Gutangira kuvura kanseri kuri wowe cyangwa uwo ukunda bishobora kuba ibihe biguhangayikishije kandi bigutera urujijo. Ushobora kuba ufite ibibazo ku miti muganga wawe aguha, amazina yayo, n'ingaruka zayo. Uyu munsi rero tugiye kuvuga ku muti umwe udasanzwe wa kanseri, Selpercatinib . Ushobora kuba uwuzi ku izina rya Retevmo. Reka tuvuge kuri uyu muti, icyo ukora, n'icyo ugomba kumenya mu buryo bworoshye kandi bworoshye kumva.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, Selpercatinib ntabwo ari nka chemotherapy gakondo. Ikora nk' "ubuvuzi bwibasiwe." Poroteyine zimwe na zimwe mu mibiri yacu zohereza ibimenyetso ku turemangingo twa kanseri kugira ngo "zikure cyane, zikwirakwire vuba." Tekereza nk'ingufu ituma uturemangingo twa kanseri dukura. Icyo Selpercatinib ikora ni uguhagarika poroteyine yohereza ikimenyetso kitari cyo . Ni nko kuzimya iyo ngufu. Hanyuma gukura no gukwirakwira kw'uturemangingo twa kanseri mu mubiri wose biragenzurwa.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira ubu buvuzi, muganga wawe agomba kumenya neza ubuzima bwawe. Menya neza ko umubwiye imwe muri izi ndwara zikurikira, cyane cyane niba ufite iyo ari yo yose:
| Ese ufite iyi ndwara? | Kuki kumenyesha ari ingenzi? |
|---|---|
| Indwara zo kuva amaraso | Uyu muti ushobora kongera ibyago byo kuva amaraso. |
| Kuba aherutse kubagwa cyangwa ateganijwe kubagwa mu gihe kizaza | Umuti ushobora gutinza gukira kw'igikomere. |
| Umuvuduko ukabije w'amaraso | Uwo muti ushobora kongera umuvuduko w'amaraso kurushaho. |
| Umutima utari umeze neza | Impinduka mu gutera k'umutima zishobora kubaho. |
| Indwara z'umwijima cyangwa ibihaha | Imikorere y'izi ngingo ishobora kugira ingaruka. |
| Allergie ku yindi miti, ibiryo, cyangwa amarangi | Ni ngombwa kumenya niba ufite ubwivumbure ku muti cyangwa ikindi kintu cyose kiwugize. |
| Gutwita cyangwa kugerageza gutwita | Uyu muti ushobora guteza ingaruka zikomeye ku mwana uri mu nda. |
| Konsa | Uwo muti ushobora kwanduzwa umwana binyuze mu mashereka. |
Uyu muti nkwiye kuwukoresha nte?
Iyi ni kapsule ufata ukoresheje umunwa. Ni ngombwa cyane kuyifata mu gihe kimwe buri munsi , nk'uko muganga wawe yabigutegetse.
- Mirira kapsule yose n'amazi . Ntukayimene, ntuyishenye, ntuyijanjagure cyangwa ngo uyihekenye.
- Ushobora kubifata uri mu biryo cyangwa utabirya. Ariko, niba wumva ufite ikibazo mu gifu, ni byiza kubifata uri mu biryo.
- Komeza kuvurwa kugeza igihe muganga wawe azakubwiriye kubihagarika.
- Icy'ingenzi cyane: Irinde kunywa umutobe w'imbuto z'umuhondo burundu mu gihe ufata uyu muti.
Bite ho nintakaza urugero rw'umuti?
Niba wabuze dose, fata vuba uko wibuka. Ariko, niba hashize amasaha arenga 18 urengeje dose yawe ikurikira (bivuze ko hasigaye amasaha ari munsi ya 6 ngo dose yawe ikurikira igere), jya usimbuka dose yabuze hanyuma ufate dose yawe ikurikira ku gihe gisanzwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kuruta uko ubyibwira, ntugatinye. Jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Imiti imwe n'imwe ishobora kugira ingaruka kuri Selpercatinib, igahindura imikorere yayo cyangwa ikongera ingaruka mbi.
Icyitonderwa: Niba ufata imiti ikurikira, ntugafate Selpercatinib. Vugana na muganga wawe kuri ibi.
* Cisapride
* Dronedarone
* Ketoconazole
* Levoketoconazole
* Pimozide
* Thioridazine
Byongeye kandi, indi miti, ibikomoka ku bimera, n'ibiribwa bishobora kugira ingaruka kuri uyu muti. Kubwibyo, ni ngombwa kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro).
