Icyo Megestrol ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'iyo miti n'ibindi

Megestrol ni umuti w'imisemburo ikorwa mu buryo bwa gihanga wigana imikorere ya progesterone mu mubiri wawe. Ikoreshwa cyane cyane mu gufasha gushishikariza abantu kurya ku bafite ibiro byinshi byatakaye kubera indwara zikomeye nka kanseri cyangwa SIDA/VIH.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa progestins, akaba ari ubwoko bw'imisemburo ya progesterone ikorwa mu buryo bwa gihanga. Nubwo yabanje gukorwa kugira ngo ivure ubwoko runaka bwa kanseri, abaganga ubu bakoresha uyu muti mu gufasha abantu kongera ubushake bwo kurya no kugumana ibiro byiza mu gihe bahuye n'ibibazo by'ubuzima bikomeye.

Megestrol ikoreshwa mu kuvura iki?

Megestrol ifite impamvu ebyiri zikomeye ikoreshwa mu buvuzi bwa none. Icya mbere, ifasha gushishikariza abantu kurya bafite ibiro byinshi byatakaye kubera indwara zikomeye. Icya kabiri, rimwe na rimwe ikoreshwa nk'igice cyo kuvura kanseri y'ubwoko runaka bwa kanseri y'ibere n'iy'uruhu rw'umura.

Impamvu isanzwe umuganga wawe ashobora kugutera uyu muti wa megestrol ni ukugira ngo akuremo ubushake bwo kurya. Iyo urwaye indwara nka kanseri, SIDA/VIH, cyangwa izindi ndwara zikomeye, umubiri wawe akenshi utakaza ubushake bwo kurya. Ibi bishobora gutera gutakaza ibiro bikabije no kubura intungamubiri, ibyo bikaba bishobora gutuma indwara yawe y'ibanze irushaho kuba mibi.

Ushobora kandi gusabwa gufata megestrol n'umuganga wawe niba uri kuvurwa kanseri kandi ukaba ufite icyo bita “cancer cachexia.” Iyi ni indwara igoye aho umubiri wawe usenya imitsi n'ibinure, bigatuma umuntu agira intege nke no gutakaza ibiro bitagira icyo bihindura nubwo waba ugerageza kurya byinshi.

Megestrol ikora ite?

Megestrol ikora igihe ihuye n'imisemburo yo mu bwonko no mu mubiri wawe kugira ngo ishyigikire ubushake bwawe bwo kurya. Ifatwa nk'umuti ukomeye ku rugero ruciriritse ushobora gutanga ibisubizo bigaragara nyuma y'ibyumweru bike utangiye kuwufata.

Umuti ugira ingaruka ku gice cy'ubwonko bwawe cyitwa hypothalamus, kikaba ari cyo gice cy'ubwonko bugenzura ibimenyetso by'inzara no kunyurwa. Binyuze mu kwigana progesterone, megestrol ishobora kongera ubushake bwawe bwo kurya no kugufasha kumva ufite inzara, kabone n'iyo indwara yaba yaragabanije ubushake bwawe bwo kurya.

Byongeye kandi, megestrol ishobora gufasha umubiri wawe kubika kalori nyinshi urya binyuze mu kugabanya umuvuduko wo gusenya imitsi n'ibice by'umubiri birimo amavuta. Iki gikorwa cyombi gituma gifasha cyane abantu bakeneye atari ukurya gusa, ahubwo no kubika ibiro babonye.

Nkwiriye gufata megestrol nte?

Fata megestrol nk'uko umuganga wawe abikwandikiye, akenshi rimwe ku munsi hamwe n'ibiryo kugira ngo bigabanye ibibazo byo mu gifu. Uyu muti uza mu buryo bw'ibinini n'umuti unyobwa, kandi umuganga wawe azagena uburyo bukora neza kuri wowe.

Ushobora gufata megestrol hamwe cyangwa utaranye n'ibiryo, ariko kuyifata hamwe n'ifunguro cyangwa agafunguro gato akenshi bifasha kugabanya ibibazo byose byo mu gifu. Niba ukoresha umuti unyobwa, nyeganyeza neza urupapuro mbere yo gufata urugero rwawo kugira ngo umuti ugende neza.

