Reka twige ku bijyanye n'udupira two mu nda (Promethazine Suppositories)

Nawe rimwe na rimwe ushobora kugira ubwivumbure butunguranye butera uduheri ku ruhu, kuribwa, cyangwa kuruka cyane no kugira isesemi. Hari n'abantu bagira ubu burwayi mu gihe bari mu rugendo. Hari igihe, ubu bwoko bw'umuti bushobora kugufasha mu gihe udashobora gusinzira nijoro, cyangwa gutuza mbere yo kubagwa. Rero, muri iyo mimerere, muganga wawe ashobora kukwandikira umuti wo gukoresha. Umwe muri iyo miti tugiye kuvugaho uyu munsi ni umuti wa promethazine .

Uyu ni umuti w'ubwoko ki? (Promethazine ni iki?)

Muri make, promethazine ni umuti uri mu cyiciro cy’imiti irwanya allergie . Iyo umubiri wacu ugize allergie, umuti witwahistamine urasohoka. Uyu muti ushobora kugenzura ibimenyetso by’allergie uhagarika imikorere y’iyo histamine.

Si ibyo gusa, uyu muti unafasha gutuza uturemangingo tw’imitsi no kugenzura ibintu nko kugira isesemi no kuruka. Niyo mpamvu ukoreshwa mu kuruhuka mbere yo kubagwa, kugufasha gusinzira, kugabanya ububabare, no gukumira indwara yo mu ngendo mu gihe uri mu rugendo.

Uyu muti ushobora kuzanwa n'amazina atandukanye nka `Phenadoz`, `Phenergan`, `Promethegan`. Ariko, ugomba gukoresha izina ry'ikirango muganga wawe yakwandikiye.

Ni ibihe bintu ngomba kubwira muganga mbere yo gufata uyu muti?

Mbere yo gukoresha uyu muti wa promethazine, hari ibintu bimwe na bimwe ugomba kumenyesha muganga wawe. Kubera ko bishingiye kuri ayo makuru, muganga azagena niba uyu muti ukubereye cyangwa utagukwiriye, cyangwa uko uwutanga.

Niba ufite kimwe muri ibi bibazo, tubwire:

• Niba ufite ikibazo cyo kuziba amara ahantu runaka mu mara yawe .
• Niba urwaye diyabete .
• Niba ufite indwara y'amaso yitwa glaucoma .
• Niba ufite ikibazo cyo kugenzura imitsi yawe .
• Niba ufite indwara y'umutima .
• Niba ufite indwara y'umwijima .
• Umubare w'amaraso yawe uri hasi.Iyo bigaragaye (urugero: uturemangingo tw’amaraso tw’umweru, uduce duto tw’amaraso, cyangwa uturemangingo dutukura).
• Niba ufite indwara z'ibihaha cyangwa iz'ubuhumekero (urugero: asima).
• Niba urwaye indwara ya Parkinson .
• Niba ufite indwara za prostate gland .
• Niba warigeze kugira ibisebe mbere .
• Niba ufite ibibazo byo mu gifu cyangwa mu mara .
• Niba ufite ikibazo cyo kunyara .
• Niba waragize ikibazo cyo kugira ubwivumbure kuri promethazine, sulfite, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe .
• Ugomba kubwira muganga wawe niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa umwana, nawe ugomba kubivuga.

Icy'ingenzi: Ni ingenzi cyane ku mutekano wawe kubwira muganga wawe udahishe aya makuru.

Ni gute neza neza ukoresha uyu muti?

Iki ni ikibazo abantu benshi bibaza. Uyu muti ukoreshwa gusa mu buryo bw'imyanya . Ese si byiza kuwunywa mu kanwa?

Dore uko wabikora intambwe ku yindi:

1. Gukaraba intoki: Karaba intoki zawe neza n'isabune mbere na nyuma yo gukoresha umuti. Ibi ni ingenzi cyane.

2. Gutegura kapsule: Kuraho witonze agapapuro k'ipfundikizo . Hanyuma, shyira amazi make akonje ku mutwe wa kapsule ku ijosi. Ibi bizatuma gushyiramo byoroha.

3. Guhagarara neza: Kuryama ugaramye. Gumisha ukuguru ko hasi kugororotse n'ukuguru ko hejuru ku ivi hanyuma ugashyira ku nda yawe.

