Icyo Loncastuximab Tesirine ari cyo: Ibyo ikoreshwa, urugero rwayo, ingaruka zayo n'ibindi

Loncastuximab tesirine ni umuti w'indwara ya kanseri ugamije kuvura ubwoko runaka bwa kanseri y'amaraso, by'umwihariko lymphoma nini ya B-cell. Uyu muti ukora nk'igisasu kiyobora, gitanga imiti ya chemotherapy mu buryo butaziguye ku ngirangingo za kanseri mu gihe kigerageza kurengera ibice by'umubiri bifite ubuzima bwiza. Akenshi igenewe abarwayi kanseri yagarutse cyangwa ititabiriye izindi nshuti, itanga icyizere iyo izindi nzira zashiriye.

Loncastuximab Tesirine ni iki?

Loncastuximab tesirine ni umuti w'umubiri urwanya indwara, bivuze ko uhuza umubiri urwanya indwara ugamije n'umuti wa chemotherapy ukomeye. Tekereza nk'uburyo bwo gutanga bwiza bushakisha ingirangingo za kanseri zihariye kandi bugatanga imiti mu buryo butaziguye kuri zo. Uyu muti wihariye ugamije CD19, poroteyine iboneka ku gice cy'ingirangingo za kanseri y'amaraso.

Uyu muti ni uwa kera mu miti ya kanseri igamije kuba nyayo kurusha chemotherapy ya kera. Aho kugira ingaruka ku ngirangingo zose zigabanyijemo vuba mu mubiri wawe, yibanda ku gitero cyayo ku ngirangingo za kanseri zerekana poroteyine ya CD19. Ubu buryo bugamije bushobora gufasha kugabanya zimwe mu ngaruka ushobora guhura nazo hamwe na chemotherapy isanzwe.

Uyu muti utangwa mu maraso, bivuze ko utangwa binyuze mu muyoboro w'amaraso mu kuboko kwawe mu gihe gihariye. Itsinda ryawe ry'ubuzima rizagusuzuma neza mu gihe cyose no nyuma ya buri terwa kugira ngo rimenye niba witabira neza uyu muti.

Loncastuximab Tesirine ikoreshwa mu iki?

Loncastuximab tesirine yemerejwe by'umwihariko kuvura lymphoma nini ya B-cell yagarutse cyangwa idakira. Ibi bivuze ko ikoreshwa iyo lymphoma yawe yagarutse nyuma y'imiti yabanje cyangwa ititabiriye neza imiti nibura ibiri yabanje. Umuganga wawe wihariye akenshi azatekereza uyu muti iyo izindi miti isanzwe itagize icyo igeraho.

Lymphoma ya selile nini ya B ni ubwoko bwa lymphoma itari iya Hodgkin yibasira sisitemu yawe ya lymphatique, ikaba ari igice cy’umubiri wawe kirwanya indwara. Iyo iyi kanseri yitwa “yagarutse,” bivuze ko yagarutse nyuma y’igihe cyo gukira. “Refractory” bivuze ko kanseri ititabiriye neza imiti yabanje cyangwa yakomeje gukura nubwo havurwaga.

Muganga wawe azakenera kwemeza ko selile zawe za kanseri zigaragaza poroteyine ya CD19 mbere yo kugusaba ubu buvuzi. Ibi bikorwa binyuze mu igeragezwa rya laboratori ry’igice cyawe cya kanseri. Ntabwo lymphoma zose zizakwemererwa iyi miti, niyo mpamvu igeragezwa rikwiye ari ngombwa mbere yo gutangira kuvurwa.

Loncastuximab Tesirine ikora ite?

Loncastuximab tesirine ikora nk'ubuvuzi bukomeye, bugamije kanseri buhuza ubunyamwuga n'imbaraga. Uyu muti ugizwe n'ibice bibiri by'ingenzi: umubiri urwanya indwara ukora nka sisitemu ya GPS kugirango ubone selile za kanseri, n'umuti wa chimiotherapie ukomeye uzirimbura iyo umaze gutangwa. Ibi bituma iba umuti ukomeye wagenewe ibibazo bikomeye iyo izindi miti zitagize icyo zikora.

Uku niko inzira ikorwa mu mubiri wawe. Mbere na mbere, igice cy’umubiri urwanya indwara gishakisha kandi kigafatana na poroteyine ya CD19 ku gice cyo hejuru cya selile zawe za kanseri. Iyo bimaze gufatana, umuti wose winjizwa muri selile ya kanseri. Muri selile, igice cya chimiotherapie kirarekurwa kandi gitangira kurimbura kanseri kuva imbere.

