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

Methylergonovine ni umuti wandikirwa na muganga ufasha igituntu cyawe kwikurura neza nyuma yo kubyara cyangwa gutakaza inda. Uyu muti ukora uhwitura imitsi yoroshye y'igituntu cyawe, ibyo bifasha kugenzura amaraso no kureba ko igituntu cyawe gisubira mu bunini bwasanzwe. Abaganga bakunda kwandika uyu muti iyo umubiri wawe ukeneye ubufasha bwihariye mu gukira nyuma yo kubyara.

Methylergonovine ni iki?

Methylergonovine ni umwe mu itsinda ry'imiti yitwa ergot alkaloids, ikomoka ku gihumyo gikura ku mbuto zimwe na zimwe. Uyu muti wihariye ugamije imitsi yo mu gituntu cyawe, bituma yikurura mu buryo bugenzurwa. Bitekereze nk'uko uha igituntu cyawe imbaraga zihariye zikenewe kugira ngo gikore akazi kacyo neza nyuma yo kubyara.

Uyu muti uza mu buryo bw'ibinini kandi akenshi wandikirwa gukoreshwa mu gihe gito. Muganga wawe azagena urugero ruzwi neza n'igihe bizamara bitewe n'uburwayi bwawe bwihariye. Ni ngombwa gusobanukirwa ko uyu muti ukwiye gukoreshwa gusa hakurikijwe ubuyobozi bwa muganga, kuko ugira ingaruka ku mikururire y'imitsi y'ingenzi mu mubiri wawe.

Methylergonovine ikoreshwa mu iki?

Methylergonovine ikoreshwa cyane cyane mu gukumira cyangwa kuvura kuva amaraso menshi nyuma yo kubyara, icyo gihe cyitwa postpartum hemorrhage. Nyuma yo kubyara, igituntu cyawe kigomba kwikurura neza kugira ngo gihagarike imitsi y'amaraso aho placenta yari ifatanye. Rimwe na rimwe, igituntu cyawe ntigishobora kwikurura neza ku giti cyacyo, ibyo bishobora gutera kuva amaraso y'akaga.

Abaganga kandi bakoresha uyu muti nyuma yo gukuramo inda cyangwa gukuramo inda kugira ngo bafashe kugenzura kuva amaraso no kureba ko ibice byose by'inda byakuweho. Uyu muti ufasha igituntu cyawe kwikurura neza, ugabanya ibyago by'ingorane no guteza imbere gukira vuba.

Mu bindi bihe, abaganga bashobora kwandika methylergonovine kugira ngo ifashe mu gukuramo umura iyo utavuye mu buryo busanzwe nyuma yo kubyara. Iyi mikoreshereze isaba gukurikiranwa na muganga witonze kugira ngo umubyeyi n'umwana bagume bafite umutekano muri icyo gihe.

Methylergonovine ikora ite?

Methylergonovine ikora ikora yifatanya n'uturemangingo twihariye mu turemangingo tw'imitsi yoroshye y'inda yawe. Iyo umuti wifatanyije n'utwo turemangingo, utera imitsi gukomera cyane kandi bihoraho bifasha guhagarika imitsi y'amaraso no kugabanya kuva amaraso. Iyi nzira isa n'ibiba mu buryo busanzwe mu gihe cyo kubyara, ariko umuti utanga imitsi ikomera kandi irambye.

Uyu muti ufashwe nk'ufite imbaraga nyinshi, bivuze ko utanga ingaruka zikomeye kabone n'iyo ufashwe mu doze nto. Izi mbaraga zituma bikora neza mu kugenzura kuva amaraso, ariko nanone bivuze ko umuti ugomba gukoreshwa witonze ukurikiranwa na muganga. Imitsi ikomera utanga akenshi iba ikomeye kandi ikamara igihe kirekire kurusha iyo umubiri wawe wakora mu buryo busanzwe.

