Jekeseni wa Alemtuzumab (Matenda a m'magazi a Lymphocytic)
Zamkati
- Asanalandire jakisoni wa alemtuzumab,
- Jakisoni wa Alemtuzumab angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo izi:
Jakisoni wa Alemtuzumab (Campath) umapezeka pokhapokha pulogalamu yoletsa yogawa (Campath Distribution Program). Kuti mulandire jakisoni wa alemtuzumab (Campath) dokotala wanu ayenera kulembetsa nawo pulogalamuyi, ndikutsatira zofunikira. Pulogalamu ya Distribution Campamp idzatumiza mankhwalawo kwa dokotala, chipatala, kapena mankhwala.
Jakisoni wa Alemtuzumab ungayambitse kuchepa kwa maselo amwazi omwe amapangidwa ndi mafupa. Ngati mukumane ndi izi, itanani dokotala wanu mwachangu: mikwingwirima yachilendo kapena kutuluka mwazi, mawanga ofiira ofiira ofiira kapena ofiira m'thupi lanu, khungu lotumbululuka, kufooka, kapena kutopa kwambiri. Muyenera kusamala kwambiri kuti musavulazidwe mukamalandira chithandizo chifukwa mutha kutuluka magazi kwambiri chifukwa chodulidwa pang'ono. Tsukani mano anu ndi mswachi wofewa, gwiritsani lumo lamagetsi ngati mumeta, ndipo pewani masewera olumikizana nawo kapena zinthu zina zomwe zitha kuvulaza.
Jekeseni wa Alemtuzumab ungachepetse kuthekera kwanu kothana ndi matenda ndikuwonjezera chiopsezo kuti mutenga matenda oopsa kapena owopsa. Itanani dokotala wanu nthawi yomweyo mukayamba kukhala ndi matenda monga malungo, chifuwa, zilonda zapakhosi, kapena chilonda chofiira, kutulutsa mafinya, kapena kuchira msanga.
Muyenera kusamala kuti muchepetse chiopsezo cha matendawa mukamalandira jakisoni wa alemtuzumab. Dokotala wanu adzakupatsani mankhwala ena kuti muteteze matenda. Mudzamwa mankhwalawa mukamalandira chithandizo komanso kwa miyezi iwiri mutalandira chithandizo. Tengani mankhwalawa monga momwe adanenera. Muyeneranso kusamba m'manja pafupipafupi ndikupewa anthu omwe ali ndi matenda opatsirana monga chifuwa ndi chimfine. Ngati mukufuna mtundu uliwonse wa kuthiridwa magazi mukamalandira jakisoni wa alemtuzumab, muyenera kulandira zokhazokha zamagazi (zopangidwa mwazi zomwe zathandizidwa kuti zisawonongeke zomwe zingachitike mwa anthu omwe afooketsa chitetezo chamthupi).
Mutha kukumana ndi zovuta kapena zakupha mukalandira jakisoni wa alemtuzumab. Mukalandira mankhwala amtundu uliwonse kuchipatala, ndipo dokotala wanu adzakuyang'anirani mosamala mukalandira mankhwalawo. Dokotala wanu adzakupatsani mankhwala ena kuti muteteze izi. Mudzamwa mankhwalawa posachedwa musanalandire mlingo uliwonse wa alemtuzumab. Dokotala wanu akuyambitsani pamlingo wochepa wa alemtuzumab ndipo pang'onopang'ono muwonjezere mlingo wanu kuti thupi lanu lizolowere mankhwala. Ngati mukumane ndi zizindikiro zotsatirazi nthawi yanu itatha kapena mutalowetsedwa, uzani dokotala nthawi yomweyo: malungo; kuzizira; nseru; kusanza; ming'oma; zidzolo; kuyabwa; kuvuta kupuma kapena kumeza; kupuma pang'ono; kumangitsa pakhosi; kutupa kwa maso, nkhope, pakamwa, milomo, lilime kapena mmero; ukali; chizungulire; mutu wopepuka; kukomoka; kuthamanga kapena kusakhazikika kwamtima; kapena kupweteka pachifuwa.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzayitanitsa mayeso ena mukamalandira chithandizo komanso kuti muwone momwe thupi lanu lingayankhire jakisoni wa alemtuzumab.
Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa alemtuzumab.
Jakisoni wa Alemtuzumab amagwiritsidwa ntchito pochiza B-cell chronic lymphocytic leukemia (B-CLL; khansa yomwe ikukula pang'onopang'ono pomwe mitundu yambiri yamaselo oyera imadziunjikira mthupi). Alemtuzumab ili mgulu la mankhwala otchedwa monoclonal antibodies. Zimagwira ntchito poyambitsa chitetezo cha mthupi kuwononga maselo a khansa.