Ubu buryo bugamije busobanura ko umuti ushobora gutanga urugero rwa chimiotherapie ruteye imbere cyane kuri selile za kanseri mugihe ugabanya guhura n’ibice by’umubiri bifite ubuzima. Ariko, kubera ko igice cya chimiotherapie gikomeye cyane, urashobora guhura n’ingaruka ziterwa n’imiti kuko selile zimwe zifite ubuzima nazo zishobora kwibasirwa muri ubu buryo.

Nkwiriye gufata Loncastuximab Tesirine nte?

Loncastuximab tesirine buri gihe itangwa nk'urushinge rwinjizwa mu maraso mu kigo cy'ubuvuzi, ntabwo ari nk'ikindi kintu ufata mu rugo. Itsinda ryawe rivura rizatanga buhoro buhoro binyuze mu urutsi rwo mu kuboko kwawe mu gihe cy'iminota 30. Uyu muti uza mu byiciro, akenshi utangwa buri byumweru bitatu, ukemerera umubiri wawe igihe cyo koroherwa hagati y'imiti.

Mbere yo guhabwa urushinge, birashoboka ko uzahabwa imiti mbere yo kuvurwa kugira ngo ifashe kwirinda ibimenyetso by'uburwayi no kugabanya ibyago by'ingaruka. Ibi bishobora kuba harimo imiti irwanya allergie, imiti ya steroid, cyangwa imiti igabanya umuriro. Itsinda ryawe ry'ubuvuzi rizakurikirana ibimenyetso byawe by'ingenzi mu gihe cy'urushinge no nyuma y'igihe runaka kugira ngo barebe ibimenyetso byihuse.

Ntabwo ukeneye gufata uyu muti hamwe n'ibiryo kuko utangwa mu maraso. Ariko, ni ngombwa kuguma ufite amazi menshi ku munsi wo kuvurwa no gukurikiza amabwiriza yose itsinda ryawe ry'ubuvuzi ritanga. Abantu bamwe basanga bifasha kurya ifunguro ryoroshye mbere yo kuza kuvurwa kugira ngo bifashe kwirinda isesemi.

Teganya kumara amasaha menshi mu kigo cy'ubuvuzi kuri buri gihe. Ibi birimo igihe cyo gufata imiti mbere yo kuvurwa, urushinge nyarwo, no gukurikirana nyuma yo kuvurwa. Kuzana igitabo, tablet, cyangwa kugira umuntu uguherekeza birashobora gufasha gukora igihe cyoroshye.

Nzamara Igihe Kingana Giki Ndafata Loncastuximab Tesirine?

Igihe cyo kuvurwa na loncastuximab tesirine giterwa n'uburyo kanseri yawe yitwara neza n'uburyo umubiri wawe wihanganira umuti. Abantu benshi bahabwa uyu muti mu byiciro byinshi, buri kiciro kikaba giteranye ibyumweru bitatu. Umuganga wawe w'inzobere mu by'indwara z'umubiri azagenzura buri gihe uko urimo utera imbere binyuze mu bizamini by'amaraso no gukoresha amashusho kugira ngo amenye niba ukwiye gukomeza kuvurwa.

Ubuvuzi busanzwe bukomeza igihe cyose kanseri yawe ikiri gusubiza kandi utagira ingaruka zikomeye. Abantu bamwe barashobora kurangiza uburyo bwabo bw'ubuvuzi bwateguwe, naho abandi bashobora gukenera guhagarara kare niba ingaruka ziba zikomeye cyane. Itsinda ryawe ry'ubuvuzi rizakorana nawe bya hafi kugirango ribone uburyo bukwiye bwo kurwanya kanseri yawe no gukomeza ubuzima bwawe bwiza.

Ibyiciro byo kugenzura buri gihe ni ngombwa mugihe cy'ubuvuzi. Uru ruzinduko rutuma muganga wawe areba neza uko umuti ukora kandi agahindura gahunda yawe y'ubuvuzi niba bibaye ngombwa. Ibizamini by'amaraso bizagenzura umubare w'uturemangingo tw'amaraso yawe, imikorere y'umwijima, n'ibindi bimenyetso byingenzi by'uburyo umubiri wawe witwara kubuvuzi.

Ni Iyihe Ngaruka Ziterwa na Loncastuximab Tesirine?

