Ushobora kuba urwaye ububabare bukabije kandi burambye. Ahari muganga wawe yaguhaye indi miti myinshi igabanya ububabare, kandi nta n'umwe muri yo wafashije cyane. Icyo gihe ni bwo muganga ashobora kukwandikira umuti witwa morphine. Ni umuti ukomeye wo kugabanya ububabare. None rero uyu munsi, reka tuganire kuri uyu muti, uko ukoreshwa, n'icyo ushobora gukora.
Iyi morphine irekurwa burundu ni iki?
Muri make, morphine ni umuti wihariye ukoreshwa mu kugabanya ububabare bukomeye kandi buhoraho. Ni uwo mu itsinda ry'imiti ikomeye igabanya ububabare yitwa opioid. Uyu muti ukora mu kubuza ibimenyetso by'ububabare kugera mu bwonko. Ibi bigabanya ububabare twumva.
Ushobora kuba warabonye ko izina ry'uyu muti rivuga ngo 'Gutuza Guhoraho'. Ibi bivuze ko iyo ufashe uyu muti, umuti urekurwa buhoro buhoro mu mubiri kandi ukamara amasaha menshi, bivuze ko ukora igihe kirekire . Bityo, ukoreshwa mu kubabara igihe kirekire, ntabwo ukoreshwa mu kubabara gitunguranye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Muganga wawe azakenera kumenya amateka y’ubuzima bwawe mbere yo kuguha uyu muti. Ugomba kubibwira muganga wawe cyane cyane niba ufite imwe mu ndwara zavuzwe haruguru.
- Niba ufite ikibyimba cyo mu bwonko
- Niba uri cyangwa warahoze ari imbata y'ibiyobyabwenge cyangwa inzoga
- Niba warakomeretse umutwe cyane
- Niba ufite indwara y'umutima
- Niba ukunda kunywa inzoga buri gihe
- Iyo adrenal glands idakora neza
- Niba ufite indwara y'ibihaha, asima, cyangwa ibindi bibazo byo guhumeka
- Niba ufite indwara y'igicuri
- Niba ufite ibibazo byo mu gifu cyangwa mu mara
- Niba warafashe umuti wa MAOI wo kurwanya indwara ziterwa no kwiheba (urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate) mu minsi 14 ishize
- Niba ufite ubwivumbure kuri morphine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi ry'ubukorano.
- Niba utwite, ugerageza gutwita, cyangwa wonsa
Ni ingenzi cyane ku mutekano wawe kuvuga ibi bintu utarinze kubihisha.
Ni gute neza neza nkoresha uyu muti?
Kubera ko uyu ari umuti ukomeye, ni ngombwa cyane gufata igipimo gikwiye ku gihe gikwiye, nk'uko muganga abivuga.
- Mirira iyi kapsule yose hamwe n'ikirahure cy'amazi.
- Ntukigere uvunagura, ujanjagura cyangwa ngo uhekenya kapsule. Kubikora bishobora gutuma umubiri ufata imiti yose ukeneye mu gihe kirekire, bigatera indwara ikabije.
- Niba umuti usa n'aho ugoye mu nda, fata hamwe n'ifunguro cyangwa ikirahure cy'amata.
- Niba ufite ikibazo cyo kumira kapsule, fungura kapsule witonze hanyuma wongeremo utubuto duto imbere, hamwe n'isosi y'amapera ikonje . Hanyuma mira isosi y'amapera utayihekenya . Ntuyibike nyuma. Ntugasige kapsule mu kanwa. Umaze kumira, oza mu kanwa n'amazi hanyuma umire amazi.
- Gerageza gufata umuti wawe mu gihe kimwe buri munsi. Ntugafate umuti urenze urugero muganga akubwira gufata.
Kunywa umuti urenze urugero: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami ryita ku butabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. Uyu muti wanditswe kuri wowe gusa. Ntukigere uwuha undi muntu uwo ari we wese.
Wakora iki iyo usibye gahunda yo gufata imiti?
Niba wabuze dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Indi miti ishobora kugira ingaruka kuri uyu muti (Interactions)
Hari imiti ishobora gutera ingaruka mbi iyo ifashwe na morphine, bityo ni ngombwa kubwira muganga wawe indi miti yose ufata.
| Ibiyobyabwenge bitagomba gufatwa na morphine | |
|---|---|
| Linezolide | Ubururu bwa Methylene |
| MAOIs (urugero: Marplan, Nardil, Parnate) | Samidorphan |
Byongeye kandi, morphine ishobora kugira ingaruka ku bikurikira:
- Inzoga
- Imiti ivura allergie, inkorora n'ibicurane (Antihistamines)
- Umuti uvura guhangayika cyangwa gusinzira
- Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: amitriptyline, fluoxetine)
- Imiti imwe n'imwe ivura migraine
- Imiti imwe n'imwe yo kuvura kuruka
- Imiti iruhura imitsi
- Indi miti ikomeye igabanya ububabare cyangwa inkorora
- Utunyangingo tw'imitsi
- Imiti igabanya ububabare muri rusange
Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti gakondo) , kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti.
