Umuvuduko ukabije w'amaraso, cyangwa nkuko twese tubizi, "umuvuduko ukabije," ni indwara ikunze kugaragara mu bantu benshi mu gihugu cyacu. Bityo, muganga wawe ashobora kuba yarakwandikiye umuti w'umuvuduko w'amaraso yawe. Muri bo, ushobora kuba uzi izina rya Nifedipine. Uyu ni umuti umara igihe kirekire (Extended-Release) ukunze gutangwa. None rero uyu munsi, reka tuvuge kuri uyu muti witwa Nifedipine, byose kuri wo, nk'aho waba urimo kuvugana n'inshuti yawe.
Nifedipine ni iki mu by'ukuri?
Muri make, Nifedipine ni umuti ukoreshwa mu kugabanya umuvuduko ukabije w'amaraso. Uri mu bwoko bw'imiti yitwa 'Calcium Channel Blockers'.
Tekereza ku miyoboro y'amaraso mu mubiri wacu nk'imiyoboro itwara amazi. Iyo umuvuduko wiyongereye, bivuze ko umuvuduko w'amaraso atembera muri iyo miyoboro wiyongera. Icyo uyu muti wa Nifedipine ukora ni 'kuruhuka' no kwagura iyo miyoboro y'amaraso. Hanyuma umuvuduko uri mu miyoboro y'amaraso uragabanuka. Kubera ibi, imbaraga umutima wacu ugira zo gupompa amaraso nazo ziragabanuka cyane. Uwo ni wo murimo w'ingenzi w'uyu muti.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo kukwandikira umuti wa Nifedipine. Kubwibyo, niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
- Niba warigeze kugira indwara y'umutima mbere.
- Niba ufite izindi ndwara z'umutima cyangwa umutima unaniwe .
- Niba ufite umuvuduko w'amaraso uri hasi .
- Niba ufite indwara y'umwijima .
- Niba ufite ikibazo cyo kuziba amara cyangwa impatwe kenshi.
- Niba ufite allergie kuri nifedipine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba utwite, cyangwa uteganya gusama vuba .
- Niba uri umubyeyi wonsa .
Ni ku bw'umutekano wawe kuvuga ibi bintu utarinze kubihisha.
Umuti ugomba gukoreshwa mu buryo bukwiye.
Kugira ngo uyu muti wungukire neza, ni ngombwa kuwukoresha uko byategetswe.
- Kumira gusa: Kubera ko iki ari ikinini cya 'Extended-Release', ntukigere ugicagagura, ugisya cyangwa ngo ugihekenya . Kumira ikinini cyose n'amazi. Kutabikora bishobora gutuma umuti usohokera mu mubiri mu buryo butunguranye kandi bigatera ingaruka mbi.
- Bifate ku gihe:Igire akamenyero ko gufata umuti wawe ku gihe kimwe buri munsi. Niba muganga wawe akubwiye kuwufata uri mu nda idafite icyo kurya, bikora. Cyangwa niba akubwiye kuwufata nyuma yo kurya, bikora.
- Ntugahagarike kugeza igihe muganga wawe akubwira: Nubwo waba wumva umeze neza ubu, ntugahagarike gufata imiti yawe utabanje kugirwa inama na muganga.
- Niba wabuze dose: Niba wabuze 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.
Icy'ingenzi cyane: Ntukanywe umutobe w'imbuto z'umuhondo cyangwa imbuto z'umuhondo mu gihe ufata uyu muti. Imbuto z'umuhondo zishobora guhindura uburyo uyu muti ukora mu mubiri, bigatera ingaruka mbi.
Bite ho iyo mfashe imiti myinshi ku bushake?
Niba ikintu nk'iki kibaye, jya mu ishami rishinzwe ubutabazi bw'ibanze (ETU) ry'ibitaro biri hafi yawe vuba. Cyangwa hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo ubagire inama.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Nifedipine ni umuti ushobora kugira ingaruka ku yindi miti, bityo rero ugomba kubwira muganga wawe imiti yose ufata (ndetse na vitamine, imiti gakondo, n'inyongeramusaruro).
