Estramustine
Zamkati
- Musanatenge estramustine,
- Estramustine ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
Estramustine amagwiritsidwa ntchito pochiza khansa ya prostate yomwe yaipiraipira kapena yafalikira mbali zina za thupi. Estramustine ali mgulu la mankhwala otchedwa antimicrotubule agents. Zimagwira ntchito poletsa kukula ndikufalikira kwa maselo a khansa.
Estramustine amabwera ngati kapisozi woti amwe pakamwa. Nthawi zambiri amatengedwa ndi madzi katatu kapena kanayi patsiku osachepera ola limodzi kapena maola awiri mutadya. Musatenge estramustine wokhala ndi mkaka, zopangidwa mkaka, kapena zakudya zomwe zili ndi calcium yambiri. Tengani estramustine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani estramustine ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Estramustine imatha kuchepetsa kufalikira kwa khansa yanu koma siyichiza. Zitha kutenga miyezi itatu dokotala wanu asanadziwe ngati mankhwalawa ndi othandiza pa matenda anu. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira chithandizo cha estramustine. Pitirizani kumwa estramustine ngakhale mutakhala bwino. Osasiya kumwa estramustine osalankhula ndi dokotala.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge estramustine,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi estramustine, estradiol, mpiru wa nayitrogeni, 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.
- ngati mukumwa zakumwa za calcium kapena maantacid okhala ndi calcium monga Alka-Mints, Tums, kapena Titralac, tengani osachepera maola 2 isanathe kapena maola awiri kuchokera pa estramustine.
- Uzani dokotala wanu ngati mwakhalapo ndi magazi, matenda ashuga, kuthamanga kwa magazi, sitiroko, matenda am'mimba, migraines, khunyu, zinthu zilizonse zomwe zimakhudza calcium ndi phosphorous m'thupi lanu monga matenda a parathyroid, kapena chiwindi kapena matenda a impso.
- muyenera kudziwa kuti estramustine imagwiritsidwa ntchito mwa amuna okha. Estramustine imatha kupweteketsa mwana. Muyenera kugwiritsa ntchito njira yolerera ngati kuli kotheka kuti wokondedwa wanu atha kutenga mimba mukamamwa estramustine. Amayi omwe ali ndi pakati kapena atha kukhala ndi pakati sayenera kumwa estramustine. Ngati mutenga estramustine muli ndi pakati, itanani dokotala wanu mwachangu.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Estramustine ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kutsegula m'mimba
- chikondi cha m'mawere ndi kukulitsa
- kukokana kwamiyendo
- kutopa
- kuvuta kugona kapena kugona
- kusowa mphamvu (kulephera kukhala ndi erection)
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
- kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
- ukali
- zovuta kumeza kapena kupuma
- kupuma movutikira
- kupweteka pachifuwa
- chizungulire kapena kukomoka
- mavuto olankhula
- mwadzidzidzi, mutu wopweteka kwambiri
- kutaya mwadzidzidzi pang'ono kapena kwathunthu
- kufooka kapena kufooka kwa mkono kapena mwendo
- kupweteka, kufiira kapena kutupa kwa mkono kapena mwendo
Estramustine imatha kubweretsa 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 makapisozi a estramustine mufiriji.
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 estramustine.
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.
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