Pegfilgrastim jekeseni

Zamkati

• Mukakhala ndi pegfilgrastim yoyambira makina opangira ma jekeseni m'malo mwake;
• Musanagwiritse ntchito jekeseni wa pegfilgrastim,
• Pegfilgrastim mankhwala opangira jekeseni angayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Jekeseni wa Pegfilgrastim, pegfilgrastim-bmez, pegfilgrastim-cbqv, ndi pegfilgrastast-jmdb jakisoni ndi mankhwala a biologic (mankhwala opangidwa kuchokera kuzinthu zamoyo). Biosimilar pegfilgrastim-bmez, pegfilgrastim-cbqv, ndi pegfilgrastim-jmdb jekeseni ndi ofanana kwambiri ndi jekeseni wa pegfilgrastim ndipo imagwiranso ntchito mofanana ndi jekeseni wa pegfilgrastim mthupi. Chifukwa chake, mawu akuti pegfilgrastim mankhwala opangira jekeseni adzagwiritsidwa ntchito kuyimira mankhwalawa pazokambirana izi.

Mankhwala opangidwa ndi pegfilgrastim amagwiritsidwa ntchito pochepetsa mwayi wopezeka ndi anthu omwe ali ndi mitundu ina ya khansa ndipo amalandila mankhwala a chemotherapy omwe amachepetsa ma neutrophils (mtundu wama cell amwazi wofunikira kuthana ndi matenda). Pegfilgrastim jekeseni (Neulasta) imagwiritsidwanso ntchito kuonjezera mwayi wopulumuka mwa anthu omwe akumana ndi ma radiation owopsa, omwe amatha kuwononga mafupa. Pegfilgrastim ali mgulu la mankhwala otchedwa colony factor stimulating. Zimagwira ntchito pothandiza thupi kupanga ma neutrophil ambiri.

Pegfilgrastim mankhwala opangira jekeseni amabwera ngati yankho (madzi) m'mitsempha yamajekeseni oyikapo jekeseni mozungulira (pansi pa khungu), ndi chida chodziyikiratu chokha cha jakisoni (pajakisoni wa thupi) kuyika pakhungu. Ngati mukugwiritsa ntchito jakisoni wa pegfilgrastim kuti muchepetse chiopsezo chotenga kachilombo ka chemotherapy, nthawi zambiri imaperekedwa ngati mlingo umodzi pa chemotherapy iliyonse, pasanathe maola 24 kuchokera pomwe mankhwala omaliza a chemotherapy aperekedwa komanso kuposa 14 masiku asanayambe chemotherapy yotsatira. Ngati mukugwiritsa ntchito jakisoni wa pegfilgrastim chifukwa mwakhala mukuwonongeka ndi ma radiation, nthawi zambiri amaperekedwa ngati mitundu iwiri yokha, patadutsa sabata limodzi. Dokotala wanu angakuuzeni nthawi yoyenera kugwiritsa ntchito mankhwala a pegfilgrastim.

Mankhwala a pegfilgrastim atha kukupatsani namwino kapena othandizira ena, atha kukuwuzani kuti mubayire jakisoni nokha kunyumba, kapena mutha kulandira chida chodzipangira chokha cha namwino kapena wothandizira zaumoyo yemwe angakubayireni mankhwalawo inu kunyumba. Ngati mudzakhala mukubaya jekeseni wa pegfilgrastim nokha kunyumba, kapena ngati mungalandire chida chodziyikiratu chokha, wothandizira zaumoyo akuwonetsani momwe mungabayire mankhwalawo, kapena momwe mungagwiritsire ntchito chipangizocho. Wothandizira zaumoyo wanu adzakupatsaninso zambiri za wopanga kwa wodwalayo. Funsani wothandizira zaumoyo wanu kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito pegfilgrastim mankhwala opangira ndendende monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwedeze ma syringe okhala ndi pegfilgrastim solution. Nthawi zonse yang'anani yankho la pegfilgrastim musanafike jakisoni. Musagwiritse ntchito ngati tsiku lomaliza latha, kapena ngati pegfilgrastim solution ili ndi tinthu tating'onoting'ono kapena ikuwoneka mitambo kapena yotulutsa mtundu.

