Icyo Dapsone ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'iyo miti n'ibindi

Dapsone ni umuti wica mikorobe urwanya indwara zimwe na zimwe ziterwa na bagiteri kandi ufasha kuvura indwara zimwe na zimwe z'uruhu. Uyu muti ufata mu kanwa umaze imyaka myinshi ukoreshwa mu buryo bwizewe mu kuvura indwara nka ibibembe no gukumira indwara zikomeye zo mu muhogo mu bantu bafite ubudahangarwa bw'umubiri butameze neza.

Ushobora kwandikirwa dapsone niba ufite indwara isaba kuvurwa n'imiti yica mikorobe igihe kirekire cyangwa niba ukeneye kurengerwa indwara zimwe na zimwe. Reka tugende mu bintu byose ukeneye kumenya kuri uyu muti kugira ngo wumve ufite icyizere cyo kuvurwa.

Dapsone ni iki?

Dapsone ni umwe mu itsinda ry'imiti yica mikorobe yitwa sulfones ikora ihagarika bagiteri gukura no kwiyongera. Imazeho kuva mu myaka ya za 1940 kandi ifite amateka yemeza umutekano n'ubushobozi bwo gukora neza iyo ikoreshejwe neza.

Uyu muti ni umwihariko kuko ushobora kuvura indwara zikiriho no gukumira izindi nshya. Muganga wawe ashobora kuyikwandikira nk'igice cy'uburyo bwo kuvura buhuriweho cyangwa nk'urugero rwo gukumira rwikorera, bitewe n'ubuzima bwawe bwihariye.

Dapsone ikoreshwa mu kuvura iki?

Dapsone ivura indwara nyinshi z'ubuvuzi z'ingenzi, ibibembe bikaba ari byo bizwi cyane. Ikoreshwa kandi mu gukumira indwara ikomeye yo mu muhogo yitwa Pneumocystis pneumonia mu bantu banduye SIDA cyangwa izindi ndwara zangiza ubudahangarwa bw'umubiri.

Dore indwara nyamukuru dapsone ifasha kuvura:

• Ibibembe (indwara ya Hansen) - akenshi ihuzwa n'izindi miti yica mikorobe
• Gukumira Pneumocystis pneumonia mu barwayi bafite ubudahangarwa bw'umubiri butameze neza
• Dermatitis herpetiformis - indwara y'uruhu ifitanye isano na celiac disease
• Indwara zimwe na zimwe z'uruhu ziterwa n'ubudahangarwa bw'umubiri nka indwara ya linear IgA
• Gukumira Toxoplasmosis mu barwayi bamwe na bamwe bafite ibyago byinshi

Umuganga wawe azagena uburyo bukoreshwa neza mu gihe cyihariye ufite. Buri burwayi busaba imiti itandukanye ndetse n'uburyo bwo gukurikirana.

Dapsone ikora ite?

Dapsone ikora ibuza mikorobe gukora aside ya folike, ikenewe kugira ngo zibaho kandi zikore. Bitekereze nk'ibibangamiye ikintu cy'ingenzi mikorobe zikeneye kugira ngo zubake urukuta rwazo rw'uturemangingo kandi zigwize.

Uyu muti ufashwe nk'ukomeye ku rugero ruciriritse kandi ukora buhoro buhoro uko igihe kigenda gihita. Bitandukanye na zimwe mu miti yica mikorobe ikora vuba, dapsone yiyongera mu mubiri wawe kandi itanga uburinzi buhamye, bw'igihe kirekire ku mikorobe yibasirwa.

Uyu muti kandi ufite ubushobozi bwo kurwanya ibyimbirwa, ibi bifasha gusobanura impamvu ifitiye akamaro indwara zimwe zo ku ruhu zitari ukurwanya gusa indwara ziterwa n'udukoko.

Nkwiriye gufata dapsone nte?

Fata dapsone nk'uko umuganga wawe abitegeka, akenshi rimwe ku munsi hamwe n'ibiryo cyangwa nta biryo. Niba umuti utera isesemi, gerageza kuwufata hamwe n'ifunguro rito cyangwa agafunguro gato.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasenya, ntukomere, cyangwa ucagagure ibinini keretse umuganga wawe akubwiye byihariye kubikora. Kuyafata ku gihe kimwe buri munsi bifasha kugumana urugero ruzigama mu mubiri wawe.

Ntabwo ukeneye kwirinda ibiryo byihariye mugihe ufata dapsone, ariko kugumana imirire yuzuye bishyigikira ubuzima bwawe muri rusange mugihe cy'imiti. Abantu bamwe basanga kuyifata hamwe n'ibiryo bigabanya ibibazo byose byo mu nda.

Nkwiriye gufata dapsone igihe kingana iki?

