Ese hari igihe uhura n'ububabare mu gifu no kubyimba ? Impamvu nyamukuru itera ibisebe bimwe na bimwe mu gifu ni bagiteri yitwa `( H. pylori )`. Uyu munsi rero tugiye kuvuga ku miti ivanze abaganga bakunze gutanga kugira ngo bica iyi bagiteri kandi ikize ibisebe mu gifu. Hari ubwoko butatu bw'iyi miti : `( Amoxicillin )`, `( Clarithromycin )` na `(Omeprazole)`. Reka turebe iyi miti, uko ikora, n'uburyo bwo kwirinda wafata mu gihe uyikoresha.
Uyu muti ni iki? (Uyu muti ni iki?)
Muri make, iyi ni imiti itatu ivanze . Iyi miti ivanze itangwa kugira ngo ivure ibisebe byo mu gifu biterwa na bagiteri yitwa `(H. pylori)`.
1. Omeprazole: Iyi ni imiti yo mu bwoko bwa PPIs (Proton Pump Inhibitors). Ikora mu kugabanya ingano ya aside ikorwa mu gifu cyawe. Iyo aside igabanutse, igisebe gitangira gukira vuba kandi ububabare buragabanuka.
2. `(Clarithromycin)`: Ubu ni ubwoko bwa antibiyotike yitwa `(antibiyotike ya macrolide)`.
3. `(Amoxicillin)` (amoxicillin): Ubu ni ubwoko bwa antibiyotike yitwa `(antibiyotike ya penicillin)`.
Izi miti ebyiri zirwanya udukoko, `(Clarithromycin)` na `(Amoxicillin)`, zikorana mu kwica bagiteri `(H. pylori)`, cyangwa guhagarika gukura kwazo. Icyo gihe ni bwo ibisebe bihagarara kongera kubaho. Hari igihe ushobora gusanga iyi miti ivanze munsi y'amazina nka `(Omeclamox)`. Ariko izina ry'umuti muganga aguha ni ingenzi.
Ni iki nabwira muganga mbere yo gufata uyu muti?
Mbere yo gutangira gufata uyu muti, ugomba kubwira muganga wawe cyangwa umufarumasiye ibi bikurikira :
- Niba ufite indwara y'umutima .
- Niba ufite amateka yo kutagira imikorere myiza y'umutima .
- Niba ufite indwara y'impyiko .
- Niba ufite indwara y'umwijima .
- Niba urwaye lupus .
- Niba ufite indwara yitwa myasthenia gravis .
- Niba waragize ikibazo kidasanzwe cyangwa ufite ubwivumbure kuri `(Amoxicillin)`, `(Clarithromycin)`, `(Omeprazole)`, izindi antibiyotike, undi muti uwo ari wo wose, ibiryo, irangi, cyangwa imiti irinda kwangirika.
- Niba utwite cyangwa ugerageza gutwita.
- Niba wonsa.
Iyo ubwiye muganga wawe ibi bintu, ashobora gufata icyemezo niba uyu muti ukubereye cyangwa niba hari impinduka zigomba gukorwa.
Ni gute ukoresha uyu muti neza?
Uyu muti ugomba gufatwa unyobwa, ukanywa n'ikirahure cy'amazi . Ubusanzwe ufatwa kabiri ku munsi, mbere yo kurya . Ugomba gukurikiza amabwiriza ya muganga wawe neza.
- Mirira ibinini n'udupira byose. Ntukabimene, ntukabisya cyangwa ngo ubihekenye. Kubikora bishobora kugira ingaruka ku mikorere y'umuti.
- Fata ingano yatanzwe ku gihe cyagenwe. Ntugafate ibirenze ibyo muganga akubwira, cyangwa ngo uyifate kenshi.
- Nubwo waba wumva umeze neza, ntugahagarike gufata umuti kugeza igihe muganga wawe agutegetse. Cyane cyane niba ari umuti urwanya udukoko, ugomba gufata umuti wose. Bitabaye ibyo, bagiteri ntiziba zirangiye burundu, kandi indwara ishobora kongera kwiyongera. Ntugahagarike gufata umuti utabanje kugirwa inama na muganga.
Ugomba kwitonda cyane mu gihe uha abana uyu muti, bityo uganire na muganga wawe kuri ibyo.
Bite ho nintakaza urugero rw'umuti?