4. Kugaragaza ikibuno: Kuraho gato ikibuno kugira ngo urebe agace k'inyuma k'inyuma.

5. Gushyiramo kapsule: Noneho, ubanje gushyiramo impera y'akapsule katose, shyiramo umuvuduko buhoro buhoro hanyuma ukayinjize yose mu gasanduku k'amaraso.

6. Gufata amatako yawe hamwe: Nyuma yo gushyiramo agakingirizo, fata amatako yawe hamwe amasegonda make.

7. Kuryama akanya gato: Kuryama iminota 15. Ibi bizafasha umuti gukora no kuwurinda kugaruka.

Icy'ingenzi: Ntugakoreshe ibirenze ibyo muganga wawe akubwira. Fata gusa urugero rwatanzwe, ku gihe cyatanzwe.

Ese uyu muti ukwiye guhabwa abana?

Mu gihe uha abana uyu muti, ugomba kwitonda cyane . Ntibyemewe guha abana bato n'abana bato bari munsi y'imyaka 2 uyu muti. Kubwibyo, banza uganire na muganga wawe mbere yo guha umwana wawe uyu muti.

Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)

Niba ubona ko wafashe uyu muti urenze urugero, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi.

Ikindi kintu kimwe: Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Bite ho nintakaza dose? (Dose yabuze)

Niba wabuze dose, fata vuba uko wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze uyifate ku gihe giteganijwe. Ntukigere ufata dose ebyiri.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?

Ibi nabyo ni ingenzi cyane. Promethazine ishobora kugira ingaruka ku yindi miti, nka inzoga. Bityo rero, ugomba kubwira muganga wawe imiti yose ufata (umuti wanditswe na muganga, ugurishwa mu iduka rya muganga, imiti y’ibimera, vitamine, inyongeramusaruro), ndetse no niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti.

Dore bimwe mu bintu bishobora kugira ingaruka kuri promethazine:

• Inzoga
• Ubundi bwoko bw'imiti igabanya ububabare mu mubiri (antihistamines) ivura indwara z'ubwivumbure, inkorora n'ibicurane
• Atropine
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
• Imiti imwe n'imwe ivura ibibazo by'inkari (urugero: Oxybutynin, Tolterodine)
• Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: Amitriptyline, Fluoxetine, Sertraline)
• Imiti imwe n'imwe ivura indwara ya Parkinson (urugero: Benztropine, Trihexyphenidyl)
• Imiti imwe n'imwe ivura ibibazo byo mu gifu (urugero: `Dicyclomine`, `Hyoscyamine`)
• Imiti imwe n'imwe ivura indwara yo kurakara (urugero: Scopolamine)
• Epinephrine
• Imiti igabanya ububabare rusange (urugero: `Halothane`, `Isoflurane`, `Methoxyflurane`, `Propofol`)
• Ipratropium
• Imiti ya MAOI (urugero: `Marplan`,` Nardil`, `Parnate`)
• Umuti uvura umuvuduko ukabije w'amaraso
• Imiti igabanya ububabare (urugero: `Phenobarbital`, `Primidone`, `Phenytoin`)
• Imiti igabanya imitsi itangwa mu gihe cyo kubagwa
• Metoclopramide
• Imiti igabanya ububabare

Uru rutonde rushobora kuba rutuzuye, bityo ni byiza kubwira muganga wawe ibyo urimo gufata byose.

Ibintu ugomba kwitondera mu gihe ukoresha uyu muti

• Jyana na muganga wawe buri gihe kugira ngo urebe niba ibimenyetso byawe birimo kugenda birushaho kwiyongera cyangwa birushaho kwiyongera.
• Uyu muti ushobora gutuma usinziriza kandi ukagira isereri.Bishobora kuza. Kubwibyo, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu cyose gisaba kuba maso mu mutwe kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
• Cyane cyane niba ugeze mu za bukuru, irinde kubyuka cyangwa kwicara mu buryo butunguranye kugira ngo ugabanye ibyago byo kuzungera cyangwa gucika intege .
• Kunywa inzoga bishobora kongera gusinzira no kuzerera, bityo irinde inzoga.
• Mu kanwa kawe ushobora kumva wumye . Guhekenya ishinya ridafite isukari, kunywa agace ka tangawizi, no kunywa amazi menshi bishobora kugufasha kugabanya ibi bibazo. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, vugana na muganga wawe .
• Uyu muti ushobora gutera amaso yumye no kutabona neza . Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Ibitonyanga byo mu maso bishobora gufasha. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira muganga wawe .
• Uyu muti ushobora gutuma uruhu rwawe rugira ikibazo cy’izuba (Sun sensitivity) . Kubwibyo, irinde kwibasirwa n’izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda ipfuka uruhu rwawe, wambare indorerwamo z’izuba, kandi ukoreshe amavuta akingira izuba. Ntugakoreshe amatara y’izuba cyangwa ibitanda/amakambi yo gusiga ibara ry’izuba.
• Niba urwaye diyabete, uyu muti ushobora kongera urugero rw'isukari mu maraso yawe . Baza muganga wawe niba ukeneye guhindura indyo yawe cyangwa imiti.

