Isesemi no kuruka bibaho mu mezi make ya mbere yo gutwita byitwa ' Isesemi ya mu gitondo '. Nubwo izina risobanura isesemi ya mu gitondo, ishobora kubaho igihe icyo ari cyo cyose cy'umunsi. Ku babyeyi bamwe na bamwe, bishobora kuba bikomeye cyane. Ushobora kuruka cyane ku buryo udashobora kugira icyo ureka. Rero, mu bihe nk'ibi, muganga wawe ashobora kukwandikira umuti witwa Zofran. Uyu munsi, reka tuganire ku byo Zofran ari byo, uburyo ari byiza, n'ibyo ukeneye kumenya kuri byo.
Zofran (Ondansetron) ni iki?
Mu magambo make, Zofran ni izina ry'umuti wa Ondansetron. Watangiye gukoreshwa mu kugabanya isesemi no kuruka biterwa na chimiotherapie ku barwayi ba kanseri. Ukora mu kubuza igikorwa cy'umusemburo w'ibinyabutabire (neurotransmitter) mu bwonko bwacu witwa serotonin . Iyi serotonin niyo ifasha mu kugenzura ibintu nk'ubushake bwo kurya, igogora, n'amarangamutima.
Uretse kuvura kanseri, abaganga bakoresha uyu muti mu bindi bihe bitandukanye.
- Kuruka bitewe n'ikinya
- Ku kuruka guterwa n'ubuvuzi bushingiye ku mirasire
- Nyuma yo kubagwa bimwe na bimwe
Hagati aho, ikoreshwa ry'uyu muti mu gihe cyo kuruka cyane mu gihe utwite, rizwi kandi nka 'Morning Sickness', ryakunzwe cyane. Nk'uko raporo zimwe na zimwe zibivuga, uyu muti ugirwa inama ku babyeyi batwite bagera kuri umwe muri bane. Uyu muti ushobora kugabanya ibyago byo kubura amazi no kugabanya ibiro iyo umuntu aruka cyane.
Zofran ishobora gutangwa mu buryo butatu. Akenshi itangwa nk'ikinini gito gishonga munsi y'ururimi. Byongeye kandi, ishobora guterwa nk'urushinge mu mitsi cyangwa ikanaterwa mu mitsi (IV) hamwe n'umuti wa saline mu buryo bukurikira bibaye ngombwa.
Ese koko gukoresha Zofran mu gihe utwite ni byiza?
Iki ni cyo kibazo gikomeye abantu benshi bafite. Nubwo Ikigo gishinzwe ibiribwa n'imiti muri Amerika (FDA) cyemeje uyu muti wo kuruka ku barwayi ba kanseri, ntabwo kirawushyigikira ku mugaragaro wo kuruka mu gihe cyo gutwita . Ariko ntutinye. Nubwo muganga atawemeye ku ndwara runaka, azi neza ibyiza by'uwo muti kandi awusaba ku yindi ndwara, yitwa "ikoreshwa ry'umuti ritari mu rwego rwo kuvura."
Ubushakashatsi bwinshi bwagaragaje ko gufata uyu muti mu gihembwe cya mbere cyo gutwita bitiyongera ibyago byo kubyara abana bafite ibibazo bikomeye .
- Ubushakashatsi bwakozwe na CDC muri Leta Zunze Ubumwe za Amerika bwagaragaje ko ababyeyi bafata Zofran badafite ibyago byinshi byo kubyara bafite ubumuga bukomeye.
- Ubushakashatsi bunini bwakozwe muri Danemark mu 2013 bwagaragaje ko uyu muti utyongera ibyago by'ibi bikurikira:
- Kubyara umwana ufite ibiro bike
- Gutanga mbere y'igihe
- Imikurire y'umwana iri kugenda igabanuka.
- Ubusembwa bukomeye mu gihe cyo kuvuka
- Kubyara umwana upfuye
- Gukuramo inda
Ariko hari ikintu gito. Ubu bushakashatsi bugaragaza ibyago bike cyane. Ni ukuvuga ko hashobora kubaho ibyago bike cyane byo kurwara indwara ya Zofran ndetse n'ubumuga bw'umutima mu bana bahura na zo. Mu mibare, ibi byago biri munsi ya 3 mu bana 10.000 bavuka ku babyeyi bafata Zofran. Ibi rero ni gake cyane. Ubu bushakashatsi buvuga kandi ko hakenewe ubushakashatsi bwimbitse kuri ibi.
Ikindi kintu cy'ingenzi ni uko mu 2011, FDA yaburiye ko Zofran ishobora gutera ibibazo bimwe na bimwe by'umutima w'umubyeyi. By'umwihariko, indwara zitwa QT prolongation na torsade de pointes . Izi ni indwara zitera umutima utera ku buryo budasanzwe. Izi ngaruka nazo ni nke cyane, ariko niba ufite ikibazo cy'umutima, ugomba kubibwira muganga wawe mbere yo gufata uyu muti.
Ingaruka mbi z'uyu muti ni izihe?
Kimwe n'indi miti yose, Zofran ishobora kugira ingaruka nke. Reka turebe ibyo ari byo. Ushobora kubisobanukirwa neza ukurikije imbonerahamwe iri hepfo.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka zisanzwe (ubusanzwe ntabwo ari zikomeye) |
|
| Ingaruka mbi zikomeye (shakisha inama z'abaganga ako kanya!) |
Niba ugize imwe muri izi ngaruka zikomeye, hamagara muganga wawe vuba . Niba bishoboka, jya mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe. Ibi ni ingenzi cyane.
Ese nta bundi buryo bworoshye bwo gufasha mu kuruka?
Yego, birahari rwose. Mbere yo gukoresha umuti nka Zofran, muganga wawe azakugira inama yo kugerageza ibi bintu byoroheje.
Guhindura indyo
Incuro nyinshi, ushobora kuruka bitewe n'ibiribwa bimwe na bimwe. Kwirinda ibiryo birimo amavuta, ibirungo, n'impumuro nziza bishobora gutanga ihumure rikomeye. Ubushakashatsi bwerekana ko ababyeyi 9 kuri 10 batwite bashobora kugenzura kuruka bagenzura indyo yabo bonyine.
Vitamine B6
Vitamine B6 ni ikintu gifasha kugabanya isesemi. Ariko ugomba kuyifata gusa mu gipimo muganga akubwira. Muri rusange si byiza gufata miligarama zirenga 100 (100mg) ku munsi. Kuko kubikora bishobora kwangiza imitsi by'igihe gito.
Tangawizi
Tangawizi ni nziza ku ndwara yo kunyara. Kunywa icyayi cya tangawizi cyangwa gukoresha ikintu karemano kirimo tangawizi bishobora gutuma umuntu aruhuka.
Ubutumwa bwo kujyana mu rugo
- Zofran (Ondansetron) ni umuti ugomba kwandikirwa na muganga. Ntuzigere ufata uyu muti utabanje kugirwa inama na muganga.
- Nubwo ubushakashatsi bwinshi bwemeje umutekano wayo, menya ingaruka nto ariko zikomeye ku mwana no kuri nyina. Vugana na muganga wawe ku byerekeye ibi weruye.
- Ni ngombwa kumenyesha muganga wawe izindi ndwara zose ufite (cyane cyane indwara z'umutima) cyangwa indi miti ufata.
- Mbere yo gukoresha imiti yo kuruka cyane, gerageza uburyo bworoshye nko guhindura imirire, vitamine B6, na tangawizi uyobowe na muganga wawe.
- Niba ugize ingaruka mbi zikomeye nyuma yo gufata umuti, shaka ubufasha bwa muganga ako kanya.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.