Kuyika Mbiri

Zamkati

• Asanalandire kuyika kwa histrelin,
• Kuyika kwa histrelin 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 Histrelin (Vantas) kumagwiritsidwa ntchito pochiza matenda omwe amapezeka ndi khansa ya prostate. Kuyika kwa Histrelin (Supprelin LA) imagwiritsidwa ntchito pochotsa kutha msinkhu (CPP; vuto lomwe limapangitsa ana kutha msinkhu posachedwa, zomwe zimapangitsa kuti msanga kukula kwa mafupa ndikukula kwamakhalidwe ogonana) mwa atsikana omwe amakhala azaka zapakati pa 2 ndi 8 mwa anyamata nthawi zambiri azaka zapakati pa 2 ndi 9. Kuyika kwa Histrelin kuli m'kalasi la mankhwala otchedwa agonists a gonadotropin-releasing hormone (GnRH). Zimagwira ntchito pochepetsa kuchuluka kwa mahomoni ena m'thupi.

Histrelin imabwera ngati chomera (chubu chaching'ono, chowonda, chosinthasintha chokhala ndi mankhwala) chomwe chimayikidwa ndi dokotala mkati mwamanja. Dotolo adzagwiritsa ntchito mankhwala kuti dzanzi likhale laphwa, kudula pang'ono pakhungu, kenako ndikulowetsa pansi (pakhungu). Odulidwa adzatsekedwa ndi zingwe kapena zingwe za opaleshoni ndikuphimbidwa ndi bandeji. Kuyika kumatha kuikidwa miyezi khumi ndi iwiri iliyonse. Pambuyo pa miyezi 12, kuyika kwamakono kuyenera kuchotsedwa ndipo kumatha kusinthidwa ndi kuyika kwina kuti mupitilize chithandizo. Kuyika kwa Histrelin (Supprelin LA) ikagwiritsidwa ntchito kwa ana omwe ali ndi zaka zotha msinkhu, mwina adzaimitsidwa ndi dokotala wa mwana wanu asanakwanitse zaka 11 mwa atsikana komanso azaka 12 mwa anyamata.

Sungani malo ozungulira chobaliracho kuti akhale oyera komanso owuma kwa maola 24 mutayika. Osasambira kapena kusamba panthawiyi. Siyani bandeji m'malo mwake kwa maola 24. Ngati mikwingwirima imagwiritsidwa ntchito, siyani mpaka itadzigwa yokha. Pewani kunyamula zolemera komanso kuchita masewera olimbitsa thupi (kuphatikiza kusewera kwambiri kapena kuchita masewera olimbitsa thupi kwa ana) ndi dzanja lothandizidwa masiku asanu ndi awiri mutalandira kulima. Pewani kubowoleza malo ozungulira kubzala kwa masiku angapo mutalowetsa.

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

Nthawi zina kulowetsedwa kwa histrelin kumakhala kovuta kumva pansi pa khungu kuti adotolo azigwiritsa ntchito mayeso ena, monga ma ultrasound kapena MRI scans (njira zama radiology zopangidwa kuti ziwonetse zithunzi za ziwalo za thupi) kuti apeze choyikapo ikafika nthawi yochotsa. Nthawi zina, kulowetsedwa kwa histrelin kumatha kutuluka mwadongosolo loyikiramo palokha. Mutha kapena simukuwona izi zikuchitika. Itanani dokotala wanu nthawi yomweyo ngati mukuganiza kuti izi zikukuchitikirani.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Asanalandire kuyika kwa histrelin,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la histrelin, goserelin (Zoladex), leuprolide (Eligard, Lupaneta Pack, Lupron), nafarelin (Synarel), triptorelin (Trelstar, Triptodur Kit), mankhwala oletsa ululu monga lidocaine (Xylocaine), ina mankhwala, kapena chilichonse chosakaniza mu histrelin implant. 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: amiodarone (Nexterone, Pacerone), anagrelide (Agrylin), bupropion (Aplenzin, Forfivo, Wellbutrin, Zyban, ku Contrave), chloroquine, chlorpromazine, cilostazol, ciprofloxacin (Cipro), citalopram (Celexa) , clarithromycin, disopyramide (Norpace), dofetilide (Tikosyn), donepezil (Aricept), dronedarone (Multaq), escitalopram (Lexapro), flecainide (Tambocor), fluconazole (Diflucan), fluoxetine (Prozac, Sarafemya, Selfemra, chizindikiro fluvoxamine (Luvox), haloperidol (Haldol), ibutilide (Corvert), levofloxacin, methadone (Dolophine, Methadose), moxifloxacin (Avelox), ondansetron (Zuplenz, Zofran), paroxetine (Brisdelle, Paxil, Pexevaine) pimozide (Orap), procainamide, quinidine (ku Nuedexta), sertraline (Zoloft), sotalol (Betapace, Sorine, Sotylize), thioridazine, vilazodone (Viibryd), ndi vortioxetine (Trintellix). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi histrelin, chifukwa chake onetsetsani kuti mumauza adotolo zamankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati muli ndi potaziyamu kapena magnesium wochepa m'magazi anu. kapena ngati mwakhalapo ndi matenda a shuga, kuthamanga kwa magazi, cholesterol, nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), khansa yomwe yafalikira msana (msana), kutsekeka kwamikodzo (kutsekeka komwe kumapangitsa kukodza kukodza), khunyu, mavuto am'mitsempha yam'magazi kapena zotupa, matenda amisala, kapena matenda amtima.
• muyenera kudziwa kuti histrelin sichiyenera kugwiritsidwa ntchito kwa amayi omwe ali ndi pakati kapena omwe angathe kutenga pakati. Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Ngati mukuganiza kuti mwakhala ndi pakati mukalandira histrelin implant, pitani kuchipatala nthawi yomweyo. Kuyika kwa Histrelin kumatha kuvulaza mwana wosabadwayo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya nthawi yoti mulandire histrelin kapena kuchotsedwa kwa histrelin, muyenera kuyitanitsa omwe amakuthandizani nthawi yomweyo kuti akonzenso nthawi yanu. Mukapitiliza kulandira chithandizo, kulowetsedwa kwatsopano kwa histrelin kuyenera kuikidwa mkati mwa milungu ingapo.

