Bexarotene

Zamkati

• Musanatenge bexarotene,
• Bexarotene angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Bexarotene sayenera kutengedwa ndi odwala omwe ali ndi pakati kapena omwe angakhale ndi pakati. Pali chiopsezo chachikulu kuti bexarotene imapangitsa kuti mwanayo abadwe ali ndi zolepheretsa kubadwa (mavuto omwe amapezeka pakubadwa).

Lankhulani ndi dokotala wanu za kuopsa kotenga bexarotene.

Kwa odwala achikazi:

Ngati mutha kutenga pakati, muyenera kupewa kutenga mimba mukamachiza bexarotene. Muyenera kugwiritsa ntchito njira ziwiri zovomerezeka zolerera kwa mwezi umodzi musanayambe kumwa bexarotene, nthawi zonse mukamamwa mankhwala, komanso kwa mwezi umodzi mutalandira chithandizo. Dokotala wanu angakuuzeni mitundu ya njira zolerera zovomerezeka. Bexarotene imatha kuchepetsa mphamvu yolera yolera (mapiritsi oletsa kubala, zigamba, mphete, zopangira, ndi jakisoni), chifukwa chake ndikofunikira kugwiritsa ntchito njira yachiwiri yolerera pamodzi ndi njira yolerera imeneyi.

Muyamba kumwa bexarotene patsiku lachiwiri kapena lachitatu la msambo wanu. Muyenera kukhala ndi mayeso olakwika okhudzana ndi pakati pasanathe sabata imodzi kuchokera pomwe munayamba kulandira chithandizo komanso mwezi uliwonse mukamalandira chithandizo. Pambuyo poyesedwa koyipa konse kwa mimba, mudzangopatsidwa bexarotene mwezi umodzi wokha.

Lekani kumwa bexarotene ndipo itanani dokotala nthawi yomweyo ngati mukuganiza kuti muli ndi pakati, mumasowa msambo, kapena mumagonana osagwiritsa ntchito njira ziwiri zakulera.

Kwa odwala amuna:

Muyenera kugwiritsa ntchito kondomu nthawi zonse mukamagonana ndi mayi yemwe ali ndi pakati kapena wokhoza kutenga pakati mukamamwa bexarotene komanso mwezi umodzi mutalandira chithandizo. Itanani dokotala wanu ngati mnzanu atenga pakati panthawiyi.

Bexarotene amagwiritsidwa ntchito pochizira T-cell lymphoma (CTCL, mtundu wa khansa yapakhungu) mwa anthu omwe matenda awo sakanatha kuchiritsidwa bwino ndi mankhwala amodzi. Bexarotene ali mgulu la mankhwala otchedwa retinoids. Zimagwira ntchito poletsa kukula kwa maselo a khansa.

Bexarotene amabwera ngati kapisozi woti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku ndi chakudya. Tengani bexarotene mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani bexarotene ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse; osatafuna makapisozi kapena kuwataya m'madzi kapena mkamwa. Ngati mukulephera kumeza makapisozi athunthu, lankhulani ndi dokotala wanu.

Bexarotene ikhoza kukhala yowopsa ikafika pakhungu. Musakhudze makapisozi kapena ufa kuchokera ku makapisozi ngati atasweka kapena kutuluka. Ngati ufa wochokera mu kapisozi wosweka ufika pakhungu lanu, sambani malowo ndi sopo ndi madzi nthawi yomweyo ndikuyimbira dokotala.

Dokotala wanu akuyambitsani kuchuluka kwa bexarotene ndipo amachepetsa mlingo wanu ngati mukumana ndi zovuta zina kapena kuwonjezera mlingo wanu ngati vuto lanu silikuyenda bwino.

Zitha kutenga miyezi ingapo kapena kupitilira apo kuti muone phindu la bexarotene. Osasiya kumwa bexarotene osalankhula ndi dokotala.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanatenge bexarotene,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la bexarotene; kapena retinoid ina iliyonse, monga acitretin (Soriatane), etretinate (Tegison), isotretinoin (Accutane), kapena tretinoin (Vesanoid); kapena mankhwala ena aliwonse.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone); ma antifungals ena monga ketoconazole (Nizoral) ndi itraconazole (Sporanox); cimetidine (Tagamet); clarithromycin (Biaxin); diltiazem (Cardizem); erythromycin (EES, E-Mycin, Erythrocin); fluvoxamine; gemfibrozil (Lopid), HIV protease inhibitors monga indinavir (Crixivan), nelfinavir (Viracept), ndi ritonavir (Norvir, ku Kaletra); insulin ndi mankhwala akumwa ashuga; nefazodone; phenobarbital; phenytoin (Dilantin); rifampin (Rifadin, Rimactane); tamoxifen (Nolvadex); verapamil (Calan); ndi vitamini A. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi bexarotene, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• Uzani dokotala wanu ngati mumamwa kapena mwakhala mukumwapo mowa wambiri. Muuzeni dokotala ngati mwadwalapo kapena munayamba mwadwala kapamba; kuchuluka kwa cholesterol ndi zinthu zina zamafuta m'magazi; matenda ashuga; ng'ala; kapena chikhodzodzo cha ndulu, chithokomiro, impso, kapena matenda a chiwindi.
• uzani dokotala wanu ngati mukuyamwitsa.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa bexarotene. Mowa umatha kukulitsa mavuto obwera chifukwa cha bexarotene.
• konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Bexarotene imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Tengani mlingo wosowa ndi chakudya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Bexarotene angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kufooka
• kutopa
• kuchuluka kudziwa chimfine
• kuonjezera kulemera
• kukhumudwa
• kulumikizana kapena kupweteka kwa minofu
• woonda, wosweka tsitsi kapena zikhadabo
• kudzimbidwa
• zidzolo
• khungu lowuma
• kufiira, kukula, kapena kuyabwa pakhungu
• kutayika tsitsi
• kutupa kwa akakolo, mapazi, ndi miyendo
• kuvuta kugona kapena kugona
• nseru
• kusanza
• kutsegula m'mimba

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

• kupweteka kwadzidzidzi kapena kosalekeza kumbuyo kapena m'mimba
• nseru waukulu komanso wopitilira muyeso
• malungo, zilonda zapakhosi, kuzizira, kapena zizindikiro zina za matenda
• kusintha kwa masomphenya

Bexarotene imatha kukulitsa mafuta m'thupi mwanu ndipo imatha kuyimitsa chithokomiro chanu kugwira bwino ntchito. Dokotala wanu adzakuyang'anirani mosamala kuti awone ngati mukukumana ndi zina mwazimenezi. Ngati mukumane ndi izi, dokotala wanu akhoza kukupatsani mankhwala ena kuti athetse mavuto omwe mukukumana nawo mukamamwa bexarotene.

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

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani pa firiji komanso kutali ndi kutentha, kuwala, 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 kwa bexarotene.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa bexarotene.

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.

• Targretin^® Makapisozi