Hari igihe indwara duhura nazo zishobora kudakira hakoreshejwe imiti isanzwe. Cyane cyane iyo hari indwara zikomeye za bagiteri, abaganga bagomba gukoresha imiti ikomeye ya antibiyotike. Rero iyo muganga aguhaye umuti witwa "Polymyxin B" wowe cyangwa undi muntu wo mu muryango wawe, ni ibisanzwe kumva ufite amatsiko ndetse wenda no kugira ubwoba kuri wo. Uyu munsi, reka tuganire ku byerekeye Polymyxin B, uko ikoreshwa, n'ibintu ugomba kwitondera.
Polymyxin B ni iki?
Muri make, Polymyxin B ni umuti ukomeye cyane urwanya indwara. Uri mu bwoko bw'imiti yitwa "polymyxins." Inshingano yayo nyamukuru ni ukurimbura bagiteri zimwe na zimwe ziteje akaga zinjira mu mibiri yacu zigatera indwara.
Ni ngombwa kwibuka ko uyu muti ukorera gusa ku ndwara za bagiteri. Nta ngaruka ugira ku ndwara za virusi nka ibicurane, grippe, na korora. Kubwibyo, ugomba gukoreshwa gusa iyo muganga yagutegetse kandi neza nk'uko akubwira.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti
Mbere yuko muganga wawe akwandikira uyu muti, agomba kumenya neza ubuzima bwawe. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
- Indwara y'impyiko: Niba ufite indwara y'impyiko, banza utubwire ibyayo, kuko uyu muti usohoka mu mpyiko.
- Indwara y'ibihaha: Niba hari ikibazo cy'ibihaha, tubitubwire.
- Intege nke z'imitsi: Aya ni amakuru y'ingenzi cyane niba ufite indwara y'imitsi nka Myasthenia Gravis.
- Allergie: Niba warigeze kugira allergie kuri Polymyxin B, indi miti irwanya udukoko, undi muti uwo ari wo wose, ibiryo, cyangwa irangi mu bihe byashize, ugomba kubitangaza.
- Gutwita cyangwa gutegereza umwana: Niba utwite cyangwa utegereje umwana vuba, menyesha muganga wawe.
- Niba uri umubyeyi wonsa: Niba uri umubyeyi wonsa, menya neza ko wabivuzeho.
Ni ingenzi cyane ku mutekano wawe kubibwira muganga udahishe aya makuru.
Ni gute winjiza uyu muti mu mubiri?
Iki si ikinini ushobora gufata uri mu rugo. Polymyxin B ni umuti ukunze gutangwa mu bitaro gusa, na muganga cyangwa abaforomo babihuguriwe. Ibi biterwa n'uburyo ushyirwa mu mubiri ndetse no kuba umurwayi agomba gukurikiranwa neza muri icyo gihe.
Hari uburyo bwinshi bwo gutanga uyu muti:
- Iterwa mu mitsi (IV): Ishyirwa mu mubiri binyuze mu mitsi, nk'umunyu.
- Intramuscular (IM): Gutera imitsi mu mitsi miremire, nko ku rutugu cyangwa ku matako.
- Intrathecal: Mu bihe bikomeye cyane, nko muri meningitis, abaganga b'inzobere batera inshinge mu mazi y'umugongo.
- Mu jisho: Nk'ibitonyanga byihariye by'amaso ku ndwara z'amaso.
- Ku koza uruhu (Umuti wo kuhira): Hari igihe, kugira ngo hagenzurwe indwara zo mu bikomere cyangwa ubushye, uyu muti uvangwa n'amazi hanyuma ugakoreshwa mu koza ibikomere.
Ariko, ibi bitangwa gusa ku nama za muganga.
Ese uyu muti ushobora guhabwa abana bato?
Yego. Hari igihe abana nabo baba bakeneye guhabwa uyu muti. Ariko bisaba kwitabwaho by’umwihariko. Igipimo gitangwa gitandukana bitewe n’ibiro by’umwana, imyaka ye, n’uburwayi bwe. Rero, ganira na muganga w’abana w’umwana wawe witonze kuri ibi.
Wakora iki niba urenze urugero rw'imiti?
Ibi bitangwa mu bitaro, bityo amahirwe yo kuba ibi bibaho ni make cyane. Ariko, niba ukeka ko warengeje urugero rw'umuti, bimenyeshe Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) ry'ibitaro by'ibitaro by'igihugu . Ubundi buryo, ushobora guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo ugire inama.
