Ese muganga wawe yaba yarakubwiye cyangwa umuntu wo mu muryango wawe ufite indwara y'ibihaha itera inkovu? Ishobora kuba ikintu nka `Idiopathic Pulmonary Fibrosis (IPF)`, indwara idashobora kuboneka impamvu ifatika. Ushobora kuba warumvise iby'umuti `Nintedanib` (uzwi cyane ku izina rya `Ofev`), ukoreshwa muri bene ibyo bihe. Kubera ko uyu ari umuti ugomba gukoreshwa witonze, tugiye kubivugaho mu buryo bworoshye kandi bw'inshuti.
Uyu muti witwa Nintedanib ni uwuhe?
Muri make, Nintedanib ni umuti urinda kandi ugagabanya inkovu mu bihaha byawe. Ukoreshwa cyane cyane mu kuvura indwara zitandukanye.
- Idiopathic Pulmonary Fibrosis (IPF): Iyi ni indwara aho ibihaha bigenda bikomera buhoro buhoro kandi bigakomereka nta mpamvu izwi.
- Indwara z’ibihaha zifata imiyoboro y’amaraso idakira: Ibi bivuga itsinda ry’indwara zifata imiyoboro y’amaraso i ...
- Indwara y'ibihaha iterwa na systemic sclerosis: Uyu muti ukoreshwa kandi ku bibazo by'ibihaha bifitanye isano n'indwara ya 'systemic sclerosis'.
Uyu muti ntukiza indwara burundu, ahubwo ugenzura kandi ugabanye kwangirika kw'ibihaha bitewe n'iyi ndwara.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose mbere yo gutangira Nintedanib. Menya neza ko wabibwiye muganga wawe niba ufite kimwe mu bibazo biri hepfo.
| Imiterere y'ubuzima cyangwa ingeso | Kuki ibyo ari ingenzi? |
|---|---|
| Indwara zo kuva amaraso cyangwa amateka y'umuryango w'umuntu ufite bene ibyo | Uyu muti ushobora kongera ibyago byo kuva amaraso. |
| Amateka y'indwara z'umutima cyangwa amaraso yacitse | Ugomba kumenya ibyago byo kurwara indwara z'umutima no kubyimba kw'amaraso. |
| Indwara y'umwijima | Imikorere y'umwijima ishobora kugira ingaruka, bityo ugomba kugenzurwa kenshi. |
| Kuba hari poroteyine mu nkari | Ugomba kumenya ingaruka zishobora guterwa n'impyiko. |
| Kuba narakorewe operasiyo vuba aha | Uburyo igikomere gikira bushobora kugira ingaruka. |
| Kunywa itabi cyangwa itabi | Kunywa itabi bishobora kugabanya imikorere y'umuti. |
| Ibibazo by'igifu cyangwa amara | Hari ibyago bike byo gucika intege mu mara. |
| Gutwita cyangwa kugerageza gutwita | Icy'ingenzi cyane: Uyu muti ushobora guteza ingaruka zikomeye ku mwana uri mu nda. |
| Konsa umwana | Ntibyemewe kuko umuti ushobora kunyura ku mwana binyuze mu mashereka. |
| Allergie ku yindi miti, ibiryo, n'irangi | Ibi ni ingenzi kugira ngo hamenyekane niba nawe uzagira ubwivumbure kuri uyu muti. |
Nigute nkwiye gukoresha uyu muti?
- Uyu muti ugomba gufatwa unyobwa n'ikirahure cy'amazi .
- Ni byiza gufata umuti hamwe n'ifunguro . Ibi bishobora kugabanya ububabare mu gifu.
- Mirira kapsule yose. Ntukayimene, ntuyishenye cyangwa ngo uyihekenye.
- Komeza kuyikoresha nk'uko byategetswe kugeza igihe muganga wawe azakubwiriye kubireka.
- Niba ubonye ifu y'umuti mu kapsule ku biganza byawe ku buryo butamenyekanye, hita woza intoki zawe neza n'isabune n'amazi.
- Niba ukeka ko wafashe ikinini kirenze urugero, ntutinde. Hita uhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, yireke. Ntugafate ibinini bibiri ku gihe gikurikiraho kugira ngo wishyure dose wabuze. Fata dose yawe ikurikiraho ku gihe gisanzwe.
Ese hari ibibazo bishobora kubaho ku yindi miti? (Imikoreshereze y'imiti)
Yego, hari imiti ishobora kugira ingaruka kuri Nintedanib. Bwira muganga wawe imiti yose ufata, harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro.
- Asipirine n'imiti isa nayo
- Imiti ibuza amaraso kuzura (urugero: Warfarin, Apixaban, Rivaroxaban )
- Amwe mu ma antibiyotike (urugero: Erythromycin, Clarithromycin )
- Imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe (urugero: Carbamazepine, Phenytoin )
- Ketoconazole (umuti urwanya udukoko)
- Rifampin (umuti uvura igituntu)
- Umuti wa St. John (icyatsi gikoreshwa mu kuvura indwara zo mu mutwe)
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ibyo ufata byose.
