Mweemba (Mifeprex)

Zamkati

• Musanatenge mifepristone,
• Mifepristone ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zizindikiro za bongo zingaphatikizepo izi:

Kutaya magazi kwambiri kapena koopsa kumaliseche kumatha kuchitika mukatenga pathupi pathupi kapena mwa kutaya mimba kapena kuchipatala. Sizikudziwika ngati kumwa mifepristone kumawonjezera chiopsezo choti mudzakhala ndi magazi ochuluka kwambiri. Uzani dokotala wanu ngati mwakhalapo ndi vuto lakukha magazi, kuchepa magazi (osachepera kuchuluka kwa maselo ofiira amwazi), kapena ngati mukumwa maanticoagulants ('opopera magazi') monga aspirin, apixaban (Eliquis), dabigatran (Pradaxa) , dalteparin (Fragmin), edoxaban (Savaysa). enoxaparin (Lovenox), Fondaparinux (Arixtra), heparin, rivaroxaban powder (Xarelto), kapena warfarin (Coumadin, Jantoven). Ngati ndi choncho, dokotala wanu angakuuzeni kuti musatenge mifepristone. Ngati mukumva magazi akuthupi kwambiri, monga kulowa m'mipanda yaukhondo yayikulu kwambiri ola lililonse kwa maola awiri mosalekeza, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi.

Matenda owopsa kapena owopsa akhoza kuchitika mimba ikatha mwa kupita padera kapena mwa kuchotsa mankhwala kapena opaleshoni. Odwala ochepa adafa chifukwa cha matenda omwe adayamba atagwiritsa ntchito mifepristone ndi misoprostol kumaliza mimba yawo. Sizikudziwika ngati mifepristone ndi / kapena misoprostol zimayambitsa matendawa kapena kufa. Mukakhala ndi matenda akulu, mwina simungakhale ndi zizindikilo zambiri ndipo zizindikilo zanu sizingakhale zovuta kwambiri. Muyenera kuyimbira dokotala nthawi yomweyo kapena kupeza chithandizo chamankhwala mwadzidzidzi mukakumana ndi izi: malungo opitilira 100.4 ° F (38 ° C) omwe amatha maola opitilira 4, kupweteka kwambiri kapena kukoma mtima m'derali pansi pa m'chiuno, kuzizira, kugunda kwamtima, kapena kukomoka.

Muyeneranso kuyimbira foni adokotala mwachangu kapena mupeze chithandizo chamankhwala mwadzidzidzi ngati muli ndi zodwala zambiri monga kufooka, nseru, kusanza, kutsegula m'mimba, kapena kumva kudwala kwa maola opitilira 24 mutalandira mifepristone ngakhale mulibe malungo kapena ululu m'dera lomwe lili pansi m'chiuno mwanu.

Chifukwa cha kuopsa kwamavuto akulu, mifepristone imangopezeka pulogalamu yoletsedwa. Dongosolo lotchedwa Mifeprex Risk Evaluation and Mitigation Strategies (REMS) Program lakhazikitsidwa kwa odwala onse azimayi omwe apatsidwa mifepristone. Dokotala wanu adzakupatsani pepala lazidziwitso za wodwala (Chithandizo Cha Mankhwala) kuti muwerenge musanayambe chithandizo ndi mifepristone. Muyeneranso kusaina mgwirizano wodwala musanatenge mifepristone. Uzani dokotala wanu ngati muli ndi mafunso okhudza chithandizo ndi mifepristone kapena ngati simungathe kutsatira malangizo amgwirizano wa wodwala. Mifepristone imangopezeka m'makliniki, maofesi azachipatala, ndi zipatala ndipo siyimaperekedwa kudzera m'misika yamafilimu.

Lankhulani ndi dokotala wanu kuti musankhe yemwe mungamuyimbire ndi zomwe mungachite pakagwa mwadzidzidzi mutatenga mifepristone. Uzani dokotala wanu ngati simukuganiza kuti mudzatha kutsatira ndondomekoyi kapena kupeza chithandizo chamankhwala mwachangu mwadzidzidzi milungu iwiri yoyambirira mutatenga mifepristone. Tengani malangizo anu azachipatala mukapita kuchipinda chadzidzidzi kapena kukafuna chithandizo chadzidzidzi kuti madokotala omwe akukuthandizani azindikire kuti mukutaya mimba.

Sungani maimidwe onse ndi dokotala wanu. Maimidwe awa ndiofunikira kuti mutsimikizire kuti mimba yanu yatha komanso kuti simunakhalepo ndi zovuta zochotsa mimba.

