Wowe, cyangwa wenda umwana wawe, ushobora kuba warabwiwe na muganga wawe gutangira gufata umuti witwa Alpelisib (izina ry’ikirango: Vijoice). Iyo wumvise izina ry’umuti udasanzwe nk’uwo, ni ibisanzwe ko ibibazo byinshi biza mu mutwe wawe, nko "Iyi miti ikora iki?", "Nkwiye kuyifata nte?", "Ni izihe ngamba zo kwirinda?" Rero ntugire ubwoba. Uyu munsi, tuzaganira kuri uyu muti witwa Alpelisib mu buryo bwumvikana kandi bworoshye.
Ni ubuhe bwoko bw'umuti Alpelisib?
Muri make, Alpelisib ni umuti ugenzura imikurire idasanzwe kandi idagenzurwa y’uturemangingo tumwe na tumwe mu mubiri. Uyu muti ukoreshwa by’umwihariko mu kuvura indwara aho ibice bimwe na bimwe by’umubiri (urugero, ukuboko, ukuguru, cyangwa ingingo zimwe na zimwe) birushaho kuba binini bitewe n’impinduka mu ngirabuzimafatizo yitwa PIK3CA . Iyi ndwara tuyita PIK3CA-related overgrowth spectrum (PROS) . Uyu muti ukora ufunga inzira y’ibimenyetso itera iyo mikurire idasanzwe y’uturemangingo, bityo ukagenzura indwara.
Muganga wawe ashobora kukwandikira iyi miti no ku zindi ndwara, bityo niba ufite ikibazo icyo ari cyo cyose, ganira na muganga wawe kuri iyo miti.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Kugira ngo ugire umutekano kandi wungukire neza ku miti, ni ngombwa kubwira muganga wawe aya makuru mbere yo gutangira Alpelisib.
- Niba urwaye diyabete: Tubwire niba usanzwe ufite diyabete cyangwa isukari nyinshi mu maraso.
- Indwara z'ibihaha: Niba ufite indwara iyo ari yo yose y'ibihaha, nka asima cyangwa umusonga.
- Allergie: Menya neza ko wabibwiye muganga wawe niba ufite allergie kuri Alpelisib cyangwa undi muti, ibiryo, cyangwa irangi.
- Gutwita: Niba utwite, ugerageza gusama, cyangwa ufite amakenga make ko utwite.
- Niba uri umubyeyi wonsa: Niba wonsa umwana.
Iyo umuganga amenye ibyo bintu, bizoroha ko ategura uburyo bwo kuvura bukunogeye.
Ni gute neza neza nkoresha uyu muti?
Ni ngombwa cyane gukurikiza amabwiriza nyayo yo gukoresha uyu muti.
- Fata umuti neza neza nk'uko muganga yabigutegetse, mu gihe kimwe buri munsi .
- Ntugakate cyangwa ngo uheke iki gikoresho. Mirira iki gikoresho cyose n'amazi.
- Ni byiza gufata umuti hamwe n'ifunguro .
- Komeza gufata umuti kugeza igihe muganga wawe azakubwiriye guhagarika. Ntugahagarike bitunguranye, nubwo waba wumva umeze neza.
Wakora iki niba ikinini kigoye kumira?
Hari abantu bamwe, cyane cyane abana, bagira ikibazo cyo kumira ibinini. Muri icyo gihe, dore uko wabikora:
1. Shyira ikinini mu kirahuri kirimo ounces 2-4 (hafi mililitiro 60-120) z'amazi.
2. Nyuma y'iminota 5, sya ikinini neza ukoresheje ikiyiko gisukuye hanyuma ubyuke neza kugeza gishongeshejwe mu mazi.
3. Nywa iyi mvange ako kanya.
4. Hanyuma, ongeramo utuyiko 2-3 tw'amazi mu kirahuri kimwe, oza umuti usigaye mu kirahuri, hanyuma unywe. Bikore mu buryo butuma nta gitonyanga na kimwe cy'umuti gipfa ubusa.
Icy'ingenzi: Uyu muti kandi uhabwa abana barengeje imyaka 2 mu bihe bimwe na bimwe byihariye. Ariko, muganga wawe ni we wenyine ushobora gufata icyemezo kuri ibi. Kubwibyo, niba uha umwana uyu muti, kurikiza amabwiriza ya muganga witonze cyane.
Bite ho iyo mfashe imiti myinshi (ndetse nkoresheje urugero rurenze urugero)?
Niba ubona ko wafashe uyu muti urenze urugero, ntutinde. Hita uhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba hasigaye amasaha icyenda ngo dose yawe ikurikira igere igihe wibuka (ni ukuvuga amasaha arenga 9 yatinze), jya usimbuka dose yatakaje. Fata dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yatakaje.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Imiti imwe n'imwe ufata ishobora kugira ingaruka ku mikorere ya Alpelisib ndetse ikagira ingaruka ku ngaruka zayo cyangwa ku mikorere mibi yayo. Kubwibyo, bwira muganga wawe niba ufata imwe muri iyi miti ikurikira cyangwa indi miti y'inyongera, vitamine, cyangwa imiti y'ibimera.
- Imiti imwe n'imwe ikoreshwa mu kuvura igicuri: Urugero, `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`.
- 'Cyclosporine'
- `Eltrombopag`
- `Enzalutamide`
- `Mitotane`
- `Rifampin` (umuti uvura igituntu)
- 'St. John's Wort' (umuti w'ibimera ku buzima bwo mu mutwe)
- 'Sulfasalazine'
- `Warfarin` (umuti utangwa mu rwego rwo gukumira kuvura amaraso)
Uru rutonde ntirwuzuye, bityo ni byiza kumenyesha muganga wawe imiti yose ufata.
