Uburinzi ku kubumba amaraso mu mutima no mu bwonko! Reka twige kuri Ticagrelor?

Ese wigeze ugira indwara y'umutima? Cyangwa hari umuntu ukunda wigeze ayigira? Cyangwa se wigeze wumva inkuru y'indwara yo mu bwonko? Ibi ni ibibazo bikomeye by'ubuzima, si byo se? Hari igihe ibi bibazo biterwa no kurema kw'amaraso mu mitsi yacu. Uyu munsi tugiye kuvuga ku muti wihariye ufasha guhagarika kurema kw'amaraso nk'ayo. Izina ryawo ni Ticagrelor.

Ni ubuhe bwoko bw'umuti Ticagrelor?

Mu magambo make, Ticagrelor ni umuti urwanya udukoko two mu maraso. Noneho ushobora kwibaza uti udukoko two mu maraso ni iki. Utu ni uturemangingo duto mu maraso yacu. Ubusanzwe, iyo twakomeretse, utu dukoko two mu maraso turaterana tugakora agahu k'amaraso. Ibyo ni byiza.

Ariko, ku bantu bamwe na bamwe, cyane cyane abafite indwara y'imitsi itera umutima, bivuze ububabare mu gituza, indwara y'umutima, cyangwa indwara y'imitsi isanzwe cyangwa indwara nto y'imitsi, izi platelets zishobora kwishyira hamwe zigakora uduce tw'amaraso mu mitsi. Ibyo ni bibi cyane. Kubera ko utwo duce tw'amaraso dushobora kugabanya cyangwa kubuza burundu gutembera kw'amaraso mu mutima no mu bwonko. Ni bwo ibintu nk'indwara z'umutima n'imitsi itera imitsi.

Rero, icyo Ticagrelor ikora ni ukurinda ko plaquettes zifatana zigatera amaraso kugabanuka. Ibi bishobora kugufasha kugabanya ibyago byo kurwara indwara y'umutima cyangwa indwara yo gucika imitsi. Uyu muti kandi ukomoka ku izina rya BRILINTA. Muganga wawe ashobora kuba yarawugundikiye akoresheje iri zina.

Uyu muti ushobora no gukoreshwa mu zindi mpamvu, bityo niba ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ngomba kubwira muganga mbere yo gutangira uyu muti?

Mbere yo gutangira gukoresha Ticagrelor, hari indwara ugomba kubwira muganga wawe. Uyu muti ntukwiriye buri wese. Niba ufite imwe muri izi ndwara zikurikira, ugomba kubibwira muganga wawe :

• Indwara zo kuva amaraso: Ese ufite ikibazo gituma uva amaraso byoroshye kandi bikagorana kubihagarika? Urugero, ese kuva amaraso ntibihagarara no mu gisebe gito?
• Ese wigeze urwara amaraso mu bwonko? Niba wigeze kuyarwara mbere, wagombye kumbwira.
• Ese ufite polyps zo mu mara? Izi ni ibyimbi bito biba mu mara.
• Ugiye kubagwa vuba? Cyangwa urangije?
• Ugutera kw'umutima kutumvikana: Ese hari igihe umutima wawe utera vuba cyane, buhoro, cyangwa mu buryo budasanzwe?
• Ese wigeze uva amaraso mu nda? Niba wigeze kuva amaraso mu bihe byashize, byaba ari igisebe cyo mu nda cyangwa ikindi kintu icyo ari cyo cyose, tubwire uko bimeze.
• Indwara y'umwijima: Ese ufite indwara y'umwijima? Kuko umwijima ufasha gukura imiti mu mubiri.
• Indwara z'ibihaha: Ese hari indwara ufite zitera ibibazo byo guhumeka, nka asima cyangwa COPD?
• Ese wagize imvune ikomeye? Ese hari impanuka ikomeye iherutse kuba?
• Indwara yo guhumeka mu gihe usinziriye: Ese wumva uhagaritse guhumeka igihe gito mu gihe usinziriye? Ese ijyana no kugona?
• Ibisebe byo mu gifu: Ese hari ibisebe bizana no kubyimba mu gifu?
• Indwara yo mu bwonko cyangwa indwara y’imitsi y’igihe gito (TIA): Ese wigeze ugira indwara yo mu bwonko cyangwa ibimenyetso bisa nayo?
• Ese hari indi miti ufata ibuza amaraso kuzura? Urugero, warfarin.
• Ese wigeze ugira ikibazo cyo kugira ubwivumbure kuri ticagrelor, indi miti, ibiryo, cyangwa amarangi? Ibintu nk'uduheri, kuribwa no kubyimba.
• Uratwite? Cyangwa urimo gushaka gutwita?
• Ese uri umubyeyi wonsa?

