Kukhazikitsa kwa Goserelin

Zamkati

• Asanalandire kukhazikitsidwa kwa goserelin,
• Kukhazikika kwa Goserelin kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Kuika kwa Goserelin kumagwiritsidwa ntchito limodzi ndi mankhwala a radiation ndi mankhwala ena othandizira khansa ya prostate yomwe imagwiritsidwa ntchito komweko ndipo imagwiritsidwa ntchito payokha pochiza khansa ya prostate. Amagwiritsidwanso ntchito pochiza khansa ya m'mawere mwa amayi ena. Amagwiritsidwanso ntchito kuthana ndi endometriosis (vuto lomwe mtundu wa minofu yomwe imayendetsa chiberekero [chiberekero] imakula m'malo ena amthupi ndipo imayambitsa kupweteka, kusamba kwambiri kapena kusakhazikika [kusamba], ndi zizindikilo zina) ndikuthandizira chithandizo cha magazi osadziwika a chiberekero. Kuika kwa Goserelin kuli m'kalasi la mankhwala otchedwa agonists a gonadotropin-releasing hormone (GnRH). Zimagwira ntchito pochepetsa kuchuluka kwa mahomoni ena m'thupi.

Goserelin imabwera ngati chomera choyika ndi jakisoni mobisa (pansi pa khungu) m'mimba mwanu ndi dokotala kapena namwino kuofesi yazachipatala kapena kuchipatala. Kukhazikitsidwa ndi 3.6 mg wa goserelin nthawi zambiri kumayikidwa milungu inayi iliyonse. Kukhazikitsidwa ndi 10.8 mg wa goserelin nthawi zambiri kumayikidwa milungu 12 iliyonse. Kutalika kwa chithandizo chanu kumadalira momwe akuchiritsidwira komanso momwe mumayankhira mankhwalawo. Dokotala wanu adzakuuzani kuti mugwiritse ntchito nthawi yayitali bwanji goserelin.

Goserelin imatha kubweretsa kuwonjezeka kwa mahomoni ena m'masabata angapo oyamba atayika. Dokotala wanu adzakuyang'anirani mosamala pazizindikiro zatsopano kapena zowonjezereka panthawiyi.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Asanalandire kukhazikitsidwa kwa goserelin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la goserelin, histrelin (Supprelin LA, Vantas), leuprolide (Eligard, Lupron), nafarelin (Synarel), triptorelin (Trelstar), mankhwala ena aliwonse, kapena chilichonse chopangira goserelin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala okomoka kapena ma oral steroids monga dexamethasone (Decadron, Dexpak), methylprednisolone (Medrol), ndi prednisone (Sterapred). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala ngati muli ndi mbiri yakumwa mowa kapena kugwiritsa ntchito fodya kwanthawi yayitali, kapena ngati inu kapena wina aliyense m'banja mwanu adadwala matenda a osteoporosis (matenda omwe mafupa amakhala ochepa thupi komanso ofooka ndikuphwanya mosavuta ), kapena ngati mudakhalapo ndi msana wopanikizika, matenda ashuga, kutuluka mwazi kwachilendo, kutsekeka kwamikodzo mwa amuna (kutsekeka komwe kumayambitsa kukodza), kapena matenda amtima kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Kuika kwa Goserelin sikuyenera kugwiritsidwa ntchito kwa amayi apakati, kupatula chithandizo cha khansa yapakati ya m'mawere. Itanani dokotala wanu nthawi yomweyo ngati mukuganiza kuti mwakhala ndi pakati mukamalandira chithandizo. Musakonzekere kutenga pakati mukamagwiritsa ntchito goserelin kapena milungu 12 mutalandira chithandizo. Dokotala wanu akhoza kuyesa mimba kapena angakuuzeni kuti muyambe kumwa mankhwala mukamayamba kusamba kuti mutsimikizire kuti simuli ndi pakati mukayamba kugwiritsa ntchito goserelin. Muyenera kugwiritsa ntchito njira yodalirika yopewera mahomoni kuti muchepetse kutenga pakati mukamagwiritsa ntchito goserelin komanso milungu 12 mutalandira chithandizo. Lankhulani ndi dokotala wanu za mitundu yoletsa yomwe ili yoyenera kwa inu, ndipo pitirizani kugwiritsa ntchito njira zolerera ngakhale simukuyenera kusamba nthawi zonse mukamachiza. Uzani dokotala ngati mukuyamwitsa. Simuyenera kuyamwitsa mukamalandira goserelin.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya nthawi yoti mudzalandire goserelin, muyenera kuyitanitsa omwe amakuthandizani nthawi yomweyo kuti akuthandizireni nthawi yanu. Mlingo wosowa uyenera kuperekedwa m'masiku ochepa.

Kukhazikika kwa Goserelin kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kutentha (kutentha kwadzidzidzi kwa kutentha pang'ono kapena kutentha kwambiri kwa thupi)
• thukuta
• kufiira mwadzidzidzi kwa nkhope, khosi, kapena chifuwa chapamwamba
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kwa m'mawere kapena kusintha kwa kukula kwa m'mawere mwa amayi
• Kuchepetsa chilakolako chogonana kapena kuthekera
• zogonana zopweteka
• kutuluka kwa ukazi, kuuma, kapena kuyabwa
• kusamba (kusamba)
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kukhumudwa
• manjenje
• osatha kuletsa kukhumudwa komanso kusinthasintha kwamalingaliro
• kuvuta kugona kapena kugona
• kupweteka, kuyabwa, kutupa, kapena kufiyira pamalo pomwe adayikapo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa
• kupweteka kwa mikono, kumbuyo, khosi, kapena nsagwada
• kulemera kwachilendo
• mawu odekha kapena ovuta
• chizungulire kapena kukomoka
• kufooka kapena kufooka kwa mkono kapena mwendo
• kupweteka kwa mafupa
• osakhoza kusuntha miyendo
• pokodza kowawa kapena kovuta
• kukodza pafupipafupi
• ludzu lokwanira
• kufooka
• kusawona bwino
• pakamwa pouma
• nseru
• kusanza
• mpweya womwe umanunkhira zipatso
• kuchepa chikumbumtima

Kukhazikika kwa Goserelin kumatha kubweretsa kuchepa kwa kuchuluka kwa mafupa anu komwe kumatha kuwonjezera mwayi wamafupa osweka ndi mafupa. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ndikupeza zomwe mungachite kuti muchepetse zoopsa izi.

Kukhazikika kwa Goserelin kumatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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).

Sungani maimidwe onse ndi dokotala wanu.

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza goserelin.

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.

• Zoladex^®

• Decapeptide woyamba I