Regadenoson ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Regadenoson ni umuti ufasha abaganga kureba uko umutima wawe ukora neza mugihe cyo gukoresha ibizamini byihariye byo gushushanya. Utangwa binyuze mu nshinge ya IV (intravenous) kugirango byongere by'agateganyo amaraso ajya mumutima wawe, bigatuma birushaho korohereza abaganga kumenya ibibazo byose bijyanye n'imitsi y'amaraso y'umutima wawe.

Uyu muti ukoreshwa cyane cyane mugupima umutima mugihe utabasha gukora imyitozo ngororamubiri kuri treadmill cyangwa igare rihamye. Tekereza nk'uburyo bwo

Iki kiyongera gituma amaraso yiyongera mu bice by'umutima wawe bifite ubuzima bwiza mu gihe ahantu hari imitsi yazibye cyangwa yagabanutse amaraso agabanuka. Itandukaniro riri hagati y'ibi bice rigaragara neza ku ishusho zigaragaza, bifasha muganga wawe kumenya ahantu hari ibibazo.

Uyu muti ufashwe nk'umuti wihariye kandi ukomeye wo kwagura imitsi y'umutima. Yagenewe gukora vuba kandi neza, ibikorwa byayo bikunda kumara iminota mike nyuma yo guterwa urushinge.

Nkwiriye Gufata Uyu Muti Nte?

Ntabwo uzifata regadenoson ubwawe - buri gihe itangwa n'abakozi b'ubuzima babihuguriwe mu kigo cy'ubuvuzi. Uyu muti uza mu ishusho y'urushinge rwiteguye gukoreshwa rutangwa binyuze mu muyoboro wa IV mu kuboko kwawe.

Mbere yo guhura na muganga wawe, birashoboka ko muganga wawe azagusaba kwirinda caffeine mu masaha 12 kugeza kuri 24. Ibi birimo ikawa, icyayi, shokola, na za soda zimwe na zimwe, kuko caffeine ishobora kubangamira uburyo regadenoson ikora mu mubiri wawe.

Ubusanzwe uzasabwa kwirinda kurya mu masaha make mbere y'ikizamini, nubwo ushobora kunywa amazi. Itsinda ryawe ry'ubuzima rizagutera amabwiriza yihariye ashingiye ku miterere yawe bwite n'ubwoko bw'isuzuma riri gukorwa.

Uru rushinge ubwarwo rutwara amasegonda 10 gusa, rugahita rukurikizwa no gukaraba amazi y'umunyu kugirango byemeze ko imiti yose igerera mu maraso yawe vuba kandi neza.

Mbwiriza Gufata Regadenoson Igihe Kingana Gite?

Regadenoson si umuti ufata buri gihe cyangwa igihe kirekire. Ni urushinge rumwe rutangwa by'umwihariko mugihe cyo gupima umutima wawe.

Ingaruka za regadenoson zitangira mumasegonda make nyuma yo guterwa urushinge kandi zikunda kumara iminota 2 kugeza kuri 4. Ariko, abantu bamwe bashobora kumva ingaruka zirambye kugeza ku minota 15 nyuma yo guterwa urushinge.

Uzaguma mu kigo cy'ubuvuzi kugira ngo ukurikiranwe byibura iminota 15 kugeza kuri 30 nyuma yo guterwa urushinge kugira ngo wemeze ko wumva umeze neza mbere yo kugenda. Itsinda ryawe ry'ubuzima rizagukurikiranira hafi muri iki gihe.

Ni Ibihe Bikorwa Bigaragara Biterwa na Regadenoson?

Abantu benshi bagira ibikorwa bigaragara biterwa na regadenoson, ariko akenshi biba byoroheje kandi ntibimara igihe kirekire. Ibikorwa bigaragara cyane biba kubera ko umuti ugira ingaruka ku mikorere y'amaraso mu mubiri wawe wose, atari ku mutima wawe gusa.

Dore ibikorwa bigaragara ushobora guhura nabyo igihe cyangwa nyuma gato yo guterwa urushinge:

• Kugufiwa umwuka cyangwa kumva nk'aho udashobora guhumeka neza
• Kutamererwa neza mu gituza cyangwa kumva umuntu afite umuvundo
• Kugira uruhu rwijimye cyangwa gushyuha mu maso no mu ijosi
• Umutwe
• Kuribwa umutwe cyangwa kumva ureremba
• Isesemi
• Uburyohe bwa icyuma mu kanwa kawe
• Kumva umuhogo wawe ufunze

Ibi bikorwa akenshi birashira nyuma y'iminota mike igihe umuti utangiye gushira. Itsinda ryawe ry'ubuzima rizakurikirana hafi kandi rishobora gutanga imiti yo gufasha guhangana n'ibimenyetso byose bitari byiza niba bibaye ngombwa.

Ibikorwa bigaragara bikomeye ariko bitagaragara cyane birimo kugabanuka cyane k'umuvuduko w'amaraso, ingorane zikomeye zo guhumeka, cyangwa ibikorwa bya allergie. Nubwo bidasanzwe, ibi bihe bisaba ubufasha bwihuse bw'abaganga, niyo mpamvu ikizamini gikorerwa buri gihe mu kigo cy'ubuvuzi.