Ni ngombwa cyane kubwira muganga wawe ibi bintu. Hanyuma ashobora gufata icyemezo niba bikwiye kuguha uyu muti cyangwa kutaguha, cyangwa guhindura ingano yawo.

None se, ubu ukoresha iki neza ute?

Uyu muti uza mu buryo bw'ibinini. Ugomba gufatwa mu kanwa.

• Ikinini gishobora kumirwa cyose. Mira n'ikirahure cy'amazi.
• Niba ugorwa no kumira, ushobora no gusya ikinini ukagishongesha mu kirahuri cy'amazi. Shyira ikinini mu kirahuri cy'amazi, uvange neza, hanyuma uhite unywa. Hanyuma ongeramo andi mazi mu kirahuri kimwe, wongere uvange, hanyuma unywe nacyo. Muri ubwo buryo, umuti wose uzagera mu mubiri wawe.
• Ushobora kubifata uri mu biryo cyangwa utabirya. Ariko, niba wumva ubabaye mu gifu, ni byiza kubifata uri kumwe n'ibiryo.
• Igikuru ni ugufata dose ikwiye, mu gihe gikwiye, neza neza nk'uko muganga yabigutegetse. Ntucikwe n'umunsi n'umwe.
• Gusimbuka dose cyangwa guhagarika imiti mu buryo butunguranye utabibwiye muganga wawe bishobora kongera ibyago byo kurwara indi ndwara yo kubyimba kw'amaraso cyangwa kurwara indwara yo mu bwonko. Komeza rero gufata uyu muti kugeza igihe muganga wawe azakubwiriye kuwuhagarika.

Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye ka "MedGuide" . Soma neza aka gapapuro igihe cyose ubonye umuti wawe n'igihe uzongera kuwukoresha. Karimo amakuru menshi y'ingenzi kuri wewe.

Ugomba kwitonda cyane mu gihe uha abana uyu muti, bityo uganire na muganga wawe kuri ibyo.

Icyitonderwa: Niba utekereza ko wafashe imiti myinshi kurusha uko ubyibwira, ugomba guhita ujya mu bitaro bikuru by’ubutabazi cyangwa ugahamagara ikigo gishinzwe kurwanya uburozi.

Uyu muti ni uwawe gusa.Ntukayihe undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Wakora iki iyo usibye gahunda yo gufata imiti?

Niba ibi bibaye, fata dose ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.

Indi miti ishobora kugira ingaruka kuri uyu muti

Hari imiti imwe n'imwe ishobora guteza ibibazo iyo ifashwe na Ticagrelor. Ni ukuvuga ko ishobora kugabanya cyangwa kongera ubushobozi bwa Ticagrelor, cyangwa ikongera ingaruka mbi.

Imiti ikurikira ntigomba na rimwe gufatwa na Ticagrelor:

• Avanafil `(Avanafil)`
• Gukuraho fibroide
• Itraconazole (iyi ni umuti urwanya udukoko, ariko uyu ntugomba gufatwa hamwe na ticagrelor)

Ugomba kandi kwitonda cyane mu gihe ufata imiti ikurikira ya Ticagrelor. Menya neza ko wabibwiye muganga wawe niba ufata iyi miti:

• Aspirine (tuzabivugaho gato)
• Amwe mu moko ya antibiyotike: urugero, clarithromycin, telithromycin, rifampin.
• Imiti imwe n'imwe igabanya ubukana bw'agakoko gatera SIDA ikoreshwa mu kuvura agakoko gatera SIDA: Urugero, atazanavir, indinavir, nelfinavir, ritonavir, saquinavir.
• Imiti imwe ikoreshwa mu kugabanya cholesterol: Urugero, lovastatin na simvastatin. (Iyi irakora cyane cyane iyo ifashwe ku gipimo kirenze 40mg.)
• Imiti imwe n'imwe ivura indwara z'ibihumyo: Urugero, ketoconazole na voriconazole. (Wibuke ko navuze mbere ko ntagomba gufata itraconazole na gato.)
• Imiti imwe n'imwe itangwa mu kuvura indwara zo mu mutwe: urugero, carbamazepine, phenobarbital, na phenytoin.
• Digoxin (umuti uvura indwara z'umutima)
• Umuti w'ububabare wa Opioid.
• Nefazodone (uyu ni umuti uvura indwara yo kwiheba)

