Jekeseni wa Mitoxantrone

Zamkati

• Musanagwiritse ntchito jakisoni wa mitoxantrone,
• Jakisoni wa Mitoxantrone angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

Mitoxantrone iyenera kuperekedwa moyang'aniridwa ndi dokotala wodziwa kugwiritsa ntchito mankhwala a chemotherapy.

Mitoxantrone ingayambitse kuchepa kwa maselo oyera m'magazi. Dokotala wanu amalamula kuyesedwa kwa labotale nthawi zonse musanachitike komanso mukamalandira chithandizo kuti muwone ngati kuchuluka kwa maselo oyera amthupi mwanu kwatsika. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, kuzizira, zilonda zapakhosi, chifuwa, kukodza pafupipafupi kapena kupweteka, kapena zizindikilo zina za matenda.

Jakisoni wa Mitoxantrone amatha kuwononga mtima wanu nthawi iliyonse mukamalandira chithandizo kapena miyezi mpaka zaka mutatha mankhwala anu. Kuwonongeka kwa mtima kumeneku kumatha kukhala koopsa ndipo kumatha kuyambitsa imfa ndipo kumatha kuchitika ngakhale kwa anthu omwe alibe zoopsa zilizonse zamatenda amtima. Dokotala wanu amakuyesani ndikuchita mayeso ena kuti awone momwe mtima wanu ukugwirira ntchito musanayambe chithandizo ndi mitoxantrone komanso ngati mukuwonetsa zizindikiritso zamavuto amtima. Ngati mukugwiritsa ntchito jakisoni wa mitoxantrone pa multiple sclerosis (MS; vuto lomwe misempha imagwira ntchito moyenera, kuchititsa zizindikilo monga kufooka; kufooka, kutayika kwa kulumikizana kwa minofu; ayesanso mayeso ena asanalandire mankhwala aliwonse a mitoxantrone komanso chaka chilichonse mukamaliza mankhwala anu. Mayesowa atha kuphatikizira electrocardiogram (ECG; mayeso omwe amalemba zamagetsi zamagetsi mumtima) ndi echocardiogram (mayeso omwe amagwiritsa ntchito mafunde amawu kuti athe kuyesa mtima wanu kutulutsa magazi). Dokotala wanu angakuuzeni kuti simuyenera kulandira mankhwalawa ngati mayeserowa akuwonetsa kuti mtima wanu wokhoza kupopa magazi wachepa. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi mtundu uliwonse wamatenda amtima kapena mankhwala a radiation (x-ray) m'chifuwa. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena munalandirapo mankhwala enaake a khansa monga daunorubicin (Cerubidine), doxorubicin (Doxil), epirubicin (Ellence), kapena idarubicin (Idamycin), kapena ngati munalandirapo mankhwala a mitoxantrone mu zakale. Kuopsa kwa kuwonongeka kwa mtima kumatha kudalira kuchuluka kwa mitoxantrone yomwe imaperekedwa kwa munthu kwanthawi yayitali, motero dokotala wanu amachepetsa kuchuluka kwa mlingo womwe mumalandira ngati mukugwiritsa ntchito mankhwalawa ku MS. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: kupuma movutikira, kupweteka pachifuwa, kutupa kwa miyendo kapena akakolo, kapena kugunda kwamtima mosasinthasintha kapena mwachangu.

Mitoxantrone imatha kukulitsa chiopsezo chotenga khansa ya m'magazi (khansa yamagazi oyera), makamaka ikaperekedwa kwambiri kapena limodzi ndi mankhwala ena a chemotherapy.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa mitoxantrone.

Jekeseni ya Mitoxantrone imagwiritsidwa ntchito kwa achikulire omwe ali ndi mitundu yosiyanasiyana ya multiple sclerosis (MS; matenda omwe mitsempha imagwira ntchito bwino ndipo anthu amatha kufooka, kufooka, kutayika kwa kulumikizana kwa minofu, komanso mavuto a masomphenya, malankhulidwe, ndi chikhodzodzo) kuphatikizapo zotsatirazi:

• mitundu yobwezeretsanso (matenda omwe matenda amawonekera nthawi ndi nthawi), kapena
• kubwereranso pang'onopang'ono (matenda omwe amabwereranso), kapena
• mitundu yachiwiri yopita patsogolo (matenda omwe amabwereranso amapezeka pafupipafupi).

Jakisoni wa Mitoxantrone amagwiritsidwanso ntchito limodzi ndi mankhwala a steroid kuti athetse ululu kwa anthu omwe ali ndi khansa ya prostate yomwe sanayankhe mankhwala ena. Jakisoni wa Mitoxantrone amagwiritsidwanso ntchito ndi mankhwala ena kuti athetse mitundu ina ya khansa ya m'magazi. Jakisoni wa Mitoxantrone ali mgulu la mankhwala otchedwa anthracenediones. Mitoxantrone imathandizira MS poletsa ma cell ena a chitetezo cha mthupi kuti asafike kuubongo ndi msana ndikuwononga. Mitoxantrone amachiza khansa poletsa kukula ndikufalikira kwa maselo a khansa.

