Chimonim

Zamkati

• Musanatenge temozolomide,
• Temozolomide itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa temozolomide ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Temozolomide imagwiritsidwa ntchito pochizira mitundu ina ya zotupa zamaubongo. Temozolomide ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Temozolomide imabwera ngati kapisozi woyamwa. Nthawi zambiri amatengedwa kamodzi patsiku madzulo asanagone. Tengani makapisozi a temozolomide pamimba yopanda kanthu ndi kapu yamadzi. Tengani temozolomide mozungulira nthawi yomweyo tsiku lililonse. Kwa mitundu ina ya zotupa zamaubongo, temozolomide amatengedwa tsiku lililonse kwa masiku 42-49. Kenako, mutapuma masiku 28, imatha kumwedwa kamodzi patsiku kwa masiku 5 motsatizana, kutsatiridwa ndi masiku 23 musanabwereze muyeso wotsatira wotsatira. Pochiza mitundu ina ya zotupa zamaubongo, temozolomide imamwedwa kamodzi patsiku kwa masiku 5 motsatizana, ndikutsatira masiku 23 musanabwereze muyeso wotsatira wotsatira. Dokotala wanu amasankha kangati zomwe muyenera kubwereza zozungulira mankhwala. Kutalika kwa chithandizo kumadalira momwe thupi lanu limayankhira ndi mtundu wa khansa yomwe muli nayo. Tengani temozolomide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mlingo wanu wathunthu ukhoza kukhala ndi mitundu yoposa imodzi ndi mtundu wa makapisozi ndipo atha kukhala m'mabotolo opitilira umodzi. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Makapisozi a Temozolomide amakhala ndi mphamvu zingapo zosiyanasiyana. Dokotala wanu angafune kuti mutenge makapisozi angapo kuti mupange mlingo wanu wonse. Onetsetsani kuti mukudziwa momwe mtundu uliwonse wa kapisozi umawonekera komanso kuchuluka kwake. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso.

Ngati makapisozi aliwonse athyoka kapena akungotuluka, musawagwire ndi manja anu ndipo samalani kuti musapume ufa kuchokera ku makapisozi. Muyenera kuvala magolovesi a labala kapena a latex mukamagwiritsa makapisozi osweka kapena otseguka kuti khungu lanu lisakhudzane ndi ufa. Ngati makapisozi amakhudza khungu lanu, tsukani malowo ndi madzi nthawi yomweyo.

Kumeza makapisozi lonse; osatsanulira, kutafuna, kapena kuwaphwanya.

Mutha kusanza mukamwa mankhwala. Izi zikachitika, dziwitsani dokotala nthawi yomweyo. Musatenge mlingo wina wa temozolomide tsiku lomwelo.

Dokotala wanu angafunike kuchedwetsa chithandizo chanu kapena kusintha mlingo wa temozolomide kutengera yankho lanu kuchipatala ndi zovuta zina zomwe mungakumane nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Osasiya kumwa temozolomide osalankhula ndi dokotala.

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.

Musanatenge temozolomide,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi temozolomide, dacarbazine (DTIC-Dome) mankhwala ena aliwonse, kapena chilichonse mwa makapisozi a temozolomide. 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: carbamazepine (Carbatrol, Epitol, Tegretol); co-trimoxazole (Bactrim, Septra); phenytoin (Dilantin, Phenytek); steroids monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); ndi valproic acid (Stavzor, ​​Depakene).
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi.
• muyenera kudziwa kuti temozolomide itha kusokoneza kupanga umuna mwa amuna. Komabe, simuyenera kuganiza kuti simungapatse wina mimba. Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati, kapena ngati mukufuna kukhala ndi mwana. Inu kapena mnzanu simuyenera kutenga mimba mukamamwa temozolomide. Gwiritsani ntchito njira yodalirika yolerera popewa kutenga pakati. Mukakhala ndi pakati mukatenga temozolomide, itanani dokotala wanu. Temozolomide itha kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa temozolomide.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Lankhulani ndi dokotala wanu zomwe mungachite ngati mwaphonya mlingo wa temozolomide. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Temozolomide itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• kusowa chilakolako
• zilonda mkamwa ndi pakhosi
• mutu
• khungu lotumbululuka
• kusowa mphamvu
• kutayika bwino kapena kulumikizana
• kukomoka
• chizungulire
• kutayika tsitsi
• kusowa tulo
• mavuto okumbukira
• kusintha kwa masomphenya

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa temozolomide ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• kutuluka mwachilendo kapena kuphwanya
• ofiira kapena akuda, mipando yodikira
• pinki, wofiira, kapena mkodzo wakuda
• kutsokomola kapena kusanza magazi kapena zinthu zomwe zimawoneka ngati malo a khofi
• malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda
• kutopa kapena kufooka kosazolowereka
• zidzolo
• osakhoza kusuntha mbali imodzi ya thupi
• kupuma movutikira
• kugwidwa
• chikasu cha khungu kapena maso
• kupweteka kumtunda chakumanja kwam'mimba
• kuchepa pokodza

Temozolomide imatha kuonjezera chiopsezo kuti mudzadwala khansa ina. Lankhulani ndi dokotala wanu za kuopsa kotenga temozolomide.

Temozolomide imatha kubweretsa 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).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

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:

• kutuluka mwachilendo kapena kuphwanya
• ofiira kapena akuda, mipando yodikira
• pinki, wofiira, kapena mkodzo wakuda
• kutsokomola kapena kusanza magazi kapena zinthu zomwe zimawoneka ngati malo a khofi
• malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso a labotale musanapite, mkati, komanso mutalandira chithandizo chanu kuti muwone momwe thupi lanu likuyankhira temozolomide ndikuwona ngati ma cell amwazi anu akukhudzidwa ndi mankhwalawa.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza 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.

• Temodar^®