Ese nawe uzahabwa uru rukingo (Risperidone Long-acting Injection Suspension)? Reka tubiganireho birambuye!

Hari igihe ubwonko bwacu butakaza uburinganire, ubuzima bushobora kugorana gato, si byo se? Niba wowe cyangwa umuntu uzi afite indwara yo mu mutwe nka `( Schizophrenia )` cyangwa `(Bipolar Disorder)`, muganga wawe ashobora kukugira inama yo kuguha umuti witwa `(Risperidone)`. Uyu munsi tugiye kuvuga ku bwoko bw'iyi miti yitwa `(Risperidone)`, ari yo `(Risperidone Long-acting Injection Suspension)`. Tuzavuga mu magambo make ku byo ikora, uko ikoreshwa, n'ibyo ugomba kwitondera.

Ni iki koko kigenda gitya kuri uyu muti?

Muri make, Risperidone ikora mu kuringaniza imikorere y'ubwoko bubiri bwa neurotransmitters mu bwonko bwawe, dopamine na serotonin. Iyi miti ifasha kugenzura uko wumva umerewe, imyitwarire yawe, n'ibitekerezo byawe. Ni mu bwoko bw'imiti yitwa antipsychotics. Antipsychotics ikoreshwa mu kuvura indwara zitandukanye zo mu mutwe. Itangwa nk'urushinge, ari rwo rushinge. Muganga wawe ashobora no gukoresha uyu muti ku zindi ndwara. Niba ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti

Noneho, iki ni cyo gice cy'ingenzi cyane. Mbere yuko utangira gufata uru rushinge rwa `(Risperidone)`, hari ibintu bimwe na bimwe ugomba kubwira muganga wawe cyangwa itsinda ry'abaganga riri kukwitaho. Kuko ayo makuru azabafasha guhitamo uburyo uyu muti ukubereye n'uko bawutanga. Reba niba ibi bikureba:

• Niba ufite indwara yo kwibagirwa, indwara ituma kwibuka bigenda bigabanuka buhoro buhoro.
• Niba urwaye diyabete.
• Niba ufite ikibazo cyo kumira.
• Niba ufite ikibazo cyo kugenzura imitsi y'umubiri wawe.
• Niba ufite indwara y'umutima.
• Niba ufite cholesterol nyinshi (`(cholesterol nyinshi)`) mu maraso yawe.
• Niba waragaragaye ko ufite imisemburo myinshi ya ``Prolactin``` mu maraso yawe.
• Niba warigeze kugira amateka ya kanseri y'ibere.
• Niba warigeze kugira, cyangwa ufite amateka yo gucika intege k'umutima.
• Niba hari amateka yabayeho yo kurwara indwara yo mu bwonko.
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Iyo ibice by'amaraso biri hasi(Urugero: niba hari urugero ruto rw'uturemangingo tw'amaraso twera, uduce duto tw'amaraso, cyangwa uturemangingo dutukura).
• Niba ufite umuvuduko w'amaraso uri hasi.
• Niba ufite indwara nk'indwara ya Parkinson.
• Niba warigeze kugira indwara nk'iz'igicuri mbere.
• Niba ufite ikibazo cy’ubwivumbure kuri Risperidone, Paliperidone, undi muti uwo ari wo wose, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe. Ibi ni ingenzi cyane!
• Niba utwite, cyangwa wifuza gusama vuba.
• Niba uri umubyeyi wonsa.

Niba hari kimwe muri ibi kikureba, ugomba kubimenyesha muganga nta kintu na kimwe uhisha, sibyo?

Ukoresha uyu muti ute?

Uyu muti `(Risperidone)` utangwa nk'urushinge mu mitsi yawe. Ubusanzwe uwuhabwa na muganga cyangwa umuforomo wabyigiye mu bitaro cyangwa ivuriro. Uyu si urushinge ushobora kwikorera mu rugo.

Ugomba kwitonda cyane mu gihe uha abana bato uyu muti. Kubwibyo, niba ukoresha uyu muti ku mwana wawe, vugana n'itsinda ry'abaganga bawe witonze kandi umenye amakuru arambuye.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugasangire uyu muti n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose. Ushobora guteza akaga.

Nanone, niba ufashe uyu muti urenze urugero, ni ukuvuga niba ufite "dose irenze urugero", nabyo ni akaga. Niba utekereza ko ibyo byakubayeho, ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze ku bitaro cyangwa ugahamagara ikigo gishinzwe kugenzura uburozi.

Wakora iki niba wabuze dose y'umuti?

