Muganga wawe ashobora kuba yaragundikiye umuti witwa Tamoxifen mu rwego rwo kuvura kanseri y'ibere. Ni ibisanzwe kugira ibibazo bimwe na bimwe, amatsiko, ndetse wenda no guhangayikishwa n'uyu muti w'ingenzi. Rero, uyu munsi turaganira kuri uyu muti, uburyo ugira ingaruka ku mibiri yacu, icyo tugomba kwitondera, hamwe n'ingaruka mbi zishobora kubaho.
Tamoxifen ni iki? Ikora ite?
Muri make, Tamoxifen ni umuti ugenzura ikura n'ikwirakwira ry'uturemangingo twa kanseri y'ibere, kandi ukarinda kanseri kongera kugaruka.
Tekereza kuri ibi, ubwoko bumwe na bumwe bwa kanseri y'ibere bumeze nk'ikimera gito. Iki kimera gikenera amazi kugira ngo gikure kandi kibe kinini. Muri ubwo buryo, izi selile za kanseri zikenera imisemburo y'abagore yitwa estrogen kugira ngo ikure. Umuti wa tamoxifen ukora akazi gakomeye cyane. Ujya mu mubiri w'ibere ukabuza imisemburo ya estrogen kugera kuri izo selile za kanseri. Ni nko gufunga umuyoboro w'amazi ujya ku kimera. Hanyuma, iyo idafite estrogen, selile za kanseri zitakaza ubushobozi bwazo bwo gukura no gukwirakwira.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Uko umuganga wawe arushaho kugufasha, niko ubuvuzi bwawe buzaba bufite umutekano. Rero, mbere yo gutangira gufata tamoxifen, banza ubwire umuganga wawe niba ufite imwe muri izi ndwara zikurikira:
| Indwara iyo ari yo yose wari usanzwe ufite cyangwa izindi ngorane ushobora kuba ufite |
|---|
| Niba ufite amateka yo kubyimba kw'amaraso |
| Niba warigeze kugira ikibazo cyo gucika intege mu buryo bw'imitsi (stroke) mu bihe byashize |
| Niba urwaye kanseri y'umura cyangwa fibroids zo mu mura |
| Niba urwaye endometriosis |
| Niba ufite urugero rwa cholesterol mu maraso |
| Niba ufite imihango idahwitse |
| Niba ufite indwara y'umwijima |
| Niba utwite, ugerageza gutwita, cyangwa wonsa umwana |
| Niba ufite allergie kuri tamoxifen cyangwa undi muti cyangwa ibiryo |
Ni gute wakoresha umuti neza?
Kugira ngo uyu muti wungukire neza, ni ngombwa cyane kuwukoresha neza.
- Iki ginini kigomba kunyobwa mu kanwa. Ni akamenyero keza kugifata mu gihe kimwe buri munsi , nk'uko muganga yabigutegetse.
- Ushobora kubifata uri mu biryo cyangwa utabifashe. Ariko, hari abantu bashobora kugira ikibazo cyoroheje mu gifu cyangwa isesemi iyo ubifashe utabifashe. Ibi nibibaho, fata umuti hamwe n'ifunguro .
- Igikuru ni ugukomeza gufata uyu muti kugeza igihe muganga agutegetse ati “Birahagije, hagarika.” Ntugahagarike hagati.
Niba wafashe imiti myinshi ku bushake, ntugapfushe umwanya kandi uhite ujya mu Kigo cyita ku Buvuzi bwihutirwa (ETU) cy’ibitaro biri hafi yawe. Cyangwa uhamagare Ikigo cy’Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by’Igihugu bya Colombo .
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, ntugahangayike. Fata dose ukimara kubyibuka. Ariko, niba iri hafi cyane y'idose yawe itaha (urugero, amasaha make uvuyeyo), jya usimbuka dose wabuze hanyuma ufate dose yawe itaha ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri tamoxifen
Indi miti ufata ishobora kugira ingaruka ku mikorere ya tamoxifen, bityo ni ngombwa kumenyesha muganga wawe imiti yose ufata.
