Abciximab (inzira y'imiti inyinjira mu mubiri)

Reopro

Abciximab ikoreshwa kugira ngo igabanye ibyago byo kugira ikibazo cy'umutima ku bantu bakeneye kuvurwa kwa percutaneous coronary intervention (PCI), uburyo bwo gufungura imitsi y'umutima ifunze. Ikibazo cy'umutima gishobora kubaho iyo umuyoboro w'amaraso mu mutima ukingiwe n'igisebe cy'amaraso. Rimwe na rimwe, ibisimba by'amaraso bishobora kuvuka mu gihe cya PCI. Abciximab igabanya amahirwe yo kuvuka kw'igisebe cy'amaraso kibangamira, izibuza uturemangingabo tumwe na tumwe two mu maraso guhurirana. Abciximab ikoreshwa hamwe na aspirine na heparin, ari byo bindi bisigazwa bikoresha mu kubuza amaraso gukomera. Uyu muti uboneka gusa uhawe uruhushya na muganga.

Mu gihe cyemezo cyo gukoresha imiti, ibyago byo gufata imiti bigomba kupimirwa ugereranyije n'icyiza izakora. Iki ni cyemezo wowe na muganga wawe muzafatanya. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ugira uburwayi budasanzwe cyangwa ubwandu bw'imiti iyi cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'uburwayi, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho byanditse ku gipfunyika cyangwa ku kintu cyacyo. Ubushakashatsi kuri iyi miti bwakozwe gusa ku barwayi bakuru, kandi nta makuru yihariye agaragaza itandukaniro hagati y'imikoreshereze ya abciximab ku bana n'imikoreshereze mu tundi tsinda ry'imyaka. Ibibazo byo kuva amaraso bishobora kuba byoroshye cyane mu barwayi bakuze, abakunda kuba bafite ubushobozi buke ugereranyije n'abakuze bakiri bato ku ngaruka za abciximab. Ni ngombwa ko uganira ku ikoreshwa ry'iyi miti na muganga wawe. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha iyi miti mu gihe cyo konsa. Pima inyungu zishoboka ugereranyije n'ibyago bishoboka mbere yo gufata iyi miti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ikibazo gishobora kubaho. Muri ubwo buryo, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufata iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufata imiti iyihe iri kuri uru rutonde. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti iyihe iri kuri uru rutonde ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira iyi miti cyangwa guhindura imiti imwe n'imwe ufashe. Gukoresha iyi miti hamwe n'imiti iyihe iri kuri uru rutonde ntibisanzwe byemewe, ariko bishobora kuba ngombwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti iyihe iri kuri uru rutonde bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wowe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya bimwe mu bintu, kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe n'imwe bishobora kandi gutera ikibazo gishobora kubaho. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: Nanone, bwira muganga wawe niba warigeze uhabwa abciximab cyangwa heparin mbere ukagira ikibazo kuri imwe muri zo cyitwa thrombocytopenia (umubare muke w'amaraso mu maraso), cyangwa niba hari amaraso mashya yabayeho mu gihe wari ufata imiti. Uretse ibyo, bwira muganga wawe niba uherutse kuva amaraso mu gifu, warigeze kugira umwijima, uherutse kugwa cyangwa wakomerekeye umubiri cyangwa umutwe, cyangwa warigeze ukora igikorwa gikomeye cy'ubuvuzi cyangwa cy'amenyo. Ibi byabayeho bishobora kongera ibyago byo kuva amaraso menshi mu gihe ufata abciximab.