Umubiri wawe winjiza methylergonovine vuba iyo ifashwe mu kanwa, ingaruka zikunda gutangira mu minota 5 kugeza kuri 10. Uyu muti ukomeza gukora amasaha menshi, uha inda yawe umwanya wo gukomera neza kandi umubiri wawe ukabona umwanya wo gutangira gukira mu buryo busanzwe.

Nagomba gufata nte methylergonovine?

Fata methylergonovine nk'uko umuganga wawe abitegeka, akenshi hamwe n'ikirahure cyuzuye cy'amazi. Ushobora gufata uyu muti hamwe n'ibiryo cyangwa utabifite, ariko kuwufata hamwe n'ibiryo bishobora gufasha kugabanya ibibazo byo mu nda niba wumva ububabare ubwo aribwo bwose bwo mu nzira y'igogora. Abantu benshi babona ko byoroshye gufata umuti mu gihe kimwe buri munsi kugira ngo bagumane urwego rwo hejuru mu mubiri wabo.

Umuvuzi wawe w’ubuzima azaguha amabwiriza yihariye yerekeye igihe, cyane cyane niba ufata umuti mu gihe cyo konsa. Abaganga bamwe basaba gufata urugero nyuma yo konsa kugira ngo bagabanye umubare w’umuti winjira mu mata. Buri gihe ukurikize ubuyobozi bwihariye bw’umuganga wawe ku bijyanye n’igihe n’iteganyirizwa.

Ntugasenye, utahe cyangwa umenagure ibinini keretse umuganga wawe akubwiye kubikora. Ubimire byose hamwe n'amazi kugira ngo wemeze ko wakiriye urugero rukwiye. Niba ugira ikibazo cyo kumira ibinini, ganira n'umuvuzi wawe w'ubuzima ku bindi bisubizo cyangwa uburyo bushobora gufasha.

Nzagomba kumara igihe kingana iki mfata Methylergonovine?

Abantu benshi bafata methylergonovine mu gihe gito, akenshi kiva ku minsi mike kugeza ku cyumweru kimwe. Umuganga wawe azagena igihe nyacyo hashingiwe ku buryo umubiri wawe witwara neza ku muti no ku buryo vuba igituntu cyawe kigaruka ku bunini bwasanzwe n'imikorere.

Uburyo busanzwe bwo kuvura akenshi bukubiyemo gufata umuti buri masaha 6 kugeza kuri 8 mu minsi mike ya mbere nyuma yo kubyara cyangwa igikorwa. Umuvuzi wawe w’ubuzima azagenzura iterambere ryawe kandi ashobora guhindura kenshi cyangwa igihe hashingiwe ku gukira kwawe. Abagore bamwe bashobora gukenera umuti kugeza ku cyumweru, mu gihe abandi bashobora kuwukenera iminsi 2 kugeza kuri 3.

Ntuzigere uhagarika gufata methylergonovine ako kanya utabanje kuvugana n'umuganga wawe. Nubwo igihe cyo kuvura akenshi kiba gito, umuvuzi wawe w’ubuzima akeneye gusuzuma niba ari byiza ko uhagarika umuti. Bashobora gushaka kureba iterambere ryawe mbere yo kuguha uburenganzira bwo guhagarika.

Ni izihe ngaruka ziterwa na Methylergonovine?

Kimwe n'imiti yose, methylergonovine irashobora gutera ingaruka, nubwo abantu benshi bayihanganira neza iyo ikoreshejwe nkuko byategetswe. Ingaruka zisanzwe akenshi ziba zoroshye kandi z'agateganyo, akenshi zikongera uko umubiri wawe wimenyereza umuti.

Ibi ni bimwe mu bimenyetso bikunze kugaragara bishobora kukubaho:

• Kuruka cyangwa kubabara mu nda
• Kuruka
• Impiswi
• Umutwe
• Urugero cyangwa kumva urushije
• Kubabara mu nda cyangwa mu gifu
• Kuzamuka kw'igihe gito kw'umuvuduko w'amaraso

Ibi bimenyetso bikunze kugaragara mubisanzwe ntibisaba ubufasha bw'abaganga keretse bibaye bikabije cyangwa bikamara igihe kirekire kuruta uko byari byitezwe. Ariko, ugomba guhora wumva wisanzuye kuvugana n'umuganga wawe niba ufite impungenge ku bimenyetso byose.

