Ese muganga wawe yaba yaragundikiye ikinini cyitwa Toremifene mu kuvura kanseri y'ibere? Iyo wumvise iby'uyu muti, ushobora kuba ufite ibibazo byinshi mu mutwe wawe. Ibintu nk'ibi, 'Ibi bikora iki?', 'Ingaruka mbi ni izihe?', 'Ni iki nkwiye guhangayikishwa na cyo?' Ntugahangayike. Reka tubiganireho mu buryo bworoshye kandi busobanutse.
Ni ubuhe bwoko bw'umuti Toremifene?
Mu magambo make, uyu ni umuti ubuza imikorere y'umusemburo witwa estrogen mu mubiri wawe. Uyu musemburo witwa estrogen ugira ingaruka ku mikurire y'ubwoko bumwe na bumwe bwa kanseri y'ibere. Icyo uyu muti ukora ni uguhagarika ikwirakwizwa ry'uturemangingo twa kanseri. Niyo mpamvu ukoreshwa mu kuvura ubwoko bumwe na bumwe bwa kanseri y'ibere.
Muganga wawe ashobora kukwandikira uyu muti no ku zindi ndwara, bityo niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira uyu muti, ni ngombwa cyane kumenyesha muganga wawe amateka y’ubuzima bwawe bwose. Menya neza ko umubwiye niba ufite imwe mu ndwara zavuzwe haruguru.
- Ubwoko ubwo aribwo bwose bw'indwara z'umutima.
- Kalisiyumu nyinshi mu maraso.
- Amateka y'amaraso yacitse.
- Umutima utari umeze neza.
- Indwara y'umwijima.
- Indwara nko kugabanuka k'umubare w'uturemangingo tw'amaraso twera, uduce duto tw'amaraso, cyangwa uturemangingo dutukura mu maraso.
- Ingano nke ya manyeziyumu cyangwa potasiyumu mu maraso.
- Niba ufite ubwivumbure kuri toremifene, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa.
Uyu muti nkwiye kuwukoresha nte?
Fata iki ginini n'ikirahure cy'amazi. Fata neza nk'uko muganga wawe yabikubwiye, mu gihe gikwiye. Ushobora kugifata mbere cyangwa nyuma yo kurya. Ntugafate ibirenze ibyo muganga wawe yakubwiye. Ntugahagarike gufata uyu muti mu buryo butunguranye utabanje kugisha inama muganga.
Abana bashobora gukenera kwitabwaho by’umwihariko mu gihe batanga uyu muti. Niba rero uha umwana wawe uyu muti, ganira n’umuganga w’abana ku bijyanye na wo.
Bite ho nindamuka nkoresheje imiti irenze urugero?
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Uyu muti wanditswe kuri wewe gusa. Ntukigere uwusangira n'undi muntu wese ufite ibimenyetso nk'ibyawe.
Wakora iki 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. Ntukigere ufata dose ebyiri.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro). Imiti imwe n'imwe ishobora kugira ingaruka mbi kuri Toremifene. Imbonerahamwe iri hepfo igaragaza imwe muri iyi miti.
| Icyiciro cy'ibiyobyabwenge | Ingero |
|---|---|
| Ntuzigere ufata Toremifene hamwe n'uyu muti. | |
| Imiti itandukanye | cisapride, dronedarone, fluconazole, pimozide, posaconazole, saquinavir, thioridazine, ziprasidone |
| Ibi bintu bishobora kugira ingaruka kuri Toremifene - menyesha muganga wawe | |
| Imiti imwe n'imwe ifatwa ivura virusi itera SIDA cyangwa | (Imiti igabanya ubukana bwa virusi itera SIDA cyangwa SIDA) |
| Amwe mu ma antibiyotike | clarithromycin, telithromycin |
| Imiti imwe n'imwe igabanya ubukana bw'amaraso | hydrochlorothiazide |
| Imiti irwanya imiyoboro | itraconazole, ketoconazole, voriconazole |
| Imiti ivura indwara zo mu mutwe | carbamazepine, phenobarbital, fenitoyine |
| Imiti igabanya amaraso mu mubiri | warfarin |
| Indi miti n'inyongeramusaruro | dexamethasone, rifabutin, rifampin, St. John's Wort, tolbutamide |
| Imisemburo y'abagore | Estrogens, ibinini byo kuboneza urubyaro |
| Ibyokurya n'ibinyobwa | Umutobe w'imbuto z'imizabibu |
Uru rutonde ntirwuzuye. Ugomba kandi kubwira muganga wawe imiti yose ufata, niba unywa itabi, unywa inzoga, cyangwa unywa ibindi biyobyabwenge.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Gusuzumwa kwa muganga buri gihe: Jyana na muganga wawe buri gihe kugira ngo agupime ubuzima bwawe. Uzakenera gupimwa amabere, gupimwa amabere, no gupimwa ikibuno buri gihe .