Ngati pegfilgrastim yankho lanu likubwera mu chida chopangira jekeseni, chipangizocho chimagwiritsidwa ntchito pamimba kapena kumbuyo kwa mkono wanu ndi namwino kapena wothandizira ena tsiku limodzi musanalandire pegfilgrastim. Tsiku lotsatira (pafupifupi ma ola 27 mutagwiritsa ntchito jakisoni woyikapo khungu lanu), mlingo wa pegfilgrastim solution udzadzilowetsa pansi pamphindi 45.

Mukakhala ndi pegfilgrastim yoyambira makina opangira ma jekeseni m'malo mwake;

• Muyenera kukhala ndi wokusamalirani nanu nthawi yoyamba mukalandira mankhwala a pegfilgrastim kapena nthawi iliyonse chida chobowolera chodzipangirachi chimayikidwa kumbuyo kwa mkono wanu.
• muyenera kuwunika makina opangira makinawa pomwe mlingo wonse wa pegfilgrastim wabayidwa m'thupi lanu, chifukwa chake muyenera kupewa zochitika ndikukhala m'malo omwe angasokoneze kuwunika mukalandira filastastim ndi ola limodzi pambuyo pake.
• simuyenera kuyenda, kuyendetsa galimoto, kapena kugwiritsa ntchito makina ola limodzi musanafike ndi maola awiri mutalandira mankhwala anu a pegfilgrastim ndi chida chopangira jekeseni (pafupifupi maola 26 mpaka 29 atagwiritsidwa ntchito).
• onetsetsani kuti mukusunga chida chopangira jekeseni chosachepera 4 mainchesi kuchokera pazida zamagetsi ndi zida zamagetsi kuphatikiza mafoni, mafoni opanda zingwe, ndi ma uvuni a microwave.
• muyenera kupewa x-ray pa eyapoti ndikupemphani kuti mugwiritse ntchito patali ngati mukuyenera kuyenda pambuyo poti jekeseni woyikiratu wagwiritsidwa ntchito m'thupi lanu komanso musanalandire pegfilgrastim.
• muyenera kuchotsa chipangizo chopangira jekeseni chomwe mwasankha kale ngati muli ndi vuto linalake mukalandira mankhwala anu a pegfilgrastim pogwira m'mphepete mwazitsulo ndikumasenda. Itanani dokotala wanu nthawi yomweyo kuti mupeze chithandizo chamankhwala mwadzidzidzi.
• muyenera kuyimbira dokotala wanu mwachangu ngati chida chodzipangira chokha chokha chikubwera pakhungu lanu, ngati zomatira zanyowa kwambiri, mukawona zikudontha kuchokera pachidacho, kapena ngati kuwala kukuwala kofiira. Muyenera kuyika chida chopangira jakisoni chouma kwa maola atatu musanalandire pegfilgrastim kuti ikuthandizeni kuzindikira ngati chida chanu chikuyamba kutayikira pomwe mukulandira mlingo wanu.
• Muyenera kupewa kupezeka ku maphunziro azachipatala (X-ray scan, MRI, CT scan, ultrasound) kapena malo okhala ndi oxygen (zipinda za hyperbaric).
• Muyenera kupewa kugona kapena kukakamiza kuti mugwiritse ntchito jekeseni woyikiratu.
• Muyenera kupewa malo otentha, mafunde, ma sauna, ndi dzuwa.
• Muyenera kupewa kugwiritsa ntchito mafuta, mafuta, mafuta, ndi zotsukira pakhungu lanu pafupi ndi chida chodziyikiratu chokha.

Ngati chida chodziyambitsira chokha chimawala chofiira, ngati chipangizocho chimatuluka musanafike mlingo wonse, kapena ngati zomatira pachidacho zanyowa kapena zikutuluka, itanani dokotala wanu nthawi yomweyo. Mwina simunalandire pegfilgrastim wokwanira, ndipo mungafunike mlingo wowonjezera.

Kutaya singano zogwiritsidwa ntchito kale, ma syringe, ndi zida mu chidebe chosagundika. Lankhulani ndi dokotala wanu kapena wamankhwala za momwe mungatayire chidebe chosagwira mankhwala.

