Gutwita ni igihe cyiza kandi cyuzuyemo icyizere. Ariko ububabare bujyana nabyo, ububabare bw'umugongo, n'umutwe bishobora kubangamira gato. Ni ibisanzwe ko ubu bubabare bushya buterwa n'impinduka mu misemburo no gukura kw'inda yawe. Rero, mu bihe nk'ibi, ushobora kuba utekereza uti "Oh, icyampa nkagira imiti igabanya ububabare." Ariko uzi ko ugomba guhora ubaza muganga wawe mbere yo gufata imiti iyo ari yo yose igihe utwite . Ese wagombye no kubaza ibijyanye n'imiti igabanya ububabare itangwa na muganga? Igisubizo cyoroshye ni: Yego, wagombye kuyifata. Nubwo ishobora kugaragara nk'aho nta kibazo ku munsi usanzwe, amategeko arahinduka iyo utwite umwana.
Acetaminophen - parasetamol twese tuzi
Uyu ni umuti dukunze gukoresha ku bintu nk'umuriro, umutwe, no kubabara ingingo. Abantu benshi mu gihugu cyacu bazi izina rya Paracetamol . Ushobora kugura uyu muti muri farumasi gusa cyangwa ukavangwa n'indi miti.
Abagore benshi batwite nta kibazo bagira cyo gufata parasetamol iyo muganga abibemereye. Mu by'ukuri, ni wo muti ugabanya ububabare ukunze kwandikirwa n'abaganga ku bagore batwite.
Ariko, niba ufite ubwivumbure kuri uyu muti, urwaye umwijima , cyangwa muganga wawe akavuga ko utagukwiriye, ugomba kwirinda burundu parasetamol.
Nubwo muganga yakubwira ko nta kibazo gufata parasetamol, ikintu cy'ingenzi ugomba kwibuka ni ukuyikoresha gusa igihe bibaye ngombwa, ku gipimo gito gishoboka, kandi mu gihe gito gishoboka .
Parasetamol ntabwo ifitanye isano no gukuramo inda cyangwa kugira ibibazo bikomeye byo kuvukana, ariko hari ubushakashatsi bwagaragaje ko hari ingaruka nke.
- Ubushakashatsi bumwe bwerekana ko gufata parasetamol buri munsi igihe kirekire (iminsi 28 cyangwa irenga) bishobora kongera gato ibyago byo kubura ubushobozi bwo kwita ku bintu (ADHD) cyangwa gutinda mu mikurire y’umwana uri mu nda.
- Ubundi bushakashatsi bwagaragaje ko gufata parasetamol buri munsi mu gice cya kabiri cy'inda byongera ibyago byo kurwara indwara nko guhumeka cyangwa asima.
Ariko, nta na kimwe muri ibi bushakashatsi cyemeje ko ibi bibazo biterwa na parasetamol. Hakenewe ubushakashatsi bwinshi kugira ngo dusobanukirwe neza iyi sano. Ariko, ni byiza kwirinda gufata imiti bitari ngombwa.
NSAIDs (Imiti irwanya ububyimbirwe itari iya steroide) - ugomba kwitonda cyane kuri iyi miti!
Birashoboka ko wafashe ibuprofen nyinshi mu buzima bwawe. Ariko iyo utwite, muganga wawe ashobora kukubwira gukoresha ubundi buryo bwizewe bwo kuvura umuriro, kuribwa umutwe, no kubabara imitsi. Iyi miti yitwa imiti igabanya ubukana idakoresha steroide (NSAIDs), kandi ntabwo ari myiza cyane ku bagore batwite. Imiti nka Ibuprofen, Naproxen, Aspirine, na Diclofenac iri muri iki cyiciro.
Kuki imiti igabanya ubukana bw'indwara za NSAID ari mbi?
- Gutwita hakiri kare: Ubushakashatsi bumwe bwagaragaje ko gufata imiti igabanya ubukana bw’imiti igabanya ubukana mu gihe cyo gutwita bishobora kongera ibyago byo gukuramo inda . Ubushakashatsi bumwe na bumwe bugaragaza ko hari ibyago bike byo kuvukana ubusembwa mu mutima w’umwana cyangwa mu gifu. Nubwo iyi sano itaragaragazwa neza, abaganga basaba guhitamo uburyo bwizewe nka parasetamol aho gufata iyi saha.
