Hemin (inzira yo mu maraso)
Amoko ahari
Panhematin
Ibyerekeye uyu muti
Injeksiyon ya Hemin ikoreshwa mu kugabanya ibitero byisubiramo bya porifiriya (indwara y'amaraso) kuri bamwe mu bagore mu gihe cyabo cy'uburumbuke nyuma y'aho ubundi buryo bw'ubuvuzi (urugero, imiti ifasha umubiri gukoresha isukari) butabashije kugira icyo buhindura. Uyu muti ugomba gutangwa gusa na muganga cyangwa munsi y'ubuyobozi bwa muganga. Iyi miti iboneka mu bwinshi butandukanye, aho twavuga:
Mbere yo gukoresha uyu muti
Mu kwemerera gukoresha imiti, ibyago byo gufata imiti bigomba kupimirwa ugereranyije n'akamaro izagira. Iki ni cyemezo wowe na muganga wawe muzafatanya gufata. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uburwayi butasanzwe cyangwa ubwo kwangirika kw'umubiri kuri iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite izindi mubare z'ubwo kwangirika kw'umubiri, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku kimenyetso. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abana byabuza ikoreshwa rya hemin ku bana bafite imyaka 16 n'irenga. Ubuziranenge n'ingaruka nziza ntibyagaragajwe ku bana bari munsi y'imyaka 16. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abakuze byabuza ikoreshwa rya hemin ku bakuze. Ariko kandi, abarwayi bakuze bafite ibyago byinshi byo kugira ibibazo by'umwijima, impyiko, cyangwa umutima bifitanye isano n'imyaka, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata iyi miti. 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 ishobora kubaho. Muri uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufashe iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti ikurikira ntibisanzwe bisabwa, ariko bishobora kuba ngombwa mubihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa ukuntu uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe n'imwe bishobora kandi gutera ishobora kubaho. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'ibikurikira ntibisanzwe bisabwa, ariko bishobora kuba bitarinda mubihe bimwe na bimwe. Niba ikoreshwa hamwe, muganga wawe ashobora guhindura umwanya cyangwa ukuntu uyikoresha, cyangwa akaguha amabwiriza yihariye yerekeye ikoreshwa ry'ibiribwa, inzoga, cyangwa itabi. 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
Muganga wawe cyangwa undi wita ku buzima azaguha iyi miti. Iyi miti itangirwa mu buryo bwo kuyinjiza mu mubiri hakoreshejwe igishishwa gishinzwe mu mubiri muri imwe mu mitsi y'amaraso. Igomba gutangwa buhoro buhoro, ku buryo igishishwa kizakenera kuguma aho kiri igihe kigera ku minota 30. Mbere yo gutangira kuvurwa iyi miti, muganga wawe azakugereranya kugira ngo arebe niba ufite ikibazo cy'indwara ya porphyria ikomeye. Ni ngombwa ko ukorana bya hafi na muganga wawe mu gihe cyo kuvurwa.
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.