| Icyiciro cy'ibiyobyabwenge | Ibintu byo kwitondera cyane cyane |
|---|---|
| Irinde burundu | Imiti imwe n'imwe ivura igicuri (urugero: Carbamazepine, Phenobarbital, Phenytoin), imiti y'igituntu nka Rifampin, n'imiti y'ibimera nka St. John's Wort. |
| Indi miti ishobora gutera ibibazo | Indi miti y'umuvuduko w'amaraso, imiti ivura VIH/SIDA, imwe mu miti ivura diyabete, imiti ivura indwara z'ibihumyo (urugero: Ketoconazole), imiti ivura indwara z'umutima (urugero: Flecainide), imiti irinda kuvura amaraso (urugero: Warfarin), Digoxin, Erythromycin, imiti imwe n'imwe igabanya ubukana bw'indwara zo mu mutwe (urugero: Fluoxetine), imiti igabanya aside yo mu gifu (urugero: Omeprazole, Ranitidine). |
| Ibyokurya n'ibinyobwa | Umutobe w'imbuto z'imizabibu cyangwa imbuto. Baza muganga wawe ibyerekeye kunywa inzoga. |
Uru rutonde ntirwuzuye, rero nyamuneka menyesha muganga wawe ikintu cyose urimo gufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusuzumwa buri gihe: Sura muganga wawe ku ivuriro ku gihe cyagenwe kugira ngo agupime indwara yawe. Niba urimo gusuzuma umuvuduko w'amaraso yawe mu rugo, baza muganga wawe uko umuvuduko w'amaraso wawe usanzwe ukwiye kuba umeze.
- Kuzungera no gusinzira: Hari abantu bashobora kumva basinziriye cyangwa bazungera igihe bafata uyu muti. Kubwibyo, irinde ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Cyane cyane niba uri umuntu ugeze mu za bukuru, haguruka buhoro buhoro igihe uhagurutse wicaye cyangwa uva mu buriri.
- Inkorora, ibicurane: Niba ufite inkorora cyangwa ibicurane, baza muganga wawe mbere yo gufata imiti igurishwa ku giciro cya muganga. Imiti imwe ishobora kongera umuvuduko w'amaraso.
- Gusohora igishishwa cy'ikinini mu mwenda: Iki ni ikintu abantu benshi batinya, ariko nta mpamvu yo gutinya. Igishishwa cy'inyuma (igishishwa cy'ikinini) cy'ubwoko bumwe na bumwe bw'ibinini bya Nifedipine ntigishonga mu mubiri. Nyuma y'uko igice cy'umuti kimaze kwinjira mu mubiri, igishishwa cy'ubusa gisohoka burundu mu mwenda. Nubibona, tekereza ko ari ibisanzwe.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, Nifedipine ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni mbi cyane, izindi zikaba zisanzwe.
| Niba ubonye ibi bimenyetso, gana muganga cyangwa ujye kwa muganga ako kanya. | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso by'indwara y'umutima | Kubabara cyangwa gufungana mu gituza, ku rutugu, ku kuboko, cyangwa mu rwasaya, isesemi, kugorwa no guhumeka, no kumva ubukonje. |
| Umutima unanirwa | Guhumeka bigoranye, kubyimba utubuto, ibirenge, cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro udasanzwe. |
| Umuvuduko w'amaraso uri hasi | Kuzungera, gucika intege, kutabona neza. |
| Ubwiyongere bw'ububabare mu gituza (Angina) | Ububabare cyangwa gukomera mu gituza, mu ijosi, mu mugongo, cyangwa mu maboko byiyongera. |
| Ibimenyetso akenshi bitari bikomeye, ariko bigomba kumenyeshwa muganga mu gihe bikomeje | |
Kuribwa umutwe, kuribwa mu nda, kuzunguruka, kunyara, isesemi, kubabara mu gifu, umutima utera cyane cyangwa utari umeze neza (gutera cyane). | |
Ubutumwa bwo kujyana mu rugo
- Fata ingano yatanzwe ku gihe cyagenwe, nk'uko muganga wawe abikubwira.
- Ntukavune, ntukajanjagure, cyangwa ngo uhekenye ikinini cya Nifedipine Extended-Release. Uramire cyose.
- Irinde burundu umutobe w'imbuto z'umuzabibu cyangwa imbuto mu gihe ufata uyu muti.
- Menyesha muganga wawe indi miti yose, vitamine, ndetse n'ibimera ufata.
- Ni ibisanzwe kubona igipfundikizo cy'ibinini gisohoka hamwe n'umwanda, ntugahangayike.
- Shaka ubufasha bwihuse kwa muganga niba ugize ingaruka mbi nko kubabara mu gatuza, guhumeka bigoranye, cyangwa kubyimba cyane.
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