Hyperthyroidism, indwara aho thyroid imeze nk'ikinyugunyugu mu ijosi ryacu ikora imisemburo myinshi cyane, ni indwara abantu benshi mu gihugu cyacu barwaye. Imwe mu miti ikomeye abaganga batanga kuri ubu buvuzi ni Propylthiouracil. Twese tuzi ibi ku izina rigufi rya PTU. Niba rero warahawe uyu muti, ni ngombwa cyane kumenya byose kuri wo mu buryo bworoshye kandi busobanutse.
Ni ubuhe bwoko bw'umuti PTU (Propylthiouracil)?
Muri make, PTU ni umuti ubwira tiroyide yawe "gukora cyane, noneho ukore imisemburo mike." Ni ukuvuga ko icyo uyu muti ukora ari ukugabanya ingano y'imisemburo ya tiroyide ikorwa n'iyo tiroyide.
Abaganga bakoresha cyane uyu muti:
- Kugenzura imisemburo myinshi ya tiroyide (Hyperthyroidism).
- Genzura urugero rw'imisemburo yawe mbere yo kubagwa tiroyide.
- Mbere yo kuvurwa na iyode ikoresheje imirasire.
Uyu muti rimwe na rimwe ushobora kwandikirwa na muganga wawe ku zindi ndwara, bityo niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe kuri wo.
Ni ibihe bintu ngomba kubwira muganga mbere yo gukoresha uyu muti?
Mbere yo gutangira gukoresha PTU, ni ngombwa kumenyesha muganga wawe ibi bikurikira, kuko bishobora kugira ingaruka zitaziguye ku kuvura kwawe.
- Niba ufite indwara y'umwijima: PTU rimwe na rimwe ishobora kugira ingaruka ku mwijima, bityo niba ufite ikibazo cy'umwijima cyari gisanzweho, muganga wawe agomba kubimenya.
- Niba ufite ikibazo cy'amaraso, urugero nko kuba uturemangingo tw'umweru turi mu maraso make: Ibi ni ingenzi cyane kuko uyu muti ushobora kugabanya cyane umubare w'uturemangingo tw'umweru mu maraso yawe.
- Niba ufite ubwivumbure kuri PTU cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba urimo kugerageza gutwita cyangwa usanzwe utwite: Ugomba kuvugana na muganga wawe by'umwihariko ku bijyanye no gukoresha uyu muti mu gihe utwite.
- Niba uri umubyeyi wonsa.
Ni gute neza neza ukoresha uyu muti?
Iki ni ikinini ufata ukoresheje umunwa. Ni ngombwa cyane gufata ingano yagenwe, nk'uko muganga wawe akubwira, ku gihe cyagenwe. Fata umuti nk'uko muganga wawe akubwira, gatatu ku munsi. Ntugafate ibirenze ibyo utekereza cyangwa ngo ureke kuwufata.
Igikuru ni ukudahagarika gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma ibimenyetso byawe bigaruka.
Uyu muti ntabwo ukunze kugirwa inama ku bana. Ariko, mu bihe bidasanzwe, uyu muti ushobora guhabwa abana barengeje imyaka 6 bakurikiranwe na muganga. Muganga wawe ni we wenyine ushobora gufata icyemezo.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri kugira ngo wishyure dose wibagiwe.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka ku mikorere ya PTU
Niba ufata PTU kandi ukaba ufata indi miti imwe n'imwe, hashobora kubaho imikoranire hagati yayo yombi. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata.
| Ubwoko bw'umuti | Imiterere yakoreshejwe |
|---|---|
| Aminophylline, Theophylline | Ku ndwara z'ubuhumekero nka asima |
| Imiti nka Metoprolol, Propranolol | Ku ndwara z'umutima, umuvuduko ukabije w'amaraso |
| Digoxin | Ku ndwara z'umutima |
| Warfarin | Kugira ngo hirindwe ko amaraso agabanuka (kugira ngo amaraso agabanye) |
Uru rutonde ntirwuzuye.Rero, ntukibagirwe kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro). Nanone, mubwira niba unywa itabi cyangwa unywa inzoga.
Ingaruka mbi zishobora guterwa n'uyu muti
Kimwe n'indi miti iyo ari yo yose, PTU ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo zisaba kwitabwaho byihutirwa, izindi zikaba zidakomeye cyane.
| Ingaruka mbi za PTU | |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Ibimenyetso by'indwara y'umwijima | Inkari z'umuhondo wijimye/umukara, amaso cyangwa uruhu rugahinduka umuhondo, ububabare mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, umunaniro ukabije. |
| Ibimenyetso by'ubwandu (biterwa n'umubare muto w'uturemangingo tw'umweru mu maraso) | Umuriro, ubukonje, kubabara mu muhogo, ibisebe byo mu kanwa. |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa cyangwa ururimi, no kugorwa no guhumeka. |
| Ibindi bimenyetso bikomeye | Kubabara ingingo, kuva amaraso cyangwa gukomereka bidasanzwe, impinduka mu maso, kugira ibisebe mu ngingo, kugorwa no kunyara. |
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) | |
| Ingaruka mbi nto | Isesemi, kuruka, kubabara mu nda, kuribwa umutwe, isereri, gusinzira, impinduka mu buryohe, gutakaza umusatsi. |
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusuzumwa kwa muganga buri gihe: Vugana na muganga wawe buri gihe kugira ngo urebe niba ubuzima bwawe buri kugenda butera imbere. Azagutegeka gupima amaraso (`ibipimo by'amaraso`,`ibipimo by'imikorere ya tiroyide`). Ntugasimbuke ibi.
- Itondere ibimenyetso by'ubwandu: Niba ugize umuriro cyangwa ubabara mu muhogo, ntubyirengagize. Bishobora kuba ikimenyetso cy'uko uturemangingo tw'umweru turi mu maraso make, bityo hamagara muganga wawe ako kanya.
- Gutwita: Niba uteganya gutwita, banza ubwire muganga wawe mbere yo gutangira uyu muti. Niba ukeka ko ushobora kuba utwite uri gufata uyu muti, bimenyeshe muganga wawe ako kanya.
- Kubagwa: Niba ugiye kubagwa, menya neza ko wabwiye umuganga ko ugiye gufata PTU.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata ikinini cya PTU nk'uko muganga wawe yabigutegetse, mu gihe gikwiye.
- Ntugahagarike gufata imiti cyangwa ngo uhindure igipimo nta nama za muganga.
- Shaka inama kwa muganga vuba niba ugaragaje ibimenyetso nk'umuriro, kuribwa mu muhogo, cyangwa amaso cyangwa uruhu bigahinduka umuhondo.
- Menyesha muganga wawe indi miti yose, vitamine, n'imiti gakondo ufata.
- Kwitabira isuzuma rya muganga buri gihe no gupimwa amaraso ni ingenzi kugira ngo ubuzima bwawe burusheho kuba bwiza.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.