Umuti wo kuvura isesemi no kuruka biterwa na chimiotherapie: Reka twige ku miti ya Netupitant; Palonosetron capsules?

Ese ugiye gutangira imiti ivura kanseri? Niba ari uko bimeze, ushobora kuba ufite impungenge nke uti 'Ese numvise ngize isesemi no kuruka kubera ubu buvuzi?' Mu by'ukuri, isesemi no kuruka ni ibisanzwe ku bantu benshi bavurwa kanseri. Ariko ntugahangayike , kuko ubu hari imiti myiza ishobora kugabanya ubu burwayi. Uyu munsi tugiye kuvuga ku muti umwe nk'uwo udasanzwe. Ibi bizagufasha kunyura mu gihe cyo kuvura kanseri byoroshye.

Uyu ni ubwoko ki bw'umuti? Netupitant ni iki; Palonosetron?

Mu magambo make, Netupitant; Palonosetron ni ikinini uhabwa kugira ngo wirinde isesemi no kuruka biterwa na chemotherapy. Ushobora kuba warabonye ko hari igihe twumva tugize isesemi kandi tukaruka bitewe n'ikintu runaka. Ibyo ni nako bigenda kuri chemotherapy. Ubu buryo bwo kuvura butuma ibintu bimwe na bimwe mu mubiri wacu bikora, bigatera isesemi no kuruka. Bityo uyu muti ubuza ibyo bintu. Hanyuma isesemi no kuruka kwawe bigenzurwa cyane.

Uyu muti uri mu itsinda ry'imiti yitwa antiemetics . Ni ukuvuga imiti ihagarika kuruka no kugira isesemi. Rimwe mu mazina y'uyu muti ku isoko ni Akynzeo . Ariko, nubwo muganga wawe yaguha irindi zina, ushobora kureba niba urimo iki kintu.

Uyu muti ukoreshwa cyane cyane mu kuvura isesemi no kuruka biterwa na chimiotherapie. Ariko, abaganga bashobora kuwutanga ku zindi mpamvu. Niba rero ufite ibindi bibazo kuri ibi, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti?

Ibi ni ingenzi cyane. Mbere yo gutangira gufata uyu muti, ugomba kubwira muganga wawe ibisobanuro byuzuye by'ubuzima bwawe. Kuko, ugomba kwitonda cyane mu gihe uha uyu muti abantu bafite indwara zimwe na zimwe.

Dore ibintu bimwe na bimwe byo kuvuga nta gushidikanya:

• Indwara y'impyiko: Niba ufite ikibazo cy'impyiko.
• Indwara y'umwijima: Niba ufite ikibazo icyo ari cyo cyose kijyanye n'umwijima wawe.
• Allergie:
• Ese wigeze ugira allergie kuri netupitant cyangwa palonosetron?
• Cyangwa, waba ufite ubwivumbure ku yindi miti isa nka `fosnetupitant`, `dolasetron`, `granisetron`, `ondansetron`?
• Ese hari indi miti, ibiryo, amarangi cyangwa imiti irinda indwara? Tubwire byose kuri byo.
• Gutwita: Niba utwite cyangwa wifuza gusama.
• Niba uri umubyeyi wonsa: Niba wonsa umwana wawe.

Ni ingenzi cyane ku mutekano wawe kubwira muganga wawe aya makuru ntayahishe. Hanyuma ashobora kukuvura mu buryo bukwiye.

Ni gute neza neza ukoresha uyu muti?

Uburyo bwo gukoresha uyu muti nabwo bworoshye cyane.

• Iyi iboneka mu buryo bwa capsule. Ugomba kuyinywa n'ikirahure cy'amazi.
• Kurikiza icyapa cya muganga wahawe na muganga wawe.
• Uyu muti ukunze gutangwa isaha imwe mbere y'uko utangira kuvurwa kanseri (chimiotherapie) , ku munsi wa mbere w'ukwezi kwa mbere k'ubuvuzi. Ni ngombwa kuwufata neza nk'uko muganga wawe abikubwiye.
• Uyu muti ushobora gufatwa mbere cyangwa nyuma yo kurya . Ntacyo bitwaye.
• Ntuzigere ufata ibirenze ibyo muganga akubwira.

Ese uyu muti ushobora guhabwa abana?

Yego, hari igihe uyu muti ushobora guhabwa n'abana. Ariko ugomba kwitonda cyane mu gihe uwuha umwana wawe. Kubwibyo, niba uha umwana wawe uyu muti, vugana na muganga wawe witonze kandi ukurikize amabwiriza ye neza.

Wakora iki iyo unyoye inzoga nyinshi ku bushake?

Niba ibyo bibaye, ni ukuvuga niba utekereza ko wafashe uyu muti urenze urugero, jya mu bitaro bikuru bireba ubutabazi bwihuse cyangwa uhamagare ikigo gishinzwe kurwanya uburozi. Ntugapfushe ubusa umwanya.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugahe undi muntu uyu muti, kabone n'iyo ibimenyetso bye byaba bisa n'ibyawe. Ushobora guteza akaga.

Bite ho nintakaza urugero rw'umuti?