Abantu bamwe bafite asima cyangwa indwara ihoraho y'ibihaha bashobora guhura n'ingorane zikomeye zo guhumeka. Niba ufite izi ndwara, muganga wawe azagereranya inyungu n'ibibazo neza mbere yo kugusaba iki kizamini.

Ninde Utagomba Gufata Regadenoson?

Regadenoson ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba iki kizamini. Uyu muti akenshi wirindwa ku bantu bafite ibibazo bimwe na bimwe by'umuvuduko w'umutima cyangwa ibibazo bikomeye byo guhumeka.

Ntabwo ukwiye guhabwa regadenoson niba ufite angina itajegajega, bivuze kubabara mu gituza bikomeza kwiyongera cyangwa bikaba igihe cyose. Abantu bafite uburwayi bw'umutima butandukanye, cyane cyane buturuka ku mikorere y'amashanyarazi y'umutima, bashobora no gukenera kwirinda uyu muti.

Niba ufite asima ikomeye cyangwa indwara y'umwuka izwi nka (COPD), muganga wawe azagomba gusuzuma niba regadenoson itagutera ikibazo. Uyu muti rimwe na rimwe ushobora gutuma ibibazo byo guhumeka birushaho kuba bibi ku bantu bafite izi ndwara.

Abantu bafite umuvuduko w'amaraso muke cyane bakwiye kwitonda bakoresha regadenoson, kuko ishobora gutuma umuvuduko w'amaraso ugabanuka kurushaho. Itsinda ryawe ry'abaganga rizagenzura umuvuduko w'amaraso yawe mbere na nyuma y'uburyo bukoreshwa.

Abagore batwite muri rusange bakwiye kwirinda regadenoson keretse inyungu ziruta cyane ibyago. Niba uri konka, muganga wawe ashobora kugusaba guhagarika konka by'agateganyo mu masaha 10 kugeza kuri 12 nyuma yo guterwa urushinge.

Amazina y'ubwoko bwa Regadenoson

Regadenoson izwi cyane ku izina ry'ubwoko bwayo rya Lexiscan muri Leta Zunze Ubumwe z'Amerika. Iri ni ryo zina ry'ubwoko rya mbere uzumva mu bigo by'ubuvuzi no ku mpapuro zijyanye n'igeragezwa ryawe ryo kureba uko umutima wawe ukora.

Uyu muti ushobora kuboneka ku mazina y'ubwoko atandukanye mu bindi bihugu, ariko Lexiscan iracyari izina rizwi cyane rya regadenoson muri Amerika ya Ruguru.

Uburyo bwo gusimbura Regadenoson

Niba regadenoson itagukwiriye, muganga wawe afite ubundi buryo butandukanye bwo gukoresha mu kugenzura umutima wawe. Buri buryo butandukanye bukora mu buryo butandukanye kandi bushobora gukwira neza bitewe n'uburwayi ufite.

Adenosine ni undi muti ukora kimwe na regadenoson ariko usaba guterwa mu urushinge rurerure aho guterwa urushinge rumwe. Abantu bamwe bamererwa neza na adenosine, mu gihe abandi bakunda igihe gito cyo gukoresha regadenoson.

Dipyridamole ni umuti usanzwe ukoreshwa wongera urujya n'uruza rw'amaraso mu mutima mu rwego rwo gukoresha mu isuzuma. Utangwa mu nshinge mu rwego rwo mu maraso mu gihe cy'iminota myinshi kandi ushobora guhuzwa n'imyitozo ngororamubiri niba ushobora kugenda ku mashini ikora imyitozo.

Dobutamine rimwe na rimwe ikoreshwa nk'ubundi buryo, cyane cyane ku bantu batabasha guhabwa indi miti. Ikora ituma umutima wawe utera vuba kandi ukomeye kuruta uko yagura imitsi y'amaraso.

Muganga wawe azahitamo uburyo bwiza bushingiye ku mateka yawe y'ubuzima, imiti ukoresha ubu, n'uburwayi bwihariye ufite.

Ese Regadenoson iruta Adenosine?

Zombi regadenoson na adenosine zikora neza mu kugenzura umutima, ariko zifite itandukaniro ry'ingenzi rishobora gutuma imwe ikwira kurusha indi.

Regadenoson itanga uburyo bworoshye bwo guterwa urushinge rumwe, rworoshye rutwara amasegonda 10 gusa kugira ngo rutangwe. Ibi birihuta cyane kurusha adenosine, isaba guterwa mu maraso mu gihe cy'iminota 4 kugeza kuri 6.

Abantu benshi basanga ingaruka za regadenoson zihanganirwa cyane kuko zikunda kuba zidahambaye kandi zimara igihe gito. Adenosine akenshi itera kutumva neza mu gituza no guhumeka bigoranye mu gihe cyo guterwa mu maraso kirekire.

