Wopatsa chidwi

Zamkati

• Musanayambe kumwa njala,
• Phalapenti yamphongo ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Aprepitant amagwiritsidwa ntchito ndi mankhwala ena kwa akulu ndi ana azaka 6 zakubadwa kapena kupitilira kuti ateteze nseru ndi kusanza zomwe zimachitika mukalandira mankhwala a khansa chemotherapy. Amagwiritsidwanso ntchito ndi mankhwala ena mwa akulu ndi ana azaka 6 zakubadwa kapena kupitilira kuti muchepetse mseru komanso kusanza komwe kumatha kuchitika patatha masiku angapo mutalandira mankhwala ena a chemotherapy. Aprepitant sagwiritsidwa ntchito pochiza nseru ndi kusanza zomwe muli nazo kale. Aprepitant ali mgulu la mankhwala otchedwa antiemetics. Zimagwira ntchito poletsa zochita za neurokinin, chinthu chachilengedwe muubongo chomwe chimayambitsa nseru ndi kusanza.

Aprepitant imabwera ngati kapisozi komanso kuyimitsidwa pakamwa (madzi) kuti mutenge pakamwa. Pofuna kupewa kunyansidwa ndi kusanza komwe kumachitika chifukwa cha chemotherapy ya khansa, aprepitant nthawi zambiri amatengedwa kamodzi tsiku lililonse, osadya, m'masiku ochepa oyambilira a mankhwala a khansa. Mutha kutenga aprepitant ola limodzi musanafike chemotherapy yanu pa masiku 1, 2, ndi 3 amachiritso anu. Ngati simulandira chemotherapy masiku a 2 ndi 3, ndiye kuti mutha kumwa aprepitant masiku amenewo m'mawa. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani aprepitant ndendende monga momwe adanenera. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Makapisozi a Aprepitant amabwera mu mphamvu ziwiri zosiyana. Dokotala wanu akhoza kukupatsani mphamvu zonse ziwiri kuti mutenge nthawi zosiyanasiyana. Muyenera kusamala kuti mutenge mphamvu yoyenera panthawi yoyenera monga mwauzidwa ndi dokotala wanu.

Kumeza makapisozi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Kuyimitsidwa pakamwa kudzakonzedwa ndi omwe amakuthandizani pakuthandizani azaumoyo ndikupatsirani malo operekera pakamwa. Sungani choperekera pakamwa mufiriji mpaka nthawi yakwana yanu; komabe, imatha kusungidwa kutentha kwa maola 3 musanagwiritse ntchito. Mukakhala okonzeka kugwiritsa ntchito, chotsani kapu kuchokera kwa ogwiritsira ntchito musanayike pakamwa panu kuti mutulutse mankhwalawo pang'onopang'ono.

Aprepitant amangogwira ntchito popewa mseru komanso kusanza. Itanani dokotala wanu ngati muli ndi zizindikirozi ndipo musayambe kumwa aprepitant.

Pogwiritsidwa ntchito popewera nseru ndi kusanza komwe kumachitika chifukwa cha chemotherapy ya khansa, aprepitant imagwiritsidwa ntchito pokhapokha m'masiku atatu oyamba amachitidwe a chemotherapy. Osapitiliza kumwa aprepitant nthawi yayitali kuposa momwe adalangizire 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.

Musanayambe kumwa njala,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la aprepitant, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a aprepitant kapena kuyimitsidwa pakamwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• osatenga aprepitant ngati mukumwa pimozide (Orap). Dokotala wanu angakuuzeni kuti musamamwe mphwayi ngati mukumwa mankhwalawa.
• 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: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antifungals monga itraconazole (Onmel, Sporanox) ndi ketoconazole; benzodiazepines monga alprazolam (Xanax), diazepam (Valium), midazolam, ndi triazolam (Halcion); mankhwala a khansa chemotherapy monga ifosfamide (Ifex), irinotecan (Camptosar), vinblastine, ndi vincristine (Marqibo Kit); carbamazepine (Equetro, Tegretol, Teril); clarithromycin (Biaxin, mu Prevpac); diltiazem (Cardizem, Cartia, Tiazac); HIV protease inhibitors monga nelfinavir (Viracept) ndi ritonavir (Norvir); njira zolerera za mahomoni (mapiritsi olera, zigamba, mphete, ndi jakisoni); nefazodone; oral steroids monga dexamethasone ndi methylprednisolone (Medrol); phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); ndi troleandomycin (TAO; sichikupezeka ku U.S.). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi aprepitant, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Ngati mukumwa kapena kulandira njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, kapena jakisoni) mukamamwa mankhwala obwera ndi njala, muyenera kugwiritsanso ntchito njira yolerera (spermicide, kondomu) kuti mupewe kutenga mimba mukamamwa mankhwala a aprepitant ndi kwa mwezi umodzi mutamwa mankhwala omaliza. Lankhulani ndi dokotala wanu za njira zolerera pamene mukumwa aprepitant komanso mukalandira mankhwala. Mukakhala ndi pakati mukatenga aprepitant, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Phalapenti yamphongo ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufooka
• kutopa
• chizungulire
• kutsegula m'mimba
• kudzimbidwa
• mpweya
• kupweteka m'mimba
• kutentha pa chifuwa
• nseru
• Zovuta
• kusowa chilakolako
• mutu
• malungo
• kutayika tsitsi

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

• ming'oma
• zidzolo
• kuyabwa
• khungu kapena matuza
• kuvuta kupuma kapena kumeza

Phalapenti yamphongo ingayambitse mavuto ena. 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. Sungani makapisozi kutentha ndikutentha ndi kutentha kwambiri ndi chinyezi (osati kubafa). Mlingo wokonzekera kuyimitsidwa pakamwa uyenera kugwiritsidwa ntchito pasanathe maola 72 kukonzekera; Tayani mankhwala osagwiritsidwa ntchito pakatha maola 72.

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

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.

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:

• Kusinza
• mutu

Sungani maimidwe onse ndi dokotala wanu.

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.

• Sinthani^®