Ibimenyetso bikabije birakunda kuboneka ariko bisaba ubufasha bw'abaganga bwihutirwa. Ibi bimenyetso bidakunze kugaragara ariko by'ingenzi birimo:

• Umutwe ukabije kandi udashira
• Kubabara mu gituza cyangwa guhumeka bigoranye
• Ibimenyetso by'umuvuduko ukabije w'amaraso (nk'umutwe ukabije utunguranye, kubona ibitagaragara neza, cyangwa urujijo)
• Ibimenyetso byo kwibasirwa n'umubiri (uruhu rurya, kubabuka, kubyimba, urugero rukabije)
• Impinduka zidasanzwe mu mutima
• Kubabara mu nda bikabije cyangwa bimara igihe kirekire

Niba ubonye kimwe muri ibi bimenyetso bikabije, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa. Ibi bimenyetso bishobora kwerekana uburyo bukomeye bukeneye kuvurwa vuba.

Ninde utagomba gufata Methylergonovine?

Methylergonovine ntibishoboka kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kugusabira uyu muti. Uyu muti ushobora guhura n'uburwayi runaka n'indi miti, bishobora gutera ingorane zikomeye.

Ntabwo ugomba gufata methylergonovine niba ufite kimwe muri ibi bikurikira:

• Umubyibuho ukabije w'amaraso (hypertension) udakira neza
• Indwara y'umutima cyangwa amateka y'ibibazo by'umutima
• Indwara z'imitsi cyangwa ibibazo by'imikorere y'amaraso
• Indwara y'impyiko cyangwa imikorere mibi y'impyiko
• Indwara y'umwijima cyangwa ibibazo by'imikorere y'umwijima
• Allergies zizwi ku bintu byitwa ergot alkaloids
• Ubwandu bw'indwara zimwe na zimwe

Muganga wawe azanakenera kumenya imiti yose urimo gufata, harimo imiti yandikwa na muganga, imiti igurishwa idasabye uruhushya, n'ibindi byongerera imbaraga umubiri. Imiti imwe na imwe ishobora gukorana nabi na methylergonovine, cyane cyane iyo igira ingaruka ku mikorere y'amaraso cyangwa umutima.

Inda ni ikindi kintu cy'ingenzi cyo kuzirikana, nubwo uyu muti ukoreshwa cyane nyuma yo kubyara. Niba utwite ukoresha methylergonovine, vugana n'umuganga wawe ako kanya, kuko uyu muti ushobora gutera ibibazo bikomeye mu gihe cyo gutwita.

Amazina y'ubwoko bwa Methylergonovine

Methylergonovine iboneka mu mazina menshi y'ubwoko butandukanye, Methergine ikaba ariyo izwi cyane. Ushobora no kuyibona yandikwa nka Methylergonovine Maleate, bivuga umunyu wihariye w'uyu muti ukoreshwa mu mapirisi.

Abakora imiti batandukanye bashobora gukora ubwoko bwa methylergonovine, ariko bose bakoresha ikintu kimwe gikora kandi gikora kimwe. Farumasi yawe ishobora kuguha ubwoko bw'izina ry'umuti cyangwa ubundi bwoko, bitewe n'ubwishingizi bwawe n'uko ihari.

Uko wakwakira methylergonovine y'izina ry'umuti cyangwa ubundi bwoko, uyu muti ugomba gukora kimwe. Ubwoko bwa generic bugomba guhura n'amabwiriza amwe yo kurengera ubuzima n'imikorere neza nk'imiti y'izina ry'umuti, bityo ukaba wizeye ubuziranenge n'ikizere cyayo.

