Wenda wowe cyangwa umuntu wo mu muryango wawe mwahawe umuti witwa 'Ruxolitinib' na muganga wanyu. Izina rishobora kumvikana nk'irigoye. Ariko ntugire ubwoba. Icy'ingenzi ni ukumenya neza iyi miti idasanzwe no kuyikoresha. None rero uyu munsi, reka tuganire ku byo uyu muti ari byo, icyo ukora, n'icyo tugomba kwitondera mu gihe tuwukoresha.
Ruxolitinib ni iki?
Muri make, Ruxolitinib ni umuti wibasira poroteyine zimwe na zimwe ziri mu turemangingo tw’umubiri wacu kandi ukagenzura imikorere yatwo, bivuze ko uhagarika uturemangingo gukura. Ibi byitwa uburyo bwo kuvura hifashishijwe ikoranabuhanga .
Uyu muti ukoreshwa cyane cyane mu kuvura indwara eshatu:
- Myelofibrosis: Iki ni igihe ingirabuzimafatizo z’imitsi ziyongera mu musokoro w’amagufwa, bikabangamira ikorwa ry’uturemangingo tw’amaraso tuzima.
- Polycythemia Vera: Muri iki kibazo, umubiri ukora uturemangingo dutukura twinshi kuruta uko bikenewe.
- Indwara ya Graft-versus-host: Ibi bibaho nyuma y'ikintu nk'igiterwa cy'umusemburo w'amagufwa, igihe uturemangingo twatewe dutangira kwibasira umubiri wacu.
Muganga wawe ashobora kandi kukugira inama yo gukoresha uyu muti ku zindi ndwara.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira uyu muti, ni ngombwa cyane kubwira muganga wawe ibibazo byose by'ubuzima ufite. Niba ufite kimwe muri ibi bikurikira, menya neza ko ubimubwiye.
| Imiterere | Ibisobanuro |
|---|---|
| Indwara z'umutima n'ibibazo by'imitsi y'amaraso | Niba warigeze kugira indwara y'umutima cyangwa indwara yo gucika kw'imitsi, ibibazo byo kuvura amaraso, cyangwa urugero rwa cholesterol ruri hejuru. |
| Indwara zandurira mu mubiri | Amateka y’igituntu (TB) ariho ubu cyangwa mu bihe byashize, indwara ya Hepatite, cyangwa izindi ndwara zose za bagiteri, virusi, cyangwa imyuka. |
| Indwara y'impyiko cyangwa umwijima | Niba ufite indwara y'impyiko cyangwa uri kuri dialyse, cyangwa ufite indwara y'umwijima. |
| Ibibazo by'amaraso na kanseri | Niba ufite amaraso make, uturemangingo tw’umweru turi hasi, uturemangingo dutukura turi hasi, cyangwa uduce duto tw’amaraso dufite plaquettes turi hasi, cyangwa niba ufite indi kanseri. |
| Izindi ngingo | Bwira muganga wawe niba unywa itabi, ugerageza gutwita, gutwita, cyangwa konsa. Bwira muganga wawe niba ufite ubwivumbure kuri ruxolitinib cyangwa undi muti cyangwa ibiryo. |
Uyu muti nkwiye kuwukoresha nte?
Uyu muti ugomba gufatwa unyowe n'ikirahure cy'amazi. Ushobora gufatwa unyowe cyangwa unyowe. Ariko, niba urwaye igifu, ni byiza kuwufata unyowe n'ibiryo.
Icy'ingenzi cyane: Irinde kunywa umutobe w'imbuto z'umuhondo burundu mu gihe ufata uyu muti, kuko umutobe w'imbuto z'umuhondo ushobora kugira ingaruka ku mikorere y'uyu muti.
Gerageza gufata umuti wawe ku gihe kimwe buri munsi. Fata ingano nk'uko muganga wawe akubwira. Niba ufite ingaruka mbi, muganga wawe ashobora guhindura ingano cyangwa akakubwira guhagarika gufata umuti. Ntukigere uhindura ingano cyangwa ngo uhagarike gufata umuti utabanje kugirwa inama na muganga.
Bite ho niba wabuze dose y'umuti?
Fata dose yabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi, hamagara 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 Ruxolitinib
Bwira muganga wawe imiti yose ufata, harimo imiti yandikiwe na muganga n'indi igurishwa mu kigo, imiti gakondo, vitamine, n'ibikomoka ku bimera (nk'umuti wa St. John's wort). Imiti imwe n'imwe ishobora kugira ingaruka kuri Ruxolitinib.
