Uyu munsi turaganira kuri sirupe ya Midazolam, ifasha kugabanya imihangayiko mbere yo kubagwa!

Niba wowe cyangwa umuntu wo mu muryango wawe agiye kubagwa gato, cyangwa rimwe na rimwe agapimwa indwara, ni ibisanzwe kumva ufite ubwoba no guhangayika, si byo se? Abana bacu bato, cyane cyane, bumva bameze batyo kurushaho. Mu bihe nk'ibi, umuti wihariye witwa Midazolam ukoreshwa n'abaganga kugira ngo ubafashe gutuza wowe cyangwa umuntu ufite ubwoba, kuruhuka mu mutwe, no kugutegurira ubuvuzi bukenewe. Reka tubiganireho birambuye uyu munsi, si byo se?

Sirupe ya Midazolam ni iki?

Muri make, Midazolam ni umuti utuza uturemangingo tw’imitsi , ukagabanya ubwoba n’imihangayiko bitari ngombwa, kandi ugatera gusinzira gato . Ni uwo mu bwoko bw’imiti yitwa Benzodiazepines. Imiti yo muri ubu bwoko ikoreshwa mu kugabanya imihangayiko no gutuza.

Ushobora kuba warumvise uyu muti munsi y’amazina y’ikirango Versed cyangwa Versed Syrup. Aya ni amwe mu mazina azwi cyane ya sirupe ya Midazolam.

Intego nyamukuru yo gutanga uyu muti ni ukugabanya ubwoba bwawe no kwitegura uburyo bwo kwivuza, nko kubagwa cyangwa gupimwa. Hari igihe ushobora kutibuka ibyabaye nyuma yaho. Ibyo nabyo ni bimwe mu bigize uyu muti.

Ni mu bihe bihe Midazolam ikoreshwa?

Nkuko nabivuze mbere, iyi sirupe (Midazolam) ikunze gukoreshwa mu kugutuza no kugutera gusinzira mbere yo kubagwa cyangwa ibindi bipimo by'ubuvuzi . Tekereza umwana muto ugomba gukurwa iryinyo, cyangwa ugomba gupimwa nka (Endoscopy), kandi uwo mwana ashobora kugira ubwoba, si byo? Iyi sirupe ni ingirakamaro cyane mu bihe nk'ibi.

Igikuru ni uko iyi sirupe (Midazolam) itangwa gusa mu bitaro cyangwa mu ivuriro rikurikiranwe na muganga. Abaganga ntibayisaba kuyikoresha mu rugo.

Uyu muti ushobora no gukoreshwa mu zindi mpamvu z'ubuvuzi, bityo niba ufite ikindi kibazo kuri ibi, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ibintu ugomba kubwira muganga wawe mbere yo kuguha uyu muti

Mbere yo guha umuti wa Midazolam sirupe wowe cyangwa umwana wawe, hari ibintu bike ugomba kubwira itsinda ry’abaganga bawe. Iyo ubabwiye ibi bintu, bashobora guhitamo niba nta kibazo kirimo kuri wewe gutanga uyu muti cyangwa kutawutanga.

Dore ibyo bintu:

• Niba ufite glaucoma ( indwara aho umuvuduko w'amaso wiyongera).
• Niba ufite indwara y'umutima .
• Niba ufite indwara z'impyiko .
• Niba ufite indwara y'umwijima .
• Urugero, niba ufite indwara z'ibihaha cyangwa iz'ubuhumekero , asima .
• IrihoNiba ufite ikibazo cyo mu mutwe (urugero: kwiheba gukomeye, schizophrenia, nibindi).
• Niba ufite amateka yo kurwara indwara zo mu mutwe cyangwa izindi ndwara zabayeho mbere.
• Niba ufite ikibazo cyo gukoresha ibiyobyabwenge .
• Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura .
• Niba warigeze kugira ikibazo kidasanzwe cyangwa cy’ubwivumbure kuri Midazolam, izindi Benzodiazepines, cherries, ibindi biribwa, amarangi, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita.
• Niba uri umubyeyi wonsa.

Niba hari kimwe muri ibi kikureba, ni ngombwa kubibwira muganga wawe utabihishe. Hanyuma bashobora kuguha ubuvuzi bukwiye kandi bwizewe.

