Everolimus

Zamkati

• Musanatenge everolimus,
• Everolimus ikhoza kuyambitsa zovuta. 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:

Kutenga everolimus kumachepetsa kuthekera kwanu kothana ndi matenda kuchokera ku mabakiteriya, mavairasi, ndi bowa ndikuwonjezera chiopsezo kuti mutenga matenda owopsa kapena owopsa. Ngati mudakhala ndi hepatitis B (mtundu wa matenda a chiwindi) m'mbuyomu, matenda anu amatha kugwira ntchito ndipo mutha kukhala ndi zizindikilo mukamachiza ndi everolimus. Uzani dokotala wanu ngati mwakhalapo ndi matenda a chiwindi a B kapena ngati muli kapena mukuganiza kuti mungakhale ndi matenda aliwonse pano. Uzani dokotala wanu komanso wamankhwala ngati mukumwa mankhwala ena omwe amaletsa chitetezo chamthupi monga azathioprine (Imuran), cyclosporine (Gengraf, Neoral, Sandimmune), dexamethasone (Decadron, Dexpak), methotrexate (Rheumatrex, Trexall), prednisolone (Orapred, Pediapred, Prelone), prednisone (Sterapred), sirolimus (Rapamune), ndi tacrolimus (Prograf). Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kutopa kwambiri; chikasu cha khungu kapena maso; kusowa chilakolako; nseru; kupweteka pamodzi; mkodzo wamdima; mipando yotumbululuka; kupweteka kumtunda chakumanja kwam'mimba; zidzolo; kukodza kovuta, kowawa, kapena pafupipafupi; khutu kupweteka kapena ngalande; nkusani kupweteka ndi kuthamanga; kapena zilonda zapakhosi, chifuwa, malungo, kuzizira, kusamva bwino kapena zizindikilo zina za matenda.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena kuti aone momwe thupi lanu likuyankhira ku everolimus.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide [Zortress] kapena kapepala kodziwitsa odwala [Afinitor, Afinitor Disperz]) mukayamba kulandira mankhwala ndi everolimus ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kwa kutenga everolimus.

Kwa odwala omwe akutenga everolimus kuti ateteze kukanidwa:

Muyenera kutenga everolimus moyang'aniridwa ndi dokotala yemwe amadziwa bwino kusamalira odwala ndikupatsanso mankhwala omwe amaletsa chitetezo chamthupi.

Chiwopsezo chokhala ndi khansa, makamaka lymphoma (khansa ya gawo limodzi lama chitetezo cha mthupi) kapena khansa yapakhungu imawonjezeka mukamalandira everolimus. Uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi khansa yapakhungu kapena ngati muli ndi khungu loyera. Pofuna kuchepetsa chiopsezo cha khansa yapakhungu, konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwa nthawi yayitali (mabedi ofufuta ndi zowunikira) komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zotchingira dzuwa mukamalandira chithandizo. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: malo ofiira, otukuka, kapena opaka pakhungu; zilonda zatsopano, zotupa, kapena kusintha pakhungu; zilonda zosachiritsa; ziphuphu kapena misa paliponse mthupi lanu; kusintha kwa khungu; thukuta usiku; zotupa zotupa m'khosi, kukhwapa, kapena kubuula; kuvuta kupuma; kupweteka pachifuwa; kapena kufooka kapena kutopa komwe sikutha.

Kutenga everolimus kumachulukitsa chiopsezo choti mungakhale ndi matenda ena ochepa kwambiri, kuphatikiza kachilombo ka BK virus, kachilombo koopsa komwe kangawononge impso ndikupangitsa impso zosungidwa), komanso kupita patsogolo kwa leukoencephalopathy (PML; Matenda aubongo omwe sangachiritsidwe, kupewedwa, kapena kuchiritsidwa ndipo zomwe zimayambitsa imfa kapena kulumala kwakukulu). Itanani dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zotsatirazi za PML: kufooka mbali imodzi ya thupi yomwe imakulirakulira pakapita nthawi; kuphwanya kwa manja kapena miyendo; Kusintha kalingaliridwe kanu, kuyenda, kulinganiza, kulankhula, maso, kapena nyonga zomwe zimatenga masiku angapo; mutu; kugwidwa; chisokonezo; kapena kusintha kwa umunthu.

