Ibuprofen Lysine (inzira yo mu maraso): Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Ibuprofen lysine ni ubwoko bwihariye bwa ibuprofen abaganga batanga banyuzije mu muyoboro w'urushinge (intravenous) mu maraso yawe. Uyu muti ukoreshwa cyane ku bana bavuka vuba bafite indwara y'umutima yitwa patent ductus arteriosus, aho umuyoboro w'amaraso hafi y'umutima udasozwa neza nyuma yo kuvuka.

Bitandukanye n'ibinini bya ibuprofen cyangwa amazi ushobora kunywa mu rugo kubera ububabare cyangwa umuriro, ubu bwoko bwo mu maraso bukora vuba kandi neza. Bikoreshwa gusa mu bitaro bitunganyirijwe n'abaganga, bituma abaganga babasha kugenzura neza umuti umwana wawe ahabwa.

Icyo Ibuprofen Lysine ikoreshwa

Ibuprofen lysine ifite intego imwe nyamukuru: gufasha gufunga patent ductus arteriosus (PDA) ku bana bavukiye igihe kitaragera. PDA ni umuyoboro muto w'amaraso uhuza imitsi ibiri minini hafi y'umutima, kandi ugomba gufunga mu buryo busanzwe mu minsi mike ya mbere y'ubuzima.

Iyo uyu muyoboro ugumye ukinguye ku bana bavukiye igihe kitaragera, bishobora gutera ibibazo byo guhumeka no gushyira umutwaro mwinshi ku mutima. Uyu muti ukora ubuza imisemburo imwe mu mubiri ituma uyu muyoboro ukinguye, ukawufasha gufunga mu buryo busanzwe nk'uko byagakwiye kuba byaragenze nyuma yo kuvuka.

Rimwe na rimwe abaganga bashobora gukoresha uyu muti mu gufasha kugabanya umuriro cyangwa kubyimba ku bana bavuka vuba iyo izindi nshuti zitabayeho. Ariko, gufunga PDA biracyari icyo ukoreshwa cyane kandi cy'ingenzi mu bitaro.

Ibyo Ibuprofen Lysine ikora

Ibuprofen lysine ifatwa nk'umuti ukomeye ukora ubuza imisemburo yitwa cyclooxygenases (imisemburo ya COX). Iyi misemburo itanga ibintu byitwa prostaglandins, bituma ductus arteriosus ikinguye mu gihe cyo gutwita no mu ntangiriro z'ubuzima.

Mugukingira izo prostaglandins, umuti utuma imitsi yoroshye mu rukuta rw'umubiri w'amaraso yikurura igafunga icyuho. Ibi bikunda kuba nyuma y'amasaha 24 kugeza kuri 48 nyuma yo kuvurwa, nubwo abana bamwe bashobora gukenera doze nyinshi.

Igice cya lysine cy'umuti gifasha gukora ibuprofen irushijeho gushonga mu mazi, bivuze ko ishobora gutangwa neza binyuze mu murongo wa IV. Ibi kandi bifasha umuti gukora vuba kurusha uburyo bwo kunywa kuko ujya mu maraso ako kanya.

Ibuprofen Lysine Igomba Gutangwa Gute?

Ibuprofen lysine itangwa buri gihe n'abakozi b'ibitaro bahawe imyitozo binyuze mu murongo wa IV, ntabwo itangwa mu kanwa cyangwa mu rugo. Uwo muti uza mu ifu abaganga cyangwa abaganga bavanga n'amazi yera mbere yo kuyiha umwana wawe.

Umuti utangwa buhoro buhoro mu gihe cy'iminota 15 unyuze mu murongo wa IV. Umwana wawe ntabwo akeneye kurya cyangwa kunywa ikintu cyihariye mbere cyangwa nyuma yo guhabwa uyu muti kuko ujya mu maraso ako kanya.

Abana benshi bakira ubu buvuzi mugihe bari muri neonatal intensive care unit (NICU) cyangwa nursery yihariye. Itsinda ry'abaganga rizakurikirana umuvuduko w'umutima w'umwana wawe, guhumeka, n'ibindi bimenyetso by'ingenzi cyane mugihe cyose na nyuma ya buri doze.

