Wifuza kumenya ibijyanye no guterwa methotrexate? Reka tuganire!

Ese muganga wawe yakwandikiye umuti witwa Methotrexate ? Cyangwa wahaye uwo uzi uyu muti? Wenda izina rishobora kuba rizwi gato. Uyu ni umuti ukoreshwa mu ndwara zitandukanye, kandi ukeneye kwitonda. None se, tuvugeho mu buryo burambuye kandi bworoshye uyu munsi?

Uyu ni umuti w'ubwoko ki? (Methotrexate ni iki?)

Muri make, Methotrexate ni umuti ugabanya cyane cyane ububyimbirwe mu mubiri. Ese wibuka ko rimwe na rimwe iyo ingingo zawe zibabara kandi zikabyimba, biba biterwa n'ububyimbirwe buri mu mubiri? Niyo mpamvu ikunze gukoreshwa ku ndwara zizanwa no kubyimba.

Urugero:

• Arthritis : Iyi ni indwara yo kubyimba ingingo . Ibi bitera ububabare, kubyimba, ndetse rimwe na rimwe bikangiza ingingo igihe kirekire. Methotrexate ishobora kugabanya ubu bubyimba, ikagabanya ububabare , kandi igafasha mu gukumira kwangirika kw'ingingo.
• Psoriasis: Iyi ni indwara y'uruhu. Hari abantu bafite uruhu rutukura kandi rumeze nk'uruheri, sibyo? Niyo mpamvu uyu muti utangwa.

Si ibi gusa, ahubwo Methotrexate ikoreshwa no kuvura ubwoko bumwe na bumwe bwa kanseri . Icyo uyu muti ukora ni ukugabanya umuvuduko w'ikura ry'uturemangingo twa kanseri.

Rero ushobora kuba usobanukiwe ko uyu atari umuti utangwa ku ndwara imwe gusa. Muganga wawe ni we uzagena niba uwukeneye cyangwa utawukeneye, n'uko uzawuhabwa umeze. Niba rero ufite ikindi kibazo, ntutinye kubaza muganga wawe cyangwa umufarumasiye.

Ni iki nabwira muganga mbere yo gufata uyu muti?

Mbere yo kuguha Methotrexate, muganga wawe azabaza ibibazo bimwe na bimwe. Hari kandi ibintu bike ugomba kubabwira . Uyu muti si uwa buri wese. Ugomba kwitonda cyane mu gihe uwuha abantu bafite indwara zimwe na zimwe.

Niba ufite kimwe muri ibi bintu, menya neza ko wabibwiye muganga wawe:

• Niba hari amazi mu gifu cyangwa amazi mu bihaha.
• Niba ukunda kunywa inzoga buri gihe, ibi ni ingenzi cyane.
• Iyo hari ubwandu mu mubiri, cyangwa niba hari intege nke mu budahangarwa bw'umubiri.
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Niba ufite umubare muto w'amaraso, nk'uturemangingo tw'umweru, uduce duto tw'amaraso, cyangwa uturemangingo dutukura, abaganga nabo babyita "umubare muto w'amaraso."
• Niba ufite indwara y'ibihaha.
• Niba uherutse kuvurwa hakoreshejwe imirasire, cyangwa uteganya kubikora mu gihe kizaza.
• Niba uherutse guhabwa urukingo, cyangwa uteganya kuruhabwa mu gihe kizaza, ugomba kwitondera cyane inkingo zimwe na zimwe za virusi nzima.
• Niba ufite ibisebe byo mu gifu.
• Niba ufite ikibazo cyo kubyimba amara nka colitis y'ibisebe.
• Niba warigeze kugira ikibazo cyo kugira ubwivumbure kuri methotrexate, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
• Niba urimo kugerageza gutwita cyangwa utwite ubu, iki ni ikintu cy'ingenzi cyane .
• Niba uri umubyeyi wonsa.

