Iyo tuvuze ku kuvura kanseri, cyane cyane iyo twumvise ijambo nka chemotherapy, ni ibisanzwe ko twumva dufite ubwoba kandi dufite ubwoba. Ariko iyo tumenyeshejwe neza ibi bintu, ubwoba n'ibibazo bishobora gukurwaho cyane. Uyu munsi turimo kuvuga ku rukingo rwitwa Pentostatin, rukoreshwa mu kuvura kanseri, cyane cyane ubwoko bumwe bwa leukemia. Tuzabivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.
Pentostatin ni iki?
Muri make, Pentostatin ni ubwoko bw'umuti wa chimiotherapie . Ni ukuvuga umuti utangwa kugira ngo wice uturemangingo twa kanseri cyangwa ugabanye imikurire yatwo. Ukoreshwa by'umwihariko mu kuvura kanseri y'amaraso yitwa "Hairy Cell Leukemia."
Uyu muti ukora mu guhagarika ibintu uturemangingo twa kanseri tuba dukeneye kugira ngo twigabanye kandi dukure. Hanyuma uturemangingo twa kanseri ntitwongere gukwirakwira. Hari igihe muganga wawe ashobora no kukwandikira uyu muti ku zindi ndwara. Niba rero ufite ikibazo kuri ibi, baza muganga wawe umusobanurire byose.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira ubu buvuzi, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye by'ubuzima bwawe. Menya neza ko wavuze kimwe muri ibi bikurikira niba ufite kimwe muri ibi bikurikira:
- Ubwandu busanzwe: Niba ufite ubwandu nk'umuriro, inkorora, cyangwa ibicurane.
- Indwara y'impyiko: Niba ufite ikibazo icyo ari cyo cyose kijyanye n'impyiko.
- Allergie: Ugomba kubwira muganga wawe niba ufite allergie kuri Pentostatin, indi miti, ibiryo, amarangi, cyangwa imiti irinda indwara.
- Gutwita: Niba utwite, ugerageza gusama, cyangwa ukeka ko utwite.
- Niba uri umubyeyi wonsa: Niba uri umubyeyi wonsa umwana.
Ashingiye kuri aya makuru, muganga azafata icyemezo cyo kuguha uyu muti cyangwa kutaguha, cyangwa niba agomba guhindura ingano yawo.
Umuti utangwa ute?
Uyu muti si ikintu ushobora gufata mu rugo. Uterwa mu buryo bwo guterwa urushinge mu mitsi . Bityo uzakenera kujya mu bitaro cyangwa ivuriro kugira ngo uhabwe ubu buvuzi. Aho ngaho, umuganga wabyigiye cyangwa abakozi b'abaforomo bazaguha uyu muti.
Uyu muti ushobora gukenera kwitabwaho by’umwihariko mu gihe ukoreshejwe, bityo kurikiza amabwiriza atangwa n’itsinda ry’abaganga bawe witonze.
Bite ho nintakaza urugero rw'umuti?
Ni ngombwa gukurikiza amatariki n'amasaha byagenwe byo kuvurwa. Niba udashobora kujya kwa muganga ku itariki byagenwe, hamagara muganga wawe ako kanya umubwire. Gusimbuka gahunda bishobora kugira ingaruka ku ntsinzi y'ubuvuzi.
Bite ho iyo mfashe imiti myinshi?
Ibi ntibishoboka kuko bitangwa mu bitaro. Ariko, niba utekereza ko ushobora kuba wararenze urugero, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo ako kanya. Cyangwa ujye mu Ishami ryita ku Butabazi bw'Indwara (ETU) ry'ibitaro biri hafi yawe vuba bishoboka.
Ibintu ugomba kuzirikana mu gihe cyo kuvurwa
- Gukurikiranwa n'abaganga buri gihe: Abaganga n'abaforomo bazahora bakurikirana uko umerewe mu gihe cyose ufata uyu muti.