Ibuprofen Lysine Igomba Gukoreshwa Igihe Kingana Gite?

Uburyo busanzwe bwo kuvura bukubiyemo doze eshatu zitangwa mu minsi mike, mubisanzwe hagati ya doze imwe n'imwe hakaba amasaha 24. Abana benshi bitwara neza kuri iyi gahunda isanzwe yo kuvura, hamwe na PDA ifunga rwose muminsi mike.

Niba uburyo bwa mbere butagize icyo bugeraho, muganga wawe ashobora gushimangira urukurikirane rwa kabiri rwa doze eshatu nyuma yo gutegereza iminsi mike. Ariko, niba PDA itarafunge nyuma y'uburyo bubiri bwuzuye, umwana wawe ashobora gukenera uburyo butandukanye bwo kuvura.

Igihe cyose cyo kuvura ntigikunda kurenza icyumweru kimwe, kandi abana benshi babona impinduka nyuma ya doze ya mbere cyangwa iya kabiri. Itsinda ryawe ry’abaganga rizakoresha ibizamini bya ultrasound kugirango barebe niba PDA ifunga neza mugihe cyose cyo kuvurwa.

Ni izihe ngaruka ziterwa na Ibuprofen Lysine?

Kimwe n’imiti yose, ibuprofen lysine irashobora gutera ingaruka, nubwo abana benshi bayihanganira neza. Itsinda ry’abaganga rikora isuzuma ryitondewe ry’izi ngaruka kuko abana bavuka bashya ntibashobora kutubwira uko bumva bameze.

Hano hari ingaruka zisanzwe abaganga bakurikirana mugihe cyo kuvura:

• Impinduka mu musaruro w'inkari (gukora inkari nkeya kuruta uko bisanzwe)
• Impinduka ntoya mu mitsi y'amaraso
• Impinduka z'agateganyo mu bizamini by'amaraso bipima imikorere y'impyiko
• Impinduka ntoya mu mutima
• Kudashimishwa guto mu igogora

Izi ngaruka zisanzwe zikunda gukemuka vuba kandi ntizitera ibibazo birambye iyo zamenyekanye hakiri kare.

Ingaruka zikomeye ntizikunda kugaragara ariko zisaba ubufasha bwihuse buturutse mu itsinda ryawe ry’abaganga:

• Ibibazo bikomeye by’impyiko cyangwa guhagarika burundu umusaruro w’inkari
• Ukuva amaraso gukabije, cyane cyane mu bwonko cyangwa mu nzira y'igogora
• Ibibazo bikomeye by’umuvuduko w’umutima
• Uko kwitabira bikomeye kw’umubiri hamwe n’ingorane zo guhumeka
• Impinduka zikomeye mu kuvura amaraso

Abakozi bo mu bitaro bakurikirana izi ngaruka zikomeye buri gihe, bakoresha ibizamini by'amaraso n'izindi ngamba kugirango bamenye ibibazo byose hakiri kare.

Ingaruka zimwe na zimwe zidasanzwe ariko z'ingenzi zirashobora gutera nyuma y'igihe, harimo ibibazo byo kumva cyangwa ibibazo byimpyiko bigoye. Itsinda ry’abaganga ry’umwana wawe rizakomeza gukurikirana kabone niyo kuvurwa kurangira kugirango barebe neza ko byose bikira neza.

Ninde utagomba guhabwa Ibuprofen Lysine?

Abana bamwe ntibashobora guhabwa ibuprofen lysine kubera izindi ngorane z'ubuzima cyangwa ibindi bibazo. Itsinda ry'abaganga banyu risuzuma neza uko ubuzima bw'umwana wawe buhagaze mbere yo kugusaba ubu buvuzi.

