Reka twige ku binini bya Ondansetron. Iki kiganiro kivuga kuri uyu muti utangwa ku isesemi no kuruka!

Hari igihe twumva dufite isesemi tugashaka kuruka, sibyo? Iyi ndwara ikunze kugaragara nyuma yo kubagwa cyane cyangwa iyo dufata imiti ya kanseri (nk'imiti ya chimiotherapie cyangwa imirasire). Rero, hari umuti wihariye abaganga baduha kugira ngo udufashe mu bihe nk'ibi. Uyu munsi tugiye kuvuga ku wundi muti, Ondansetron.

Ni ubuhe bwoko bw'umuti wa Ondansetron?

Mu magambo make, Ondansetron ni umuti urinda isesemi no kuruka. Mu buvuzi tuyita ubwoko bw'imiti "irwanya indwara yo kwishima" . Ushobora kwibuka ko ku barwayi bamwe na bamwe, bikunze kubaho isesemi no kuruka nyuma ya chemotherapy, ubuvuzi bushingiye ku mirasire, cyangwa kubagwa. Uyu muti ukoreshwa cyane cyane mu kugabanya ububabare nk'ubwo. Tekereza ukuntu ushobora kubabara iyo ufashe chemotherapy, kandi icyo gihe, umuti nk'uyu urafasha cyane.

Uyu muti ukora ute mu mubiri wacu?

Bisa nkaho byoroshye cyane, ariko hari ubumenyi buke burimo. Hari imiti imwe n'imwe mu mibiri yacu yohereza ibimenyetso mu bwonko bwacu ivuga iti: "Ndumva mfite isesemi, itegure kuruka." Icyo uyu muti, Ondansetron, ukora ni ukubuza ibikorwa by'iyo miti (cyane cyane, neurotransmitter yitwa serotonin) . Mu by'ukuri, ibuza iyo miti kujya mu bwonko no mu mara. Hanyuma isesemi no kuruka biragenzurwa cyane. Urabyumva?

Ese hari andi mazina y'uyu muti ku isoko?

Yego, ushobora kuba warabonye uyu muti ku izina ry'ikirango `(Zofran)`. Iryo ni izina risanzwe cyane. Ariko, reba imiti muganga aguha, hanyuma umenye neza. Hari igihe uyu muti ushobora kuboneka ku yandi mazina.

Ni ibihe bintu ngomba kubwira muganga mbere yo gufata uyu muti?

Iki ni ikintu cy'ingenzi cyane, ntukibagirwe . Mbere yo gutangira gufata Ondansetron, hari ibintu bike ugomba kubwira muganga wawe. Kubera ko uyu muti ushobora kuba udahuye n'indwara zimwe na zimwe, cyangwa ushobora kuba ukeneye kwitabwaho by'umwihariko.

Dore ibyo bintu:

• Ufite ikibazo cy'umutima ? (Urugero, imikorere y'umutima idakora neza, nko gutera kw'umutima vuba).
• Ese wigeze ugira umutima utera mu buryo butari bwo ? Ibi bivuze ko umutima wawe utera mu buryo butari bwo, rimwe na rimwe utera vuba, rimwe na rimwe utera buhoro, cyangwa utera mu buryo bwo gusimbuka.
• Urwaye umwijima ?
• Ese umuganga yakubwira ko ufite magnesium cyangwa potasiyumu nkeya ? Iyi ni imyunyu ngugu y'ingenzi cyane ku mibiri yacu.
• Ese wigeze ugira allergie kuri uyu muti, Ondansetron, Granisetron ( nawo ni umuti usa), undi muti, ibiryo, irangi, cyangwa imiti irinda kwangirika?
• Uratwite? Cyangwa wifuza gutwita?
• Ese uri umubyeyi wonsa?

Iyo ubwiye muganga wawe ibi bintu neza, ashobora kugufasha mu buryo bukwiye. Ibi ni ukugira ngo wirinde.

Uyu muti nkwiye kuwukoresha nte?

