Hari igihe imitsi yacu yumva isa n'aho nta buzima ifite, si byo se? Ijisho ryacu riraremba, tugorwa no kuvuga no kumira, kandi amaguru yacu yumva atameze neza. Uyu munsi turimo kuvuga ku muti wihariye uvura indwara yitwa Myasthenia Gravis, ifite ibimenyetso nk'ibi. Uwo muti ni Pyridostigmine.
Pyridostigmine ni iki?
Muri make, Pyridostigmine ni umuti ufasha imitsi yawe kugarura imbaraga zatakaye. Imitsi n'imitsi by'umubiri wacu bikorana binyuze mu kintu kitwa "chemical". Ku bijyanye na 'Myasthenia Gravis', iyi mishyikirano irahungabana. Pyridostigmine ikora mu gutsinda iyo mihindagurikire no kugarura itumanaho hagati y'imitsi n'imitsi.
Muganga wawe ashobora kuguha uyu muti akoresheje amazina y’ibirango nka Mestinon cyangwa Mestinon Timespan. 'Timespan' cyangwa 'extended-release' bivuga ubwoko bwinjira mu mubiri buhoro buhoro kandi bugakomeza gukora igihe kirekire.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira uyu muti, ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze. Niba ufite imwe mu ndwara zikurikira, menya neza ko uyimubwiye.
| Indwara/ibindi bibazo | Kuki ugomba gutanga amakuru? |
|---|---|
| Asima | Pyridostigmine ishobora kugabanya cyane inzira z'ubuhumekero no kongera ingorane zo guhumeka. |
| Indwara z'umutima cyangwa umutima utera buhoro | Uyu muti ushobora kugabanya umuvuduko w'umutima kurushaho. |
| Kugorana cyangwa kuziba icyuho mu kunyara | Ibi bishobora kuzamba kurushaho. |
| Ibisebe byo mu gifu cyangwa kuziba amara | Ububabare mu gifu n'ibindi bibazo by'igifu bishobora kwiyongera. |
| Indwara y'impyiko | Kubera ko umuti uvanwa mu mubiri n'impyiko, ingano yawo ishobora kuba ngombwa ko ihindurwa. |
| Indwara zo mu nda (urugero: Peritonitis) | Ibimenyetso bishobora kuba bitagaragara neza kandi gusuzuma indwara bishobora kugorana. |
| Gutwita cyangwa kugerageza gutwita | Muganga ni we uzasuzuma niba umwana yafashwe n'iyi ndwara. |
| Konsa | Ni ngombwa gusuzuma niba umuti urimo ugera ku mwana binyuze mu mashereka. |
| Allergie ku yindi miti, ibiryo cyangwa ibindi bintu | Ibi ni ingenzi kugira ngo hamenyekane ingaruka zo kugira allergie ku miti. |
Uyu muti nkwiye kuwukoresha nte?
Ugomba kwibuka izi ngingo mu gihe ukoresha uyu muti:
- Mirira iki kinini cyose n'ikirahure cy'amazi.
- Ntukavune, ngo ujanjagure, cyangwa ngo uhekenya ikinini, cyane cyane niba ari ubwoko bwa 'extended-release' (Timespan), kuko ibi bishobora gutuma umuti winjira mu mubiri vuba cyane bigatuma ugira ingaruka mbi.
- Fata dose nyayo, nkuko muganga wawe yabigutegetse. Muganga wawe azakubwira inshuro ku munsi n'ingano y'umuti ugomba gufata.
- Ntugahagarike gufata imiti yawe mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma ibimenyetso (urugero: kugorwa no kumira, kugorwa no guhumeka) birushaho kwiyongera mu buryo butunguranye.
- Iyo uyu muti uhawe abana, hakenewe ubwitonzi bwihariye kandi ugomba gukorwa gusa ku nama za muganga.
Icy'ingenzi: Niba ubona ko wafashe ibirenze urugero rwagenwe, hamagara muganga wawe ako kanya.Hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi kiri mu bitaro by'igihugu bya Colombo, cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry'ibitaro biri hafi.
Wakora iki niba wabuze dose y'umuti?
Fata dose yabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose!
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Ni ngombwa cyane kubwira muganga wawe ibyerekeye imiti yose, vitamine, n'inyongeramusaruro ufata, kuko Pyridostigmine ishobora kugira ingaruka ku miti imwe n'imwe.
| Imiterere y'impanuka | Ingero (ubwoko bw'imiti) |
|---|---|
| Ntugafate Pyridostigmine hamwe n'uyu muti. | |
| Kubera ko ibikorwa bisa, ingaruka mbi zishobora kwiyongera. | Indi miti ivura myasthenia gravis (urugero: neostigmine), Quinine. |
| Nyamuneka menyesha muganga wawe kuko ibi bishobora kugira ingaruka ku miti yawe. | |
| Pyridostigmine ishobora kugabanya cyangwa kongera ubushobozi bwayo cyangwa igatera ingaruka mbi. | atropine, bethanechol, disopyramide, edrophonium, guanethidine, mecamylamine, n'imiti imwe n'imwe igenzura ububabare bw'imitsi cyangwa imitsi. |
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ikintu cyose urimo gufata.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Shaka muganga wawe ku gihe cyagenwe kugira ngo arebe uko umerewe. Niba ibimenyetso byawe bikomeje cyangwa bikarushaho kwiyongera, bwira muganga wawe.