Niba ibyo bibaye, fata vuba uko wibuka. Ariko, niba igihe cyo gufata doze ikurikira kigeze, jya usimbuka doze yabuze hanyuma ufate doze ikurikira ku gihe cyagenwe. Ntukigere ufata doze ebyiri icyarimwe.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse.
Icy'ingenzi: Uyu muti ni uwawe gusa. Ntugasangire imiti yawe n'abandi, kabone n'iyo baba bafite ibimenyetso nk'ibyawe.
Indi miti ishobora kugira ingaruka kuri uyu muti (Interactions)
Iki ni ikintu cyo kwitondera. Mu gihe ufata iyi miti (Amoxicillin; Clarithromycin; Omeprazole)`, ntugafate imiti ikurikira na gato :
- `(Atazanavir)`
- `(Cisapride)`
- Colchicine (cyane cyane ku bafite indwara z'impyiko cyangwa umwijima)
- `(Dihydroergotamine)`, `(Ergotamine)`
- Imiti imwe n'imwe y'umutima: `(amiodarone)`, `(bepridil)`, `(dofetilide)`, `(droperidol)`, `(flecainide)`, `(ibutilide)`, `(procainamide)`, `(quinidine)`, `(sotalol`
- Imiti imwe itangwa kugira ngo igabanye cholesterol: `(cerivastatin)`, `(lovastatin)`, `(simvastatin)`
- Imiti ivura gusinzira cyangwa guhangayika: `(alprazolam)`, `(triazolam)`, `(midazolam)` (ifatwa mu kanwa)
- `(Naloxegol)`
- `(Nelfinavir)`
- `(Pimozide)`
- Umuceri w'umusemburo utukura
- `(Rifampin)`
- `(Umuti wa Mutagatifu Yohani)` (Umuti wa Mutagatifu Yohani)
Nanone, uru ruvange rw'imiti rushobora kugirana isano (amakimbirane) n'imiti ikurikira:
- `(Carbamazepine)`
- `(Cilostazol)`
- `(Cyclosporine)`
- `(Digoxin)`
- `(Diltiazem)`
- `(Disulfiram)`
- Imisemburo y'abagore, nka estrogens cyangwa progestins, n'ibinini byo kuboneza urubyaro
- Inyongeramusaruro z'icyuma
- Izindi antibiyotike
- Indi miti ivura indwara zo kwiheba, kudasinzira neza, cyangwa indwara zo mu mutwe
- `(Probenecide)`
- `(Sildenafil)`
- Imiti imwe n'imwe ivura indwara z'ibihumyo: `(itraconazole)`, `(ketoconazole)`
- Imiti imwe ikoreshwa mu kuvura ubwandu bwa virusi itera SIDA cyangwa SIDA
- `(Tacrolimus)`
- `(Theophylline)`
- `(Warfarin)` (umuti woroshya amaraso)
Uru rutonde ntirugaragaza imiti yose ishoboka. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine, n'inyongeramusaruro). Nanone bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.
Ibintu ugomba kuzirikana mugihe ufata uyu muti
- Jyana na muganga wawe buri gihe kugira ngo agusuzumishe. Bwira muganga wawe niba ibimenyetso byawe bitaragenda neza cyangwa bisa n'aho birushaho kwiyongera.
- Uyu muti ushobora gutera ingaruka zikomeye ku ruhu . Ibi bishobora kubaho ndetse n'ibyumweru nyuma yuko utangiye gufata umuti. Bibwire muganga wawe ako kanya niba ugize ibisebe bifite ibimenyetso nk'umuriro. Ibi bisebe bishobora kugaragara nk'umutuku cyangwa umuhengeri, hanyuma bigahinduka udusebe. Cyangwa, niba ubonye ibisebe bitukura birimo kubyimba mu maso, mu minwa, mu ijosi cyangwa mu kwaha, bibwire muganga wawe.
- Niba ugize umuriro, impiswi ivanze n'amazi, kuribwa mu nda, cyangwa kuruka, hamagara muganga wawe vuba bishoboka. Ibi bishobora kuba ibimenyetso by'indwara ikomeye kurushaho. Ntukivure. Shaka inama kwa muganga.
- Imisemburo ya estrogene cyangwa progestin ( nk'ibinini byo kuboneza urubyaro) ishobora kudakora neza mu gihe ufata uyu muti. Rero, ganira na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro.
- Niba urwaye diyabete , ikizamini gisuzuma isukari mu nkari zawe gishobora gutanga igisubizo cy'ibinyoma. Vugana na muganga wawe kuri ibi.