Uru rutonde ntirwuzuye. Hashobora kuba hari indi miti. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga cyangwa uyiguze ku giciro cya muganga), ibimera ukoresha, n'inyongeramusaruro ufata. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge. Bimwe muri ibi bintu bishobora kugira ingaruka ku miti yawe.

Ni iki ugomba kwitondera cyane cyane mu gihe ufata `(Ticagrelor)`?

Hari ibintu bike ugomba kwitondera cyane mugihe ufata uyu muti.

• Jyana na muganga kenshi:Vugana na muganga wawe buri gihe kugira ngo urebe uko umerewe n'uko umuti ukora neza. Ntucikwe na gahunda zawe.
• Kwiyongera k'ibyago byo kuva amaraso no gukomereka: Uyu muti ushobora gutuma ukomereka byoroshye kandi ukava amaraso menshi nubwo byaba ari imvune nto. Bibwire muganga wawe ako kanya niba ubonye amaraso adasanzwe (urugero: kuva amaraso mu mazuru, kuva amaraso mu ishinya, inkari z'amaraso, cyangwa imyanda y'umukara).
• Irinde siporo n'ibikorwa bishobora gutera imvune: Mu gihe ufata uyu muti, niba ufite igisebe kinini, kuva amaraso imbere mu mubiri bishobora kutagaragara inyuma. Kubwibyo, irinde siporo n'ibikorwa bishobora gutera kugwa no gukomereka.
• Witondere cyane iyo ukoresha ibikoresho bityaye: Witondere cyane iyo ukoresha ibintu nk'imihoro n'imikasi. Iyo wogosha, koresha icyuma gikoresha amashanyarazi niba bishoboka.
• Witondere mu gihe woza no gukaraba: oza buhoro buhoro kugira ngo wirinde gukomeretsa ishinya ryawe.
• Niba ubonye ibikomere, ibisebe, cyangwa ibibara bitukura ku ruhu rwawe, bibwira muganga wawe .
• Niba ugiye kubagwa cyangwa ubundi buryo ubwo aribwo bwose bwo kwivuza, menya neza ko wabwiye muganga wawe /umuganga wawe ko ufata uyu muti. Bashobora kugusaba guhagarika gufata uyu muti iminsi mike mbere yuko ubagwa.
• Bwira umuganga w'amenyo : Niba ugiye kuvurwa amenyo cyangwa kubagwa amenyo, bwira umuganga w'amenyo ko urimo gufata uyu muti. Kubagwa amenyo gukomeye ntibikunze gukorwa mugihe ufata uyu muti. Niba bishoboka, banza usuzume amenyo yawe hanyuma ukosore ikibazo icyo ari cyo cyose mbere yo gutangira uyu muti. Wite ku menyo yawe neza mugihe ufata uyu muti kandi urebe umuganga w'amenyo buri gihe.
• Aspirine: Muganga wawe ashobora kukubwira gufata ikinini cya aspirine buri munsi hamwe na ticagrelor. Ariko, ntugafate miligarama zirenze 100 (100mg) za aspirine ku munsi. Fata gusa ingano muganga wawe akubwira gufata.
• Ambara indangamuntu yo kwa muganga: Yaba umukufi uri ku kuboko kwawe cyangwa umukufi uri mu ijosi, gendana ikarita iriho ibisobanuro birambuye ku ndwara yawe n'imiti ufata. Ishobora kugufasha cyane mu gihe cy'impanuka.

Ese hari ingaruka mbi? Ni izihe?

Kimwe n'indi miti yose, Ticagrelor ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si buri wese uzibona, ariko zishobora kubaho.