Ni gute utanga sirupe (Midazolam)?

Ibi nibyo bibaho kenshi. Sirupe (Midazolam) uyihabwa n'abakozi bo mu bitaro cyangwa ku ivuriro. Ni ukuvuga ko utabwirwa kuyifata muri farumasi ukayijyana iwawe.

Mu gihe utanga uyu muti, cyane cyane ku bana, ugomba kwitabwaho cyane. Nubwo usabwa ku bana mu bihe bimwe na bimwe, hari ingamba zo kwirinda. Kubwibyo, niba uha umwana wawe uyu muti, vugana na muganga wawe witonze kandi umenye ibisobanuro birambuye.

Wakora iki niba ufashe imiti irenze urugero ku bushake?

Kubera ko uyu muti utangwa mu bitaro, amahirwe yo kurenga urugero ni make. Ariko, niba ubona ko wahawe uyu muti mwinshi cyane, ugomba guhita uhamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihutirwa.

Wibuke ko uyu muti ari uwawe gusa. Ntuzigere usangiza uyu muti undi muntu uwo ari we wese.

Ni iyihe miti yindi ishobora kugira ingaruka kuri Midazolam?

Iki ni ikintu cy'ingenzi cyane. Midazolam ishobora kugirana cyangwa ikagirana ibibazo n'indi miti ufata. Ibi bibaye, ingaruka za Midazolam zishobora kuba zikomeye cyane cyangwa izindi ngaruka mbi zikomeye zishobora kubaho.

Midazolam ntigomba na rimwe gufatwa hamwe n'imiti ikurikira:

• (Boceprevir) (umuti uvura hepatite C)
• Imiti imwe n'imwe ikoreshwa mu kuvura virusi itera SIDA cyangwa SIDA
• Imiti imwe n'imwe ivura indwara z'ibihumyo, urugero nka Ketoconazole na Itraconazole
• Umutobe w'imbuto z'imizabibu
• (Idelalisib) (umuti uvura kanseri)
• Imiti imwe n'imwe ya opioid ivura inkorora
• (Sodium Oxybate)
• (Telaprevir) (umuti uvura hepatite C)

Byongeye kandi, hari indi miti ishobora kugira ingaruka kuri Midazolam:

• Inzoga
• Antihistamines ku ndwara z'ubwivumbure, inkorora n'ibicurane
• Imiti igabanya umuvuduko wa kalisiyumu, urugero nka Diltiazem na Verapamil (iyi ikoreshwa mu kuvura umuvuduko ukabije w'amaraso n'indwara z'umutima)
• Amwe mu matibayotike, urugero: (Clarithromycin), (Erythromycin), (Rifampin)
• Indi miti ivura guhangayika cyangwa gusinzira
• Imiti imwe n'imwe ivura indwara yo kwiheba, urugero (Amitriptyline), (Fluoxetine), (Sertraline)
• Imiti imwe n'imwe ikoreshwa mu kuvura igicuri, urugero (Carbamazepine), (Phenobarbital), (Primidone)
• (Cimetidine) (umuti uvura indwara y'igifu)
• Imiti igabanya ububabare ikoreshwa mu gihe cyo kubaga, urugero nka Lidocaine, Pramoxine, Tetracaine
• Imiti igabanya imitsi ikoreshwa mu gihe cyo kubaga
• Imiti yo kugabanya ububabare ya Opioid
• Imiti iri mu itsinda ryitwa (Phenothiazines), urugero (Chlorpromazine), (Mesoridazine), (Prochlorperazine), (Thioridazine) (iyi itangwa ku ndwara zo mu mutwe)

Uru rutonde ntirurimo ibintu byinshi. Hari n'ibindi bintu bishobora gutera ingaruka mbi. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo imiti yanditswe na muganga n'indi igurishwa mu kigo, ibyatsi, vitamine, n'inyongeramusaruro), kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Bashobora kugenzura niba hari ingaruka mbi.