- Uyu muti ushobora kugabanya urugero rwa vitamine B12 yawe. Kubwibyo, menya neza ko ubona vitamine B12 ihagije mugihe ufata uyu muti. Vugana na muganga wawe kubyerekeye ibyo kurya na vitamine ufata.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi si mbi cyane.
Ingaruka mbi ugomba guhita ubibwira muganga wawe:
Niba kimwe muri ibi kikubayeho, ugomba kubimenyesha muganga wawe vuba bishoboka :
- Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
- Ibibazo by'impyiko: kugabanuka k'inkari, kubyimba utubuto tw'amaguru, amaboko, cyangwa ibirenge.
- Indwara nk'iya Lupus: Kubabara ingingo, kubyimba, cyangwa gukomera, uduheri mu maso nk'ikinyugunyugu, kumva izuba ryinshi, umuriro, umunaniro udasanzwe.
- Uruhu rutukura, ruturika, rurakura cyangwa rurakura, ndetse no mu kanwa.
- Kubabara mu gifu cyane, umuriro.
- Amavuta adasanzwe ava mu gitsina, uburyaryate, cyangwa impumuro mbi.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kugaragazwa niba zikomeje:
Ibi akenshi ntabwo ari ibintu bikomeye, ariko niba bikomeje cyangwa bikakubangamira, bwira muganga wawe:
- Hindura uburyohe.
- Kujya kuryama (mu buryo butagira ingaruka mbi).
- Umutwe .
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi zishobora kubaho.
Uyu muti nawubika nte?
- Bishyire kure y'abana.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25 / dogere selisiyusi 68 na 77).
- Rinda urumuri n'ubushuhe.
- Tara umuti warengeje igihe.
Ikintu cy'ingenzi cyane cyo kwibuka!
Noneho rero ubu uzi byinshi kuri iyi miti ivanze. Icy'ingenzi ni ugufata uyu muti neza nk'uko muganga wawe akubwira, mu gihe cyose cy'imiti. Niba ufite ikibazo, impungenge, cyangwa ingaruka mbi, ntutindiganye kuvugana na muganga wawe. Ntiwibagirwe kumubwira indi miti yose ufata. Aka gatabo ni incamake gusa. Niba ufite ibindi bibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa umuganga.
Ubuzima bwawe ni ubw'agaciro kuri wewe. Kubwibyo, ni ingenzi cyane kumenya neza imiti yawe no kuyikoresha neza!
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ese ibinini bitatu bya amoxicillin, clarithromycin, na omeprazole bitangwa hamwe ku ndwara ya gastritis?
Ubuvuzi butatu ntibuhabwa abarwayi basanzwe ba gastritis! Izi antibiyotike ebyiri n'ikinini kigabanya aside bitangwa hamwe kugira ngo byice burundu agakoko ka 'H. pylori' (Helicobacter pylori), kamwe muri bagiteri ziteje akaga cyane ku isi gatera ibisebe binini mu mara no mu gifu.
💬 Ese iyi antibiyotike ishobora gutera indwara yo mu gifu?
Yego! Nyuma yo gufata izi antibiyotike ebyiri zikomeye (Amoxicillin na Clarithromycin), uburyohe budasanzwe bw'icyuma mu kanwa no gucibwamo ni ibimenyetso bisanzwe ku bantu benshi. Ariko, nubwo ari ibisanzwe, iyo impiswi ikomeje amaraso mu gihe cy'iminsi myinshi, ishobora kuba ikimenyetso cy'ubundi bwandu buteye akaga (C. diff).
💬 Ese nshobora guhagarika gufata ibi binini niba ububabare bwo mu gifu bugabanutse nyuma y'iminsi mike?
Oya rwose! Ubu buryo bwo kuvura akenshi butangwa kugira ngo bufatwe buri gihe mu minsi 10 kugeza kuri 14. Nubwo waba wumva umeze neza mu minsi 3, ugomba kubufata mu minsi itatu yose. Bitabaye ibyo, niba uhagaritse gufata umuti, bagiteri ya H. pylori ntizicwa n'umuti mu cyiciro gikurikiraho (Antibiyotike) kandi izarushaho kwiyongera.
Amoxicillin , Clarithromycin, Omeprazole, H. pylori, ibisebe byo mu gifu, ibisebe byo mu gifu, imiti yica udukoko, kubyimba mu gifu, Omeclamox
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