Uburyo bwo gusimbuza Methylergonovine

Imiti indi myinshi irashobora gufasha kugenzura kuva amaraso nyuma yo kubyara, nubwo muganga wawe azahitamo uburyo bwiza bushingiye ku miterere yawe. Oxytocin ni undi muti ukoreshwa cyane utera imitsi y'umura gukorana, nubwo akenshi itangwa nk'urushinge aho gutangwa mu buryo bw'ibinini.

Carboprost na misoprostol ni izindi nzira ebyiri zikora mu buryo butandukanye ariko zishobora no gufasha kugenzura kuva amaraso nyuma yo kubyara. Buri muti ufite inyungu zawo n'ingaruka zishobora guterwa, bityo umuganga wawe azatekereza ibintu nk'amateka yawe y'ubuvuzi, uko ubuzima bwawe buhagaze ubu, n'uburemere bwo kuva amaraso yawe mugihe uhitamo uburyo bwiza bwo kuvura.

Mu bihe bimwe na bimwe, uburyo butari ubw'imiti bushobora gukoreshwa hamwe cyangwa aho gukoresha methylergonovine. Ibi birimo gukanda umura, uburyo bwo gukanda, cyangwa izindi nzira z'ubuvuzi bitewe n'uko ibintu bimeze. Itsinda ryawe ry'ubuvuzi rizakorana nawe kugirango rimenye gahunda y'ubuvuzi ikwiriye kubyo ukeneye.

Ese Methylergonovine iruta Oxytocin?

Methylergonovine na oxytocin ni imiti ikora neza mugukontorora kuva amaraso nyuma yo kubyara, ariko bakora muburyo butandukanye gato kandi bafite inyungu zitandukanye. Methylergonovine itera imitsi ikorana igihe kirekire, mugihe oxytocin itera imitsi ikorana isa cyane n'imitsi isanzwe yo kubyara.

Methylergonovine ifite inyungu zo kuboneka mu buryo bw'ibinini, bituma byoroha gukoresha murugo nyuma yo kuva mu bitaro. Oxytocin akenshi itangwa nk'urushinge cyangwa IV infusion, akenshi bisaba ko uri mu kigo cy'ubuvuzi. Ibi bituma methylergonovine yoroha gukoresha mugihe cyo gukomeza kuvurwa nyuma yo gutaha.

Ariko, oxytocin akenshi ifatwa nk'umutekano ku bantu bafite umuvuduko ukabije w'amaraso cyangwa indwara z'umutima, kuko ntibikunda gutera izamuka ry'umuvuduko w'amaraso rishobora guteza akaga. Muganga wawe azatekereza ku buzima bwawe muri rusange, amateka yawe y'ubuvuzi, n'icyo uri gukenera mu gihe afata icyemezo cy'umuti ukugirira neza.

Ibibazo Bikunze Kubazwa Kuva Ku Methylergonovine

Q1. Ese Methylergonovine ni umutekano ku bagore bonsa?

Methylergonovine irashobora kujya mu mata y'ibere, ariko akenshi ifatwa nk'umutekano ku bagore bonsa iyo ikoreshejwe nk'uko byategetswe n'umuganga. Umubare ujya mu mata y'ibere akenshi ni muto, kandi abana benshi ntibagira ingaruka mbi ziterwa n'iyi ngaruka.

Ariko, abana bamwe bashobora kugira ibibazo byoroheje byo mu gifu, nk'uburakari cyangwa impinduka mu buryo bwo kurya, mu gihe ababyeyi babo bafata umuti. Niba ubonye impinduka mu myitwarire y'umwana wawe cyangwa imyifatire yo kurya, hamagara muganga wawe kugira ngo agufashe. Muganga wawe ashobora kugusaba gukoresha imiti yawe nyuma yo konsa kugira ngo ugabanye umubare w'umuti mu mata yawe mu gihe cyo konsa gikurikira.

Q2. Nzakora iki niba nanyweye Methylergonovine nyinshi bitunguranye?