Ibintu ugomba kuzirikana mugihe ukoresha uyu muti

Nyuma yo guhabwa sirupe ya Midazolam, itsinda ry'abaganga bawe rizakurikirana ubuzima bwawe buri gihe. Ariko, ni byiza gukomeza gukurikirana ibi bintu:

• Uyu muti ushobora kwangiza gato uburinganire bwawe, igihe cyo gusubiza ibintu mu buryo, n'ubushobozi bwawe bwo gufata ibyemezo . Kubwibyo, irinde gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye neza uko uyu muti umeze.
• Ingaruka z'umuti zishobora gutera isereri no gucika intege. Kugira ngo ugabanye ibi byago, haguruka vuba, waba wicaye cyangwa uva mu buriri.
• Iyo unyoye inzoga hamwe n'uyu muti, ingaruka mbi zishobora kwiyongera cyane. Rero nawe witondere.
• Niba ufata indi miti igutera gusinzira (urugero: imiti igabanya ububabare, ibinini bisinziriza), gufata Midazolam hamwe n'indi miti bishobora gutuma usinziriza cyane. Bwira itsinda ry'abaganga imiti yose ufata. Bazakubwira ingano yo gufata. Ntukigere ufata irenze urugero muganga yagutegetse. Niba ufite ikibazo cyo guhumeka cyangwa ukagira ibitotsi bidasanzwe, shakisha ubufasha bwihutirwa bwa muganga ako kanya.
• Niba ubonye impinduka mu myitwarire yawe cyangwa iy'umuryango wawe (urugero: kwiheba gushya cyangwa kwiyongera, ibitekerezo byo kwiyangiza, guhangayika, ibindi bitekerezo bidasanzwe cyangwa bigutera ubwoba, gutakaza kwibuka), menyesha itsinda ry'abaganga ako kanya.
• WoweNiba uteganya gutwita, cyangwa utekereza ko utwite, vugana n'itsinda ry'abaganga ku bijyanye nabyo. Uyu muti ushobora gutera ubumuga bukomeye mu gihe cyo kubyara. Niba wonsa, vugana n'itsinda ry'abaganga ku bijyanye na byo. Gahunda yawe yo kuvura ishobora gukenera guhindurwa.

Ni izihe ngaruka mbi zishobora guterwa n'ibi?

Kimwe n'indi miti yose, Midazolam ishobora gutera ingaruka zimwe na zimwe. Ariko, si buri wese uzibona. Hari ingaruka zimwe na zimwe ugomba guhita umenyesha muganga wawe. Hari n'izindi akenshi ziba zitari zikomeye kandi zizashira mu minsi mike.

Ingaruka mbi zigomba kumenyeshwa itsinda ry’abaganga ako kanya:

• Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Gucika intege kw'imitsi yo mu mutwe (CNS depression): Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• Guhinda umushyitsi cyangwa kunyeganyega.

Ubonye ikintu nk'iki, ni byiza kubibwira muganga vuba.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa itsinda ry’abaganga niba zikomeje cyangwa zibangamiye):

• Kubura amahoro, kurakara, cyangwa guhangayika.
• Kuzungera.
• Gusinzira.
• Isesemi.
• Kuruka.

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba uhuye n'izindi ngaruka mbi, vugana na muganga wawe. Ushobora gutanga raporo ku Kigo gishinzwe Ibiribwa n'Imiti (FDA) kuri 1-800-FDA-1088.

Hanyuma, ingingo zimwe na zimwe z'ingenzi

Sawa, twavuze byinshi kuri sirupe (Midazolam), si byo se? Amaherezo, dore ibintu by'ingenzi ugomba kwibuka:

• Midazolam ni umuti utangwa kugira ngo ugabanye guhangayika no gutuza mbere yo kubagwa cyangwa gupimwa kwa muganga.
• Ibi bitangwa gusa munsi y’ubuyobozi bw’abaganga mu bitaro cyangwa ivuriro. Ntabwo ari ibyo gukoreshwa mu rugo.
• Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite, imiti ufata, na aleriji.
• Nyuma yo gufata uyu muti , irinde gutwara imodoka cyangwa gukora ikintu icyo ari cyo cyose gisaba kwitonda igihe runaka.
• Niba ugize ingaruka mbi zikomeye, shaka ubufasha bwa muganga ako kanya.

Niba ushaka kumenya byinshi kuri ibi, ntutinye kubaza muganga wawe. Bazagufasha.

Midazolam , Midazolam, Sirupe, Guhangayika, Gusinzira, Mbere yo kubagwa, Benzodiazepine, Versed