Ni ingenzi cyane ku mutekano wawe kubwira muganga wawe ibi bintu utabihishe. Hanyuma muganga ashobora guhitamo uburyo bwiza bwo kuvura.

Ukoresha uyu muti ute?

Methotrexate si umuti usanzwe ufatwa nk'ikinini, ahubwo utangwa nk'urushinge . Ni ukuvuga unyuze mu rushinge.

Hari uburyo bwinshi bwo kubikora:

• Gutera umuti mu mutsi: Hari igihe utangwa nk'umuti wa saline, ukavangwa na wo, hanyuma ugatemba buhoro buhoro mu mutsi.
• Gutera umutsi mu mitsi.
• Gutera mu mazi yo mu ruti rw'umugongo: Iki ni ikintu gikorwa mu bihe bidasanzwe.

Uyu muti ukunze gutangwa mu bitaro cyangwa mu ivuriro , kuko hari igihe uba ukeneye gukurikiranwa n'abaganga mu gihe uwutanga.

Ariko, mu bihe bidasanzwe , muganga wawe ashobora kukubwira gufata uyu muti mu rugo. Niba ari uko bimeze, uzabwirwa uko wabikora. Ni ngombwa cyane gufata umuti neza neza nk'uko byategetswe, mu gihe gikwiye . Ntugafate ibirenze ibyo muganga akubwira, cyangwa ngo uwufate kenshi.

Icyibutso cyihariye:

Iyo uhawe uyu muti wo kuvura rubagimpande cyangwa psoriasis, akenshi ufatwa rimwe mu cyumweru. Ntuwufate buri munsi. Ibi ni ingenzi cyane! Kurikiza amabwiriza ya muganga wawe neza.

Mu gihe ukoresha inshinge, ni ngombwa cyane kujugunya inshinge n'inshinge zakoreshejwe neza . Ntuzijugunye mu myanda. Ahubwo, zishyire mu kintu cyabigenewe gikoreshwa mu gutwika . Niba udafite, saba umufarumasiye wawe cyangwa muganga wawe. Ibi ni byiza ku bidukikije no ku bandi.

Ese uyu muti ushobora guhabwa abana bato?

Yego, hari igihe abaganga batanga uyu muti ku bana bafite imyaka ibiri ku ndwara zimwe na zimwe. Ariko hari ibintu bimwe na bimwe ugomba kwitondera mu gihe uwutanga. Niba uha umwana uyu muti, muganga azagusobanurira.

Bigenda bite iyo ufashe imiti myinshi? (Ingano irenze urugero)

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse. Ntutinde.

Ikindi kintu kimwe: Uyu muti ni uwawe gusa. Ntugahe undi muntu uwo ari we wese uyu muti , kabone n'iyo yaba afite ibimenyetso bimwe nawe. Umuti ukwiye n'ingano yawo biratandukanye.

Wakora iki niba wabuze dose y'umuti?

Ni ngombwa cyane kutabura ingano yatanzwe n'uyu muti. Niba udashobora kubahiriza gahunda yawe cyangwa utakaje ingano, hamagara muganga wawe cyangwa itsinda rye ako kanya.

Niba ufata imiti yawe mu rugo ukabura doze, vugana na muganga wawe. Ntuzigere ufata doze ebyiri cyangwa izindi doze kugira ngo wishyure doze wabuze.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti? (Imikoranire)

Iki ni igice cy'ingenzi cyane. Methotrexate ni umuti ushobora gukorana n'indi miti myinshi. Ibi bivuze ko undi muti urimo gufata ushobora guhindura uburyo Methotrexate ikora, cyangwa Methotrexate igahindura uburyo undi muti ukora. Hari igihe ingaruka mbi zishobora kwiyongera.

