Ese uyu ni umuti utera isesemi no kuruka kuri wewe? Reka twige ku kinyabutabire cya Aprepitant!

Ushobora kandi gutangira imiti ya chimiotherapie nk'ubuvuzi bwa kanseri. Kimwe mu bibazo abantu benshi bafite muri icyo gihe ni isesemi no kuruka bizanwa n'ubu buvuzi. Tekereza ukuntu bigoye iyo bene ubwo burwayi buje mu kuvura. Dore umuti wihariye witwa 'Aprepitant' utangwa kugira ngo ugenzure isesemi no kuruka. Uyu nawo uza mu buryo bw'amazi. Reka tuvuge kuri uyu muti mu buryo burambuye uyu munsi.

Ni ubuhe bwoko bw'umuti uyu 'Aprepitant'?

Mu magambo make, Aprepitant ni umuti uhabwa kugira ngo wirinde isesemi no kuruka bibaho iyo uri kuvurwa na (Chimiotherapie). Hari ibintu bimwe na bimwe mu mubiri wacu bishobora gutera isesemi no kuruka. Uyu muti ubuza ibyo bintu. Ni uwo mu bwoko bw'imiti yitwa (Antiemetics). Ni ukuvuga ko ari ubwoko bw'umuti uhagarika kuruka.

Hari igihe uyu muti ushobora gukoreshwa no mu bindi bintu, bityo niba ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Izina ry'ikirango rizwi cyane ry'uyu muti ni Emend.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti?

Mbere yo gutangira gukoresha uyu muti, ugomba kubanza gusobanura neza ibi bintu hamwe na muganga wawe. Ibi ni ingenzi cyane:

• Niba ufite indwara y'umwijima .
• Niba ufite ubwivumbure kuri Aprepitant, Fosaprepitant, indi miti, ibiryo, amabara y'ubukorano, cyangwa imiti irinda ubushyuhe .
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Iyo umuganga amaze kumenya ibi bintu, bizamworohera gufata icyemezo niba uyu muti ukubereye cyangwa utakubereye, n'uko awutanga.

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Ni gute ukoresha uyu muti neza?

Uyu muti ni amazi anyobwa. Ugomba kuwukoresha neza neza nk'uko byavuzwe ku rupapuro rwa muganga waguhaye.

Ibi nibyo bikunze kubaho:

• Uzajya ufata dose yawe ya mbere y'umuti isaha imwe mbere yuko utangira kuvurwa na chemotherapy.
• Hanyuma, nyuma yo kuvura kanseri, ugomba gufata uyu muti rimwe ku munsi mu gitondo mu minsi ibiri iri imbere .

Uyu muti ushobora gufatwa uri kumwe n'ibiryo cyangwa utabiriye. Ariko, ntugafate ibirenze urugero muganga akubwira gufata, kandi ntugafate kenshi ugereranyije n'ibyo wategetswe.

Ese uyu muti ukwiye guhabwa abana bato?

Uyu muti rimwe na rimwe ushobora guhabwa abana bafite amezi atandatu, mu bihe bidasanzwe. Ariko, hari ibintu bimwe na bimwe ugomba kwitondera. Kubwibyo, niba uha umwana wawe uyu muti, ugomba kubivuganaho witonze na muganga wawe kandi ugakurikiza amabwiriza ye.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse . Ibi ni ingenzi cyane, kuko gufata imiti myinshi bishobora guteza akaga.

Icyitonderwa: Uyu muti ni uwawe gusa. Ntugasangire imiti yawe n'abandi. Nubwo waba ufite indwara imwe, umuti umwe ntukora kuri buri wese.

Wakora iki iyo usibye gahunda yo gufata imiti?

Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri . Kubikora bishobora gutuma ufata imiti myinshi.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki ni ikintu cy'ingenzi cyane. Umuti Aprepitant ushobora kugira ingaruka ku yindi miti. Ibi biramutse bibaye, bishobora kugabanya imikorere y'uyu muti cyangwa bikongera ingaruka mbi.

Ntugafate Aprepitant hamwe n'imiti ikurikira:

• Cisapride
• Flibanserin
• Lomitapide
• Pimozide

Nanone, Aprepitant ishobora kugira ingaruka ku miti ikurikira:

• Diltiazem
• Imisemburo y'abagore, nk'imiti n'ibinini byo kuboneza urubyaro birimo estrogen cyangwa progestin
• Imiti ivura indwara z'ibihumyo (nka Ketoconazole, Itraconazole)
• Imiti yo kwandura agakoko gatera SIDA
• Imiti yo kurwanya ibicurane (nka Carbamazepine, Phenytoin)
• Imiti ivura gusinzira cyangwa guhangayika (nka Alprazolam, Diazepam, Midazolam)
• Nefazodone
• 'Paroxetine'
• 'Ranolazine'
• 'Rifampin'
• Imiti imwe n'imwe ivura kanseri (nka Etoposide, Ifosfamide, Vinblastine, Vincristine)
• Amwe mu matibayotike (nka Clarithromycin, Erythromycin, Troleandomycin)
• Imiti yo mu bwoko bwa steroid (nka Dexamethasone, Methylprednisolone)
• Tolbutamide
• 'Warfarin'