Uyu muti ubusanzwe uza mu buryo bw'ibinini. Ushobora kandi gutangwa nk'ibinini by'amazi cyangwa ibinini bisesagura mu kanwa.

• Iki ginini kigomba kunyobwa n'ikirahure cy'amazi. (Niba ari ikinini gishongesha, gifate mu kanwa hanyuma ureke gishonge cyonyine.)
• Wibuke gufata umuti neza neza nk'uko muganga wawe yabigutegetse, icyarimwe, kandi mu rugero rumwe.
• Fata umuti wawe mu gihe gikwiye, mu gihe gikwiye . Ntugafate ibirenze ibyo muganga wawe akubwira, cyangwa ngo uwufate kenshi. Urugero, niba bagutegetse kuwufata gatatu ku munsi, ni byiza kuwufata mu masaha umunani hagati y’umuti n’undi.

Ni ryari umwana muto agomba guhabwa uyu muti?

Yego, hari igihe abaganga basaba abana bato uyu muti. Ariko, ukeneye kwitabwaho by’umwihariko . Muganga ni we ugena ingano y’umuti akurikije ibintu nk’imyaka n’ibiro by’umwana. Kubwibyo, niba uha umwana uyu muti, menya neza ko uganira na muganga kuri wo. Ntukigere uha umwana muto ingano ingana n’iy’umuntu mukuru.

Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)

Niba ibyo bibaye, ni ukuvuga niba utekereza ko wafashe imiti myinshi kuruta uko wabitekerezaga, jya mu biro byihutirwa by’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe amakuru ku burozi (muri Sri Lanka, ushobora guhamagara 1926). Ntugapfushe umwanya.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugasangire uyu muti n'inshuti cyangwa umuntu wo mu muryango, kabone n'iyo baba bafite ibimenyetso bimwe nawe. Umuti ukwiriye buri muntu ushobora kuba utandukanye.

Wakora iki niba wabuze dose y'umuti?

Niba ibi bibaye, fata dose yabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikiraho kigeze hafi (ni ukuvuga mu masaha abiri cyangwa atatu), rekeraho dose yabuze hanyuma ufate dose ikurikiraho ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe (`dose ebyiri`). Kubikora bishobora kongera ingano y'umuti no gutera ingaruka mbi.

Ni ibihe bintu bindi bishobora guterana (amakimbirane) n'uyu muti?

Iki kandi ni ikintu cyo kwitondera cyane. Hari imiti imwe n'imwe ishobora guteza ibibazo iyo ikoreshejwe na Ondansetron. Kubwibyo,Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (atari iyo muganga wawe yagundikiye gusa, ahubwo n'iyo uguze muri farumasi, vitamine, imiti gakondo, n'ibikomoka ku bimera). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge bitemewe n'amategeko.

Birakwiye cyane kudafata Ondansetron hamwe n'imiti ikurikira:

• Apomorphine (umuti uvura indwara ya Parkinson)
• Imiti imwe n'imwe ivura indwara z'ibihumyo (urugero: fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole)
• Cisapride
• Dronedarone (umuti uvura indwara z'umutima)
• Pimozide (umuti uvura indwara zo mu mutwe)
• Thioridazine (umuti uvura indwara zo mu mutwe)

Byongeye kandi, hari indi miti ishobora gutera ingaruka mbi ikoresheje Ondansetron. Dore ingero nke:

• Carbamazepine (umuti uvura indwara zo mu mutwe)
• Imiti imwe n'imwe ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe
• Fentanyl (umuti ugabanya ububabare cyane)
• Linezolid (umuti urwanya udukoko)
• Imiti ya MAOI (urugero: Carbex, Eldepryl) (umuti wa kera wakoreshwaga mu kuvura indwara yo kwiheba)
• Methylene blue (umuti utangwa mu mitsi)
• Indi miti ishobora gutera indwara z'umutima (imiti yongera igihe cy'igihe cya QT - urugero: dofetilide, ziprasidone)
• Phenytoin (umuti uvura indwara zo mu mutwe)
• Rifampicin (umuti uvura igituntu)
• Tramadol (umuti ugabanya ububabare)

Uru rutonde ntirwuzuye. Niyo mpamvu tukugira inama yo kubwira muganga wawe ibyo ufata byose kugira ngo aguhe umuti mu buryo butabangamiye ubuzima bwawe.

