Verteporfin ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Verteporfin ni umuti ukoreshwa ukoreshwa n'urumuri wo kuvura indwara zimwe na zimwe zikomeye zo mu maso zishobora gutuma umuntu atakaza icyerekezo. Ukora ukoresheje uburyo bwihariye bwiswe photodynamic therapy, aho umuti uterwa mu maraso yawe hanyuma ugahindurwa n'urumuri rwa laser rukoreshwa mu jisho ryawe.

Ubu buvuzi bukoreshwa cyane cyane mu kwita ku myaka y'izabukuru ya macular degeneration n'izindi ndwara aho imitsi idasanzwe y'amaraso ikura inyuma y'ijisho ryawe. Nubwo izina rishobora kumvikana rigoye, verteporfin yafashije abantu benshi kubungabunga icyerekezo cyabo mugihe izindi miti itari igisubizo cyiza.

Verteporfin ikoreshwa mu kuvura iki?

Verteporfin ivura indwara zihariye zo mu maso aho imitsi idasanzwe y'amaraso itera ibibazo byo kureba. Igikoreshwa cyane ni ubwoko bwa macular degeneration iterwa n'imyaka y'izabukuru yitwa "wet" AMD, aho imitsi ivamo amaraso yangiza igice cyo hagati cy'icyerekezo cyawe.

Umuvuzi w'amaso ashobora kugusaba verteporfin niba ufite icyo bita "predominantly classic" choroidal neovascularization. Ibi bivuze ko imitsi idasanzwe y'amaraso yakuriye munsi ya retina yawe kandi itera kuvamo amazi cyangwa kuva amaraso byangiza icyerekezo cyawe cyo hagati.

Uyu muti rimwe na rimwe ukoreshwa mu kuvura izindi ndwara nka pathologic myopia complications cyangwa ubwoko bumwe na bumwe bwa choroidal hemangiomas. Ibi ni ibintu bidakunze kubaho aho imitsi idasanzwe y'amaraso ikura mu jisho.

Verteporfin ikora ite?

Verteporfin ifatwa nk'umuti ufite imbaraga ziringaniye ukora ukoresheje uburyo bwihariye bw'intambwe ebyiri. Mbere na mbere, umuti uterwa mu urugingo rw'umubiri rwawe, aho ujya mu maraso yawe kugirango ugere ku mitsi idasanzwe y'amaraso mu jisho ryawe.

Nyuma y'iminota 15 nyuma yo guterwa urushinge, muganga wawe akoresha urumuri rwihariye rwa laser itukura ku jisho ryawe mu gihe kingana neza n'amasegonda 83. Uru rumuri rutuma verteporfin ikora, bigatuma itanga ibintu bifasha gufunga imitsi y'amaraso ifite ibibazo itangiza ibice by'umubiri bizima biyakikije.

Bitekereze nk'ubuvuzi bwihariye bukora gusa aho urumuri rwa laser rukoreshwa. Umuti ubwawo ntugira ingaruka mbi kugeza igihe ukoreweho n'umuraba wihariye w'urumuri, bigatuma neza mu kuvura ahantu hagaragaye ikibazo gusa.

Nkwiriye gufata gute Verteporfin?

Verteporfin ihabwa buri gihe nk'urushinge rwo mu maraso mu kigo cy'ubuvuzi, ntabwo ari nk'ipilule cyangwa amavuta yo mu maso. Uzahabwa ubuvuzi mu biro bya muganga wawe cyangwa mu ivuriro ry'abarwayi batari barwariye mu bitaro aho bafite ibikoresho bya laser bikenewe.

Urushinge ubwarwo rufata iminota 10, muri icyo gihe umuti utangwa buhoro buhoro unyuze mu muyoboro w'amaraso mu kuboko kwawe. Nta kintu na kimwe ugomba gukora kugira ngo witegure, nubwo muganga wawe ashobora kukubwira kwirinda kurya ifunguro rinini mbere y'igihe kugira ngo wirinde isesemi.

