Ese ufite ibibazo nko kubabara ingingo, kubyimba ingingo, n'indwara z'uruhu? Hari igihe bigoye cyane kwihanganira indwara nk'izo. Rero, umuti wihariye kandi ugezweho abaganga basaba wo kugenzura bene izo ndwara ni Upadacitinib (tuwuzi neza ku izina rya RINVOQ). Uyu munsi, reka tuganire ku buryo bworoshye kandi bwuje urugwiro kuri uyu muti, icyo ukora, n'icyo ugomba kwitondera mu gihe uwukoresha.
Upadacitinib ni iki?
Mu magambo make, uyu ni umuti ukora mu kugira ingaruka ku buvuzi bw'umubiri wawe. Tuwita 'JAK inhibitors'. Ubudahangarwa bw'umubiri wacu rimwe na rimwe bukora cyane bugatangira kwibasira uturemangingo twacu. Niyo mpamvu indwara nka rubagimpande zivuka. Bityo icyo uyu muti ukora ni ukugenzura imikorere idakenewe y'ubudahangarwa bw'umubiri.
Uyu muti ukoreshwa cyane cyane mu ndwara zikurikira:
- Rumatizime: Kubyimba no kubabara ingingo.
- Arthritis ya Psoriatic: Kubyimba ingingo bikunze kugaragara mu ndwara y'uruhu ya psoriasis.
- Dermatitis yo mu bwoko bwa Atopic: Indwara y'uruhu izwi ku izina rya 'eczema'.
- Ankylosing Spondylitis: Indwara ya rubagimpande ikunze kwibasira ingingo z'umugongo.
- Ulcerative Colitis: Indwara yo kubyimba amara manini.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Upadacitinib ni umuti ukomeye cyane, bityo ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye by'ubuzima bwawe. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira.
- Niba ufite ikibazo cyo kuvura amaraso .
- Niba warigeze kugira kanseri cyangwa urwaye ubu.
- Niba urwaye diyabete .
- Niba ufite indwara y'umutima, umuvuduko w'amaraso ukabije, cyangwa cholesterol nyinshi .
- Niba ufite ubudahangarwa bw'umubiri budakomeye.
- Niba hari ubwoko ubwo aribwo bwose bw'ubwandu , cyane cyane ubwandu bwa virusi nka chickenpox na herpes, hamwe n'ubwandu bwa bagiteri nka igituntu (TB), ni ngombwa kubiganiraho.
- Niba ufite indwara y'impyiko cyangwa umwijima .
- Niba ufite uturemangingo tw’amaraso tw’umweru duke, uturemangingo dutukura, cyangwa uduce duto tw’amaraso mu maraso yawe.
- Niba ufite ibibazo byo guhumeka, indwara z'ibihaha nka asima cyangwa COPD.
- Niba uri umunywi w'itabi.
- Niba ufite ibibazo byo mu mara (urugero: Diverticulitis).
- Niba warigeze kugira ikibazo cyo gucika imitsi .
- Niba uherutse guhabwa cyangwa ugiye guhabwa urukingo .
- Niba urimo kugerageza gutwita, utwite, cyangwa uri umubyeyi wonsa .
- Niba ufite allergie kuri uyu muti cyangwa undi muti cyangwa ibiryo.
Suzuma uru rutonde witonze kandi uganire kuri ibi byose na muganga wawe. Ni we uzashobora gufata icyemezo niba uyu muti ari mwiza kuri wewe.
Nigute nkwiye gukoresha uyu muti?
Uburyo bwo kubikoresha biroroshye cyane, ariko ni ingenzi cyane.
- Mirira iki kinini cyose n'ikirahure cy'amazi .
- Ntukamene ikinini, ntukagishegeshe cyangwa ngo ugihekenye . Uramire uko kiri.
- Gerageza kuyifata mu gihe kimwe buri munsi. Ibi bizafasha gukomeza kugira akamaro k'umuti mu mubiri ku rwego rumwe.
- Ushobora kuyifata mbere cyangwa nyuma yo kurya, ariko niba urwaye igifu, ni byiza kuyifata hamwe n'ibiryo.
- Komeza gukoresha umuti kugeza igihe muganga wawe azakubwiriye kuwuhagarika .
