Ese umuganga wawe yaba yaragupimye indwara ya Cushing cyangwa umuntu uzi? Muri icyo gihe, rimwe na rimwe kubagwa bishobora kudashoboka, cyangwa no kubagwa bishobora kudakora neza. Uyu munsi, tugiye kuvuga ku rukingo rwihariye abaganga basaba muri bene urwo rukingo. Urwo ni urukingo rwa Pasireotide. Uru rukingo rukunze kuboneka ku izina rya Signifor.
Mu magambo make, ni iki kigenda kuri uru rukingo rwa Pasireotide?
Umuntu urwaye indwara ya Cushing aba afite imisemburo myinshi cyane yitwa cortisol mu mubiri we. Ibi nibyo bitera ibimenyetso by'iyi ndwara. Bityo rero, akazi k'ingenzi k'iyi nkingo ya Pasireotide ni ukugenzura no kugabanya iyi nkingo nyinshi ya cortisol mu maraso yawe. Ni ukuvuga ko uyu muti uvura impamvu nyamukuru y'iyi ndwara.
Ariko, muganga wawe ashobora no kukwandikira uyu muti ku zindi ndwara, bityo niba ufite ibindi bibazo kuri ibi, ni byiza kubaza muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yo kuguha uyu muti, muganga wawe agomba kumenya amateka y’ubuzima bwawe bwose. Menya neza ko umubwiye indwara zose zavuzwe hano hasi.
- Niba urwaye diyabete cyangwa isukari nyinshi mu maraso.
- Niba urwaye indwara y'agasabo cyangwa amabuye.
- Niba ufite amateka y'indwara y'umutima cyangwa umutima wawe utera nabi.
- Niba warigeze kugira pancreatitis.
- Niba ufite indwara y'umwijima .
- Niba waravuzweho kugira potasiyumu nke cyangwa manyeziyumu mu maraso yawe.
- Niba ufite ikibazo cya tiroyide (indwara ya tiroyide).
- Niba warigeze kugira ikibazo cy'ubwivumbure kuri pasireotide cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Ni ingenzi cyane ku mutekano wawe kuvugana na muganga udahishe aya makuru.
Ni gute wakoresha urukingo neza?
Uru ni urushinge munsi y'uruhu. Muganga cyangwa umuforomo azakwigisha neza uburyo bwo gutanga uru rushinge, kuva mu gutegura umuti kugeza mu kuwutera. Kurikiza ayo mabwiriza neza .Fata umuti ku gihe gikwiye, mu rugero rukwiye, kandi ntuwufate kenshi kuruta uko muganga wawe yabikubwiye.
Ukoresha iki inshinge n'inshinge zakoreshejwe?
Ibi ni ingenzi cyane. Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Ukeneye ikintu cyihariye cyabyo, cyitwa 'icyuma gishyushya'. Niba udafite, ushobora kugihabwa na muganga wawe cyangwa ibitaro.
Ubusanzwe, iyo wahawe uyu muti, uzahabwa agapapuro kabigenewe (MedGuide) karimo ibisobanuro birambuye kuri wo. Soma witonze igihe cyose ufata umuti.
Niba uha abana uyu muti, ushobora kuba ukeneye ubwitonzi bwihariye, bityo rero menya neza ko wagisha inama muganga w’abana.
Bite se nimfata imiti myinshi cyangwa nkabura dose?
Iyo ufashe umuti urenze urugero (Gukoresha umuti urenze urugero):
Niba ufite amakenga make ko wafashe imiti myinshi kurusha uko ubyibwira, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ry’ibitaro biri hafi yawe. Ntugafate ibi nk'ibi byoroshye.
Niba wabuze dose:
Fata dose yabuze ukimara kwibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro), kuko imwe mu miti ishobora kugira ingaruka kuri Pasireotide.
| Ubwoko bw'umuti | Kuki wagombye kubyitaho? |
|---|---|
| Ntuzigere ufata Pasireotide hamwe n'uyu muti. | |
| Cisapride, Dronedarone, Pimozide, Thioridazine | Ibi bishobora kugira ingaruka zikomeye ku mikorere y'umutima. |
| Niba ufata uyu muti, menya neza ko wabibwiye muganga wawe. | |
| Beta-blockers - urugero: Metoprolol, Propranolol | Umuvuduko w'umutima ushobora kugabanuka mu buryo budasanzwe. |
| Imiti ibuza imiyoboro ya kalisiyumu - urugero nka Diltiazem, Verapamil | Ibi bishobora no kugira ingaruka ku gutera k'umutima. |
| Bromocriptine, Cyclosporine, Digoxin | Pasireotide ishobora guhindura uburyo iyi miti ikora. |
| Indi miti yongera igihe cya QT (imiti yongera igihe cya QT) - urugero nka Dofetilide | Byongera ibyago byo kugira umutima uhindagurika mu buryo budasanzwe. |
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose ufata. Mubwire kandi niba unywa itabi cyangwa inzoga.
Ni izihe ngaruka mbi zishobora guterwa no gufata umuti?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ibimenyetso bigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Ibimenyetso by'isukari nyinshi mu maraso:
|
| Ibimenyetso akenshi bitari bikomeye, ariko bigomba kumenyeshwa muganga mu gihe bikomeje | |
| |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, vugana na muganga wawe ku byerekeye ibyo bimenyetso.
Ni gute wabika umuti?
- Bishyire kure y'abana .
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
- Rinda urumuri.
- Tara imiti yarengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Pasireotide ni umuti wihariye w’indwara ya Cushing. Ni uwawe gusa. Ntukigere usangiza uyu muti undi muntu uwo ari we wese.
- Mbere yo gutangira imiti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Uyu muti ushobora gutera isukari nyinshi mu maraso. Witondere ibimenyetso nko kugira inyota nyinshi no kwihagarika kenshi.
- Iyo ufashe imiti myinshi cyangwa ukagira ingaruka mbi zikomeye, hita ubimenyesha ETU cyangwa Ikigo cy’Igihugu gishinzwe amakuru ku byerekeye uburozi .
- Witinya kuvugana na muganga wawe ku kibazo cyangwa impungenge ufite kuri uyu muti.
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