Ese ushobora kwiyumvisha imitsi ijyana amaraso mu mutima wacu ikayajyana mu bihaha buhoro buhoro, bigatuma umuvuduko w'amaraso wiyongera cyane? Ni nko gukanda umuyoboro w'amazi maze umuvuduko w'amazi ukiyongera. Ibi ni byo twita ' Umuvuduko ukabije w'amaraso mu mitsi' cyangwa 'PAH' mu buvuzi. Iyi ni indwara itandukanye gato n'umuvuduko usanzwe w'amaraso kandi isaba kwitabwaho by'umwihariko. Ibi bishobora gutera ibimenyetso nko kubura umwuka, kubabara mu gatuza, no kunanirwa cyane. Uyu munsi rero tugiye kuvuga ku muti wihariye ukoreshwa mu kuvura iyi ndwara, ari wo inshinge ya Treprostinil.
Ni ubuhe bwoko bw'umuti Treprostinil?
Mu magambo make, Treprostinil (izina ry’ikirango: Remodulin) ni umuti uhabwa abantu bafite umuvuduko ukabije w’amaraso mu bihaha (PAH) navuze mbere. Uyu muti ukora mu kwagura imiyoboro y’amaraso yagabanutse gato, bigatuma amaraso atembera neza. Ibi bigabanya akazi k’umutima kandi bigafasha mu kugenzura ibimenyetso. Binatuma byoroha gukora imirimo ya buri munsi. Uyu ni umuti w’ingenzi cyane ufasha kunoza ubuzima.
Muganga wawe ashobora kandi kukwandikira uyu muti ku zindi ndwara, bityo niba ufite ikibazo kuri ibi, menya neza ko wabaza muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yo gutangira uyu muti, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Menya neza ibi bikurikira by'umwihariko:
- Indwara y'impyiko: Niba ufite ikibazo icyo ari cyo cyose kijyanye n'impyiko.
- Indwara y'umwijima: Iyo hari ikibazo ku mikorere y'umwijima.
- Indwara zo kutagira aleji: Menya neza ko wabibwiye muganga wawe niba waragize aleji kuri Treprostinil, Epoprostenol, cyangwa undi muti, ibiryo, cyangwa irangi.
- Gutwita: Niba utwite, ugerageza gutwita, cyangwa wonsa, ugomba kubanza kuvugana na muganga wawe mbere yo gutangira uyu muti.
Uyu muti nkwiye kuwukoresha nte?
Ibi ntabwo bimeze nk'ikinini cyangwa capsule dusanzwe dufata. Urushinge rwa Treprostinil rushyirwa mu mubiri wawe binyuze mu gasanduku gato gahora gakora (continuous infusion) . Umuti winjira mu mubiri wawe unyuze mu muyoboro muto, witwa catheter, uhujwe n'iyi pompe. Ibi bishobora gukorwa mu buryo bubiri:
1. Icupa ryo munsi y'uruhu: Catheter ishyirwa munsi y'uruhu hanyuma umuti ugatangwa.
2. Binyuze mu mutsi (Uterwa mu mitsi):Katheteri ishyirwa mu mitsi y'amaraso (imitsi) hanyuma umuti ugatangwa.
Uzahabwa amahugurwa arambuye mu bitaro ku buryo bwo kuyakoresha, uburyo bwo gutegura ipompo, n'uburyo bwo gushyiramo katheteri. Ni ngombwa cyane gukurikiza amabwiriza atangwa na muganga n'abaforomo neza .
Icy'ingenzi cyane: Ntugahagarike gufata uyu muti ku mpamvu iyo ari yo yose utabanje kugisha inama itsinda ry'abaganga. Kuwuhagarika mu buryo butunguranye bishobora gutuma indwara yawe irushaho kuba mbi.
Ukoresha iki inshinge n'inshinge zakoreshejwe?
Ntukajugunye inshinge n'inshinge zakoreshejwe mu myanda. Zigomba gushyirwa mu gikoresho cyihariye (agasanduku k'inkoni kabigenewe). Niba udafite, saba muganga wawe cyangwa ibitaro byawe.
Ese uyu muti ukwiye guhabwa abana?