Ntukigere ufata methotrexate hamwe n'imiti ikurikira:

• Acitretin ( n'umuti uvura indwara y'uruhu)

Nanone, imiti ikurikira ishobora kugira ingaruka kuri Methotrexate. Bityo rero menya neza ko wabibwiye muganga wawe niba ufata imwe muri izi:

• Aspirin cyangwa imiti isa na aspirine, imiti irimo salicylates.
• Azathioprine
• Amwe mu ma antibiyotikeUbwoko: Urugero `(chloramphenicol)`, `(penicillin)`, `(tetracycline)`.
• Imiti imwe n'imwe irinda cyangwa ivura kubyimba kw'amaraso: Urugero `(warfarin)`, `(apixaban)`, `(dabigatran)`, `(rivaroxaban)`.
• Imiti imwe n'imwe ivura indwara zo mu gifu: Urugero `(esomeprazole)`, `(omeprazole)`, `(pantoprazole)`.
• Cyclosporine
• Dapsone
• Imiti igabanya ubukana bw'amaraso ( imiti ikura amazi mu mubiri)
• Aside folike. (Ariko, hari igihe muganga ashobora gutanga dose nke ya aside folike hamwe na methotrexate kugira ngo agabanye ingaruka mbi. Ibi ni ukureba uko muganga abibona.)
• Izahabu (itangwa ku ndwara zimwe na zimwe zo mu bwonko)
• Hydroxychloroquine
• Urukingo rwa virusi nzima
• Imiti ivura indwara zandura: Ingero zirimo `(acyclovir)`, `(adefovir)`, `(amphotericin B)`, `(bacitracin)`, `(cidofovir)`, `(foscarnet)`, `(ganciclovir)`, `(gentamicin)`, `(pentamidine)`, `(vancomycin)`.
• Mercaptopurine
• NSAIDs (N.S.A.I.D.) ni imiti igabanya ububabare n'imiti igabanya ububyimbirwe: Urugero, ibuprofen cyangwa naproxen.
• Pamidronate
• Pemetrexed
• Penicillamine
• Phenylbutazone
• Phenytoin
• Probenecide
• Pirimethamine
• Retinoids (nka vitamine A): Ingero zirimo isotretinoin na tretinoin.
• Imiti ya steroid: Urugero, prednisone cyangwa cortisone.
• Sulfonamides: Ingero zirimo `(sulfasalazine)` na `(trimethoprim/sulfamethoxazole)`.
• Theophylline
• aside ya Zoledrone

Uru rutonde rushobora kuba rutuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, uyiguze ku giciro cya muganga), imiti gakondo, vitamine (inyongeramusaruro ku mirire), kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu ugomba kwitondera mu gihe ufata uyu muti?

Iyo ufashe methotrexate, ushobora kumva umerewe nabi kandi urwaye kurusha uko bisanzwe.Ushobora kubyumva. Ibi si ibisanzwe. Ibi biterwa nuko uyu muti, cyane cyane iyo uhawe abarwayi ba kanseri, ushobora kugira ingaruka ku tunyangingo twa kanseri gusa ndetse no ku tunyangingo tuzima. Kubwibyo, niba ugize ingaruka mbi, bwira muganga wawe. Ariko, komeza gufata imiti wahawe kugeza igihe muganga wawe azakubwiriye kuyihagarika, nubwo waba wumva utameze neza.

Muganga wawe azagukurikiranira hafi mu gihe ufata uyu muti. Ashobora kandi gukora ibizamini byose bikenewe.

