Ese muganga wawe yakwandikiye umuti witwa Methotrexate ? Cyangwa hari umuntu uzi ukoresha uyu muti? Ushobora kuba waragize ubwoba cyangwa amatsiko ubwo wumvise izina ry'uyu muti. Ni ibisanzwe kugira ibibazo kuri wo kuko ari umuti ukomeye cyane. Reka tuvuge kuri uyu muti mu buryo bworoshye kandi busobanutse, nk'ibindi byose.
Methotrexate ni iki?
Muri make, Methotrexate ni umuti ukoreshwa cyane cyane mu kuvura indwara zitandukanye.
- Indwara zo kubyimba: Uyu muti ufasha kugabanya ububyimbirwe mu mubiri, ni ukuvuga kubyimba, gutukura, no kubabara, mu ndwara z'ingingo nka rubagimpande n'indwara z'uruhu nka psoriasis . Muri ubu buryo , iyi ndwara ishobora kugenzurwa kandi kwangirika kw'ingingo n'uruhu mu gihe kirekire bishobora kwirindwa.
- Amoko amwe ya kanseri : Uyu muti ushobora kugabanya ikura ry'uturemangingo twa kanseri , bityo abaganga bawukoresha mu kuvura ubwoko bumwe na bumwe bwa kanseri.
Uretse ibyo byavuzwe haruguru, muganga wawe ashobora no kukwandikira uyu muti ku zindi ndwara. Niba rero ufite ikibazo, baza muganga wawe kuri icyo kibazo.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Methotrexate ni umuti ugomba gukoreshwa witonze cyane. Kubwibyo, mbere yo gutangira gufata uyu muti, ugomba kubibwira muganga wawe niba ufite kimwe mu bibazo biri hepfo.
| Uko umeze | Ibintu byo kuzirikana |
|---|---|
| Niba utwite cyangwa ugerageza gutwita | Ibi ni ingenzi cyane. Uyu muti ushobora kwangiza umwana uri mu nda cyane. |
| Niba umubyeyi yonsa umwana we | Uwo muti ushobora kwanduzwa umwana binyuze mu mashereka. |
| Niba unywa inzoga kenshi | Kwangirika k'umwijima bishobora kuba bikomeye cyane. |
| Niba ufite indwara y'umwijima cyangwa impyiko | Kubura imiti mu mubiri bishobora kubangamira kandi ingaruka mbi zishobora kwiyongera. |
| Niba ufite umubare muto w'uturemangingo dutukura, uturemangingo tw'amaraso twera, cyangwa uduce duto tw'amaraso mu maraso yawe | Uyu muti ushobora gutuma iyi ndwara irushaho kuba mbi. |
| Niba ufite ikibazo cy'ibihaha cyangwa amazi mu nda/mu bihaha byawe | Umuti ushobora gutera ibibazo byo guhumeka. |
| Niba ufite ibibazo byo mu gifu cyangwa mu mara (urugero: ibisebe) | Ibi bintu bishobora gukomera. |
| Niba ufite ubwivumbure kuri uyu muti cyangwa undi muti/ibiryo ibyo ari byo byose | Ibi ni ingenzi kugira ngo hirindwe ingaruka zikomeye z'ubwivumbure. |
Ni gute neza neza nkoresha uyu muti?
Iki ni cyo gice ugomba kwitaho cyane.
Ni ingenzi cyane gufata uyu muti neza nk'uko muganga wawe yabigutegetse, mu rugero rwanditswe, no mu gihe cyanditswe. Niba uyu muti uje nk'umuti, koresha ikiyiko cyangwa igikombe cyihariye cyo gupima gusa. Ntupime ukoresheje ibiyiko cyangwa ibiyiko byo mu rugo, kuko badashobora gupima ingano nyayo.
Icy'ingenzi kurushaho: Menya neza inshuro ugomba gufata uyu muti. Uyu muti ukunze gutangwa rimwe mu cyumweru, ntabwo ari buri munsi . Gufata uyu muti kenshi kuruta uko muganga yabikubwiye bishobora gutera ingaruka mbi zikomeye, ndetse n'urupfu. Rero witondere cyane ibi.
Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)
Niba ubona ko wafashe imiti myinshi cyane, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, vugana na muganga wawe. Ntuzigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose wibagiwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Methotrexate ni umuti ushobora kugira ingaruka ku yindi miti, bityo rero ni ngombwa cyane kumenyesha muganga wawe imiti yose ufata.
- Ntugafate umuti wa Acitretin hamwe na wo na gato.
