Ramiprili ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Ramiprili ni umuti wandikirwa na muganga ugwa mu itsinda ry'imiti yitwa ACE inhibitors, ifasha mu koroshya imitsi y'amaraso yawe kandi bigatuma umutima wawe woroherwa no gusukura amaraso. Niba muganga wawe yaraguhaye ramiprili, birashoboka ko urimo guhangana n'umuvuduko ukabije w'amaraso cyangwa ibibazo bifitanye isano n'umutima, kandi uyu muti ushobora kuba igice cy'ingenzi cyo kugufasha kumva umeze neza no kurengera ubuzima bwawe bw'igihe kirekire.

Abantu benshi bafata ramiprili buri munsi nk'igice cy'ubuzima bwabo bwa buri munsi kugira ngo bacunge indwara zifitanye isano n'umutima n'imitsi y'amaraso. Kumva uko ikora, icyo witegura, n'uko wayifata neza bishobora kugufasha kumva ufite icyizere cyinshi ku buryo uvurwa.

Ramiprili ni iki?

Ramiprili ni ACE inhibitor ikora ibyo ikingira enzyme yihariye mu mubiri wawe ituma imitsi y'amaraso ihagarara. Iyo iyi enzyme yakingiwe, imitsi yawe y'amaraso irashobora koroshya no kwaguka, ibyo bikagabanya umuvuduko ku mikorere y'umutima n'imitsi y'amaraso.

Uyu muti umaze imyaka myinshi ukoreshwa mu buryo bwizewe mu kuvura indwara zitandukanye z'umutima n'umuvuduko w'amaraso. Iza mu buryo bwa capsule kandi ifatwa mu kanwa, akenshi rimwe cyangwa kabiri ku munsi bitewe n'ibyo ukeneye.

Muganga wawe ashobora kugutera ramiprili mu izina ryayo risanzwe cyangwa ushobora kuyibona yanditse mu mazina y'ubucuruzi nka Altace. Uyu muti ni umwe uko byagenda kose izina riri ku icupa ryaba rimeze.

Ramiprili ikoreshwa mu kuvura iki?

Ramiprili ikoreshwa cyane cyane mu kuvura umuvuduko ukabije w'amaraso, uzwi kandi nka hypertension. Umuvuduko ukabije w'amaraso akenshi ntutera ibimenyetso bigaragara, ariko ushobora kwangiza umutima wawe, impyiko, n'izindi ngingo uko igihe kigenda gihita niba utavuwe.

Usibye kugenzura umuvuduko w'amaraso, ramiprili ifite n'izindi nshingano z'ingenzi. Ifasha kurengera umutima wawe nyuma yo guhagarara k'umutima igabanya umurimo ku mikorere y'umutima wawe. Uyu muti unafasha gutinda iterambere ry'indwara z'impyiko ku bantu barwaye diyabete.

Abaganga bamwe bandika ramiprili kugira ngo bagabanye ibyago byo guhura n'indwara y'umutima, umutima guhagarara gukora, cyangwa urupfu ruterwa n'indwara z'umutima mu bantu bafite ibintu byinshi bishobora gutera indwara z'umutima. Iki gikorwa cyo kurinda kibaho kuko umuti ufasha kugumisha imitsi yawe y'amaraso ifite ubuzima bwiza kandi ukagabanya umuvuduko ku mutima wawe.

Ramiprili ikora ite?

Ramiprili ikora yibanda ku nzira yihariye mu mubiri wawe yitwa sisitemu ya renin-angiotensin. Ubusanzwe iyi sisitemu ifasha kugenzura umuvuduko w'amaraso, ariko rimwe na rimwe irarenga urugero ikaba yatera imitsi y'amaraso kwifunga cyane.

Iyo ufata ramiprili, ibuza enzyme yitwa ACE, ibuza ikorwa ry'imisemburo ifunga imitsi y'amaraso. Hamwe n'iyi misemburo mike ikwirakwira, imitsi yawe y'amaraso irashobora koroha no kwaguka, bigatuma amaraso atembera neza muri yo.

Ibi bifatwa nk'umuti wo kugabanya umuvuduko w'amaraso ufite imbaraga ziringaniye zisanzwe zifata ibyumweru bike kugira ngo zerekane ingaruka zazo zose. Bitandukanye n'imiti ikomeye ikora ako kanya, ramiprili itanga uburyo buhoraho kandi buhamye bwo kugenzura umuvuduko w'amaraso umunsi wose.

Nkwiriye gufata ramiprili nte?