Ibintu ugomba kuzirikana mugihe ufata Nintedanib
Kwita cyane ku gutwita: Iki ni cyo kintu cy'ingenzi cyane. Ntugatwite urimo gufata Nintedanib. Ugomba gukoresha uburyo bwo kuboneza urubyaro bwizewe mu gihe cy'amezi 3 nyuma yo guhagarika imiti. Uyu muti ushobora kwangiza cyane umwana uri mu nda. Niba ubona ko utwite, bibwira muganga wawe vuba. Nanone, ntukonse umwana mu gihe ufata uyu muti.
- Gusuzumwa kwa muganga buri gihe: Muganga wawe azakenera kukubona buri gihe kugira ngo arebe uko umeze. Azagutegeka kandi gukora isuzuma ry'amaraso kugira ngo arebe imikorere y'umwijima wawe.
- Kuruka no gucibwamo: Uyu muti ushobora gutera ububabare mu gifu, kuruka no gucibwamo. Ibi nibibaho , nywa ibinyobwa byinshi, nk'amazi n'umutobe. Gutakaza amazi menshi bishobora guteza akaga. Niba udashobora kugenzura iki kibazo, bwira muganga wawe.
- Ingaruka zo kuva amaraso:Uyu muti ushobora gutera ibisebe no kongera ibyago byo kuva amaraso. Bwira muganga wawe niba uva amaraso adasanzwe (urugero, ava mu ishinya, mu mazuru) cyangwa mu bisebe.
- Kunywa itabi: Niba unywa itabi, bwira muganga wawe niba wumva umuti udakora neza. Nubwo wahitamo kureka kunywa itabi, menyesha muganga wawe .
Ni izihe ngaruka mbi zishobora kubaho?
Niba ubonye kimwe muri ibi bikurikira, menyesha muganga wawe vuba. Hari igihe ushobora gukenera kujya mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe.
| Ingaruka mbi | Ibimenyetso by'ingenzi |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Kuva amaraso | Amase y'umukara cyangwa amaraso, kuruka bisa n'ikawa, inkari zitukura cyangwa z'umukara wijimye, utudomo duto dutukura/umuhengeri ku ruhu, n'udusebe tudasanzwe. |
| Amaraso apfundika | Kubabara amaguru, kubyimba cyangwa gushyuha, guhumeka bigoranye, kubabara mu gituza. |
| Indwara y'umutima | Kubabara mu gituza, mu bitugu, mu maboko, cyangwa mu rwasaya, isesemi, guhumeka bigoranye, kumva ubukonje, gucika intege. |
| Gukomereka k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye/umukara, uruhu cyangwa amaso bihinduka umuhondo, umunaniro udasanzwe. |
| Igisebe cy'imitsi | Kubura/gucika intege mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, urujijo, kugorwa no kugenda, kuribwa umutwe cyane. |
| Amarira yo mu nda/amara | Umuriro, kubabara mu gifu, impinduka zitunguranye mu mara. |
| Impiswi nyinshi cyangwa kuruka cyane | Impiswi cyangwa kuruka bitagira igaruriro. |
Ingaruka mbi zisanzwe kandi zidakabije zishobora kubaho
Ibi bikunze kugabanuka uko igihe kigenda gihita, ariko niba bikomeje cyangwa bikubangamiye, bwira muganga wawe.
- Umutwe
- Kubura ubushake bwo kurya no kugabanya ibiro
- Isesemi (kumva urwaye mu nda)
Ni gute ubibika kandi ukajugunya umuti?
- Bika ahantu abana n'amatungo batagera.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25). Birinde ubushyuhe bwinshi n'ubushuhe.
- Kuraho imiti yarengeje igihe. Uburyo bwiza bwo kubikora ni ugusaba ibitaro cyangwa farumasi kubajyana muri gahunda yo gufata imiti. Niba bidashoboka, gisha inama muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Nintedanib ni umuti wihariye ugenzura inkovu zo mu bihaha. Aho kuvura indwara, igabanya ikwirakwira ry’indwara.
- Mbere yo gutangira gufata uyu muti, bwira muganga wawe ibibazo byose by'ubuzima bwawe n'indi miti yose ufata.
- Icy'ingenzi cyane: Irinde gutwita ufata umuti no mu gihe cy'amezi 3 nyuma yo kuwuhagarika. Bigira ingaruka mbi cyane ku mwana uri mu nda.
- Menya ibimenyetso by'ingaruka mbi zikomeye nko kwangirika k'umwijima, kuva amaraso, no kunanirwa k'umutima. Niba ushidikanya, shaka ubufasha bwa muganga vuba.
- Komeza kuvugana na muganga wawe buri gihe. Ntutinye kumubwira ikibazo cyangwa impungenge iyo ari yo yose.
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