Ushobora kuba waratunguwe gato ubwo muganga wawe yakwandikiraga umuti witwa Penicillamine. Uyu si umuti dukunze kumva cyangwa gukoresha. Ariko ni umuti w'ingenzi cyane ku ndwara zimwe na zimwe zidasanzwe. None rero uyu munsi, reka tuvuge gusa kuri uyu muti witwa Penicillamine, uko ukoreshwa, n'ibintu ugomba kwitondera.
Ni iki koko kigenda gitya kuri uyu muti?
Muri make, Penicillamine ni umuti ufasha gufata, gufata no gukura ibintu bimwe na bimwe mu mubiri. By'umwihariko, ifatana n'ibyuma biremereye n'ikinyabutabire cyitwa cystine mu mibiri yacu.
Kubwibyo, uyu muti ukoreshwa cyane cyane mu kuvura indwara eshatu:
- Indwara ya Wilson: Iyi ni indwara iterwa n'uturemangingo. Ituma umubiri wirundanya umuringa mwinshi cyane. Uyu muringa urenze urugero ushobora kwangiza ingingo nk'umwijima n'ubwonko. Penicillamine ifasha gukura uyu muringa urenze urugero mu mubiri.
- Cystinuria: Iyi nayo ni indwara iterwa na genetike. Muri iyi ndwara, amabuye y'impyiko akorwa bitewe na aside amine yitwa cystine. Uyu muti ufatana na cystine, bigatuma ishonga bityo ikajya mu nkari. Ibi bigabanya ikorwa ry'amabuye y'impyiko.
- Rumatizime y'amagufwa: Iyi ni indwara itera ububabare, kubyimba no kubyimba ingingo. Hari igihe abaganga batanga uyu muti ku ndwara ikomeye ya rumatizime itarakira ubundi buryo bwo kuvura.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Kugira ngo ugire umutekano, ugomba kubwira muganga wawe aya makuru mbere yo gutangira uyu muti.
- Niba ufite ikibazo cyo kubura amaraso cyangwa izindi ndwara ziterwa n'amaraso.
- Niba ufite indwara y'impyiko .
- Niba ufite indwara y'imitsi n'imitsi yitwa Myasthenia Gravis .
- Niba waragize ikibazo cy'ubwivumbure kuri Penicillamine, penisiline , cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Ashingiye kuri aya makuru, muganga azagena niba uyu muti ukubereye cyangwa utagukwiriye, kandi niba ari uko bimeze, n'uko wawutanga.
Ni gute neza neza nkoresha uyu muti?
Kugira ngo uyu muti wungukire neza, ni ngombwa cyane kuwukoresha neza.
Icy'ingenzi kurushaho: Uyu muti ugomba gufatwa buri gihe uri mu nda irimo ubusa.Bivuze isaha imwe mbere cyangwa amasaha abiri nyuma yo kurya. Ntuzigere unywa hamwe n'ibiryo cyangwa amata.
- Fata ikinini/agapfukamunwa hamwe n'ikirahure cy'amazi.
- Niba ufata indi miti, cyane cyane ibinini bya fer, vitamine, cyangwa imiti igabanya aside, siga nibura isaha imwe hagati yo gufata uyu muti.
- Fata umuti wawe ku gihe cyagenwe na muganga wawe. Niba uwufata rimwe ku munsi, gerageza kuwufata ku gihe kimwe buri munsi.
- Ntugasibe imiti. Iyo uhagaritse gufata imiti mu minsi mike hanyuma ukongera kuyifata, uba ufite amahirwe menshi yo kugira allergie.
- Nubwo waba wumva umeze neza, ntugahagarike gufata umuti utabanje kugirwa inama na muganga.
- Iyo uyu muti uhawe abana, ugomba gukorwa gusa ku nama z'umuganga w'abana.
Wakora iki iyo ufashe imiti myinshi?
Niba ubona ko wafashe ibirenze urugero rwatanzwe, ntugatinye. Jya mu Ishami rishinzwe Ubutabazi bw'Imbere (ETU) riri hafi yawe ako kanya. Cyangwa hamagara Ikigo cy'Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by'Igihugu bya Colombo kugira ngo bakugire inama.
