Iyo wowe cyangwa umuntu wo mu muryango wawe atangiye kuvura kanseri, ni ibisanzwe kumva ufite ubwoba gato kandi ushishikajwe no kumenya imiti muganga wawe akwandikiye. Ni ngombwa kumenya neza igihe utangiye umuti mushya. Uyu munsi rero tugiye kuvuga ku muti umwe nk'uwo urwanya kanseri, Lorlatinib. Reka tubiganireho mu buryo bworoshye, nk'aho inshuti yawe iri kubigusobanurira.
Lorlatinib ni iki?
Mu magambo make, lorlatinib si umuti usanzwe wa chimiotherapie. Ikora nk' "ubuvuzi bwibasiwe." Ibi bivuze ko yibasira poroteyine runaka zifasha uturemangingo twa kanseri gukura. Mu kubikora, bihagarika uturemangingo twa kanseri gukura.
Ikunze gukoreshwa cyane mu kuvura indwara yitwa "kanseri y'ibihaha itari iy'uturemangingo duto." Muganga wawe ashobora kandi kukwandikira iyi miti ku zindi ndwara. Niba ufite ikibazo kuri yo, baza muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yuko muganga wawe akwandikira uyu muti, ni ngombwa kumenya neza izindi ndwara zose ushobora kuba ufite. Uyu muti ushobora kugira ingaruka kuri izo ndwara. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
- Diyabete (isukari nyinshi mu maraso)
- Umuvuduko ukabije w'amaraso
- Kolesteroli nyinshi
- Ubudasa bw'imitsi y'umutima cyangwa indwara z'umutima
- Indwara y'impyiko
- Indwara y'ibihaha cyangwa inkovu z'ibihaha
- Indwara iyo ari yo yose yo mu mutwe
- Indwara nk'iz'igicuri
- Ibitekerezo byo kwiyahura, ibitekerezo byo kwiyahura, kuba waragerageje kubikora, cyangwa kugira uwo mu muryango ubikora
- Kugerageza gutwita cyangwa gutwita ubu
- Konsa umwana
- Warigeze kugira ikibazo cyo kugira ubwivumbure kuri lorlatinib cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
Ni gute neza neza ukoresha uyu muti?
Gukurikiza amabwiriza nyayo yo gukoresha uyu muti ni ingenzi cyane kugira ngo ubone ibisubizo.
- Fata iki kinini neza neza nk'uko muganga wawe yabigutegetse, mu gihe kimwe buri munsi .
- Ntugasye ikinini, ugisye cyangwa ngo ugiheke . Uramire cyose n'amazi.
- Ushobora kuyifata mbere cyangwa nyuma yo kurya, ariko niba urwaye igifu, ni byiza kuyifata hamwe n'ibiryo.
- Komeza gukoresha ubu buryo bwo kuvura kugeza igihe muganga wawe azakubwiriye kubihagarika.
- Ni ingenzi cyane:Irinde kunywa umutobe w'imbuto z'umuzabibu burundu mu gihe ufata uyu muti.
Bite ho niba dose ari nyinshi cyane? (Kuba warengeje urugero)
Niba ubona ko wafashe imiti myinshi, jya ku ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, uyifate ako kanya wibuka. Ariko, niba hasigaye amasaha atarenze 4 ngo dose ikurikira igere, jya usimbuka dose yabuze. Fata dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri .
Indi miti ishobora kugira ingaruka kuri uyu muti
Lorlatinib ni umuti ufite ubushobozi bwinshi bwo gukorana n'indi miti. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata (harimo vitamine, imiti y'ibimera, n'icyayi cy'ibimera). Ishobora kugira ingaruka ku miti ikurikira:
| Ntuzigere ufata ibi hamwe na lorlatinib. | |
|---|---|
| apalutamide, enzalutamide, mitotane, ranolazine | Imiti itangwa ku ndwara zitandukanye za kanseri n'umutima |
| Imiti igabanya igicuri nka carbamazepine, phenytoin, phenobarbital | Imiti ivura indwara zo mu mutwe |
| rifampine, rifapentine | Antibiyotike ku ndwara zandurira mu mikorobe nka igituntu |
| Wort ya Mutagatifu Yohani | Inyongeramusaruro y'ibimera ivura indwara yo kwiheba |
| lumacaftor; ivacaftor | Imiti ivura indwara ya cystic fibrosis |
| Ushobora kugira icyo ukora kuri ibi - baza muganga wawe. | |
| Antibiyotike | Urugero: clarithromycin |
| Indwara zirwanya fungane | Urugero: ketoconazole, itraconazole, fluconazole |
| Imiti ya VIH n'indwara ya Hepatite | Urugero: ritonavir, boceprevir |
| Imisemburo n'uburyo bwo kuboneza urubyaro | Ibintu nk'ibinini byo kuboneza urubyaro, uduce duto, inshinge, n'ibindi. |
| Indi miti | bosentan, modafinil, midazolam |
Ibintu ugomba kuzirikana mu gihe ufata imiti
Ni ibisanzwe kumva umerewe nabi mu gihe cyo kuvura kanseri, kuko bigira ingaruka ku turemangingo twa kanseri ndetse no ku turemangingo tuzima. Ariko ntugahagarike imiti kugeza igihe muganga akubwiye. Menyesha muganga wawe ingaruka mbi zose.