• Irinde kunywa inzoga. Ibi ni ingenzi cyane kuko inzoga zishobora kongera ingaruka z'uyu muti ku mwijima.
• Uyu muti ushobora gutera ingaruka mbi zikomeye . Kugira ngo ugabanye ibi byago, muganga wawe ashobora kuguha indi miti mbere yuko utangira gufata methotrexate. Kurikiza amabwiriza ya muganga wawe neza.
• Uyu muti ushobora gutuma uruhu rwawe rworohera cyane uruhu ku zuba . Kubwibyo, gabanya igihe cyo kwibasirwa n'izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda ipfuka uruhu rwawe, wambare indorerwamo z'izuba, kandi ukoreshe amavuta akingira izuba. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two gusiga ibara ry'izuba.
• Ushobora kumva usinziriye cyangwa uzumva . Rero, kugeza igihe umenye uko uyu muti umeze, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu cyose gisaba kwitonda . Irinde guhaguruka cyangwa kwicara vuba cyane, cyane cyane niba ugeze mu za bukuru. Ibi bishobora kugabanya ibyago byo kuzumva no kugwa.
• Uzakenera gukora isuzuma ry'amaraso mu gihe ufata uyu muti. Kora ibizamini nk'uko muganga wawe abikubwira.
• Niba ufite ibimenyetso nk'umuriro, ubukonje, kuribwa mu muhogo, cyangwa ibicurane , hamagara muganga wawe kugira ngo akugire inama. Ntugafate imiti wenyine. Uyu muti ushobora kugabanya ubushobozi bw'umubiri wawe bwo kurwanya indwara . Gerageza rero kwirinda abantu barwaye uko bishoboka kose.
• Uyu muti ushobora kongera ibyago byo kuva amaraso cyangwa gukomereka. Niba ubonye kuva amaraso kudasanzwe (urugero: kuva amaraso mu mazuru, kuva amaraso mu ishinya, kwitumamo imyanda y'umukara), bwira muganga wawe ako kanya.
• Witondere cyane iyo urimo koza amenyo, ukayakoresha mu gukaraba amenyo, cyangwa ukoresheje agapira ko gukaraba amenyo. Ibi bishobora gutera kwandura cyangwa kuva amaraso mu buryo bworoshye. Niba urimo kuvurwa amenyo, bwira umuganga w'amenyo ko urimo gufata uyu muti.
• Niba ufite impiswi nyinshi, isesemi, kuruka, cyangwa ibyuya byinshi , vugana na muganga wawe. Niba utakaje amazi menshi mu mubiri wawe, bishobora kukugirira nabi gufata uyu muti.
• Vugana na muganga wawe ku byerekeye ibyago byo kurwara kanseri.Bivugwa ko uramutse ufashe uyu muti, ibyago byo kurwara ubwoko bumwe na bumwe bwa kanseri bishobora kwiyongera gato. Mbere yo kugira ubwoba, saba inama kwa muganga wawe.

Witondere cyane mu gihe utwite, wonsa, ndetse no mu gihe cy'uburumbuke.

Iki ni ingingo y'ingenzi cyane.

• Ntugatwite mu gihe ufata uyu muti kandi mu gihe cy'amezi 6 nyuma yo guhagarika umuti. Niba uteganya gutwita cyangwa utekereza ko ushobora gutwita, bwira muganga wawe ako kanya.
• Niba umugabo afashe uyu muti, ntagomba kubyara umwana mu gihe afata umuti kandi mu gihe cy'amezi atatu nyuma yo guhagarika uyu muti.
• Bishobora guteza ingaruka zikomeye ku mwana uri mu nda. Baza muganga wawe amakuru arambuye kuri ibi.
• Ntugahe umwana wawe ibere mu gihe ufata uyu muti kandi mu gihe cy'icyumweru kimwe nyuma yo guhagarika uyu muti.
• Uyu muti ushobora kugira ingaruka ku bushobozi bwawe bwo gutwita cyangwa kubyara umwana . Niba ufite ikibazo icyo ari cyo cyose ku bijyanye n'uburumbuke bwawe, vugana na muganga wawe.

Nubwo aya mabwiriza ari maremare gato, yose ni ingenzi cyane ku mutekano wawe. Niba hari ikintu udasobanukiwe, ongera ubaze muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti iyo ari yo yose, methotrexate ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si buri wese uzibona, hari n'abazibona. Hari ingaruka mbi zikomeye, kandi ugomba kubimenyesha muganga wawe vuba iyo bibaye. Hari n'izindi zidakomeye, ariko niba zikomeje cyangwa zibangamiye, ugomba kubimenyesha muganga wawe.

