Ese wowe cyangwa umuntu uzi wahawe Tamoxifen na muganga wawe kubera kanseri y'ibere? Cyangwa wahawe Tamoxifen kubera ko ufite ibyago byinshi byo kurwara kanseri? Ni ibisanzwe kumva ufite ubwoba, amatsiko, no kugira ibibazo byinshi iyo wumvise izina ry'uyu muti. "Ese koko ibi bizakiza kanseri? Ingaruka mbi ni izihe?" Ushobora kuba wibaza. Rero, uyu munsi turaganira ku cyo Tamoxifen ari cyo, icyo ikora ku mubiri, n'icyo tugomba kumenya, mu buryo bworoshye, nk'aho twavuganye n'inshuti.
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Mu magambo make, Tamoxifen ni iki?
Tamoxifen ni umuti ukunze gukoreshwa cyane mu kuvura kanseri y'ibere. Ariko, ntabwo itangwa ku bwoko bwose bwa kanseri y'ibere. Cyane cyane itangwa ku bantu bafite kanseri y'ibere ifite imisemburo .
Ibyo bivuze iki? Tekereza kuri ibi, zimwe mu ngirabuzimafatizo za kanseri y'ibere zimeze nk'abana bashonje. Zikeneye imisemburo ibiri umubiri wacu ukora mu buryo busanzwe kugira ngo zikure kandi zikwirakwize. Ni estrogen na progesterone . Icyo umuti wa tamoxifen ukora ni ukubuza izo ngirabuzimafatizo za kanseri kubona "ibiryo" zikeneye, ari byo misemburo ya estrogen.
Byongeye kandi, abaganga banatanga inama y'uyu muti mu rwego rwo gukumira kanseri ku bafite ibyago byinshi byo kurwara kanseri y'ibere (urugero, niba hari umuntu wo mu muryango warwaye kanseri, cyangwa niba afite ihinduka ry'uturemangingo nka (BRCA)).
Ni izihe nyungu nyamukuru zo kuvura tamoxifen?
Uyu muti wafashije kurokora ubuzima bw'abagore babarirwa muri za miriyoni ku isi. Zimwe mu nyungu zawo z'ingenzi ni:
- Kwirinda ko kanseri yongera kugaruka: Ibyago byo kugaruka kwa kanseri nyuma yo kubagwa, imiti igabanya ubukana bw'indwara ya kanseri cyangwa imirasire bigabanukaho 30% kugeza kuri 50%.
- Kurinda ibere ry'undi: Ku muntu ufite kanseri mu ibere rimwe, ibyago byo kurwara kanseri mu ibere ry'undi muntu muzima bigabanukaho 50%.
- Kwirinda kanseri y’inkondo: Ku muntu ufite kanseri yo mu cyiciro cya mbere (Ductal Carcinoma in Situ cyangwa DCIS), iherereye mu miyoboro y’amata y’ibere, bigabanya ibyago byo kurwara kanseri y’inkondo ku kigero cya 50%.
- Gukomeza amagufwa: Uyu muti unafasha mu kwirinda indwara ya osteoporosis no gukomeza amagufwa, bishobora kubaho nyuma yo gucura.
- Kugabanya cholesterol: Binagira uruhare mu kugabanya urugero rwa cholesterol mbi mu maraso.
Reka kandi twige uburyo bwo gufata umuti n'ingaruka zawo.
Muganga wawe akunze kukubwira gufata tamoxifen nk'ikinini (Nolvadex®) cyangwa nk'amazi (Soltamox®) icyarimwe buri munsi. Igihe cyo kuvurwa gishobora kuba imyaka 5 cyangwa 10. Ibi bizagenwa na muganga wawe bitewe n'uko urwaye.
Kimwe n'indi miti iyo ari yo yose, tamoxifen ishobora gutera ingaruka zimwe na zimwe. Inyinshi muri zo ntabwo ari mbi cyane, kandi si buri wese uzibona. Ariko ni ngombwa kuzimenya.