| Imiti idakwiye gufatwa na tamoxifen | |
|---|---|
| Cisapride | Dronedarone |
| Pimozide | Thioridazine |
| Indi miti ishobora gutera ibibazo kuri tamoxifen (bwira muganga wawe niba uyifata) | |
| Indi miti irwanya kanseri nka Anastrozole na Letrozole | Imiti igabanya amaraso nka Warfarin |
| Imiti igabanya igicuri nka Carbamazepine, Phenobarbital, Phenytoin | Imiti igabanya ubukana nka Paroxetine |
| Rifampin (umuti uvura igituntu) | Indi miti yongera igihe cyo kuruhuka (QT) |
Uru rutonde ntirwuzuye. Bwira muganga wawe indi miti, vitamine, ibyatsi, n'inyongeramusaruro ufata. Bwira kandi muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kwitondera cyane cyane mu gihe ufata umuti
Akamaro ko kwisuzumisha kwa muganga buri gihe
Ni ngombwa gukomeza kuvugana na muganga wawe buri gihe mu gihe ufata uyu muti. Ni ngombwa kujya kwa muganga no kwisuzumisha buri gihe, nko gupimwa amabere, gupimwa ikibuno, no gupimwa amabere .
Menya neza ibyago byo kurwara kanseri y'umura.
Abagore bafata tamoxifen bashobora kugira ibyago byo kurwara kanseri y'umura byiyongeraho gato. Ibi si ibintu byo guhangayikisha, ariko ni ngombwa kubimenya. Muganga wawe azakubwira ibi byago. Witondere ibimenyetso nko kuva amaraso mu gitsina nyuma yo gucura no kubabara mu kibuno.
Inama zihariye ku bijyanye no gutwita no konsa
Ibi ni ingenzi cyane!Ugomba kwirinda gutwita mu gihe ufata uyu muti no mu gihe cy'amezi 2 nyuma yo kuwuhagarika. Uyu muti ushobora kwangiza umwana uri mu nda. Kubwibyo, ganira na muganga wawe ku bijyanye no kuboneza urubyaro bikwiye kandi byizewe. Nanone, irinde konsa mu gihe ufata uyu muti no mu gihe cy'amezi 3 nyuma yo kuwuhagarika.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti iyo ari yo yose, tamoxifen ishobora gutera ingaruka zimwe na zimwe. Nubwo inyinshi muri zo ari nto, hari ibintu bimwe na bimwe twagombye kwitondera cyane.
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa mu muhogo |
| Ibimenyetso by'amaraso yangiritse | Kubabara amaguru, kubyimba, gutukura, guhumeka bigoranye, kubabara mu gituza |
| Ibimenyetso by'indwara yo mu bwonko | Gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, kugorwa no kugenda, kuribwa umutwe cyane, guhinduka mu kureba |
| Ibimenyetso by'indwara y'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, uruhu cyangwa amaso bihinduka umuhondo, inkari zijimye, imyanda yera |
| Ibindi bimenyetso bikomeye | Ibimenyetso by'ubwandu nko gukomereka cyangwa kuva amaraso ku buryo budasanzwe, kuva amaraso mu gitsina nyuma yo gucura, kubabara mu kibuno, umuriro n'ubukonje. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Gushyuha cyane | Ubushyuhe butunguranye n'ibyuya mu maso no ku mubiri. |
| Impinduka mu miterere y'imitekerereze | Kumva ubabaye nta mpamvu, kurakara vuba (guhindagurika kw'amarangamutima). |
| Amasohoro yo mu gitsina | Amasohoro yo mu gitsina, nko kuva mu gitsina. |
Ubutumwa bwo kujyana mu rugo
- Tamoxifen ni umuti w'ingenzi cyane mu kuvura kanseri y'ibere. Kubwibyo, ni ngombwa kuwufata igihe cyose nk'uko muganga wawe yabigutegetse.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara ushobora kuba ufite.
- Niba ugize ingaruka mbi zikomeye nko kubyimba amaguru, kubabara mu gituza, guhumeka bigoranye, cyangwa kuva amaraso mu buryo budasanzwe, shaka ubufasha bwa muganga byihutirwa.
- Irinde gutwita mu gihe ufata uyu muti no mu gihe cy'amezi 2 nyuma yo kuwuhagarika. Vugana na muganga wawe kuri ibi.
- Niba ufite ikibazo cyangwa impungenge kuri uyu muti, ntukishingikirize gusa ku makuru ari kuri interineti, ahubwo gisha inama muganga wawe.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.