Icyemezo cya Hydralazine: Ibikoresho, Urutonde, Ingaruka ziterwa n'ibindi

Icyemezo cya Hydralazine ni umuti ugabanya umuvuduko w'amaraso utererwa mu mitsi cyangwa mu mutsi wawe igihe ukeneye uburyo bwihuse bwo kuvura umuvuduko w'amaraso mwinshi cyane. Ubu bwoko bwo guterwa mu nshinge bukora vuba cyane kurusha ibinini, bigatuma buba igikoresho cy'ingenzi mu byumba by'abarwayi b'indembe n'ibitaro byihutirwa.

Ubusanzwe uzahabwa uyu muti igihe umuvuduko w'amaraso yawe wazamutse cyane ukagera ku rwego ruteje akaga kandi ukeneye kwitabwaho ako kanya. Abaganga barawukoresha kuko ushobora gutangira kugabanya umuvuduko w'amaraso yawe mu minota mike, bikaba byakumira ibibazo bikomeye nka sitiroki cyangwa umutima.

Icyo icyemezo cya Hydralazine aricyo?

Icyemezo cya Hydralazine ni umuti ukomeye ugabanya umuvuduko w'amaraso utererwa mu maraso yawe unyuze mu murongo wa IV cyangwa ukaterwa mu mitsi yawe. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa vasodilators, bivuze ko ikora irekura kandi ikagura imitsi yawe y'amaraso.

Uyu muti wagenewe by'umwihariko ibihe by'ubutabazi igihe imiti yo kunywa itihuta cyangwa idashoboka. Ubusanzwe uzawuhabwa mu bitaro aho abaganga bashobora gukurikirana neza uko ubuzima bwawe buhagaze kandi bagahindura urugero rwawo uko bikwiye.

Ubwoko bwo guterwa mu nshinge butuma umuti unyura mu nzira yo mu gifu cyawe rwose, ugatangira gukora ako kanya mu maraso yawe. Ibi bituma uba uw'agaciro cyane igihe buri munota ufite agaciro mu gucunga ibihe by'umuvuduko w'amaraso mwinshi.

Icyo icyemezo cya Hydralazine gikoreshwa

Icyemezo cya Hydralazine gikoreshwa cyane cyane mu kuvura ibihe by'ubutabazi by'umuvuduko w'amaraso mwinshi, ari ibihe umuvuduko w'amaraso yawe wazamutse ukagera ku rwego ruteje akaga kandi rugateza akaga ingingo zawe. Gikoreshwa kandi kenshi mu gihe cyo gutwita kugira ngo gicunge umuvuduko w'amaraso mwinshi cyane ushobora kwangiza nyina n'umwana.

Dore ibibazo nyamukuru abaganga bashobora gukoresha icyemezo cya hydralazine:

• Icyorezo cya hypertension iyo umuvuduko w'amaraso urenze 180/120 mmHg hamwe n'ibimenyetso
• Umuvuduko mwinshi w'amaraso ufite aho uhuriye n'inda (preeclampsia cyangwa eclampsia)
• Ibihe by'ubutabazi aho imiti yo kunywa igabanya umuvuduko w'amaraso itagira ingaruka zihagije
• Umuvuduko mwinshi w'amaraso nyuma yo kubagwa ugomba kugenzurwa ako kanya
• Ibihe byo kunanirwa k'umutima aho kugabanya umuvuduko w'amaraso byihuse bikenewe

Mu bihe bidasanzwe, abaganga bashobora kuyikoresha kubwoko runaka bw'indwara z'impyiko cyangwa iyo indi miti igabanya umuvuduko w'amaraso yananiwe. Ikintu cy'ingenzi ni uko buri gihe hakenewe kugabanya umuvuduko w'amaraso byihuse kandi bigenzurwa n'abaganga.

Hydralazine Injection ikora ite?

Hydralazine injection ikora igihe iruhura imitsi yoroshye mu nkuta z'imitsi yawe y'amaraso, ikayituma yaguka kandi igabanya ubushobozi bwo gutembera kw'amaraso. Tekereza nk'ugufungura inzira nini y'amazi kugirango atemberere mu ruganda, ibyo bigabanya umuvuduko mu buryo busanzwe.

Uyu muti ufatwa nk'ukomeye kandi ukora vuba. Muri iminota 10-20 nyuma yo guterwa urushinge rwa IV, mubisanzwe uzatangira kubona imibare y'umuvuduko w'amaraso igabanuka. Ingaruka zikunze kumara amasaha menshi, bituma abaganga babona umwanya wo kuguha uburyo bwo kuvura burambye.

Uyu muti wibanze ku miyoboro mito y'amaraso mu mubiri wawe, aribyo bitera umuvuduko mwinshi w'amaraso. Mugihe ugabanya umuvuduko muri iyi miyoboro, umutima wawe ntugomba gukora cyane kugirango utere amaraso, kandi umuvuduko mu mikorere y'amaraso uragabanuka.

