Niba muganga wawe yarakubwiye cyangwa yagutangarije umuntu wo mu muryango wawe ko urwaye kanseri y’amaraso idakira (CML), ushobora kuba warumvise umuti witwa Nilotinib. Uyu ni umuti w’ingenzi cyane, wihariye. Uyu munsi rero, turaganira mu buryo bworoshye kandi busobanutse ku byo ugomba kumenya mu gihe ukoresha uyu muti, uburyo bwo kuwukoresha neza, n’ingaruka mbi ushobora kwitega.
Nilotinib ni iki?
Mu magambo make, Nilotinib ni umuti wihariye uhagarika gukura kw'uturemangingo twa kanseri. Ubwo bwoko bw'imiti twita "ubuvuzi bugamije." Ni ukuvuga ko uyu muti ujya mu buryo butaziguye ku maporoteyine amwe n'amwe ari mu turemangingo twa kanseri, ukayihagarika gukora, kandi ukagenzura igabanyuka n'ikura ry'uturemangingo twa kanseri.
Uyu muti ukoreshwa cyane cyane mu kuvura ubwoko bwa kanseri y'amaraso yitwa Chronic Myelogenous Leukemia (CML) . Unacuruzwa ku izina rya Tasigna .
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Nilotinib ni umuti ukomeye cyane. Kubwibyo, mbere yo gutangira ubu buvuzi, muganga wawe azakenera kumenya neza ubuzima bwawe. Niba ufite imwe muri izi ndwara zikurikira, menya neza ko ubimenyesheje muganga wawe.
| Ikibazo gishobora kukureba |
|---|
| Diyabete |
| Indwara nk'indwara z'umutima, imitsi y'umutima idakora neza, cyangwa indwara ya Long QT. |
| Indwara y'umwijima |
| Niba ufite amateka yo kurwara pancreatitis. |
| Niba ufite potasiyumu nke cyangwa manyeziyumu mu maraso yawe. |
| Niba ufite ikibazo cy'amaraso atembera mu maguru. |
| Iyo igifu cyakuwemo burundu (Total Gastrectomy). |
| Niba ufite allergie kuri nilotinib, lactose, gelatin, cyangwa undi muti cyangwa ibiryo. |
| Niba utwite, ugerageza gusama, cyangwa wonsa. |
Ni gute neza neza nkoresha uyu muti?
Kugira ngo uyu muti wungukire neza, ni ngombwa cyane kuwukoresha neza.
- Fata mu nda idafite icyo kurya: Iki ni cyo kintu cy'ingenzi cyane. Ugomba gufata umuti nibura isaha imwe mbere cyangwa amasaha abiri nyuma yo kurya. Gufata uyu muti hamwe n'ibiryo bishobora guhindura ingano y'umuti winjizwa n'umubiri bigatera ingaruka mbi.
- Nywa n'ikirahure cy'amazi: Mirira agapfukamunwa kose n'ikirahure cy'amazi.
- Ntukavune, ntukajanjagure, cyangwa ngo uhekenya kapsule: Ntukavune, ntukajanjagure, cyangwa ngo uhekenya kapsule.
- Niba ufite ikibazo cyo kumira: Hari abantu bagira ikibazo cyo kumira capsules. Niba ari uko bimeze, ntugahangayike. Fungura capsule witonze, uvange ifu n'ikiyiko cya applesauce, hanyuma umire uruvange ako kanya . Ntukabibike kugira ngo uzabikoreshe nyuma.
- Irinde umutobe w'imbuto z'umuhondo: Ntukanywe umutobe w'imbuto z'umuhondo cyangwa ngo urye imbuto z'umuhondo ku mpamvu iyo ari yo yose. Bishobora guhindura uburyo umuti ukora nabi.
- Igihe cyo gufata hamwe n'indi miti: Niba ufata imiti ivura indwara ya gastritis, ntugafate imiti nka aside (urugero: Digene) mu masaha 2 mbere cyangwa nyuma yo gufata iyi capsule. Fata imiti nka H2-blockers (urugero: Famotidine) amasaha 10 mbere cyangwa amasaha 2 nyuma yo gufata uyu muti. Saba muganga wawe kwemeza ibi.
- Fata umuti ku gihe: Gerageza gufata umuti wawe ku gihe kimwe buri munsi. Ntureke gufata umuti wawe nta nama za muganga wawe.
Wakora iki niba wabuze dose y'umuti?
