Umuti wo kurwanya icyuma cyinshi: Icyo ukeneye kumenya ku binini bya Deferasirox!

Ingano y'icyuma mu mubiri wawe rimwe na rimwe ishobora kuba irenze urugero rukenewe. Ibi tubyita icyuma cyinshi. Iyo ibi bibaye, hashobora kubaho ibibazo bitandukanye by'ubuzima. Rero, imwe mu miti y'ingenzi yatanzwe n'abaganga muri bene ibyo bihe ni 'Deferasirox'. Uyu munsi, turaganira kuri uyu muti, uburyo bwo kuwukoresha, ingaruka mbi, n'ibintu ugomba kwitondera.

Uyu muti witwa Deferasirox ni uwuhe?

Muri make, Deferasirox ni umuti ufasha gukuraho ubutare burenze mu maraso yawe. Tekereza nk'umukuru w'icyuma, ariko ukurura ubutare gusa. Izina ry'ikirango rizwi cyane kuri uyu muti ni Exjade. Ushobora kandi kuwusanga munsi y'andi mazina y'ikirango.

Ni ibihe bintu ngomba kubwira muganga mbere yo gukoresha uyu muti?

Mbere yo gutangira gufata Deferasirox, ugomba kubibwira muganga wawe niba ufite imwe muri izi ndwara zikurikira:

• Niba urwaye kanseri.
• Niba ufite indwara z'amaso cyangwa ibibazo byo kutabona neza.
• Niba ufite ikibazo cyo kutumva.
• Niba warigeze kugira amateka y'indwara z'amaraso mu bihe byashize.
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Niba ibizamini byagaragaje ko ufite uturemangingo tw’umweru mu maraso, plaquettes, cyangwa uturemangingo dutukura mu maraso yawe (umubare muto w’amaraso).
• Niba waragize ikibazo cy'ubwivumbure kuri uyu muti witwa `Deferasirox`, undi muti uwo ari wo wose, ku biribwa, ku marangi, cyangwa ku bintu bibungabunga.
• Niba utwite, "utwite", niba utwite, "ugerageza gutwita".
• Niba uri umubyeyi wonsa.

Iyo ubwiye muganga wawe ibi bintu, ashobora kumenya neza niba uyu muti ukubereye cyangwa utakubereye, ndetse n'uburyo bwo kwirinda ugomba gufata.

Ukoresha uyu muti ute?

Ni ingenzi cyane gukoresha uyu muti neza.

• Iki ni ikinini unywa ukoresheje umunwa. Gifate nk'uko byavuzwe ku rupapuro rwa muganga waguhaye.
• Igikuru ni ukunywa uyu muti urimo ubusa mu nda. Ibyo bivuze nibura iminota 30 mbere yo kurya, cyangwa amasaha abiri nyuma yo kurya. Ntuzigere unywa uyu muti hamwe n'ibiryo.
• Gerageza gufata umuti mu gihe kimwe buri munsi. Muri ubwo buryo, ushobora gukomeza kugira akamaro nk'ak'umuti.
• Ntukanywe ibirenze urugero cyangwa bike ugereranyije n'ibyo muganga wawe akubwira.
• Ntugahagarike gufata uyu muti mu buryo butunguranye, nubwo waba wumva umeze neza, kugeza igihe muganga wawe azakubwiriye kuwuhagarika.

Ese uyu muti ukwiye guhabwa abana bato?

Uyu muti ushobora guhabwa abana bafite imyaka ibiri ku ndwara zimwe na zimwe. Ariko, ugomba kuganirwaho n'umuganga w'abana kandi ugakurikizwa neza. Hari ibintu bimwe na bimwe byihariye bigomba kwitabwaho mu gihe uhabwa abana.

Wakora iki niba ufashe imiti myinshi?

Niba utekereza ko wafashe uyu muti urenze urugero mu buryo butari bwo, hamagara ikigo cyita ku barwayi barembye cyangwa ikigo gishinzwe kurwanya uburozi ako kanya. Cyangwa ujye kwa muganga ako kanya.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugasangire uyu muti n'undi muntu uwo ari we wese, kabone n'iyo ibimenyetso byawo byaba bisa n'ibyawe.

Wakora iki niba wabuze dose y'umuti?