Uyu ni ubwoko butandukanye bw'umuti. Ibi biterwa nuko ukunze gutangwa rimwe gusa , ku munsi wa mbere w'ubuvuzi bwawe bwa kanseri (chimiotherapie), mbere yuko ubuvuzi butangira. Rero, niba ubuze icyo gihe, menyesha muganga wawe cyangwa umuforomo wawe ako kanya. Bazakubwira icyo ugomba gukora nyuma yaho. Ntugerageze gufata ibyemezo wenyine.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki kandi ni ikintu ugomba kwitondera cyane. Iyo ufata Netupitant; Palonosetron, ugomba kubwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata. Imiti imwe ishobora kugira ingaruka ku iyi miti kandi igatera ingaruka zitari ngombwa. Cyangwa, ishobora kongera cyangwa kugabanya imikorere y'iyi miti.

Ibuka cyane ubwoko bw'imiti bukurikira:

• Indi miti ikoreshwa mu kuvura kanseri.
• Imiti ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe.
• Imiti imwe ikoreshwa mu kuvura indwara z'ibihumyo, urugero nka `ketoconazole` na `itraconazole`.
• Imiti imwe n'imwe yo gusinzira.
• Imiti itangwa mu rwego rwo gukumira cyangwa kuvura kubyimba kw'amaraso, urugero nka `warfarin`.
• 'Deksamethasoni'.
• 'Fentanyl'.
• `Linezolid` (Linezolid).
• Imiti iri mu itsinda ryitwa `MAOIs` (urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate).
• Methylene blue (umuti utangwa mu mitsi).
• `Midazolam`.
• 'Rifampin'.
• 'Tramadol' (Tramadol).

Uru rutonde ntabwo rurambuye. Kubwibyo, bwira muganga wawe imiti yose ufata, yaba iyanditswe na muganga, iyaguzwe muri farumasi, Ayurvedic, vitamine, cyangwa inyunganiramirire. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Iyi miti ishobora no kugira ingaruka kuri uyu muti.

Ni iki nkwiye kwitondera mu gihe nfata uyu muti?

Mu gihe ufata uyu muti, muganga wawe n'abaforomo bazaba bakurikirana uko umeze. Bityo rero nta mpungenge ufite. Bazakora ibizamini bikenewe kugira ngo barebe niba umuti ukora neza kandi niba ufite ikibazo.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Netupitant; Palonosetron ishobora gutera ingaruka zimwe na zimwe. Ariko, si buri wese uzibona . Hari abantu bashobora kutagira ingaruka mbi. Ariko, ni byiza kumenya ibintu bimwe na bimwe.

Ingaruka mbi ugomba guhita umenyesha muganga wawe:

• Ubwivumbure bw'uruhu: Gushyuha, kurira, uduheri dutukura (uduheri), kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo. Niba ubonye kimwe muri ibi, ntutinde.
• Ibimenyetso bya syndrome ya Serotonin: Iyi ni indwara ikomeye. Shaka ibi bimenyetso:
• Kurakara
• Urujijo
• Umutima utera vuba cyangwa utari umeze neza
• Kubabara imitsi, kunyeganyega
• Kubira ibyuya, umuriro mwinshi
• Gufatwa n'icyorezo
• Kumva ukonje (ubukonje)
• Kuruka, impiswi

Uramutse ubonye kimwe cyangwa byinshi muri ibi bimenyetso, bwira muganga wawe ako kanya .

Ingaruka mbi akenshi zitaba ari ikibazo gikomeye, ariko niba zikomeje cyangwa zibangamiye, ugomba kubwira muganga wawe :

• Kurya impatwe: Kugorwa no kujya mu bwiherero.
• Umutwe.
• Umunaniro: Kumva ufite intege nke.
• Igifu kidakomeye: Kumva udakora neza mu gifu, nk'aho igifu cyuzuye.

Nubwo bitari kuri uru rutonde, niba wumva ikintu kidasanzwe cyangwa kikubangamiye nyuma yo gufata uyu muti, bibwira muganga wawe. Ntugatinye kuvuga icyo wumva.

Ni gute wabika imiti neza?

Ni ngombwa kandi kubika neza utu tunyangingo tw'imiti.

• Bika ahantu abana n'amatungo 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 ubukonje bukabije.
• Ntugakoreshe imiti yarengeje igihe. Reba itariki ntarengwa hanyuma ujugunye imiti yose yarenze icyo gihe. Ushobora kubaza umufarumasiye wawe uko wayijugunya.

None se, ni ibihe bintu by'ingenzi tugomba kwibuka muri ibi byose?

Sawa, twaganiriye cyane kuri uyu muti wa Netupitant; Palonosetron. Hanyuma, dore ibintu by'ingenzi ugomba kwibuka:

• Uyu muti ufasha cyane cyane kwirinda isesemi no kuruka biterwa na chemotherapy .
• Mbere yo gutangira gufata uyu muti, ntukibagirwe kubwira muganga wawe ibibazo byose by'ubuzima bwawe n'imiti yose ufata .
• Fata uyu muti neza neza nk'uko muganga abivuze, ku gihe nyacyo no mu rugero nyarwo .
• Niba ugize ingaruka mbi cyangwa ikindi kintu kidasanzwe, bwira muganga wawe ako kanya . Ntugahangayike, bazagufasha muri ibyo.
• Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.

Kuvura kanseri bishobora kuba urugendo rugoye. Ariko, imiti nk'iyi irashobora koroshya gato. Niba ufite ibindi bibazo kuri uyu muti, ntutinye kubaza muganga wawe, umuforomo, cyangwa umufarumasiye. Barahari kugira ngo bagufashe. Tukwifurije gukira vuba!

Netupitant , palonosetron, Akynzeo, isesemi, kuruka, imiti ivura kanseri, kuvura kanseri, ingaruka mbi