Dore ingero nke gusa:
- Imiti imwe n'imwe igabanya ubukana bw'agakoko gatera SIDA ifatwa
- Imiti ivura indwara z'ibihumyo (urugero: fluconazole, ketoconazole)
- Amwe mu matibayotike (urugero: clarithromycin, erythromycin)
- Imiti imwe n'imwe ivura igicuri/ igicuri (urugero: carbamazepine, phenytoin)
- Rifampin (umuti uvura igituntu)
- Ibimera byitwa St. John's wort
Uru rutonde ntirwuzuye, bityo rero ni ngombwa cyane kubwira muganga wawe ibyo ufata byose .
Ni ibihe bintu byihariye ugomba kwitondera mu gihe ufata umuti?
Ni byiza kwitondera impinduka mu mubiri wawe mu gihe ufata uyu muti.
- Gupima amaraso: Muganga wawe akunze gutegeka ko upimwa amaraso kugira ngo arebe niba hari impinduka mu bunini bw'uturemangingo tw'amaraso yawe.
- Ingaruka zo kwandura: Uyu muti ushobora kugabanya ubushobozi bw'umubiri bwo kurwanya indwara, ni ukuvuga ubudahangarwa bw'umubiri. Kubwibyo, niba ubonye ibimenyetso nk'umuriro, ibicurane, kubabara mu muhogo, inkorora, ntukivure, ahubwo bwira muganga wawe. Gabanya kujya ahantu abarwayi baba bari uko bishoboka kose.
- Kuva amaraso no gukomereka: Niba ugize ibikomere ku mubiri wawe bitazwi, cyangwa niba kuva amaraso bidahagaze ndetse no ku gikomere gito, menyesha muganga wawe.
- Ingaruka za kanseri: Hari abantu bafata uyu muti bashobora kugira ibyago byo kurwara izindi kanseri, nka kanseri y'uruhu. Bityo rero, twikira uruhu rwawe iyo ugiye ku zuba, koresha amavuta akingira izuba, kandi uganire na muganga wawe kuri ibi.
- Kwandura indwara zikomeye mu bwonko: Ni gake cyane, abarwayi bamwe bashobora kwandura indwara zikomeye mu bwonko. Bibwire muganga wawe vuba niba ufite ikibazo cyo kutabona, kuvuga, gutekereza, kugenda, cyangwa guhagarara, cyangwa niba ufite urujijo.
- Ababyeyi bonsa: Ntukonse umwana wawe mu gihe ufata uyu muti kandi mu gihe cy'ibyumweru 2 nyuma yo guhagarika umuti.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti iyo ari yo yose, Ruxolitinib ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Ni ngombwa kuzimenya.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Amaraso apfundika | Kubabara mu gituza, kugorwa no guhumeka, kubabara, kubyimba, cyangwa kumva ushyushye mu kuguru. |
| Indwara y'umutima | Kugorwa no guhumeka, kubabara cyangwa kunanuka mu gituza, mu ijosi, mu mugongo, cyangwa mu maboko, umunaniro ukabije. |
| Igisebe cy'imitsi | Guhinduka kw'amaso, urujijo, kugorwa no kuvuga cyangwa gusobanukirwa, kuribwa umutwe cyane, kugira ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru. |
| Kuva amaraso cyangwa gukomereka bidasanzwe | Ibikomere bitasobanuka, kuva amaraso bitazahagarara. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Izindi ndwara ntoya | Impiswi, kuribwa umutwe, kuribwa mu mitsi, kubyimba kw'ingingo. |
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba uhuye n'ikintu kidasanzwe, vugana na muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Menya neza ko wabwiye muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata.
- Irinde kunywa umutobe w'imbuto z'umuhondo mu gihe ufata uyu muti.
- Niba ubonye ibimenyetso by'indwara nk'umuriro n'inkorora, cyangwa kuva amaraso cyangwa gukomereka bidasanzwe, shaka ubufasha bwa muganga vuba.
- Niba ugize ibimenyetso bikomeye nko kubabara mu gatuza, guhumeka nabi, cyangwa kuvuga nabi, jya kwa muganga wita ku barwayi ba ETU.
- Ntukareke gufata imiti cyangwa ngo uhindure igipimo cy'imiti utabanje kugisha inama muganga wawe.
- Niba ufite impungenge kuri uyu muti, ntutinye kubibwira muganga wawe.
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