Wakora iki niba wabuze dose y'umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe cyangwa uhamagare 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
Mu gihe ufata upadacitinib, bishobora guteza akaga gufata indi miti imwe n'imwe hamwe. Bwira muganga wawe imiti yose ufata (harimo na vitamine n'ibikomoka ku bimera).
| Uburyo bushoboka bwo gukorana na Upadacitinib | |
|---|---|
| Ntugafate ibi hamwe nabyo na gato: | |
| Baricitinib | Tofacitinib |
| Ibi bishobora no guteza ibibazo (bibwira muganga wawe): | |
| Indi miti igabanya ubudahangarwa bw'umubiri (urugero: Azathioprine, Cyclosporine) | Hari imiti imwe n'imwe irwanya udukoko (urugero: Ketoconazole) |
| Imiti imwe n'imwe ya virusi itera SIDA cyangwa hepatite | Imiti imwe n'imwe igabanya ububabare bw'umutima (urugero: Phenytoin, Carbamazepine) |
| Inkingo zizima | Rifampin (umuti uvura igituntu) |
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Ingaruka zo kwandura: Uyu muti ushobora kugabanya imikorere y'ubudahangarwa bw'umubiri, bityo ushobora kuba ufite amahirwe make yo kwandura indwara . Kubwibyo, niba ugaragaje ibimenyetso nk'umuriro, ubukonje, kuribwa mu muhogo, cyangwa kubabara umubiri, ntukiyivurize kandi uganire na muganga wawe. Ni byiza kandi kwirinda ahantu abarwayi bahurira.
- Irinde gutwita: Irinde gutwita urimo gufata uyu muti. Ushobora kwangiza umwana uri mu nda. Ugomba gukoresha uburyo buhagije bwo kuboneza urubyaro mu gihe cy'ibyumweru 4 nyuma yo guhagarika uyu muti. Vugana na muganga wawe kuri ibi.
- Irinde konsa: Irinde konsa umwana wawe mu gihe ufata umuti no mu minsi 6 nyuma yo kuwuhagarika.
- Ingaruka za kanseri: Abantu bafata uyu muti bashobora kugira ibyago byinshi byo kurwara kanseri zimwe na zimwe (urugero: kanseri y'uruhu). Ibi ntibibatere ubwoba, ariko menya ingaruka zishobora kubaho uganira na muganga wawe.
- Irinde izuba: Uruhu rwawe rushobora kuba rworoshye kumva izuba mu gihe ufata uyu muti. Kubwibyo, niba ugiye ku zuba, siga amavuta meza yo kwisiga kandi wambare imyenda ipfuka umubiri wawe.
Ingaruka mbi zikomeye - nuzibona, bwira muganga wawe ako kanya!
Niba ubonye kimwe muri ibi bimenyetso bikurikira, bishobora kuba ikimenyetso cy'indwara ikomeye. Rero, menyesha muganga wawe ako kanya.
| Ingaruka/ibimenyetso | Ibisobanuro |
|---|---|
| Uburyo bwo kubabara umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Umubiri w'amaraso | Kubabara amaguru, kubyimba, ubushyuhe, guhumeka bigoranye, kubabara mu gituza. |
| Indwara y'umutima | Kubabara mu gituza, ku rutugu, ku kuboko, cyangwa mu rwasaya, isesemi, kugorwa no guhumeka. |
| Igisebe cy'imitsi | Gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, kujijinganya, cyangwa kugenda bigorana. |
| Gukomereka k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, uruhu cyangwa amaso bigahinduka umuhondo, inkari zijimye. |
| Ibimenyetso by'ubwandu | Umuriro, inkorora, inkorora, kubabara mu muhogo, ibikomere bidakira. |
Ingaruka zisanzwe
Ingaruka nke zishobora no kubaho. Urugero, ibintu nko kunyara mu mazuru cyangwa isesemi. Niba ibi bikomeje cyangwa bikubangamiye, bwira muganga wawe ibyabyo.
Ubutumwa bwo kujyana mu rugo
- Upadacitinib ni umuti ukomeye uvura indwara nka rubagimpande n'izindi ndwara z'uruhu.
- Mu gihe ukoresha uyu muti, kurikiza amabwiriza ya muganga wawe neza. Mira ikinini cyose, utagishenye, utagisya cyangwa ngo ukihekenye.
- Menyesha muganga wawe indi miti yose ufata n'indwara zose ufite.
- Shaka abaganga vuba niba ugize ingaruka zikomeye nko kugira ibimenyetso by'indwara nko kugira umuriro, inkorora, kubabara mu gatuza, cyangwa kubyimba amaguru.
- Irinde gutwita mu gihe ufata imiti. Vugana na muganga wawe kuri ibi.
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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.