Nkwiriye gufata Hydralazine Injection nte?

Ntabwo uzifata Hydralazine injection ubwawe. Uyu muti buri gihe utangwa n'abakozi b'ubuzima babihuguriwe mu kigo cy'ubuvuzi nka kwa muganga cyangwa mu ivuriro. Bazayikora mu muyoboro wawe w'amaraso binyuze muri IV cyangwa bayitere mu gice cy'umubiri wawe.

Igihe n'uburyo biterwa n'uko ubuzima bwawe buhagaze. Mu gihe cy'uburwayi bukomeye, urabuhabwa binyuze mu maraso kugira ngo bukore mu minota mike. Mu bihe bitihutirwa, urushinge mu mutsi rushobora gukoreshwa, nubwo bitwara igihe kirekire kugira ngo rutangire gukora.

Itsinda ryawe ry'abaganga rizakomeza kugenzura umuvuduko w'amaraso yawe, umuvuduko w'umutima, n'ibindi bimenyetso by'ingenzi mugihe wakira uyu muti. Bazahindura urugero rwawo bakurikije uko umubiri wawe witwara, bakemeza ko umuvuduko w'amaraso yawe umanuka neza hatagize igihe umanuka cyane.

Nta byo kurya byihariye bisabwa mbere yo guhabwa urushinge rwa hydralazine kuko rutangwa mu bihe by'uburwayi bukomeye. Ariko, abaganga bawe bazakubaza ku miti yose urimo gufata kugira ngo wirinde guhura n'ibibazo bikomeye.

Nzamara Igihe Kingana Gite Ndafata Urushinge rwa Hydralazine?

Urushinge rwa hydralazine akenshi ni uburyo bwo kuvura bw'igihe gito bukoreshwa gusa kugeza igihe umuvuduko w'amaraso yawe uhagaze kandi ushobora guhindukira ku miti yo kunywa. Abantu benshi barabuhabwa mu masaha make cyangwa iminsi mike, bitewe n'uko ubuzima bwabo buhagaze.

Itsinda ryawe ry'abaganga rizakurikiza neza uko witwara kandi rizagenda riguhindurira ku miti y'igihe kirekire yo kugabanya umuvuduko w'amaraso ushobora gufata uri mu rugo. Urushinge rukora nk'urugero rwo kugufasha kunyura mu bihe by'uburwayi bukomeye neza.

Mu gihe cy'umuvuduko w'amaraso mwinshi ujyanye no gutwita, ushobora guhabwa urushinge rwa hydralazine rimwe na rimwe mugihe cyose uri mu bitaro kugeza igihe ubyariye. Nyuma yaho, abaganga bawe bazakorana nawe kugira ngo bashyireho gahunda yo gucunga umuvuduko w'amaraso w'igihe kirekire.

Ni Iyihe Mbere Y'ingaruka Ziterwa n'Urushinge rwa Hydralazine?

Kimwe n'indi miti yose, urushinge rwa hydralazine rushobora gutera ingaruka ziterwa n'iyo miti, nubwo atari buri wese uzibona. Ingaruka zikunze kugaragara zifitanye isano n'imihindukire yihuse y'umuvuduko w'amaraso kandi akenshi zibaho nyuma gato yo guhabwa urushinge.

Dore ingaruka zikunze kuvugwa ushobora guhura nazo:

• Umutwe kubera imitsi y'amaraso ihinduka kubera imiti
• Umutima utera cyane kubera umutima usubiza ku mpinduka z'umuvuduko w'amaraso
• Urugimbu cyangwa kurwara mu nda
• Umuzunguruko cyangwa kumva urushye igihe uhinduye imyanya
• Kwishyushya cyangwa kumva ushyushye mu maso no mu ijosi
• Kugira intege nke by'agateganyo cyangwa kunanirwa

Izi ngaruka akenshi ziba nto kandi z'agateganyo, zigakira igihe umubiri wawe umaze kumenyera umuti. Itsinda ryawe ry'abaganga rizakugenzura neza kandi rishobora guhindura uburyo uvurwa niba bibaye ngombwa.

Ingaruka zikomeye ntizikunze kubaho ariko zirimo kugabanuka cyane k'umuvuduko w'amaraso, imikorere idasanzwe y'umutima, cyangwa ibimenyetso by'uburwayi bwo kwanga umuti. Mu bihe bidasanzwe, abantu bamwe bagira uburwayi bwa lupus buterwa n'imiti iyo bakoresheje igihe kirekire, nubwo ibi bitaba kenshi iyo bakoresheje inshinge igihe gito.

Ninde utagomba guhabwa inshinge ya Hydralazine?