- Mu mezi 3 ya nyuma yo gutwita: Imiti igabanya ubukana bw'amaraso (NSAIDs) ntiyemerwa muri iki gihe. Ibi biterwa nuko ishobora gutuma umutsi w'amaraso w'ingenzi mu mutima w'umwana wawe (ductus arteriosus) ufunga mbere yo kuvuka. Ibi bishobora gutera umuvuduko ukabije w'amaraso mu bihaha by'umwana.
Si ibyo gusa, gufata imiti igabanya ububabare (NSAIDs) bishobora gutuma bikugora kujya ku nda no kugabanya ingano y'amazi yo mu nda akikije umwana wawe. Kubera izo mpamvu, niba ufata imiti igabanya ububabare (NSAIDs), bigomba gukorwa gusa ukurikiranwe na muganga hafi .
| Ubwoko bw'ibiyobyabwenge | Umutekano mu gihe cyo gutwita |
|---|---|
| Acetaminophen/Parasetamol | Ubusanzwe ni byiza gufata imiti ukurikije inama za muganga, ariko gusa iyo bibaye ngombwa, ku gipimo gito gishoboka, mu gihe gito gishoboka. |
| NSAIDs (urugero: Ibuprofen, Diclofenac) | Ntibyemewe. Ni ikintu kibi cyane, cyane cyane mu mezi 3 ashize. Ntibikwiye gufatwa nta muganga ubishinzwe. |
Umuti ugabanya ububabare ukomeye wo mu bwoko bwa opioid
Iyi ni imiti ikomeye cyane igabanya ububabare yatanzwe n'abaganga. Urugero, harimo Codeine, Morphine, na Oxycodone .
Ubushakashatsi bumwe na bumwe bwerekana ko gukoresha ubu bwoko bw'imiti mu gihe utwite bishobora kongera ibyago byo kuvukana ubumuga bumwe na bumwe, cyane cyane indwara z'umutima, ku mwana. Bishobora kandi kongera ibyago byo kubyara imburagihe, kubyara hakiri kare, cyangwa ndetse no kubyara umwana wapfuye.
Niba wafataga imiti ya opioid mbere yuko utwita, kuyihagarika mu buryo butunguranye ukimara gutwita bishobora kukugirira nabi wowe n'umwana wawe. Kubwibyo, muganga wawe akunze kugabanya urugero rw'imiti yawe buhoro buhoro kugira ngo arebe ko nta kibazo kiri kuri wowe n'umwana wawe.
Ibi ni ingenzi cyane: Iyo umubyeyi afashe imiti ya opioid mu gihe atwite, umwana ashobora kuyibasirwa akiri mu nda. Kubera ko umwana atabonye imiti nyuma yo kuvuka, umwana azagira 'ibimenyetso byo kureka'. Iyi twita 'Neonatal Abstinence Syndrome' (NAS) . Iyi ishobora kuba indwara ikomeye. Ishobora gutera ibibazo nko kubyara umwana ufite ibiro bike no guhumeka nabi.
Ubutumwa bwo kujyana mu rugo
- Ntugakoreshe imiti igabanya ububabare ubwo aribwo bwose uhura nabwo mu gihe utwite utabanje kugisha inama muganga wawe. Iri tegeko ntirihinduka nubwo ryaba ari umuti utangwa mu gihe cyatanzwe na muganga.
- Abaganga bakunze gutanga inama yo gufata acetaminophen (parasetamol) gusa, ariko iyo bibaye ngombwa, ni byiza kuyifata ku gipimo gito gishoboka kandi mu gihe gito gishoboka .
- Imiti igabanya ubukana bw'indwara zo mu mutwe (NSAIDs ) (urugero: Ibuprofen, Diclofenac) ishobora guteza akaga gakomeye, cyane cyane mu mezi 3 ya nyuma yo gutwita. Ntigomba gufatwa hatabayeho gukorerwa igenzura na muganga.
- Imiti igabanya ububabare ya opioid , nubwo yaba yaranditswe na muganga, ishobora guteza ibibazo bikomeye ku mwana. Niba usanzwe uyifata, cyangwa niba ubabara cyane, vugana na muganga wawe vuba kugira ngo muganire ku buryo bwiza bwo kuyifata.
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