Kuyika kwa histrelin kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuvulaza, kupweteka, kumva kulasalasa, kapena kuyabwa pamalo pomwe adayikapo
• mabala pamalo pomwe adayikapo
• kutentha (kutentha kwadzidzidzi kwa kutentha pang'ono kapena kutentha kwambiri kwa thupi)
• kutopa
• kutuluka magazi kumaliseche mwa atsikana
• kukulitsa mawere
• kuchepa kwa machende
• amachepetsa kuthekera kwakugonana kapena chidwi
• kudzimbidwa
• kunenepa
• kuvuta kugona kapena kugona
• mutu
• kulira, kukwiya, kusaleza mtima, kupsa mtima, nkhanza

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

• kupweteka, kutuluka magazi, kutupa, kapena kufiira pamalo pomwe adayikapo
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupweteka kwa mafupa
• kufooka kapena kufooka mwendo
• kupweteka, kuwotcha, kapena kumva kulasalasa mu mkono kapena mwendo
• mawu odekha kapena ovuta
• chizungulire kapena kukomoka
• kupweteka pachifuwa
• kupweteka kwa mikono, kumbuyo, khosi, kapena nsagwada
• kutaya kusuntha
• kukodza kovuta kapena osakodza
• magazi mkodzo
• kuchepa pokodza
• kutuluka mwachilendo kapena kuphwanya
• kutopa kwambiri
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• zizindikiro ngati chimfine
• kukhumudwa, kuganiza zodzipha kapena kukonzekera kapena kuyesa kutero
• kugwidwa

Kuyika kwa histrelin kumatha kubweretsa kusintha m'mafupa anu komwe kumatha kuwonjezera mwayi wamafupa osweka mukawagwiritsa ntchito kwakanthawi. Lankhulani ndi dokotala wanu za kuopsa kolandira mankhwalawa.

Kwa ana omwe amalandila histrelin implant (Supprelin LA) kuti atha msinkhu msinkhu, zizindikilo zatsopano kapena zowonjezereka zakukula kwakugonana zitha kuchitika m'masabata angapo oyamba atayika. Atsikana omwe amalandila histrelin implant (Supprelin LA) kuti atha msinkhu msanga, kutuluka magazi kumaliseche kapena kukulitsa kwa bere kumatha kuchitika mwezi woyamba wamankhwala.

Kuyika kwa histrelin kumatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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 ndi labotale. Dokotala wanu amalamula mayeso ena a labu ndikutenga miyezo inayake kuti muwone momwe thupi lanu lingayankhitsire kulowetsedwa kwa histrelin. Magazi anu a shuga ndi hemoglobin (HbA1c) a glycosylated ayenera kuwunikidwa pafupipafupi.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mwayikapo histrelin.

Funsani wamankhwala wanu mafunso aliwonse omwe mungakhale nawo okhudzana ndi histrelin.

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.

• Kuphatikiza LA^®
• Vantas^®