Hari igihe ushobora kubura dose y'umuti. Niba ari uko bimeze:

• Fata dose yabuze ukimara kubyibuka.
• Ariko, niba igihe cyo gufata dose ikurikiraho kigeze hafi (urugero, mu masaha make), jya usimbuka dose yabuze hanyuma ufate dose ikurikiraho ku gihe cyagenwe.
• Ntugafate imiti ibiri icyarimwe kubera impamvu iyo ari yo yose. Kubikora bishobora gutera ingaruka mbi.

Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)

Deferasirox ishobora kugira ingaruka ku yindi miti. Kubwibyo, ni ngombwa cyane kubibwira muganga wawe niba ufata indi miti iyo ari yo yose.

Ntugakoreshe Deferasirox hamwe n'iyi miti:

• `dasabuvir; ombitasvir, paritaprevir; ritonavir` (iyi ni imiti ikunze gutangwa ku ndwara z'umwijima nka Hepatite C)
• Inyongeramusaruro za fer (tekereza: Deferasirox ikuraho fer irenze mu mubiri. None se niba wongeye gufata ibinini bya fer, ntabwo bizagufasha, sibyo?)
• `ombitasvir; paritaprevir; ritonavir` (ibi nabyo ni kimwe n'ibyavuzwe haruguru)

Deferasirox ishobora kandi kugira ingaruka ku miti ikurikira:

Niba ukoresha imwe muri iyi miti ikurikira, bwira muganga wawe ibyayo :

• Aside ivura ububyimbirwe bw'igifu n'igifu
• Ibinini byo kuboneza urubyaro
• Imiti imwe igabanya cholesterol (urugero: `cholestyramine`, `colesevelam`, `colestipol`, `simvastatin`)
• Imiti imwe n'imwe ivura indwara yo kubura amaraso (urugero: alendronate, risedronate)
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe (urugero: phenobarbital, phenytoin)
• Imiti igenzura kuvura kw'amaraso (urugero: `warfarin`)
• `conivaptan`
• `cyclosporine` (cyclosporine)
• NSAID ni itsinda ry'imiti igabanya ububabare n'imiti igabanya ububyimbirwe (urugero: ibuprofen, naproxen)
• Paclitaxel (umuti ukoreshwa mu kuvura kanseri)
• `repaglinide` (umuti uvura diyabete)
• `rifampin` (umuti utangwa ku ndwara zandurira mu maraso nk'igituntu)
• `ritonavir` (ritonavir - umuti ukoreshwa mu kuvura ubwandu bwa virusi itera SIDA)
• Imiti irimo steroid (urugero: prednisone, cortisone)
• `theophylline` (umuti ukoreshwa mu kuvura indwara z'ubuhumekero nka asima)

Bwira muganga wawe indi miti, ibyatsi, vitamine, imiti y'ibimera, cyangwa inyongeramusaruro ufata, nubwo bitagaragara hano. Bwira kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Ibi bishobora kugira ingaruka kuri Deferasirox.

Ingingo zihariye ugomba kwitondera mu gihe ufata umuti

Ugomba kwitondera cyane ibi bikurikira mu gihe ufata uyu muti:

• Niba ibimenyetso byawe bitagenze neza, cyangwa bisa n'aho birushaho kwiyongera, bwira muganga wawe ako kanya.
• Indwara zikomeye z'uruhu: Uyu muti ushobora gutera ingaruka zikomeye z'uruhu ku bantu bamwe. Ibi bishobora kubaho ibyumweru cyangwa amezi nyuma yo gutangira umuti. Shaka ubufasha bwihuse kwa muganga niba ufite ibimenyetso nk'umuriro, ubukonje, uduheri (cyane cyane umutuku cyangwa umuhengeri) nyuma bikaza guhinduka uduheri n'uduheri, cyangwa uduheri dutukura hamwe no kubyimba mu maso, ku minwa, cyangwa kubyimba imitsi mu ijosi cyangwa mu kwaha .
• Ibizamini: Muganga wawe azasuzuma buri gihe urugero rw'amaso yawe, amatwi yawe, n'ingano y'ubutare mu maraso yawe, ndetse n'ibindi bipimo by'amaraso, mbere no mu gihe cyo gufata uyu muti.
• Ibimenyetso byo kuva amaraso imbere: Niba ufite imyanda y'umukara, cyangwa kuruka bisa n'ikawa, bishobora kuba igisebe kirimo kuva amaraso mu nda cyangwa mu mara. Ibi nibibaho, bwira muganga wawe ako kanya.
• Kuzunguruka: Uyu muti ushobora gutuma wumva uzuzuruye cyangwa usinziriye. Kubwibyo, ugomba kwirinda gutwara imodoka, gukoresha imashini ziremereye, cyangwa gukora ikintu cyose gisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Irinde guhaguruka wicaye cyangwa uhagaze mu buryo butunguranye, cyane cyane niba ugeze mu zabukuru. Ibi bishobora kugabanya ibyago byo kuzuzuruye.
• Kubura amazi mu mubiri mu bana: Niba umwana wawe afata uyu muti kandi akaba ahora arwaye impiswi, kuruka, isesemi, cyangwa ibyuya byinshi, bibwira muganga wawe. Ibi biterwa nuko bishobora kuba bibi gufata uyu muti iyo amazi n'umunyu byinshi biva mu mubiri (kubura amazi mu mubiri).