Igihe cyo kuvura na dapsone gitandukanye cyane bitewe n'uburwayi ufite. Kubera ibibembe, ushobora kuyifata imyaka myinshi nk'igice cy'imiti ihuriweho. Mugukingira indwara, ushobora kuyikeneye igihe kirekire nk'uko ubudahangarwa bwawe bugihungabanye.

Ntuzigere uhagarika gufata dapsone ako kanya utabanje kuvugana n'umuganga wawe. Guhagarika kare bishobora gutuma indwara zigaruka cyangwa zikiyongera. Umuganga wawe azakurikirana iterambere ryawe kandi ahindure uburebure bw'imiti bitewe n'uko urimo witwara.

Kubera indwara zimwe na zimwe nka dermatitis herpetiformis, ushobora gukenera dapsone mu mezi cyangwa imyaka myinshi kugira ngo ibimenyetso bigumane mu buryo bwiza. Muganga wawe azajya areba buri gihe niba ugikenera uwo muti.

Ni Ibihe Bikorwa Bigaragara Biterwa na Dapsone?

Abantu benshi bafata neza dapsone, ariko nk'imiti yose, ishobora gutera ibikorwa bigaragara. Inkuru nziza ni uko ibikorwa bigaragara bikomeye bidakunze kubaho iyo umuti ukoreshwa neza kandi ukanwa buri gihe.

Dore ibikorwa bigaragara bisanzwe ushobora guhura nabyo:

• Urugimbu cyangwa kuribwa mu nda
• Umutwe
• Isesemi
• Kubura ubushake bwo kurya
• Uruhu rworoshye
• Kunanirwa

Ibi bikorwa bigaragara akenshi biragenda bikemuka uko umubiri wawe wimenyereza umuti. Ariko, rimwe na rimwe dapsone ishobora gutera ibikorwa bikomeye bisaba ubufasha bwihuse bw'abaganga.

Vugana n'umuganga wawe ako kanya niba uhuye n'ikimenyetso kimwe muri ibi bikurikira:

• Uruhu rukomeye cyangwa uruhu rwakwiriye hose
• Gukomereka cyangwa kuva amaraso bidasanzwe
• Urugohe rudashira cyangwa kubabara mu muhogo
• Uruhu cyangwa amaso byahindutse umuhondo
• Inkari z'umukara cyangwa imyanda y'umweru
• Kunanirwa cyane cyangwa intege nke
• Kugufiwa umwuka

Ikindi kintu giteye ubwoba ariko cy'ingenzi ni indwara yitwa methemoglobinemia, aho amaraso yawe atatwara umwuka neza. Ibi nibyo bituma umuganga wawe ashobora gutuma ukorerwa ibizamini by'amaraso buri gihe kugira ngo barebe urwego rwawe.

Ni Bande Batagomba Gufata Dapsone?

Dapsone ntabwo ikwiriye kuri buri wese, kandi umuganga wawe azareba neza amateka yawe y'ubuzima mbere yo kuyandika. Abantu bafite indwara zimwe na zimwe cyangwa bafata imiti imwe na imwe bashobora gukenera ubuvuzi bundi.

Ntabwo ugomba gufata dapsone niba:

• Ufite allergie kuri dapsone cyangwa imiti ya sulfa
• Ufite anemia ikomeye
• Ufite indwara yitwa glucose-6-phosphate dehydrogenase (G6PD) deficiency
• Ufite indwara ikomeye y'umutima, umwijima, cyangwa impyiko

Muganga wawe azakoresha ubushishozi bwihariye niba ufite asima, indwara z'amaraso, cyangwa ufata imiti imwe n'imwe. Abagore batwite kandi bonsa bakeneye kwitabwaho by'umwihariko, nubwo dapsone rimwe na rimwe rishobora gukoreshwa iyo inyungu ziruta ibyago.

Amazina ya Dapsone

Dapsone iboneka nk'umuti rusange, bivuze ko akenshi uzayibona yanditse gusa nka "dapsone" muri farumasi. Uburyo rusange bufite akamaro kimwe n'uburyo bw'amazina y'ubucuruzi kandi akenshi bihendutse.

Mu bihugu bimwe na bimwe, ushobora kubona dapsone munsi y'amazina y'ubucuruzi nka Avlosulfon, ariko uburyo rusange ni bwo buvuzwa cyane. Umufarumasiti wawe ashobora kugufasha gusobanukirwa uburyo urimo kwakira.

Uburyo bwa Dapsone

Niba dapsone itagukwiriye, imiti myinshi isimbura irashobora kuvura ibibazo bisa. Uburyo bwiza busimbura buterwa n'ikibazo cyawe cyihariye n'ibintu by'ubuzima bw'umuntu ku giti cye.