Bite ho nintakaza urugero rw'umuti?
Fata dose yabuze ukimara kwibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri icyarimwe kubera impamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri uyu muti
Penicillamine ni umuti ushobora kugira ingaruka ku yindi miti, bityo rero bwira muganga wawe imiti yose ufata.
- Ni ngombwa kwirinda gufata imiti irwanya malariya hamwe n'uyu muti.
- Ibinini by'icyuma
- Antacid zirimo aluminiyumu cyangwa manyeziyumu
- Imiti ya kanseri (chimiotherapie)
- Ibinyabutabire bya zahabu bivura rubagimpande
- Vitamine nyinshi zirimo ibyuma, imyunyungugu, cyangwa icyuma
- Imiti igabanya ububabare nka Oxyphenbutazone, Phenylbutazone
Uru rutonde ntirwuzuye, bityo rero menya neza ko wabwiye muganga wawe imiti yose ufata, harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Kwisuzumisha kwa muganga buri gihe: Mu gihe ufata uyu muti, muganga wawe azagusaba kwisuzumisha no gupima amaraso buri gihe. Ntuzigere ubyirengagiza. Ibi ni ingenzi cyane ku mutekano wawe.
- Ihangane: Bishobora gufata amezi abiri cyangwa atatu kugira ngo ibimenyetso bishire kandi umererwe neza. Ntugatinye rero.
- Indyo yihariye:Ushobora kubwirwa gukurikiza indyo yihariye. Baza muganga wawe niba ukeneye gufata inyongeramusaruro ya vitamine, nka vitamine B6.
- Niba ufata uyu muti wo kurwanya cystinuria, ni ngombwa kunywa amazi menshi . Muganga avuga ko unywa ibirahuri bibiri by'amazi, cyane cyane mbere yo kuryama nijoro, n'ibindi birahuri bibiri by'amazi igihe ukangutse mu gicuku .
- Kubagwa: Niba ugiye kubagwa, menya neza ko wabwiye umuganga ko ugiye gufata Penicillamine.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni zikomeye, izindi si zikomeye cyane.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Guhumeka bigoranye | Kugorwa no guhumeka. |
| Umuriro, kubabara mu muhogo, ubukonje | Ibi bishobora kuba ibimenyetso by'ubwandu. |
| Kuva amaraso cyangwa gukomereka bidasanzwe | Kuva amaraso kenshi mu mazuru, kuva amaraso mu ishinya, no gukomereka. |
| Uduheri tw'uruhu cyangwa uruhu rurimo gukurura | Gutukura, uduheri, cyangwa gushibuka k'uruhu, ndetse no mu kanwa. |
| Ibindi bimenyetso bikomeye | Imyanya y'umukara, inkari zijimye, impinduka mu maso, ibisebe mu kanwa, ububabare mu ngingo, impinduka mu bwinshi bw'inkari, umunaniro udasanzwe. |
| Ingaruka mbi zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibibazo by'igogora | Isesemi, kuruka, kubabara mu gifu, kubyimba ibinure, kubura ubushake bwo kurya. |
| Ibindi bintu | Impinduka mu buryohe, iminkanyari cyangwa uruhu rurerure, umujinya. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, nyamuneka menyesha muganga wawe na byo.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata Penicillamine udafite icyo urya, isaha imwe mbere cyangwa amasaha abiri nyuma yo kurya. Ntuyifate hamwe n'amata cyangwa indi miti.
- Irinde guhagarika imiti cyangwa gusimbuka dose udafite inama ya muganga.
- Bwira muganga wawe indi miti yose, vitamine, n'inyongeramusaruro ufata.
- Ni ingenzi cyane kwisuzumisha kwa muganga no gupima amaraso ku gihe.
- Niba ugize ingaruka mbi zikomeye nko kurwara uduheri ku ruhu, umuriro, cyangwa guhumeka nabi, bimenyeshe muganga wawe ako kanya.
- Bika uyu muti ahantu abana batagera, ku bushyuhe bw'icyumba, kandi uwufunge neza kugira ngo wirinde ko umwuka usohoka.
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