Ese urwaye ibimenyetso bya Parkinson nko gutigita no gukomera? Niba ari byo, muganga wawe ashobora kuba yarakwandikiye umuti witwa Selegiline hamwe na Levodopa. Uyu ni umuti ukunze kwandikirwa. Muri iyi nkuru rero, turaganira ku cyo Selegiline ari cyo, icyo ikora, n'icyo ugomba kwitondera cyane mu gihe ukoresha uyu muti.
Selegiline ni iki? Ikora iki?
Muri make, Selegiline ni umuti ukoreshwa mu kugenzura ibimenyetso by'indwara ya Parkinson. Uri mu bwoko bw'imiti yitwa MAOIs. Ubwonko bwacu bugizwe n'ikinyabutabire cyitwa dopamine . Ibi nibyo bifasha umubiri wacu kugenda no guhuza neza. Ku bantu barwaye indwara ya Parkinson, urugero rw'iyi dopamine mu bwonko ruragabanuka.
Selegiline ikora mu kongera ingano ya dopamine mu bwonko. Ibi bishobora kugabanya ibimenyetso nko gukomera no gutigita, bigatuma ukora imirimo ya buri munsi byoroshye.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo kukwandikira Selegiline. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
- Niba ufite umuvuduko w'amaraso ukabije.
- Niba ufite indwara y'umwijima.
- Niba ufite umuvuduko w'amaraso uri hasi.
- Niba ufite indwara ya narcolepsy, indwara ituma uhita usinzira ku manywa.
- Niba ufite ikibazo cyo guhumeka mu gihe cyo gusinzira.
- Niba ufite allergie kuri selegiline cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa.
Ni gute neza neza nkoresha uyu muti?
Uyu muti ugomba kunyobwa unywa n'ikirahure cy'amazi. Ni ngombwa cyane gufata umuti ku gihe gikwiye, mu gipimo gikwiye, nk'uko muganga wawe yabigutegetse. Ntukongere, ntugabanye, cyangwa ngo uhagarike urugero uko ubyifuza.
Icy'ingenzi cyane: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutera ingaruka zikomeye. Iyo ubihagaritse, ugomba kubikora ugabanya buhoro buhoro dose nk'uko muganga akubwira.
Wakora iki niba unywa imiti irenze urugero?
Niba utekereza ko wafashe imiti myinshi, ntugatinye. Hita uhitaHamagara 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.
Bite ho niba nibagiwe gufata umuti wanjye?
Niba wibagiwe gufata dose hanyuma ukibuka nyuma gato, uyifate ako kanya ubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Ibintu bidakwiye gukoreshwa na Selegiline (Interactions)
Iki ni ikintu cyo kwitondera cyane. Selegiline ni umuti ushobora kugira ingaruka ku yindi miti n'ibiribwa.
Ibibazo bijyanye n'imiti
Niba ukoresha imiti ikurikira, ntugafate Selegiline na gato .
- Atomoxetine, Cyclobenzaprine, Dextromethorphan (iboneka muri sirupe imwe n'imwe y'inkorora)
- Indi miti ya MAOI nka Marplan, Nardil, Parnate
- Imiti igabanya ububabare nka Meperidine, Methadone, Tramadol
- Indi miti irimo Selegiline, nka Emsam
- Rasagiline, Safinamide (nayo ni umuti uvura indwara ya Parkinson)
- Imiti itera imbaraga mu kwita ku bibazo byo kwita ku muntu
- Umuti wa Mutagatifu Yohani (ibikomoka ku bimera)
- Viloxazine
Byongeye kandi, imiti ivura indwara zo mu mutwe nko kwiheba no guhangayika, imiti imwe n'imwe igabanya ububabare (phenylephrine, pseudoephedrine), hamwe n'imiti yo kugabanya ibiro na byo bishobora kugira ingaruka kuri ibi.
Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti ikomoka ku bimera, n'imiti igabanya ububabare) .