Fata ramiprili nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi. Urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, ariko kuyifata n'ibiryo birashobora gufasha kugabanya ibibazo byo mu nda niba ufite ibibazo byo mu igogora.

Mimina ibinini byose hamwe n'ikirahure kinini cy'amazi. Ntukavunagure, ntukayisye, cyangwa ngo ufungure ibinini, kuko ibi bishobora kugira ingaruka ku buryo umuti winjira mu mubiri wawe. Niba ugira ibibazo byo kumira ibinini, ganira n'umuganga wawe ku zindi nzira.

Gerageza gufata ramiprili ku gihe kimwe buri munsi kugira ngo ifashe kugumisha urwego ruringaniye mu maraso yawe. Abantu benshi basanga bifasha kuyifata hamwe na safuli cyangwa ifunguro rya nimugoroba nk'igice cy'imikorere yabo ya buri munsi.

Guma unywa amazi menshi igihe urimo gufata ramiprili, cyane cyane igihe ugitangira gufata uyu muti. Nywa amazi menshi umunsi wose, kandi menya ko ushobora kumva uruka igihe uhagurutse vuba mu byumweru bya mbere.

Nzamara igihe kingana iki mfata Ramiprili?

Ramiprili akenshi ni umuti ufata igihe kirekire, ugomba kuwufata mu mezi cyangwa mu myaka kugira ngo ugumane akamaro kawo. Umuvuduko ukabije w'amaraso n'indwara z'umutima akenshi ni indwara zihoraho zisaba uburyo bwo kuzitaho buri gihe aho kubavura igihe gito.

Muganga wawe azakurikiza uko umubiri wawe witwara ku muti binyuze mu kugenzura buri gihe no gupima amaraso. Ashobora guhindura urugero rw'umuti ukoresha uko igihe kigenda gihita cyangwa akongeraho indi miti niba bibaye ngombwa kugira ngo ubashe kugenzura neza indwara yawe.

Ntukareke gufata ramiprili ako kanya, n'iyo wumva urimo gukira. Umuvuduko w'amaraso yawe ushobora kwiyongera vuba niba uhagaritse gufata umuti ako kanya, ibyo bishobora kukugira mu kaga k'indwara zikomeye nko gufatwa n'umutima cyangwa gukubitwa n'urwara rw'ubwonko.

Ni izihe ngaruka ziterwa na Ramiprili?

Abantu benshi bafata ramiprili neza, ariko nk'indi miti yose, ishobora gutera ingaruka ku bantu bamwe. Kumva icyo witegura bishobora kugufasha kwitegura neza no kumenya igihe wakwibutsa umuganga wawe.

Ingaruka zisanzwe ushobora guhura nazo zirimo gukorora cyane, kuruka igihe uhagurutse, no kumva unaniwe. Ibi bimenyetso akenshi biragabanuka uko umubiri wawe wimenyereza umuti mu byumweru bya mbere.

Dore ingaruka zisanzwe abantu bamwe bahura nazo:

• Gukorora cyane, kudashira
• Kuruka cyangwa kumva uruka, cyane cyane igihe uhagurutse
• Kumva unaniwe cyangwa kumva urushye
• Umutwe mu byumweru bya mbere
• Kuribwa mu nda cyangwa kubabara mu nda
• Kubabara imitsi cyangwa kumva udashoboye

Ibyo bibazo bikunze kugaragara, akenshi biba byoroheje kandi ntibiramba. Ariko, niba bikomeje cyangwa bikabangamira imirimo yawe ya buri munsi, ntugatinye kubiganiraho na muganga wawe.

Abantu bamwe bashobora guhura n'ingaruka zikomeye zikeneye ubufasha bwihuse bwa muganga. Nubwo ibyo bitaba kenshi, ni ngombwa kubimenya kugira ngo usabe ubufasha niba bibaye ngombwa.

Vugana na muganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye:

• Kuribwa cyane cyangwa guhinda umushyitsi
• Umutima utera cyane cyangwa utagenda neza
• Kuribwa mu gituza cyangwa guhumeka bigoye
• Kubyimba mu maso, iminwa, ururimi, cyangwa umuhogo
• Kuribwa cyane mu nda cyangwa kuruka bidahagarara
• Ibimenyetso by'ibibazo by'impyiko nk'imihindukire mu kunyara
• Gukomereka cyangwa kuva amaraso bidasanzwe

Izi ngaruka zikomeye ntizikunze kubaho, ariko zishobora kugaragaza ko umubiri wawe utitabira neza umuti. Muganga wawe ashobora kugufasha kumenya niba ukeneye guhindura urugero rw'umuti ukoresha cyangwa ukagerageza uburyo bwo kuvura butandukanye.

