Darbepoetin Alfa jekeseni

Zamkati

• Musanagwiritse ntchito jekeseni wa albepoetin alfa,
• Darbepoetin alfa jakisoni amatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zalembedwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

Odwala onse:

Kugwiritsa ntchito jakisoni wa darbepoetin alfa kumawonjezera ngozi kuti magazi a magazi aumbike kapena kusunthira kumapazi, mapapo, kapena ubongo. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda amtima komanso ngati munadwalapo sitiroko. Itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi mukakumana ndi izi: kupweteka, kukoma mtima, kufiira, kutentha, ndi / kapena kutupa m'miyendo; kuzizira kapena kupindika pamikono kapena mwendo; kupuma movutikira; chifuwa chomwe sichitha kapena chomwe chimabweretsa magazi; kupweteka pachifuwa; zovuta mwadzidzidzi kulankhula kapena kumvetsetsa mawu; kusokonezeka mwadzidzidzi; kufooka kwadzidzidzi kapena dzanzi la mkono kapena mwendo (makamaka mbali imodzi ya thupi) kapena nkhope; kuyenda modzidzimutsa, chizungulire, kapena kutayika bwino kapena kulumikizana; kapena kukomoka. Ngati mukuchiritsidwa ndi hemodialysis (mankhwala ochotsera zonyansa zamagazi pomwe impso sizikugwira ntchito), magazi amatha kukhala m'mitsempha yanu (pomwe hemodialysis tubing imalumikizana ndi thupi lanu). Uzani dokotala wanu ngati mwayi wanu wamavuto wayima kugwira ntchito mwachizolowezi.

Dokotala wanu amasintha kuchuluka kwanu kwa jakisoni wa darbepoetin alfa kuti hemoglobin yanu (kuchuluka kwa mapuloteni omwe amapezeka m'maselo ofiira amwaziwo) ndikokwanira mokwanira kuti simufunikira kuthiridwa magazi ofiira (kusamutsa maselo ofiira amunthu wina kupita kwina thupi la munthu kuti lichiritse kuchepa kwa magazi m'thupi). Ngati mulandila darbepoetin alfa yokwanira kuti muwonjezere hemoglobin yanu kukhala yabwinobwino kapena yapafupipafupi, pali chiopsezo chachikulu kuti mungakhale ndi sitiroko kapena kukhala ndi mavuto owopsa kapena owopsa pamoyo wamtima kuphatikizapo mtima, komanso kulephera kwa mtima. Itanani dokotala wanu nthawi yomweyo kapena mulandire chithandizo chamankhwala mwadzidzidzi mukakumana ndi izi: kupweteka pachifuwa, kupanikizika, kapena kulimba; kupuma movutikira; nseru, mutu wopepuka, thukuta, ndi zizindikiro zina zoyambirira za matenda amtima; kusapeza kapena kupweteka m'manja, phewa, khosi, nsagwada, kapena kumbuyo; kapena kutupa kwa manja, mapazi, kapena akakolo.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti awone kuyankha kwa thupi lanu ku jakisoni wa darbepoetin alfa. Dokotala wanu akhoza kuchepetsa mlingo wanu kapena angakuuzeni kuti musiye kugwiritsa ntchito jakisoni wa darbepoetin alfa kwakanthawi kwakanthawi ngati mayeserowa akuwonetsa kuti muli pachiwopsezo chachikulu chokumana ndi zovuta zoyipa. Tsatirani malangizo a dokotala mosamala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi darbepoetin alfa ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa darbepoetin alfa.

Odwala khansa:

M'maphunziro azachipatala, anthu omwe ali ndi khansa ina omwe adalandira jakisoni wa darbepoetin alfa adamwalira msanga kapena akumana ndi chotupa, khansa yawo, kapena khansa yomwe imafalikira posachedwa kuposa anthu omwe sanalandire mankhwalawo. Ngati muli ndi khansa, muyenera kulandira jekeseni wotsika kwambiri wa darbepoetin alfa. Muyenera kulandira jakisoni wa darbepoetin alfa kuti muchepetse kuchepa kwa magazi komwe kumayambitsidwa ndi chemotherapy ngati chemotherapy yanu ikuyenera kupitilira kwa miyezi iwiri mutayamba mankhwala ndi darbepoetin alfa jekeseni ndipo ngati mulibe mwayi woti khansa yanu ichiritsidwa. Chithandizo cha jakisoni wa darbepoetin alfa chiyenera kuyimitsidwa mukamaliza mankhwala a chemotherapy.

Pulogalamu yotchedwa ESA APPRISE Oncology Program yakhazikitsidwa kuti ichepetse kuopsa kogwiritsa ntchito jakisoni wa darbepoetin alfa kuchiza kuchepa kwa magazi komwe kumayambitsidwa ndi chemotherapy. Dokotala wanu adzafunika kumaliza maphunziro ake ndikulembetsa nawo pulogalamuyi musanalandire jakisoni wa darbepoetin alfa. Monga gawo la pulogalamuyi, mudzalandira zambiri za kuopsa kogwiritsa ntchito jakisoni wa darbepoetin alfa ndipo muyenera kusaina fomu musanalandire mankhwalawa kuti muwonetse kuti adotolo akambirana nanu kuopsa kwa jakisoni wa darbepoetin alfa. Dokotala wanu adzakupatsani zambiri za pulogalamuyi ndipo adzayankha mafunso aliwonse omwe mungakhale nawo pulogalamuyi ndi chithandizo chanu ndi darbepoetin alfa jakisoni.