Byongeye kandi, imiti ikurikira ishobora kugira ingaruka kuri methotrexate:
- Imiti igabanya ububabare nka asipirine
- Azathioprine
- Amwe mu ma antibiyotike - urugero: penisiline, tetracycline
- Imiti ibuza amaraso kuzura - urugero warfarin, apixaban
- Imiti imwe ikoreshwa mu kuvura indwara y'igifu - urugero: esomeprazole, omeprazole
- Imiti igabanya ubudahangarwa bw'umubiri - urugero nka Cyclosporine
- Urukingo rwa virusi nzima
- NSAIDs zivura ububabare n'ububyimbirwe - urugero: ibuprofen, naproxen
- Imiti yo mu bwoko bwa steroid - urugero nka prednisone, cortisone
- Imiti irimo sulfa
- Indi miti irwanya kanseri
Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro) . Nanone, bwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Gupima amaraso buri gihe: Muganga wawe ashobora kugutegeka gupima amaraso buri gihe mu gihe ufata uyu muti. Ibi bizareba ingaruka ku turemangingo tw'amaraso yawe, umwijima n'impyiko. Ntugasimbuke ibi bizamini.
- Irinde inzoga: Irinde kunywa inzoga burundu muri iki gihe. Bishobora kongera cyane kwangirika k'umwijima.
- Irinde izuba: Uyu muti ushobora gutuma uruhu rwawe rworohera cyane izuba. Niba rero ugiye ku zuba, ambara imyenda ipfuka umubiri wawe kandi ukoreshe amavuta meza yo kwisiga ku zuba.
- Irinde umwuma: Bwira muganga wawe niba ufite impiswi nyinshi, kuruka, cyangwa ibyuya byinshi. Gutakaza amazi menshi mu mubiri bishobora guteza akaga ku muntu ufata uyu muti.
- Irinde indwara zandura: Uyu muti ugabanya ubushobozi bw'umubiri bwo kurwanya indwara (ubudahangarwa bw'umubiri). Kubwibyo, niba ugaragaje ibimenyetso nk'umuriro, ibicurane, cyangwa kubabara mu muhogo , bwira muganga wawe vuba. Ntugafate umuti wenyine. Irinde ahantu hari abarwayi.
- Itondere kuva amaraso: Witondere igihe woza amenyo yawe kandi ukoresha utubuto tw'amenyo. Ishinya zawe zishobora kuva amaraso. Niba ufite ibikomere ku mubiri wawe, bwira muganga wawe .
- Irinde gutwita (ni ingenzi cyane):
- Abagore: Irinde gutwita burundu mu gihe ufata uyu muti no mu gihe cy'amezi 6 nyuma yo guhagarika uyu muti.
- Abagabo: Niba ufata uyu muti, irinde kubyara umwana mu gihe ufata uyu muti no mu gihe cy'amezi 3 nyuma yo kuwuhagarika.
- Uyu muti ushobora kwangiza umwana uri mu nda. Kubwibyo, vugana na muganga wawe ku bijyanye no kuboneza urubyaro bikwiye.
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
Kimwe n'indi miti iyo ari yo yose, methotrexate ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Guhumeka bigoranye | Inkorora yumye, guhumeka bigoranye. |
| Ibimenyetso by'ubwandu | Umuriro, inkorora, inkorora, kubabara mu muhogo, ibikomere bidakira. |
| Ibimenyetso by'ibyangiritse mu mwijima cyangwa mu mpyiko | Kubabara mu nda y'iburyo, kubura ubushake bwo kurya, amaso cyangwa uruhu bigahinduka umuhondo, kugabanuka kw'inkari, no kubyimba akaguru. |
| Kuva amaraso cyangwa gukomereka bidasanzwe | Kubabara, kuva amaraso mu ishinya cyangwa mu mazuru nta mpamvu. |
| Udusebe cyangwa ibisebe ku ruhu | Uruhu rutukura, uduheri, gushibuka kw'uruhu, ibisebe mu kanwa. |
| Bwira muganga wawe niba bikomeje cyangwa bikubangamiye. | |
| Ingaruka zisanzwe | Kudakoresha neza mu gifu/impiswi, isesemi, kuruka, gutakaza umusatsi, isereri, ibisebe mu kanwa. |
Ubutumwa bwo kujyana mu rugo
- Methotrexate ni umuti ukomeye ukoreshwa mu kuvura indwara nka rubagimpande, psoriasis na kanseri.
- Icy'ingenzi kurushaho: Fata uyu muti neza neza nk'uko muganga wawe yabigutegetse. Akenshi ni umuti utangwa rimwe mu cyumweru , ntabwo ari uwa buri munsi.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite.
- Irinde inzoga burundu mu gihe ufata umuti.
- Icy'ingenzi cyane: Irinde gutwita mu gihe ufata uyu muti no mu gihe runaka nyuma yo kuwuhagarika. Ibi bireba abagore n'abagabo.
- Niba ugize ingaruka mbi zikomeye nko kugira umuriro, kuva amaraso ku buryo budasanzwe, cyangwa guhumeka nabi, bimenyeshe muganga wawe vuba.
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