Ese ufite indwara yitwa 'Ulcerative Colitis' itera ububabare mu gifu, kwifuza kujya mu bwiherero kenshi, ndetse rimwe na rimwe amaraso mu mwanda wawe? Niba ari byo, muganga wawe ashobora kuba yarakwandikiye umuti witwa 'Mesalamine'. Ukomoka ku mazina atandukanye nka 'Delzicol', 'Asacol', 'Pentasa'. Rero, uyu munsi turaganira kuri uyu muti, icyo ukora, uko uwukoresha, n'ibyo ugomba kwitondera mu buryo bworoshye ushobora gusobanukirwa.
Ni iki koko kigenda gishoboka kuri uyu muti witwa Mesalamine?
Mu magambo make, 'Mesalamine' ni umuti uvura 'Ulcerative Colitis'. Niba ufite iyi ndwara, ufite ububyimbirwe, cyangwa indwara isa n'ububyimbirwe, bw'urukuta rw'imbere rw'amara yawe manini (inzira y'igifu). Tekereza nk'igisebe cy'uruhu, aho agace kayo gahinduka umutuku, kabyimba, kandi kakababara.
Rero, icyo uyu muti wa 'Mesalamine' ukora ni ukurwanya no kugabanya ubwo bubyimbirwe . Ni uwo mu bwoko bw'imiti yitwa 'salicylates'. Ntabwo ugenzura ibimenyetso gusa, ahubwo unafasha mu gukumira ububyimbirwe nyuma yuko indwara irangiye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira gufata Mesalamine, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Menya neza ko umubwiye niba ufite imwe mu ndwara zavuzwe haruguru.
| Indwara cyangwa ikibazo cy'ubuzima | Kuki ibyo ari ingenzi? |
|---|---|
| Indwara y'impyiko | Kubera ko mesalamine rimwe na rimwe ishobora kugira ingaruka ku mpyiko. |
| Indwara y'umwijima | Uyu muti ushobora kandi kugira ingaruka ku mikorere y'umwijima. |
| Kuziba kw'amara cyangwa stenosis ya Pyloric | Iyo hari ikibazo mu gifu cyangwa mu mara, umuti ushobora kuziba. |
| Allergie kuri mesalamine, aspirine, cyangwa indi miti/ibiribwa | Iyo ufite allergie, ushobora kugira ingaruka zikomeye. |
| Gutwita cyangwa kugerageza gutwita | Ni ngombwa gushaka inama kwa muganga mbere yo gufata umuti uwo ari wo wose mu gihe utwite. |
| Konsa | Ibice bimwe by'umuti bishobora kwanduza umwana binyuze mu mashereka, bityo rero menyesha muganga wawe ibi. |
Nigute nkwiye gukoresha uyu muti?
Gukoresha uyu muti neza ni ingenzi cyane kugira ngo ubone ibisubizo.
- Mirira kapsule yose: Ntukayimene, ntuyishenye cyangwa ngo uyihekenye. Mirira yose hamwe n'ikirahure cy'amazi.
- Fata umuti ku gihe: Gerageza gufata umuti wawe mu gihe kimwe buri munsi uko bishoboka kose. Ibi bizagufasha kugumana urugero rw'umuti mu mubiri wawe.
- Mbere cyangwa nyuma yo kurya?: Ibi bishobora gufatwa n'ibiryo cyangwa bitabifashe. Ariko, niba urwaye igifu cyangwa ukagira ikibazo cyo kuribwa mu gifu, ni byiza kubifata hamwe n'ibiryo.
- Ntureke: Ntureke gufata imiti yawe kugeza igihe muganga wawe agutegetse. Ni ngombwa kurangiza uburyo bwo kuvura bwatanzwe, nubwo ibimenyetso byawe byaba birushijeho kumera neza.
- Ku bana bato: Uyu muti ushobora kuba wagirwa inama ku bana barengeje imyaka 5 mu bihe bimwe na bimwe. Ariko, ugomba kuvugana na muganga wawe kuri uwo muti.
Icyitonderwa: Niba utekereje ko wafashe uyu muti urenze urugero rwagenwe, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe. Uyu muti ni uwo gukoresha gusa, ntuwusangize abandi.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, uyifate 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.
Ibintu ugomba kuzirikana mu gihe ukoresha umuti
- Indi miti: Bwira muganga wawe niba ufata indi miti iyo ari yo yose igabanya ububabare, nka NSAIDs (urugero: ibuprofen, naproxen), cyangwa indi miti nka azathioprine cyangwa mercaptopurine. Iyi miti ishobora kugira ingaruka kuri mesalamine. Ni byiza kubwira muganga wawe imiti yose na vitamine ufata.
- Ibizamini by'ubuvuzi: Muganga azagusuzuma buri gihe. Jya aho uri mu bihe bikwiye. Babwire niba ibimenyetso byawe birimo koroha cyangwa birushaho kuba bibi. Bashobora kandi gutegeka ko amaraso akorwa.
- Guhindura ibirango: Ntugahindure ikirango cya Mesalamine ufata utabanje kugisha inama muganga wawe, kuko igipimo cy'umuti kidahwanye ku birango byose.