Nyuma yo guterwa urushinge, uzategereza iminota 15 mbere y'uko ubuvuzi bwa laser butangira. Muri iki gihe cyo gutegereza, umuti uzenguruka mu mubiri wawe ukegerana mu mitsi y'amaraso idasanzwe mu jisho ryawe.

Nkwiriye gufata Verteporfin igihe kingana iki?

Igihe cyo kuvurwa na verteporfin gitandukanye cyane bitewe n'uko ijisho ryawe ryitwara ku buvuzi. Abantu benshi bakeneye ubuvuzi bwinshi butandukanye mu gihe cy'amezi atatu kugira ngo bagere ku ngaruka nziza.

Muganga w'amaso azakurikiza uko urimo utera imbere akoresheje ibizamini by'amaso bisanzwe n'ibizamini byihariye byerekana ishusho. Niba imitsi y'amaraso idasanzwe itangiye kongera gukura cyangwa niba amazi agarutse, ushobora gukenera ubuvuzi bwiyongera. Abantu bamwe bakeneye inshuro imwe cyangwa ebyiri gusa, mu gihe abandi bashobora gukenera ubuvuzi bwinshi mu gihe cy'umwaka cyangwa kurenza.

Icyemezo cyo gukomeza cyangwa guhagarika imiti gishingiye rwose ku buryo ijisho ryawe ryitwara neza niba inyungu ziruta ibyago. Muganga wawe azabiganiraho nawe mu gihe cyo gusuzumwa kwose.

Ibimenyetso bishobora guterwa na Verteporfin ni ibihe?

Abantu benshi bakira neza verteporfin, ariko nk'indi miti yose, irashobora gutera ibimenyetso. Ikintu cy'ingenzi cyo kumenya ni uko uzajya wumva cyane urumuri mu minsi mike nyuma yo kuvurwa.

Dore ibimenyetso bisanzwe ushobora guhura nabyo, kandi kubisobanukirwa birashobora kugufasha kwitegura no kumenya icyo witegura:

• Kumva cyane urumuri: Ibi bifata hafi ya buri wese kandi birashobora kumara iminsi 1-2. Uzaba ukeneye kwirinda urumuri rwinshi, izuba, ndetse n'urumuri rwo mu nzu
• Impinduka mu iyerekwa: Iyerekwa ritagaragara ry'agateganyo, kubona amabara yijimye, cyangwa impinduka mu buryo umuntu abona amabara mu minsi mike
• Uko umuti watewe wifata: Kubabara, kubyimba, cyangwa guhinduka kw'ibara aho IV yashyizwe
• Kubabara umugongo: Abantu bamwe bahura no kutumva neza umugongo mu gihe cyangwa nyuma yo guterwa umuti
• Isesemi: Muri rusange ikaba nto kandi y'agateganyo, ibaho mu gihe cyangwa nyuma gato yo kuvurwa

Ibi bimenyetso bisanzwe muri rusange birashobora gucungwa kandi bigakira mu minsi mike. Itsinda ryawe ry'abaganga rizagutera amabwiriza yihariye yo kwirinda urumuri.

Ibimenyetso bitabaho kenshi ariko bikomeye birashobora kubaho, nubwo bidakunze kubaho. Ibi birimo ibimenyetso bikomeye byo kwibasirwa n'umubiri, gutakaza iyerekwa cyane, cyangwa ingorane zituruka ku kumva urumuri niba ingamba zikwiye zitubahirijwe.

Abantu bamwe bahura no kubabara mu gituza, kugorana guhumeka, cyangwa kubabara umugongo cyane mu gihe baterwa umuti. Niba ibi bibayeho, itsinda ryawe ry'abaganga rizahagarika ubuvuzi ako kanya kandi ritange ubufasha bukwiye.

Ninde utagomba gufata Verteporfin?

Verteporfin ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza niba ikwiriye kuri wowe. Abantu bafite ibibazo bimwe na bimwe cyangwa mu bihe bidasanzwe bagomba kwirinda ubu buvuzi.

Ntabwo wagombye guhabwa verteporfin niba ufite allergie ku muti ubwawo cyangwa ku bice byawo byose. Byongeye kandi, niba ufite porphyria, indwara idasanzwe y'amaraso igira ingaruka ku buryo umubiri wawe ukoresha imiti imwe n'imwe, ubu buvuzi bushobora kuba bwateza akaga.