Indi miti ishobora kugira ingaruka kuri Polymyxin B
Niba ufata indi miti iyo ari yo yose, ni ngombwa kubibwira muganga wawe byose. Imiti imwe ishobora kugira ingaruka mbi kuri Polymyxin B, bigatera ingaruka mbi cyangwa bigatuma umuti urushaho kugira akamaro. Hano hari imwe mu miti ishobora kugira ingaruka mbi kuri Polymyxin B.
| Ubwoko bw'umuti | Ingero n'inyandiko |
|---|---|
| Indangagaciro | Imiti igabanya ububabare ikoreshwa mu kubaga. |
| Izindi antibiyotike zimwe na zimwe | Urugero: Amikacin, Gentamicin, Colistin, Tobramycin, Vancomycin. Ibi bishobora no kugira ingaruka ku mpyiko, bityo ibyago bikaba byinshi. |
| Imiti iruhura imitsi | Imiti itangwa kugira ngo iruhure imitsi mu gihe cyo kubagwa cyangwa mu bindi bihe. |
| Imiti imwe n'imwe igabanya ubukana bw'amaraso | Imiti itangwa kugira ngo igabanye amazi mu mubiri. |
| Indi miti n'inyongeramusaruro | Bwira kandi muganga wawe ibyerekeye ibimera byose, imiti ya Sinhala/Ayurvedic, vitamine, n'inyongeramusaruro urimo gufata. |
Icy'ingenzi ni uko uru rutonde rutuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata, harimo n'iyo muganga wawe yandikiye, imiti igurishwa mu kigo, ndetse na vitamine .
Ese natwe twagombye kumenya ingaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, Polymyxin B ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Ariko, si buri wese uzibona. Ni ngombwa kuzimenya kugira ngo ubashe gufata ingamba vuba niba hari ibimenyetso bigaragaye.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe cyangwa umuforomo wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, uduheri, uburyaryate, kubyimba mu maso, ku minwa cyangwa ku rurimi. Ibi bishobora kuba bibi cyane. |
| Guhumeka bigoranye | Guhumeka nabi, guhumeka nabi. |
| Impinduka mu mikorere y'imitsi | Kuzungera , urujijo, kutabona neza, kubura uburinganire. |
| Intege nke z'imitsi | Kumva nta buzima n'uburemere mu ngingo. |
| Ibibazo by'inkari | Kubabara, kugorwa, cyangwa kugabanuka k'inkari. Ibi bishobora kuba ikimenyetso cy'uko impyiko zangiritse. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Ububabare aho umuntu atewe urushinge | Ugutukura, ububabare, cyangwa kubyimba aho bateye urushinge. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe muri uru rutonde, ntutindiganye kubaza muganga wawe ibyabyo.
Ubutumwa bwo kujyana mu rugo
- Polymyxin B ni umuti ukomeye ukoreshwa gusa ku ndwara zikomeye za bagiteri . Ntabwo ukora ku ndwara za virusi.
- Mbere yo gufata uyu muti, bwira muganga wawe izindi ndwara zose ufite (cyane cyane indwara z'impyiko) n'indi miti yose ufata .
- Uyu ni umuti usanzwe utangwa n'umuganga mu bitaro. Ni ngombwa cyane gufata imiti yose uko muganga yabigutegetse.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, kubyimba mu maso, cyangwa kuzerera cyane, shaka ubufasha bwa muganga byihutirwa .
- Niba ufite ikibazo, impungenge, cyangwa impungenge kuri uyu muti, ntukabihishe, ahubwo vugana na muganga wawe nta guhishanya.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ni izihe ndwara Gentamicin Eye Drops ikoreshwa? Ni iyihe sano ifite na Polymyxin?
'Gentamicin' ni umuti ukomeye cyane wa antibiyotike. Ibitonyanga by'amaso bya Gentamicin bikoreshwa mu maso iyo indwara ya bagiteri yinjiye mu jisho, bigatera gutukura, gucika, ndetse n'indwara ikomeye (Bacterial Conjunctivitis). 'Polymyxin B', wavuze mu nkuru yawe, nayo ni indi miti ikoreshwa mu ndwara zikomeye za bagiteri. Hari igihe izi miti ebyiri za antibiyotike zihuzwa hamwe zigatangwa nk'ibitonyanga by'amaso kugira ngo zice bagiteri zikomeye kurushaho (Ophthalmic combinations).
💬 Ese nta kibazo mfite cyo kujya muri farumasi nkasaba ibitonyanga by'amaso bya Gentamicin nkabishyira mu maso yanjye?
Ntukagire icyo ukora! Ntuzi niba ijisho ryawe ritukura riterwa n'ubwandu bwa virusi, bagiteri, cyangwa allergie. Gukoresha Gentamicin (anti-bacteria) kuri virusi ntacyo bizagufasha. Kandi niba ukomeje kubikoresha nta nama za muganga, ushobora kwangiza cornea ndetse no gutakaza ubushobozi bwo kureba burundu (Ubumuga)!
💬 Ni ibihe bintu biteje akaga bishobora gutuma uhagarika gukoresha ibitonyanga by'amaso bya Gentamicin ako kanya ukihutira kujya kwa muganga?
Ni ibisanzwe kugira umujinya mu maso mu gihe cy'umunota umwe nyuma yo gukoresha umuti. Ariko akaga gakomeye ni ko kaba! 1) Niba ijisho ribyimbye cyane kandi rigatukura nyuma yo gukoresha ibi bitonyanga (Allergie ikomeye), 2) Niba ijisho rikubabaza cyane ku buryo udashobora kureba urumuri, 3) Niba amaso yawe ahinduka nk'aho adasobanutse neza (Kubona nabi mu buryo butunguranye), ugomba guhita uhagarika umuti ukajya mu cyumba cy'amaso cy'ibitaro/ishami ryita ku barwayi b'inkeragutabara!
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