- Ibibyimba by'amagufwa: Niba ufite ibibyimba bya kanseri mu magufwa yawe, uyu muti ushobora gutera ububabare mu magufwa cyangwa urugero rwinshi rwa kalisiyumu mu maraso. Baza muganga wawe ibi bimenyetso n'icyo wakora mu gihe bibaye.
- Gutwita no konsa:
- Bika ahantu abana batagera .
- Bika ku bushyuhe bw'icyumba (hagati ya selisiyusi 15-30).
- Bika kure y'izuba ryinshi n'ubushyuhe bwinshi.
- Ugomba gufunga neza umupfundikizo w'icupa.
- Tara umuti warengeje igihe.
- Toremifene ni umuti uvura ubwoko bumwe na bumwe bwa kanseri y'ibere ubuza imisemburo ya estrogen mu mubiri.
- Mbere yo gutangira imiti, bwira muganga wawe amateka y’ubuzima bwawe n’indi miti yose ufata.
- Ntugatwite ku mpamvu iyo ari yo yose mu gihe ufata uyu muti. Nanone, irinde konsa.
- Menya ingaruka mbi zikomeye nko kuvura amaraso, kuva amaraso kudasanzwe, no guhinduka k'amaso. Niba ubonye kimwe muri ibi, shaka ubufasha kwa muganga byihutirwa.
- Fata umuti uko wanditswe, mu gihe gikwiye. Ntukigere uwusangira n'abandi.
- Niba ufite ikibazo cyangwa impungenge kuri uyu muti, vugana na muganga wawe.
Ntugatwite ku mpamvu iyo ari yo yose mu gihe ufata uyu muti. Ushobora kwangiza umwana uri mu nda cyane. Niba uteganya gutwita cyangwa utekereza ko utwite, bwira muganga wawe ako kanya. Nanone, ntugatwite mu gihe ufata uyu muti.
Ni izihe ngaruka mbi nshobora kugira?
Nk’uko bimeze ku muti uwo ari wo wose, Toremifene ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi zikaba zisanzwe.
| Niba ibi bimenyetso bigaragaye, menyesha muganga wawe ako kanya. | |
|---|---|
| Ibimenyetso by'ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Ibimenyetso byo kuva amaraso | Amasambu y'umukara, ahora atwikiriye; inkari zitukura cyangwa zijimye; kuruka ibintu bisa n'ikawa; uduheri dutukura ku ruhu; kuva amaraso mu maso, mu ishinya cyangwa mu mazuru bidasanzwe. |
| Ibimenyetso by'amaraso apfutse | Guhumeka bigoranye; Guhinduka kw'amaso; Kubabara mu gituza; Kuribwa umutwe bitunguranye, bikomeye; Kubabara amaguru, kubyimba, ubushyuhe; Kunanirwa kuvuga; Kubura ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru. |
| Impinduka mu gipimo cy'umutima | Kubabara mu gatuza; kuzungera; umutima utera vuba cyangwa utari mu buryo busanzwe; gucika intege, kuzungera; guhumeka bigoranye. |
| Ibimenyetso by'indwara y'umwijima | Inkari z'umuhondo wijimye cyangwa umukara; amaso cyangwa uruhu bihinduka umuhondo; umuriro; kubura ubushake bwo kurya; isesemi; kubabara mu gice cy'iburyo cy'igifu; umunaniro udasanzwe. |
| Ibindi bimenyetso bikomeye | Guhinduka kw'amaso; kubabara mu magufwa; kuva amaraso mu gitsina cyangwa kuva amaraso mu buryo budasanzwe. |
| Niba izi ngaruka mbi zikomeje cyangwa zikaba zibangamiye, bwira muganga wawe. | |
| Ingaruka zisanzwe | Kuzungera; gushyuha; kubura ubushake bwo kurya; isesemi, kuruka; ibyuya; umunaniro udasanzwe. |
Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba uhuye n'ikintu kidasanzwe kidahuye n'ibi, vugana na muganga wawe ku bijyanye nacyo.
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