Ese muganga wawe yakwandikiye umuti witwa Vandetanib? Cyangwa hari umuntu wa hafi yawe wakwandikiye uyu muti? Uyu ni umuti usanzwe utangwa kugira ngo uvure ubwoko bumwe na bumwe bwa kanseri igaragara muri gland ya tiroyide (kanseri ya tiroyide ya medullary). Hari ibintu bike tugomba kwitondera cyane mu gihe dukoresha uyu muti. Rero ntugahangayike, reka tubiganireho mu buryo bworoshye kandi busobanutse.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira uyu muti, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Ibi biterwa nuko zimwe mu ndwara zishobora gutuma gukoresha uyu muti biba akaga. Niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
- Indwara z'umutima: Ese ufite indwara y'umutima, umutima wawe utera nabi, cyangwa ufite amateka yo kugira igihe kirekire cyo guhagarara kw'umutima?
- Umuvuduko w'amaraso: Ese ufite umuvuduko w'amaraso uri hejuru?
- Ibibazo byo kuva amaraso: Ese ufite ibibazo byo kuva amaraso cyangwa indwara yo kuvura amaraso?
- Indwara y'umwijima cyangwa impyiko: Ese ufite indwara y'umwijima cyangwa impyiko?
- Indwara z'ibihaha: Ese ufite ibibazo byo guhumeka cyangwa izindi ndwara z'ibihaha nka asima?
- Urugero rw'imyunyu ngugu mu maraso: Ese wigeze ubwirwa ko urugero rwa kalisiyumu, manyeziyumu, cyangwa potasiyumu mu maraso yawe ruri hasi?
- Urugero rw'imisemburo ya tiroyide: Ese urugero rw'imisemburo itera tiroyide (TSH) mu maraso ruri hejuru?
- Izindi ndwara: Ese ufite impiswi, igicuri, indwara z'uruhu cyangwa se urwaye uruhu?
- Kubagwa: Ugiye kubagwa vuba? Cyangwa uherutse kubagwa?
- Allergie: Ese ufite ubwivumbure kuri uyu muti wa Vandetanib, indi miti, ibiryo, cyangwa amarangi?
- Gutwita no konsa: Uratwite? Urashaka gutwita? Cyangwa uri umubyeyi wonsa?
Ntugahishe amakuru yose kuri aya. Ni ingenzi cyane ku mutekano wawe ko muganga amenya ibi byose.
Ni gute neza neza nkoresha uyu muti?
Uburyo bwo gukoresha uyu muti bworoshye cyane, ariko ni ngombwa gukurikiza amabwiriza neza.
- Mirira iki kinini cyose n'ikirahure cy'amazi .
- Ntukavune, ntukajanjagure, cyangwa ngo uhekenye ikinini.
- Fata umuti neza neza nk'uko muganga wawe yabigutegetse, mu gihe wanditswe na we. Ntukawufate inshuro zirenze umubare wategetswe ku munsi.
- Ntureke gufata imiti utabanje kugirwa inama na muganga . Kubikora bishobora gutuma indwara yawe irushaho kuba mbi.
- Iyo wahawe uyu muti, uzahabwa agapapuro k'amakuru yihariye (MedGuide) kuri wo. Kazanwa na buri muganga. Buri gihe usome witonze.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, uyifate ako kanya wibuka. Ariko, niba hasigaye amasaha ari munsi ya 12 ngo dose yawe ikurikira igere, jya usimbuka dose yabuze. Fata dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze.
Wakora iki niba ufashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ry’ibitaro biri hafi yawe. Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo.
Indi miti idakwiye gukoreshwa n'uyu muti kandi ishobora kugira ingaruka kuri wo
Vandetanib ni umuti ushobora kugira ingaruka ku yindi miti, bityo rero ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
| Icyiciro cy'ibiyobyabwenge | Ingero |
|---|---|
| Imiti idakwiye gufatwa na Vandetanib | |
| Imiti itandukanye | Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone |
| Indi miti ishobora kugira ingaruka kuri Vandetanib | |
| Imiti ivura indwara y'umutima idakora neza | Imiti nka Amiodarone, Sotalol, Quinidine, Procainamide |
| Imiti ivura indwara zo mu mutwe | Karubamazepine, Phenobarbital, Phenytoin |
| Indi miti n'ibimera | Digoxin, Metformin, Rifampin, St. John's Wort (Hypericum perforatum) |
| Imiti yongera igihe cy'umutima cya QT | Imiti nka Dofetilide, Ziprasidone |
Uru rutonde ntirwuzuye. Bwira muganga wawe umuti uwo ari wo wose ufata, waba uwandikiwe na muganga, uwaguzwe muri farumasi, cyangwa umuti w’ibimera.