Gerageza gufata urugero rwawe ku gihe kimwe buri munsi kugira ngo bifashe kubungabunga urwego rwawo mu mubiri wawe. Ibi bishobora gufasha kongera ingaruka zo gutera ubushake bwo kurya no koroshya kwibuka urugero rwawe rwa buri munsi.

Mvuga gufata megestrol igihe kingana iki?

Igihe cyo kuvura na megestrol gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo wemera neza umuti. Abantu bamwe bashobora kubikenera mu mezi make gusa, mu gihe abandi bashobora kubifata igihe kirekire bitewe n'ubugenzuzi bw'abaganga.

Umuganga wawe akenshi azagutangiza igihe cy'igerageza cy'ibyumweru byinshi kugira ngo arebe uko umubiri wawe witwara. Niba utangiye kubona ibiro kandi ubushake bwawe bwo kurya bukagenda neza, bashobora gukomeza kuvura mu mezi menshi. Ariko, niba utabona inyungu mu kwezi kwa mbere cyangwa kabiri, umuganga wawe ashobora guhindura urugero cyangwa agatekereza ku zindi nzira zo kuvura.

Ni ngombwa gusobanukirwa ko megestrol akenshi igamije kuba umuti w'igihe gito kugira ngo agufashe kunyura mu bihe bigoye by'uburwayi. Umuganga wawe azajya akurikirana uko urimo utera imbere kandi azakorana nawe kugira ngo amenye igihe bikwiye kugabanya cyangwa guhagarika umuti buhoro buhoro.

Mbese ni izihe ngaruka ziterwa na Megestrol?

Kimwe n'imiti yose, megestrol ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Ingaruka zisanzwe zikunze kuba zoroshye kandi zishobora gucungwa, mu gihe ingaruka zikomeye zitaba kenshi ariko zisaba ubufasha bwihuse bw'abaganga.

Reka dutangire ku ngaruka ushobora guhura nazo cyane, zikunda kuba zoroshye:

• Kuruka cyangwa kuribwa mu nda
• Umutwe
• Urugero
• Kugira umunaniro cyangwa gusinzira
• Guhinduka kw'amarangamutima cyangwa kwishima
• Kutagira ibitotsi
• Kwiruka ibyuya byinshi

Izi ngaruka zisanzwe akenshi zikemura uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere by'ubuvuzi.

Ingaruka zikomeye zirashobora kubaho, nubwo zitaba kenshi. Izi zisaba ubufasha bwihuse bw'abaganga:

• Amavumba mu maguru cyangwa mu bihaha (ibimenyetso birimo kuribwa mu kuguru ku buryo butunguranye, kubyimba, kuribwa mu gituza, cyangwa guhumeka bigoranye)
• Guhinduka gukomeye kw'amarangamutima cyangwa agahinda gakabije
• Guhumeka mu buryo budasanzwe
• Kuribwa mu nda cyane
• Ibimenyetso by'isukari nyinshi mu maraso (inyota nyinshi, kunyara kenshi, kureba nabi)
• Kubyimba mu ntoki, ibirenge, cyangwa mu birenge

Vugana n'umuganga wawe ako kanya niba uhuye n'ikimenyetso icyo aricyo cyose muri ibi bikomeye, kuko bishobora kugaragaza ibibazo bisaba kuvurwa ako kanya.

Hariho kandi ingaruka zimwe na zimwe zitaba kenshi ariko zishobora kuba zikomeye zibaho ku gice gito cy'abantu bafata megestrol. Nubwo bitaba kenshi, ni ngombwa kubimenya:

• Kutagira imbaraga zihagije z'imisemburo ya adrenal (kugira intege nke, umunaniro, umuvuduko muke w'amaraso)
• Uburwayi bukomeye bwo kwibasirwa n'ibintu bitera allergie
• Ibibazo by'umwijima
• Impinduka zikomeye mu mutima
• Indwara ya diyabete cyangwa irushaho kuba mibi ya diyabete isanzweho

Wibuke ko muganga wawe yaguhaye uyu muti kuko yizeye ko inyungu ziruta ingaruka ku buzima bwawe bwihariye. Abantu benshi bafata megestrol ntibagira ingaruka zikomeye, ariko kumenya ibibazo bishobora kuvuka bifasha mu kwirinda.

