Twese tuzi ko kurwanya kanseri atari byoroshye. Muri uru rugamba, abaganga bawe bazagusaba uburyo butandukanye bwo kuvura, nko gukoresha imiti ivura kanseri. Pegaspargase (izina ry'ikirango: Oncaspar) ni umwe mu miti ikomeye kandi ikomeye ikoreshwa mu kuvura ubwoko bwa kanseri y'amaraso yitwa kanseri y'amaraso ifata amaraso (ALL) . Rero, niba wowe cyangwa uwo ukunda muhabwa uyu muti, bizaba byiza cyane kugira ubumenyi bworoshye kandi busobanutse kuri byose kuri wo. Reka tubiganireho.
Ni ubuhe bwoko bw'umuti Pegaspargase?
Muri make, Pegaspargase ni umuti wa chimiotherapie, ni ukuvuga umuti utangwa kugira ngo wice uturemangingo twa kanseri . Asparagine ni intungamubiri y'ingenzi kugira ngo uturemangingo twa kanseri dukure. Icyo Pegaspargase ikora ni ukumenagura iyi ntungamubiri ya asparagine mu mubiri, ikabuza uturemangingo twa kanseri "ibiryo". Hanyuma uturemangingo twa kanseri ntidushobora gukura tugapfa.
Nubwo ikoreshwa cyane cyane mu kuvura kanseri y’amaraso ikabije ya Lymphoblastic Leukemia (ALL), rimwe na rimwe ishobora gukoreshwa ku zindi kanseri nk'uko muganga yabigusabye.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira kuvurwa
Mbere yo gutangira ubu buvuzi, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Uyu muti ushobora kugira ingaruka ku buzima bumwe na bumwe. Menya neza ko wabwiye muganga wawe ibi bintu by’umwihariko:
- Allergie: Menya neza ko utubwire niba ufite allergie kuri Pegaspargase, L-asparaginase, poroteyine za E. coli, indi miti, ibiryo, cyangwa amarangi.
- Pancreatite: Niba warigeze kugira pancreatite mbere.
- Indwara y'umwijima: Niba ufite ubwoko ubwo aribwo bwose bw'indwara y'umwijima.
- Ibibazo byo kuvura amaraso: Niba amaraso yawe yiziba byoroshye cyangwa niba ufite ibibazo byo kuva amaraso.
- Diyabete: Niba urwaye diyabete cyangwa ibindi bibazo bifitanye isano n'urugero rw'isukari mu maraso.
- Gutwita: Ni ngombwa kubwira muganga wawe niba utwite, ugerageza gutwita, cyangwa wonsa. Ibi ni ingenzi cyane.
Ha muganga wawe urutonde rwuzuye rw'indi miti yose ufata, harimo vitamine, imiti gakondo, n'inyongeramusaruro.
Uyu muti utangwa ute ku mubiri?
Iki si ikinini ushobora kujyana mu rugo. Kitangwa mu bitaro cyangwa mu ivuriro., gusa na muganga cyangwa abakozi b'abaforomo bahawe amahugurwa yihariye muri urwo rwego.
Hari uburyo bubiri bwo gutanga umuti:
1. Gutera umuti mu mitsi: Umuti , kimwe n'umunyu, ushyirwa buhoro buhoro mu mubiri unyuze mu mitsi.
2. Gutera imitsi mu nda: Gutera imitsi mu mitsi.
Ibi bihabwa abana bato, ndetse n'impinja zifite ukwezi kumwe, mu bihe bimwe na bimwe byatoranyijwe. Ariko, icyemezo gifatwa n'umuganga w'abana.
Ni ibihe bintu ugomba kwitaho mu gihe urimo kuvurwa?
Muganga wawe azagukurikiranira hafi cyane mu gihe ufata uyu muti.
- Gupima amaraso: Uzakenera gupimwa amaraso buri gihe kugira ngo urebe uburyo umuti ugira ingaruka ku mubiri wawe.
- Isukari mu maraso: Uyu muti ushobora kongera urugero rw'isukari mu maraso. Niba urwaye diyabete, ganira na muganga wawe ku mirire n'uko ukeneye guhindura imiti yawe ya diyabete.
- Allergie: Hari igihe uyu muti ushobora kugira ingaruka zikomeye ku barwayi bawo. Kugira ngo ugabanye izi ngaruka, muganga wawe ashobora gufata icyemezo cyo kuguha indi miti (urugero: antihistamines, steroids) mbere yo kuguha Pegaspargase.
- Gutwita no konsa (IBY'INGENZI): Ibi ni ingenzi cyane.
