Ese hari igihe wumva imitsi yawe igenda icika intege buhoro buhoro, nk'aho udafite ubuzima? Cyane cyane niba ufite ibimenyetso nko kunama kw'amaso, kugorwa no kuvuga, kumira ibiryo, cyangwa gutakaza amaguru n'amaboko? Ibi bishobora kuba ibimenyetso by'intege nke z'imitsi, cyangwa icyo abaganga bita `(Myasthenia Gravis)`. Niba rero ufite iyi ndwara, muganga wawe ashobora kuba yarakwandikiye ikinini cyitwa `Neostigmine`. Uyu munsi, reka tuvuge kuri uyu muti, uko ukora, ibintu ugomba kwitondera mu gihe uwukoresha, n'ingaruka zawo.
Neostigmine ni iki?
Muri make, Neostigmine ni umuti ufasha kunoza imbaraga z'imitsi yawe. Imitsi n'imitsi yacu bikorana binyuze mu kintu runaka. Ku bijyanye na `Myasthenia Gravis`, iyi itumanaho ntiribaho neza. Neostigmine ikora ikoresheje imiti ijyana ubutumwa iguma aho igihe kirekire, ikomeza isano iri hagati y'imitsi n'imitsi. Ibi bifasha imitsi kongera imbaraga kandi bikoroha gukora imirimo ya buri munsi.
Uyu muti rimwe na rimwe ushobora gukoreshwa ku zindi ndwara, bityo niba ufite ikindi kibazo kuri ibi, ni byiza kubaza muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira gufata Neostigmine, ni ngombwa cyane kumenyesha muganga wawe izindi ndwara cyangwa aleriji ufite, kuko uyu muti ushobora kugira ingaruka ku ndwara zimwe na zimwe.
| Bwira muganga wawe niba ufite izi ndwara. |
|---|
| - Asima cyangwa ibindi bibazo byo guhumeka |
| - Kugorwa no kunyara |
| - Indwara z'umutima, cyane cyane umutima utera buhoro cyangwa udakora neza |
| - Indwara zo mu nda cyangwa peritonite |
| - Indwara y'impyiko |
| - Indwara zo mu mutwe |
| - Kuziba kw'igifu cyangwa ibisebe |
| - Indwara ya tiroyide |
| - Indwara ya Vagotonia |
| - Ubwivumbure ku miti ya neostigmine, bromides cyangwa indi miti, ibiryo, cyangwa amarangi |
| - Niba utwite, ugerageza gutwita, cyangwa wonsa |
Uyu muti nkwiye kuwukoresha nte?
Ibi biroroshye cyane.
- Mirira iki kinini n'ikirahure cy'amazi.
- Fata gusa urugero rwatanzwe na muganga, ku gihe cyatanzwe na muganga wawe. Ntugasimbuke urugero rwatanzwe.
- Nubwo waba wumva umeze neza, ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Abana bashobora gukenera kwitabwaho by’umwihariko mu gihe bakoresha uyu muti, bityo vugana n’umuganga w’abana kugira ngo abagire inama.
Ni iki cyakorwa niba ingano y'imiti yiyongereye?
Niba ubona ko wafashe ibirenze urugero rwatanzwe ku bushake, hamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo bidatinze, cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. Bifate nk’ibintu byihutirwa.
Icy'ingenzi kurushaho, uyu muti ni uwawe gusa. Ntukigere usangiza undi muntu uwo ari we wese umuti wawe.
Bite ho nintakaza urugero rw'umuti?
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.
Indi miti ishobora kugira ingaruka ku muti (Interactions)
Niba ufata indi miti mu gihe ufata Neostigmine, ugomba no kubimenyesha muganga wawe, kuko hari imiti ishobora kugira ingaruka kuri yo.
| Ubwoko bw'imiti ishobora guteza ibibazo |
|---|
| - Amwe mu matibayotike (urugero: kanamycin, neomycin, streptomycin) |
| - Antihistamines ivura allergies, inkorora, ibicurane, n'ibitotsi |
| - Imiti ivura indwara z'umutima |
| - Imiti iruhura imitsi |
| - Imiti imwe ikoreshwa mu kugabanya ububabare cyangwa mu gihe cyo kubagwa |
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti gakondo), niba unywa itabi, kandi niba unywa inzoga.
Ibintu ugomba kuzirikana mu gihe ufata umuti
- Jyana na muganga wawe buri gihe kugira ngo agusuzumishe. Bwira muganga wawe niba ibimenyetso byawe birimo kwiyongera cyangwa birushaho kwiyongera.
- Ni ngombwa cyane guhora witwaje ikarita y'indangamuntu cyangwa umukufi uvuga ko ufite Myasthenia Gravis hamwe n'imiti ufata hamwe n'ingano yayo. Bishobora kurokora ubuzima bwawe mu gihe cy'impanuka.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, Neostigmine ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Zimwe muri zo ni mbi cyane, izindi si mbi cyane.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| - Allergie (uduheri ku ruhu, kuribwa, kubyimba mu maso, iminwa, ururimi) | - Kugorwa no guhumeka |
| - Impinduka mu byo umuntu abona | - Kubabara mu gituza |
| - Intege nke, kugorwa no kugenda | - Kuzungera, gucika intege |
| - Umutima utera buhoro cyangwa udakora neza | - Kugabanuka k'umuvuduko w'amaraso |
| - Gufatwa n'icyorezo | - Intege nke z'umubiri zidasanzwe |
| Ingaruka mbi zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye | |
| - Impiswi | - Gukenera kunyara kenshi |
| - Kurya amacandwe menshi mu kanwa | - Kubira ibyuya byiyongera |
| - Kunyeganyega kw'imitsi | - Isesemi, kubabara mu gifu, kubyimba ibinure |
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikintu kidasanzwe uretse ibi, vugana na muganga wawe kuri ibyo.
Ni gute nabika umuti?
Bika uyu muti ahantu abana batagera . Ni byiza kuwubika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15-30). Tara umuti wose warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Neostigmine ni umuti w'ingenzi wongera imitsi utangwa ku ndwara ya Myasthenia Gravis.
- Fata ingano yatanzwe na muganga wawe, mu gihe gikwiye. Ntugahagarike gufata umuti nta nama.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite.
- Niba ugize ingaruka mbi zikomeye (nk'ukugorwa no guhumeka, kubabara mu gatuza, gukubita ibisebe), shaka ubufasha kwa muganga byihutirwa.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
- Ushobora kwitwara neza mu buzima bwawe ujya kwisuzumisha kwa muganga buri gihe.
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