Ni izihe ngaruka mbi nagira kuri uyu muti?

Kimwe n'indi miti yose, promethazine ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe ni mbi cyane kandi zigomba kumenyeshwa muganga wawe vuba. Zimwe si mbi cyane, ariko iyo zikomeje, ugomba kubimenyesha muganga wawe .

Ingaruka mbi zigomba kumenyeshwa muganga ako kanya:

• Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Gucika intege kw'imitsi yo mu mutwe (CNS depression): Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• Umuriro mwinshi cyane, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, no kwitiranya ibintu: Ibi bishobora kuba ibimenyetso by'indwara ikomeye yitwa Neuroleptic Malignant Syndrome (NMS).
• Kwandura: Umuriro, inkorora, inkorora, cyangwa kubabara mu muhogo.
• Gukomereka k'umwijima: Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, umunaniro udasanzwe cyangwa intege nke.
• Indwara zo mu mutwe .
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba:Urugero, kutabona neza, kubona indorerwamo zikikije amatara, no gutakaza ubushobozi bwo kubona.
• Kugorwa no kunyara .
• Ingendo z'umubiri zidagenzurwa kandi zisubiramo, gukomera kw'imitsi cyangwa kubyimba kw'imitsi, gutigita, gutakaza uburinganire, kubura ituze, gukurura ibirenge mu gihe ugenda: ibi bishobora kuba ibimenyetso bya `Extrapyramidal Symptoms (EPS)`.

Ibimenyetso akenshi bidasaba inama kwa muganga (ariko bwira muganga wawe niba bikomeje cyangwa bikubangamiye):

• Urujijo
• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Gusobanukirwa urumuri
• Inzozi zigaragara cyangwa inzozi mbi

Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikintu kidasanzwe uretse ibi, bwira muganga wawe.

Uyu muti nawubika he?

• Bika ahantu abana batagera . Ibi ni ingenzi cyane.
• Bika muri firigo ku bushyuhe buri hagati ya dogere selisiyusi 2 na 8 (dogere selisiyusi 2 na 8). Ni ukuvuga hagati ya dogere selisiyusi 36 na 46 (dogere selisiyusi 36 na 46).
• Tara umuti warengeje igihe utawukoresheje.

Wibuke: Iyi nkuru ni incamake gusa. Ishobora kuba idafite amakuru yose. Niba ufite ibindi bibazo kuri uyu muti, baza muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ubu usobanukiwe neza na capsule za promethazine rectal twavuze.

Kugira ngo mbibutse muri make:

• Uyu ni umuti utangwa ku bintu nka allergie, kuruka, kubura ibitotsi, no kurwara indwara z'ingendo.
• Igomba gukoreshwa gusa mu buryo bw'inyuma.
• Kurikiza amabwiriza neza.
• Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite hamwe n'indi miti yose ufata.
• Witondere kuko bishobora kubaho gusinzira no kuzungera.
• Menya ingaruka mbi. Nubona ikintu gikomeye, bwira muganga wawe ako kanya.
• Witondere cyane cyane iyo uhaye abana, ntugahe abari munsi y'imyaka 2.
• Komeza imiti yawe neza.

Uyu muti wanditswe kugira ngo uhuze n'uburwayi bwawe. Kubwibyo, ni ngombwa kuwukoresha neza nk'uko muganga wawe akubwira. Niba ufite ikibazo cyangwa impungenge, ntutinye kubaza muganga wawe.

Promethazine , imiti yo mu maraso, imiti igabanya ububabare, ubwivumbure, kuruka, gusinzira, ingaruka mbi