Nkhani Za Bexarotene

Zamkati

• Kuti mugwiritse ntchito gel osakaniza, tsatirani izi:
• Musanagwiritse ntchito bexarotene,
• Matenda a bexarotene angayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Matenda a bexarotene amagwiritsidwa ntchito pochizira T-cell lymphoma (CTCL, mtundu wa khansa yapakhungu) yomwe singachiritsidwe ndi mankhwala ena. Bexarotene ali mgulu la mankhwala otchedwa retinoids. Zimagwira ntchito poletsa kukula kwa maselo a khansa.

Matenda a bexarotene amabwera ngati gel kuti agwiritse ntchito pakhungu. Amagwiritsidwa ntchito kamodzi tsiku lililonse poyamba ndipo pang'onopang'ono amagwiritsidwa ntchito kangapo mpaka kawiri kapena kanayi patsiku. Gwiritsani ntchito bexarotene ya topical nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito bexarotene ndendende monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni pamlingo wochepa kwambiri wa bexarotene ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo pa sabata. Dokotala wanu akhoza kuchepetsa mlingo wanu ngati mukukumana ndi zovuta.

Mkhalidwe wanu ukhoza kusintha mukangotha ​​masabata 4 mutayamba kugwiritsa ntchito bexarotene, kapena zingatenge miyezi ingapo musanazindikire kusintha kulikonse. Pitirizani kugwiritsa ntchito bexarotene yapakati mukawona kusintha; vuto lanu likhoza kupitilirabe bwino. Osasiya kugwiritsa ntchito bexarotene popanda kulankhula ndi dokotala.

Gel ya Bexarotene itha kugwira moto. Musagwiritse ntchito mankhwalawa pafupi ndi malo otentha kapena pafupi ndi lawi lotseguka monga ndudu.

Bexarotene gel ndi yogwiritsira ntchito kunja kokha. Musameze mankhwalawo ndipo sungani mankhwalawa kutali ndi maso anu, mphuno, pakamwa, milomo, nyini, nsonga ya mbolo, rectum, ndi anus.

Mutha kusamba, kusamba, kapena kusambira mukamamwa mankhwala a bexarotene, koma muyenera kugwiritsa ntchito sopo wofatsa, wopanda zonunkhiritsa. Muyenera kudikirira mphindi 20 mutasamba kapena kusamba musanagwiritse ntchito bexarotene. Mukamamwa mankhwalawa, musasambe, kusambira, kapena kusamba kwa maola atatu.

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

Kuti mugwiritse ntchito gel osakaniza, tsatirani izi:

1. Sambani manja anu.
2. Ngati mukugwiritsa ntchito chubu chatsopano cha bexarotene gel, chotsani kapu ndikuwona ngati kutsegula kwa chubu kuli ndi chisindikizo chachitetezo chachitsulo. Musagwiritse ntchito chubu ngati simukuwona chisindikizo chachitetezo kapena ngati chidindocho chaboola. Mukawona chisindikizo cha chitetezo, tembenuzani kapuyo mozondoka ndikugwiritsa ntchito nsonga yakuthwa kuti mupyoze chidindocho.
3. Gwiritsani chala choyera kuyika gel osakaniza mowolowa manja m'deralo kuti angochiritsidwa okha. Samalani kuti musapeze gel iliyonse pakhungu lathanzi mozungulira dera lomwe lakhudzidwa. Osapaka gel osakaniza pakhungu. Muyenera kuwona gel osakaniza m'dera lomwe lakhudzidwa mukamaliza kuigwiritsa ntchito.
4. Musaphimbe malo ochiritsidwayo ndi bandeji yolimba kapena chovala pokhapokha mukauzidwa ndi dokotala wanu.
5. Pukutani chala chomwe munkagwiritsa ntchito gel osakaniza ndi minofu ndikuponyera. Sambani m'manja ndi sopo.
6. Lolani gelisi kuti iume kwa mphindi 5 mpaka 10 musanaphimbe ndi zovala zotayirira. Musamavale zovala zothina pamalo okhudzidwa.

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

Musanagwiritse ntchito bexarotene,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la bexarotene; 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: ma antifungal ena monga ketoconazole (Nizoral) ndi itraconazole (Sporanox); erythromycin (EES, E-Mycin, Erythrocin); gemfibrozil (Lopid); mankhwala ena kapena mankhwala omwe amagwiritsidwa ntchito pakhungu; ndi vitamini A (mu multivitamini). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi bexarotene, chifukwa chake onetsetsani kuti muwauze dokotala zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mavitamini a bexarotene angayambitse vuto lalikulu la kubadwa, choncho muyenera kusamala kuti musatenge mimba mukamalandira mankhwala posachedwa. Muyamba kulandira chithandizo patsiku lachiwiri kapena lachitatu la msambo wanu, ndipo mufunika kukhala ndi mayeso olakwika okhudzana ndi pakati pasanathe sabata imodzi mutangoyamba kumene kulandira chithandizo ndipo kamodzi pamwezi mutalandira chithandizo. Muyenera kugwiritsa ntchito njira ziwiri zovomerezeka zakulera mukamalandira chithandizo komanso mwezi umodzi mutalandira chithandizo. Mukakhala ndi pakati mukamamwa mankhwala a bexarotene, pitani kuchipatala nthawi yomweyo.
• uzani dokotala wanu ngati mukuyamwitsa.
• ngati ndinu wamwamuna ndipo muli ndi mnzanu yemwe ali ndi pakati kapena angathe kutenga pakati, lankhulani ndi dokotala wanu za zomwe muyenera kuchita mukamamwa mankhwala. Itanani dokotala wanu nthawi yomweyo ngati mnzanu atenga pakati mukamagwiritsa ntchito bexarotene.
• konzekerani kupeŵa kuwonekera kosafunikira kapena kwakanthawi kwa kuwala kwa dzuwa ndi zowunikira ndi kuvala zovala zoteteza, magalasi a dzuwa, ndi zowunikira. Mitundu ya bexarotene imapangitsa khungu lanu kukhala lowala ndi dzuwa.
• osagwiritsa ntchito mankhwala othamangitsa tizilombo kapena zinthu zina zomwe zili ndi DEET mukamamwa mankhwala a bexarotene.
• osakanda malo omwe akhudzidwa mukamamwa mankhwala a bexarotene.

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

Ikani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito gel osakaniza kuti mupange mlingo wosowa.

Matenda a bexarotene angayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuyabwa
• kufiira, kuyaka, kuyabwa, kapena kukulitsa khungu
• zidzolo
• kupweteka
• thukuta
• kufooka
• mutu
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi

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

• zilonda zapakhosi, malungo, kuzizira, kapena zizindikilo zina za matenda
• zotupa zotupa

Bexarotene ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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 chosawonekera kwa ana. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri, malawi otseguka, 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

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti wina aliyense agwiritse ntchito 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^® Gel yapamwamba