Ni ibisanzwe kumva ufite ubwoba n'ubwoba gato iyo ugiye gutangira kuvura kanseri. Ariko iyo uzi neza umuti ufata n'uko bigira ingaruka ku mubiri wawe, ubwo bwoba bushobora kugabanuka cyane. Uyu munsi turimo kuvuga ku muti witwa Dacarbazine, ukoreshwa mu kuvura kanseri nk'iyo. Reka tubiganireho mu buryo bworoshye kugira ngo ubashe gusobanukirwa.
Ni ubuhe bwoko bw'umuti Dacarbazine ari wo?
Muri make, dacarbazine ni ubwoko bw'umuti wa chimiotherapie . Chimiotherapie ni ubwoko bw'umuti ukomeye utangwa kugira ngo uhagarike gukura kw'uturemangingo twa kanseri cyangwa ngo tuyice.
Uyu muti ukoreshwa cyane cyane mu kuvura:
- Ku bijyanye na kanseri y'uruhu
- Ihujwe n'indi miti yo kuvura indwara ya Hodgkin
Uyu muti ntuwuhabwa mu rugo. Utangwa mu bitaro cyangwa mu ivuriro na muganga cyangwa umuforomo watojwe by’umwihariko kuwutanga. Umuti utangwa mu mubiri binyuze mu guterwa mu mitsi cyangwa mu guterwa mu mitsi, nk’umunyu .
Ibintu ugomba kubwira muganga wawe mbere yo gutangira kuvurwa
Ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo gutangira ubu buvuzi. Kubwibyo, niba ufite kimwe muri ibi bikurikira, menya neza ko wabibwiye muganga wawe .
| Ikibazo ugomba gutangaza | Kuki ibyo ari ingenzi? |
|---|---|
| Ubwandu buriho ubu (urugero: indwara za virusi nka inzoka y'inkoko, herpes) | Kubera ko uyu muti ugabanya ubudahangarwa bw'umubiri, indwara zisanzwe zishobora kwiyongera. |
| Indwara y'impyiko cyangwa umwijima | Kubera ko izi ngingo zigira uruhare mu gukura ibiyobyabwenge mu mubiri, ni ngombwa kumenya imikorere yabyo. |
| Indwara nk'uturemangingo dutukura duke, uturemangingo tw'amaraso twera, cyangwa uduce duto tw'amaraso | Dacarbazine ishobora kugabanya cyane umubare w'utu turemangingo, bityo rero ni ngombwa kumenya uko ibintu bimeze ubu. |
| Niba uherutse guhabwa ubuvuzi bushingiye ku maraso | Kubera ko ubuvuzi bushingiye ku mirasire na chimiotherapie bigira ingaruka ku mubiri, muganga agomba kubimenya. |
| Niba ufite allergie kuri uyu muti cyangwa indi miti cyangwa ibiryo | Ibi ni ingenzi cyane kugira ngo hirindwe ingaruka zikomeye z'ubwivumbure. |
| Niba utwite cyangwa ugerageza gutwita | Ibi ni ingenzi cyane. Uyu muti ushobora guteza ingaruka zikomeye ku mwana uri mu nda. |
| Niba uri umubyeyi wonsa | Konsa umwana bigomba kwirindwa mu gihe ufata imiti, kuko umuti ushobora kunyura mu mashereka y'umwana ukangiza umwana. |
Ibintu tugomba kwitondera cyane mu gihe dufata uyu muti:
Ugomba kwita ku mubiri wawe cyane mu gihe cyose cy'ubuvuzi.
Gupima amaraso kenshi
Mu gihe ufata uyu muti, muganga wawe azagutegeka ko upimwa amaraso buri gihe. Ibi ni ukureba uburyo umuti ugira ingaruka ku mubiri wawe no ku turemangingo tw'amaraso yawe. Ntugasimbuke ibi bizamini.
Kubabara
Ni ibisanzwe kumva umerewe nabi kandi unaniwe iyo uri gukoresha imiti ya chimiotherapie. Ibi biterwa nuko iyi miti igira ingaruka ku turemangingo twa kanseri ndetse no ku turemangingo tuzima ku rugero runaka. Kubwibyo, ntuhagarike imiti kuko wumva utameze neza. Ni ngombwa kurangiza urwego rw'ubuvuzi rwagenwe keretse muganga wawe akubwiye guhagarika .
Witondere indwara zandura.
Uyu muti ushobora kugabanya umubare w'uturemangingo tw'amaraso twera mu mubiri turwanya indwara, bikongera ibyago byo kwandura indwara .
Niba ugaragaje ibimenyetso nko kugira umuriro, ubukonje, kubabara mu muhogo, inkorora, cyangwa izuru riva, ntukiyivurize kandi uhamagare muganga wawe ako kanya.Muri iki gihe, gabanya cyane uko bishoboka kose kujya ahantu hafite abarwayi n'ahantu hahurira abantu benshi.
Kuva amaraso no gukomereka
Umubare wa platelets, zifasha kuvura amaraso, ushobora kugabanuka. Ibi bishobora kongera ibyago byo kuva amaraso no gukomereka . Bwira muganga wawe niba ubonye kuva amaraso ku buryo budasanzwe, nko gukomereka ku ruhu, utudomo duto dutukura, amaraso mu mwanda wawe, cyangwa amaraso mu nkari zawe.
Irinde gutwita!