Ingaruka mbi zishobora guterwa n'uyu muti

Kimwe n'indi miti yose, Deferasirox ishobora gutera ingaruka zimwe na zimwe.

Ingaruka mbi zigomba kumenyeshwa muganga ako kanya:

• Ubwivumbure bw'uruhu: Gushyuha, kuribwa, kubyimba mu maso, iminwa, ururimi, no kugorwa no guhumeka.
• Impinduka mu kureba (urugero: kutabona neza).
• Kubura amatwi cyangwa gucurama mu matwi.
• Umuriro, ubukonje, no kubabara mu muhogo.
• Uduheri ku ruhu, umuriro, n'uturemangingo tw'imitsi tubyimba.
• Uruhu rutukura, uduheri, no gushibuka kw'uruhu (bishobora no kugaragara mu kanwa).
• Ibimenyetso byo kuva amaraso: Amasaso y'umukara cyangwa amaraso; kuruka ikintu cy'umukara gisa n'ikawa.
• Ibimenyetso by'indwara y'umwijima: Inkari z'umuhondo wijimye cyangwa umukara; ububabare rusange cyangwa umuriro; imyanda yera; kubura ubushake bwo kurya; isesemi; ububabare mu gice cyo hejuru cy'iburyo cy'inda; intege nke cyangwa umunaniro udasanzwe; amaso cyangwa uruhu bihinduka umuhondo.
• Kugorwa no kunyara cyangwa impinduka mu rugero rw'inkari.
• Kuva amaraso cyangwa gukomereka bidasanzwe.

Ibimenyetso akenshi bidasaba inama kwa muganga (ariko bwira muganga wawe niba bikomeje cyangwa bikubangamiye):

• Impiswi
• Isesemi, kuruka
• Kubabara mu gifu
• Ikibazo cyo gusinzira

Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, baza muganga wawe na byo.

Ubika umuti ute?

• Bika uyu muti ahantu hirengeye abana batagera .
• Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30; hagati ya dogere selisiyusi 59 na 86). Ntukashyire ahantu hari ubushyuhe bwinshi cyangwa amazi menshi.
• Ntugakoreshe imiti yarengeje igihe cyavuzwe ku ipaki y'imiti. Ijugunye neza.

Amaherezo, ubutumwa bwo kujyana mu rugo

Rero, 'Deferasirox' ni umuti w'ingenzi cyane ufasha mu kugenzura ubutare bwinshi mu mubiri wawe.

Ariko wibuke ibi bintu:

* Ni ngombwa gufata umuti neza nk'uko muganga abivuze, ku rugero rukwiye, kandi mu gihe gikwiye.

* Ntukibagirwe kubwira muganga wawe indi miti yose ufata ndetse n'izindi ndwara zose ufite.

* Buri gihe menya ingaruka mbi. Nubona ikintu kidasanzwe, hita ubonana na muganga wawe.

* Iyi nkuru ishobora kuguha igitekerezo kuri uyu muti, ariko ntabwo ari ibisobanuro byuzuye. Niba ufite ibindi bibazo, nyamuneka ubaze muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi.

Ndakwifurije ubuzima bwiza!

` Deferasirox, deferasirox, icyuma cyinshi, ingaruka mbi, Exjade, icyuma cyinshi, ingaruka mbi, umuti