Abana batagomba guhabwa uyu muti barimo abafite:

• Ibibazo bikomeye by'impyiko cyangwa imyanda mike cyane
• Kuva amaraso ahantu hose mu mubiri
• Kunanirwa k'umutima cyane cyangwa ubumuga bumwe na bumwe bw'umutima
• Allergies zizwi kuri ibuprofen cyangwa imiti isa nayo
• Ibibazo bikomeye by'umwijima
• Uburwayi bumwe na bumwe bwo gupfuka amaraso

Byongeye kandi, abana bavutse mbere y'igihe (batarengeje ibyumweru 32) cyangwa abapima munsi ya kiro 0.7 ntibashobora kuba abakandida beza kuri ubu buvuzi.

Abana bamwe ntibashobora gukwirana n'ubuvuzi niba bafite ibibazo bikomeye by'ibihaha, bakoresha indi miti, cyangwa bafite izindi ngorane z'ubuzima zikomeye. Umuganga wawe w'abana bazavuka mbere y'igihe azatekereza ibi bintu byose neza mbere yo gufata icyemezo cyo kuvura.

Amazina y'ubwoko bwa Ibuprofen Lysine

Ibuprofen lysine yo guterwa ni urushinge iboneka munsi y'amazina menshi y'ubwoko, NeoProfen ikaba ariyo ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Ibindi bihugu bishobora kugira amazina y'ubwoko atandukanye kuri uyu muti.

Tutitaye ku izina ry'ubwoko, ubwoko bwose burimo ikintu kimwe gikora kandi gikora kimwe. Farumasi y'ibitaro izategura ubwo bwoko bafite, kandi byose bifite akamaro kamwe mu kuvura PDA.

Uburyo bwo gusimbuza Ibuprofen Lysine

Niba ibuprofen lysine idakwiranye n'umwana wawe cyangwa idakora neza, abaganga bafite izindi nzira zo kuvura zihari. Guhitamo biterwa n'uko umwana wawe ahagaze neza n'ubuzima bwe muri rusange.

Uburyo nyamukuru bwo mu buvuzi ni indomethacin, undi muti ukora kimwe no gufunga PDA. Abana bamwe basubiza neza ku muti umwe kuruta undi, kandi muganga wawe ashobora kugerageza indomethacin niba ibuprofen lysine itagize icyo ikora.

Ku bana badashobora guhabwa imiti yombi mu buryo bwizewe, gufunga PDA mu kubaga ni uburyo bumwe. Ibi bikubiyemo uburyo buto bwo gufunga imitsi y'amaraso burundu, akenshi bikorwa n'abaganga babaga imitima y'abana.

Rimwe na rimwe abaganga bashobora gushyiraho gukurikiranira hafi PDA gusa batavuyeho kuvura ako kanya, cyane cyane niba umwana wawe ameze neza kandi umwanya ufunguye ari muto. PDA nyinshi nto zifunga zonyine uko abana bakura bagakomera.

Ese Ibuprofen Lysine iruta Indomethacin?

Ibuprofen lysine na indomethacin ni imiti ikora neza mu gufunga PDA ku bana bavutse, kandi ubushakashatsi bwerekana ko zikora kimwe ku bana benshi. Guhitamo hagati yazo akenshi biterwa n'ubuzima bwihariye bw'umwana wawe n'umuti ushobora kuba mwiza.

Ibuprofen lysine ishobora kuba yoroshye ku mpyiko kandi igatuma impinduka nkeya mu mikorere y'amaraso mu bwonko no mu zindi ngingo. Ibi bishobora kuyigira nziza ku bana bafite ibibazo by'impyiko cyangwa izindi ngorane.

Indomethacin imaze igihe ikoreshwa kandi ishobora gukora vuba gato mu bihe bimwe, ariko ishobora kugira ingaruka nyinshi ku mikorere y'impyiko n'imikorere y'amaraso. Itsinda ryawe ry'abaganga rizagena umuti utekanye kandi ushobora gukora ku buzima bwihariye bw'umwana wawe.

Imiti yombi isaba gukurikiranwa neza kandi ifite urwego rumwe rwo gutsinda mu gufunga PDA, bityo yombi irashobora kuba ihitamo ryiza iyo ikoreshejwe neza.

Ibikunze Kubazwa Kuri Ibuprofen Lysine

Q1. Ese Ibuprofen Lysine irakwiriye ku bana bafite ibibazo by'umutima?