Ninde utagomba gufata Ramipril?

Ramipril ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyikwandikira. Ibyiciro runaka cyangwa ibihe bituma uyu muti ushobora kuba wangiza cyangwa utagira akamaro.

Ntugomba gufata ramipril niba utwite cyangwa uteganya gutwita. Abahagarika ACE bashobora guteza ibibazo bikomeye ku bana bakiri bato, cyane cyane mu gihembwe cya kabiri n'icya gatatu cyo gutwita.

Abantu bafite ibibazo by'ubuzima runaka bakeneye kwitabwaho by'umwihariko cyangwa bashobora gukenera kwirinda ramipril rwose. Muganga wawe azasuzuma niba ari byiza kuri wowe bitewe n'ubuzima bwawe bwite.

Ushobora kutabasha gufata ramipril niba ufite kimwe muri ibi bibazo:

• Amateka y'uburwayi bukomeye bwo kwibasirwa n'imiti ya ACE
• Uburwayi bw'impyiko cyangwa imikorere y'impyiko yagabanutse cyane
• Uburwayi bw'umwijima cyangwa imikorere y'umwijima idahagije
• Ibibazo by'imitsi y'umutima cyangwa indwara zimwe na zimwe z'umutima
• Umuvuduko muke w'amaraso cyangwa amateka yo guta umutwe
• Urugero rwo hejuru rwa potasiyumu mu maraso yawe
• Indwara ziterwa n'umubiri w'umuntu wivumbura, nka lupus cyangwa scleroderma

Muganga wawe azanatekereza ku yindi miti urimo gufata, kuko imiti imwe n'imwe ishobora guhura na ramipril mu buryo bushobora kuba bubi cyangwa bugatuma itagira umumaro.

Amazina y'ubwoko bwa Ramipril

Ramipril iboneka mu mazina menshi y'ubwoko, nubwo verisiyo rusange ikoreshwa cyane. Izina rizwi cyane ni Altace, ryari ubwoko bwa mbere igihe ramipril yatangiraga kuboneka.

Niba wakira ramipril rusange cyangwa verisiyo y'izina ry'ubwoko, ikintu gikora ni kimwe. Imiti rusange igomba kuzuza ubuziranenge bukomeye n'amabwiriza y'imikorere kimwe n'imiti y'izina ry'ubwoko.

Farmasi yawe ishobora gusimbuza ramipril rusange izina ry'ubwoko keretse muganga wawe yanditse by'umwihariko "izina ry'ubwoko gusa" ku gatabo kawe. Iyi simburana irashobora gufasha kugabanya amafaranga yawe y'imiti mugihe itanga inyungu zimwe za therapeutic.

Uburyo bwa Ramipril

Niba ramipril itagukundiye neza cyangwa ikaba itera ingaruka zikomeye, muganga wawe afite imiti myinshi isimbura yo gutekereza. Izindi ACE inhibitors zikora kimwe na ramipril ariko zishobora kwihanganirwa neza nabantu bamwe.

Ubusanzwe ACE inhibitors zisimbura harimo lisinopril, enalapril, na captopril. Iyi miti ikora binyuze muri gahunda imwe ariko ifite imiterere mito itandukanye ya shimi, bivuze ko ushobora kwihanganira imwe neza kuruta iyindi.

Muganga wawe ashobora no gutekereza ku kindi cyiciro cy’imiti igabanya umuvuduko w’amaraso yitwa ARBs (angiotensin receptor blockers) nka losartan cyangwa valsartan. Iyi miti itanga inyungu zisa n’iza ACE inhibitors ariko ikora mu buryo butandukanye gato kandi ntigira urugimbu rwo guhora ukorora.

Izindi nshingano zo kugabanya umuvuduko w’amaraso zirimo calcium channel blockers, beta-blockers, cyangwa diuretics, bitewe n’ubuzima bwawe bwihariye n’uburyo umubiri wawe witwara ku miti itandukanye.

Ese Ramipril iruta Lisinopril?

Byombi, ramipril na lisinopril ni imiti ikora neza ya ACE inhibitors ikora mu buryo busa cyane kugira ngo igabanye umuvuduko w’amaraso kandi irengere umutima wawe. Nta muti n'umwe uruta undi, kuko guhitamo neza biterwa n’uburyo umubiri wawe witwara n’ubuzima bwawe.