Ni iki twagombye kwitondera cyane cyane mu gihe dukoresha uyu muti?

Niba ubonye ibimenyetso by'uko ufite ubwivumbure mu gihe ukoresha uyu muti, nko kugira uduheri ku ruhu, kuribwa, gutukura k'uruhu, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo, hita ugana muganga. Ibi bishobora kuba ari ikibazo cyihutirwa.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, ondansetron ishobora gutera ingaruka zimwe na zimwe. Zimwe ni mbi cyane, izindi si mbi cyane.

Ingaruka mbi ugomba guhita umenyesha muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, ugomba kwihutira gushaka inama kwa muganga :

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, kubyimba iminwa, mu maso, ku rurimi, mu muhogo, no kugorwa no guhumeka.
• Ibimenyetso by'uko amara azibye (`Amara azibye`): Kubabara cyane mu nda, kubyimba, kunanirwa kwituma cyangwa gusohora umwuka, kubura ubushake bwo kurya, kuruka.
• Kubabara mu gituza (`Angina`): Kumva ububabare, gufungana, cyangwa gufungana mu gituza, mu ijosi, mu mugongo, cyangwa mu maboko.
• Imihindagurikire y'umutima: Gutera kw'umutima vuba cyangwa kutari ku murongo, kuzungera, gucika intege, kubabara mu gatuza, no guhumeka bigoranye.
• Indwara ya Serotonin ishobora kurangwa no: kubura umutuzo, urujijo, umutima utera vuba cyangwa utari mwiza, imitsi ikomera, imitsi ihindagura, ibyuya byinshi, umuriro mwinshi, kuribwa mu nda, gukonja, kuruka no gucibwamo. Iyo ibimenyetso birenze kimwe muri ibi bigaragaye icyarimwe, bishobora kuba ari Serotonin Syndrome. Ni indwara iteje akaga.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa muganga mu gihe zikomeje):

Ibi bikunze kugabanuka mu minsi mike. Ariko, niba bikomeje cyangwa bikakubangamira, bwira muganga wawe:

• Kubangamira
• Impiswi
• Kubabara no kunanirwa muri rusange
• Umutwe

Uru rutonde ntirukubiyemo ingaruka mbi zose zishobora kubaho. Niba hari ikindi kintu ubonye, ​​vugana na muganga wawe kuri ibyo.

Uyu muti nawubika nte?

• Bishyire kure y'abana bato n'amatungo . Ibi ni ingenzi cyane. Imiti si ibikinisho.
• Uyu muti ugomba kubikwa hagati ya dogere selisiyusi 2 na 30 (dogere selisiyusi 36 na 86). Bivuze ko mu bushyuhe bw'icyumba, atari ubushyuhe bwinshi cyangwa ubukonje cyane. Irinde kuwubika ahantu hatose, nko mu bwiherero.
• Ntugakoreshe imiti yarengeje igihe . Jyana muri farumasi ubaze ibijyanye no kuyijugunya neza.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Ondansetron ni umuti w'ingirakamaro cyane mu kurwanya isesemi no kuruka, cyane cyane ku bantu bavurwa nka chimiotherapie, radiation therapy, no kubagwa. Ariko, ni ngombwa cyane gukurikiza amabwiriza ya muganga neza igihe ukoresha uyu muti, no kubwira muganga izindi ndwara ufite n'indi miti ufata. Hanyuma ushobora kungukirwa n'uyu muti mu mutekano kandi neza. Niba ufite ikibazo cyangwa ingaruka mbi, ntutindiganye kuvugana na muganga wawe. Ndakwifurije gukira vuba!

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