Tekereza ko ugomba kubagwa gato cyangwa gupimwa endoscope. Muri icyo gihe, abaganga bakoresha umuti kugira ngo bagabanye ubwoba n'imihangayiko, bagutuze gato, kandi bagutere gusinzira gake. Umuti wihariye ukoreshwa muri ibyo bihe witwa Remimazolam. Ubusanzwe uwuterwa nk'urushinge. Reka tubiganireho mu buryo bworoshye.
Remimazolam ni iki?
Muri make, Remimazolam ni umuti ugufasha gutuza no gusinzira mbere no mu gihe cyo gupimwa cyangwa kubagwa. Uri mu bwoko bw'imiti yitwa benzodiazepines . Iyi miti ikora mu kugabanya umuvuduko w'ubwonko bwacu, ikagabanya guhangayika n'ubwoba, kandi ikatuma twumva turuhutse kandi dusinziriye.
Uyu muti ushobora kuboneka mu mazina atandukanye muri Sri Lanka no ku isi yose. Urugero, izina BYFAVO rirakoreshwa. Ariko muganga azabigusobanurira igihe azaba aguhaye uyu muti.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo kuguha uyu muti, muganga azakubaza ibijyanye n'ubuzima bwawe. Muri icyo gihe , ugomba kumubwira ibi bikurikira nta kintu na kimwe uhishe .
- Niba ufite indwara y'umwijima: Niba ufite indwara iyo ari yo yose y'umwijima, bizatwara igihe kirekire kugira ngo iyi miti ive mu mubiri wawe. Kubwibyo, ni ngombwa cyane ko muganga wawe abimenya.
- Indwara z'ibihaha cyangwa ibibazo byo guhumeka: Niba ufite indwara yo guhumeka nka asima cyangwa COPD, uyu muti ushobora gutuma guhumeka bigorana. Tubwire ibi mbere y'igihe.
- Allergie: Tubwire niba warigeze kugira allergie, atari kuri Remimazolam gusa, ahubwo no ku yindi miti, ibiryo, cyangwa amarangi.
- Niba utwite cyangwa ugerageza gutwita: Ugomba kwitonda cyane ku bijyanye no gukoresha imiti mu gihe utwite, bityo rero menya neza ko wabiganiriyeho na muganga wawe.
- Niba uri umubyeyi wonsa: Ingano nto y'uyu muti ishobora kwinjira mu mashereka. Kubwibyo, ugomba kubibwira muganga wawe niba uri umubyeyi wonsa.
Gutanga aya makuru neza ni ingenzi cyane ku mutekano wawe, kuko muganga azaguhitiramo uburyo bwiza kandi bwizewe bwo kuvura hashingiwe ku makuru utanga.
Ukoresha uyu muti ute?
Uyu si umuti ushobora kujyana mu rugo ugakoresha. Remimazolam ni umuti utangwa gusa mu bitaro cyangwa mu ivuriro na muganga cyangwa abakozi b’abaganga bahuguwe .
- Ni uyu muti.Itangwa nk'urushinge mu mitsi.
- Nyuma yo gutanga umuti, bazakomeza gukurikirana uko umerewe, harimo n'uko umutima wawe utera, umuvuduko w'amaraso, n'uburyo uhumeka.
Bite ho niba urugero rw'umuti rwiyongereye (dose irenze urugero)?
Kubera ko ibi bitangwa hakurikiranwe na muganga, amahirwe yo kunywa ibirenze urugero ni make cyane. Ariko, niba ukeka ko hari ikintu cyabaye mu buryo ubwo aribwo bwose, ugomba guhita ubimenyesha abakozi b'abaganga. Ubundi buryo, ushobora guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo . Ni ngombwa kandi kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) riri hafi yawe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Remimazolam ishobora kugira ingaruka ku yindi miti n'ibindi bintu. Kubwibyo, bwira muganga wawe imiti yose ufata, vitamine, ndetse niba unywa itabi cyangwa unywa inzoga. Hano hari bimwe mu bintu bishobora kugira ingaruka ku iyi miti.
