomeye, cyane cyane kumuha imiti ku gihe. Hari ibintu bike ugomba kumenya.
Mu ntangiriro z'indwara:
Nubwo umurwayi ashobora gufata imiti wenyine mu ntangiriro, ashobora kubyibagirwa buhoro buhoro. Kora ibi kugira ngo bimufashe.
- Koresha agakoresho ko gutondeka ibinini: Komeza ushyire hamwe imiti yawe mu cyumweru. Ni byiza kuyikoresha hamwe n'ibice bya mu gitondo, nyuma ya saa sita na nimugoroba.
- Ibuka ku gihe: Shyiraho inzogera kuri telefoni yawe. Cyangwa, niba bishoboka, hamagara wiyibutse icyo gihe.
- Ganira na bo: Baza mu rukundo uti "Ese nagufasha kubona imiti yawe?" Bafashe ariko kandi bubaha ubwigenge bwabo.
Iyo indwara ikomeye:
Uko igihe kigenda gihita, uzagomba gufata inshingano zose zo gutanga umuti.
- Niba ufite ikibazo cyo kumira ibinini: Bishobora kuba biterwa nuko umunwa wawe wumye. Ha umwana wawe amazi yo kunywa mbere yo kumuha umuti. Ariko niba ibyo bidakora, baza muganga wawe niba umuti ushobora gusya no kuvangwa n'ibiryo, cyangwa niba uboneka mu buryo bw'amazi. Si imiti yose ikoreshwa neza mu gusya , bityo rero menya neza ko wabaza muganga wawe.
- Nibavuga ko badashobora gufata umuti: Ntukarwane nabo. Ibyo bizatuma barushaho kurakara. Icyo gihe, hagarika kuwufata, tegereza akanya gato, hanyuma wongere ugerageze. Wenda bazawufata niba ubibutsa witonze uti: "Uyu ni wo muti w'ikibazo cyawe." Niba bakomeje kwanga, bwira muganga wawe.
- Kora urutonde rw'imiti: Andika buri muti, vitamine, n'ingano bafata, n'igihe bawufata. Jyana uru rutonde mugihe ugiye kwa muganga.
- Bika imiti yawe mu buryo butekanye: Bika imiti yose mu kabati gafunze, kure y'abana n'umurwayi.
Igikuru ni uko, ntugahagarike gufata umuti muganga wawe yakwandikiye cyangwa ngo uhindure ingano yawo utabanje kumubaza. Niba ufite ikibazo, hita ubonana na muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Nubwo indwara ya Alzheimer idashobora gukira burundu, hari imiti ishobora kugenzura ibimenyetso no kugabanya ukwiyongera kw'iyi ndwara.
- Imiti ishobora kugabanywamo ibyiciro bibiri by'ingenzi: iyo kugenzura ibimenyetso (Cholinesterase inhibitors, Memantine) n'imiti mishya igerageza guhindura uko indwara igenda (Monoclonal antibodies).
- Muganga wawe azagena umuti ukwiriye uwo ukunda, bitewe n'urwego rw'indwara ndetse n'ubuzima bw'umurwayi.
- Uruhare rwawe mu gutanga imiti no kwita ku murwayi ni ingenzi cyane. Ni ngombwa gukorana kwihangana, urukundo, kandi ukurikije amabwiriza y'abaganga.
- Niba ubonye ibibazo cyangwa ingaruka mbi zijyanye n'imiti yawe, vugana na muganga wawe vuba.











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