Niba wabuze dose, ntuzigere wongera inshuro ebyiri ku dose ikurikiraho kugira ngo uyishyure. Ibyo bishobora guteza akaga. Ibagirwa dose yabuze hanyuma ufate dose yategetswe gusa ku gihe gikurikiraho.
Bite ho iyo mfashe imiti myinshi?
Iyo ufashe dose irenze iyagenwe ku bushake, ni ikibazo cyihutirwa. Hita uhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Indi miti ishobora kugira ingaruka kuri Nilotinib
Nilotinib ni umuti ufite ubushobozi bwinshi bwo gukorana n'indi miti. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata.
| Ntugafate Nilotinib hamwe n'uyu muti. |
|---|
| Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone (imiti igira ingaruka ku muvuduko w'umutima) |
| Flibanserin, Lomitapide, Saquinavir |
| Fluconazole, Posaconazole (irwanya imiyoboro y'imitsi) |
| Niba ukoresha ibi bintu, menyesha muganga wawe. |
|---|
| Imiti igabanya ubukana bwa virusi itera SIDA |
| Antibiyotike nka Clarithromycin na Erythromycin |
| Imiti ivura umuvuduko ukabije w'amaraso, indwara z'umutima, n'indwara zo mu mutwe |
| Indi miti irwanya udukoko nka Ketoconazole, Itraconazole |
| Imiti ivura indwara ya gastritis (Antacids, Cimetidine, Omeprazole) |
| Imiti igabanya amaraso nka Warfarin |
| Ibikomoka ku bimera nka St. John's Wort |
Nta na kimwe muri ibi rutonde cyuzuye. Kubwibyo, ni ngombwa ku mutekano wawe kubwira muganga wawe imiti yose, vitamine, ibikomoka ku bimera, n'imiti gakondo ufata.
Ni izihe ngaruka mbi zishobora guterwa no gufata umuti?
Kimwe n'indi miti iyo ari yo yose, Nilotinib ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Icy'ingenzi ni ukumenya ibi no gufata ingamba vuba bibaye ngombwa.
| Ingaruka mbi | Ibintu byo kwitega |
|---|---|
| Ingaruka mbi zisaba ubuvuzi bwihuse | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Kuva amaraso | Amase y'umukara cyangwa amaraso, kuruka bisa n'ikawa, utudomo dutukura ku ruhu, kuva amaraso mu mazuru cyangwa mu ishinya bidasanzwe. |
| Impinduka mu gipimo cy'umutima | Kubabara mu gituza, isereri, umutima utera vuba cyangwa utari umeze neza, gucika intege. |
| Gukomereka k'umwijima | Inkari z'umuhondo wijimye cyangwa umukara, amaso cyangwa uruhu rugahinduka umuhondo, ububabare mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya. |
| Pancreatite | Kubabara mu nda (cyane cyane biva mu mugongo), ububabare burushaho kwiyongera nyuma yo kurya, umuriro, isesemi, kuruka. |
| Ubwinshi bw'amazi mu mubiri (Edema) | Kwiyongera ibiro mu buryo butunguranye, kubyimba utubuto tw'amaguru, amaguru, guhumeka bigoranye. |
| Ingaruka mbi zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Indwara zisanzwe | Kuribwa umutwe, isesemi, kuruka, impiswi, impatwe. |
Witondere cyane cyane mu gihe cyo gutwita no konsa
Iki ni ingingo y'ingenzi cyane.
- Ntuzigere utwita mu gihe ufata Nilotinib.
- Irinde gusama nibura iminsi 14 nyuma yo guhagarika imiti.
- Ntukonse umwana wawe mu gihe ufata uyu muti kandi mu minsi 14 nyuma yo kuwuhagarika.
Uyu muti ushobora guteza ingaruka zikomeye ku mwana uri mu nda, bityo rero vugana na muganga wawe ku bwumvikane.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata Nilotinib udafite icyo urya, haba isaha imwe mbere cyangwa amasaha abiri nyuma yo kurya.
- Ntuzigere urya imbuto z'umuzabibu cyangwa ngo unywe umutobe wazo.
- Menya neza ko wabwiye muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Niba ugize ingaruka mbi zikomeye nko kubabara mu gatuza, guhumeka nabi, cyangwa kuva amaraso ku buryo budasanzwe, shaka ubufasha bwa muganga byihutirwa.
- Irinde gutwita no konsa burundu mu gihe ufata umuti no mu gihe cy'iminsi 14 nyuma yo kuwuhagarika.
- Ntugasimbuke gahunda zo kwa muganga. Kora isuzuma ry'amaraso yawe uko byateganyijwe.
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