- Gupima amaraso: Mu gihe cyo kuvurwa, uzakenera gukora isuzuma ry’amaraso buri gihe kugira ngo urebe niba urugero rw’uturemangingo mu maraso yawe (uturemangingo dutukura, uturemangingo twera, n’udupira duto) ruri ku rugero rukwiye.
- Irinde gutwita: Irinde gutwita burundu mu gihe ufata uyu muti. Uyu muti ushobora kwangiza umwana uri mu nda. Kubwibyo, ni ngombwa gukoresha uburyo bwiza bwo kuboneza urubyaro mu gihe cyo kuvurwa no mu gihe cyose muganga agusaba. Niba uteganya gutwita, ganira na muganga wawe kuri ibyo.
- Irinde konsa: Niba ufata uyu muti, irinde konsa umwana wawe .
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Indi miti ufata ishobora kugira ingaruka kuri pentostatin. Bwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro) . Ni ngombwa cyane kubibwira muganga wawe niba ufata imwe muri iyi miti ikurikira:
- Allopurinol
- Fludarabine
- Vidarabine
Uru rutonde rushobora kuba rutuzuye, bityo rero bwira muganga wawe ukuri ku miti iyo ari yo yose ufata, waba unywa itabi cyangwa unywa inzoga.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose ya chimiotherapie, pentostatin ishobora gutera ingaruka mbi. Zimwe zirakunze kugaragara, mu gihe izindi zisaba kwitabwaho byihuse. Reka tubisobanure.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe cyangwa ibitaro ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Impinduka mu cyerekezo | Kubona nabi cyangwa izindi mpinduka mu kureba. |
| Impinduka mu gipimo cy'umutima | Guhumeka bigoranye, kubabara mu gatuza, kuzungera, umutima utera vuba cyangwa utari umeze neza. |
| Ibimenyetso by'ubwandu | Umuriro, ubukonje, inkorora, kubabara mu muhogo, ububabare iyo uri kunyara. |
| Kwangirika kw'impyiko | Kugorwa no kunyara cyangwa impinduka mu rugero rw'inkari unyuramo. |
| Ibimenyetso by'umubare muke w'uturemangingo tw'amaraso | Kugorwa no guhumeka, gucika intege, kumva unaniwe cyangwa unaniwe bidasanzwe (uturemangingo dutukura duke mu maraso). |
| Kuva amaraso ku buryo budasanzwe | Gukomereka cyangwa kuva amaraso bidasanzwe. |
| Kubyimba | Kubyimba utubuto, ibirenge, cyangwa amaboko. |
| Ibintu ugomba kubwira muganga wawe niba bikomeje cyangwa bikubangamiye | |
| Ibibazo by'igogora | Kubura ubushake bwo kurya, kubabara mu gifu, isesemi, kuruka, impiswi (impiswi). |
| Ibisebe byo mu kanwa | Ibisebe mu kanwa cyangwa ku minwa. |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, nyamuneka menyesha muganga wawe na byo.
Ubutumwa bwo kujyana mu rugo
- Pentostatin ni umuti wa chimiotherapie utangwa uyobowe na muganga mu bitaro cyangwa mu ivuriro.
- Mbere yo gutangira kuvurwa, bwira muganga wawe indwara zawe zose, ubwivumbure, n'indi miti ufata.
- Ganira muganga wawe ingaruka mbi zose zibaho mu gihe cyo kuvurwa, cyane cyane umuriro, ibimenyetso by'ubwandu, no kuva amaraso ku buryo budasanzwe.
- Menya neza ko witabiriye gahunda zose zo kuvurwa no gupimwa amaraso. Niba udashobora kuhagera kubera impamvu iyo ari yo yose, tubikubwire mbere y'igihe.
- Irinde burundu gutwita no konsa mu gihe cyo kuvurwa no mu gihe cyagenwe na muganga nyuma yaho.
- Niba ufite impungenge cyangwa gushidikanya, ntugatinye kubiganiraho na muganga wawe.
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