Loncastuximab tesirine irashobora gutera ingaruka zitandukanye, kuva ku zoroheje kugeza ku zikomeye, mugihe umubiri wawe witwara kuri ubuvuzi bukomeye bwa kanseri. Kumva icyo witegura birashobora kugufasha kwitegura no kumenya igihe wahamagara itsinda ryawe ry'ubuvuzi. Wibuke ko atari buri wese ubona ingaruka zose, kandi itsinda ryawe ry'ubuvuzi rizakorana nawe kugirango rikore ku zizagaragara.

Ingaruka zisanzwe ushobora guhura nazo zirimo umunaniro, isesemi, n'umubare muto w'uturemangingo tw'amaraso. Izi ngaruka zibaho kuko umuti ugira ingaruka ku turemangingo twa kanseri ndetse n'uturemangingo duke tw'umubiri wawe. Abantu benshi basanga ibi bimenyetso bishobora gucungwa n'inkunga ikwiye n'imiti.

Hano hari ingaruka zikunze kugaragara abantu bakunze gutanga raporo:

• Umunaniro n'intege nke bishobora kumara igihe hagati y'ubuvuzi
• Isesemi no kuruka, cyane cyane muminsi mike nyuma yo guterwa umuti
• Umubare muto w'uturemangingo tw'amaraso yera, bikongera ibyago byo kwandura
• Umubare muto w'uturemangingo tw'amaraso, bituma gukomereka cyangwa kuva amaraso byoroha
• Kugabanya ubushake bwo kurya no gutakaza ibiro bishoboka
• Uruhu rurashobora gushyushya cyangwa kuribwa ahantu hatandukanye
• Impiswi cyangwa impinduka mumigenzo y'amara
• Uburibwe bw'imitsi cyangwa ingingo

Ibyo bibazo bikunze kugaragara bikunze gucungwa neza hakoreshejwe ubufasha n'imiti ikipe yawe y'ubuzima ishobora kugusabira.

Abantu bamwe bashobora guhura n'ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga. Izo ngaruka zitagaragara ariko z'ingenzi zirimo indwara zikomeye ziterwa n'umubare muto w'uturemangingo tw'amaraso twera, ibibazo bikomeye byo kuva amaraso biturutse ku mubare muto w'uturemangingo tw'amaraso dutukura, cyangwa ibibazo bikomeye by'umwijima. Byongeye kandi, abarwayi bamwe bashobora kugira uruhu rukomeye rwitwa syndrome ya Stevens-Johnson, rugaragara nk'uruhu rubabaza rurimo ibibyimba n'imvubura z'uruhu.

Dore ingaruka zikomeye zisaba ubuvuzi bwihuse:

• Ibimenyetso by'indwara ikomeye nk'umuriro, imbeho, cyangwa inkorora ihoraho
• Kuva amaraso bidasanzwe cyangwa gukomeretsa bitahagarara byoroshye
• Uruhu rukomeye rufite ibibyimba cyangwa gushishuka
• Uruhu cyangwa amaso y'umuhondo agaragaza ibibazo by'umwijima
• Umunaniro ukabije utuma utabasha gukora imirimo yawe ya buri munsi
• Kugorwa no guhumeka cyangwa kuribwa mu gituza
• Isesemi ikabije ikubuza kunywa amazi

Ikipe yawe y'ubuzima izagukurikiranira hafi izo ngaruka kandi itange ubuvuzi bwihuse niba zigaragaye. Ntukazuyaze kubabwira niba ubonye ibimenyetso bibangamiye hagati y'amasaha yo kubonana.

Ninde utagomba gufata Loncastuximab Tesirine?

Loncastuximab tesirine ntabwo ikwiriye kuri buri wese, kandi umuganga wawe w'indwara z'umutima azasuzuma neza niba ari wo mwanzuro ukwiriye ku miterere yawe. Indwara zimwe na zimwe cyangwa ibihe bishobora gutuma uyu muti ugira akaga cyangwa utagira akamaro ku barwayi bamwe. Ikipe yawe y'ubuvuzi izasuzuma amateka yawe y'ubuzima yuzuye mbere yo kugusaba ubuvuzi.

Abarwayi bafite indwara ikomeye y'umwijima ntibashobora kuba abakandida beza kuri uyu muti kuko ushobora kugira ingaruka ku mikorere y'umwijima. Kimwe n'ibyo, abafite indwara zikomeye zikiriho, bakwiye gutegereza kugeza igihe indwara yagenzurwa mbere yo gutangira kuvurwa. Muganga wawe azanatekereza ku buzima bwawe muri rusange n'ubushobozi bwo kwihanganira ibyo ubuvuzi busaba.