Ninde utagomba gufata Megestrol?

Abantu bamwe na bamwe bagomba kwirinda megestrol kubera kwiyongera kw'ibibazo bikomeye. Muganga wawe azasuzuma neza amateka yawe y'ubuzima kugira ngo amenye niba uyu muti ari mwiza kuri wowe.

Ntugomba gufata megestrol niba ufite amateka y'amaraso yiziba, harimo thrombosis yimitsi yimbitse cyangwa embolism y'ibihaha. Uyu muti ushobora kongera ibyago byo guteza ibindi byiziba, bishobora guteza akaga.

Byongeye kandi, abantu bafite ubwoko runaka bwa kanseri bagomba kwirinda megestrol. Niba ufite kanseri zifite aho zihurira n'imisemburo nk'ubwoko runaka bwa kanseri y'ibere cyangwa ya prostate, uyu muti ushobora gutera imikurire y'impyisi.

Izindi ndwara zikunze gutuma megestrol idakwiriye zirimo:

• Indwara y'umwijima ikora
• Gusohoka amaraso mu gitsina bitasobanutse
• Allergie izwi kuri megestrol cyangwa imiti isa nayo
• Indwara ikomeye y'umutima
• Diyabete idafashwe neza

Niba utwite cyangwa wonsha, megestrol muri rusange ntisabwa keretse inyungu ziruta ingaruka kuri wowe no ku mwana wawe.

Amazina y'ubwoko bwa Megestrol

Megestrol iboneka mu mazina menshi y'ubwoko, aho Megace ariyo izwi cyane. Ushobora kandi kuyisanga nka Megace ES, ifite formula y'umuti wo kunywa yibanda cyane.

Ubwoko rusange bwitwa gusa "megestrol acetate" kandi buraboneka cyane muri farumasi nyinshi. Uko wakwakira izina ry'ubwoko cyangwa ubwoko rusange, ibikoresho bikora n'imikorere biracyasa.

Uburyo bwo gusimbuza Megestrol

Niba megestrol itagukwiriye cyangwa itatanga ibisubizo wifuza, imiti myinshi isimbura irashobora gufasha gushishikariza ubushake bwo kurya no guteza imbere kongera ibiro. Muganga wawe ashobora gutekereza izi nzira bitewe n'uko ubuzima bwawe buhagaze.

Dronabinol ni imwe mu nzira isimbura ikora neza cyane mu gushishikariza ubushake bwo kurya. Ni uburyo bwa THC bwa sintetike bushobora kongera inzara no gufasha kurwanya isesemi, cyane cyane ku bantu bakira ubuvuzi bwa kanseri.

Izindi nzira zisimbura zirimo mirtazapine, umuti urwanya depression ufite ingaruka zo gushishikariza ubushake bwo kurya, na corticosteroids nka prednisone, ishobora kongera ubushake bwo kurya by'agateganyo nubwo akenshi zikoreshwa mu gihe gito.

Umuvuzi wawe azakorana nawe kugirango abone uburyo bukwiye bushingiye ku ndwara yawe, imiti yindi urimo gufata, n'uko umubiri wawe witwara ku buvuzi butandukanye.

Ese Megestrol iruta Dronabinol?

Bombi megestrol na dronabinol ni ibishishikariza ubushake bwo kurya, ariko bakora mu buryo butandukanye kandi bashobora gukwira neza abantu batandukanye. Guhitamo hagati yabo biterwa n'uko ubuzima bwawe buhagaze kandi n'uko umubiri wawe witwara ku muti wose.

Megestrol ikunda gukora neza mu kongera ibiro mu gihe kirekire. Ntabwo gusa gushishikariza ubushake bwo kurya ahubwo bifasha umubiri wawe kubika kalori urya. Ariko, ifite ibyago byinshi byo gukora amaraso no kugira ingaruka ku misemburo.