Gutwita, konsa n'inama ku bagabo
Iki gice ni ingenzi cyane. Nyamuneka witondere cyane.
- Ku bagore: Irinde gusama burundu mu gihe ufata uyu muti. Nanone, irinde gusama mu gihe cy'amezi 6 nyuma yo guhagarika umuti. Koresha uburyo bwo kuboneza urubyaro butari imisemburo (urugero: agakingirizo, umuringa T). Bibwire muganga wawe ako kanya niba ufite amakenga ko utwite. Irinde konsa mu gihe ufata uyu muti no mu gihe cy'iminsi 7 nyuma yo guhagarika umuti.
- Ku bagabo:Abagabo bafata uyu muti bagomba gukoresha agakingirizo mu gihe bakora imibonano mpuzabitsina n'umugore ushobora gusama. Ubu buryo bwo kuboneza urubyaro bugomba gukomeza mu gihe cy'amezi 3 nyuma yo guhagarika uyu muti. Niba ukeka ko uwo mwashakanye atwite, menyesha muganga wawe vuba.
Indwara n'umuriro
Uyu muti ushobora kugabanya ubudahangarwa bw'umubiri wawe no kongera ibyago byo kwandura indwara. Kubwibyo, niba ugaragaje ibimenyetso nk'umuriro, ibicurane, kubabara mu muhogo, cyangwa inkorora, ntukivure ahubwo uhamagare muganga wawe ako kanya kugira ngo akugire inama. Gerageza kwirinda abarwayi.
Igipimo cya kolesteroli n'isukari
Lorlatinib ishobora kongera cholesterol mu maraso (cyane cyane triglycerides) n'isukari mu maraso. Ishobora kandi kugabanya cholesterol nziza (HDL). Muganga wawe azajya abisuzuma buri gihe. Nibiba ngombwa, bashobora kukugira inama yo guhindura imirire cyangwa imiti mishya.
Impinduka mu buzima bwo mu mutwe
Uyu muti ushobora kugira ingaruka ku bantu bamwe na bamwe mu mutwe. Bibwire muganga wawe ako kanya niba wowe cyangwa umwe mu bagize umuryango wawe mubonye imwe muri izi mpinduka zikurikira:
- Ihungabana rishya cyangwa rikomeje kwiyongera
- Ibitekerezo byo kwigirira nabi
- Guhangayika
- Gutakaza kwibuka
- Imyitwarire cyangwa ibitekerezo bidasanzwe, bihungabanya
Ni izihe ngaruka mbi zishobora kugaragara?
Kimwe n'indi miti iyo ari yo yose, lorlatinib ishobora kugira ingaruka mbi. Zimwe muri zo zishobora kuba zikomeye kandi zigomba guhita zitangazwa.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, cyangwa ku rurimi |
| Kubabara mu gituza cyangwa gufungana | Bishobora kuba ibimenyetso by'indwara y'umutima |
| Inkorora, guhumeka bigoranye, kubyimba umubiri (edema) | Kwiyongera ibiro mu buryo butunguranye, kubyimba utubuto, amaboko n'ibirenge |
| Ibimenyetso by'indwara y'umwijima | Inkari z'umuhondo wijimye cyangwa umukara, amaso/uruhu rugahinduka umuhondo, ububabare mu gice cyo hejuru cy'iburyo cy'igifu |
| Ibimenyetso by'ubwandu | Umuriro, ubukonje, kubabara mu muhogo |
| Ibimenyetso by'umubare muke w'uturemangingo tw'amaraso | Kugorwa no guhumeka, umunaniro ukabije, gucika intege, no kubabara umutwe |
| Impinduka zo mu mutwe cyangwa igicuri | Ibimenyetso byo mu mutwe byavuzwe haruguru, urujijo, gucika intege |
| Bwira muganga wawe niba bikomeje cyangwa bikubangamiye. | |
| Isesemi, kuruka | Ubwiyongere bw'umuvuduko w'amaraso |
| Guhinduka kw'amaso, kutabona neza | Kolesteroli yiyongera |
| Kubura ibitotsi cyangwa kugabanuka kw'ibitotsi | Gutakaza kwibuka, kurakara |
Ubutumwa bwo kujyana mu rugo
- Fata umuti neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye, kandi mu gipimo gikwiye. Ntuzigere uvunagura cyangwa ngo ujanjagure ikinini.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata. Cyane cyane irinde kunywa umutobe w'imbuto z'umuhondo.
- Irinde gutwita mu gihe ufata uyu muti kandi mu gihe cyose muganga agusaba. Abagore n'abagabo bagomba kubimenya.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, kubabara mu gatuza, kubyimba cyane, cyangwa impinduka zikomeye mu byiyumvo, shaka ubufasha bwa muganga byihutirwa.
- Uyu muti ni uwawe gusa. Ntuwusangize abandi ku mpamvu iyo ari yo yose.
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