Ibibazo ku biribwa (Guhuza Tyramine)
Iki ni cyo kintu cy'ingenzi cyane ugomba kwitaho mu gihe ufata uyu muti. Si byiza kurya ibiryo birimo tyramine nyinshi mu gihe ufata Selegiline. Kubikora bishobora gutuma umuvuduko w'amaraso yawe wiyongera cyane, bigatera kuribwa umutwe cyane, ndetse bigatera umutima gutera nabi.
| Ibiryo ugomba kwirinda mu gihe ufata Selegiline bitewe n'uko bifite Tyramine nyinshi | |
|---|---|
| Ubwoko bw'ibiribwa | Ingero |
| Foromaje zishaje | Foromaje nka Cheddar, foromaje y'ubururu, Gorgonzola, na Parmesan. |
| Inyama/amafi yatunganyijwe n'iyanyweshejwe umwotsi | Sosiso, salami, pepperoni, amafi yumye, jalapenos. |
| Ibinyobwa bisindisha | Inzoga (cyane cyane inzoga isanzwe), divayi itukura, sherry. |
| Ibikomoka kuri soya | Isosi ya soya, isupu ya miso, tofu. |
| Ibindi | Avoka, imineke, imizabibu, imbuto zeze neza. |
Baza muganga wawe urutonde rwuzuye rw'ibi.
Ibintu ugomba kwitondera cyane mu gihe ufata umuti
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera cyangwa uzungera. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Witondere igihe uhagurutse wicaye cyangwa uhagaze mu buryo butunguranye.
- Inzoga: Irinde kunywa inzoga. Bishobora kubangamira imikorere y'umuti.
- Mu kanwa wumye: Niba ufite umunwa wumye, ushobora kuruhuka ukoresheje gum idafite isukari no kunywa amazi menshi.
- Izindi ndwara: Baza muganga wawe mbere yo gufata imiti ku bintu nk'inkorora, ibicurane n'umuriro.
- Diyabete: Niba urwaye diyabete, uyu muti ushobora kugira ingaruka ku rugero rw'isukari mu maraso yawe. Bityo rero, vugana na muganga wawe mbere yo guhindura ingano y'imiti ya diyabete cyangwa indyo.
- Impinduka mu ruhu: Menya impinduka iyo ari yo yose mu ruhu rwawe cyangwa uko hagaragara uduce dushya mu gihe ufata uyu muti. Suzuma uruhu rwawe buri gihe. Nubona impinduka nk'izo, bwira muganga wawe ako kanya.
Ingaruka mbi zishobora kubaho kuri uyu muti
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Umuvuduko w'amaraso uri hejuru cyane | Gutangira gutya kubabara umutwe cyane, isesemi, kuruka, ijosi rigakomera, no gutera k'umutima vuba. |
| Impinduka mu mutwe no mu myitwarire | Guhangayika, guhangayika, kubona ibintu mu buryo butari bwo, gutekereza kwiyahura, kwiheba cyane. |
| Ingendo zitagenzurwa | Imikorere mishya cyangwa yiyongereye idakurikije amategeko yo mu maso, mu kanwa, cyangwa mu gice cyo hejuru cy'umubiri. |
| Ibindi bimenyetso bikomeye | Imyitwarire idasanzwe yo guhubuka nko gusinzira mu buryo butunguranye mu gihe ukora imirimo ya buri munsi, kugira isereri no kutabona neza, umuvuduko w'amaraso muke, gukina urusimbi, no kurya cyane. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
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Ubutumwa bwo kujyana mu rugo
- Selegiline ni umuti ufasha mu kugenzura ibimenyetso bya Parkinson no kongera urugero rwa dopamine mu bwonko.
- Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Irinde burundu ibiryo birimo tyramine nyinshi (nk'iforomaje yavuwe, inyama zatunganyijwe, na divayi itukura) mu gihe ufata uyu muti.
- Menyesha muganga wawe indi miti yose ufata.
- Niba ugize ingaruka mbi zikomeye nko kuribwa umutwe cyane, kwiyongera k'umuvuduko w'amaraso mu buryo butunguranye, cyangwa impinduka zo mu mutwe, shaka ubufasha kwa muganga byihutirwa.
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