Everolimus imatha kuyambitsa magazi m'mitsempha yama impso anu osungidwa. Izi zikuyenera kuchitika mkati mwa masiku 30 oyamba mutakhazikitsa impso zanu ndipo zitha kupangitsa kuti kumuika kusapambane. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kupweteka m'mimba mwanu, kumbuyo kumbuyo, mbali, kapena m'mimba; kuchepa kukodza kapena kusakodza; magazi mkodzo wanu; mkodzo wakuda; malungo; nseru; kapena kusanza.

Kutenga everolimus kuphatikiza ndi cyclosporine kumatha kuwononga impso zanu. Pofuna kuchepetsa izi, dokotala wanu adzasintha mlingo wa cyclosporine ndikuwunika kuchuluka kwa mankhwala ndi momwe impso zanu zikugwirira ntchito. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kuchepa pokodza kapena kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi.

M'maphunziro azachipatala, anthu ambiri omwe adatenga everolimus adamwalira miyezi ingapo atalandilidwa mtima kuposa anthu omwe sanatenge everolimus. Ngati mwalandira mtima, kambiranani ndi dokotala wanu za kuopsa kwa kutenga everolimus.

Everolimus (Afinitor) amagwiritsidwa ntchito pochiza renal cell carcinoma (RCC; khansa yomwe imayamba mu impso) yomwe idachiritsidwa kale ndi mankhwala ena. Everolimus (Afinitor) imagwiritsidwanso ntchito pochiza khansa yam'mawere yamtundu wapamwamba yomwe idapatsidwa kale ndi mankhwala ena amodzi. Everolimus (Afinitor) imagwiritsidwanso ntchito kuthana ndi khansa yamtundu winawake wam'mimba, m'mimba, m'matumbo, kapena m'mapapo omwe afalikira kapena kupita patsogolo ndipo sangachiritsidwe ndi opaleshoni. Everolimus (Afinitor) imagwiritsidwanso ntchito pochizira zotupa za impso mwa anthu omwe ali ndi tuberous sclerosis complex (TSC; chibadwa chomwe chimayambitsa zotupa kukula m'matumba ambiri). Everolimus (Afinitor ndi Afinitor Disperz) imagwiritsidwanso ntchito kuthana ndi subependymal giant cell astrocytoma (SEGA; mtundu wa chotupa chaubongo) mwa akulu ndi ana azaka 1 zakubadwa kapena kupitilira omwe ali ndi TSC. Everolimus (Afinitor Disperz) imagwiritsidwanso ntchito limodzi ndi mankhwala ena kuti athetse matenda ena mwa achikulire ndi ana azaka ziwiri kapena kupitilira apo omwe ali ndi TSC. Everolimus (Zortress) imagwiritsidwa ntchito ndi mankhwala ena kupewa kupewetsa kukanidwa (kuwukira kwa chiwalo choikidwa ndi chitetezo cha mthupi cha munthu amene adalandira chiwalo) mwa achikulire ena omwe alandila impso. Everolimus ali mgulu la mankhwala otchedwa kinase inhibitors. Everolimus amachiza khansa poletsa ma cell a khansa kuti asaberekane komanso pochepetsa magazi m'maselo a khansa. Everolimus imalepheretsa kukanidwa kukana mwa kuchepa kwa chitetezo cha mthupi.