- Ntugatwite ku mpamvu iyo ari yo yose mu gihe ufata uyu muti **.
- Irinde gusama nibura amezi atatu nyuma yo guhagarika imiti.
- Muri iki gihe ugomba gukoresha uburyo bwo kuboneza urubyaro. Ariko, kubera ko ibinini byo kuboneza urubyaro bigizwe n'imisemburo (imiti yo kuboneza urubyaro ikoreshwa mu kunywera) bishobora kugira ingaruka kuri uyu muti, ganira na muganga wawe ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro butari ubw'imisemburo (urugero: agakingirizo).
- Niba ufite amakenga make ko utwite, bwira muganga wawe ako kanya .
- Ntukonse umwana wawe mu gihe cyo kuvurwa no mu gihe cy'ukwezi kumwe nyuma yo kubihagarika.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti iyo ari yo yose, Pegaspargase ishobora gutera ingaruka mbi. Si buri wese uzibona. Ariko, ni ngombwa kumenya ibi bimenyetso. Niba ubonye ibimenyetso bikomeye, hita ubimenyesha abaganga cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe.
| Icyiciro cy'ingaruka mbi | Ibintu ugomba kwitondera |
|---|---|
| Ibintu ugomba kubwira muganga wawe cyangwa abakozi b'ibitaro ako kanya | |
| Indwara zikomeye zo kwangirika | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa cyangwa ururimi, no kugorwa no guhumeka. |
| Ibimenyetso byo kuva amaraso | Amasambu y'umukara, ahora atwikiriye; inkari zitukura cyangwa z'umukara wijimye; kuruka bisa n'ikawa cyangwa kuruka amaraso; utudomo dutukura ku ruhu; kuva amaraso mu maso, mu ishinya cyangwa mu mazuru bidasanzwe. |
| Ibimenyetso by'uko amaraso yangiritse | Kubabara mu gituza; kugorwa no guhumeka; kubabara amaguru, kubyimba, cyangwa gushyuha. |
| Ibimenyetso by'ibyangiritse by'umwijima | Inkari z'umuhondo wijimye cyangwa umukara; amaso cyangwa uruhu bihinduka umuhondo; umuriro; kubura ubushake bwo kurya; kubabara mu gice cyo hejuru cy'iburyo cy'igifu; imyanda yera. |
| Ibimenyetso by'isukari nyinshi mu maraso | Inyota idasanzwe n'inzara; kwihagarika cyane; umunaniro ukabije; kutabona neza. |
| Ibindi bimenyetso bikomeye | Kuribwa umutwe cyane, kubabara mu gifu cyane (bishobora kuba ikimenyetso cya pancreatitis). |
| Niba bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Ingaruka zisanzwe | Kubira ibyuya, kugabanya ibiro. |
Ese hari ibibazo bishobora kubaho mu yindi miti? (Imikoranire)
Yego. Imiti imwe ishobora guteza ibibazo iyo ifashwe na Pegaspargase. Urugero:
- methotrexate
- vincristine
- sitarabine
- dexamethasoni
- Ibinini byo kuboneza urubyaro (imiti yo kuboneza urubyaro inyobwa)
Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata, ndetse na vitamine . Nanone, ntukibagirwe kumubwira niba unywa itabi cyangwa inzoga.
Ubutumwa bwo kujyana mu rugo
- Pegaspargase ni umuti ukomeye wa chimiotherapie ukoreshwa mu kuvura ubwoko bwa kanseri y'amaraso witwa Acute Lymphoblastic Leukemia (ALL).
- Uyu muti utangwa mu bitaro gusa, ukurikiranwe n'abaganga.
- Mbere yo gutangira kuvurwa, bwira muganga wawe indwara zawe zose, ubwivumbure, n'indi miti ufata.
- Niba ugize ibimenyetso nko kugira ubwivumbure bukomeye, kuva amaraso, kubyimba kw'amaraso, cyangwa kubabara mu nda cyane, menyesha abakozi b'ibitaro ako kanya.
- Irinde gusama burundu mu gihe cy'ubuvuzi no mu gihe cy'amezi 3 nyuma yaho. Koresha uburyo bwizewe kandi butari ubw'imisemburo bwo kuboneza urubyaro.
- Nyamuneka witabire gahunda yawe yo kuvurwa ku gihe. Niba udashoboye kuhagera, nyamuneka menyesha ibitaro mbere y'igihe.
- Niba ufite ikibazo cyangwa impungenge kuri uyu muti, vugana na muganga wawe ku mugaragaro.
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