Lankhulani ndi dokotala wanu za kuopsa kotenga mifepristone.

Mifepristone imagwiritsidwa ntchito limodzi ndi misoprostol (Cytotec) kuthetsa mimba yoyambirira. Kutenga mimba koyambirira kumatanthauza kuti kwakhala masiku 70 kapena kuchepa kuyambira nthawi yanu yomaliza yakusamba. Mifepristone ali mgulu la mankhwala otchedwa antiprogestational steroids. Zimagwira ntchito poletsa ntchito ya progesterone, chinthu chomwe thupi lanu limapanga kuti mupitilize kutenga pakati.

Mifepristone imapezekanso ngati chinthu china (Korlym), chomwe chimagwiritsidwa ntchito poletsa hyperglycemia (shuga wambiri wamagazi) mwa anthu omwe ali ndi mtundu wina wa Cushing's Syndrome momwe thupi limapangira mahomoni ochulukirapo a cortisol. Monograph iyi imangopereka zambiri za mifepristone (Mifeprex), yomwe imagwiritsidwa ntchito payokha kapena kuphatikiza mankhwala ena kuti athetse mimba yoyambira. Ngati mukugwiritsa ntchito mifepristone kuletsa hyperglycemia yoyambitsidwa ndi Cushing's syndrome, werengani monograph yotchedwa mifepristone (Korlym) yomwe yalembedwa za mankhwalawa.

Mifepristone amabwera ngati piritsi kuti atenge pakamwa. Mutha kutenga piritsi limodzi la mifepristone kamodzi patsiku loyamba. Pakadutsa maola 24 kapena 48 mutatenga mifepristone, muzigwiritsa ntchito mapiritsi anayi mu mankhwala ena otchedwa misoprostol buccally (pakati pa chingamu ndi tsaya) poyika mapiritsi awiri m'thumba lililonse kwa mphindi 30, kenako kumeza zotsalazo ndi madzi kapena zina madzi. Onetsetsani kuti muli pamalo oyenera mukamamwa misoprostol chifukwa magazi akhungu, kukokana, nseru, ndi kutsekula m'mimba nthawi zambiri zimayamba mkati mwa maola 2 mpaka 24 mutamwa koma zimatha kuyamba mkati mwa maola awiri.Kutuluka magazi kumaliseche kapena kuwona kumatha kutenga masiku 9 mpaka 16 koma kumatha masiku 30 kapena kupitilira apo. Muyenera kubwerera kwa dokotala wanu kukakayezerani masiku 7 mpaka 14 mutatenga mifepristone kuti mutsimikizire kuti mimba yatha ndikuwonanso kuchuluka kwa magazi. Tengani mifepristone ndendende momwe mwalangizira.

Mifepristone imagwiritsidwanso ntchito nthawi zina kuthetsa mimba pakadutsa masiku opitilira 70 kuchokera pomwe mayi amasamba komaliza; ngati njira yolerera yadzidzidzi pambuyo pa kugonana mosadziteteza ('mapiritsi a m'mawa'); kuchiza zotupa zaubongo, endometriosis (kukula kwa minofu ya chiberekero kunja kwa chiberekero), kapena fibroids (zotupa zopanda khansa m'mimba); kapena kukopa kubereka (kuthandiza kuyamba kubereka mwa mayi wapakati). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Musanatenge mifepristone,