Kuba utwite no konsa ni ibintu by'ingenzi byo kwitaho kuri uyu muti. Loncastuximab tesirine ishobora gukomeretsa umwana ukiri mu nda, bityo abagore bafite imyaka yo kubyara bazakenera gukoresha uburyo bwo kuboneza urubyaro bukora neza mu gihe bavurwa no mu mezi make nyuma yaho. Niba uri konsa, uzakenera guhagarika mbere yo gutangira kuvurwa.

Dore ibintu byihariye uyu muti ushobora kutaba ukwiriye:

• Indwara ikomeye y'umwijima cyangwa ibizamini by'imikorere y'umwijima idasanzwe cyane
• Indwara zikomeye zikiriho, zitagenzurwa
• Kuba utwite cyangwa guteganya gutwita
• Ababyeyi bonsa
• Uburyo bwo kwirinda indwara bwarushijeho gukomera biturutse ku zindi mpamvu
• Inkingo ziheruka gukorwa (zigomba kwirindwa mu gihe cyo kuvurwa)
• Ibibazo bikomeye by'umutima bituma gutera umuti biba bishyira ubuzima mu kaga

Umuvuzi wawe w'indwara z'umwijima azagereranya ibi bintu n'inyungu zishoboka zo kuvurwa kugira ngo atange inama nziza ku byerekeye uko ubuzima bwawe bumeze.

Izina ry'ubwoko bwa Loncastuximab Tesirine

Loncastuximab tesirine icururizwa ku izina ry'ubwoko rya Zynlonta muri Leta Zunze Ubumwe z'Amerika. Iri zina ry'ubwoko ni ryo usanzwe ubona ku byapa by'imiti no mu biganiro n'ikipe yawe y'ubuzima. Uyu muti watejwe imbere na ADC Therapeutics kandi wahawe uburenganzira na FDA bwo kuvura kanseri y'amaraso ya B-cell lymphoma yagarutse cyangwa yanze kuvurwa.

Iyo muganira ku buvuzi bwanyu n’amasosiyete y’ubwishingizi cyangwa amavuriro, izina rusange (loncastuximab tesirine) n’izina ry’ubucuruzi (Zynlonta) birashobora gukoreshwa. Itsinda ryanyu ry’ubuzima rizafasha guhuza n’ubwishingizi bwanyu kugira ngo ryemeze ubwishyu kandi risubize ibibazo byose bijyanye n’uko umuti uboneka cyangwa igiciro.

Uburyo bwo kuvura bushobora gusimbura Loncastuximab Tesirine

Hariho ubundi buryo bwinshi bwo kuvura lymphoma nini ya B-cell yagarutse cyangwa idakira, nubwo guhitamo neza biterwa n’uko ubuzima bwawe bumeze, ubuvuzi bwakozwe mbere, n’ubuzima bwawe muri rusange. Umuganga wawe w’inzobere mu kuvura kanseri azatekereza ibintu nk'imiterere ya kanseri yawe, uko wabyitwayemo ku buvuzi bwakozwe mbere, n’ubushobozi bwawe bwo kwihanganira uburyo butandukanye bwo kuvura igihe avuga ku buryo bwo gusimbuza.

Ubuvuzi bwa CAR-T cell bugize bumwe mu buryo bwiza bwo gusimbuza abarwayi ba lymphoma nini ya B-cell yagarutse. Ubu buvuzi bukubiyemo gukuraho uturemangingo twawe tw’umubiri twirinda indwara, tukabahindura mu buryo bwa genetike kugira ngo barwanye kanseri neza, hanyuma tukongera kubinjiza mu mubiri wawe. Nubwo bishobora kugira akamaro kanini, ubuvuzi bwa CAR-T cell busaba ibigo byihariye kandi bushobora gutera ingaruka zidasanzwe.

Andi ma antibody-drug conjugates nka polatuzumab vedotin ashobora kuba amahitamo bitewe n’ibimenyetso byihariye bya kanseri yawe. Imvura ya gakondo ya chemotherapy, igeragezwa ryo kuvura hamwe n’imiti igeragezwa, cyangwa kwimura uturemangingo tw’umubiri twirinda indwara bishobora kandi gutekerezwa bitewe n’uko ubuzima bwawe bumeze.