| Ubwoko bw'umuti/ikinyabutabire | Ibisobanuro byoroshye n'ingero |
|---|---|
| Inzoga | Kunywa uyu muti hamwe n'inzoga bishobora gutera gusinzira cyane, kugorwa no guhumeka, n'izindi ngorane zikomeye. Rero irinde burundu . |
| Imiti imwe n'imwe ivura allergie (imiti ikoreshwa mu kuvura allergie) | Urugero, imiti nka Piriton ishobora gutera gusinzira. Iyo uyifashe hamwe n'uyu muti, gusinzira gushobora kwiyongera mu buryo bukabije. |
| Imiti imwe n'imwe ivura indwara yo kwiheba | Urugero: Amitriptyline, Trazodone. Ibi kandi byongera gusinzira. |
| Imiti imwe itangwa ku ndwara z'ibicurane | Urugero: Phenobarbital, Primidone. Izi zinagenzura imikorere y'ubwonko, bityo zishobora gukorana na Remimazolam. |
| Opioid (imiti igabanya ububabare ikomeye n'imiti imwe n'imwe yo gukorora) | Gufata uyu muti hamwe n'imiti igabanya ububabare nka Tramadol na Morphine bishobora gutera indwara ikomeye yo guhumeka. |
| Indi miti yo muri uru rwego rumwe (Indi miti ya benzodiazepine) | Urugero: Alprazolam, Diazepam, Lorazepam. Gukoresha ibi hamwe byongera ingaruka mbi. |
Ibintu ugomba kwitondera nyuma yo gufata umuti
Nyuma yo kubagwa cyangwa gupimwa, umuganga n'abaforomo bazaguha amabwiriza. Ni ngombwa cyane kuyakurikiza neza.
- Gutwara no gukoresha imashini: Uyu muti ushobora kugira ingaruka ku kwibanda kwawe, ubushobozi bwawe bwo gufata ibyemezo, no kuringaniza kugeza igihe ugiye gucika intege. Kubwibyo, irinde gutwara cyangwa gukoresha imashini kugeza igihe uzaba umaze kumva neza kandi muganga wawe akabikubwira. Ubusanzwe ni byiza kwirinda ibi bikorwa byibuze amasaha 24.
- Kuzungera no gucika intege: Ingaruka z'imiti zishobora gutuma wumva uzungereye iyo uhagaze. Kubwibyo, haguruka buhoro buhoro iyo uva mu buriri cyangwa uvuye mu mwanya wicaye.
- Inzoga: Irinde inzoga burundu mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo gufata umuti.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, Remimazolam ishobora gutera ingaruka zimwe na zimwe, nubwo atari buri wese uzibona. Dore zimwe mu ngaruka zishobora kubaho.
| Ibimenyetso bigomba guhita bitangazwa ku bakozi b'abaganga cyangwa kwa muganga wawe | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Ihungabana ry'imitsi yo hagati (CNS depression) | Guhumeka buhoro cyangwa buhoro, kugorwa no guhumeka, gusinzira cyane, guta ubwenge, gusinzira bidashobora gukangurwa, urujijo. |
| Impinduka z'umuvuduko w'amaraso | Kwiyongera cyangwa kugabanuka k'umuvuduko w'amaraso mu buryo butunguranye. Iyo umuvuduko w'amaraso wawe ugabanutse, ushobora kugira ibimenyetso nko kuzungera, gucika intege no kutabona neza. |
| Ibimenyetso akenshi bitari bikomeye, ariko bigomba kumenyeshwa muganga mu gihe bikomeje | |
| Kuzungera | Iki kibazo kizashira mu gihe gito. |
| Gusinzira | Indwara ikunze guterwa n'ingaruka z'imiti. |
| Umutwe | Indwara ikunze kubaho nyuma yo kubagwa. |
| Isesemi | Kumva ushaka kuruka. |
Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, vugana na muganga wawe ku byerekeye ibyo.
Ubutumwa bwo kujyana mu rugo
- Remimazolam ni umuti ukoreshwa mu kugutuza mbere yo kubagwa cyangwa gupimwa kwa muganga.
- Mbere yo gufata uyu muti, bwira muganga wawe indwara zawe zose, ubwivumbure bwawe, n'indi miti ufata.
- Uyu ni umuti utangwa gusa mu bitaro uyobowe n'abaganga.
- Nyuma yo gufata umuti, irinde gutwara imodoka no gukoresha imashini kugeza igihe muganga wawe aguhaye uburenganzira.
- Niba ugize ingaruka mbi zikomeye, nko kugorwa no guhumeka cyangwa kugira ubwivumbure bukomeye, shaka ubufasha kwa muganga byihutirwa.
- Kurikiza amabwiriza yose atangwa na muganga witonze nyuma yo kubagwa.
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