Kubera ko uru rukingo rumara igihe kirekire, ni ngombwa cyane kujya ku gipimo gikurikira ku itariki yagenwe. Ntucikwe na muganga wawe. Niba ku mpamvu runaka udashobora kujya ku itariki yagenwe, hamagara itsinda ry'abaganga bawe vuba ubamenyeshe. Bazakubwira icyo ugomba gukora nyuma yaho.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Iki nacyo ni ingenzi cyane. Imiti imwe, ibiryo, cyangwa ibindi bintu ufata bishobora kugira ingaruka kuri Risperidone. Niba ari uko bimeze, uyu muti ushobora guhindura uburyo ukora cyangwa ugatera ingaruka mbi.

Ntugafate Risperidone hamwe n'imiti ikurikira:

• `(Cisapride)`
• `(Dextromethorphan); (quinidine)` (Iyi ni yo miti ijyana hamwe)
• `(Dronedarone)`
• `(Metoclopramide)`
• `(Pimozide)`
• `(Quinidine)`
• `(Thioridazine)`

Nanone, ibi bikurikira bishobora kugira ingaruka kuri `(Risperidone)`. Kubwibyo, niba ukoresha ibi, ugomba kubimenyesha muganga wawe:

• Inzoga: Ugomba kwirinda kunywa inzoga mu gihe ufata uyu muti.
• Antihistamines ivura allergies, inkorora, n'ibicurane.
• Imiti imwe n'imwe igabanya ububabare cyangwa ibinini bisinziriza.
• Imiti imwe n'imwe ivura indwara yo kwiheba ( urugero: amitriptyline, fluoxetine, paroxetine, sertraline).
• Imiti ikoreshwa mu gutera ikinya (urugero, `(halothane)`, `(isoflurane)`, `(methoxyflurane)`, `(propofol)`).
• Levodopa cyangwa indi miti ivura indwara ya Parkinson.
• Umuti w'umuvuduko w'amaraso .
• Umuti uvura indwara zo mu mutwe.
• Imiti itangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa.
• `(Methylphenidate)` (umuti utangwa ku bibazo bimwe na bimwe byo kwitabwaho).
• Imiti ikoreshwa mu kugabanya ububabare ni imiti itangwa nk'imiti igabanya ububabare.
• Indi miti ishobora gutera umutima utera ku buryo budasanzwe (yongerera igihe ``QT interval``).
• Imiti yo mu itsinda rya `(Phenothiazines)` (urugero: `(chlorpromazine)`, `(prochlorperazine)`).
• `(Rifampin)` (umuti ukoreshwa mu kuvura igituntu).

Uru rutonde rushobora kuba rudahagije. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, uyihabwa ku giciro cya muganga, imiti y'ibimera, vitamine, cyangwa inyunganiramirire), kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Ibi bizamufasha kukwandikira uyu muti mu buryo butabangamiye ubuzima bwawe.

Ni izihe ngamba zihariye zigomba gufatwa mu gihe ufata uyu muti?

Mu gihe ufata uyu muti, itsinda ry’abaganga rizakurikirana ibimenyetso byawe buri gihe. Niba ibimenyetso byawe bitameze neza cyangwa bisa n’aho birushaho kwiyongera, bwira muganga wawe ako kanya.

• Kuzungera no gusinzira: Uyu muti ushobora gutuma wumva uzungera cyangwa usinziriye. Kubwibyo, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu cyose gisaba kuba maso kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka. Cyane cyane niba ugeze mu zabukuru, ntugahaguruke cyangwa ngo uve mu buriri gitunguranye. Haguruka buhoro. Ibi bizagabanya ibyago byo kuzungera no kugwa.
• Inzoga: Nkuko byavuzwe mbere, inzoga zishobora kubangamira imikorere y'uyu muti. Kubwibyo, irinde inzoga burundu.
• Ibibazo byo kugenzura ubushyuhe bw'umubiri: Uyu muti ushobora kugira ingaruka ku bushobozi bw'umubiri wawe bwo kugenzura ubushyuhe. Ibi bivuze ko umubiri wawe ushobora kuba utitabira cyane ubukonje. Guma mu nzu mu minsi y'ubukonje uko bishoboka kose. Niba ugomba gusohoka, ambara imyenda ishyushye. Bishobora kandi gutuma umubiri wawe utitabira ubushyuhe. Kubwibyo,Ntugashyushye umubiri wawe cyane. Ntugakore imyitozo ngororamubiri cyane. Irinde izuba cyane uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda yoroheje kandi ihumeka neza. Nywa amazi menshi. Niba wumva ufite ikibazo cyo kugenzura ubushyuhe bw'umubiri wawe, hamagara muganga wawe vuba.
• Isukari nyinshi mu maraso: Uyu muti ushobora kongera isukari mu maraso yawe. Niba urwaye diyabete, baza muganga wawe niba ukeneye guhindura imirire yawe cyangwa imiti ukoresha diyabete.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti iyo ari yo yose, uru rushinge rwa `(Risperidone)` rushobora gutera ingaruka zimwe na zimwe. Nubwo atari buri wese uzibona. Ingaruka zimwe na zimwe zishobora kuba zikomeye, bityo ni ngombwa kuzimenya.

