Chiwonetsero

Zamkati

• Asanatenge exemestane,
• Exemestane itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu.Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Exemestane imagwiritsidwa ntchito pochiza khansa ya m'mawere yoyambirira mwa amayi omwe adayamba kusintha ('kusintha kwa moyo'; kutha kwa msambo) komanso omwe adalandira kale mankhwala otchedwa tamoxifen (Nolvadex) kwa zaka 2 mpaka 3. Mankhwalawa amagwiritsidwanso ntchito pochiza khansa ya m'mawere kwa amayi omwe adakumana ndi vuto lakusamba komwe khansa ya m'mawere yawonjezereka pamene amamwa tamoxifen. Exemestane ali mgulu la mankhwala otchedwa aromatase inhibitors. Zimagwira ntchito pochepetsa kuchuluka kwa estrogen yopangidwa ndi thupi. Izi zitha kuchepetsa kapena kuletsa kukula kwa zotupa za m'mawere zomwe zimafunikira estrogen kuti ikule.

Exemestane imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku mutatha kudya. Tengani exemestane mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani exemestane ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mungafunike kutenga exemestane kwa zaka zingapo kapena kupitilira apo. Pitirizani kutenga exemestane ngakhale mutakhala bwino. Osasiya kutenga exemestane osalankhula ndi dokotala.

Exemestane nthawi zina amagwiritsidwanso ntchito kuthana ndi mtundu wina wa khansa ya m'mawere mwa amayi omwe sanakwanitse kusamba. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Asanatenge exemestane,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la exemestane kapena mankhwala aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: carbamazepine (Carbatrol, Epitol, Tegretol); mankhwala omwe ali ndi estrogen monga mankhwala obwezeretsa mahomoni ndi njira zolerera za mahomoni (mapiritsi oletsa kubereka, zigamba, mphete, ndi jakisoni); phenobarbital; phenytoin (Dilantin); ndi rifampin (Rifadin, ku Rifater, ku Rifamate). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka St John's wort.
• auzeni adotolo ngati mwadwalapo kapena mwakhalapo ndi matenda ofooka kwa mafupa (momwe mafupa amafooka ndikuphwanya mosavuta), matenda a chiwindi kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Muyenera kukhala ndi mayeso olakwika pathupi pasanathe masiku asanu ndi awiri musanayambe kutenga exemestane. Muyenera kugwiritsa ntchito njira zakulera kuti mupewe kutenga mimba mukamachiza exemestane komanso kwa mwezi umodzi mutatha kumwa. Mukakhala ndi pakati mukatenga exemestane, itanani dokotala wanu mwachangu. Exemestane itha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa mankhwala a exemestane komanso kwa mwezi umodzi mutatha kumwa.

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.

Exemestane itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutentha
• thukuta
• kupweteka kwa minofu kapena molumikizana
• kutopa
• mutu
• chizungulire
• kumva kuda nkhawa kapena kuda nkhawa
• kukhumudwa
• kuvuta kugona kapena kugona
• nseru
• kusanza
• kuchuluka kudya
• kutsegula m'mimba
• kutayika tsitsi
• ofiira, khungu loyabwa
• kusintha kwa masomphenya
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi

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

• kupuma movutikira
• kupweteka pachifuwa

Kuchuluka kwa mafupa anu am'mafupa (BMD; mphamvu yamafupa) kumatha kutsika mukamadwala exemestane. Izi zitha kuwonjezera mwayi woti mudzadwala matenda a kufooka kwa mafupa (momwe mafupa amafooka ndikuphwanya mosavuta). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito exemestane.

Exemestane imatha kubweretsa 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 amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu lingayankhire ku exemestane.

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.

• Aromasin^®