Abagore batwite ntibagomba guhabwa verteporfin, kuko ingaruka zayo ku bana bakiri bato ntizizwi neza. Niba uri konka, muganga wawe azaganira niba inyungu ziruta ibyago bishoboka, kuko imiti mike ishobora kujya mu mata y'ibere.

Abantu bafite ibibazo bikomeye by'umwijima ntibashobora kuba abakandida beza, kuko umuti ukoreshwa unyuze mu mwijima. Muganga wawe azasuzuma amateka yawe y'ubuvuzi kandi ashobora gutuma utumizwa ibizamini by'amaraso kugirango barebe imikorere y'umwijima wawe mbere yo kuvurwa.

Izina ry'ubwoko bwa Verteporfin

Verteporfin igurishwa ku izina ry'ubwoko rya Visudyne. Iyi ni yo miterere isanzwe y'umuti kandi ni yo muganga wawe ashobora gutegeka.

Visudyne iza mu ifu ivangwa n'amazi atagira mikorobe kugirango habeho umuti w'urushinge. Kuvanga bikorwa buri gihe n'abakozi b'ubuvuzi bafite ubushobozi mbere y'imiti yawe kugirango barebe ko umuti ugifite ubushya kandi wateguwe neza.

Uburyo bwo gusimbuza Verteporfin

Ubuvuzi butandukanye burahari kubijyanye n'amaso avurwa na verteporfin, kandi muganga wawe azagufasha gusobanukirwa uburyo bushobora gukora neza kubijyanye n'ibihe byawe.

Inshinge za Anti-VEGF, nka ranibizumab (Lucentis) cyangwa aflibercept (Eylea), akenshi ni yo mahitamo ya mbere yo gukura kwa macula. Iyi miti iterwa mu jisho kandi ikora ibuza imikurire y'imitsi idasanzwe y'amaraso.

Ku bantu bamwe, gukoresha laser ya thermal photocoagulation bishobora kuba igisubizo, nubwo ubu buryo butajya bukoreshwa cyane muri iki gihe. Ubu buvuzi bukoresha ubushyuhe mu gufunga imitsi y'amaraso ivuza, ariko bushobora kwangiza ibice by'umubiri bikikije kurusha verteporfin.

Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba guhuza ubuvuzi cyangwa agasaba gukurikiranwa hatabayeho ubufasha bwihuse, cyane cyane niba uburwayi bugenda buhoro kandi butagira ingaruka zigaragara ku iyerekwa ryawe.

Ese Verteporfin iruta inshinge za Anti-VEGF?

Niba verteporfin iruta inshinge za anti-VEGF biterwa n'uburwayi bw'ijisho ryawe n'imimerere yawe bwite. Ubuvuzi bwombi bufite inyungu zabwo kandi bukwiye ibihe bitandukanye.

Inshinge za Anti-VEGF zifatwa muri rusange nk'ubuvuzi bwa mbere bwo kuvura macular degeneration y'uburwayi kuko zishobora kunoza iyerekwa mu bihe byinshi. Zinatangwa kenshi ariko zitangwa mu jisho ku buryo butaziguye aho gutangwa binyuze muri IV.

Verteporfin ishobora gukundwa niba ufite ubwoko bwihariye bw'imitsi y'amaraso ikura neza ku buvuzi bwa photodynamic, cyangwa niba utarabyitwayemo neza ku buvuzi bwa anti-VEGF. Ni n'uburyo bwo kuvura niba udashobora kwihanganira inshinge z'ijisho zihoraho.

Muganga w'amaso yawe azatekereza ibintu nk'ubunini n'ahantu imitsi idasanzwe y'amaraso iherereye, ubuzima bwawe muri rusange, n'ibyo ukunda mugihe agusaba uburyo bwiza bwo kuvura.

Ibikunze Kubazwa Kuri Verteporfin

Ese Verteporfin irakwiriye ku bantu barwaye indwara z'umutima?