- Ni ngombwa cyane kwitwaza indangamuntu y’abaganga ivuga ko ufite Myasthenia Gravis hamwe n’imiti ufata hamwe n’ingano yayo. Ibi bishobora gufasha cyane mu gihe cy’impanuka.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, Pyridostigmine ishobora gutera ingaruka zimwe na zimwe. Ariko, si buri wese uzibona. Reka turebere hamwe izi ngaruka.
| Ingaruka mbi | Icyo gukora |
|---|---|
| Niba hari kimwe muri ibi kibayeho, bwira muganga wawe ako kanya. | |
| Indwara zo kugira ubwivumbure (uduheri ku ruhu, kuribwa, kubyimba mu maso/iminwa/ururimi) | Shaka inama z'abaganga ako kanya. |
| Guhumeka bigoranye | |
| Impinduka mu cyerekezo | |
| Kubabara imitsi cyane, kuribwa mu nda, cyangwa gucumbagira | |
| Umutima utera buhoro cyane cyangwa utari usanzwe | |
| Kubabara cyane mu gifu, kuruka | |
| Umunaniro udasanzwe cyangwa intege nke | |
| Ibi akenshi ntabwo biteye akaga, ariko niba bikomeje, bwira muganga wawe. | |
| Impiswi (cyane cyane mu ntangiriro z'ubuvuzi) | Iyo ndwara ikomeje, menyesha muganga. |
| Guca amacandwe menshi cyane | |
| Kubira ibyuya byiyongera, isesemi | |
Ukwiye kubika gute imiti yawe?
- Bibike ahantu hatekanye kure y'abana.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya selisiyusi 15-30). Birinde ubushyuhe bwinshi cyangwa ubukonje.
- Rinda ubushuhe n'izuba ryinshi. Icupa ry'umuti rigomba gufungwa neza.
- Tara imiti yarengeje igihe utayikoresheje.
Ubutumwa bwo kujyana mu rugo
- Pyridostigmine ni umuti ukoreshwa mu kuvura indwara y'intege nke z'imitsi Myasthenia Gravis.
- Mbere yo gutangira uyu muti, bwira muganga wawe izindi ndwara zose ufite (cyane cyane asima, indwara z'umutima, indwara z'impyiko).
- Mirira ikinini cyose, utagiciye cyangwa ngo ukimene. Kinywe ku gihe cyagenwe.
- Ntugahagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Niba ugize ingaruka mbi zikomeye, nko kugorwa no guhumeka, kubabara imitsi cyane, cyangwa umutima utera buhoro, hamagara muganga wawe vuba.
- Bwira muganga wawe indi miti yose ufata. Ibi ni ingenzi cyane ku mutekano wawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Pyridostigmine / Mestinon ikoreshwa iki?
Iki ni ikinini cy'ingenzi cyane kandi cy'ingenzi gitangwa ku ndwara ikomeye y'imitsi yitwa 'Myasthenia Gravis'! Iyo ibimenyetso biva mu bwonko bwacu bihagaritse kugera ku mitsi, imitsi yacu irahagarara (ntidushobora gufungura amaso yacu, kuvuga, cyangwa kugenda). Icyo iki kinini gikora ni ukugarura imbaraga z'iyo mitsi irimo gutakaza no kugarura umurwayi mu buryo busanzwe.
💬 Ni gute uyu muti (Pyridostigmine / Mestinon) utera imbaraga imitsi?
Ubutumwa bugera ku mitsi buva mu bwonko bwacu bunyuze mu mitsi bukoresheje imiti yitwa 'Acetylcholine'. Ariko ku barwayi ba Myasthenia, iyi mitsi ihita yangizwa (na enzyme ya Cholinesterase). Nyuma yo gufata uyu muti, enzyme isenya irafungwa (irinda Cholinesterase), maze acetylcholine nyinshi yemererwa kwirundanya hafi y'imitsi. Hanyuma imitsi ishobora kongera gukora/kwifata neza/gukomera.
💬 Ni izihe ngaruka mbi zishobora kubaho iyo ufashe uyu muti?
Ibi ntibisubiza imbaraga imitsi gusa, ahubwo binatuma ingingo z'imbere zikora neza nk'amara/igisebe cy'inkari zikora neza! Kubwibyo, kunywa ibi bishobora gutera ingaruka mbi nko 'gucibwamo cyane, kubabara mu gifu cyane, gucika amacandwe/gucika mu kanwa/mu maso, no kwihagarika kenshi'. (Nanone, iyo urugero rwiyongereye, imitsi ishobora kugwa/gucika intege!)
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.