Ingaruka mbi zikomeye ugomba guhita ubibwira muganga wawe :

Ibi ni ibintu bikomeye gato, bityo ugomba kwihutira gushaka inama kwa muganga niba ubonye ikintu nk'iki:

• Indwara zo kugira ubwivumbure: Gushyuha k'uruhu, kuribwa, cyangwa uduheri; kubyimba mu maso, iminwa, cyangwa ururimi.
• Kuva amaraso:
• Imyanya yo mu gituza irimo amaraso cyangwa umukara.
• Inkari zitukura cyangwa iz'umukara wijimye.
• Kuruka ikintu cy'umukara, nk'amaraso cyangwa ikawa.
• Uduheri dutukura ku ruhu.
• Kuva amaraso cyangwa gukomereka bidasanzwe cyangwa kenshi mu maso, mu ishinya, cyangwa mu mazuru.
• Impinduka mu mikorere y'umutima: kugorwa no guhumeka; kubabara mu gatuza; kuzungera; umutima utera ku buryo budasanzwe; gucika intege, kuzungera.
• Guhumeka bigoranye, cyane cyane mu gihe cyo gusinzira: guhumeka vuba bigakurikirwa no guhumeka buhoro; guhagarara gato hagati yo guhumeka; kwitsamura cyane.

Ingaruka mbi zikunze kugaragara, ariko zigomba kumenyeshwa muganga mu gihe zikomeje:

Ibi bishobora kuba atari bikomeye kandi akenshi bizashira mu minsi mike. Ariko niba bikomeje cyangwa bikakubangamira, bwira muganga wawe :

• Impiswi
• Umutwe (hano "" ikwiye gukoreshwa) - Umutwe
• Isesemi
• Umunaniro

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba ubona ikintu kidasanzwe uretse izi, baza muganga wawe.

Ni gute wabika imiti mu buryo butekanye?

• Bika uyu muti ahantu abana n'amatungo batagera.
• Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25 / dogere selisiyusi 68 na 77).
• Rinda urumuri. Icupa ry'imiti/agapaki kayo gafunze neza.
• Ntugakoreshe imiti yarengeje igihe. Ijugunye.

Ni gute wajugunya imiti itarakoreshejwe kandi yarengeje igihe?

Ibi nabyo ni ingenzi. Kuyijugunya mu myanda cyangwa kuyisukura mu musarani ntabwo bikwiriye imiti yose.

• Bijyane ahantu hari gahunda zo gufata imiti. Ushobora kumenya amakuru kuri farumasi cyangwa polisi.
• Niba nta buryo bwo kuyisubiza, reba ku kirango cy'imiti cyangwa ku gapaki kugira ngo urebe niba ifite amabwiriza y'uko wajugunya umuti mu myanda cyangwa ukawujugunya mu musarani. Niba utabizi neza, baza muganga wawe cyangwa umufarumasiye.
• Niba ivuga ko nta kibazo cyo kujugunya imyanda, kuraho umuti mu ipaki cyangwa mu icupa uwuvange n'ikintu kidafite akamaro, nk'imyanda y'injangwe zakoreshejwe, ubutaka, ikawa, n'ibindi. Hanyuma shyira imvange mu gikapu cyangwa mu gikoresho, ufunge neza, hanyuma uwujugunye mu myanda.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri Ticagrelor, si byo se? Uyu mu by'ukuri ni umuti w'ingenzi ufasha kurinda umutima wawe n'ubwonko bwawe kugabanuka kw'amaraso.

Mu magambo make, gukoresha uyu muti neza bishobora kugabanya cyane amahirwe yo kongera kugira indwara y'umutima cyangwa indwara yo gucika kw'imitsi.

Ariko ibuka,

• Fata umuti wawe neza neza nk'uko muganga yabikubwiye, ku gihe, kandi ntucikwe n'umunsi n'umwe.
• Ntureke gufata imiti utabanje kugisha inama muganga wawe.
• Bwira muganga wawe indi miti yose n'ibimera ufata.
• Menya ibimenyetso byose byo kuva amaraso , kandi nubona ikintu nk'icyo, bwira muganga wawe ako kanya.
• Witondere akazi gashobora gutera imvune.
• Mbere yo kubagwa, bwira muganga ko urimo gufata uyu muti.

Niba ufite ibindi bibazo kuri uyu muti, ntutindiganye kubaza muganga wawe cyangwa umufarumasiye. Bazagufasha. Icy'ingenzi ni ukwita ku buzima bwawe!

Ticagrelor , Brilinta, kubyimba kw'amaraso, indwara y'umutima, guhagarara k'ubwonko, kurwanya imitsi itera amaraso mu mitsi, indwara z'imitsi y'umutima, ubuzima bw'umutima, imiti