Niba wowe cyangwa umuntu wo mu muryango wawe afite igicuri, kikaba ari indwara itera igicuri, muganga wawe ashobora kuba yarakwandikiye umuti witwa Phenytoin. Uyu muti rimwe na rimwe ukoreshwa mu gukumira igicuri nyuma yo kubagwa ubwonko. Ushobora kuba ufite ibibazo byinshi kuri uyu muti. Ntugahangayike, tuzabiganiraho byose muri iyi nkuru mu buryo bworoshye ushobora gusobanukirwa.
Phenytoin ni iki?
Muri make, phenytoin ni umuti uhabwa abantu barwaye igicuri kugira ngo bagenzure kandi birinde indwara zo mu bwonko. Hari igihe imitsi yo mu bwonko bwacu ikora cyane. Uyu muti ukora mu gutuza iyo ndwara no kugenzura itangira ry’indwara zo mu bwonko. Uyu muti kandi uboneka ku mazina ya Dilantin na Phenytek.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yuko muganga wawe akwandikira uyu muti, agomba kumenya neza ubuzima bwawe. Kubwibyo, niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe .
- Niba ufite ikibazo cy'inzoga.
- Niba ukomoka muri Aziya (ibi ni ingenzi bitewe n'ingaruka zimwe na zimwe).
- Niba hari indwara cyangwa ikibazo mu maraso.
- Niba urwaye diyabete.
- Niba ufite indwara y'umutima cyangwa ibibazo by'umutima.
- Niba ufite indwara y'impyiko.
- Niba ufite indwara y'umwijima.
- Niba ufite indwara yitwa porphyria.
- Niba uri guhabwa imiti ivura kanseri hakoreshejwe imirasire.
- Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura.
- Niba urwaye indwara ya tiroyide.
- Niba ufite ubwivumbure kuri phenytoin cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite, ugerageza gusama, cyangwa wonsa.
Ni gute neza neza nkoresha uyu muti?
Kugira ngo uyu muti wungukire neza, ni ngombwa cyane kuwukoresha neza.
- Uko wafata: Fata iyi capsule n'ikirahure cy'amazi. Ntuzigere uyimenagura, uyisya cyangwa ngo uyihekenya. Mira capsule yose.
- Igihe cyo gufata umuti: Gerageza gufata umuti mu gihe kimwe buri munsi , nk'uko muganga wawe yabigutegetse.
- Ku bijyanye n'ibiryo: Ushobora kubifata mbere cyangwa nyuma yo kurya. Ariko icy'ingenzi ni uko ubifata mu buryo bumwe buri munsi . Urugero, niba ubifata nyuma ya saa sita buri munsi, bikora mu buryo bumwe buri munsi.
- Guhagarara:Komeza gufata uyu muti kugeza igihe muganga wawe azakubwiriye "guhagarika ubu." Ntuhagarike gufata umuti mu buryo butunguranye , kuko kubikora bishobora kongera ibyago byo kurwara indwara yo mu mutwe.
Nakora iki iyo ntabonye umuti n'umwe?
Niba wabuze dose, fata ako kanya wibuka. 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.
Bite ho iyo mfashe imiti myinshi?
Niba utekereza ko wafashe uyu muti urenze urugero, ni ukuvuga ko warenze urugero, ni ikibazo cyihutirwa. Hita uhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Indi miti ishobora kugira ingaruka kuri Phenytoin
Phenytoin ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata. Imbonerahamwe ebyiri ziri hepfo zikubiyemo amakuru yerekeye iyo miti.
| Ntugafate hamwe na Phenytoin | |
|---|---|
| Artemether, Lumefantrine | Imiti imwe n'imwe igabanya ubukana bwa virusi itera SIDA cyangwa Hepatite |
| Idelalisib, Isavuconazonium | Lonafarnib, Lorlatinib, Lurasidone |
| Pacritinib, Praziquantel, Ranolazine | |
| Iyi miti ishobora kandi kugira ingaruka kuri Phenytoin - bwira muganga wawe | |
|---|---|
| Inzoga | Imiti igabanya ububabare nka aspirine |
| Imiti irwanya kanseri (urugero: Bleomycin, Capecitabine) | Imiti ivura umuvuduko ukabije w'amaraso n'indwara z'umutima |
| Imiti ivura indwara zo mu mutwe nk'ihungabana n'imihangayiko | Imiti igabanya cholesterol (urugero: Atorvastatin) |
| Imiti ivura indwara z'ibihumyo | Indi miti igabanya igicuri (urugero: Carbamazepine, aside Valproic) |
| Imiti igabanya aside n'imiti igabanya ububabare bw'igifu (urugero: Omeprazole) | Imiti ibuza amaraso kuzura (urugero: Warfarin, Apixaban) |
| Urugero, imisemburo y'abagore, ibinini byo kuboneza urubyaro | Aside folike na vitamine D |
| Ubwoko bwa steroid (urugero: Prednisone) | Imiti y'ibimera nka St. John's Wort |
Uru rutonde ntirwuzuye. Kubwibyo, ni ngombwa cyane ku mutekano wawe kubwira muganga wawe ibyerekeye imiti yose, vitamine, n'imiti gakondo ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusuzumwa buri gihe: Jyana na muganga wawe buri gihe kugira ngo arebe uko umerewe. Ugomba guhora ukurikiranwa na muganga mu gihe ufata uyu muti. Ushobora kandi gukenera gupimwa amaraso.