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

Musanagwiritse ntchito jekeseni wa pegfilgrastim,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi pegfilgrastim, pegfilgrastim-bmez, pegfilgrastim-cbqv, pegfilgrastim-jmdb, filgrastim (Granix, Neupogen, Nivestym, Zarxio), mankhwala ena aliwonse, kapena chilichonse chomwe chimagwiritsidwa ntchito mu pegfilgr. Uzaninso dokotala wanu ngati inu kapena munthu amene akupangitsani jekeseni wa pegfilgrastim kwa inu ndikulimbana ndi zomatira za latex kapena acrylic.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi khansa yamagazi kapena mafuta m'mafupa, kapena myelodysplasia (mavuto am'mafupa omwe amatha kukhala khansa ya m'magazi).
• auzeni adotolo ngati muli ndi matenda a sickle cell (matenda amwazi omwe angayambitse mavuto owawa, kuchuluka kwama cell ofiira ofiira, matenda, komanso kuwonongeka kwa ziwalo zamkati). Ngati muli ndi matenda a sickle cell, mutha kukhala ndi vuto lalikulu mukamalandira mankhwala opangira pegfilgrastim. Itanani dokotala wanu nthawi yomweyo ngati muli ndi vuto la khungu lanu mukamalandira chithandizo.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jekeseni wa pegfilgrastim, itanani dokotala wanu.
• muyenera kudziwa kuti pegfilgrastim zopangira jakisoni zimachepetsa chiopsezo chotenga matenda koma sizimateteza matenda onse omwe amayamba pakachitika chemotherapy kapena pambuyo pake. Itanani dokotala wanu ngati mukudwala matenda otentha thupi; kuzizira; zidzolo; chikhure; kutsegula m'mimba; kapena kufiira, kutupa, kapena kupweteka kozungulira pamalonda kapena pachilonda.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukubaya jakisoni wa pegfilgrastim kunyumba, lankhulani ndi dokotala wanu zomwe muyenera kuchita mukaiwala kubaya mankhwalawo panthawi yake.

Pegfilgrastim mankhwala opangira jekeseni angayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka kwa mafupa
• kupweteka kwa mikono kapena miyendo

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

• kupweteka kumtunda chakumanzere kwa m'mimba kapena kumapeto kwa phewa lanu lamanzere
• malungo, kupuma movutikira, kupuma movutikira, kupuma mwachangu
• kutupa kwa nkhope, mmero, kapena pakamwa kapena maso, ming'oma, kuthamanga, kuyabwa, vuto kumeza kapena kupuma
• kutupa kwa nkhope kapena akakolo, mkodzo wamagazi kapena wamdima wakuda, kuchepa pokodza
• malungo, kupweteka m'mimba, kupweteka msana, kumva kusakhala bwino
• kutupa kwa m'mimba kapena kutupa kwina, kuchepa pokodza, kupuma movutikira, chizungulire, kutopa

Pegfilgrastim mankhwala opangira jekeseni angayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Sungani mankhwalawa mu katoni yomwe idabwera, yotsekedwa mwamphamvu, komanso kuti ana asafikire. Sungani mankhwala a pegfilgrastim m'firiji koma musawaimitse. Ngati mwangozi amaumitsa mankhwalawo, mulole kuti asungunuke m'firiji. Komabe, ngati muumitsa syringe yomweyo ya mankhwala kachiwiri, muyenera kutaya syringeyo. Mankhwala a pegfilgrastim (Neulasta preringe syringe, Udenyca) amatha kusungidwa kutentha mpaka maola 48, ndipo jakisoni wa pegfilgrastim (Fulphila) amatha kusungidwa kutentha mpaka maola 72. Pegfilgrastim zopangira jekeseni ziyenera kusungidwa ndi dzuwa.

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.

Zizindikiro za bongo zingaphatikizepo izi:

• kupweteka kwa mafupa
• kutupa
• kupuma movutikira

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti aone momwe thupi lanu lingayankhire ndi mankhwala a pegfilgrastim.

Musanaphunzire za kulingalira za fupa, uzani dokotala ndi waluso kuti mukugwiritsa ntchito mankhwala a pegfilgrastim. Pegfilgrastim imatha kukhudza zotsatira za kafukufukuyu.

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.

• Fulphila^®(pegfilgrastim-jmdb)
• Neulasta^®Alireza (
• Udenyca^®(chikodil-cbqv)
• Ziextenzo (pegfilgrastim-bmez)