Verteporfin muri rusange irashobora gukoreshwa neza ku bantu barwaye indwara z'umutima, ariko muganga wawe azakenera gusuzuma imiterere yawe neza. Umuti ntugira ingaruka zigororotse ku mutima, ariko umunaniro w'uburyo ubwo aribwo bwose bwo kuvura rimwe na rimwe ushobora kugira ingaruka ku bantu bafite indwara z'umutima.

Niba ufite amateka y'ibibazo by'umutima, gerageza kubwira muganga wawe imiti yose ufata y'umutima ndetse n'impinduka zose ziherutse kuba ku buzima bwawe bw'umutima. Bashobora kwifuza guhuza ibikorwa n'umuganga w'umutima wawe cyangwa kugukurikiranira hafi cyane mu gihe cy'imiti.

Nkwiriye gukora iki niba nishyizemo urumuri rwinshi nyuma yo kuvurwa?

Niba wihuje n'urumuri rwinshi nyuma yo kuvurwa na verteporfin, jya mu cyumba cyijimye ako kanya kandi uvugishe ibiro bya muganga wawe. Ntuzagire ubwoba, ariko ubifate nk'ibintu bikomeye kuko bishobora gutera gushya ku ruhu cyangwa bikongera ubworoherane bwawe ku rumuri.

Shyira ibitambaro bikonje, bitose ku ruhu urwo arirwo rwose rugaragara ko rushyushye cyangwa rugaragara ko rutukura. Irinde gukomeza kwihuriza n'urumuri kandi ukurikize amabwiriza ya muganga wawe yo kwirinda. Kwihuriza n'urumuri byinshi biterwa n'ububabare bw'igihe gito kuruta ibyangiritse bikomeye, ariko isuzuma ry'ubuvuzi ni ingenzi.

Nkwiriye gukora iki niba ntasibye kuvurwa na verteporfin?

Niba usibye kuvurwa na verteporfin, vugisha ibiro bya muganga wawe vuba bishoboka kugira ngo wongere utegure gahunda yo kuvurwa. Igihe cyo kuvurwa ni ingenzi kugira ngo ugumane inyungu kandi wirinde iterambere ry'uburwayi bwawe bw'ijisho.

Ntugerageze gusimbura kuvurwa wasibye utegura ibindi bihe byinshi. Muganga wawe azagena igihe cyiza cyo kuvurwa kwawe gukurikira hashingiwe ku gihe kimaze gishize uvurwa bwa nyuma n'uko uburwayi bwawe bw'ijisho burimo butera imbere.

Nshobora kureka gufata verteporfin ryari?

Ushobora kureka kuvurwa na verteporfin mugihe muganga wawe yemeje ko bitagifitiye akamaro cyangwa bidakenewe. Iyi myanzuro ishingiye ku gukurikiranira hafi uburwayi bwawe bw'ijisho kandi n'uko witwara neza ku miti.

Abantu bamwe bakeneye kuvurwa rimwe cyangwa kabiri gusa hanyuma bagakomeza kugira icyerekezo gihamye imyaka myinshi. Abandi bashobora gukenera kuvurwa buri gihe mu gihe gito. Ntukigere ureka kuvurwa wenyine, kuko uburwayi bw'ijisho bushobora kwiyongera butavuwe neza.

Nshobora gutwara imodoka nyuma yo kuvurwa na Verteporfin?

Ntabwo ugomba gutwara imodoka ako kanya nyuma yo kuvurwa na verteporfin kubera impinduka mu mbono no kumva urumuri. Teganya ko hari umuntu uzakujyana mu rugo avuye mu gihe cyo kwisuzumisha kandi wirinde gutwara imodoka kugeza igihe ubushobozi bwawe bwo kureba busubiye uko byari bisanzwe kandi ushobora kwihanganira urumuri rusanzwe.

Abantu benshi bashobora gusubira gutwara imodoka nyuma y'iminsi mike, ariko ibi bitandukanye ku muntu ku muntu. Ganira na muganga wawe niba ari ryari byemewe ko wongera gutwara imodoka, kandi wemeze ko wumva umeze neza n'imbono yawe mbere yo kwicara ku giti cy'imodoka.