Jekeseni Wokwanira

Zamkati

• Asanalandire wogulitsa mafuta,
• Fulvestrant amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Jekeseni wa Fulvestrant imagwiritsidwa ntchito yokha kapena kuphatikiza ribociclib (Kisqali^®) kuthana ndi mtundu wina wa mahomoni olandila zabwino, khansa ya m'mawere (khansa ya m'mawere yomwe imadalira mahomoni onga estrogen kukula) kapena khansa ya m'mawere yafalikira kumadera ena amthupi mwa azimayi omwe adayamba kusamba (kusintha kwa moyo; kutha ya kusamba kwa mwezi ndi mwezi) ndipo sanalandiridwepo mankhwala a anti-estrogen monga tamoxifen (Nolvadex). Jekeseni wa Fulvestrant imagwiritsidwanso ntchito yokha kapena kuphatikiza ribociclib (Kisqali^®) kuchiza mahomoni olandila zabwino, khansa ya m'mawere kapena khansa ya m'mawere yomwe yafalikira mbali zina za thupi mwa amayi omwe adayamba kusamba ndipo khansa ya m'mawere yawonjezeka atalandira mankhwala a anti-estrogen monga tamoxifen. Jekeseni wa Fulvestrant imagwiritsidwanso ntchito limodzi ndi palbociclib (Ibrance^®) kapena abemaciclib (Verzenio^®) kuchiza khansa yolandila khansa ya m'mawere mwa amayi omwe khansa ya m'mawere yafalikira mbali zina za thupi ndipo yawonjezeka atalandira mankhwala a anti-estrogen monga tamoxifen. Fulvestrant ali mgulu la mankhwala otchedwa estrogen receptor antagonists. Zimagwira ntchito poletsa mayendedwe a estrogen pama cell a khansa. Izi zitha kuchepetsa kapena kuletsa kukula kwa zotupa za m'mawere zomwe zimafunikira estrogen kuti ikule.

Fulvestrant amabwera ngati yankho (madzi) kuti alowe jakisoni pang'onopang'ono mphindi 1 kapena 2 kulowa muminyewa m'matako. Fulvestrant amayendetsedwa ndi dokotala kapena namwino kuofesi yazachipatala. Nthawi zambiri amaperekedwa kamodzi pamasabata awiri pamlingo woyamba woyamba (masiku 1, 15, ndi 29) kenako kamodzi pamwezi pambuyo pake. Mukalandira mankhwala anu ngati majakisoni awiri osiyana (m'modzi mwa matako).

Funsani dokotala wanu kapena wamankhwala kuti mupeze zambiri za wopanga kwa wodwalayo.

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

Asanalandire wogulitsa mafuta,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi zodzaza ndi mankhwala, mankhwala ena aliwonse, kapena zina zilizonse mu jakisoni wa fulvestrant. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula ma anticoagulants (oponda magazi) monga warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi vuto lililonse lotuluka magazi kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, kapena mukonzekere kutenga pakati.Siyenera kutenga pakati mukalandila zodzaza ndi osachepera chaka chimodzi mutalandira mankhwala omaliza. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Dokotala wanu amathanso kuyang'ana kuti awone ngati muli ndi pakati pasanathe masiku 7 musanayambe kumwa mankhwala. Uzani dokotala wanu ngati muli ndi pakati mukamalandira chithandizo chokwanira. Fulvestrant atha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa mankhwala ndi fulvestrant komanso kwa chaka chimodzi mutalandira mankhwala omaliza.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kolandila wokwanira.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya nthawi yoti mukalandire mlingo wa odzaza mafuta, itanani dokotala wanu posachedwa.

Fulvestrant amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kudzimbidwa
• kutsegula m'mimba
• kupweteka m'mimba
• kusowa chilakolako
• chikhure
• zilonda mkamwa
• kufooka
• kutentha kapena kutentha
• mutu
• kupweteka kwa mafupa, mafupa, kapena kumbuyo
• ululu, kufiira, kapena kutupa pamalo pomwe munabayira mankhwala
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• chizungulire
• kuvuta kugona kapena kugona
• kukhumudwa
• nkhawa
• manjenje
• kumva dzanzi, kumva kulasalasa, kumenya, kapena kutentha pakhungu
• thukuta
• kutuluka mwazi kumaliseche

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

• kupuma movutikira
• kupweteka pachifuwa
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• kupweteka kumbuyo kwanu kapena m'miyendo
• dzanzi, kumva kulasalasa, kapena kufooka m'miyendo mwanu
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• kupweteka kapena kutentha pamene mukukodza

Fulvestrant amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira mankhwalawa.

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.

Musanayezetsedwe kwa labotale, uzani adotolo ndi omwe akuwalembera kuti mukulandira zofukiza.

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.

• Faslodex^®