Niba utunguranye ukanywa Methylergonovine nyinshi kuruta uko byategetswe, hamagara umuganga wawe cyangwa ikigo gishinzwe kugenzura ubumara ako kanya. Kunywa umuti mwinshi cyane bishobora gutera izamuka ry'umuvuduko w'amaraso rishobora guteza akaga, kubabara umutwe cyane, n'izindi ngorane zikomeye zisaba ubufasha bw'ubuvuzi.

Ntugategereze ngo urebe niba ibimenyetso bigaragara - shakisha ubufasha ako kanya kabone n'iyo wumva umeze neza. Ingaruka zo kunywa umuti mwinshi ntizishobora kugaragara ako kanya, kandi ubufasha bw'ubuvuzi bw'igihe ni ingenzi ku mutekano wawe. Bika urupapuro rw'umuti hamwe nawe igihe ushakisha ubufasha kugira ngo abaganga babone neza icyo wanyoye n'ingano yacyo.

Q3. Nzakora iki niba nirengagije kunywa Methylergonovine?

Niba wibagiwe gufata urugero rwa methylergonovine, rufate uko wibuka vuba, keretse igihe cyo gufata urugero rwawe ruteganyijwe rwegereje. Muri icyo gihe, reka urugero wibagiwe urukore, ukomeze gahunda yawe isanzwe yo gufata imiti. Ntukigere ufata urugero ebyiri icyarimwe kugira ngo usubize urugero wibagiwe, kuko ibyo bishobora gutera ingaruka mbi.

Niba ukunda kwibagirwa gufata imiti, gerageza gushyiraho ibyibutsa kuri terefone yawe cyangwa kubika umuti ahantu ubona neza. Igihe cyose gifasha kugumana urugero rwawo ruri hejuru mu mubiri wawe, ibyo bikaba ari ingenzi kugira ngo uvurwe neza. Niba utazi icyo wakora nyuma yo kwibagirwa gufata urugero, vugana n'umuganga wawe kugira ngo aguhe ubuyobozi bwihariye.

Q4. Ni ryari nshobora kureka gufata Methylergonovine?

Ugomba kureka gufata methylergonovine gusa igihe umuganga wawe akubwiye ko byemewe. Icyemezo nk'iki gikunze gushingira ku buryo nyababyeyi yawe ikora yonyine n'uko amaraso yawe yagabanutse bihagije. Abantu benshi bashobora kureka umuti mu minsi mike kugeza ku cyumweru nyuma yo gutangira kuvurwa.

Umuganga wawe ashobora kwifuza kukugenzura mbere yo guhagarika umuti kugira ngo yemeze ko imikorere yawe ikomeza neza. Bazagenzura ibintu nk'uko amaraso yawe akora, ubunini bwa nyababyeyi yawe, n'imikorere yawe yose. Ntukareke gufata umuti wenyine, kabone n'iyo wumva umeze neza, kuko ibyo bishobora gutera amaraso cyangwa izindi ngorane.

Q5. Nshobora gufata imiti igabanya ububabare nkanjye nkoresha Methylergonovine?

Imiti myinshi igabanya ububabare itagurishwa ku isoko nk'acetaminophen cyangwa ibuprofen birashobora gufatwa hamwe na methylergonovine, ariko ugomba kubanza kubisuzumisha umuganga wawe. Imiti imwe igabanya ububabare ishobora guhura na methylergonovine cyangwa ikagira ingaruka ku mitsi yawe y'amaraso, bityo ni ngombwa kubona ubuyobozi bw'inzobere ku byo byemewe ku miterere yawe yihariye.

Muganga wawe ashobora kugusaba imiti imwe n'imwe igabanya ububabare kugira ngo ifashe mu kugabanya kuribwa cyangwa kutumva neza bishobora guterwa no kwikanyiza kw'inkondo y'umura. Bashobora gutanga inama zihariye zishingiye ku mateka yawe y'ubuzima n'uko ubuzima bwawe buhagaze ubu. Ntukigere wibwira ko uruvange urwo arirwo rwose rw'imiti rufite umutekano udafite icyemezo cy'umwuga, cyane cyane iyo uri gukira nyuma yo kubyara cyangwa uburyo bwo kuvurwa.