Ese muganga yakubwiye gufata urukingo rwa Tobramycin nawe? Reka tubiganireho birambuye!

Ese umuganga yaba yarakwandikiye umuti witwa Tobramycin cyangwa undi muntu uzi? Ni ibisanzwe ko ibibazo biza mu mutwe iyo bibaye. Ni ubuhe bwoko bw'umuti, kuki utangwa, kandi ni iki wagombye guhangayikishwa na cyo? None rero uyu munsi, reka tuganire kuri uru rukingo rwa Tobramycin mu buryo bwumvikana kandi bworoshye. Mu buryo ushobora kumva, kimwe no kuganira n'inshuti yawe.

Ni ubuhe bwoko bw'umuti Tobramycin?

Muri make, Tobramycin ni umuti urwanya udukoko uri mu itsinda rya aminoglycosides . Iyo uvuze imiti igabanya ubukana bw'udukoko, uba uzi ko ikoreshwa mu kurwanya indwara zimwe na zimwe za bagiteri ziba mu mibiri yacu. Tekereza ko ufite indwara ikomeye ya bagiteri. Ni bwo abaganga baguha ubwoko bw'umuti.

Igikuru ni uko uyu muti udakora ku ndwara zandura virusi . Ibyo bivuze ko niba ufite ibicurane cyangwa grippe, ntacyo bizakumarira. Kuko akenshi ibyo biterwa na virusi.

Ushobora kubona uyu muti ku isoko ukoresheje izina rya Nebcin. Ariko izina muganga wawe yagutegetse ni ingenzi. Uyu muti ushobora kuboneka ukoresheje andi mazina. Abaganga bashobora no kuwukoresha ku zindi ndwara. Niba ufite ikibazo kuri wo, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ni iki nabwira muganga mbere yo gukoresha uyu muti?

Iki ni ikintu cy'ingenzi cyane. Mbere yo gutangira gufata Tobramycin, hari ibintu bike ugomba kubwira muganga wawe. Kubera ko abantu bafite indwara zimwe na zimwe bagomba kwitonda cyane mu gihe batanga uyu muti.

Niba ufite kimwe muri ibi bintu, menya neza ko wabibwiye muganga wawe :

• Niba urwaye diyabete (Diabetes Mellitus) .
• Niba ufite indwara iyo ari yo yose y'impyiko , impyiko ni ingingo ziyungurura zigakura imyanda mu mubiri wacu. Ubuzima bw'impyiko ni ingenzi kugira ngo uyu muti ukore neza.
• Niba ufite indwara y'imitsi n'imitsi yitwa Myasthenia Gravis .
• Niba urwaye indwara ya Parkinson .
• Niba warigeze kugira ikibazo cy'ubwivumbure cyangwa ikibazo kidasanzwe kuri Tobramycin, indi miti ya aminoglycoside, sulfite, cyangwa undi muti uwo ari wo wose, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe .
• Niba utwite cyangwa ugerageza gutwita .
• Niba wonsa umwana .

Aya makuru ni ay'umuganga.Mu kumuha, ashobora guhitamo niba uyu muti ukubereye, cyangwa niba ukeneye gushaka ubundi buryo, cyangwa guhindura ingano yawo.

Ukoresha uyu muti ute?

Tobramycin ikunze gutangwa mu buryo bwo guterwa mu mitsi cyangwa mu gutera urushinge mu mitsi . Ibi bikunze gukorwa n'inzobere mu by'ubuzima , nka muganga cyangwa umuforomo, mu bitaro cyangwa mu ivuriro.

Ariko, ni gake cyane , ushobora gukenera gukoresha uyu muti mu rugo. Ibi nibibaho, uzahabwa amahugurwa akwiye ku buryo bwo gutegura no gutanga uyu muti. Muri ibyo bihe, ni ngombwa cyane gufata umuti neza nk'uko byategetswe, mu gihe gikwiye, no mu gipimo gikwiye . Ntukigere ufata inshuro zirenze cyangwa zirenze izo muganga akubwira.