Inshinge ya Hydralazine ntikwiriye kuri buri wese, kandi abaganga bawe bazasuzuma neza amateka yawe y'ubuzima mbere yo kuyikoresha. Uburwayi bumwe na bumwe bushobora gutuma uyu muti ugira akaga cyangwa ntugire akamaro kuri wowe.

Ntabwo ukwiriye guhabwa inshinge ya hydralazine niba ufite:

• Uburwayi bwo kwanga hydralazine cyangwa imiti isa nayo
• Ubwoko bumwe na bumwe bw'ibibazo by'imitsi y'umutima, cyane cyane ibibazo by'umutsi wa mitral
• Indwara y'imitsi y'amaraso y'umutima aho impinduka zihuse z'umuvuduko w'amaraso zishobora kuba akaga
• Indwara ikomeye y'impyiko igira ingaruka ku buryo umubiri wawe ukoresha umuti
• Amateka y'uburwayi bwa lupus buterwa n'imiti kubera gukoresha hydralazine mbere

Itsinda ryawe ry'abaganga rizakoresha kandi ubushishozi bwihariye niba ufite amateka y'indwara y'umutwe, ibibazo by'imikorere y'umutima, cyangwa uri gufata indi miti. Bazagereranya inyungu n'ibibazo mu bihe byawe byihariye.

Imyaka yonyine ntigutera kutagomba guhabwa inshinge ya hydralazine, ariko abantu bakuze bashobora kwitaba cyane ingaruka zayo kandi bagasaba kugenzurwa neza kandi bashobora gukenera doze nto.

Amazina y'Ubwoko bwa Hydralazine Injection

Hydralazine injection iboneka mu mazina y'ubwoko butandukanye, nubwo ibitaro byinshi bikoresha verisiyo rusange. Izina ry'ubwoko risanzwe ushobora guhura naryo ni Apresoline, imaze imyaka myinshi ikoreshwa mu buvuzi.

Andi mazina y'ubwoko arimo Hydralazine Hydrochloride Injection na verisiyo zitandukanye zidasanzwe z'abakora imiti. Ariko, ibikoresho bikora n'ubushobozi bikomeza kuba kimwe hatitawe ku izina ry'ubwoko riri ku icupa.

Itsinda ryawe ry'abaganga rizakoresha verisiyo iboneka mu kigo cyabo, kandi urashobora kwiringira ko verisiyo zose zemewe na FDA zujuje ibisabwa by'umutekano n'ubushobozi.

Uburyo bwo gusimbuza Hydralazine Injection

Imiti itandukanye irashobora gukoreshwa mu mwanya wa hydralazine injection kugirango igenzure umuvuduko w'amaraso mu gihe cy'ihutirwa, kandi abaganga bawe bazahitamo hashingiwe ku bibazo byawe by'ubuzima n'uburyo bakeneye ko umuvuduko w'amaraso yawe umanuka vuba.

Uburyo busanzwe bwo gusimbuza burimo:

• Labetalol injection, ikora ku mutima no ku miyoboro y'amaraso
• Nicardipine injection, umuti ubuza calcium gukora, akenshi ukunda gukoreshwa ku barwayi ba stroke
• Esmolol injection, umuti wihuta wa beta-blocker ukoreshwa mu gihe cyo kubaga
• Clevidipine injection, itanga uburyo bwo kugenzura umuvuduko w'amaraso neza cyane
• Metoprolol injection ku barwayi bafite ibibazo by'umutima

Buri kimwe muri ibi bisimburwa gifite inyungu zitandukanye n'ibishobora gutera ingaruka mbi. Itsinda ryawe ry'abaganga rizagereranya ibintu nk'uburwayi bwawe bw'umutima, imikorere y'impyiko, uko utwite, n'indi miti mugihe bahitamo uburyo bwiza kuri wewe.

Mu bihe bimwe na bimwe, abaganga bashobora gukoresha imiti ihuriweho cyangwa bagahinduranya hagati y'uburyo butandukanye hashingiwe ku buryo witwara ku miti.

Ese Hydralazine Injection iruta Labetalol?

Inshinge ya hydralazine na inshinge ya labetalol zombi zigira akamaro mugukontorora umuvuduko wamaraso mugihe cyihutirwa, ariko zikora muburyo butandukanye kandi zifite inyungu zihariye mubibazo bitandukanye. Nta na imwe iruta iyindi.

Inshinge ya Hydralazine ikunda gukora vuba kandi akenshi ikundwa mugihe cyo gutwita kubera umuvuduko mwinshi wamaraso kuko imaze imyaka myinshi ikoreshwa neza kubagore batwite. Ni uburyo bwiza kandi mugihe ukeneye kugabanya umuvuduko wamaraso vuba kandi udafite ibibazo byumutima.