Ibyo bitandukanya cyane hagati y’iyi miti ni gahunda y’imiti n’igihe imara mu mubiri wawe. Ramipril akenshi ikenera gufatwa rimwe cyangwa kabiri ku munsi, mu gihe lisinopril ikunze gufatwa rimwe ku munsi.

Abantu bamwe boroherwa n’umuti umwe kuruta undi mu bijyanye n’ingaruka ziterwa. Urugero, niba ugize urugimbu rwo guhora ukorora ukoresha ramipril, ushobora kutagira ikibazo kimwe na lisinopril, cyangwa ibinyuranye.

Muganga wawe azatekereza ku bintu nk’imikorere y’impyiko zawe, indi miti ufata, n’imibereho yawe mu guhitamo hagati y’izi nshingano. Byombi byagaragaye ko bifite umutekano kandi bikora neza mu gihe kirekire.

Ibikunze Kubazwa Kuri Ramipril

Ese Ramipril ifite umutekano ku barwayi ba diyabete?

Yego, ramipril muri rusange ifite umutekano kandi akenshi ifitiye akamaro abantu barwaye diyabete. Mubyukuri, ACE inhibitors nka ramipril akenshi zandikirwa abantu barwaye diyabete kuko zifasha kurengera impyiko zikomereka n’isukari nyinshi ishobora gutera uko igihe kigenda.

Ramiprili ishobora gufasha kugabanya uko indwara ya diyabete yangiza impyiko ikura no kugabanya ibyago byo kurwara indwara z'umutima zikunda kugaragara cyane ku bantu barwaye diyabete. Ariko, muganga wawe azagenzura imikorere y'impyiko zawe n'isukari yo mu maraso yawe cyane iyo uri gufata imiti ya diyabete na ramiprili.

Nkwiriye gukora iki niba nifashishije ramiprili nyinshi ku buryo butunganye?

Niba ufashishije ramiprili nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Gufata nyinshi bishobora gutuma umuvuduko w'amaraso yawe umanuka cyane, bigatuma uribwa umutwe, ugata umutwe, cyangwa izindi ngorane zikomeye.

Ntugategereze ngo urebe niba wumva umeze neza. N'iyo utabona ibimenyetso ako kanya, ni ngombwa kubanza kubaza inama ya muganga ako kanya. Bika urupapuro rw'umuti hamwe nawe igihe urimo guhamagara kugirango utange amakuru nyayo y'umuti wafashe.

Niba urimo guhura n'ibimenyetso bikomeye nk'ingorane zo guhumeka, kuribwa mu gituza, cyangwa gutakaza ubwenge, hamagara serivisi zihutirwa ako kanya aho gutegereza kuvugana na muganga wawe usanzwe.

Nkwiriye gukora iki niba nirengagije doze ya ramiprili?

Niba wibagiwe doze ya ramiprili, yifate ako kanya wibuka, keretse igihe cyo gufata doze yawe ikurikira kigeze. Muri icyo gihe, reka doze wibagiwe hanyuma ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata doze ebyiri icyarimwe kugirango ushyire mu mwanya doze wibagiwe, kuko ibi bishobora gutuma umuvuduko w'amaraso yawe umanuka cyane. Niba ukunda kwibagirwa doze, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe umuteguro w'imiti kugirango ugufashe kuguma ku murongo.

Kutafata doze rimwe na rimwe ntizateza ingaruka ako kanya, ariko guhora utafata doze bishobora gutuma umuvuduko w'amaraso yawe wiyongera no kugabanya inyungu z'umuti ku mutima wawe n'impyiko.

Nshobora kureka gufata ramiprili ryari?

Ugomba guhagarika gufata ramiprili ari uko muganga wawe abigushyigikiye. Umuvuduko mwinshi w'amaraso n'indwara z'umutima mubisanzwe bisaba kuvurwa igihe kirekire, bityo guhagarika imiti udafashijwe na muganga bishobora gushyira ubuzima bwawe mu kaga.

Muganga wawe ashobora gutekereza kugabanya urugero rwa ramiprili ukoresha niba umuvuduko w'amaraso yawe waragenzurwa neza igihe kirekire kandi wakoze impinduka zikomeye mu mibereho yawe nko kugabanya ibiro, gukora imyitozo buri gihe, no gukurikiza imirire y'umutima.

N'iyo wumva umeze neza rwose, ntugatekereze ko utakiri ngombwa gufata umuti. Umuvuduko mwinshi w'amaraso akenshi witwa