Ku rundi ruhande, Dronabinol, ishobora gukora vuba mu gushishikariza ubushake bwo kurya kandi bifasha cyane niba urimo guhangana n'isesemi. Ifite ingaruka zitandukanye, harimo impinduka zishobora kuba mu myifatire no kuribwa, ariko ntigira ibyago byo gukora amaraso nka megestrol.

Muganga wawe azatekereza ibintu nk'ubuzima bwawe muri rusange, imiti yindi urimo gufata, n'ibimenyetso byawe byihariye mugihe afata icyemezo cy'umuti ushobora kugukorera neza.

Ibikunze Kubazwa Kuri Megestrol

Ese Megestrol irakwiriye abantu barwaye diyabete?

Megestrol ishobora kugira ingaruka ku kigero cy'isukari mu maraso kandi ikaba yongera ubukana bwa diyabete ku bantu bamwe. Niba urwaye diyabete, muganga wawe azagenzura isukari yawe mu maraso cyane mugihe utangiye gufata uyu muti.

Uyu muti ushobora gutera ubudahangarwa bwa insuline, bivuze ko umubiri wawe utakoresha insuline neza. Ibi bishobora gutera isukari yo mu maraso iri hejuru, bigasaba guhindura imiti yawe ya diyabete cyangwa kugenzura isukari yo mu maraso kenshi.

Nigira iki niba mfashwe n'umuti wa Megestrol mwinshi?

Niba ufashwe n'umuti wa megestrol mwinshi kuruta uko wategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Nubwo ibimenyetso bikomeye byo kurenza urugero bidakunze kubaho, gufata mwinshi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti.

Ntugerageze gusubiza umuti wiyongereye usiba umuti wawe ukurikira. Ahubwo, garuka ku gahunda yawe isanzwe yo gufata imiti kandi umenyeshe umuganga wawe icyabaye kugirango ashobore kugenzura niba hari ingorane zishobora kuvuka.

Nigira iki niba nciweho umuti wa Megestrol?

Niba ucikwa n'umuti wa megestrol, uwufate ako kanya wibuka, keretse igihe cyo gufata umuti wawe ukurikira kigeze. Muricyo gihe, siba umuti wacitse ukomeze gahunda yawe isanzwe.

Ntukafate imiti ibiri icyarimwe kugirango usubize umuti wacitse, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba ukunda kwibagirwa imiti, tekereza gushyiraho alarme ya buri munsi cyangwa gukoresha umuteguro w'imiti kugirango ugufashe kwibuka.

Nshobora guhagarika ryari gufata Megestrol?

Ntuzigere uhagarika gufata megestrol ako kanya utabanje kubaza muganga wawe. Umuganga wawe akenshi azagusaba kugabanya buhoro buhoro urugero rwawo uko igihe kigenda gihita aho guhagarara ako kanya.

Icyemezo cyo guhagarika megestrol gishingiye ku bintu bitandukanye, harimo uko wabyakiriye neza mu kuvurwa, niba warunguka ibiro bihagije, n'uko ubuzima bwawe muri rusange bumeze. Muganga wawe azakorana nawe kugira ngo amenye igihe cyiza cyo gutangira kugabanya umuti.

Nshobora kunywa inzoga niba ndimo gufata megestrol?

Muri rusange ni byiza kugabanya kunywa inzoga niba urimo gufata megestrol, kuko inzoga zishobora gutuma ingaruka zimwe na zimwe zirushaho kuba mbi nko kuribwa umutwe no kuruhuka. Byongeye kandi, inzoga zishobora kubangamira ubushake bwawe bwo kurya n'intego z'imirire.

Niba uhisemo kunywa inzoga rimwe na rimwe, bikore mu rugero ruto kandi umenye ko ushobora kumva ingaruka zikomeye. Buri gihe ganira ku kunywa inzoga kwawe na muganga wawe, cyane cyane niba ufite indwara zishingiye ku buzima megestrol ifasha kuvura.