Ni ibisanzwe kumva ufite ubwoba no guhangayika igihe wowe cyangwa uwo ukunda mugiye gutangira imiti ya chimiotherapie. Ariko kumenya neza uburyo bwo kuyivura n'imiti ni bwo buryo bwiza bwo gutsinda ubwo bwoba. Uyu munsi turimo kuvuga ku muti umwe udasanzwe wa chimiotherapie witwa Busulfan. Uyu ni umuti usanzwe utangwa kugira ngo utegure abarwayi ubuvuzi bukomeye, nko gutera uturemangingo tw’umubiri, cyane cyane ku barwayi ba leukemia nka Chronic Myelogenous Leukemia (CML).

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Mu magambo make, Busulfan ni iki?

Busulfan ni umuti ukomeye cyane wa chimiotherapie. Inshingano yawo nyamukuru ni ugusenya uturemangingo twa kanseri. Cyane cyane mbere yo gutera uturemangingo tw’umuyoboro w’amagufwa, uyu muti ukuraho uturemangingo tw’umuyoboro w’amagufwa twarwaye cyangwa turwaye kanseri mu mubiri, ugatuma uturemangingo dushya tw’umuyoboro w’amagufwa tuzima dushobora guterwa.

Uyu muti si ikinini ushobora kujyana mu rugo. Ni urushinge rutangwa binyuze mu mitsi, nka saline (infusion). Kandi utangwa gusa mu bitaro cyangwa ku ivuriro n'abaganga bahuguwe byihariye. Rero ibuka ko uri mu maboko meza.

Ibintu ugomba kubwira muganga wawe mbere yo gutangira kuvurwa

Mbere yo gutangira imiti ya Busulfan, ni ngombwa cyane guha muganga wawe ishusho yuzuye y'ubuzima bwawe. Aya makuru azagufasha kumenya uburyo bwiza kandi bwizewe bwo kuvura. Niba hari kimwe muri ibi bikurikira kikureba, menya neza ko wabibwiye muganga wawe.

Ikibazo ugomba gutangaza	Ibisobanuro
Gutwita cyangwa konsa	Menya neza ko wabwiye muganga wawe niba utwite, ugerageza gusama, cyangwa ukeka ko utwite. Nanone, bwira muganga wawe niba wonsa.
Allergie	Tubwire niba ufite aleriji kuri Busulfan cyangwa undi muti wa chimiotherapie, undi muti, ibiryo, cyangwa irangi.
Ibikomere byo mu mutwe cyangwa ibisebe	Niba warigeze kugira ikibazo gikomeye mu mutwe cyangwa ukaba warigeze kugira ubumuga bwo gucika intege.
Ubwandu buriho	Niba ufite ubwandu ubu (cyane cyane ubwandu bwa virusi nka chickenpox cyangwa herpes).
Indwara z'umwijima cyangwa ibihaha	Niba ufite indwara y'umwijima, indwara z'ibihaha cyangwa iz'ubuhumekero nka asima.
Ibibazo by'amaraso	Niba ufite umubare muto w'uturemangingo dutukura, uturemangingo twera, cyangwa uduce duto tw'amaraso mu maraso yawe, cyangwa niba ufite indwara nka thalassemia.
Ubuvuzi bushingiye ku mirasire	Niba uherutse guhabwa cyangwa uri guhabwa ubuvuzi bw'imirasire.

Ibintu ugomba kwitondera cyane cyane mu gihe cyo kuvurwa

Umubiri wawe ushobora kwitwara mu buryo butandukanye gato mu gihe ufata uyu muti, kandi ni ngombwa kubimenya.

Witondere cyane indwara zandura.

Busulfan ishobora kugabanya umubare w'uturemangingo tw'amaraso twera mu mubiri wawe turwanya indwara. Ibi bivuze ko ushobora kwandura indwara mu buryo bworoshye.

Irinde abantu bafite ibimenyetso nk'umuriro, ibicurane, kubabara umubiri, no kubabara mu muhogo uko bishoboka kose.
Niba wumva urimo kugira umuriro, inkorora, inkorora cyangwa ububabare mu muhogo, ntukivure ahubwo bimenyeshe muganga wawe cyangwa ibitaro urimo kuvurirwamo ako kanya.

Witondere kuva amaraso n'ibisebe.

Uyu muti ushobora kugabanya umubare w'udukoko dufasha amaraso kubumba. Kubera iyo mpamvu,

Reba niba ukomereka byoroshye kurusha uko bisanzwe.
Witondere kuva amaraso mu ishinya, kuva amaraso mu mazuru, amaraso mu nkari, n'imyanda y'umukara.
Nubona ikintu nk'iki, bwira muganga wawe ako kanya.

Gutwita no kubyara

Iki ni ikintu cy'ingenzi cyane. Nyamuneka wibuke ibi cyane.