Alemtuzumab imapezekanso ngati jakisoni (Lemtrada) yomwe imagwiritsidwa ntchito pochiza matenda ofoola ziwalo (matenda omwe misempha sagwira bwino ntchito; mutha kukhala ndi kufooka, kufooka, kutayika kwa kulumikizana kwa minofu ndi mavuto ndi masomphenya, malankhulidwe, ndi chikhodzodzo ). Izi zimangopereka chidziwitso chokhudza jakisoni wa alemtuzumab (Campath) wa B-CLL. Ngati mukulandira alemtuzumab ya multiple sclerosis, werengani monograph ya Alemtuzumab Injection (Multiple Sclerosis).
Jakisoni wa Alemtuzumab umadza ngati yankho (madzi) kuti alowe jakisoni (mumtsempha) kwa maola osachepera 2 ndi dokotala kapena namwino kuchipatala kapena ofesi yazachipatala. Poyamba, jakisoni wa alemtuzumab nthawi zambiri amapatsidwa muyezo wowonjezera pang'onopang'ono kwa masiku 3 mpaka 7 kuti thupi lizolowere mankhwala. Thupi likazolowera mlingo woyenera wa jakisoni wa alemtuzumab, mankhwalawa amaperekedwa katatu pamlungu masiku ena (nthawi zambiri Lolemba, Lachitatu, ndi Lachisanu) kwa milungu 12.
Mankhwala omwe mumalandira asanalandire jakisoni wa alemtuzumab akhoza kukupangitsani kugona. Muyenera kufunsa wachibale kapena bwenzi kuti abwere nanu mukalandira mankhwala ndikukutengerani kunyumba mukatha.
Ngakhale matenda anu atha kusintha pakangotha milungu 4 mpaka 6 mutayamba kulandira chithandizo ndi jakisoni wa alemtuzumab, chithandizo chanu mwina chimatha milungu 12. Dokotala wanu adzasankha ngati mupitiliza kulandira chithandizo chanu ndipo akhoza kusintha mlingo wanu malingana ndi momwe mankhwalawa amagwirira ntchito kwa inu komanso zotsatira zake.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanalandire jakisoni wa alemtuzumab,
- Uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi jakisoni wa alemtuzumab kapena mankhwala aliwonse.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa.
- auzeni dokotala ngati mwakhalapo kapena munakhalapo ndi matenda aliwonse.
- Uzani dokotala wanu ngati inu kapena mnzanu muli ndi pakati kapena mukukonzekera kutenga pakati. Muyenera kuyezetsa asanayambe kulandira chithandizo ndikugwiritsa ntchito njira zakulera kuti muchepetse mimba mukamalandira chithandizo komanso kwa miyezi itatu mutalandira mankhwala omaliza. Mukakhala ndi pakati mukamamwa jakisoni wa alemtuzumab, itanani dokotala wanu mwachangu. Alemtuzumab itha kuvulaza mwana wosabadwayo.
- Uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukamamwa mankhwala alemtuzumab komanso kwa miyezi itatu mutalandira mankhwala omaliza.
- mulibe katemera wamoyo nthawi iliyonse kapena mutangotha kumene chithandizo chanu ndi jekeseni wa alemtuzumab osalankhula ndi dokotala. Amayi omwe amalandira jakisoni wa alemtuzumab ali ndi pakati ayenera kulankhula ndi ana awo chifukwa khanda lawo silingalandire katemera wamoyo kwakanthawi.
- Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kolandila alemtuzumab.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukulandira jakisoni wa alemtuzumab.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Jakisoni wa Alemtuzumab angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kusanza
- kupweteka m'mimba
- kutsegula m'mimba
- kusowa chilakolako
- zilonda mkamwa
- mutu
- nkhawa
- kuvuta kugona kapena kugona
- kugwedezeka kosalamulirika kwa gawo lina la thupi
- kupweteka kwa minofu
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- atagwera mbali imodzi ya nkhope; kufooka mwadzidzidzi kapena dzanzi la mkono kapena mwendo, makamaka mbali imodzi ya thupi; kapena kuvutika kuyankhula kapena kumvetsetsa
- kutupa miyendo ndi akakolo, kunenepa, kutopa. kapena mkodzo wa thovu (ukhoza kuchitika miyezi kapena zaka mutatha kumwa mankhwala anu omaliza)
Alemtuzumab ikhoza kuyambitsa zovuta zina. 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.
Zizindikiro za bongo zingaphatikizepo izi:
- kukhwimitsa pakhosi
- kuvuta kupuma
- chifuwa
- kuchepa pokodza
- kuvulaza kapena kutuluka mwachilendo
- mawanga ofiira kapena ofiira pakhungu
- khungu lotumbululuka
- kufooka
- kutopa kwambiri
- zilonda zapakhosi, malungo, kuzizira, ndi zizindikiro zina za matenda
- nseru
- kusanza
- ming'oma
- zidzolo
- kuyabwa
- kutupa kwa maso, nkhope, pakamwa, pakhosi, milomo, kapena lilime
- kuthamanga kapena kusakhazikika kwamtima
- kukomoka
- kupweteka pachifuwa
Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza jakisoni wa alemtuzumab.
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.
- Campath®