Ese uzi ibinini bya Rasagiline by’indwara ya Parkinson?

Ese muganga wawe yaba yarakubwiye cyangwa umuntu uzi arwaye indwara ya Parkinson? Noneho ushobora kuba warumvise umuti witwa Rasagiline. Ni umuti udasanzwe. None rero uyu munsi, reka tuganire kuri Rasagiline icyo ari cyo, uko ikoreshwa, n'icyo ugomba kwitondera. Reka tubiganireho mu buryo bworoshye, nko kuvugana n'inshuti.

Ni ubuhe bwoko bw'umuti wa Rasagiline?

Muri make, Rasagiline ni umuti ubuza monoamine oxidase, uri mu bwoko bw'imiti yitwa Monoamine Oxidase Inhibitors (MAOIs). Ukoreshwa cyane cyane mu kugenzura ibimenyetso bya Parkinson's Disease . Ushobora kubona uyu muti ku izina rya Azilect. Ariko, hari igihe abaganga bashobora kuguha uyu muti ku zindi ndwara. Niba rero ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

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

Mbere yo gutangira gufata Rasagiline, ni ngombwa kubwira muganga wawe aya makuru. Ibi ni ingenzi cyane kuko hashingiwe kuri aya makuru, muganga azagena niba uyu muti ukubereye cyangwa utagukwiriye, n'ingano yawo.

• Niba ufite umuvuduko w'amaraso ukabije cyangwa umuvuduko w'amaraso uri hasi .
• Niba warigeze kugira stroke mbere.
• Niba uri umusinzi .
• Niba ufite indwara y'umwijima .
• Urugero, niba ufite indwara yo mu mutwe , niba warigeze kugira ikibazo nk'ihungabana.
• Niba ufite ikibazo cyo gusinzira nabi (narcolepsy), indwara yo gusinzira .
• Niba ufite ikibazo cyo guhumeka mu gihe cyo gusinzira, ni indwara ituma uhagarika guhumeka mu gihe usinziriye .
• Niba ufite allergie kuri rasagiline, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
• Niba utwite, ugerageza gutwita, cyangwa wonsa, menya neza ko wabivuzeho.

Ni ingenzi cyane ku buzima bwawe kubwira muganga wawe ibi bintu utamuhishe.

Uyu muti nkwiye kuwukoresha nte?

Noneho reka turebe uko twafata uyu muti.

• Uyu muti ugomba gufatwa mu kanwa, hamwe n'ikirahure cy'amazi .
• Koresha imiti muganga wawe yakwandikiye neza nk'uko byavuzwe ku rupapuro rwa muganga.
• Fata igipimo cyatanzwe ku gihe cyatanzwe. Ntukigere ufata ibirenze ibyo muganga yagutegetse.
• Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga.Kubikora bishobora kuguteza ibibazo.
• Ugomba kuvugana n'umuganga w'abana ku bijyanye no guha abana bato uyu muti. Hari igihe hashobora kuba ngombwa kwitabwaho byihariye.

Bite ho nintakaza urugero rw'umuti?

Tekereza ko wibagiwe gufata umuti. Ibi nibibaho, fata vuba ubyibuka. Ariko, niba igihe cyo gufata umuti ukurikira kigeze, rekeraho gufata umuti ukurikira ku gihe cyagenwe. Ntugafate imiti kabiri cyangwa myinshi ku mpamvu iyo ari yo yose.

Bite ho iyo mfashe imiti myinshi?

Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, hamagara ibitaro biri hafi yawe byihutirwa cyangwa ikigo gishinzwe kurwanya uburozi vuba . Ibi ni ingenzi cyane.

Ibuka: Uyu muti wanditswe kuri wewe gusa. Ntugasangire umuti wawe n'abandi, kuko ushobora kubagiraho ingaruka mbi.

Ni izihe ngaruka zishobora guterwa n'uyu muti? (Imikoranire)

Iki ni ikintu cy'ingenzi cyane. Rasagiline ishobora kugira ingaruka ku yindi miti n'ibiribwa. Ibi bivuze ko iyo uyifashe hamwe, ushobora kugira ingaruka mbi zikomeye cyangwa imikorere ya Rasagiline ikagabanuka/ikongera.