Everolimus imabwera ngati piritsi kuti itenge pakamwa komanso ngati piritsi loyimitsa m'madzi ndikumwa. Pamene everolimus amatengedwa kuti athetse zotupa za impso, SEGA, kapena kugwidwa ndi anthu omwe ali ndi TSC; RCC; kapena khansa ya m'mawere, kapamba, m'mimba, m'matumbo, kapena m'mapapo, imangotengedwa kamodzi patsiku. Ma everolimus akatengedwa kuti ateteze kukanidwa, nthawi zambiri amatengedwa kawiri patsiku (maola 12 aliwonse) nthawi yomweyo cyclosporine. Everolimus nthawi zonse imayenera kutengedwa ndi chakudya kapena nthawi zonse yopanda chakudya. Tengani ma everolimus mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani everolimus ndendende monga mwalamulidwa. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mapiritsi a Everolimus amakhala ndi mapaketi omwe amatha kutsegulidwa ndi lumo. Musatsegule chithuza mpaka mutakonzeka kumeza piritsi lomwe lili.

Muyenera kumwa mapiritsi a everolimus kapena mapiritsi a everolimus oyimitsidwa pakamwa. Osatenga kuphatikiza zinthu zonsezi.

Pewani mapiritsi athunthu ndi madzi athunthu; osagawana, kutafuna, kapena kuwaphwanya. Osamwa mapiritsi omwe aphwanyidwa kapena osweka. Uzani dokotala wanu kapena wamankhwala ngati simungathe kumeza mapiritsi athunthu.

Ngati mukumwa mapiritsiwa poyimitsa pakamwa (Afinitor Disperz), muyenera kuwasakaniza ndi madzi musanagwiritse ntchito. Osameza mapiritsi athunthu, komanso osasakaniza ndi madzi kapena madzi ena kupatula madzi. Musakonzekere chisakanizo kuposa mphindi 60 musanakonzekere kuchigwiritsa ntchito, ndikuchotsani chisakanizocho ngati sichikugwiritsidwa ntchito patadutsa mphindi 60. Osakonzekera mankhwalawo pamalo omwe mumagwiritsa ntchito pokonzekera kapena kudya chakudya. Ngati mukukonzekera mankhwalawa kwa wina aliyense, muyenera kuvala magolovesi kuti mupewe kukhudzana ndi mankhwalawo. Ngati muli ndi pakati kapena mukufuna kutenga pakati, muyenera kupewa kukonzekera mankhwalawa kwa wina, chifukwa kulumikizana ndi everolimus kumatha kuvulaza mwana wanu wosabadwa.

Mutha kusakaniza mapiritsi oyimitsidwa pakamwa mu syringe yapakamwa kapena mugalasi yaying'ono. Kuti mukonzekere chisakanizo cha m'kamwa, chotsani chojambulacho kuchokera mu syringe ya mkamwa ya 10-mL ndikuyika kuchuluka kwa mapiritsi mu barre la syringe osaphwanya kapena kuphwanya mapiritsiwo. Mutha kukonzekera mpaka 10 mg ya everolimus mu syringe nthawi imodzi, chifukwa chake ngati mulingo wanu ndi woposa 10 mg, muyenera kuikonza mu sirinji yachiwiri. Sinthani plunger mu syringe ndikujambula madzi okwanira 5 mL ndi 4 ml ya mpweya mu syringe ndikuyika syringe mu chidebe ndi nsonga yakolozera. Dikirani mphindi zitatu kuti mapiritsi ayimitsidwe. kenaka nyamulani jekeseniyo ndikuthira pansi ndikutsitsa kasanu. Ikani syringe m'kamwa mwa wodwalayo ndikukankhira plunger kuti apereke mankhwala. Wodwala akameza mankhwalawo, tsitsani syringe yomweyi ndi 5 mL yamadzi ndi 4 mL ya mpweya ndikutulutsa syringe kutsuka tinthu tomwe tili mu syringe. Perekani izi kwa wodwalayo kuti awonetsetse kuti alandila mankhwala onse.