Icy'ingenzi: Niba ukoresha inshinge zo mu rugo, ugomba kujugunya inshinge n'inshinge zakoreshejwe mu kintu cyagenewe iyo mpamvu . Ntuzigere uzijugunya mu myanda. Niba udafite, saba farumasi cyangwa muganga wawe. Ibi ni ingenzi cyane ku mutekano wawe n'uw'abandi.

Niba uhaye abana uyu muti:

Uyu muti ushobora no guhabwa abana bavutse mu bihe bimwe na bimwe. Ariko, hari ibintu bimwe na bimwe by'ingenzi bigomba kwitabwaho mu gihe uha abana uyu muti. Kubwibyo, niba uha umwana wawe uyu muti, ganira n'umuganga w'abana witonze kandi umenye ibisobanuro birambuye.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse . Ibi ni ingenzi cyane.

Ibuka: Uyu muti wanditswe kuri wewe gusa . Ntukigere usangiza undi muntu uwo ari we wese umuti wawe.

Bite ho nintakaza urugero rw'umuti?

Kugira ngo ubone inyungu zose z'uyu muti, ni ngombwa cyane gufata umuti ku gihe . Niba udashobora kubona gahunda yawe, hamagara muganga wawe cyangwa inzobere mu by'ubuzima ako kanya umubwire.

Niba ufata uyu muti uri mu rugo, niba wabuze dose, fata vuba bishoboka . Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira uko byagenwe. Ntukigere ufata dose ebyiri cyangwa dose y'inyongera.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?

Uyu muti witwa Tobramycin, ushobora kugira ingaruka ku yindi miti ufata. Ibi bivuze ko iyo ufatanywe n'iyo miti, ushobora gutera ingaruka zitari ngombwa.

Ntugafate Tobramycin hamwe n'imiti ikurikira:

• Cidofovir `(cidofovir)`

Byongeye kandi, imiti ikurikira ishobora kugira ingaruka kuri Tobramycin:

• Ibinini byo kuboneza urubyaro
• Aspirine n'indi miti ikora nka aspirine
• Cisplatin `(cisplatin)`
• Cyclosporine
• Imiti igabanya ubukana bw'amazi (izwi kandi nka diuretics, imiti ifasha umubiri gukuramo amazi)
• Imiti ivura izindi ndwara, urugero: acyclovir, adefovir, amphotericin B, bacitracin, foscarnet, ganciclovir, gentamicin, pentamidine, vancomycin
• Imiti igabanya imitsi ikoreshwa mu gihe cyo kubaga
• NSAIDs (imiti igabanya ububabare n'imiti igabanya ububyimbirwe) (urugero: ibuprofen, naproxen)
• Pamidronate `(pamidronate)`
• aside Zoledronic `(aside zoledronic)`

Uru rutonde ntirwuzuye. Hashobora kuba hari indi miti. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine, inyongeramusaruro). Ni ngombwa kandi kubwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Bimwe muri ibi bintu bishobora kugira ingaruka ku miti yawe.

Ni iki twagombye kwitondera mu gihe dufata imiti?

Mu gihe ufata uyu muti, abaganga bawe bazagukurikiranira hafi cyane .

• Niba ibimenyetso byawe bitagenze neza, cyangwa birushijeho kuba bibi , bwira umuganga wawe ako kanya.
• Niba ufite impiswi cyangwa umwanda udafite amazi , ntugafate imiti yo muri farumasi gusa. Niba ufite impiswi mu gihe kirenze iminsi ibiri, cyangwa niba impiswi yawe irimo amazi menshi kandi ikomeye, vugana na muganga wawe .
• Bwira muganga wawe niba ufite impiswi ikomeye, isesemi, no kuruka , cyangwa niba urimo kubira ibyuya byinshi . Ibi biterwa nuko bishobora kukugirira nabi gufata uyu muti niba utakaje amazi menshi mu mubiri wawe (kubura amazi).
• Ushobora kandi gukenera gupimwa amaraso (gupima amaraso) mu gihe ufata uyu muti.
• Uyu muti rimwe na rimwe ushobora gutera ingaruka zikomeye ku ruhu . Ibi bishobora kubaho ibyumweru cyangwa amezi nyuma yo gutangira umuti.Niba ufite umuriro hamwe n'ibimenyetso bisa n'ibicurane ndetse n'uduheri, bwira muganga wawe ako kanya. Utu duheri dushobora kuba dutukura cyangwa umuhengeri, hanyuma tugahinduka uduheri n'uduheri. Cyangwa, ushobora kubona uduheri dutukura hamwe n'uturemangingo twabyimbye mu maso, ku minwa, mu ijosi, cyangwa mu kwaha. Niba ubonye ikintu nk'iki, hita ubona muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Tobramycin ishobora gutera ingaruka zimwe na zimwe. Zimwe ni zikomeye, izindi si zikomeye cyane.