Ariko, adenosine imaze igihe kinini ikoreshwa mu kugenzura umutima kurusha regadenoson, bityo hariho amakuru menshi y'igihe kirekire yerekeye umutekano wayo n'ubushobozi bwayo. Abaganga b'umutima bamwe bakunda adenosine kuko bashobora guhagarika guterwa mu maraso ako kanya niba ingaruka zikomeye zibayeho.

Gu hitamo hagati y'iyi miti akenshi biterwa n'ubuzima bwawe bwite, uburambe n'icyo muganga wawe akunda, n'icyo kiboneka mu kigo gikora isuzuma ryawe.

Ibikunze Kubazwa Kuri Regadenoson

Ese Regadenoson irakwiriye ku bantu barwaye diyabete?

Yego, regadenoson muri rusange irakwiriye ku bantu barwaye diyabete. Uyu muti ntugira ingaruka ku kigero cy'isukari mu maraso, bityo ntuzatuma glucose yawe izamuka cyangwa igabanuka mu gihe cy'isuzuma.

Ariko, niba ufata imiti ya diyabete, muganga wawe ashobora kuguha amabwiriza yihariye yerekeye igihe cyo gufata imiti yawe ku munsi wo gupimwa, cyane cyane niba usabwe kwiyiriza mbere. Buri gihe ukurikize ubuyobozi bw'umuganga wawe ku bijyanye no gucunga imiti yawe ya diyabete mu gihe cyo gupimwa.

Nkwiriye gukora iki niba mbonye Regadenoson nyinshi ku buryo butunguranye?

Ntabwo ugomba guhangayika ku bijyanye no kubona regadenoson nyinshi ku buryo butunguranye kuko buri gihe bitangwa n'abakozi b'ubuzima babihuguriwe mu rwego rw'ubuvuzi rucungwa. Uyu muti uza mu bipimo byapimwe mbere, kandi ikipe yawe y'ubuzima ikurikiza amabwiriza akomeye.

Niba hariho ikibazo kijyanye n'urugero, ikipe yawe y'ubuvuzi yagira imiti nka aminophylline ihari kugira ngo ihangane n'ingaruka za regadenoson vuba. Ibi ni kimwe mu byiza by'umutekano byo gukora iri geragezwa mu kigo cy'ubuvuzi.

Nkwiriye gukora iki niba nasibye gahunda yanjye ya Regadenoson?

Kubera ko regadenoson itangwa mu gihe cy'ubuvuzi bwateguwe, gusiba gahunda yawe bivuze ko uzasubika ikizamini cyawe cy'umutima. Vugana n'ibiro bya muganga wawe cyangwa ikigo gishinzwe gupima vuba bishoboka kugira ngo utegure gahunda nshya.

Ntugahangayike ku ngaruka z'ubuvuzi zo gusiba gahunda - ubuzima bwawe ntibuzagirwaho ingaruka no gutinda. Ariko, gusubika vuba bituma ubona isuzuma ry'umutima muganga wawe yasabye nta gutinda kutari ngombwa mu kwitabwaho kwawe.

Nshobora gusubukura ibikorwa bisanzwe ryari nyuma ya Regadenoson?

Abantu benshi bashobora gusubukura ibikorwa bisanzwe mu masaha make nyuma yo kubona regadenoson, iyo bamaze kurebwa no kwemezwa n'ikipe yabo y'ubuzima. Ubusanzwe uzagenzurwa mu minota 15 kugeza kuri 30 nyuma yo guterwa urushinge kugira ngo wemeze ko wumva neza.

Wirinda gutwara imodoka ako kanya nyuma yo gupimwa niba wumva uruka cyangwa umutwe. Ni byiza kugira umuntu ukujyana mu rugo, cyane cyane niba ukigaragaza ingaruka zikomeye ziva ku miti.

Ubusanzwe ushobora gusubira ku mirire yawe isanzwe no ku miti nyuma yo gupimwa, keretse muganga wawe aguha andi mabwiriza. Niba waragombaga guhagarika ikawa mbere yo gupimwa, ushobora gusubira kunywa ikawa cyangwa icyayi igihe icyo gikorwa kirangiye.

Nshobora gufata imiti yanjye isanzwe ku munsi wo gupimwa kwa Regadenoson?

Mu bihe byinshi, urashobora gukomeza gufata imiti yawe isanzwe ku munsi wo gupimwa umutima wa regadenoson. Ariko, muganga wawe ashobora kukubwira guhagarika by'agateganyo imiti imwe n'imwe y'umutima ishobora kubangamira ibisubizo byo gupimwa.

Beta-blockers na zimwe muri calcium channel blockers rimwe na rimwe zihagarikwa umunsi umwe cyangwa ibiri mbere yo gupimwa kuko zishobora kugira ingaruka ku buryo umutima wawe witwara kuri regadenoson. Umuganga wawe azaguha amabwiriza yihariye yerekeye imiti ugomba gukomeza no guhagarika by'agateganyo.

Ntuzigere uhagarika gufata imiti yandikiwe n'abaganga utabiherewe uruhushya na muganga wawe, kabone niyo wumva ko ishobora kubangamira gupimwa. Jya ukurikiza amabwiriza yihariye wahawe n'ikipe yawe y'ubuvuzi.