Kuti mukonzekere chisakanizocho mugalasi, ikani kuchuluka kwa mapiritsi mu kapu yaying'ono yakumwa yomwe imakhala yosaposa 100 mL (pafupifupi ma ola atatu) osaphwanya kapena kuthyola mapiritsi. Mutha kukonzekera mpaka 10 mg ya everolimus mugalasi nthawi imodzi, chifukwa chake ngati mulingo wanu ndi woposa 10 mg, muyenera kukonzekera mugalasi yachiwiri. Onjezerani 25 mL (pafupifupi 1 ounce) la madzi pagalasi. Dikirani mphindi zitatu kenako modekha musakanize ndi supuni. Muuzeni wodwalayo zakumwa zonsezo nthawi yomweyo. Onjezerani madzi ena 25 ml ku galasi ndikuyambitsa ndi supuni yomweyo kutsuka tinthu tomwe tikadaligalasi. Muuzeni wodwalayo kuti amwe chisakanizo ichi kuti atsimikizire kuti amalandira mankhwala onse.

Dokotala wanu amatha kusintha mlingo wanu wa everolimus mukamalandira chithandizo kutengera zotsatira za kuyezetsa magazi, kuyankha kwanu mankhwala, zovuta zomwe mumakumana nazo, komanso kusintha kwa mankhwala ena omwe mumamwa ndi everolimus.Ngati mukumwa everolimus kuchiza SEGA kapena khunyu, dokotala wanu amakusinthirani mlingo osapitilira kamodzi pa sabata limodzi kapena awiri, ndipo ngati mukumwa everolimus kuti musatenge kukanidwa, dokotala wanu sangasinthe mulingo wanu kangapo kamodzi masiku 4 kapena 5 aliwonse. Dokotala wanu akhoza kuyimitsa chithandizo chanu kwakanthawi ngati mukumana ndi zovuta zina. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo cha everolimus.

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

Musanatenge everolimus,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi everolimus, sirolimus (Rapamune), temsirolimus (Torisel), mankhwala ena aliwonse, kapena chilichonse chopezeka m'mapiritsi a everolimus. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi zina mwa izi: ma enzyme otembenuza angiotensin (ACE) monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril ( Prinivil, Zestril), moexipril (Univasc) perindopril (Aceon), quinapril (Accupril), ramipril (Altace), kapena trandolapril (Mavik); amprenavir (Agenerase), atazanavir (Reyataz), aprepitant (Emend), carbamazepine (Carbatrol, Epitol, Tegretol), clarithromycin (Biaxin, ku Prevpac), digoxin (Digitek, Lanoxicaps, Lanoxin), diltiazem (Cardizem, Dichizaz, Cardizem, Dizazaz, Cardizem, Dizazaz, Cardizem efavirenz (ku Atripla, Sustiva), erythromycin (EES, E-Mycin, Erythrocin), fluconazole (Diflucan), fosamprenavir (Lexiva), indinavir (Crixivan), itraconazole (Sporanox), ketoconazole (Nizviraz), , nevirapine (Viramune), nicardipine (Cardene), phenobarbital (Luminal), phenytoin (Dilantin, Phenytek), rifabutin (Mycobutin), rifampin (Rifadin, ku Rifamate, ku Rifater), rifapentine (Priftint), ritonavir ), saquinavir (Invirase), telithromycin (Ketek), verapamil (Calan, Covera, Isoptin, Verelan) ndi voriconazole (Vfend). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi everolimus, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo ndi matenda ashuga kapena shuga wambiri; kuchuluka kwa cholesterol kapena triglycerides m'magazi anu; impso kapena matenda a chiwindi; kapena china chilichonse chomwe chimakulepheretsani kugaya zakudya zomwe zili ndi shuga, wowuma, kapena mkaka mwabwino.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati Ngati ndinu mayi amene mutha kutenga pakati, muyenera kugwiritsa ntchito njira yolerera munthawi ya chithandizo chanu komanso kwa masabata asanu ndi atatu mutalandira mankhwala. Ngati ndinu wamwamuna wokhala ndi mkazi yemwe angatenge mimba, muyenera kugwiritsa ntchito njira yolerera yothandiza panthawi yamankhwala anu komanso kwa masabata 4 mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Ngati inu kapena mnzanu mumakhala ndi pakati mukatenga everolimus, itanani dokotala wanu. Everolimus atha kuvulaza mwanayo. Uzani dokotala wanu ngati mukuyamwitsa. Musamwe mkaka mukamamwa mankhwala komanso kwa masabata awiri mutatha kumwa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa everolimus.
• mulibe katemera popanda kulankhula ndi dokotala. Mukamalandira chithandizo cha everolimus, muyenera kupewa kucheza kwambiri ndi anthu ena omwe atemeredwa kumene.
• lankhulani ndi dokotala wa mwana wanu za katemera yemwe mwana wanu angafunike kulandira asanayambe kulandira mankhwala ake ndi everolimus.
• muyenera kudziwa kuti mutha kukhala ndi zilonda kapena kutupa pakamwa panu mukamalandira mankhwala a everolimus, makamaka mkati mwa milungu isanu ndi itatu yoyamba yamankhwala. Mukayamba chithandizo ndi everolimus, adokotala amatha kukupatsani mankhwala otsuka mkamwa kuti muchepetse mwayi woti muzilonda zilonda mkamwa kapena zilonda ndikuchepetsa kukula kwake. Tsatirani malangizo a dokotala anu momwe mungagwiritsire ntchito kutsuka mkamwa. Uzani dokotala wanu ngati muli ndi zilonda kapena mukumva kupweteka pakamwa panu. Musagwiritse ntchito kutsuka mkamwa musanalankhule ndi dokotala kapena wamankhwala chifukwa mitundu ina yamkamwa yomwe imakhala ndi mowa, peroxide, ayodini, kapena thyme imatha kukulitsa zilonda ndi kutupa.
• muyenera kudziwa kuti mabala kapena mabala, kuphatikiza khungu lomwe limapangidwa ndikamubzala impso limatha kuchira pang'onopang'ono kuposa momwe zimakhalira kapena mwina silingachiritse bwino mukamalandira mankhwala a everolimus. Itanani dokotala wanu nthawi yomweyo ngati mdulidwe pakhungu lanu ndikumuika impso kapena chilonda china chilichonse chimakhala chotentha, chofiira, chopweteka, kapena chotupa; amadzaza magazi, madzimadzi, kapena mafinya; kapena kuyamba kutsegula.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukamamwa mankhwalawa.

