Dabigatran (inzira yo kunywa)
Amoko ahari
Pradaxa
Ibyerekeye uyu muti
Dabigatran ikoreshwa mu kugabanya ibyago byo kugira umuvuduko w'amaraso mu bwandu ndetse n'ibibazo by'amaraso mu barwayi bafite ikibazo gikomeye cy'umutima cyitwa nonvalvular atrial fibrillation. Dabigatran kandi ikoreshwa mu kuvura no gukumira ibikomere by'amaraso (urugero, deep vein thrombosis, pulmonary embolism) kudakomeza kubaho mu barwayi basanzwe bahawe imiti indi. Ikoreshwa kandi mu gukumira deep vein thrombosis na pulmonary embolism nyuma y'igihe cyo kubagwa amagufa y'ikibero. Ikora mu kuburizamo ko amaraso abangirika akora mu mitsi y'amaraso. Uyu muti uboneka gusa uhawe uruhushya n'umuganga wawe. Iyi miti iboneka mu buryo bukurikira:
Mbere yo gukoresha uyu muti
Mu gufata icyemezo cyo gukoresha imiti, ibyago byo gufata iyo miti bigomba guhagararirwa n'akamaro izagira. Iki ni icyemezo uzatanga hamwe na muganga wawe. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ugira uburwayi budasanzwe cyangwa ubwoko bw'uburwayi buterwa na iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite izindi mico y'uburwayi, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikubiye mu gikoresho cyangwa mu gikapu. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano y'imyaka ku ngaruka za dabigatran capsules cyangwa pellets zo mu kanwa ku bana bafite ibibazo by'umutima cyangwa bakoze igikorwa cyo gusimbuza umutwe. Ubuziranenge n'ingaruka ntabwo byarangiye. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abana byabuza ikoreshwa rya capsules za dabigatran ku bana bafite imyaka 8 n'abarengeje cyangwa pellets za dabigatran zo mu kanwa ku bana bari munsi y'imyaka 12 bafite ibibazo byo gukomera amaraso. Ubuziranenge n'ingaruka byarangiye. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abakuze byabuza ikoreshwa rya dabigatran mu bakuze. Ariko kandi, abarwayi bakuze bafite ibyago byinshi byo kugira umwijima, kuva amaraso, cyangwa ibibazo by'impyiko, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata dabigatran. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha iyi miti mu gihe cyo konsa. Pima inyungu zishoboka ugereranije 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 uru rubanza, 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 iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti iri hasi ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugira iyi miti cyangwa guhindura imiti imwe n'imwe ufashe. Gukoresha iyi miti hamwe n'imiti iri hasi ntibisanzwe byemewe, ariko bishobora gusabwa 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 iri hasi 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 byo kurya 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:
Uburyo bwo gukoresha uyu muti
Fata iyi imiti ukurikije amabwiriza y'umuganga wawe. Ntugafate umunaniro wayo, ntuyifate kenshi, kandi ntuyifate igihe kirekire kurusha igihe umuganga wawe yategetse. Gukora ibyo bishobora kongera ibyago byo kugira ingaruka mbi. Nanone, ntuhagarare gukoresha iyi miti udahamagaye muganga wawe mbere. Iyi miti ifite Umujyanama w'imiti. Ni ngombwa cyane ko usoma kandi utekereza amakuru. Suzuma kubaza muganga wawe niba ufite ikibazo icyo aricyo cyose. Ushobora gufata iyi miti ufite ibiryo cyangwa udafite. Munywa capsule yose hamwe n'ikiyiko cyuzuye cy'amazi. Ntukayimenagure, ntuyitobore, ntuyimenagure, cyangwa ntuyifungure. Niba ufashe imiti indi yo kugabanya amaraso, (urugero, heparin, warfarin, Coumadin®), muganga wawe azakugira inama yihariye cyane ku buryo bwo guhindura kuri dabigatran. Kurikiza amabwiriza neza kandi ubaze muganga wawe niba ufite ikibazo icyo aricyo cyose. Kugira ngo ukoreshe imiti yo mu kanwa: Niba ufashe iyi miti inshuro 2 ku munsi, fata doze imwe mu gitondo na doze imwe nimugoroba, nibura amasaha 12 uvuye ku yindi. Ifate igihe kimwe buri munsi. Igipimo cyiyi miti kizaba kitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku kinywanyi. Amakuru akurikira harimo gusa igipimo cy'iyi miti. Niba igipimo cyawe kitandukanye, ntukiguhindura keretse muganga wawe akubwiye kubikora. Ingano y'imiti ufashe iterwa n'imbaraga z'imiti. Nanone, umubare w'ibipimo ufashe buri munsi, igihe cyemererwa hagati y'ibipimo, n'igihe ufashe imiti biterwa n'ikibazo cy'ubuzima uri gukoresha imiti. Niba ubuze igipimo cyiyi miti, gifate vuba bishoboka. Ariko, niba hafi igihe cyo gufata igipimo cyawe gikurikira, sipa igipimo wabuze kandi usubire ku gahunda yawe isanzwe yo gufata imiti. Ntugafate inshuro ebyiri. Niba ufite amasaha make ya 6 mbere y'igihe cyawe gikurikira cya gahunda, sipa igipimo wabuze kandi usubire ku gahunda yawe isanzwe yo gufata imiti. Niba wafashe igice kimwe gusa cy'igipimo cyawe cy'imiti yo mu kanwa, ntugafate ikindi gipimo ako kanya. Fata igipimo cyawe gikurikira ku gahunda yawe isanzwe, nibura amasaha 12 nyuma yaho. Komereza kure y'abana. Ntukagumane imiti ishaje cyangwa imiti idakenewe ukundi. Baza umwuga wita ku buzima uburyo wakwirukana imiti iyo ari yo yose ukoresha. Gabanya imiti mu gikombe gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'umucyo udasanzwe. Kwirinda gukonjesha. Komereza imiti yawe mu icupa ryayo (ipaki ya blister cyangwa icupa rya capsules cyangwa isaho ya aluminiyum y'imiti yo mu kanwa) kugeza ubwo ugiye kuyikoresha. Ntukagumane capsules mu kindi gikombe icyo aricyo cyose (urugero, amaboko y'imiti cyangwa abategura imiti). Nyuma yo gufungura icupa bwa mbere, ugomba gufata capsules zose mu mezi 4. Niba utarakoresheje capsules mu mezi 4, ugomba guta capsules zisigaye kandi utangire icupa rishya. Koresha buri ipaki y'imiti yo mu kanwa mu mezi 6 ufunguye isaho ya aluminiyum. Jya ubishyireho imiti idakoreshejwe. Ntukagumane kandi ntukongere gukoresha ivangurura risigaye.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.