Abana bashobora gukenera kwitabwaho by’umwihariko mu gihe batanga uyu muti, bityo ni ngombwa kubiganiraho n’umuganga w’abana kugira ngo abagire inama.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Indi miti ufata ishobora kugira ingaruka kuri Treprostinil, bityo rero bwira muganga wawe imiti yose ufata (harimo vitamine, imiti y'ibimera, n'inyongeramusaruro).
| Ubwoko bw'ibiyobyabwenge | Ibintu byo kwitondera |
|---|---|
| Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso | Iyo ibi bivanze na Treprostinil, umuvuduko w'amaraso ushobora kugabanuka cyane. |
| Umuti ugabanya amaraso mu mubiri | Ingero: Imiti nka Warfarin, Enoxaparin, Dabigatran, Apixaban. Iyi ishobora kongera ibyago byo kuva amaraso. |
| Utunyangingo tw'imitsi | Bishobora gutera umuvuduko w'amaraso muke. |
| Indi miti | Imiti nka Gemfibrozil na Rifampin ishobora kugira ingaruka ku mikorere y'uyu muti. |
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Gusuzumwa buri gihe: Komeza kuvugana na muganga wawe buri gihe kugira ngo ukurikirane uko indwara yawe igenda. Jya mu mavuriro buri gihe.
- Uruhu rukikije catheter: Suzuma uruhu rukikije catheter buri gihe. Niba hari ubutuku budasanzwe, ububabare, kubyimba, cyangwa kuva amaraso asa n'ibibyimba, menyesha itsinda ry'abaganga ako kanya. Ibi bishobora kuba ikimenyetso cy'ubwandu.
- Iyo indwara yawe irushijeho kuba mbi: Hari igihe indwara yawe ishobora kumera nabi ndetse no nyuma yo gufata uyu muti. Niba wumva umeze utyo, nko kuba ufite ikibazo cyo guhumeka cyangwa ububabare mu gatuza, hamagara muganga wawe ako kanya. Igipimo cyawe gishobora kuba ngombwa ko gihindurwa.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose, Treprostinil ishobora gutera ingaruka mbi. Zimwe muri zo ni mbi cyane, izindi zikaba zisanzwe.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Indwara zo kugira ubwivumbure nko kurwara uduheri ku ruhu, uburyaryate, n'ibicurane | Kubyimba mu maso, iminwa, cyangwa ururimi |
| Guhumeka bigoranye | Kubabara mu gatuza |
| Umutima utera vuba mu buryo budasanzwe, utera cyane, cyangwa utera nabi | Isesemi, isereri, no kugwa |
| Umubiri cyangwa kumva urimo ubukonje | Kubyimba, ububabare, cyangwa kubyimba aho umuntu yatewe inshinge |
| Ububabare, ibinya cyangwa kubura ibyiyumvo mu biganza no mu birenge | Intege nke cyangwa umunaniro udasanzwe |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ububabare bw'amagufwa cyangwa urwasaya | Impiswi |
| Gusukura | Umutwe |
| Isesemi, kuruka | |
Ni gute wabika imiti?
Kugira ngo umuti ukomeze kuba mwiza, ni ngombwa cyane kuwubika neza.
- Bika kure y'abana n'amatungo.
- Uducupa tutarafungurwa: Bika ku bushyuhe buri hagati ya dogere selisiyusi 15 na 25.
- Nyuma yo gufungura agacupa: Nyuma yo gufata umuti wa mbere, agacupa kagomba gukoreshwa mu minsi 30.
- Umuti urangiye: Ntukawukoreshe ku mpamvu iyo ari yo yose nyuma y'itariki ntarengwa.
- Imiti iri mu ipompo:
- Iyo uhawe umuti uri mu nsingo imwe ushobora gukoreshwa mu gihe cy'amasaha 72. Nyuma y'amasaha 72, jugunya umuti usigaye.
- Iyo uhawe umuti mu mitsi: Umuti uri muri syringe imwe ushobora gukoreshwa mu gihe cy'amasaha 48. Usigaye jugunya nyuma y'amasaha 48.
Ubutumwa bwo kujyana mu rugo
- Treprostinil ni umuti w'ingenzi cyane mu kurwanya umuvuduko ukabije w'amaraso mu bihaha (PAH). Ugomba gukoreshwa gusa nk'uko muganga yabigutegetse.
- Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Ntureke gufata imiti yawe nta mpamvu ya muganga. Bishobora guteza akaga gakomeye.
- Buri gihe wirinde ingaruka mbi nko gutukura, kubabara no kubyimba aho watewe inshinge, ndetse no kubabara mu gituza no kugorwa no guhumeka. Niba ubonye kimwe muri ibi, menyesha muganga wawe vuba.
- Ni ingenzi cyane kubika imiti neza no guta inshinge zakoreshejwe neza.
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