Darbepoetin alfa jakisoni amagwiritsidwa ntchito pochiza kuchepa kwa magazi (komwe ndi kochepera kuposa maselo ofiira amwazi) mwa anthu omwe ali ndi vuto la impso (matenda omwe impso zimasiya kugwira ntchito kwakanthawi). Darbepoetin alfa jekeseni amagwiritsidwanso ntchito kuchiza kuchepa kwa magazi komwe kumayambitsidwa ndi chemotherapy mwa anthu omwe ali ndi mitundu ina ya khansa. Darbepoetin alfa sangagwiritsidwe ntchito m'malo mwakuikidwa magazi ofiira kuti athane ndi kuchepa kwa magazi m'thupi ndipo sanawonetsedwe kuti atopetsa kapena kukhala ndi thanzi labwino lomwe lingayambidwe ndi kuchepa kwa magazi m'thupi. Darbepoetin alfa ali mgulu la mankhwala otchedwa erythropoiesis-stimulating agents (ESAs). Zimagwira ntchito popangitsa mafupa (zofewa mkati mwa mafupa momwe magazi amapangidwira) kuti apange maselo ofiira ochulukirapo.

Darbepoetin alfa jakisoni amabwera ngati yankho (madzi) kuti alowetse subcutaneous (pansi pa khungu) kapena kudzera m'mitsempha (mumtsempha). Nthawi zambiri amabayidwa kamodzi pamilungu 1 kapena 4 iliyonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito jakisoni wa darbepoetin alfa monga momwe mwalangizira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akuyambitsani pa jakisoni wochepa wa jakisoni wa darbepoetin alfa ndikusintha mlingo wanu kutengera zotsatira za labu yanu komanso momwe mukumvera. Dokotala wanu angakuuzeninso kuti musiye kugwiritsa ntchito jakisoni wa darbepoetin alfa kwakanthawi. Tsatirani malangizowa mosamala.

Darbepoetin alfa jakisoni angakuthandizeni kuchepetsa kuchepa kwa magazi pokhapokha mutapitiliza kuigwiritsa ntchito. Zitha kutenga masabata 2-6 kapena kupitilira apo musanapindule ndi jakisoni wa darbepoetin alfa. Pitilizani kugwiritsa ntchito jakisoni wa darbepoetin alfa ngakhale mukumva bwino. Osasiya kugwiritsa ntchito jakisoni wa darbepoetin alfa osalankhula ndi dokotala.

Majekeseni a Darbepoetin alfa atha kuperekedwa ndi adokotala kapena namwino, kapena adotolo angaganize kuti mutha kubayitsa darbepoetin alfa nokha, kapena kuti mungakhale ndi mnzanu kapena wachibale amene angakubayeni. Inu ndi munthu amene akupereka jakisoniyo muyenera kuwerenga zambiri za wopanga kwa wodwala yemwe amabwera ndi jakisoni wa darbepoetin alfa musanagwiritse ntchito koyamba kunyumba. Funsani dokotala wanu kuti akuwonetseni kapena munthu yemwe adzalandire mankhwalawo momwe angabayire.

Darbepoetin alfa jakisoni amabwera mu ma syringe oyikidwiratu ndi mabotolo oti agwiritsidwe ntchito ndi ma syringe omwe amatha kutayika. Ngati mukugwiritsa ntchito mbale za jakisoni wa darbepoetin alfa, dokotala wanu kapena wamankhwala angakuuzeni mtundu wa syringe womwe muyenera kugwiritsa ntchito. Musagwiritse ntchito syringe yamtundu wina uliwonse chifukwa mwina simungapeze mankhwala oyenera.

Musagwedeze darbepoetin alfa jekeseni. Mukamagwedeza darbepoetin alfa jekeseni ingawoneke ngati thovu ndipo sayenera kugwiritsidwa ntchito.

Nthawi zonse jekeseni jekeseni wa darbepoetin alfa mu syringe yake. Osachipukuta ndi madzi aliwonse ndipo musasakanize ndi mankhwala ena aliwonse.

Mutha kubaya jakisoni wa darbepoetin alfa paliponse kunja kwa mikono yanu, m'mimba mwanu kupatula gawo lamasentimita awiri mozungulira mchombo wanu (batani lamimba), kutsogolo kwa ntchafu zanu zapakatikati, ndi kumtunda kwakunja matako anu. Sankhani malo atsopano nthawi iliyonse mukabaya darbepoetin alfa. Osalowetsa darbepoetin alfa pamalo ofewa, ofiira, otunduka, kapena olimba, kapena omwe ali ndi zipsera kapena zotambasula.