Dore uburyo bumwe bwo kuvura umuganga wawe w’inzobere mu kuvura kanseri ashobora kuganiraho:

• Ubuvuzi bwa CAR-T cell (tisagenlecleucel cyangwa axicabtagene ciloleucel)
• Polatuzumab vedotin ivanze na chemotherapy
• Igeragezwa ryo kuvura hamwe n’imiti mishya igeragezwa
• Kwimura uturemangingo tw’umubiri twirinda indwara (autologous cyangwa allogeneic)
• Uburyo bwo kuvura bwa chemotherapy buvanga nk' R-ICE cyangwa R-DHAP
• Ubuvuzi bwa radiation ku ndwara zifite aho zigarukira

Itsinda ryawe ryo kwita ku buzima rizagufasha gusobanukirwa ibyiza n'ibibi bya buri kimwe hanyuma rigufashe gutoranya uburyo bwo kuvura bukwiye neza uko urwaye.

Ese Loncastuximab Tesirine iruta Rituximab?

Loncastuximab tesirine na rituximab bikora mu buryo butandukanye kandi bikoreshwa mu bihe bitandukanye byo kuvura lymphoma, bigatuma kugereranya byoroshye. Rituximab akenshi ikoreshwa mu buryo bwa mbere bwo kuvura, mu gihe loncastuximab tesirine yagenewe kanseri zagarutse cyangwa zititabiriye uburyo bwinshi bwo kuvura mbere harimo na rituximab.

Rituximab ni umubiri w'umubiri umwe ugamije CD20 kuri B-cells kandi umaze imyaka myinshi ukoreshwa cyane mu kuvura lymphoma. Akenshi yihanganirwa neza kandi akenshi ivangwa na chemotherapy mu buryo nka R-CHOP. Loncastuximab tesirine, ikaba ari umubiri w'umubiri ugamije CD19, itanga chemotherapy mu buryo butaziguye ku ngingo za kanseri ariko ikunda kugira ingaruka zikomeye.

Mu gihe cyo kugaruka cyangwa indwara idakira, loncastuximab tesirine ishobora gutanga inyungu uburyo bwo kuvura bushingiye kuri rituximab butashobora gutanga. Ariko, muganga wawe w'inzobere azatekereza ku mateka yawe yose yo kuvurwa, uko ubuzima bwawe buhagaze ubu, n'imiterere ya kanseri kugira ngo amenye uburyo bukwiye neza uko urwaye.

Ibibazo Bikunze Kubazwa Kuri Loncastuximab Tesirine

Q1. Ese Loncastuximab Tesirine irakwiriye abarwayi bafite indwara y'umwijima?

Loncastuximab tesirine ishobora kugira ingaruka ku mikorere y'umwijima, bityo abarwayi bafite indwara y'umwijima basanzwe bakeneye isuzuma ryitondewe mbere yo gutangira kuvurwa. Muganga wawe w'inzobere azasuzuma ibizamini byawe by'imikorere y'umwijima n'ubuzima bw'umwijima muri rusange kugira ngo amenye niba uyu muti ukwiriye kuri wowe. Niba ufite ubumuga buke bw'umwijima, muganga wawe ashobora gukomeza kugusaba uyu muti hamwe no kugenzura hafi, ariko indwara ikomeye y'umwijima akenshi ituma uyu muti ugira akaga kenshi.

Mugihe cyo kuvurwa, itsinda ryita ku buzima ryawe rizakurikirana imikorere y'umwijima wawe buri gihe hakoreshejwe ibizamini by'amaraso. Niba ibibazo by'umwijima bibayeho cyangwa bikiyongera mugihe cyo kuvurwa, muganga wawe ashobora gukenera guhindura urugero rw'umuti, gutinda kuvura, cyangwa guhindurira ku bundi buryo bwo kuvura. Ni ngombwa gutanga raporo y'ibimenyetso byose nk'uruhu cyangwa amaso y'umuhondo, inkari z'umukara, cyangwa umunaniro ukabije ku itsinda ryawe ry'ubuvuzi ako kanya.

Q2. Nkwiriye gukora iki niba mbonye umuti wa Loncastuximab Tesirine mwinshi ku buryo butunganye?