Ntugafate iyi miti hamwe na Rasagiline:

Dore imiti imwe n'imwe utagomba gukoresha niba ufata Rasagiline:

• Atomoxetine
• Imiti imwe n'imwe ivura indwara yo kwiheba - baza muganga wawe ibi.
• Cyclobenzaprine
• Dextromethorphan (iboneka muri sirupe imwe n'imwe y'inkorora)
• Linezolide
• Izindi MAOI (urugero: Carbex, Eldepryl, Xadago, Marplan, Nardil, Parnate). Bwira muganga wawe niba urimo gufata indi MAOI.
• Meperidine
• Methadone
• Ubururu bwa Methylene
• Propoxyphene
• Imiti itera imbaraga mu kuvura indwara zo kutareba neza, kugabanya ibiro, cyangwa kudasinzira neza.
• Umuti wa Mutagatifu Yohani (iki ni icyatsi bamwe bafata kugira ngo bagire ubuzima bwiza bwo mu mutwe)
• Tramadol
• Tryptophan
• Viloxazine

Ibi bintu bishobora kandi gukorana na Rasagiline:

Ibi bikurikira bishobora gutera ibibazo kuri Rasagiline, bityo rero bwira muganga wawe niba urimo kuyifata:

• Inzoga
• Amiodarone
• Amwe mu ma antibiyotike, urugero nka Ciprofloxacin, Norfloxacin
• Ubwoko bw'imiti igabanya ububabare mu mubiri (antihistamines) ivura indwara z'ubwivumbure, inkorora n'ibicurane
• Karubamazepine
• Imiti imwe igufasha gusinzira
• Cimetidine
• Imiti imwe n'imwe yo kuvura kubyimba kw'amazuru cyangwa kubyimba kw'amaso (decongestants)
• Imisemburo y'abagore, urugero nka estrogens
• Furazolidone
• Isoniazide
• Imiti ivura imihangayiko cyangwa indwara zo mu mutwe
• Imiti igabanya ububabare mu gihe cyo kubaga
• Mexiletine
• Imiti ivura ububabare
• Procarbazine
• Theophylline
• Tizanidine
• Yohimbine
• Zileuton

Uru rutonde ntirukubiyemo imiti yose ikoreshwa. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y’ibimera, vitamine), ndetse niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?

Mu gihe ufata Rasagiline, menya neza ibi bintu kugira ngo ubone umutekano kandi urebe neza ko umuti ukora neza.

• Jyana na muganga wawe buri gihe: Jyana na muganga wawe nk'uko byategetswe kugira ngo urebe niba ibimenyetso byawe birimo kugenda neza cyangwa bitagenda neza, kandi niba hari ibindi bibazo bishya.
• Gusinzira no kuzungera: Ushobora kumva usinziriye, uzungera, cyangwa utabona neza igihe ufata uyu muti. Kubwibyo, ntugatware imodoka, ntugakorere ahantu hirengeye, cyangwa ngo ukore imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Witondere igihe uhagurutse mu buryo butunguranye wicaye cyangwa uri ku buriri, cyane cyane niba ugeze mu zabukuru. Bitabaye ibyo, ushobora kumva uzungera ukagwa.
• Irinde inzoga: Inzoga zishobora gutuma wumva usinziriye cyane kandi uzumva umeze nk'ufite isereri. Bityo rero ganira na muganga wawe ku bijyanye no kunywa inzoga mu gihe ufata uyu muti.
• Gusinzira mu buryo butunguranye: Ibi ni ingenzi cyane. Hari abantu bashobora gusinzira mu buryo butunguranye batamenyeshejwe igihe bafata Rasagiline. Ibi bishobora kubaho mu gihe uri mu modoka, uvuga, cyangwa urya. Ushobora gusinzira utumvise ufite ibitotsi. Ibi nibikubaho , bwira muganga wawe ako kanya .
• Irari ritagenzurwa: Hari abantu bashobora kugira irari rikomeye mu gihe bafata uyu muti, nko kugira irari ry’imibonano mpuzabitsina, gukunda gukina urusimbi, gukoresha amafaranga menshi mu buryo butagenzurwa, no kurya cyane. Niba ugize kimwe muri ibi, ntugatinye kubimenyesha muganga wawe ako kanya.
• Ibiribwa birimo Tyramine nyinshi: Ibi nabyo ni ingenzi cyane. Mu gihe ufata RasagilineUgomba kwirinda ibiryo birimo tyramine . Iyo ufashe ibiryo nk'ibi hamwe n'uyu muti, umuvuduko w'amaraso yawe ushobora kwiyongera mu buryo butunguranye (Hypertensive Crisis) .
• Ni ibihe biribwa birimo tyramine nyinshi? Tyramine ikunze kuboneka mu biribwa byashaje, byahiye, byanyowe, byavuwe neza, kandi byashyizwe mu biryo bitose. Urugero, foromaje ishaje, ubwoko bumwe na bumwe bwa sosiso, divayi, na byeri.
• Kugira ngo umenye byinshi kuri ibi, baza muganga wawe, umuhanga mu by'imiti, cyangwa inzobere mu by'imirire kugira ngo akubwire urutonde rw'ibiribwa n'ibinyobwa birimo tyramine nyinshi.
• Niba ugize ikibazo (urugero: kuribwa umutwe, kubabara mu gatuza, guhumeka bigoranye) nyuma gato yo kurya ibiryo birimo tyramine nyinshi, bimenyeshe muganga wawe ako kanya.
• Witondere indi miti: Baza muganga wawe mbere yo gufata imiti igurishwa mu kigo, nk'imiti yo gukorora n'inkorora, ibitonyanga byo mu mazuru, n'ibitonyanga byo mu maso. Iyi miti ishobora kugira ingaruka ku miti igabanya ubukana bw'indwara zo mu mutwe ndetse n'imiti imwe n'imwe igabanya ububabare.
• Kubagwa cyangwa kuvurwa amenyo: Niba ugiye kuvurwa amenyo cyangwa kwa muganga, bwira muganga ko urimo gufata rasagiline, kuko ishobora kugira ingaruka ku miti imwe n'imwe ikoreshwa mu gihe cyo kubagwa.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Rasagiline ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe ni mbi cyane, izindi si mbi cyane.