Ingaruka mbi ugomba guhita umenyesha muganga wawe:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Amaraso apfutse: kubabara amaguru, kubyimba, cyangwa ubushyuhe, guhumeka bigoranye, kubabara mu gituza.
• Inkorora yumye, guhumeka bigoranye, cyangwa guhumeka nabi.
• Kwandura: Umuriro, ubukonje, inkorora, kubabara mu muhogo, ibikomere bidakira, ububabare cyangwa ingorane zo kunyara, kumererwa nabi muri rusange, no kumva utameze neza.
• Gukomereka kw'impyiko: Kugabanuka k'inkari, kubyimba utubuto tw'amaguru, amaboko, cyangwa ibirenge.
• Gukomereka k'umwijima: Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, umunaniro udasanzwe cyangwa intege nke.
• Umubare muto w'uturemangingo dutukura mu maraso (Anemia): Umunaniro udasanzwe cyangwa intege nke, isereri, kuribwa umutwe, guhumeka nabi.
• Uruhu rutukura, uduheri, gukurura, cyangwa gukurura uruhu bishobora no kugaragara mu kanwa.
• Indwara zo mu mutwe.
• Gukomereka cyangwa kuva amaraso bidasanzwe.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

• Impiswi
• Kuzungera
• Gutakaza umusatsi (Ibi ntibibaho kuri buri wese, bibaho kuri bamwe gusa. Umusatsi ushobora kongera gukura nyuma yo guhagarika imiti.)
• Isesemi
• Ibisebe mu kanwa cyangwa mu muhogo bijyana no kubabara, gutukura, cyangwa kubyimba.
• Kuruka

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ikintu kidasanzwe usibye ibi, baza muganga wawe. Ushobora kandi gutanga raporo kuri FDA, ariko muri Sri Lanka, ni byiza kubibwira muganga wawe mu buryo butaziguye.

Uyu muti uwubika he?

Kubera ko uyu muti ukunze gutangwa mu bitaro cyangwa mu ivuriro , ntugomba kuwubika mu rugo. Bityo rero ntugomba kuwuhangayikishwa nawo. Niba udakunze kuwuhabwa mu rugo, muganga wawe cyangwa umufarumasiye azakubwira uko uwubika (urugero, niba uwubika muri firigo cyangwa ahantu hatagerwa n'izuba).

Hanyuma, ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, ushobora kuba ubu usobanukiwe ko Methotrexate ari umuti w'ingirakamaro cyane, ariko ukeneye kwitonda.

• Kurikiza amabwiriza ya muganga wawe neza. Menya neza ko ukurikiza urugero rw'umuti, isaha y'umunsi, n'umunsi w'icyumweru (cyane cyane rimwe mu cyumweru kuri rubagimpande na psoriasis).
• Bwira muganga wawe indi miti yose ufata, izindi ndwara ufite, hamwe n'ibindi byose ufite ubwivumbure .
• Niba utwite, ugerageza gutwita, cyangwa wonsa, menya neza ko wabibwiye muganga wawe. Ibi ni ingenzi cyane.
• Menya ingaruka mbi. Niba ugize ingaruka mbi zikomeye, bwira muganga wawe ako kanya.
• Irinde inzoga burundu.
• Ntugasimbuke gupimwa amaraso no kubonana na muganga.
• Niba ufite ikibazo cyangwa gushidikanya, ntutinye kubaza muganga. Ufite uburenganzira bwo kumenya byose neza.

Wibuke ko uyu muti ugamije kugufasha kugenzura ikibazo cyawe. Reka dufatanye na muganga kandi dukurikize neza ubu buryo bwo kuvura. Tukwifurije gukira vuba!

Methotrexate , rubagimpande, psoriasis, kanseri, imiti, ingaruka mbi, imiti, ububabare bw'ingingo