• uzani adotolo ngati muli ndi vuto la mifepristone (ming'oma, zotupa, kuyabwa, kutupa kwa nkhope, maso, pakamwa, pakhosi, manja; kupuma movutikira kapena kumeza); misoprostol (Cytotec, mu Arthrotec); ma prostaglandin ena monga alprostadil (Caverject, Edex, Muse, ena), carboprost tromethamine (Hemabate), dinoprostone (Cervidil, Prepidil, Prostin E2), epoprostenol (Flolan, Veletri), latanoprost (Xalatan), treprostinilod (Orenitram, Orenitram ); mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a mifepristone. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa corticosteroids monga beclomethasone (Beconase, QNASL, QVAR), betamethasone (Celestone), budesonide (Entocort, Pulmicort, Uceris), cortisone, dexamethasone, fludrocortisone, flunisolide (Aerospan HFA), Fluticasone , Veramyst, ena), hydrocortisone (Cortef, Solu-Cortef, U-Cort, ena), methylprednisolone (Medrol, Depo-Medrol), prednisolone (Omnipred, Prelone, ena), prednisone (Rayos), ndi triamcinolone (Kenalog, ena ). Dokotala wanu angakuuzeni kuti musatenge mifepristone.
• auzeni adokotala mankhwala ena omwe mumamwa ndi mankhwala omwe simukupatsidwa, mavitamini, ndi zakudya zina zomwe mumamwa. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi izi: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), midazolam, kapena triazolam (Halcion); busipulo; zotchinga calcium monga amlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, ena), felodipine, nifedipine (Adalat, Afeditab CR, Procardia), nisoldipine (Sular), kapena verapamil (Calan, Verelan, ku Tarka); carbamazepine (Equetro, Tegretol, Teril, ena); chlorpheniramine (antihistamine mu chifuwa ndi mankhwala ozizira); mankhwala ochepetsa mafuta m'thupi (ma statins) monga atorvastatin (Lipitor, ku Caduet), lovastatin (Altoprev, mu Advicor), kapena simvastatin (Simcor, Zocor, ku Vytorin); clarithromycin (Biaxin, mu Prevpac); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (EES, Erythrocin, ena); haloperidol; furosemide; HIV protease inhibitors monga indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, ena), kapena saquinavir (Invirase); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); methadone (Dolophine, Methadose); nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pimozide (Orap); mankhawala (Hemangeol, Inderal, Innopran); quinidine (mu Nuedexta); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); rifabutin (Mycobutin); tacrolimus (Astagraf, Prograf, Protopic, ena); tamoxifen (Soltamox); trazodone; kapena vincristine (Marqibo Kit). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• Uzani dokotala wanu ngati mwakhala ndi ectopic pregnancy ('tubal pregnancy' kapena mimba kunja kwa chiberekero), kulephera kwa adrenal (mavuto ndi adrenal glands), kapena porphyria (matenda obadwa nawo amwazi omwe angayambitse khungu kapena mavuto amanjenje ). Dokotala wanu angakuuzeni kuti musatenge mifepristone. Komanso, uzani adotolo ngati mwaikapo intrauterine (IUD). Iyenera kuchotsedwa musanatenge mifepristone.
• muyenera kudziwa kuti ndizotheka kuti mifepristone sangathetse mimba yanu. Dokotala wanu adzawunika kuti atsimikizire kuti mimba yanu yatha mukamabweranso kukadzakutsatirani mukadzatenga mifepristone. Ngati muli ndi pakati mutatenga mifepristone, pali mwayi woti mwana wanu abadwe ali ndi vuto lobadwa nalo. Ngati mimba yanu sinathe, dokotala wanu akukambirana zina zomwe mungachite. Mutha kusankha kudikirira, kumwa mlingo wina wa misoprostol kapena kuchitidwa opaleshoni kuti muchepetse mimba. Ngati mutenganso misoprostol mobwerezabwereza, muyenera kubwereza ulendo wanu ndi dokotala wanu m'masiku asanu ndi awiri mutatha kumwa mankhwalawo kuti mutsimikizire kuti mimba yanu yatha.

• Uzani dokotala wanu ngati mukuyamwitsa.

• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mwatenga mifepristone.
• muyenera kudziwa kuti mutatha kutenga pakati ndi mifepristone, mutha kukhalanso ndi pakati nthawi yomweyo, musanabwerere msambo. Ngati simukufuna kutenga pakati, muyenera kuyamba kugwiritsa ntchito njira zakulera mimba ikangotha ​​kapena musanayambenso kugonana.

Musatenge mifepristone ndi msuzi wamphesa. Lankhulani ndi dokotala wanu za kumwa zakumwa zamadzimadzi mutamwa mankhwalawa.

Mudzangotenga mifepristone muofesi kapena kuchipatala kwa dokotala wanu, kuti musadandaule za kuiwala kumwa mankhwala kunyumba.

Mifepristone ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• magazi ukazi kapena mawanga
• kukokana
• kupweteka kwa m'chiuno
• kutentha kwa ukazi, kuyabwa, kapena kutulutsa
• mutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zina mwazizindikiro zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu.

Mifepristone ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Dokotala wanu azisunga mankhwalawo muofesi yake.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• chizungulire
• kukomoka
• kusawona bwino
• nseru
• kutopa
• kufooka
• kupuma movutikira
• kugunda kwamtima mwachangu

Muyenera kupeza mifepristone kuchokera kwa dokotala wovomerezeka ndikugwiritsa ntchito mankhwalawa pokhapokha mukamayang'aniridwa ndi dokotala. Simuyenera kugula mifepristone kuzinthu zina, monga intaneti, chifukwa mungadutse njira zofunikira zotetezera thanzi lanu.

Musalole kuti aliyense azimwa mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Khalani^®

• Chowonadi