Niba ugize izi ngaruka , jya kwa muganga cyangwa ku bitaro ako kanya :

• Indwara zo kurwara uruhu: Kuryarya, kubyimba iminwa, ururimi no mu maso.
• Impinduka mu byiyumvo cyangwa mu byiyumvo: Gutangira kurakara cyangwa guhangayika mu buryo butunguranye.
• Impinduka mu iyerekwa.
• Gusinzira mu buryo butunguranye mu gihe ukora imirimo isanzwe (urugero, mu gihe utwaye imodoka).
• Kubona ibintu nk'ibitariho: Kubona cyangwa kumva ibintu bitariho mu by'ukuri.
• Umuvuduko w'amaraso ukabije.
• Irari ritagenzurwa nko gukina urusimbi rushya cyangwa rwiyongera, irari ry'imibonano mpuzabitsina, gukoresha amafaranga mu buryo butagenzurwa, no kurya cyane.
• Ibimenyetso by'ikibazo cy'umuvuduko ukabije w'amaraso: kuribwa umutwe cyane, urujijo, kutabona neza, kubabara mu gatuza cyane, guhumeka bigoranye, isesemi, kuruka, no gucika intege.
• Ibimenyetso by'umuvuduko w'amaraso uri hasi: kuzerera, gucika intege, gucika intege, kumva ufite intege nke cyangwa umunaniro udasanzwe.
• Ibitekerezo byo kwiyahura.
• Ingendo zitagenzurwa z'amaboko, mu maso, mu mutwe, mu kanwa, mu ijosi, cyangwa mu gice cyo hejuru cy'umubiri.

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje:

• Umunwa wumye
• Isesemi
• Ikibazo cyo gusinzira
• Inda ibabaye

Uru rutonde ntirukubiyemo ingaruka mbi zose zishobora kubaho. Niba ubonye ikintu kidasanzwe, baza muganga wawe.

Uyu muti nawubika nte?

Ni ingenzi cyane kandi kubika imiti yawe neza.

• Bika ahantu abana n'amatungo batagera, aho badashobora kubibona.
• Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86).
• Ntugakoreshe imiti yarengeje igihe. Ijugunye.

Ni gute wajugunya imiti itarakoreshejwe kandi yarengeje igihe?

• Ikintu cyiza cyo gukora ni ukubiha gahunda yo gufata imiti. Ushobora kubaza farumasi yawe cyangwa polisi ibijyanye n'aho hantu.
• Niba atari byo, reba agapaki k'imiti cyangwa agapapuro k'imiti kugira ngo urebe niba ikwiye kujugunywa mu myanda cyangwa igashyirwa mu musarani. Niba utabizi neza, baza muganga wawe.
• Niba ushobora kuyijugunya mu myanda, kuramo umuti mu gikoresho, kuwuvanga n'ikintu nk'imyanda y'injangwe, ivu, cyangwa ikawa, shyira imvange mu gikapu cyangwa mu gikoresho, ufunge, hanyuma uyijugunye mu myanda.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Rasagiline ni umuti w'ingenzi ku ndwara ya Parkinson, ariko ikenera kwitonda cyane iyo ikoreshejwe.

• Buri gihe kurikiza amabwiriza ya muganga wawe neza.
• Bwira muganga wawe indi miti yose ufata n'indwara iyo ari yo yose ufite.
• Menya ingaruka mbi. Nubona ikintu kidasanzwe, bwira muganga wawe ako kanya.
• Wibuke ko utagomba gufata uyu muti hamwe n'ibiribwa birimo tyramine nyinshi .
• Niba ufite ikibazo cyangwa gushidikanya, ntugatinye kubaza muganga wawe cyangwa umufarumasiye wawe.

Ubuzima bwawe ni ingenzi cyane kuri wewe, bityo rero ni ingenzi cyane kwita kuri ibi bintu.

Rasagiline , Indwara ya Parkinson, MAOI, imiti, ingaruka mbi, ingaruka mbi ku miti, tyramine, inama z'abaganga, Azilect