Gefitinib

Zamkati

• Musanatenge gefitinib,
• Gefitinib ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Gefitinib imagwiritsidwa ntchito pochiza khansa ya m'mapapo yomwe siying'ono yomwe yafalikira mbali zina za thupi mwa anthu omwe ali ndi zotupa zina. Gefitinib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito poletsa kuchitapo kanthu mwachilengedwe komwe kumafunikira kuti maselo a khansa achulukane.

Gefitinib amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Tengani gefitinib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani gefitinib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukulephera kumeza mapiritsiwo, mutha kuwasungunula m'madzi. Ikani piritsi limodzi muma ounces 4 mpaka 8 (120 mpaka 240 mL) amadzi akumwa osamwa, opanda kaboni. Thirani ndi supuni kwa mphindi 15 mpaka piritsi litasungunuka. Imwani chisakanizo nthawi yomweyo. Tsukani galasi ndi ma ouniki 4 mpaka 8 (120 mpaka 240 mL) amadzi ndikumwa madzi osamba nthawi yomweyo kuti mutsimikize kuti mumamwa mankhwala onsewo.

Dokotala wanu akhoza kuchedwetsa kapena kuyimitsiratu mankhwala anu mukakumana ndi zovuta zina. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira chithandizo cha gefitinib.

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

Musanatenge gefitinib,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la gefitinib, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a gefitinib. 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: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antifungals monga itraconazole (Onmel, Sporanox) ndi ketoconazole (Nizoral); metoprolol (Lopressor, Toprol XL, ku Dutoprol); phenytoin (Dilantin, Phenytek); ndi tricyclic antidepressants monga imipramine (Tofranil) ndi amitriptyline. Mankhwala ena ambiri amatha kulumikizana ndi gefitinib, 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.
• ngati mukumwa mankhwalawa kapena H₂ mankhwala a blocker a kudzimbidwa, kutentha pa chifuwa, kapena zilonda monga cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), kapena ranitidine (Zantac), awatenge osachepera maola 6 asanakwane kapena maola 6 mutatenga gefitinib.
• ngati mukumwa mankhwala a proton pump inhibitor a kudzimbidwa, kutentha pa chifuwa, kapena zilonda monga esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), kapena rabeprazole (AcipHex), tengani osachepera maola 12 Asanathe kapena osachepera maola 12 mutalandira gefitinib.
• uzani dokotala wanu ngati mwakhalapo ndi pulmonary fibrosis (mabala am'mapapo) kapena mavuto ena am'mapapo kapena kupuma, mavuto amaso kapena masomphenya, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Gefitinib itha kubweretsa kusabereka (kuvutika kukhala ndi pakati) mwa akazi. Komabe, muyenera kugwiritsa ntchito njira zakulera kuti muchepetse mimba mukamamwa mankhwala a gefitinib komanso kwa milungu iwiri musanamwe mankhwala. Mukakhala ndi pakati mukatenga gefitinib, itanani dokotala wanu. Gefitinib itha kuvulaza mwana wosabadwayo ndikuwonjezera chiopsezo chotaya mimba.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwitsa mukamamwa gefitinib.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati pasanathe maola 12 isanakwane mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• khungu lowuma
• kuyabwa
• zidzolo
• ziphuphu
• zilonda mkamwa
• kufooka

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kupuma kwatsopano kapena kukulira kozizira, chifuwa, kapena malungo
• kutsegula m'mimba koopsa kapena kosalekeza
• kupweteka kwambiri m'mimba
• kusowa chilakolako
• kupweteka kwa diso, kufiira, kapena kukwiya
• masomphenya amasintha
• maso amadzi
• kuzindikira kwa diso kuwala
• ming'oma
• matuza kapena khungu losenda
• kutupa kwa maso, nkhope, milomo, lilime, mmero, manja, mikono, mapazi, akakolo kapena miyendo yakumunsi
• nseru
• kusanza
• chikasu cha khungu kapena maso
• mkodzo wakuda
• mipando yotumbululuka
• kupweteka kapena kusapeza bwino kumtunda kwam'mimba

Gefitinib 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).

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 ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira gefitinib.

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.

• Iressa^®