Icyo ugomba kumenya kuri Deferasirox, igenzura ubucucike bw'icyuma mu mubiri

Bamwe mu bana bacu, ndetse n'abantu bakuru, bagomba guterwa amaraso buri gihe bitewe n'indwara nka Thalassemia. Iyo dukomeje gutanga amaraso muri ubu buryo, umubiri wacu ushobora kwegeranya ingano y'icyuma udashobora kwihanganira. Ibi tubyita 'Iron Overload'. Rero, umuti wihariye abaganga batanga wo gukuramo icyuma gikabije cyirundanyije muri ubwo buryo mu mubiri witwa Deferasirox. Ushobora kuba uzi uyu muti ku izina rya Jadenu. Reka tuvuge kuri uyu muti uyu munsi.

Deferasirox ni iki?

Mu magambo make, Deferasirox ni ubwoko bw'umuti 'ugabanya icyuma'. Ibi bivuze ko uyu muti ukora ufata uduce tw'icyuma twinshi mu maraso yawe, ukadufata, hanyuma ukadukura mu mubiri wawe mu mwanda wawe. Tekereza nk'ingufu, ukuramo icyuma kidakenewe. Gukuraho icyuma cyinshi muri ubu buryo ni ingenzi cyane. Kuko iyo icyuma cyinshi cyirundanyije mu mubiri, gishobora kwangiza ingingo z'ingenzi nk'umwijima n'umutima.

Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti

Mbere yo gutangira gufata uyu muti, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Kubera ko uyu muti ugomba guhabwa abantu bafite indwara zimwe na zimwe, ni ngombwa cyane kumubwira niba ufite imwe muri izi ndwara zikurikira:

• Niba urwaye kanseri cyangwa uri kuvurwa kanseri.
• Niba ufite indwara iyo ari yo yose y'umwijima cyangwa impyiko .
• Niba ufite ubumuga bwo kutabona neza cyangwa indwara y'amaso (urugero: cataract).
• Niba ufite ubumuga bwo kutumva .
• Niba ufite amateka yo kurwara indwara z'amaraso . Urugero, indwara aho umubare w'uturemangingo tw'amaraso twera, uturemangingo dutukura, cyangwa uduce duto tw'amaraso mu maraso uba uri hasi.
• Niba ufite ubwivumbure kuri uyu muti wa Deferasirox cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
• Niba utwite, ugerageza gusama, cyangwa wonsa .

Kubwira muganga wawe ibi bintu utamuhishe ni ingenzi cyane ku mutekano wawe.

Nigute nkwiye gukoresha uyu muti?

Muganga wawe azagusobanurira neza uburyo bwo gukoresha uyu muti. Ni ngombwa gukurikiza ayo mabwiriza neza.

• Igihe cyo gufata umuti: Uyu muti ugomba gufatwa buri gihe udafite icyo urya . Bivuze ko nibura iminota 30 mbere cyangwa amasaha 2 nyuma yo gufata ifunguro . Kuwufata hamwe n'ibiryo bishobora kugabanya imikorere y'umuti. Ni byiza kugira akamenyero ko kuwufata icyarimwe buri munsi.
• Uburyo bwo gufata:Uyu ni umuti uza mu buryo bwa granule. Ubusanzwe utangwa mu kuwushongesha mu kintu nk'amazi, umutobe w'amapera, cyangwa umutobe w'icunga hanyuma ukawunywa. Bikore nk'uko muganga wawe abikubwiye.
• Guhagarika: Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma urugero rwa fer rwongera kuzamuka vuba.
• Iyo ihawe abana: Hari igihe uyu muti ushobora guhabwa abana barengeje imyaka 2. Ariko ugomba gukorwa munsi y'ubugenzuzi bwihariye bwa muganga. Menya neza ko umenya ingano n'uburyo umwana ahabwa.
• Niba wabuze dose: Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.

Ibintu ugomba kwitondera mu gihe ufata imiti

Mu gihe ufata uyu muti, muganga wawe azagusuzuma buri gihe amaraso yawe, amaso yawe, n'amatwi yawe. Ntugasimbuke ibi bizamini. Byongeye kandi, menya neza ibi bimenyetso.

• Indwara zikomeye z'uruhu: Hari abantu bashobora kugira ingaruka zikomeye ku ruhu nyuma y'ibyumweru byinshi batangira uyu muti. Niba ufite umuriro, ububabare bw'umubiri, n'uduheri dutukura cyangwa tw'umuhengeri ku ruhu rwawe bikaza nyuma bigacika, ugomba kubimenyesha muganga wawe vuba. Nanone, niba ufite uduheri dutukura ku ruhu rwawe n'uturemangingo twa lymph twabyimbye ku maso, ku minwa, cyangwa mu ijosi/ku maha, icyo nacyo ni ikimenyetso gikomeye.
• Kuva amaraso mu nda: Niba umwijima wawe ukabije cyangwa uruka ikintu gisa n'ikawa , bishobora kuba biva mu gisebe mu nda cyangwa mu mara. Ibi ni ibintu byihutirwa, jya kwa muganga ako kanya.
• Kuzungera: Uyu muti ushobora gutera isereri ku bantu bamwe na bamwe. Kubwibyo, irinde ibikorwa biteje akaga nko gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko umuti ukugiraho ingaruka. Cyane cyane niba ugeze mu zabukuru, ntuhaguruke utunguranye uvuye mu mwanya wawe wicaye.
• Kubura amazi mu mubiri ku bana: Niba umwana wawe afite impiswi nyinshi, kuruka, cyangwa kubira ibyuya byinshi, ashobora kuba arimo gutakaza amazi menshi mu mubiri we. Ibi bishobora guteza akaga mu gihe afata uyu muti. Bibwire muganga wawe mu gihe nk'icyo.

Ingaruka mbi ni izihe?

Kimwe n'indi miti yose, Deferasirox ishobora gutera ingaruka mbi. Si buri wese uzibona, ariko ni ngombwa kuzimenya.

Ese ibi bishobora kugira ingaruka ku yindi miti?

Yego, ibi ni ingenzi cyane. Deferasirox ishobora guteza ibibazo iyo ifashwe n'indi miti imwe n'imwe. Bwira muganga wawe buri muti, vitamine, imiti y'ibimera, cyangwa inyongeramusaruro ufata.

Ugomba kwitonda cyane cyane mu gihe ufata Deferasirox hamwe n'iyi miti:

• Izindi miti cyangwa inyongeramusaruro birimo icyuma: Uyu muti ufatwa kugira ngo ukureho icyuma gikabije, bityo gufata ibinini bya icyuma ntacyo bizafasha.
• Aside: Aside irimo aluminiyumu ikoreshwa mu kuvura umwuka no gushyuha mu gifu ishobora kugabanya kwinjiza Deferasirox.
• Imiti imwe n'imwe ya cholesterol: Imiti nka Cholestyramine na Colestipol.
• Zimwe mu ndwara zigabanya ububabare: Imiti igabanya ububabare yo mu bwoko bwa NSAID (urugero: Ibuprofen, Naproxen).
• Ibinini byo kuboneza urubyaro.
• Imiti ibuza amaraso kuzura, nka Warfarin .
• Imiti ya steroid nka Prednisone .

Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe imiti yose ufata .