Ibintu ugomba kwitondera mu gihe ufata umuti
Gutwita no konsa
Ibi ni ingenzi cyane . Ntugatwite mu gihe ufata uyu muti. Abagore bagomba gukoresha uburyo bwo kuboneza urubyaro neza mu gihe bafata uyu muti no mu gihe cy'amezi 4 nyuma yo kuwuhagarika. Bishobora guteza ingaruka mbi ku mwana uri mu nda. Nanone, ntugatwite umwana wawe mu gihe ufata uyu muti no mu gihe cy'amezi 4 nyuma yo kuwuhagarika.
Mbere yo kubagwa
Niba ugiye kubagwa, ugomba kubimenyesha muganga wawe. Uyu muti ushobora gutinza gukira kw'ibikomere byo kubagwa. Kubwibyo, ugomba guhagarika gufata uyu muti ukwezi kumwe mbere y'uko ubagwa. Nyuma yo kubagwa, ugomba gutegereza nibura ibyumweru 2 mbere yo kongera gutangira umuti. Umuti ugomba gutangira gusa nyuma yuko igikomere gikize burundu. Vugana na muganga wawe kuri ibi.
Kurinda izuba
Uyu muti ushobora gutuma uruhu rwawe rworohera cyane izuba (photosensitivity). Kubwibyo, irinde izuba ryinshi uko bishoboka kose mu gihe ufata umuti no mu gihe cy'amezi 4 nyuma yo guhagarika. Niba ugiye hanze, ambara imyenda ipfuka umubiri wawe neza kandi ukoreshe amavuta meza yo kwisiga ku zuba. Ntugakoreshe amatara y'izuba cyangwa utubari two kwisiga.
Izindi ngingo
- Ushobora kumva usinziriye cyangwa uzuzumwe mu gihe ufata uyu muti. Kubwibyo, irinde ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye uko uyu muti ukugiraho ingaruka.
- Muganga wawe azagenzura buri gihe uko amaraso yawe akora n'imikorere y'umutima wawe (nk'isuzuma rya ECG). Menya neza ko witabira ibyo bizamini n'amavuriro.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Niba ubonye ibi bimenyetso, jya kwa muganga cyangwa ETU ako kanya. | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Indwara z'umutima n'imitsi | Kubabara mu gituza, umutima utera vuba cyangwa utari umeze neza, gucika intege, isereri. |
| Kuva amaraso | Amaraso mu mwenda cyangwa mu mwenda w'umukara, kuruka ifu y'ikawa, gukomereka kudasanzwe, n'inkari zitukura/zijimye. |
| Ibijyanye n'uruhu | Gutukura, kubyimba, gushibuka k'uruhu (ndetse no mu kanwa). |
| Udutsinga tw'imitsi | Kuribwa umutwe cyane, gucika intege, guhinduka mu maso, urujijo, kugorwa no kuvuga, gucika intege mu buryo butunguranye cyangwa intege nke mu maso, mu kuboko, cyangwa mu kuguru. |
| Ibindi bimenyetso bikomeye | Guhumeka nabi, umuriro, kwituma umwanda ukeye, amaso cyangwa uruhu rugahinduka umuhondo (jaundice), kubyimba amaguru cyangwa utubuto tw'ibirenge. |
| Ingaruka mbi akenshi zidasaba ubuvuzi (ariko bwira muganga wawe niba zikomeje) | |
| |
Ubutumwa bwo kujyana mu rugo
- Vandetanib ni umuti wihariye uvura kanseri ya tiroyide. Ukoreshe neza neza nk'uko muganga wawe abigusabye .
- Menya neza ko wabwiye muganga wawe indi miti yose ufata ndetse n'indwara zose ufite.
- Irinde gutwita no konsa mu gihe ufata umuti no mu gihe cy'amezi 4 nyuma yo kuwuhagarika.
- Shaka abaganga vuba niba ugize ibimenyetso nko kuribwa umutwe cyane, kubabara mu gatuza, kuva amaraso ku buryo budasanzwe, cyangwa se uruhu rukagira ingaruka zikomeye.
- Ushobora kuba uhangayikishijwe n'izuba, bityo fata ingamba zikenewe kugira ngo wirinde izuba.
- Uyu muti ni uwawe gusa. Ntuwusangize abandi. Uwubike kure y'abana.
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