Uru rutonde ntirukubiyemo imiti yose ishoboka. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga wawe cyangwa waguze muri farumasi), ibyatsi, vitamine, n'inyongeramusaruro ukoresha.Nanone, menya neza ko wabwiye muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge, kuko bimwe muri ibi bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu byihariye ngomba kwitondera mugihe nfata uyu muti?

• Ntugafate uyu muti niba usanzwe ufite isesemi no kuruka . Baza muganga wawe icyo wakora niba usanzwe ufite isesemi. Uyu muti ni uwo kwirinda isesemi no kuruka *mbere y'igihe*.
• Ibinini byo kuboneza urubyaro n'ubundi buryo bwo kuboneza urubyaro bukoreshwa mu misemburo (nk'icyuma gishyirwa mu mura (IUD) cyangwa agace k'uruhu) bishobora kudakora neza mu gihe ufata uyu muti. Kubwibyo, ugomba gukoresha ubundi buryo bwo kuboneza urubyaro mu gihe ufata Aprepitant no mu gihe cy'ukwezi kumwe nyuma yo guhagarika umuti. Vugana na muganga wawe kuri ibi.
• Uyu muti ntukwiriye gukoreshwa igihe kirekire .
• Shaka muganga wawe kugira ngo agusuzumishe buri gihe . Uyu muti ushobora guteza impinduka mu bisubizo by'amaraso bigaragaza uburyo umwijima wawe ukora neza.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe, ariko si buri wese uzibona.

Ingaruka mbi ugomba guhita umenyesha muganga wawe:

Ibi bishobora kuba bikomeye kandi bigomba kumenyeshwa muganga ako kanya:

• Ubwivumbure bw'uruhu : Kuryarya, kubyimba kw'uruhu, kubyimba mu maso, ku minwa, ku rurimi, cyangwa ku muhogo. Ibi nibibaho, bishobora no gutera ingorane zo guhumeka, bityo rero shaka ubufasha bwihuse bwa muganga.

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

Ibi akenshi ntabwo ari ibintu bikomeye, ariko niba bikubangamiye cyangwa bigakomeza, bwira muganga wawe:

• Kumva ufite isereri
• Kubabara mu nda (impiswi)
• Kuribwa umutwe (umutwe)
• Inkovu
• Kumva unaniwe cyane kandi ufite intege nke
• Kumva umeze nk'igifu kidakomeye, kutagira ingano

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba ubonye ikintu kidasanzwe kitari kuri uru rutonde, vugana na muganga wawe kuri cyo. Ushobora kandi gutanga raporo kuri FDA kuri 1-800-FDA-1088.

Uyu muti uwubika ute?

Ni ingenzi cyane kubika imiti yawe neza.

• Bishyire kure y'abana.
• Nyuma y'uko uyu muti uvanzwe mu buryo bw'amazi muri farumasi, ugomba kubikwa muri firigo ku bushyuhe buri hagati ya dogere selisiyusi 2 na 8 (dogere selisiyusi 36 na 46) . Ntukigere uwushyira muri firigo.
• Igice cyose cy'amazi avanze kidakoreshejwe kigomba gutabwa mu masaha 72 (iminsi 3) .
• Iyo umuti umaze gutegurwa, ushobora kubikwa ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25, cyangwa hagati ya dogere selisiyusi 68 na 77) mu gihe cy'amasaha 3 .

Aka gatabo ni incamake gusa. Gashobora kuba kadafite amakuru yose. Niba ufite ibindi bibazo kuri uyu muti, nyamuneka vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi wawe.

Ubutumwa bwo kujyana mu rugo

Noneho rero, dore ibintu by'ingenzi cyane ugomba kwibuka mu byo twavuze ku kinyabutabire Aprepitant:

• Uyu ni umuti utangwa mu rwego rwo kwirinda isesemi no kuruka biterwa na chemotherapy.
• Fata neza nk'uko muganga akubwira, mu gihe akubwira, no mu rugero akubwira .
• Bwira muganga wawe indi miti iyo ari yo yose ufata cyangwa indwara iyo ari yo yose ufite .
• Niba ubonye ibimenyetso by'ubwivumbure, bwira muganga wawe ako kanya.
• Witondere cyane uburyo bwo kuboneza urubyaro.
• Bika umuti neza .
• Niba ufite ikibazo cyangwa gushidikanya, ntutinye kubaza muganga wawe .

Ndakwifurije gukira vuba!

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