Ibuprofen lysine muri rusange irakwiriye ku bana bafite PDA, nayo ubwayo ikaba ari uburwayi bw'umutima. Ariko, abana bafite ibindi bibazo bikomeye by'umutima cyangwa kunanirwa kw'umutima ntibashobora kuba abakandida beza kuri ubu buvuzi.

Umutima w'umwana wawe (cardiologist) n'umuganga w'abana bavuka vuba (neonatologist) bazakorana kugira ngo bamenye niba uyu muti ufite umutekano bitewe n'ubwoko bwihariye n'uburemere bw'ibibazo byose by'umutima. Bazareba uko umutima w'umwana wawe ukora neza niba gufunga PDA bizafasha cyangwa bishobora guteza izindi ngorane.

Q2. Nkwiriye gukora iki niba umwana wanjye asa n'uwitabira nabi Ibuprofen Lysine?

Niba ubonye impinduka iyo ari zo zose ku mwana wawe igihe cyangwa nyuma yo kuvurwa, bimenyeshe umuforomo cyangwa umuganga wawe ako kanya. Kubera ko umwana wawe ari mu bitaro, itsinda ry'abaganga rihora rikora igenzura ry'ibibazo byose.

Ibimenyetso bishobora kukubabaza harimo impinduka mu ibara ry'uruhu, gusinzira cyane cyangwa kutagira umutuzo, impinduka mu buryo bwo guhumeka, cyangwa niba umwana wawe asa n'utishimiye. Wibuke ko itsinda ry'abaganga riri kureba ibi bintu kandi, ariko ibyo ubona nk'umubyeyi bihora bifite agaciro.

Q3. Biba bite niba umwana wanjye acikanwa n'urugero rwateganyijwe?

Kubera ko ibuprofen lysine itangwa mu bitaro, gucikanwa n'urugero ntibishoboka kubera impanuka. Niba urugero rugomba gutinda bitewe n'uko umwana wawe amerewe cyangwa izindi nshingano z'ubuvuzi, itsinda ryawe ry'abaganga rizagena igihe gikwiye.

Umuti ukora neza iyo utanzwe mu gihe cyateganyijwe, ariko gutinda guto mubisanzwe ntibigira ingaruka ku gutsinda kw'ubuvuzi. Abaganga bawe bazakora uko bashoboye kose kugira ngo umwana wawe abone uburyo bwuzuye bwo kuvurwa mu buryo butekanye bushoboka.

Q4. Ni ryari kuvurwa na Ibuprofen Lysine bishobora guhagarara?

Ubuvuzi mubisanzwe buhagarara nyuma y'urugero rwatanzwe rwa gatatu, cyangwa mbere niba ibizamini byerekana ko PDA yafunzwe rwose. Itsinda ryawe ry'abaganga rikoresha ibizamini bya ultrasound kugira ngo barebe niba igice cy'amaraso kigufunga neza nyuma ya buri rugero.

Niba ingaruka zikomeye zigaragaye, abaganga bawe bashobora guhagarika ubuvuzi kare bakareba izindi nzira. Umwanzuro wo gukomeza cyangwa guhagarika ubuvuzi bihora biterwa n'icyateka kandi gifitiye umwana wawe akamaro muri icyo gihe.

Q5. Ese Umwana Wanjye Azakenera Ubuvuzi Bukurikira Nyuma yo Kuvurwa na Ibuprofen Lysine?

Yego, umwana wawe azakenera ibizamini bya ultrasound bikurikira kugira ngo barebe niba PDA ikomeza gufungwa nyuma y’uko ubuvuzi burangiye. Abana benshi kandi bakeneye ibizamini by'amaraso kugira ngo barebe niba imikorere y'impyiko isubira mu buryo busanzwe.

Gukurikiranwa igihe kirekire na muganga w'umutima w'abana mubisanzwe birasabwa kugira ngo barebe ubuzima bw'umutima w'umwana wawe uko akura. Inkuru nziza ni uko abana ba PDA zabo zifungwa neza n'imiti mubisanzwe bagira ibisubizo byiza by'igihe kirekire n'imikorere isanzwe y'umutima.