Kimwe mu bibazo bikomeye n'ingorane abantu benshi bagira iyo bavurwa kanseri, ni ukuvuga imiti ivura kanseri, ni isesemi no kuruka. Iki ni ikintu gishyira stress nyinshi ku mubiri no mu bwonko. Uyu munsi rero tugiye kuvuga ku bwoko bwihariye bw'umuti utangwa kugira ngo ugenzure kandi ukumire ubu burwayi. Izina ry'uyu muti ni Aprepitant.
Aprepitant ni iki?
Mu magambo make, Aprepitant ni umuti ubuza ibimenyetso bimwe na bimwe mu mubiri wawe bigutera kurwara no kuruka. Ibyo tubyita imiti igabanya ububabare. Ikoreshwa cyane cyane mu gukumira isesemi no kuruka bibaho mu gihe cyo kuvura kanseri (chimiotherapie). Uyu ni umuti ukubuza kuruka, aho kuba umuti ukubuza kuruka. Muri Sri Lanka, ushobora kuwusanga ku izina rya Emend.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Ni ngombwa cyane ko muganga wawe amenya ibi bintu mbere yo kuguha uyu muti, kuko bigira ingaruka zikomeye ku mutekano wawe.
| Ibigomba kuvugwa | Kuki ibyo ari ingenzi? |
|---|---|
| Niba ufite indwara y'umwijima | Uyu muti uvanwa mu mubiri unyuze mu mwijima, bityo niba ufite ibibazo by'umwijima, ushobora gukenera guhindura ingano cyangwa kwitonda cyane. |
| Niba ufite allergie kuri Aprepitant, Fosaprepitant cyangwa undi muti cyangwa ibiryo ibyo ari byo byose | Ibi ni ingenzi kugira ngo hirindwe allergie ikomeye. |
| Niba utwite, cyangwa ugerageza gutwita | Nta makuru yuzuye ku mutekano w'uyu muti mu gihe utwite araboneka, bityo ni ngombwa kubiganiraho na muganga wawe. |
| Niba uri umubyeyi wonsa | Ni ngombwa kwemeza niba umuti ugera ku mwana binyuze mu mashereka cyangwa utagera. Kubwibyo, ni ngombwa gushaka inama kwa muganga. |
Ni gute neza neza ukoresha uyu muti?
Uburyo bwo gukoresha uyu muti ni bworoshye cyane, ariko ni ngombwa cyane kubukurikiza neza.
- Ibi biza mu ishusho ya kapsule. Ubinywe byose n'ikirahure cy'amazi.
- Igipimo cya mbere gikunze gufatwa isaha imwe mbere yuko ubuvuzi bwa chemotherapy butangira.
- Hanyuma, mu minsi ibiri iri imbere nyuma yo kuvurwa na chimiotherapie, uzabwirwa gufata dose imwe buri munsi mu gitondo .
- Uyu muti ushobora gufatwa n'ibiryo cyangwa utabifashe. Ibyo ntabwo ari ikibazo.
- Igikuru ni ukubifata gusa nk'uko muganga yabigutegetse, mu gihe runaka. Ntugafate ibirenze ibyo.
Ese uyu muti ushobora guhabwa abana bato?
Abana barengeje imyaka 12 bashobora guhabwa uyu muti mu bihe bimwe na bimwe byihariye. Ariko, muganga wawe ni we wenyine ushobora gufata icyemezo kuri ibi. Kubwibyo, niba uha umwana uyu muti, ugomba gukurikiza amabwiriza ya muganga neza.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. Bifate nk’ibintu byihutirwa.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata dose, uyifate ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe gisanzwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Imiti idakwiye gukoreshwa hamwe n'uyu muti kandi ugomba kwitondera
Aprepitant ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ugomba kumenyesha muganga wawe imiti yose ufata, harimo imiti yandikiwe na muganga n'indi igurishwa mu kigo, imiti ikomoka ku bimera, vitamine, n'imiti ikomoka ku bimera.