- Imiti imwe n'imwe y'umuvuduko ukabije w'amaraso (diltiazem cyangwa verapamil)
- Imiti imwe n'imwe igabanya ubukana bwa virusi itera SIDA cyangwa Hepatite
- Imiti ivura indwara z'ibihumyo (itraconazole, posaconazole)
- Umutobe w'imbuto z'imizabibu
- Indi miti ihindura umuvuduko w'umutima
- Repaglinide yo kuvura diyabete
- Rifampine ivura igituntu
- Ibikomoka ku bimera nka St. John's Wort
- Imiti igabanya aside yo mu gifu (nka cimetidine, famotidine, ranitidine, lansoprazole, omeprazole)
Ibintu ugomba kwitondera cyane cyane mu gihe ufata umuti
- Kumva utameze neza: Ni ibisanzwe kumva utameze neza cyangwa utameze neza mu gihe ufata uyu muti. Ibi biterwa nuko uyu muti ugira ingaruka ku turemangingo twa kanseri ndetse n'uturemangingo tuzima ku rugero runaka. Ariko, ntuhagarike imiti kugeza igihe muganga wawe akubwiye. Bwira muganga wawe ingaruka mbi zose uhura nazo.
- Kubagwa: Niba ugiye kubagwa (nubwo byaba ari ibintu bito nko gukurwa iryinyo), bwira muganga wawe. Uyu muti ushobora gutinza gukira kw'igikomere. Kubwibyo, akenshi uzakenera guhagarika gufata umuti nibura iminsi 7 mbere yo kubagwa hanyuma wongere utangire ibyumweru 2 nyuma yo kubagwa, igihe igikomere kizakira neza.
- Gutwita no konsa: Ku bagore: Irinde gutwita mu gihe ufata uyu muti no mu cyumweru kimwe nyuma yo guhagarika umuti. Niyo mpamvu ari ngombwa gukoresha uburyo bwizewe bwo kuboneza urubyaro. Ugomba kwipimisha mbere yo gutangira umuti kugira ngo umenye neza ko udatwite. Nanone, irinde konsa muri iki gihe no mu cyumweru kimwe nyuma yo guhagarika umuti. Ku bagabo: Buri gihe koresha agakingirizo niba ukoranye imibonano mpuzabitsina n'umugore ushobora gutwita mu gihe ufata uyu muti no mu cyumweru kimwe nyuma yo guhagarika umuti. Iyo uwo mwashakanye atwite, bishobora kugira ingaruka mbi ku mwana uri mu nda.
- Uburumbuke: Uyu muti ushobora kugira ingaruka ku bushobozi bwawe bwo kubyara. Vugana na muganga wawe niba ufite impungenge kuri ibi.
- Umuvuduko w'amaraso:Buri gihe suzuma umuvuduko w'amaraso yawe nk'uko muganga wawe abikubwira. Menya icyo ugomba kuba n'igihe ugomba guhamagara muganga wawe.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti yose, Selpercatinib ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi zikaba zisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Kuva amaraso ku buryo budasanzwe | Amase y'umukara cyangwa amaraso, kuruka amaraso asa n'ikawa, inkari z'umukara wijimye/umutuku, uduheri tw'umutuku/umuhengeri ku ruhu. |
| Ingorane zo guhumeka | Inkorora yumye, guhumeka bigoranye. |
| Impinduka mu gipimo cy'umutima | Umutima utera cyane, isereri, ububabare mu gituza. |
| Gukomereka k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, uruhu cyangwa amaso bihinduka umuhondo, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye/umukara. |
| Hypothyroidism | Umunaniro udasanzwe, kudashobora kwihanganira ubukonje, impatwe, gutakaza umusatsi, uruhu rwumye, kongera ibiro. |
| Indwara ya Tumor Lysis (TLS) | Kuruka, impiswi, kugabanuka k'inkari, imitsi ihinda, kubabara ingingo, urujijo. |
| Bwira muganga wawe niba bikomeje cyangwa bikubangamiye. | |
| Kurya impatwe, impiswi, umunwa wumye, isesemi, uduheri ku ruhu, kubyimba utubuto, ibirenge n'amaboko. | |
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba uhuye n'ikintu kidasanzwe, vugana na muganga wawe ku bijyanye nacyo.
Ubutumwa bwo kujyana mu rugo
- Selpercatinib ni umuti wibasira kandi ugahagarika poroteyine runaka igira uruhare mu mikurire y'uturemangingo twa kanseri.
- Fata umuti ku gihe kimwe buri munsi nk'uko muganga wawe yabigutegetse. Ntukigere uwufata hamwe n'umutobe w'imbuto z'umuzabibu.
- Bwira muganga wawe indi miti yose (harimo na vitamine n'ibikomoka ku bimera) urimo gufata.
- Uyu muti ntukwiriye niba utwite, ugerageza gutwita, cyangwa wonsa. Ni ngombwa ko abagore n'abagabo bakoresha uburyo bwo kuboneza urubyaro bukwiye mu gihe cyo kuvurwa no mu cyumweru kimwe nyuma yaho.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, kuva amaraso menshi, cyangwa ibimenyetso bikomeye by’ubwivumbure, shaka ubufasha kwa muganga byihutirwa.
- Ntutinye kuvugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite. Wibuke ko utari wenyine.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.