Ngati mukumulandira dialysis (chithandizo chotsani zinyalala m'magazi pomwe impso sizikugwira ntchito), adokotala angakuuzeni kuti mulowetse mankhwalawo padoko lanu lofikira (malo omwe dialysis tubing imalumikizidwa ndi thupi lanu). Funsani dokotala wanu ngati muli ndi mafunso okhudza momwe mungabayire mankhwala anu.

Nthawi zonse muziyang'ana njira ya jekeseni wa darbepoetin alfa musanaibayize. Onetsetsani kuti syringe kapena botolo loyikiratu lili ndi dzina lolondola komanso mphamvu zamankhwala komanso tsiku lotha ntchito lomwe silinadutse. Ngati mukugwiritsa ntchito botolo, onetsetsani kuti lili ndi kapu yachikuda, ndipo ngati mukugwiritsa ntchito jakisoni woyang'aniridwa, onetsetsani kuti singano ili ndi chivundikiro cha imvi komanso kuti malaya apulasitiki achikasu sanakokedwepo pa singano . Onaninso kuti yankho lake ndi lomveka bwino komanso lopanda utoto ndipo mulibe zotumphukira, kapena mabala. Ngati pali zovuta zilizonse ndi mankhwala anu, itanani wamankhwala wanu kuti musamuyimbe.

Musagwiritse ntchito ma syringe omwe adakonzedwa kale, ma syringe osungika, kapena mabotolo a jekeseni wa albepoetin alfa kangapo. Tayani masirinji ogwiritsidwa ntchito m'chidebe chosagwira. Funsani dokotala wanu kapena wamankhwala momwe mungatherere chidebe chosagwira mankhwala.

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

Musanagwiritse ntchito jekeseni wa albepoetin alfa,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la mankhwala a darbepoetin alfa, epoetin alfa (Epogen, Procrit), mankhwala ena aliwonse, kapena chilichonse chomwe chingaphatikizidwe mu jakisoni wa darbepoetin alfa.Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza. Ngati mukugwiritsa ntchito ma syringe oyikidwiratu, uzani dokotala ngati inu kapena munthu amene mukumubaya mankhwalawo sakugwirizana ndi latex.
• auzeni adotolo ngati mwadwala kapena muli ndi matenda othamanga magazi, komanso ngati mudakhalapo ndi cell red red aplasia (PRCA; mtundu wa kuchepa kwa magazi m'thupi komwe kumachitika mukalandira chithandizo ndi ESA monga jakisoni wa darbepoetin alfa kapena jakisoni wa epoetin alfa). Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa darbepoetin alfa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena munagwapo. Ngati mukugwiritsa ntchito jakisoni wa darbepoetin alfa pochiza kuchepa kwa magazi komwe kumayambitsidwa ndi matenda a impso, uzani adotolo ngati mwadwalapo khansa.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa darbepoetin alfa, itanani dokotala wanu.
• musanachite opareshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumulandira jakisoni wa darbepoetin alfa. Ndikofunikira kwambiri kuuza dokotala kuti mukugwiritsa ntchito jakisoni wa darbepoetin alfa ngati mukuchita opaleshoni yam'mitsempha yam'mitsempha yam'mimba (CABG) kuti muchiritse vuto la mafupa. Dokotala wanu akhoza kukupatsani mankhwala ochepetsa magazi ('magazi ochepera magazi') kuti ateteze kuundana kwa nthawi yopanga opaleshoni.

Dokotala wanu angakupatseni zakudya zapadera kuti zithandizire kuchepetsa kuthamanga kwa magazi ndikuthandizani kukulitsa chitsulo chanu kuti jakisoni wa darbepoetin alfa azigwira ntchito momwe angathere. Tsatirani malangizowa mosamala ndikufunsani dokotala kapena katswiri wa zamankhwala ngati muli ndi mafunso.

Itanani dokotala wanu kuti akufunseni zoyenera kuchita ngati mwaphonya jakisoni wa darbepoetin alfa. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Darbepoetin alfa jakisoni amatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chifuwa
• kupweteka m'mimba
• kufiira, kutupa, kufinya, kuyabwa, kapena chotupa pamalo pomwe munabayitsa darbepoetin alfa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zalembedwa mgulu la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupuma
• ukali
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuthamanga kwambiri
• kutopa kwambiri
• kusowa mphamvu
• chizungulire
• kukomoka
• khungu lotumbululuka

Darbepoetin alfa jakisoni amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi mavuto achilendo kapena simukumva bwino 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 mankhwalawa mu katoni yomwe idabwera, yotsekedwa mwamphamvu, komanso kuti ana asafikire. Kamodzi ka jekeseni kapenanso katayilidwayo atachotsedwa mu katoni kake, sungani katunduyu kuti kamuteteze mpaka kuwalako. Sungani jekeseni wa darbepoetin alfa mufiriji, koma musayimitse. Chotsani mankhwala aliwonse oundana.

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.

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amayang'anira kuthamanga kwa magazi kwanu nthawi zambiri mukamamwa mankhwala a darbepoetin alfa.

Musanayezetsedwe labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito jakisoni wa darbepoetin alfa.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Kuthamanga^®