Niba ugize imwe muri izi ngaruka mbi, ugomba kubimenyesha muganga wawe cyangwa itsinda ry’abaganga vuba bishoboka:

• Ubwivumbure bw'uruhu : Gushyuha, kuribwa, ibibara bitukura ku ruhu, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Isukari nyinshi mu maraso (Hyperglycemia) : Inyota ikabije, kwihagarika cyane, umunaniro udasanzwe cyangwa intege nke, kutabona neza.
• Ibimenyetso by'indwara iteje akaga yitwa "Neuroleptic Malignant Syndrome" birimo : umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, no kwitiranya. Ibi ni ibintu byihutirwa, bityo rero niba ubonye ibi bimenyetso, ugomba guhita ujya kwa muganga.
• Ubwiyongere bw'imisemburo `(Prolactin)` mu maraso : (ku bagabo no ku bagore) Gukura mu buryo butunguranye kw'imitsi y'ibere, kuva mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, imihango idahwitse ku bagore.
• Kwandura : Umuriro, inkorora, inkorora, cyangwa kubabara mu muhogo.
• Umuvuduko w'amaraso uri hasi : Kuzunguza, gucika intege, amaso y'ubururu.
• Kubabara cyangwa kugorwa no kumira.
• Gushyukwa igihe kirekire kandi bibabaza (ku bagabo - `(Gushyukwa igihe kirekire cyangwa gushyukwa kubabaza)`) .
• Indwara zo mu mutwe (`(Indwara zo mu mutwe)`) .
• Ibimenyetso bya stroke birimo : gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, urujijo, kugorwa no kugenda, kubura uburinganire, isereri, kuribwa umutwe cyane, no guhinduka mu maso.
• Ibimenyetso byo mu mubiri utari mu buryo busanzwe (EPS) birimo : gukora ingendo z’umubiri zidasubirwaho, gucika intege cyangwa guhinda imitsi, gutitira, gutakaza uburinganire, kubura ituze, no kunyaragura ibirenge mu gihe ugenda.

Ingaruka mbi zikurikira ubusanzwe ntabwo ari mbi. Ariko niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:

• Impatwe
• Kuzungera (`(Kuzungera)`)
• Gusinzira (`(Gusinzira)`)
• Umunwa wumye (`(Umunwa wumye)`)
• Kuribwa umutwe (`(Umutwe)`)
• Igifu kibabara, nk'igifu kidakora neza (`(Igifu kibabara)`)
• Kongera ibiro (`(Kongera ibiro)`)

Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikindi kintu kidasanzwe, vugana na muganga wawe kuri icyo kibazo.

Uyu muti uwubika he?

Kubera ko itangwa nk'urushinge, ntuzemererwa kubika uyu muti mu rugo. Uzawuhabwa n'umuganga wo mu bitaro cyangwa ivuriro, kandi ni bo bazawubungabunga.

Amaherezo, ibintu byo kwibuka

Sawa, twavuze byinshi kuri `(Risperidone Long-acting Injection)`, si byo se? Muri make, uru ni urushinge rw'ingenzi rutangwa mu kuvura indwara zo mu mutwe `(Schizophrenia)` na `(Bipolar Disorder)`.

Wibuke ko mu gihe ukoresha uyu muti, ugomba gukurikiza amabwiriza ya muganga wawe. Ni ngombwa cyane kubona inkingo zawe ku gihe, kubwira muganga wawe izindi ndwara zose ufite, indi miti ufata, no gutanga raporo ku ngaruka mbi zose vuba bishoboka.

Niba ufite ibindi bibazo kuri uyu muti, ntutindiganye kubaza muganga wawe, umuforomo cyangwa umufarumasiye. Bazagufasha. Kwita ku buzima bwo mu mutwe ni ingenzi cyane!

"Risperidone, Risperdal Consta, Indwara zo mu mutwe, Schizophrenia , Indwara ya Bipolar, Urukingo, Indwara zo mu mutwe, Ingaruka mbi