Nkhani za Fluorouracil
Zamkati
- Musanagwiritse ntchito fluorouracil,
- Fluorouracil imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
Mafuta a fluorouracil ndi yankho la m'mutu amagwiritsidwa ntchito pochizira ma actinic kapena ma keratoses (zotupa kapena zotupa [malo akhungu] omwe amabwera chifukwa chokhala padzuwa kwambiri). Fluorouracil kirimu ndi mankhwala am'mutu amagwiritsidwanso ntchito kuthana ndi khansa yapakhungu yotchedwa basal cell carcinoma ngati mitundu yanthawi zonse yamankhwala sangagwiritsidwe ntchito. Fluorouracil ali mgulu la mankhwala otchedwa antimetabolites. Zimagwira ntchito popha ma cell omwe akukula mwachangu monga ma cell osazolowereka a actinic keratoses ndi basal cell carcinoma.
Fluorouracil imabwera ngati yankho komanso kirimu wogwiritsa ntchito pakhungu. Nthawi zambiri amagwiritsidwa ntchito m'malo omwe akhudzidwa kawiri patsiku. Kukuthandizani kukumbukira kukumbukira kugwiritsa ntchito fluorouracil, muzigwiritsa ntchito mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito fluorouracil ndendende momwe mwalangizira. Osagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe dokotala angakulamulireni.
Ngati mukugwiritsa ntchito fluorouracil kuchiza actinic kapena keratoses ya dzuwa, muyenera kupitiliza kuigwiritsa ntchito mpaka zotupa zitayamba kuzimiririka. Izi zimatenga pafupifupi milungu iwiri kapena 4. Komabe, zilondazo sizingachiritsidwe mpaka miyezi 1 kapena 2 mutasiya kugwiritsa ntchito fluorouracil.
Ngati mukugwiritsa ntchito fluorouracil kuchiza basal cell carcinoma, muyenera kupitiliza kuigwiritsa ntchito mpaka zilondazo zitatha. Izi zimatenga milungu itatu kapena isanu ndi umodzi, koma zimatha kutenga milungu 10 mpaka 12.
Mkati mwa milungu ingapo yoyambirira yamankhwala, zotupa pakhungu ndi madera oyandikana adzamva kukwiya ndikuwoneka ofiira, otupa, komanso amantha. Ichi ndi chisonyezo chakuti fluorouracil ikugwira ntchito. Osasiya kugwiritsa ntchito fluorouracil pokhapokha dokotala atakuwuzani kuti muchite izi.
Ikani zonona za fluorouracil ndi osagwiritsa ntchito mafuta, magolovesi, kapena chala chanu. Ngati mupaka kirimu cha fluorouracil ndi chala chanu, onetsetsani kuti musambe m'manja nthawi yomweyo. Osaphimba madera omwe amathandizidwa ndi bandeji kapena kuvala pokhapokha dokotala atakuwuzani.
Osagwiritsa ntchito zonona za fluorouracil kapena yankho la m'maso mwa zikope kapena maso, mphuno, kapena pakamwa.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito fluorouracil,
- Uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi fluorouracil kapena mankhwala ena aliwonse.
- uzani dokotala ndi wamankhwala mankhwala omwe mumalandira, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa, makamaka mankhwala ena apakhungu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- Uzani dokotala ngati mwakhalapo ndi vuto la enzyme ya dihydropyrimidine dehydrogenase (DPD) (kusowa kwa michere yomwe imachitika mwachilengedwe m'thupi lanu).
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito fluorouracil, itanani dokotala wanu mwachangu. Fluorouracil ikhoza kuvulaza mwana wosabadwayo.
- konzani kupewa kupezeka kwa kuwala kwadzuwa kosafunikira kapena kwakanthawi ndi kuwala kwa UV (monga malo okuchenjera) ndi kuvala zovala zoteteza, magalasi, ndi zotchingira dzuwa. Fluorouracil imapangitsa khungu lanu kuzindikira kuwala kwa dzuwa.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Ikani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.
Fluorouracil imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kutentha, kutumphuka, kufiira, kusungunuka, kupsa mtima, kupweteka, kuyabwa, kuthamanga, kapena kupweteka pamalo ogwiritsira ntchito
Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
- kupweteka kwambiri m'mimba
- kutsegula m'mimba
- kusanza
- malungo
- kuzizira
- zidzolo lofiira kwambiri
Fluorouracil imatha kubweretsa 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 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.
Sungani maimidwe onse ndi dokotala wanu.
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.
- Carac® Kirimu
- Efudex® Kirimu
- Efudex® Yankho
- Fluoroplex® Kirimu
- 5-Zowonjezera
- 5-FU