Ngati mukukumbukira mlingo womwe mwaphonya pasanathe maola 6 kuchokera nthawi yomwe munayenera kumwa, tengani mlingo womwe mwaphonya nthawi yomweyo. Komabe, ngati maola opitilira 6 adutsa kuchokera nthawi yomwe idakonzedweratu, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Everolimus ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kudzimbidwa
• kusintha kwa kulawa chakudya
• kuonda
• pakamwa pouma
• kufooka
• mutu
• kuvuta kugona kapena kugona
• m'mphuno
• khungu lowuma
• ziphuphu
• mavuto ndi misomali
• kutayika tsitsi
• kupweteka kwa mikono, miyendo, kumbuyo kapena mafupa
• kukokana kwa minofu
• kusamba kosasamba kapena kosasamba
• kutuluka magazi msambo kolemera
• Kuvuta kupeza kapena kusunga erection
• nkhawa
• nkhanza kapena kusintha kwina pamakhalidwe

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

• ming'oma
• kuyabwa
• kutupa kwa manja, mapazi, mikono, miyendo, maso, nkhope, pakamwa, milomo, lilime, kapena pakhosi
• ukali
• kuvuta kupuma kapena kumeza
• kupuma
• kuchapa
• kupweteka pachifuwa
• ludzu kwambiri kapena njala
• kutuluka mwachilendo kapena kuphwanya
• khungu lotumbululuka
• kuthamanga kapena kusakhazikika kwamtima
• chizungulire
• kugwidwa

Everolimus ikhoza kuchepetsa kubereka mwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kwa kutenga everolimus.

Everolimus 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 mankhwalawa mu blister pack yomwe idabwera, yotsekedwa mwamphamvu, komanso yosafika kwa ana. Zisunge kutentha komanso kutalikirana ndi kutentha komanso kutentha kwambiri ndi chinyezi (osati kubafa). Sungani mapaketi a matuza ndi mapiritsi owuma.

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.

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.

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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