Niba wowe cyangwa umuntu wo mu muryango wawe arwaye indwara ya Parkinson, muganga wawe ashobora kuba yaragundikiye ubwoko bushya bw'umuti. Witwa selegiline, ikinini gishonga ku rurimi. Gitandukanye gato n'ibinini usanzwe unywa n'amazi. None rero uyu munsi, reka tuganire ku byo uyu muti ari byo, uko ukoreshwa, n'uburyo bwihariye bwo kwirinda mu gihe uwufata.
Uyu muti witwa Selegiline ni uwuhe?
Muri make, Selegiline ni umuti ukoreshwa mu kugenzura ibimenyetso by'indwara ya Parkinson. Akenshi uhabwa abantu bafata Levodopa. Indwara ya Parkinson ibaho iyo dopamine y'ikinyabutabire igabanutse mu bwonko bwacu. Iyi dopamine ifasha kugenzura imikorere y'umubiri wacu n'imikorere y'umubiri wacu. Rero, icyo iki gipimo cya Selegiline gikora ni ukongera urugero rwa dopamine mu bwonko. Hanyuma, ibimenyetso by'indwara ya Parkinson nko gukomera no gutigita buhoro buhoro biragabanuka. Uyu muti ni uwo mu itsinda ry'imiti yitwa MAOIs.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yo kuguha Selegiline, muganga wawe azabaza ibibazo bimwe na bimwe. Niba ufite kimwe mu bibazo biri hepfo, ugomba kubibwira 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 itera gusinzira ku manywa mu buryo butunguranye).
- Niba ufite indwara ya gene yitwa Phenylketonuria (PKU).
- Niba ufite ikibazo cyo guhumeka mu gihe cyo gusinzira.
- Niba ufite allergie kuri Selegiline cyangwa undi muti, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa.
Ni gute neza neza nkoresha iki kinini?
Uburyo ibi bikoreshwa buratandukanye gato, bityo witondere cyane.
1. Uwufate mu gitondo: Uyu muti ubusanzwe ufatwa mu gitondo. Uwufate mu gihe gikwiye nk'uko muganga wawe yabigutegetse.
2. Uburyo bwo gukuraho ikinini: Ntukuremo ikinini ukanda ku gikoresho cya aluminiyumu kiri kuri ikinini. Kubikora bishobora gutuma ikinini gisenyuka. Ahubwo, kura ikinini witonze ugikuye mu mfuruka hanyuma ukureho ikinini witonze n'intoki zumutse .
3. Bigumishe ku rurimi rwawe: Ukimara gufata ikinini, gikomeze ku rurimi rwawe. Kizashonga cyonyine mu masegonda make. Ntukimire n'amazi.
4. Tegereza iminota 5 mbere yo kurya: Nyuma y'uko ikinini gishonga, ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose mu gihe cy'iminota 5 .
5.Fata umuti ku gihe: Fata umuti neza neza nk'uko muganga wawe abikubwiye, mu gihe gikwiye. Ntukigere ufata umuti urenze urugero rw'umuti watanzwe.
6. Ntugahagarike giturumbuka: Irinde guhagarika uyu muti giturumbuka utabanje kugirwa inama na muganga.
Icy'ingenzi kurushaho: Uyu muti ni uwawe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese.
Bite ho nindamuka nkoresheje imiti irenze urugero?
Niba ubona ko wafashe urugero rurenze urwo wategetswe, hamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu ako kanya. Cyangwa ujye mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ku bitaro biri hafi yawe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Selegiline ni umuti ushobora kugira ingaruka ku yindi miti n'ibiribwa. Kubwibyo, ni ngombwa kubibwira muganga wawe niba ufata indi miti.
| Ntugafate Selegiline hamwe n'uyu muti na gato! | |
|---|---|
| Atomoxetine | Imiti igabanya ububabare nka Meperidine, Methadone, Tramadol |
| Cyclobenzaprine (umuti ugabanya imitsi) | Rasagiline, Safinamide (indi miti ivura indwara ya Parkinson) |
| Dextromethorphan (iboneka muri sirupe imwe n'imwe y'inkorora) | Imiti itera indwara yo kudashaka kwita ku bintu (tatight deficit) |
| Izindi MAOI nka Marplan, Nardil, Parnate | Umuti wa Mutagatifu Yohani (umuti w'ibimera) |
| Viloxazine | Indi miti irimo Selegiline, nka Emsam cyangwa Eldepryl |
| Selegiline ishobora no gukorana n'ibi bintu, bityo rero witondere. | |
|---|---|
| Imiti imwe n'imwe ivura indwara zo mu mutwe nk'ihungabana no guhangayika | Imiti nka Phenylephrine na Pseudoephedrine yo kubyimba izuru |
| Imiti nka Carbamazepine, Phenobarbital, Phenytoin, ikoreshwa mu kuvura igicuri (ikwirakwira) | Metoclopramide (umuti urwanya kuruka) |
| Ephedrine, Epinephrine, Norepinephrine | Antibiyotike nka Rifampin na Nafcillin |
| Imiti igabanya ububabare ikomeye | Hari imiti itera imbaraga ifatwa kugira ngo ugabanye ibiro cyangwa ugume uri maso |
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera). Mubwire kandi niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kuzirikana mu gihe ufata umuti
Kwita cyane ku biribwa birimo Tyramine
Ibi ni ingenzi cyane. Iyo ufashe Selegiline ukarya ibiryo birimo tyramine nyinshi, ushobora kugira ubwiyongere butunguranye bw'umuvuduko w'amaraso, kuribwa umutwe cyane, no gutera k'umutima mu buryo budasanzwe. Kubwibyo, irinde cyangwa ugabanyirize ibi bikurikira:
- Foromaje zabitswe
- Inyama n'amafi byabitswe, byatetswe n'umwotsi, byatetse mu mazi (urugero: sosiso, salami)
- Ubwoko bw'inzoga n'ibinyomoro
- Divayi (cyane cyane divayi itukura)
- Avoka, igitoki, umutini, imizabibu y'inzabibu
- Isosi ya soya, isupu ya miso
- Imbuto zeze cyane
Baza muganga wawe urutonde rwuzuye rw'ibi.