| Imiterere y'ingaruka mbi | Ibisobanuro n'ibimenyetso |
|---|---|
| Ingaruka zisanzwe | |
| Ibimenyetso bisa n'igihe cyo gucura | Gushyuha cyane, ibyuya byo mu ijoro, no kuma k'igitsina cy'umugore. |
| Kwiyongera ibiro/kubyimba | Hari abantu bashobora kwiyongera ibiro cyangwa bakabyimba (edema) mu bice nk'amaguru. |
| Guhera mu mihango ku buryo budasanzwe | Iminsi y'imihango idahwitse cyangwa guhagarika burundu. |
| Izindi ndwara ntoya | Kubyimba amaguru, isesemi, kuva amaraso mu gitsina, uduheri ku ruhu, umunaniro, kuribwa umutwe. Ku bagabo, imikorere mibi yo gusohora imibonano mpuzabitsina ishobora kubaho. |
| Ingaruka zikomeye ariko zidasanzwe zisaba ubuvuzi bwihuse | |
| Amaraso apfutse | Indwara nko kubyimba kw'amaraso mu mitsi y'amaguru (Deep Vein Thrombosis - DVT) cyangwa indwara yo gucika imitsi. |
| Indwara z'amaso | Ibibazo by'amaso nko kutabona neza. |
| Kanseri yo mu mura | Hari ibyago bike cyane byo kurwara kanseri y'inkondo y'umura. |
Izi ngaruka zikomeye ni gake cyane, ariko ni ngombwa kuzimenya. Muganga wawe arimo kukwandikira uyu muti kuko ibyiza by'uyu muti biruta kure ingaruka.
Iyo ukeneye kubonana na muganga byihutirwa!
Niba ufata tamoxifen kandi ukabona kimwe muri ibi bimenyetso bikurikira, bwira muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU ) by’ibitaro bidatinze.
- Kubabara mu gatuza cyangwa guhumeka bigoranye .
- Umuriro .
- Ibimenyetso by'indwara yo mu bwonko birimo kuvuga nabi , kutabona neza , no kugira ibinya bitunguranye ku ruhande rumwe rw'ukuboko, ukuguru, cyangwa isura .
- Kubyimba cyane mu maguru, ku tuguru, cyangwa ku birenge .
- Kuruka bidasubirwaho.
Itondere ibi bintu mu gihe ufata imiti.
Ese nshobora gufata uyu muti mu gihe ntwite?
Oya rwose. Niba utwite ufata tamoxifen, umwana wawe ashobora kugira ibibazo bikomeye byo kuvuka. Kubwibyo, ugomba kwirinda gutwita ufata uyu muti no mu gihe cy'amezi abiri nyuma yo guhagarika uyu muti. Vugana na muganga wawe ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro butari ubw'imisemburo (nk'udukingirizo).
Ese tamoxifen ni imiti ivura indwara ya kanseri?
Oya. Ibi ni ibintu bibiri bitandukanye. Tamoxifen ni ubuvuzi bw'imisemburo . By'umwihariko, iri mu bwoko bw'imiti yitwa "Selective Estrogen Receptor Modulators - SERMs." Chimotherapy ni ubuvuzi bwica uturemangingo twinshi twigabanyamo kabiri (uturemangingo twa kanseri ndetse n'uturemangingo tuzima). Ariko tamoxifen yibanda gusa ku mikorere y'imisemburo.
Ese hari ibiryo cyangwa ibinyobwa nkwiye kwirinda mu gihe nfata uyu muti?
Yego. Hari ibiryo n'ibinyobwa bishobora kugabanya ubushobozi bwa tamoxifen, bityo ni byiza kubyirinda.
- Imbuto z'imizabibu
- Tangerine
- Ikinyobwa icyo ari cyo cyose kirimo inzoga
Ubutumwa bwo kujyana mu rugo
- Tamoxifen ni uburyo bwiza cyane bwo kuvura kanseri y'ibere iterwa n'imisemburo.
- Ni ngombwa gufata imiti yawe neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye, kandi mu gihe gikwiye.
- Ntugatinye ingaruka mbi, ahubwo menya neza. Menya neza cyane ibimenyetso by'amaraso apfutse cyangwa indwara yo gucika kw'imitsi (kubyimba amaguru, kubabara mu gituza, kuvuga nabi). Niba uhuye na kimwe muri ibi, shaka ubufasha kwa muganga byihutirwa.
- Ntugatwite mu gihe ufata uyu muti kandi mu gihe cy'amezi 2 nyuma yo kuwuhagarika. Vugana na muganga wawe ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro bwizewe.
- Vugana na muganga wawe nta guhishanya ku bibazo byose, ubwoba cyangwa gushidikanya ushobora kuba ufite. Bahora biteguye kugufasha.
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