Inshinge ya Labetalol, ku rundi ruhande, ikunda gutanga uburyo bwo kugenzura umuvuduko wamaraso uhamye hamwe no guhindagurika guke. Akenshi ikundwa nabarwayi barwaye indwara zumutima kuko nanone itinda umuvuduko wumutima, igabanya umurimo wumutima.

Itsinda ryawe ryubuvuzi rizagena bitewe nibibazo byawe byihariye, amateka yawe yubuvuzi, nuburyo umubiri wawe witwara mugihe uvurwa. Imiti yombi irizewe kandi ifite akamaro mugihe ikoreshejwe neza nabaganga babigize umwuga babihuguriwe.

Ibikunze Kubazwa Kubijyanye n'Inshinge ya Hydralazine

Q1. Ese Inshinge ya Hydralazine irizewe mugihe cyo gutwita?

Yego, inshinge ya hydralazine muri rusange ifatwa nkizewe mugihe cyo gutwita kandi mubyukuri ni umwe mumiti ikundwa mugihe cyo kuvura umuvuduko mwinshi wamaraso kubagore batwite. Ifite imyaka myinshi yamakuru yubuziranenge mugihe cyo gutwita kandi akenshi nicyo gihitamo cya mbere kubibazo nka preeclampsia.

Uyu muti ntugera cyane muri placenta mumubare wangiza, kandi urinda neza nyina numwana kuva mukaga k'umuvuduko mwinshi wamaraso. Itsinda ryawe ryubuvuzi rizagukurikiranira hafi mugihe uvurwa kugirango wemeze ibisubizo byiza kuri wowe numwana wawe.

Q2. Nkwiriye gukora iki niba mbonye inshinge ya Hydralazine ku buryo butunganye?

Ntugomba guhangayika ku bijyanye no kwakira urukingo rwa hydralazine rwinshi kubera ko abaganga bafite ubumenyi bahora barutanga mu buryo bwagenzuwe. Babara neza imiti kandi bagakurikirana uko ubuzima bwawe buhagaze buri gihe.

Niba byaba bibayeho ko wahawe imiti myinshi, abaganga bawe bahita bamenya ibimenyetso (nk'umuvuduko w'amaraso uri hasi cyane) maze bagafata ingamba zikwiye. Bafite imiti n'uburyo bwo guhangana n'ingaruka no gushyigikira umuvuduko w'amaraso yawe kugeza igihe imiti iviramo.

Q3. Nkwiriye gukora iki niba nsubiza urukingo rwa hydralazine?

Kutabona urukingo rwa hydralazine ntabwo ari ikintu ugomba guhangayikaho kuko abaganga bafata neza gahunda yawe yo gufata imiti rwose. Bazaguha umuti neza igihe uwukeneye bitewe n'uko umuvuduko w'amaraso yawe uhagaze n'uburwayi bwawe.

Niba hariho gutinda mu gihe cyagenwe cyo gufata umuti, abaganga bawe bazahindura gahunda yawe yo kuvurwa uko bikwiye. Bakurikirana buri gihe uko ubuzima bwawe buhagaze kandi barashobora guhindura igihe cyangwa imiti uko bikwiye kugirango bagukingire.

Q4. Nshobora guhagarika ryari gufata urukingo rwa hydralazine?

Uzahagarika kwakira urukingo rwa hydralazine igihe umuvuduko w'amaraso yawe umaze guhagarara kandi abaganga bawe bashobora kukujyana neza ku miti yo kunywa cyangwa izindi nshuti. Ibi bikunda kuba nyuma y'amasaha make cyangwa iminsi mike, bitewe n'uko ubuzima bwawe buhagaze.

Abaganga bawe bazagabanya buhoro buhoro inshuro yo guterwa inshinge mugihe batangira kuguha imiti yo kugabanya umuvuduko w'amaraso igihe kirekire. Bazemeza ko umuvuduko w'amaraso yawe uguma uhagaze muri iki gihe mbere yo guhagarika burundu inshinge.

Q5. Nshobora gutwara imodoka nyuma yo kwakira urukingo rwa hydralazine?

Oya, ntugomba gutwara imodoka umaze guterwa urushinge rwa hydralazine. Uyu muti ushobora gutera isereri, umutwe, n'izindi ngaruka zishobora kugutera kutabasha gutwara neza. Ubusanzwe uzaba uri mu bitaro aho gutwara imodoka atari ikibazo.

N'iyo umaze gusezererwa, abaganga bawe bazakugira inama igihe bizaba byemewe kongera gutwara imodoka bitewe n'uko wumva umeze n'indi miti urimo gufata. Buri gihe jya ukurikiza inama zidasanzwe z'ikipe y'ubuvuzi ku bijyanye no gusubira mu bikorwa bisanzwe.