Izindi ngingo z'ingenzi
- Gusinzira no kuzungera:Uyu muti ushobora gutuma usinzirira cyangwa ukagira isereri. Kubwibyo, ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare giturumbuka. Ibi bishobora kugabanya ibyago byo gucika intege no kugwa, cyane cyane niba ugeze mu za bukuru.
- Gusinzira mu buryo butunguranye: Hari abantu bashobora gusinzira mu buryo butunguranye batamenyeshejwe igihe bafata uyu muti. Ibi bishobora kubaho mu gihe utwaye imodoka cyangwa uvuga. Ibi nibikubaho, bwira muganga wawe ako kanya.
- Ibyifuzo bidasanzwe: Mu gihe umuntu afata uyu muti, hari abantu bashobora kugira ibyifuzo bikomeye byo gukina urusimbi, gukora imibonano mpuzabitsina, kurya cyane, cyangwa gukoresha amafaranga mu buryo batari basanzwe bakora. Niba uhuye n'imwe muri izi myitwarire idasanzwe, ntugatinye kubimenyesha muganga wawe.
- Kuma mu kanwa: Kuma mu kanwa ni ikintu gikunze kugaragara. Ushobora kubirwanya ukoresheje gum idafite isukari no kunywa amazi menshi.
- Inkorora, ibicurane: Ntugafate umuti wawe bwite w'inkorora, ibicurane, cyangwa aleriji utabanje kugisha inama muganga wawe.
Ingaruka mbi zishobora guterwa n'imiti
| Uramutse ubonye ibi bimenyetso, hita ubonana na muganga. | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Umuvuduko ukabije w'amaraso | Gutangira kurwara umutwe cyane, isesemi, kuruka, kugorama kw'ijosi, gutera k'umutima vuba cyangwa kutari ku murongo. |
| Umuvuduko w'amaraso uri hasi | Kuzungera, gucika intege, kutabona neza. |
| Impinduka mu mutwe no mu myitwarire | Guhangayika, kubura amahoro, guhangayika, kubona ibintu mu buryo butari bwo, gutekereza kwiyahura, kwiheba. |
| Ingendo zitagenzurwa | Imigendere mishya cyangwa igenda yiyongera idashoboka yo mu maso, mu kanwa, cyangwa mu gice cyo hejuru cy'umubiri. |
| Ibindi | Gusinzira mu gihe cy'akazi ku manywa, ukagira ibyifuzo bidasanzwe. |
| Niba ibi bimenyetso bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Kuzungera, gusinzira | Umunwa wumye |
| Kuribwa umutwe, isesemi | Gusinzira nabi |
| Ububabare cyangwa ububabare aho ikinini cyashyizwe (mu kanwa) | |
Ubutumwa bwo kujyana mu rugo
- Selegiline ni ikinini gishonga munsi y'ururimi. Ntukacyimire n'amazi. Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose mu gihe cy'iminota 5 nyuma yuko ikinini gishonga.
- Ushobora kugira ingaruka zikomeye ku biribwa birimo Tyramine (foromaje ishaje, inyama, divayi) mu gihe ufata uyu muti. Kubwibyo, irinde ibyo biribwa.
- Uyu muti ushobora gutera gusinzira no kuzerera mu buryo butunguranye. Bityo rero, witondere cyane mu gihe utwaye imodoka cyangwa ukora imirimo isaba kwitonda.
- Niba ugize ingaruka mbi zikomeye, nko kugira imyitwarire idasanzwe (nk'urusimbi), kuribwa umutwe cyane, cyangwa impinduka zo mu mutwe, bwira muganga wawe ako kanya.
- Ni ingenzi cyane kumenyesha muganga wawe imiti yose ufata n'indwara zose ufite.
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