Sipuleucel-T jekeseni
Zamkati
- Asanalandire jakisoni wa sipuleucel-T,
- Sipuleucel-T jakisoni imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
Sipuleucel-T jekeseni imagwiritsidwa ntchito pochiza mitundu ina ya khansa ya prostate. Sipuleucel-T jakisoni ali mgulu la mankhwala otchedwa autologous cellular immunotherapy, mtundu wa mankhwala omwe amakonzedwa pogwiritsa ntchito maselo am'magazi a wodwalayo. Zimagwira ntchito poyambitsa chitetezo cha mthupi (gulu la maselo, zotupa, ndi ziwalo zomwe zimateteza thupi kuti lisagwidwe ndi mabakiteriya, mavairasi, ma cell a khansa, ndi zinthu zina zomwe zimayambitsa matenda) kulimbana ndi ma cell a khansa.
Sipuleucel-T jakisoni amabwera ngati kuyimitsidwa (madzi) kuti abayidwe pafupifupi mphindi 60 mumtsinje ndi dokotala kapena namwino muofesi ya udokotala kapena malo olowererapo. Nthawi zambiri amaperekedwa kamodzi pamasabata awiri pamlingo wokwanira atatu.
Pafupifupi masiku atatu isanakwane mlingo uliwonse wa jakisoni wa T-sipuleucel-T, nyemba zamagazi anu oyera zidzatengedwa kumalo osungira maselo pogwiritsa ntchito njira yotchedwa leukapheresis (njira yomwe imachotsa maselo oyera amthupi). Njirayi imatenga pafupifupi 3 mpaka 4 maola. Chitsanzocho chidzatumizidwa kwa wopanga ndikuphatikizidwa ndi puloteni kuti akonze jakisoni wa sipuleucel-T. Chifukwa mankhwalawa amapangidwa kuchokera m'maselo anu, ayenera kuperekedwa kwa inu nokha.
Lankhulani ndi dokotala wanu za momwe mungakonzekerere leukapheresis ndi zomwe muyenera kuyembekezera mukamachita izi. Dokotala wanu angakuuzeni zomwe muyenera kudya ndi kumwa komanso zomwe muyenera kupewa musanachitike. Mutha kukhala ndi zovuta zina, monga chizungulire, kutopa, kumenyedwa ndi zala kapena pakamwa, kumva kuzizira, kukomoka, ndi nseru panthawiyi. Mutha kumva kuti mwatopa pambuyo pochita izi, chifukwa chake mungafune kukonzekera wina woti akuperekezeni kunyumba.
Sipuleucel-T jekeseni iyenera kuperekedwa pasanathe masiku atatu kuchokera nthawi yomwe idakonzedwa. Ndikofunika kukhala munthawi yake komanso osaphonya nthawi iliyonse yomwe mwasankha kuti musonkhanitse maselo kapena kuti mulandire mankhwala aliwonse.
Sipuleucel-T jakisoni imatha kuyambitsa mavuto ena pakulowetsedwa komanso kwa mphindi 30 pambuyo pake. Dokotala kapena namwino adzakuwunikirani panthawiyi kuti awonetsetse kuti simukukhudzidwa ndi mankhwalawo. Mudzapatsidwa mankhwala ena mphindi 30 musanalowetsedwe kuti muchepetse kukhudzidwa ndi jakisoni wa sipuleucel-T. Uzani dokotala wanu kapena namwino nthawi yomweyo ngati mukukumana ndi izi: kunyansidwa, kusanza, kuzizira, malungo, kutopa kwambiri, chizungulire, kupuma movutikira, kugunda kwamtima kapena kosasinthasintha, kapena kupweteka pachifuwa.
Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanalandire jakisoni wa sipuleucel-T,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi jakisoni wa sipuleucel-T, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni ya sipuleucel-T. Funsani wamankhwala kapena dokotala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazopangira.
- 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: mankhwala ena omwe amakhudza chitetezo chamthupi monga azathioprine (Imuran); cyclosporine (Neoral, Sandimmune); mankhwala a khansa; methotrexate (Rheumatrex); mankhwala amlomo monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), prednisolone, ndi prednisone (Deltasone); mankhwala (Rapamune); ndi tacrolimus (Prograf).
- auzeni dokotala ngati mwadwalapo kapena munadwalapo matenda a mtima kapena a m'mapapo.
- muyenera kudziwa kuti sipuleucel-T imagwiritsidwa ntchito mwa amuna okha.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Ngati mwaphonya nthawi yodzasonkhanitsa maselo anu, muyenera kuyimbira dokotala wanu ndi malo osonkhanitsira nthawi yomweyo. Ngati mwaphonya nthawi kuti mulandire jakisoni wa sipuleucel-T, muyenera kuyimbira foni nthawi yomweyo. Mungafunike kubwereza njira yosonkhanitsira maselo anu ngati jakisoni wokonzekera wa sipuleucel-T utha ntchito musanapatsidwe.
Sipuleucel-T jakisoni imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kuzizira
- kutopa kapena kufooka
- mutu
- kupweteka kumbuyo kapena kumalumikizana
- kupweteka kwa minofu kapena kumangika
- kugwedezeka kosalamulirika kwa gawo lina la thupi
- thukuta
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kufiira kapena kutupa pafupi ndi malo pakhungu pomwe mudalandira kulowetsedwa kwanu kapena komwe maselo adasonkhanitsidwa
- malungo opitilira 100.4 ° F (38 ° C)
- mawu odekha kapena ovuta
- chizungulire mwadzidzidzi kapena kukomoka
- kufooka kapena kufooka kwa mkono kapena mwendo
- zovuta kumeza
- magazi mkodzo
Sipuleucel-T jakisoni ingayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi mavuto achilendo mukamalandira 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 nthawi yonse yokumana ndi dokotala wanu, malo osungira maselo, ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti aone momwe thupi lanu lingayankhire jekeseni wa sipuleucel-T.
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.
- Kudziteteza®