Tekereza ububabare bukabije mu gituza ... ibyuya, no guhumeka bigoranye. Ugira ubwoba bungana iki iyo umenye ko ufite indwara y'umutima? Uyu munsi turimo kuvuga ku inshinge zidasanzwe zishobora kurokora ubuzima bw'umurwayi mu gihe nk'iki cyihutirwa kandi gikomeye mu buzima. Uyu ni umuti witwa Tenecteplase.
Mu magambo make, Tenecteplase ni iki?
Tenecteplase, cyangwa TNK-tPA, ni umuti ukomeye cyane ushongesha amaraso. Abaganga banayita "umuti ugabanya amaraso."
Noneho, reka turebe uko indwara y'umutima ibaho. Iyo amaraso apfutse mu mitsi y'amaraso (imitsi y'umutima) ihita itera amaraso mu mutima wacu, amaraso ajyana imitsi y'umutima arahagarara maze icyo gice kigatangira gupfa. Ni bwo uyu muti ukoreshwa. Urushinge rwa tenecteplase rukora mu gushonga vuba amaraso apfutse no gusubiza amaraso mu mutima. Ibi ni nko gukuraho ikintu kinini cyazibye mu muhanda no kureka imodoka zikanyura.
Ibintu ugomba kumenyesha muganga mbere yo gutanga uyu muti
Kubera ko uyu muti ukomeye cyane, bishobora guteza akaga kuwukoresha mu ndwara zimwe na zimwe mu mubiri wawe. Kubwibyo, mbere yo gufata uyu muti, ugomba kubimenyesha muganga wawe niba ufite imwe muri izi ndwara zikurikira:
| Uko ibintu bimeze cyangwa amahirwe ushobora kugira | Kuki tugomba kubimenyesha? |
|---|---|
| Aneurysm (gucika intege k'urukuta rw'imitsi y'amaraso mu bwonko cyangwa ahandi) | Ingaruka zo kuva amaraso ni nyinshi cyane. |
| Indwara zo kuva amaraso, ibibazo byo kuvura amaraso | Uwo muti ushobora gutera kuva amaraso mu buryo butunguranye. |
| Indwara ya diyabete yo mu maso (Diabete Retinopathy) | Amaraso mu maso ashobora kwiyongera. |
| Udukoko twanduza imitsi y'umutima (Endocarditis) | Hari ibyago byo kuva amaraso mu bice byanduye. |
| Gukomereka mu mutwe vuba aha, indwara yo mu bwonko, cyangwa ikibyimba | Ingaruka zo kuva amaraso mu bwonko ni nyinshi cyane. |
| Umuvuduko ukabije w'amaraso utagenzurwa | Umuvuduko w'amaraso ushobora gutuma imitsi iturika kandi ikava amaraso. |
| Kubagwa vuba aha, kubyara, kubagwa mu mubiri, cyangwa gukomereka bikomeye | Kuva amaraso bishobora kongera kuva aho umuntu abagiwe. |
| Indwara y'imitsi iherutse gutera stroke | Hari ubundi buryo bwo kuva amaraso mu bwonko. |
| Ibisebe byo mu gifu cyangwa ibisebe biva amaraso | Kuva amaraso mu gifu cyangwa mu mara bishobora kwiyongera. |
| Gutwita, kugerageza gutwita, cyangwa konsa | Umuganga agomba kumenya ingaruka zishobora kubangamira umubyeyi n'umwana. |
| Allergie ku yindi miti cyangwa ibiryo | Kugira ngo hirindwe ko habaho ubwivumbure. |
Ukoresha uyu muti ute?
Uyu si umuti ushobora gufata muri farumasi ukawujyana mu rugo. Tenecteplase iboneka gusa mu bitaro cyangwa mu ivuriro., urukingo rutangwa na muganga cyangwa inzobere mu by'ubuzima. Ibyo bivuze ko rukoreshwa gusa mu gihe cy'impanuka, ku murwayi uri mu bitaro.
Uru ni urushinge mu mitsi, bityo ingaruka zarwo zihita zigaragara.
Niba ufite umwana muto kandi ukaba ukeneye kumuha uyu muti, ugomba kwitabwaho by’umwihariko. Ugomba kuvugana na muganga wawe kuri ibi akakugira inama.
Kubera ko uyu muti utangwa mu gipimo gikwiye mu bitaro, nta kibazo cyo 'kurenga urugero'. Ariko, niba ukeka ko hari uburozi buterwa n'imiti, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) riri hafi yawe.