- Ingaruka mbi ku ruhu:
- Gusinzira no kuzungera: Ushobora kumva usinziriye cyangwa uzungera. Rero, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Irinde kunywa inzoga.
- Kuboneza urubyaro: Iyo ufashe ibinini byo kuboneza urubyaro, uyu muti ushobora gutuma bidakora neza. Bityo rero vugana na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro.
- Kubyimba ishinya: Ibi bishobora gutera hypertrophy y'ishinya. Rero jya kwa muganga w'amenyo buri gihe. Witondere igihe woza amenyo cyangwa ukoresha icyuma gisukura.
- Imiti igabanya ububabare: Ntugafate imiti igabanya ububabare bw'igifu mu gihe kimwe n'uyu muti. Siga umwanya w'amasaha 2-3.
- Ubuzima bwo mu mutwe: Menya neza uko imitekerereze yawe ihagaze mu gihe ufata uyu muti. Niba wumva uhangayitse kurusha uko bisanzwe cyangwa ufite ibitekerezo byo kwiyahura, bwira muganga wawe ako kanya.
- Buri gihe fata Phenytoin nk'uko muganga wawe abikubwira, kandi mu gihe gikwiye. Irinde kuyihagarika gitunguranye.
- Menyesha muganga wawe indi miti yose, vitamine, n'imiti y'ibimera urimo gufata.
- Niba hari ibisebe bikomeye ku ruhu, uduheri, cyangwa ibindi bimenyetso bidasanzwe bigaragaye hamwe n'umuriro, shaka ubufasha bwa muganga ako kanya.
- Ntugahindure ubwoko bw'umuti utabanje kugisha inama muganga wawe.
- Ni ingenzi cyane kwisuzumisha kwa muganga no gupima amaraso buri gihe.
- Niba ukeka ko warenze urugero rw'umuti, jya ku kigo cy'igihugu gishinzwe amakuru ku burozi cyangwa ishami rishinzwe ubutabazi bw'ibanze (ETU) riri hafi yawe.
Ibi ni ingenzi cyane:Uyu muti rimwe na rimwe ushobora gutera ingaruka zikomeye ku ruhu. Bibwire muganga wawe ako kanya niba ufite umuriro, ububabare ku mubiri, udusebe dutukura/umuhengeri, cyangwa ibisebe ku ruhu rwawe, uruhu rurimo gukurura, ibisebe mu kanwa, cyangwa kubyimba mu maso, ku minwa, mu ijosi, cyangwa mu kwaha .
Ni izihe ngaruka mbi zishobora kubaho?
Nk'uko bimeze ku muti uwo ari wo wose, Phenytoin ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ibintu ugomba kubwira muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa n'ururimi. |
| Indwara zikomeye ku ruhu | Umuriro, uherekejwe n'uduheri dutukura/dutukura ku ruhu, uruhu rukura, n'ibisebe byo mu kanwa. |
| Gukomereka k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, uruhu cyangwa amaso bigahinduka umuhondo (nk'umuhondo w'umuhondo), n'inkari zijimye. |
| Uburozi bwa Phenytoin | Kutabasha kugenzura amaso, kubura uburinganire mu gihe ugenda, kugorwa no kuvuga, umunaniro ukabije, isesemi no kuruka. |
| Ibindi bimenyetso bikomeye | Umutima utera buhoro, isereri, guhumeka bigoranye, kubyimba utubuto tw'amaguru, gukomereka kenshi cyangwa kuva amaraso, ibitekerezo byo kwiyahura. |
| Niba bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Ingaruka zisanzwe | Kuribwa umutwe, gusinzira, isereri, kugorwa no kwibanda ku bintu cyangwa kwibuka. |
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