Ingaruka mbi ugomba guhita ubibwira muganga wawe :

Niba ubonye kimwe muri ibi bikurikira, ugomba kubimenyesha muganga wawe cyangwa umuganga wawe vuba bishoboka :

• Indwara zo kugira ubwivumbure : uduheri ku ruhu, kuribwa cyangwa uduheri, kubyimba mu maso, iminwa cyangwa ururimi.
• Impiswi irimo amaraso cyangwa amazi .
• Ibibazo byo guhumeka .
• Kugabanuka k'uburyo umuntu yumva cyangwa yumva amajwi mu matwi .
• Kuzungera .
• Ukumva ufite intege nke cyangwa ufite isereri, ugwa .
• Umuriro .
• Gutakaza uburinganire cyangwa ibibazo byo guhuza ibikorwa .
• Ububabare, kuribwa mu biganza, gucika intege mu birenge cyangwa mu ntoki .
• Uduheri ku ruhu, umuriro, n'uturemangingo tw'imitsi tubyimba .
• Iyi ndwara ishobora gutera gutukura, uduheri, gukurura cyangwa gucika intege k'uruhu, ndetse no mu kanwa .
• Indwara zo mu mutwe .
• Ibimenyetso by'impyiko : Kugorwa no kunyara cyangwa impinduka mu rugero rw'inkari zikorwa.

Ingaruka mbi akenshi atari ikibazo gikomeye, ariko niba zikomeje, ugomba kubwira muganga wawe :

Ingaruka mbi zikurikira akenshi ntizisaba ubuvuzi. Ariko, niba zikomeje cyangwa zikakubangamira, bwira umuganga wawe cyangwa umuganga wawe:

• Impiswi
• Umutwe - Umutwe
• Isesemi, kuruka
• Ububabare, gutukura, cyangwa uburyaryate aho bateye

Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Niba ubonye ikintu kidasanzwe kitari kuri uru rutonde, gana muganga wawe. Hari ibihugu bimwe bifite ibigo nka FDA bitanga raporo ku ngaruka mbi. Muri Sri Lanka, ikintu cyiza wakora ni ukumenyesha muganga wawe .

Ni gute wabika imiti mu rugo?

Bika uyu muti ahantu abana batagera .

Niba ukoresha uyu muti mu rugo, uzahabwa amabwiriza y'uko uwubika. Ntuzigere ukoresha imiti yarengeje igihe kandi uyijugunye neza.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Tobramycin ni umuti ukomeye uvura indwara zandura ziterwa na bagiteri.

• Fata uyu muti mu gihe cyose wanditswe na muganga wawe, nubwo waba wumva ko ubwandu bwawe buri kugenda burushaho koroha. Ni ngombwa gufata uyu muti mu gihe cyose wanditswe na muganga wawe.
• Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite, indi miti ufata, ndetse n'ibindi byose ufite ubwivumbure .
• Niba ubonye ingaruka zidasanzwe , bwira muganga wawe vuba, cyane cyane niba ufite ibimenyetso nko kutumva cyangwa ibibazo by'impyiko.
• Niba ufite ikibazo cyangwa impungenge kuri uyu muti, nyamuneka baza muganga wawe, umufarumasiye, cyangwa inzobere mu by'ubuzima. Ntutinye.

Ndakwifurije gukira vuba!

Tobramycin , imiti yica udukoko, indwara zandurira mu mikorobe, inkingo, ingaruka mbi, inama ku buzima