Ibintu ugomba kwitondera cyane cyane mu gihe ufata imiti
- Itondere ububabare: Niba ububabare bwawe butarangiye nyuma yo gufata imiti, niba burushijeho kwiyongera, cyangwa niba ufite ubundi bwoko bw'ububabare, bwira muganga wawe. Uko igihe kigenda gihita, urugero wafataga rushobora kuba rutagihagije kugira ngo ugabanye ububabare bwawe. Ibi byitwa kugira ubushobozi bwo kwihanganira ububabare. Ibi ni ibisanzwe.
- Itandukaniro riri hagati yo kuba imbata n'ingeso mbi: Uko ukomeza gufata uyu muti, umubiri wawe urawumenyera. Ibi ntibivuze ko uba imbata yawo. Kuba imbata ni igikorwa cyo gufata uyu muti ugamije kurwara ibiyobyabwenge nta mpamvu y'uburwayi. Ufite impamvu y'uburwayi ikubuza gufata uyu muti kuko uri kubabara.
- Ntuhagarike gufata umuti mu buryo butunguranye: Ntuhagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutera ibimenyetso byo kureka gufata umuti. Niba ukeneye guhagarika gufata umuti, muganga wawe azagabanya buhoro buhoro urugero rw'umuti.
- Menya Naloxone: Uyu ni umuti wihutirwa utanga ubuzima mu gihe umuntu yafashe imiti irenze urugero ya opioid. Vugana na muganga wawe uko wayifata. Menya ibimenyetso by'umuti urenze urugero (kugorwa no guhumeka, gusinzira cyane, guta ubwenge). Menyesha umuryango wawe ibi kandi ubabwire aho uyu muti uri n'uko uwukoresha. Ndetse na nyuma yo gutanga Naloxone, kujya mu bitaro byihutirwa ni ngombwa.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera cyangwa uzungera. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Niba ugeze mu zabukuru, ntugahaguruke cyangwa ngo wicare giturumbuka.
- Kurya impatwe: Kurya impatwe ni ingaruka zikunze kugaragara z'uyu muti. Niba umaze iminsi 3 utarya impatwe, bwira muganga wawe.
Ingaruka mbi zishobora guterwa n'imiti
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ihungabana ry'imitsi yo hagati (CNS depression) | Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gusinzira cyane, urujijo. |
| Kugabanuka k'imikorere y'inkondo y'umura | Isesemi, kuruka, kubura ubushake bwo kurya, intege nke zidasanzwe, isereri. |
| Umuvuduko w'amaraso uri hasi | Kuzungera, kutabona neza, gucika intege. |
| Ingaruka mbi akenshi zidasaba inama kwa muganga (ariko zigomba kumenyeshwa niba zikomeje) | |
| Impatwe | Kuzunguza, gusinzira, kuma mu kanwa, kuribwa umutwe, isesemi, kuruka. |
Ni gute warinda kandi ugakuraho umuti?
- Ubishyire ahantu hatekanye, kure y'abana n'amatungo. Uyu ni umuti ukomeye cyane. Ushobora kwica undi muntu, cyane cyane umwana, akawufata.
- Rinda uyu muti ubujura .
- Shyira umuti warengeje igihe cyangwa utarakoreshwa mu buryo bukwiye. Niba bidashoboka, sukura mu musarani.
Ubutumwa bwo kujyana mu rugo
- Uyu ni umuti ukomeye uvura ububabare bukomeye kandi bw'igihe kirekire. Ukoreshe neza neza nk'uko muganga wawe abikubwira.
- Ntukamene, ntukajanjagure cyangwa ngo uhekenya kapsule. Uyimire yose.
- Bwira muganga wawe indi miti yose ufata, cyane cyane inzoga.
- Irinde gutwara imodoka kuko bishobora gutera gusinzira.
- Menya ibimenyetso by'umuti urenze urugero. Niba ukeka ko hari ikintu nk'icyo, jya mu Kigo cyita ku Buvuzi bwihutirwa (ETU) vuba.
- Bika umuti ahantu hizewe kure y'abana n'amatungo.
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