Imatinib

Zamkati

• Musanatenge imatinib,
• Imatinib ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Imatinib imagwiritsidwa ntchito pochiza mitundu ina ya leukemia (khansa yomwe imayamba m'maselo oyera a magazi) ndi khansa zina ndi zovuta zamagulu amwazi. Imatinib imagwiritsidwanso ntchito kuthana ndi mitundu ina ya zotupa zam'mimba (GIST; mtundu wa chotupa chomwe chimamera m'makoma a magawo am'mimba ndipo chitha kufalikira mbali zina za thupi). Imatinib imagwiritsidwanso ntchito pochizira dermatofibrosarcoma protuberans (chotupa chomwe chimakhala pansi pa khungu) pomwe chotupacho sichingachotsedwe opareshoni, chafalikira mbali zina za thupi, kapena chimabweranso pambuyo pochitidwa opaleshoni. Imatinib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito poletsa mapuloteni achilendo omwe amawonetsa kuti ma cell a khansa achulukane. Izi zimathandiza kuletsa kufalikira kwa maselo a khansa.

Imatinib imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya ndi kapu yamadzi kamodzi kapena kawiri patsiku. Tengani imatinib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani imatinib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; musatafune kapena kuwaphwanya. Mukakhudza kapena kukhudzana mwachindunji ndi piritsi losweka, tsukani malowo bwinobwino.

Ngati mukulephera kumeza mapiritsi a imatinib, mutha kuyika mapiritsi onse omwe mungafune pamlingo umodzi mu kapu yamadzi kapena msuzi wa apulo. Gwiritsani ntchito mamililita 50 (ochepera ma ola awiri) amadzimadzi pa piritsi lililonse la 100 mg ndi mamililita 200 (ochepera ma ola 7) amadzi piritsi lililonse la 400-mg. Muziganiza ndi supuni mpaka mapiritsi atagwedezeka kwathunthu ndikumwa chisakanizocho nthawi yomweyo.

Ngati dokotala wakuwuzani kuti mutenge 800 mg ya imatinib, muyenera kumwa mapiritsi awiri mwa 400-mg. Musatenge mapiritsi 8 pa 100-mg. Chovala cha piritsi chimakhala ndi chitsulo, ndipo mudzalandira chitsulo chochulukirapo mukatenga mapiritsi 8 pa 100-mg.

Dokotala wanu akhoza kukulitsa kapena kuchepetsa kuchuluka kwa imatinib mukamalandira chithandizo. Izi zimadalira momwe mankhwala amakuthandizirani komanso zovuta zomwe mumakumana nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Pitirizani kumwa imatinib ngakhale mutakhala bwino. Osasiya kumwa imatinib osalankhula ndi dokotala.

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

Musanatenge imatinib,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la imatinib, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a imatinib. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera.Onetsetsani kuti mwatchulapo izi: acetaminophen (Tylenol), alprazolam (Xanax), amlodipine (Norvasc, ku Caduet, Lotrel, Tribenzor, ena), atazanavir (Reyataz), atorvastatin (Lipitor, ku Caduet), carbamazepine (Carbatrol, Equetro, Tegretol, ena), clarithromycin (Biaxin, ku Prevpac), cyclosporine (Gengraf, Neoral, Sandimmune), dexamethasone, ergotamine (Ergomar, ku Migergot, Cafergot), erythromycin (EES, Eryc, Eryipine, ena), estaz, , fentanyl (Duragesic, Subsys, Fentora, ena), fosphenytoin (Cerebyx), indinavir (Crixivan), chitsulo, kapena chitsulo chomwe chimakhala ndi zowonjezera, isradipine, itraconazole (Onmel, Sporanox), ketoconazole, lovastatin (Altoprev), metoprolol (Lopoprol) XL, ku Dutoprol), nefazodone, nelfinavir (Viracept), nicardipine (Cardene), nifedipine (Adalat CC, Procardia, ena), nimodipine (Nymalize), nisoldipine (Sular), oxcarbazepine (Oxtellar XR, Trileptal), phenyarinital (phenyarinital) Dilantin, Phenytek), pimozide (Orap), primidone (Mysoline), qui nidine (mu Nuedexta), rifabutin (Mycobutin), rifampin (rifadin, rimactane, ku Rifamate, Rifater), ritonavir (Norvir, ku Kaletra, Technivie, Viekira), saquinavir (Fortovase, Invirase), simvastatin (Zocor, sirolimus (Rapamune), tacrolimus (Astagraf XL, Envarsus XR, Prograf), telithromycin, triazolam (Halcion), voriconazole (Vfend), ndi warfarin (Coumadin, Jantoven). Mankhwala ena ambiri amathanso kulumikizana ndi imatinib, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• Uzani dokotala wanu ngati mwakhalapo ndi matenda amtima, mapapo, chithokomiro, impso, kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Muyenera kuyesa mayeso musanalandire chithandizo, Simuyenera kutenga pakati mukamamwa imatinib komanso masiku 14 mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Mukakhala ndi pakati mukatenga imatinib, itanani dokotala wanu. Imatinib itha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa imatinib komanso mwezi umodzi mutatha kumwa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa imatinib.
• muyenera kudziwa kuti imatinib imatha kukupangitsani kukhala ozunguzika, kugona, kapena kukuwonetsani mawonekedwe. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukamamwa mankhwalawa.

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.

Imatinib ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• nseru
• kusanza
• sintha momwe zinthu zimamvekera
• zilonda mkamwa kapena kutupa mkamwa
• kusowa chilakolako
• kuonda
• kutentha pa chifuwa kapena kudzimbidwa
• pakamwa pouma
• mutu
• kutupa palimodzi kapena kupweteka
• kupweteka kwa mafupa
• kukokana kwa minofu, kupweteka, kapena kupweteka
• kumva kulira, kuyaka. kapena kumverera kothina pakhungu
• kuvuta kugona kapena kugona
• thukuta
• maso misozi
• diso la pinki
• kuchapa
• khungu lowuma
• zidzolo
• kuyabwa
• msomali umasintha
• kutayika tsitsi

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

• kutupa kuzungulira maso
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kunenepa mwadzidzidzi
• kupuma movutikira
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kukhosomola ntchofu zapinki kapena zamagazi
• kuchuluka kukodza, makamaka usiku
• kupweteka pachifuwa
• khungu, kuphulika, kapena khungu
• chikasu cha khungu kapena maso
• magazi mu chopondapo
• kuvulaza kapena kutuluka mwachilendo
• Zizindikiro ngati chimfine, zilonda zapakhosi, malungo, kuzizira, ndi zizindikilo zina za matenda
• kutopa kwambiri kapena kufooka
• kupweteka m'mimba kapena kuphulika

Imatinib imachedwetsa kukula kwa ana. Dokotala wa mwana wanu amayang'ana kukula kwake mosamala. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopatsa imatinib kwa mwana wanu.

Imatinib ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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

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:

• nseru
• kusanza
• kutsegula m'mimba
• zidzolo
• kutupa
• kutopa kwambiri
• kukokana kwa minofu kapena kuphipha
• kupweteka m'mimba
• mutu
• kusowa chilakolako

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira imatinib.

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.

• Gleevec^®