Kubera ko loncastuximab tesirine itangwa gusa mu bigo by'ubuvuzi n'abantu babihuguriwe, kwiyongera kw'umuti ku buryo butunganye ni gake cyane. Uyu muti utegurwa kandi ukatangwa neza hakurikijwe amabwiriza akomeye, hamwe n'ibizamini byinshi by'umutekano. Ariko, niba ufite impungenge zo kubona urugero rutari rwo, ntugashidikanye kuvugana n'itsinda ryawe ry'ubuvuzi ako kanya.

Niba kwiyongera kw'umuti byabaho, itsinda ryawe ry'ubuvuzi ryatanga ubufasha bwo gukemura ibimenyetso byose byagaragara. Ibi bishobora kuba birimo imiti yo gukumira isesemi, imiti yo gufasha imibare y'amaraso yawe, cyangwa izindi nteruro zishingiye ku byo ukeneye byihariye. Ikigo cy'ubuvuzi gifite amabwiriza yo gukemura ibibazo nk'ibi kandi kizakurikirana neza.

Q3. Nkwiriye gukora iki niba nasibye urugero rwa Loncastuximab Tesirine?

Niba wasibye gahunda yo guhabwa umuti, vugana n'itsinda ryawe ry'ubuvuzi vuba bishoboka kugirango usubize gahunda. Ntukategere gahunda yawe ikurikira, kuko gukurikiza gahunda yawe yo kuvurwa ni ngombwa kugirango umuti ukore neza. Umuganga wawe w'inzobere mu kuvura kanseri azagena igihe cyiza cyo gufata urugero rwawe rukurikira hashingiye ku gihe gishize uvurwa.

Kutabona urugero rimwe na rimwe ntizangiza ubuvuzi bwawe, ariko ni ngombwa gusubira mu nzira vuba. Itsinda ryawe ryita ku buzima rishobora guhindura gahunda yawe cyangwa gutanga ubugenzuzi bwongereweho kugirango wemeze ko uracyakira ubuvuzi bwiza. Bazi ko ibintu by'ubuzima rimwe na rimwe bibuza gahunda y'ubuvuzi kandi bazakorana nawe kugirango bakomeze ubuvuzi bwawe.

Q4. Ni ryari nshobora guhagarika gufata Loncastuximab Tesirine?

Umwanzuro wo guhagarika loncastuximab tesirine ugomba gufatwa buri gihe hamwe n'umuganga wawe w'indwara z'umutima, ntukore wenyine. Ubuvuzi mubisanzwe burakomeza kugeza igihe kanseri yawe ihagarariye gusubiza imiti, ubona ingaruka zitakiri nziza, cyangwa urangije gahunda y'ubuvuzi yateguwe. Muganga wawe azakoresha ibizamini bisanzwe n'amaraso kugirango akurikirane iterambere ryawe kandi amenye igihe cyiza cyo kuvura.

Abantu bamwe bashobora kurangiza ibihe byabo by'ubuvuzi byateguwe hanyuma bakinjira mu gihe cyo gukurikirana, mugihe abandi bashobora gukenera guhagarara kare kubera ingaruka cyangwa kutagira icyo bisubiraho. Umuganga wawe w'indwara z'umutima azaganira ibimenyetso byerekana igihe ubuvuzi bugomba kurangirira kandi agufashe gusobanukirwa icyo witegura mugihe cyo kwimukira mu buvuzi bukurikira.

Q5. Nshobora guhabwa inkingo mugihe mfata Loncastuximab Tesirine?

Gukingirwa mugihe cyo kuvurwa na loncastuximab tesirine bisaba gutekereza neza no kuyoborwa n'itsinda ryawe ryita ku buzima. Inkingo zifite ubuzima zigomba kwirindwa mugihe cyo kuvurwa no mumyaka myinshi nyuma yaho kuko ubudahangarwa bwawe bushobora gucogora. Ariko, inkingo zitagira ubuzima nka shoti y'ibicurane cyangwa inkingo za COVID-19 zirashobora gushyirwaho, nubwo zishobora kuba zitagira akamaro nkuko bisanzwe.

Umuvuzi wawe w’indwara z’umubiri (oncologist) azakorana nawe kugira ngo amenye inkingo zikwiriye n’igihe cyo kuzihabwa. Muri rusange, birasabwa ko wikingiza mbere yo gutangira kuvurwa, igihe bibaye gishoboka. Buri gihe ujye umenyesha umuganga wese uvura indwara z’umubiri ku bijyanye n’uburyo uvurwa kanseri mbere yo guhabwa urukingo urwo arirwo rwose, kugira ngo wemeze ko rwizewe kandi rukwiriye kuri wowe.