Ku bagore: Ni ngombwa kwirinda burundu gutwita mu gihe ufata uyu muti no mu gihe cy'amezi 6 nyuma yo guhagarika imiti. Hari ibyago byinshi byo kwangiza umwana uri mu nda.
Ku bagabo: Ugomba kwirinda kubyara umwana mu gihe ufata uyu muti no mu gihe cy'amezi 3 nyuma yo guhagarika imiti.

Ntukonse umwana mu gihe ufata uyu muti kubera impamvu iyo ari yo yose. Nanone, ubu buryo bwo kuvura bushobora kugira ingaruka ku bushobozi bwawe bwo kubyara mu gihe kizaza. Niba ufite impungenge cyangwa ubwoba kuri ibi, ganira na muganga wawe ku mugaragaro.

Ni izihe ngaruka mbi zishobora guterwa n'umuti?

Kimwe n'umuti uwo ari wo wose ukomeye, Busulfan ishobora kugira ingaruka mbi. Zimwe muri zo zigomba kumenyeshwa ako kanya, izindi zikaba zidakomeye cyane. Reka tubisobanure neza.

Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya
Uburyo bwo kubabara umubiri	Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi.
Ingorane zo guhumeka	Kugorwa no guhumeka, kubabara mu gituza.
Indwara zo mu mutwe	Indwara itunguranye.
Ibimenyetso by'indwara y'umwijima	Amaso cyangwa uruhu rugahinduka umuhondo, inkari z'umuhondo wijimye/umukara, ububabare mu gice cyo hejuru cy'iburyo cy'igifu, isesemi, kubura ubushake bwo kurya.
Ibimenyetso by'umubare muke w'uturemangingo tw'amaraso	Ibimenyetso by'ubwandu: umuriro, ubukonje, kubabara mu muhogo. Ibimenyetso byo kuva amaraso: gukomereka kudasanzwe, utudomo dutukura munsi y'uruhu, umwanda w'umukara. Ibimenyetso bya anemia: umunaniro ukabije, uburibwe, gucika intege.
Kubabara cyane mu gifu cyangwa kuruka	Kubabara cyane mu gifu cyangwa kuruka bidashobora guhagarara.

Ibintu ubusanzwe bitari biteje akaga, ariko bigomba kumenyeshwa muganga mu gihe bikomeje
Impiswi	Ububabare bw'igifu
Umutwe	Kurwara umutwe rimwe na rimwe
Guhangayika	Kumva uhangayitse, udatuje
Ibisebe byo mu kanwa	Ibisebe bibabaza mu kanwa cyangwa ku minwa
Gusinzira nabi	Kugorwa no gusinzira nijoro

Ibibazo bishobora kubaho bitewe n'indi miti

Indi miti ufata ishobora kugira ingaruka kuri Busulfan. Kubwibyo, imiti yose ufata igomba gukurikiranwa neza.Bwira muganga wawe ibijyanye n'imiti yawe. Ibi bivuze imiti yandikiwe na muganga wawe gusa, ahubwo bivuze n'indi miti igabanya ububabare idatanzwe na muganga (urugero: acetaminophen), vitamine, imiti y'ibimera cyangwa Ayurvedic/Sinhala, hamwe n'inyongeramusaruro mu mirire. Menya neza ko wabwiye muganga wawe ibyerekeye iyindi miti ikurikira ufata:

Acetaminophen (nk'iya Panadol)
Itraconazole (umuti urwanya udukoko)
Metronidazole
Phenytoin (umuti uvura indwara zo mu mutwe)
Inkingo zizima

Ku bijyanye n'ingano y'imiti

Kubera ko uyu muti utangwa mu bitaro, niba udashobora kuvurwa ku itariki yagenwe, nyamuneka hamagara muganga wawe vuba umubwire. Ntugahagarike cyangwa ngo uhindure ubuvuzi uko ubyishakiye kubera impamvu iyo ari yo yose. Niba ukeka ko warenze urugero, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo , cyangwa ujye mu Kigo cyita ku Buvuzi bwihutirwa (ETU) cy'ibitaro biri hafi yawe.

Ubutumwa bwo kujyana mu rugo

Busulfan ni umuti ukomeye wa chimiotherapie utangwa mbere yo gutera umwongo w'amagufwa. Utangwa mu bitaro n'abakozi babihuguriwe.
Menya neza ko wabwiye muganga wawe indwara zawe zose n'imiti yose ufata mbere yo kuvurwa.
Mu gihe cyo kuvurwa, menya ibimenyetso by'ubwandu (umuriro, inkorora) n'ibimenyetso byo kuva amaraso (ibisebe bidasanzwe, imyanda y'umukara). Niba hari icyo ukeka, bwira muganga wawe vuba.
Icy'ingenzi cyane: Abagore bagomba kwirinda burundu gusama abana mu mezi 6 nyuma yo kuvurwa, n'abagabo mu mezi 3.
Vugana na muganga wawe nta guhishanya ku bibazo, ubwoba, cyangwa impungenge ushobora kuba ufite. Wibuke ko utari wenyine.