Ntugafate Aprepitant hamwe n'iyi miti:
- Cisapride
- Flibanserin
- Lomitapide
- Pimozide
Ugomba kwitonda cyane cyane niba ufata Aprepitant hamwe n'iyi miti:
- Imiti ivura indwara z'umutima n'umuvuduko ukabije w'amaraso: Urugero, Diltiazem, Ranolazine.
- Imisemburo y'abagore: Ibi birimo ibinini byo kuboneza urubyaro, uduce tw'imisemburo, cyangwa ubundi buryo bwo kuvura imisemburo.
- Imiti ivura indwara z'ibihumyo: Ketoconazole, Itraconazole.
- Imiti yo kwandura agakoko gatera SIDA.
- Imiti ivura igicuri cyangwa ibicurane: nka Carbamazepine na Phenytoin.
- Imiti ituza ubwonko cyangwa igatuma umuntu asinzira: nka Alprazolam, Diazepam, Midazolam.
- Amwe mu ma antibiyotike: nka Clarithromycin na Erythromycin.
- Ubwoko bwa steroid: Dexamethasone, Methylprednisolone.
- Kugabanya amaraso: Warfarin.
- Imiti imwe n'imwe irwanya kanseri: Etoposide, Vinblastine, Vincristine.
Uru rutonde ntirwuzuye, bityo ni ngombwa kubwira muganga wawe imiti yose ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
Icy'ingenzi cyane: Niba ukoresha ibinini byo kuboneza urubyaro cyangwa ubundi buryo bwo kuboneza urubyaro bugizwe n'imisemburo (urugero: patch, IUD), bishobora kudakora neza mu gihe ufata Aprepitant no mu gihe cy'ukwezi kumwe nyuma yo kuyihagarika. Kubwibyo, ni ngombwa gukoresha ubundi buryo bwo kuboneza urubyaro (urugero: agakingirizo) muri iki gihe. Vugana na muganga wawe kuri ibi.
- Ntugafate uyu muti niba usanzwe ufite isesemi no kuruka. Baza muganga wawe icyo wakora muri iki gihe.
- Uyu muti ntugenewe gukoreshwa igihe kirekire.
- Komeza kwisuzumisha nk'uko muganga wawe yabigutegetse. Uyu muti ushobora guhindura ibisubizo by'ibizamini by'imikorere y'umwijima wawe.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, Aprepitant ishobora gutera ingaruka mbi ku bantu bamwe, nubwo atari bose bazibona.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ibintu ugomba gutangariza muganga cyangwa ETU ako kanya | |
Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. Ibi bishobora kuba bibi cyane. | |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
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Niba ubonye ibindi bimenyetso bidasanzwe bitari kuri uru rutonde, vugana na muganga wawe ku byerekeye ibyo bimenyetso.
Ni gute wakwirinda imiti?
- Bishyire kure y'abana. Ibi ni ingenzi cyane.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya selisiyusi 20-25). Birinde ubushyuhe bwinshi n'ubushuhe.
- Tara umuti warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Aprepitant ni umuti ukoreshwa mu gukumira isesemi no kuruka biterwa no kuvura kanseri (chimiotherapie).
- Mbere yo gufata uyu muti, bwira muganga wawe indi miti yose ufata, ibibazo byawe by'umwijima, ndetse n'ibindi byose ufite ku barwayi ba diyabete.
- Fata umuti neza nk'uko muganga yabikubwiye. Ubusanzwe, ugomba kuwufata isaha imwe mbere ya chemotherapy na nyuma y'iminsi ibiri.
- Icy'ingenzi kurushaho: Ibinini byo kuboneza urubyaro ntibikora neza mu gihe ufata uyu muti. Rero hagarika gufata uyu muti ahubwo ukoreshe ubundi buryo bwo kuboneza urubyaro mu gihe cy'ukwezi.
- Niba ufashe imiti myinshi, jya ku Kigo cy’Igihugu gishinzwe gutanga amakuru ku burozi cyangwa ETU ako kanya.
- Iyi nkuru ni incamake gusa. Nyamuneka ganira ku kibazo icyo ari cyo cyose ushobora kuba ufite na muganga wawe.
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