- Irinde izuba: Uruhu rwawe rushobora kuba rworoshye kumva izuba mu gihe ufata uyu muti. Kubwibyo, niba ugiye ku zuba, ambara imyenda miremire kandi ushyireho amavuta akingira izuba.
- Igishishwa cy'ikinini gifite umwanda: Mu bwoko bumwe na bumwe bwa Mesalamine, igice cyo hanze cy'ikinini gishobora kudashonga no gusohoka hamwe n'umwanda. Ibi nta kibazo nibibaho rimwe cyangwa kabiri. Ariko niba ibi bibaho kenshi , bibwira muganga wawe.
- Nywa amazi menshi: Baza muganga wawe ibirahuri by'amazi ugomba kunywa ku munsi. Ni ingenzi cyane kwirinda umwuma.
Ingaruka mbi zishobora guterwa na mesalamine
Kimwe n'indi miti yose, 'Mesalamine' ishobora gutera ingaruka zimwe na zimwe. Ariko ntugahangayike, si buri wese uzibona. Icy'ingenzi ni ukumenya ibi kandi ukabibwira muganga wawe vuba niba ubonye ikintu gikomeye.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Gukomereka kw'impyiko | Kugabanuka k'umuvuduko w'inkari, kubyimba utubuto tw'ibirenge, amaboko n'ibirenge. |
| Gukomereka k'umwijima | Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, amaso/uruhu rugahinduka umuhondo, inkari z'umuhondo wijimye/umukara. |
| Myocarditis | Guhumeka bigoranye, kubabara mu gatuza, umunaniro udasanzwe, umutima utera vuba cyane. |
| Indwara ya Mesalamine | Kubabara mu gifu cyane, impiswi irimo amaraso, kuribwa umutwe, umuriro, kubabara imitsi. |
| Ibibazo bikomeye by'uruhu | Gutukura, uduheri, gukurura uruhu (bishobora no kugaragara mu kanwa). |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Kubabara mu gifu | Impiswi |
| Umutwe | Isesemi |
| Kubabara mu muhogo | Ibimenyetso bisa n'ibicurane |
Ni gute warinda imiti yawe?
Bika imiti kure y'abana n'amatungo. Ni byiza kuyibika ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25). Ntugakoreshe imiti yarengeje igihe. Ijugunye neza. Ushobora kugisha inama muganga wawe kuri ibi.
Ubutumwa bwo kujyana mu rugo
- Mesalamine ni umuti ugabanya ububyimbirwe mu mara mu gihe cy'indwara ya kanseri y'ibisebe.
- Umira uyu muti wose n'amazi utawumenetse, utawushenye cyangwa ngo uwuheke .
- Niba ufite impyiko, indwara y'umwijima, cyangwa izindi aleriji , banza ubibwire muganga wawe mbere yo gutangira umuti.
- Niba ugize ingaruka mbi zikomeye (nk'ububabare bukomeye mu gifu, uduheri ku ruhu, kugabanuka k'inkari) , shaka ubufasha bwa muganga vuba.
- Ntugahagarike gufata imiti yawe kugeza igihe muganga wawe agutegetse. Niba ufite ikibazo, muganireho.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ni iyihe ndwara ibinini bya Mesalamine (Mesalamine / Asacol, Lialda) bikoreshwa?
Uyu ni umwe mu miti ikomeye cyane (5-Aminosalicylic acid / 5-ASA) ku isi ishobora kuvura ububabare bwo mu gifu budashobora kwihanganira, impiswi irimo amaraso, n'ibisebe bikomeye mu mara (Ulcerative Colitis)! Ihita igabanya ububabare bukomeye kandi igasubiza umurwayi mu buryo busanzwe.
💬 Ni gute ibi binini (Mesalamine) bivura ibisebe bikomeye byo mu mara/kubabara mu nda?
Ibisebe byo mu mara/kubyimba biterwa n'imiti yitwa 'Prostaglandins/Leukotrienes' ikorerwa mu mara. Umwihariko w'iki gipimo ni uko kidatwarwa n'umubiri ndetse na nyuma yuko kigeze mu gifu, kirangirika mu mara manini (colon) (Ibikorwa byo mu mara). Iyo kigeze mu mara, gifunga burundu inganda zose z'imiti (COX/LOX) zitera ibisebe. Hanyuma kubyimba no kuva amaraso birahagarara aho ngaho.
💬 Ni izihe ngorane ugomba kumenya mu gihe ufata uyu muti wo mu mara (Mesalamine)?
Ibi ni byiza cyane, ariko hari abantu bashobora kugira 'Mesalamine-induced Acute Intolerance Syndrome', ishobora gutera kuribwa mu gifu, kuva amaraso, no gucibwamo cyane! Niba ubonye kimwe muri ibi bimenyetso, ugomba guhagarika gufata umuti ako kanya. Nanone, kubera ko ukozwe muri aspirine/salicylate, abantu bafite ubwivumbure kuri aspirine ntibagomba gufata uyu muti!
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