Igikuru ni ukwirinda gutwita burundu mu gihe cyo kuvurwa no nyuma y’uyu muti mu gihe cyose muganga akubwira. Uyu muti ushobora kwangiza cyane umwana uri mu nda. Nanone, ababyeyi bonsa bagomba kwirinda konsa umwana wabo mu gihe bafata uyu muti. Niba ufite ikibazo kuri ibi, vugana na muganga wawe mu buryo bweruye.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, dacarbazine ishobora gutera ingaruka mbi. Ariko, si buri wese uzibona. Imbonerahamwe iri hepfo itanga ishusho isobanutse neza y'izi ngaruka.
| Ingaruka mbi zishobora guterwa na Dacarbazine | |
|---|---|
| 🚨 Ibintu ugomba guhita ubibwira muganga wawe | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba iminwa/ururimi/isura, guhumeka bigoranye. |
| Ibimenyetso by'ubwandu | Umuriro, ubukonje, inkorora, kubabara mu muhogo, ububabare iyo uri kunyara. |
| Indwara zo kuva amaraso mu bice bimwe na bimwe by'umubiri (platelets) | Udukomere ku mubiri tudasobanutse, umutuku, utudomo duto ku ruhu, umwanda w'umukara, n'amaraso mu nkari. |
| Umubare muto w'uturemangingo dutukura mu maraso (anemia) | Kumva unaniwe bidasanzwe, udafite ubuzima, ufite intege nke, amaso y'ubururu. |
| Ibindi bimenyetso bikomeye | Guhumeka nabi, kubabara imitsi, kubabara aho umuti watewe, kuruka, amaso cyangwa uruhu rugahinduka umuhondo, impinduka mu bwinshi bw'inkari utanga. |
| 🙂 Ibintu bikunze kugaragara, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Ibibazo by'igogora | Isesemi, kubabara mu gifu, impiswi, kubura ubushake bwo kurya. |
| Izindi ngaruka nto | Gutakaza umusatsi, kumva uruhu rudakira izuba. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, nyamuneka menyesha muganga wawe na byo.
Bite ho iyo nsize dose maze nkanywa imiti myinshi?
Ni ingenzi cyane gufata imiti ya chimiotherapie ku munsi wagenwe no ku gihe cyagenwe. Kutabikora bishobora kugira ingaruka ku ntsinzi y'ubuvuzi. Niba udashobora kujyayo ku munsi wagenwe, hamagara muganga wawe ako kanya .
Kubera ko uyu muti udakoreshwa mu rugo, ibyago byo kurenga urugero ni bike. Ariko, niba ubona ko wahuye na wo mu buryo ubwo aribwo bwose, ugomba guhita uhamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ukajya mu Kigo cyita ku Buvuzi bw’Ibanze (ETU) cy’ibitaro biri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- Dacarbazine ni umuti ukomeye urwanya kanseri utangwa mu mitsi n'abakozi bahuguwe mu bitaro.
- Mbere yo gutangira kuvurwa, bwira muganga wawe indwara zawe zose, imiti ufata, ndetse n'ubwivumbure.
- Buri gihe menya ibimenyetso nk'umuriro, kuva amaraso bidasanzwe, no gukomereka. Nubona kimwe muri ibi, jya kwa muganga byihutirwa.
- Irinde gutwita no konsa burundu mu gihe cyo kuvurwa.
- Nubwo ari ibisanzwe kumva utameze neza, menyesha muganga wawe ingaruka mbi cyangwa zidashira.
- Gukurikiza amabwiriza ya muganga neza ni ingenzi kugira ngo ubuvuzi bugende neza.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Dacarbazine (DTIC-Dome) ikoreshwa iki?
Iki si ikinini gisanzwe! Iki ni umuti ukomeye cyane wa chimiotherapie (Alkylating agent) uterwa mu mitsi y'umurwayi (IV Injection) mu bitaro bya kanseri kugira ngo usenye 'Hodgkin's Lymphoma' ikomeye kandi ikwirakwize kanseri y'uruhu cyane (Metastatic Melanoma)!
💬 Ni gute uru rukingo rw'imiti (Dacarbazine / Chemo) rwangiza burundu uturemangingo twa kanseri iyo rwinjiye mu mubiri wacu?
Kugira ngo uturemangingo twa kanseri twigabanye/twororoke, tugomba gukora 'DNA' nshya. Uyu muti ujya mu maraso yacu, maze umwijima ugakoresha bimwe muri byo (Active metabolite - MTIC). Hanyuma ujya mu turemangingo twa kanseri, ugafata uruhererekane rugize ADN (GC base pairs) hanyuma ukayifunga (Alkylation / Cross-linking). Iyo ADN ikubiswe/isakara, uturemangingo twa kanseri turaturika tugapfa aho ngaho nk'aho twatewe.
💬 Impfu za kanseri Ni izihe ngaruka zikomeye cyane (Imiburo y'agasanduku k'umukara) umurwayi ahura nazo iyo ahawe uru rukingo?
Akaga gakomeye ku murwayi ni uko ibi bitera kwangirika kw'umusemburo w'amaraso (Bone Marrow Suppression) 100%! Iyo uturemangingo tw'amaraso twabuze, ndetse n'ibicurane bito bishobora gutera umusonga/kuruka amaraso maze umurwayi agapfa. Ikindi kibazo gikomeye ni uko ibi bituma imiyoboro y'amaraso mu mwijima iziba (Hepatic Necrosis / VOD) n'umwijima ukabora. Nanone, kuruka/isesemi bidasubirwaho bizabaho umunsi wo guterwa uru rushinge.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.