Mugukingira umusonga wa Pneumocystis, ibisubizo birimo:

• Trimethoprim-sulfamethoxazole (icyemezo cya mbere gisanzwe)
• Atovaquone
• Pentamidine (uburyo bwo guhumeka)

Kubibazo byo ku ruhu nka dermatitis herpetiformis, muganga wawe ashobora gutekereza ku miti ikoreshwa cyangwa indi miti yo kunywa. Burimwe mu buryo busimbura bufite inyungu zayo n'ingaruka zishobora kuba zizaganirwaho n'umuganga wawe.

Ese Dapsone iruta Trimethoprim-Sulfamethoxazole?

Dapsone na trimethoprim-sulfamethoxazole byombi bifite akamaro mugukingira umusonga wa Pneumocystis, ariko bikora mu buryo butandukanye kandi bifite ingaruka zitandukanye. Nta na kimwe "cyiza" kuruta ikindi.

Trimethoprim-sulfamethoxazole akenshi igeragezwa mbere kuko ifite akamaro kanini kandi yigwa neza. Ariko, dapsone iba icyemezo gihitamo iyo abantu batashobora kwihanganira trimethoprim-sulfamethoxazole cyangwa iyo idakwiriye kubera izindi mpamvu.

Muganga wawe azahitamo umuti ukwiriye cyane kuri wowe, yishingikirije ku bintu nk'uburwayi ufite, imiti urimo gufata, n'uburwayi ufite.

Ibibazo bikunze kubazwa kuri Dapsone

Ese Dapsone irakwiriye ku bantu barwaye indwara z'impyiko?

Dapsone irashobora gukoreshwa ku bantu barwaye indwara z'impyiko, ariko bisaba gukurikiranwa neza ndetse no guhindura urugero rwawo. Muganga wawe azareba uko impyiko zawe zikora neza mbere yo gufata icyemezo cyo kuguha Dapsone.

Niba ufite ibibazo by'impyiko, muganga wawe ashobora gutangira urugero ruto hanyuma akagenzura urugero ruri mu maraso yawe kenshi. Uyu muti ukoreshwa cyane mu mwijima kurusha uko ukoreshwa mu mpyiko, ibyo bikaba bishobora kuwugira igisubizo cyiza ku bantu bamwe barwaye indwara z'impyiko.

Ninkora iki niba nanyoye Dapsone nyinshi bitunguranye?

Niba unyoye Dapsone nyinshi kuruta uko wari warabwiwe, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya uburozi ako kanya. Kunywa nyinshi bishobora gutera ingaruka zikomeye, harimo n'ibibazo byo gutuma amaraso yawe atwara umwuka wa oxygen.

Ntugategereze ngo urebe niba wumva umeze neza. N'iyo utabona ibimenyetso ako kanya, ni ngombwa kubanza kubaza inama ya muganga. Guma ufite urupapuro rw'umuti igihe uhamagaye cyangwa usaba ubufasha kugira ngo abaganga bamenye neza icyo wanyoye n'urugero rwawo.

Ninkora iki niba nibagiwe gufata Dapsone?

Niba wibagiwe gufata Dapsone, uyifate uko wibukije, keretse igihe cyo gufata urundi rugero kigeze. Mu gihe bimeze bityo, reka urugero wibagiwe hanyuma ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugira ngo usimbure urugero wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka mbi zituma umuti utagira akamaro. Niba ukunda kwibagirwa gufata imiti, tekereza gushyiraho alarme ya buri munsi cyangwa gukoresha agasanduku k'imiti.

Nshobora guhagarika ryari gufata Dapsone?

Reka gukoresha dapsone gusa mugihe muganga wawe akubwiye ko byemewe kubikora. Igihe cyabyo giterwa n'uburwayi bwawe bwihariye n'uburyo urimo gusubiza mu buvuzi.

Mugukingira indwara, birashoboka ko uzakenera gukomeza gukoresha dapsone igihe kirekire urwego rwawe rw'umubiri rwo kurwanya indwara rukiri hasi. Mugukoresha imiti yo kuvura indwara zikomeye, mubisanzwe uzakenera kurangiza urugendo rwose nubwo wumva umeze neza. Muganga wawe azagenzura iterambere ryawe akumenyeshe igihe bikwiye guhagarara.

Nshobora kunywa inzoga nkorera dapsone?

Mubisanzwe ni byiza kugabanya inzoga mugihe ukoresha dapsone, kuko byombi bishobora kugira ingaruka kumwijima wawe. Nubwo kunywa inzoga mu rugero ruto bitabujijwe rwose, kunywa cyane bishobora kongera ibyago byo kurwara umwijima kandi bishobora gutuma ingaruka zimwe na zimwe zirushaho kuba mbi.

Ganira na muganga wawe kubyerekeye gukoresha inzoga, cyane cyane niba ukoresha dapsone igihe kirekire. Bashobora kuguha inama zihariye zishingiye ku buzima bwawe muri rusange n'indi miti ushobora kuba urimo gufata.