Kimwe mu bibazo bikomeye umuntu urimo kuvurwa kanseri, cyangwa imiti ivura kanseri nkuko tubyita, ni isesemi no kuruka. Kubera iyo mpamvu, abantu benshi bumva bafite intege nke kandi badashobora kurya cyangwa kunywa neza. Rero, abaganga bakoresha imiti itandukanye kugira ngo bagenzure iyi ndwara. Uyu munsi turimo kuvuga ku inshinge zidasanzwe zitangwa kugira ngo hirindwe isesemi no kuruka. Iyo ni inshinge ya Aprepitant.
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Mu magambo make, Aprepitant ni iki?
Aprepitant ni umuti utangwa mbere yo guhabwa imiti igabanya ububabare mu gihe cy'imisemburo kugira ngo hirindwe isesemi no kuruka bishobora kubaho. Ni uwo mu bwoko bw'imiti yitwa antiemetics. Muri make, iyi miti igenzura ibyiyumvo bitera kuruka no gusesereza.
Uyu muti ukora mu kuziba imiti imwe n'imwe mu bwonko bwacu itanga ubutumwa butera isesemi. Kubwibyo, ushobora kugabanya cyane ububabare bubaho nyuma yo kuvurwa na chimiotherapie.
Igikuru: Uyu si umuti uhagarika isesemi no kuruka iyo usanzwe ubifite. Ni umuti wo kubikumira, kubivura mbere yuko bibaho.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo guterwa uru rushinge rwa Aprepitant, muganga wawe azakenera kumenya amateka yawe yose y'uburwayi. Ibi biterwa nuko hari indwara zimwe na zimwe zisaba kwitabwaho by'umwihariko mu gihe ukoresha uyu muti. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:
| Ibintu bigomba guhangayikishwa | Kuki ibyo ari ingenzi? |
|---|---|
| Indwara y'umwijima | Imiti myinshi yinjira mu mibiri yacu iravunjwa kandi igakurwaho n'umwijima. Iyo hari indwara y'umwijima, uyu muti ushobora kuguma mu mubiri igihe kirekire. Kubwibyo, umuganga agomba kubimenya. |
| Allergie | Niba warigeze kugira allergie kuri Aprepitant, Fosaprepitant (ubundi bwoko bw'iyi), cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi, ugomba kutubwira rwose. |
| Gutwita cyangwa kugerageza gutwita | Niba utwite cyangwa uteganya gutwita, bwira muganga wawe. Muganga wawe ni we uzagena niba uyu muti uzaba ufite akamaro. |
| Konsa | Niba uri umubyeyi wonsa, ganira na muganga wawe niba uyu muti ugera ku mwana wawe binyuze mu mashereka. |
Ukoresha uyu muti ute?
Aprepitant si umuti ushobora kujyana mu rugo. Ni urushinge uhabwa n'abaganga bo mu bitaro cyangwa ivuriro .
Ubusanzwe itangwa binyuze muri kanula ishyizwe mu mitsi. Ibi bivuze ko itangwa nk'urushinge, nk'umunyu, cyangwa nk'umuti w'igihe gito. Itangwa hafi iminota 30 mbere y'uko ubuvuzi bwawe bwa kanseri butangira.
Niba uyu muti uhawe abana, hakenewe ubwitonzi bwihariye. Muganga wawe ni we uzabifatira umwanzuro.
Wakora iki niba urenze urugero rw'imiti?
Kubera ko ibi bitangwa mu bitaro, amahirwe yo kubura dose ni make cyane. Ariko, niba wumva wafashe dose nyinshi, bwira muganga cyangwa umuforomo ako kanya. Cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) . Ushobora kandi guhamagara Ikigo cy'Igihugu gishinzwe amakuru ku burozi mu bitaro byacu by'igihugu kugira ngo bakugire inama.
Uburyo bwo kuvura n'indi miti
Iki ni ingenzi cyane. Aprepitant ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata (imiti ivura izindi ndwara, vitamine, imiti gakondo, ibyatsi).
| Ntugafate Aprepitant hamwe n'uyu muti! | |
|---|---|
| - Cisapride | - Pimozide |
| - Flibanserin | - Lomitapide |
| Uyu muti ushobora kandi gutera ingaruka mbi (bibwire muganga wawe). | |
| - Ibinini byo kuboneza urubyaro n'uburyo bwo kuboneza urubyaro | - Imiti ibuza amaraso kuzura, nka Warfarin |
| - Imiti ivura indwara zo mu mutwe (urugero: Carbamazepine, Phenytoin) | - Imiti irwanya imiyoboro y'amaraso (urugero: Ketoconazole) |
| - Amwe mu ma antibiyotike (urugero: Clarithromycin) | - Imiti ivura virusi itera SIDA |
| - Imiti ya steroid (urugero: Dexamethasone) | - Imiti ivura guhangayika cyangwa gusinzira (urugero: Diazepam) |
| - Imiti ivura indwara z'umutima nka Diltiazem, Ranolazine | - Rifampin (umuti uvura igituntu) |
Ubumenyi bwihariye ku bijyanye n'uburyo bwo kuboneza urubyaro!
Ibi ni ingenzi cyane. Niba ukoresha ibinini byo kuboneza urubyaro cyangwa ubundi buryo bwo kuboneza urubyaro bukoreshwa mu misemburo (urugero: patch, IUD), ubushobozi bw'ubwo buryo bushobora kugabanuka mu gihe ufata Aprepitant no mu gihe cy'ukwezi kumwe nyuma y'umuti wa nyuma . Kubwibyo, ni ngombwa gukoresha ubundi buryo bwo kuboneza urubyaro (urugero: agakingirizo) muri iki gihe. Menya neza ko waganiriye na muganga wawe kuri ibi.
Ingaruka mbi zishobora kubaho iyo ufata uyu muti
Kimwe n'indi miti yose, Aprepitant ishobora gutera ingaruka zimwe na zimwe. Nubwo atari buri wese uzibona, zimwe ni nto kandi ugomba kuzibwira muganga wawe ako kanya.
Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya:
- Indwara zikomeye zo kugira ubwivumbure: Guheha ku ruhu, kuribwa, gutukura, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo. Iyo ibi bibaye, biba ari ikibazo cyihutirwa.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje cyangwa zibangamiye:
- Umutwe
- Impiswi
- Kubabara mu gifu, igifu kibabara
- Kumva unaniwe cyangwa ufite intege nke bidasanzwe
- Kubabara, kubabara, cyangwa kugira ibinya mu maguru
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, ntutinye kubimenyesha muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Aprepitant ni umuti ukoreshwa mu gukumira isesemi no kuruka biterwa no kuvura kanseri, ntabwo ari umuti ukoreshwa mu kuvura isesemi isanzwe.
- Uru rukingo rutangwa n'abakozi bo mu bitaro cyangwa ivuriro.
- Menya neza ko wabwiye muganga wawe imiti yose ufata (harimo n'ibinini byo kuboneza urubyaro).
- Koresha ubundi buryo bwo kuboneza urubyaro mu gihe cyo kuvurwa no mu gihe cy'ukwezi kumwe nyuma yaho, kuko uyu muti ushobora kugabanya imbaraga z'ibinini byo kuboneza urubyaro.
- Iyo habayeho ibimenyetso bikomeye by’ubwivumbure (gutukura k’uruhu, kubyimba), shaka ubufasha kwa muganga byihutirwa.
- Vugana n'itsinda ry'abaganga bawe ku bwumvikane ku ngaruka cyangwa impungenge ushobora kugira. Bahora biteguye kugufasha.
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