Indi miti ikorana n'uyu muti (Imikoreshereze y'imiti)
Indi miti ufata ishobora kugira ingaruka kuri uyu muti, bityo rero ni ngombwa cyane kubwira muganga wawe imiti yose ufata.
- Ntugafate uyu muti hamwe na: Imiti nka aside Aminocaproic, Aprotinin, aside Tranexamic ntigomba gukoreshwa hamwe n'uyu muti.
- Witondere cyane cyane niba ufata uyu muti:
- Imiti igabanya ubukana bw'imitsi yo mu bwoko bwa platelet - urugero nka `clopidogrel`, `ticlopidine`
- Asipirine n'indi miti isa nayo
- Imiti igabanya amaraso - urugero nka `warfarin`, `heparin`, `enoxaparin`
- Imiti igabanya ububabare n'imiti igabanya ububyimbirwe (NSAIDs) - urugero `ibuprofen` cyangwa `naproxen`
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose ufata, harimo vitamine, imiti y'ibimera, n'inyongeramusaruro. Nanone, bwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kwitondera nyuma yo gufata umuti
Nyuma yo guhabwa uyu muti, abakozi bo kwa muganga bazagukurikiranira hafi cyane.
Ingaruka nyamukuru z'uyu muti ni uko ibyago byo kuva amaraso byiyongera . Iyi ngaruka ishobora kumara iminsi myinshi.
Bityo rero, ugomba kwitonda cyane muri iki gihe.
- Mu gihe woza ishinya no kurisha amenyo, bikora buhoro buhoro kugira ngo wirinde kwangiza ishinya ryawe.
- Gerageza uko ushoboye kose kugira ngo utikomeretsa ahantu hose ku mubiri wawe.
- Niba muganga wawe agutegetse kuruhuka mu buriri, kurikiza ibyo witonze. Ibi bishobora gufasha kwirinda kuva amaraso bitewe no kwimuka bitari ngombwa.
- Muri iyi minsi ntugafate imiti igabanya ububabare nka aspirine na ibuprofen utabanje kugisha inama kwa muganga.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Zimwe muri zo ni mbi cyane kandi zigomba guhita zitangazwa.
| Imiterere y'ingaruka mbi | Ibimenyetso |
|---|---|
| Bimenyesha muganga wawe cyangwa abakozi b'abaforomo ako kanya. | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, cyangwa ku rurimi, no kugorwa no guhumeka. |
| Ibimenyetso byo kuva amaraso | Amasambu y'umukara cyangwa amaraso; inkari zitukura cyangwa umukara wijimye; kuruka ibintu bisa n'ikawa; uduheri dutukura ku ruhu; kuva amaraso mu maso, mu ishinya cyangwa mu mazuru bidasanzwe. |
| Ibimenyetso by'indwara ya Stroke | Guhinduka kw'amaso; urujijo; kugorwa no kuvuga cyangwa gusobanukirwa; kuribwa umutwe cyane; gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru; kugorwa no kugenda, isereri. |
| Impinduka mu gipimo cy'umutima | Umutima utera buhoro cyangwa vuba mu buryo budasanzwe. |
| Niba bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Kuzungera | Kumva ufite ipfunwe. |
| Umuriro | Ubushyuhe bw'umubiri. |
| Isesemi, kuruka | Kubabara mu nda no kuruka. |
Uru rutonde ntirukubiyemo ingaruka mbi zose zishobora kubaho. Niba ufite ikibazo kuri ibi, ntutinye kubaza muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Tenecteplase ni umuti ukomeye kandi urokora ubuzima utangwa kugira ngo ushongeshe amaraso apfutse bitewe n'indwara z'umutima. Utangwa gusa mu bitaro.
- Ingaruka zikomeye kandi zikomeye z'uyu muti ni ukuva amaraso. Bityo rero, witondere cyane kugira ngo udakomereka mu minsi mike nyuma yo gufata uyu muti.
- Menya neza ko wabwiye muganga wawe izindi ndwara zawe (cyane cyane kuva amaraso, kubagwa vuba aha, umuvuduko ukabije w'amaraso) ndetse n'imiti yose ufata.
- Niba ubonye kuva amaraso ku buryo budasanzwe, ibimenyetso by'ubwivumbure (nk'ibibyimba mu maso), cyangwa ibimenyetso by'indwara yo mu bwonko (nk'ibihumyo bitunguranye), menyesha abakozi b'ibitaro ako kanya.
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