Jakisoni wa Mitoxantrone amabwera ngati madzi omwe amaperekedwa kudzera m'mitsempha (ndi mtsempha) ndi dokotala kapena namwino kuchipatala kapena kuchipatala. Pamene jakisoni wa mitoxantrone amagwiritsidwa ntchito kuchiza MS, nthawi zambiri imaperekedwa kamodzi pakatha miyezi itatu pafupifupi zaka ziwiri kapena zitatu (pamiyeso 8 mpaka 12). Pamene jakisoni wa mitoxantrone amagwiritsidwa ntchito pochiza khansa ya prostate, nthawi zambiri imaperekedwa kamodzi masiku 21 alionse. Mukamagwiritsa ntchito jakisoni wa mitoxantrone pochiza khansa ya m'magazi, mupitiliza kulandira mankhwalawa kutengera momwe muliri komanso momwe mumayankhira.

Ngati mukugwiritsa ntchito jakisoni wa mitoxantrone wa MS, muyenera kudziwa kuti imayang'anira MS koma siyichiritsa. Pitirizani kulandira chithandizo ngakhale mutakhala bwino. Lankhulani ndi dokotala wanu ngati simukufunanso kulandira chithandizo ndi jakisoni wa mitoxantrone.

Ngati mukugwiritsa ntchito jakisoni wa mitoxantrone wa MS, funsani wamankhwala kapena dokotala kuti akupatseni zambiri za wopanga za wodwalayo.

Jakisoni wa Mitoxantrone nthawi zina amagwiritsidwanso ntchito pochiza non-Hodgkin's lymphoma (NHL; khansa yomwe imayambira mumtundu wama cell oyera omwe nthawi zambiri amalimbana ndi matenda). 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.

Musanagwiritse ntchito jakisoni wa mitoxantrone,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la jakisoni wa mitoxantrone, mankhwala ena aliwonse, ma sulfite, kapena zina zilizonse mu jakisoni wa mitoxantrone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• 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 mankhwala omwe atchulidwa mgulu la CHENJEZO LOFUNIKA. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi vuto lililonse lotseka magazi, kuchepa magazi (kuchepa kwa maselo ofiira m'magazi), kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Simuyenera kutenga pakati mukamagwiritsa ntchito jakisoni wa mitoxantrone. Lankhulani ndi dokotala wanu za njira zothandiza zolerera zomwe mungagwiritse ntchito mukamachiza. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa mitoxantrone, itanani dokotala wanu mwachangu. Jekeseni ya Mitoxantrone itha kuvulaza mwana wosabadwayo. Ngati mukugwiritsa ntchito jakisoni wa mitoxantrone kuchiza MS, ngakhale mukugwiritsa ntchito njira zakulera, adotolo akuyenera kukupatsani mayeso amimba musanalandire chithandizo chilichonse. Muyenera kuyezetsa magazi musanalandire chithandizo chilichonse.
• Uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukamagwiritsa ntchito jakisoni wa mitoxantrone.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito jakisoni wa mitoxantrone.
• muyenera kudziwa kuti jakisoni wa mitoxantrone ndi wabuluu wakuda ndipo atha kuyambitsa magawo oyera amaso anu kukhala ndi mtundu wabuluu pang'ono masiku angapo mutalandira mulingo uliwonse. Zitha kusinthanso mtundu wa mkodzo wanu kukhala mtundu wabuluu kwa maola pafupifupi 24 mutalandira mankhwala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Itanani dokotala wanu nthawi yomweyo ngati simungathe kusungitsa nthawi yokumana kuti mulandire jakisoni wa mitoxantrone.

Jakisoni wa Mitoxantrone angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• kutentha pa chifuwa
• kusowa chilakolako
• zilonda pakamwa ndi lilime
• yothamanga kapena mphuno yokutidwa
• kupatulira kapena kutayika tsitsi
• zosintha mdera lozungulira kapena pansi pa zikhadabo zala zamanthu
• kusamba kosasamba kapena kosasamba
• kutopa kwambiri
• kufooka
• mutu
• kupweteka kwa msana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• kutuluka mwachilendo kapena kuphwanya
• madontho ang'ono ofiira kapena ofiirira pakhungu
• ming'oma
• kuyabwa
• zidzolo
• zovuta kumeza
• kupuma movutikira
• kukomoka
• chizungulire
• khungu lotumbululuka
• chikasu cha khungu kapena maso
• kugwidwa
• kufiira, kupweteka, kutupa, kuwotcha, kapena kutulutsa kwa buluu pamalo omwe jakisoni anapatsidwa

Jakisoni wa Mitoxantrone angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).

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 limayankhira jakisoni wa mitoxantrone.

Funsani wamankhwala wanu mafunso aliwonse omwe ali nawo okhudza mitoxantrone jekeseni.

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.

• Mzinda wa Novantrone^®¶

• DHAD

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.