Hari igihe imitsi yacu yumva inaniwe kandi inaniwe, sibyo? Nk'igikinisho gifite batiri idakora. Ibi bizwi cyane ku muntu ufite indwara y'imitsi yitwa Myasthenia Gravis . Rero, umwe mu miti ikomeye kandi y'ingenzi ikoreshwa mu kuvura ubu burwayi bw'imitsi ni sirupe yitwa Pyridostigmine. Uyu munsi, tuzavuga kuri uyu muti mu buryo bworoshye, nk'aho twaba tubibwira inshuti.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, myasthenia gravis ni indwara ituma itumanaho hagati y’imitsi n’imitsi rigabanuka. Tekereza, imitsi ntikira ubutumwa buturutse mu bwonko neza. Ibi biterwa n’uko ikintu cy’ingenzi (neurotransmitter) gitwara ubutumwa bw’imitsi kirimburwa n’ibindi bintu biri mu mubiri wacu.
Rero, icyo uyu muti wa pyridostigmine ukora ni uguhagarika kwangirika kw'imiti itwara ubutumwa bw'imitsi no kongera gushimangira itumanaho riri hagati y'imitsi n'imitsi. Ni nko kongeramo 'booster' ku kimenyetso gito cya terefone. Ibi biha imitsi imbaraga ikeneye kugira ngo ikore neza.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo kuguha uyu muti, muganga wawe azashaka kumenya amateka y’ubuzima bwawe. Menya neza ko wamubwiye niba ufite imwe mu ndwara zavuzwe haruguru.
- Asima: Uyu muti ushobora kugabanya cyane inzira z'ubuhumekero, bityo abarwayi ba asima bagomba kwitonda cyane mu gihe bawukoresha.
- Indwara z'umutima cyangwa umutima utera nabi/udatera neza: Uyu muti ushobora kugira ingaruka ku muvuduko w'umutima.
- Indwara z'impyiko: Kubera ko umuti uvanwa mu mubiri binyuze mu mpyiko, ingano y'umuti ishobora gukenerwa guhindurwa niba impyiko zidakora neza.
- Indwara zo mu mutwe: Niba ufite iyi ndwara, ni ngombwa kumenyesha muganga wawe ibyayo.
- Ibisebe byo mu gifu cyangwa mu mara cyangwa kuziba: Uyu muti ushobora kongera aside yo mu gifu, bityo rero bwira muganga wawe niba urwaye gastritis cyangwa ibisebe.
- Indwara ya Tiroyide: Imisemburo ya Tiroyide ishobora kugira ingaruka ku mikorere y'uyu muti.
- Kugorwa no kunyara: Niba hari ikibazo mu nzira y'inkari, bimenyeshe.
- Allergie iyo ari yo yose: Menya neza ko wavuze niba ufite allergie kuri pyridostigmine, bromides, cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa.
Ni ingenzi cyane ku mutekano wawe kubwira muganga aya makuru utabanje kuyahisha.
Ni gute ukoresha iyi sirupe neza?
Ugomba kwitonda cyane kuri ibi bintu mu gihe ukoresha uyu muti.
- Fata igipimo cyagenwe gusa: Fata igipimo cyagenwe na muganga, ku gihe cyagenwe. Ntugasimbuke amafunguro, kandi ntugafate ibirenze urugero rwagenwe.
- Koresha igikoresho cyihariye cyo gupima: Koresha ikiyiko cya pulasitiki cyangwa igikombe cyihariye kiri kumwe n'iyi sirupe kugira ngo uyipime. Ntugakoreshe utuyiko two mu rugo cyangwa ibiyiko. Bishobora kudapima neza kandi bishobora gutuma ubona umuti mwinshi cyangwa muto.
- Niba wabuze dose: Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose ibura hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri kugira ngo wishyure dose yabuze.
- Ntureke gufata imiti utabanje kugisha inama muganga wawe.
- Niba uha abana uyu muti: Niba uha abana uyu muti, vugana n'umuganga w'abana kandi ukurikize inama ze. Hashobora kuba hakenewe ubwitonzi bwihariye.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Ushobora kandi guhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri uyu muti
Bwira muganga wawe imiti yose ufata, harimo na vitamine n'imiti y'ibimera. Imiti imwe ishobora kugira ingaruka mbi kuri Pyridostigmine.
By’umwihariko, ntugafate iyi miti hamwe n’indi miti nka Neostigmine, ikoreshwa muri Myasthenia Gravis. Nanone, ntibikwiye gukoresha quinine hamwe n’uyu muti.
Byongeye kandi, imiti myinshi, nka atropine , imwe mu miti y'umutima, n'imiti igabanya ububabare bw'imitsi, ishobora kugira ingaruka kuri uyu muti. Kubwibyo, ni byiza guha muganga wawe urutonde rw'imiti yose ufata.
Ni izihe ngaruka mbi nkwiye kumenya mu gihe nfata imiti?
Kimwe n'indi miti yose, uyu muti ushobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi cyane, izindi ni nto. Imbonerahamwe iri hepfo igaragaza neza izi ngaruka.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse |
|
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje) |
Izindi ngingo nke z'ingenzi
- Sura muganga wawe buri gihe: Nyuma yo gutangira imiti, jya kwa muganga ku minsi yagenwe nk'uko muganga wawe yabigutegetse kugira ngo arebe uko umerewe. Niba ibimenyetso byawe bitarushijeho kuba byiza cyangwa ngo birusheho kuba bibi, bimenyeshe.
- Ambara indangamuntu yo kwa muganga: Buri gihe gendana indangamuntu yo kwa muganga, umukufi, cyangwa ikarita igaragaza indwara yawe, ubwoko bw'imiti, n'ingano yayo. Ishobora kuba ingenzi cyane mu gihe cy'impanuka.
- Ububiko bw'imiti: Bika iyi sirupe ahantu abana batagera . Bika ifunze neza ku bushyuhe bw'icyumba (hagati ya selisiyusi 15-30), kure y'urumuri, kandi ahantu humutse. Ntukabibike muri firigo. Ta umuti warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Pyridostigmine ni umuti w'ingenzi cyane ukoreshwa mu gukomeza imitsi mu kuvura indwara ya myasthenia gravis.
- Pima igipimo cyatanzwe na muganga wawe, mu gihe gikwiye, ukoresheje igikoresho cyihariye cyo gupima gusa. Ntugakoreshe ibiyiko byo mu rugo.
- Bwira muganga wawe izindi ndwara zose ufite (cyane cyane asima, indwara z'umutima, indwara z'impyiko) n'indi miti yose ufata.
- Shaka ubufasha bwihuse kwa muganga niba ugize ingaruka mbi nko kugorwa no guhumeka, kubabara imitsi cyane, cyangwa umutima utera nabi.
- Uyu muti ni uwawe gusa. Ntukawusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
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