Ibintu ugomba kwitondera cyane cyane mu gihe ufata umuti
- Kwisuzumisha kwa muganga buri gihe: Vugana na muganga wawe buri gihe kugira ngo urebe niba ibimenyetso byawe birimo kugenda birushaho kwiyongera cyangwa birushaho kwiyongera. Ntugasimbuke gupimwa amaraso (gupima amaraso).
- Indwara zikomeye z'uruhu: Hari abantu bashobora kugira ingaruka zikomeye z'uruhu ndetse n'ibyumweru nyuma yo gutangira uyu muti.Bibwire muganga wawe ako kanya niba ugize ibisebe hamwe n'ibimenyetso nk'umuriro cyangwa ibicurane. Ibi bisebe bishobora guhinduka umutuku cyangwa umuhengeri, hanyuma bigahinduka udusebe hanyuma bigashibuka. Cyangwa niba ubonye ibisebe bitukura mu maso, ku minwa, mu ijosi, cyangwa mu kwaha hamwe n'uturemangingo tw'imitsi tubyimba, hamagara muganga wawe ako kanya.
- Impiswi ikabije no kubura amazi: Bwira muganga wawe niba ufite impiswi ikabije, kuruka, cyangwa ibyuya byinshi . Gutakaza amazi menshi mu mubiri wawe (kubura amazi mu mubiri) bishobora guteza akaga mu gihe ufata uyu muti.
- Isukari nyinshi mu maraso (Hyperglycemia): Uyu muti ushobora gutera isukari nyinshi mu maraso. Ibi byago biri hejuru ku bantu basanzwe barwaye diyabete. Bwira muganga wawe niba wumva ufite inyota kurusha uko bisanzwe, ukunda kunyara, unaniwe bidasanzwe, cyangwa ufite ubumuga bwo kutabona neza .
- Umunwa wumye: Ushobora kugira umunwa wumye. Ibi bishobora kugenzurwa n'ibintu nko guhekenya ishinya ridafite isukari no kunywa amazi menshi. Ariko, niba ikibazo kigikomeje cyangwa gikomeye, bwira muganga wawe.
Umuburo w'ingenzi cyane wo gutwita: Irinde gutwita burundu mu gihe ufata uyu muti no mu cyumweru kimwe nyuma yo guhagarika uyu muti. Abagabo bagomba kandi kwirinda kubyara umwana mu gihe ufata uyu muti no mu cyumweru kimwe nyuma yo guhagarika uyu muti. Uyu muti ushobora kwangiza umwana uri mu nda. Baza muganga wawe amakuru arambuye kuri ibi. Nanone, irinde konsa mu gihe ufata uyu muti no mu cyumweru kimwe nyuma yo guhagarika uyu muti.
Ingaruka mbi zishobora guterwa n'imiti
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Impiswi ikomeye | Kubyimba mu nda bidahagarara. |
| Isukari nyinshi mu maraso (Hyperglycemia) | Inyota ikabije, kwihagarika cyane, umunaniro ukabije, kutabona neza. |
| Gukomereka mu bihaha | Kugorwa no guhumeka, inkorora, ibisebe birimo amaraso, kubabara mu gatuza, umuriro. |
| Indwara zikomeye z'uruhu | Gutukura, uduheri, uruhu rukura (ndetse no mu kanwa). |
| Ibintu ugomba kubwira muganga wawe niba bikomeje cyangwa bikubangamiye | |
| Uruhu rwumye | Uruhu rwumye |
| Umutwe | Umutwe |
| Gutakaza umusatsi | Gutakaza umusatsi |
| Ibisebe byo mu kanwa cyangwa mu muhogo | Ububabare, gutukura, cyangwa kubyimba hamwe n'ibisebe mu kanwa cyangwa mu muhogo |
Ni gute wabika imiti yawe mu buryo butekanye?
- Bika kure y'abana n'amatungo.
- Bika ku bushyuhe buri hagati ya dogere selisiyusi 20 na 25 (68-77 Fahrenheit), ari na bwo bushyuhe busanzwe bwo mu cyumba.
- Ntugakoreshe umuti warengeje igihe.
- Mu gihe ujugunya imiti idakoreshejwe cyangwa ishaje, reba ku rupapuro rwabigenewe kugira ngo urebe niba nta kibazo ifite cyo kuyijugunya. Niba ushidikanya, baza muganga wawe. Niba nta kibazo ifite cyo kuyijugunya, kuramo ibinini mu icupa ubivange n'ikintu nk'ikawa yakoreshejwe, itaka, cyangwa umwanda w'injangwe, ubishyire mu gikapu gifunze neza cyangwa mu gikoresho, hanyuma ubijugunye mu myanda.
Ubutumwa bwo kujyana mu rugo
- Alpelisib ni umuti wihariye, bityo ujye uwufata neza uko muganga akubwira, kandi mu gihe gikwiye.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite mbere yo gutangira imiti.
- Buri gihe wirinde ingaruka zikomeye ku ruhu (umuriro, uduheri, uduheri) n'ibimenyetso by'isukari nyinshi mu maraso (inyota ikabije, kwihagarika kenshi). Bibwire muganga wawe vuba niba hari icyo ubonye.
- Ni ingenzi cyane kwirinda gusama burundu mu gihe ufata uyu muti no mu gihe cy'icyumweru kimwe nyuma yo kuwuhagarika.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
- Niba ufite ikibazo, impungenge, cyangwa gushidikanya ku muti, ntugakeke, ahubwo vugana na muganga wawe mu buryo butaziguye.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.