Vismodegib

Zamkati

• Musanatenge vismodegib,
• Vismodegib itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

Kwa odwala onse:

Vismodegib sayenera kutengedwa ndi amayi omwe ali ndi pakati kapena omwe angakhale ndi pakati. Pali chiopsezo kuti vismodegib itha kutaya mimba kapena ipangitse mwanayo kuti abadwe wopunduka (mavuto amthupi omwe amapezeka pakubadwa).

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Chithandizo cha Mankhwala) mukayamba mankhwala ndi vismodegib ndipo nthawi iliyonse mukadzaza 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 pitani patsamba la wopanga kuti mupeze Medication Guide.

Osapereka magazi mukamamwa vismodegib komanso kwa miyezi 7 mutalandira chithandizo.

Osagawana vismodegib ndi wina aliyense, ngakhale munthu yemwe ali ndi zisonyezo zomwezo zomwe muli nazo.

Lankhulani ndi dokotala wanu za chiopsezo chotenga vismodegib.

Kwa odwala achikazi:

Ngati mutha kutenga pakati, muyenera kupewa kutenga mimba mukamalandira vismodegib. Muyenera kukhala ndi mayeso olakwika okhudzana ndi pakati pasanathe sabata imodzi mutangoyamba kulandira chithandizo. Muyenera kugwiritsa ntchito njira zovomerezeka zolerera mukamalandira chithandizo komanso kwa miyezi 7 mutalandira mankhwala. Dokotala wanu angakuuzeni mitundu ya njira zolerera zovomerezeka.

Ngati mukuganiza kuti muli ndi pakati, mumasowa msambo, kapena mumagonana popanda kugwiritsa ntchito njira zakulera mukamamwa vismodegib kapena patatha miyezi 7 mutalandira chithandizo, pitani kuchipatala msanga.

Kwa odwala amuna:

Muyenera kugwiritsa ntchito kondomu nthawi zonse mukamagonana ndi mayi yemwe ali ndi pakati kapena wokhoza kutenga pakati mukamamwa vismodegib komanso kwa miyezi itatu mutalandira chithandizo. Izi zimafunikira ngakhale mutakhala ndi vasectomy (opareshoni yoteteza umuna kuti usatuluke mthupi lanu ndikupangitsa kutenga pakati). Uzani dokotala wanu nthawi yomweyo ngati mwagonana mosadziteteza ndi mayi yemwe angatenge pakati kapena ngati mukuganiza pazifukwa zilizonse kuti mnzanu ali ndi pakati.

Osapereka umuna mukamamwa vismodegib komanso kwa miyezi itatu mutalandira chithandizo.

Vismodegib imagwiritsidwa ntchito pochizira basal cell carcinoma (mtundu wa khansa yapakhungu) mwa anthu omwe ali ndi khansa yomwe yafalikira mbali zina za thupi. Vismodegib imagwiritsidwanso ntchito pochizira basal cell carcinoma yomwe singachiritsidwe ndi opareshoni kapena radiation kapena yabweranso pambuyo pochitidwa opaleshoni. Vismodegib ali mgulu la mankhwala otchedwa hedgehog pathway inhibitors. Zimagwira ntchito poletsa ntchito ya puloteni yomwe imafotokoza kuti maselo a khansa achulukane. Izi zimathandiza kuletsa kapena kuchepetsa kufalikira kwa maselo a khansa ndipo zitha kuthandiza kuchepa kwa zotupa.

Vismodegib imabwera ngati kapisozi wotenga pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Kukuthandizani kukumbukira kukumbukira kutenga vismodegib, tengani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani vismodegib ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse; osagawana, kutafuna, kapena kuwaphwanya.

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

Musanatenge vismodegib,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la vismodegib, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a vismodegib. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maantacid; maantibayotiki ena monga azithromycin (Z-Pak, Zithromax), clarithromycin (Biaxin, ku Prevpac), ndi erythromycin (EES, Eryc, Ery-Tab, Erythrocin, PCE); mankhwala a kudzimbidwa, kutentha pa chifuwa, kapena zilonda monga cimetidine (Tagamet), famotidine (Pepcid), ndi ranitidine (Zantac); ndi proton-pump inhibitors monga dexlansoprazole (Dexilant), lansoprazole (Prevacid, ku Prevpac), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), ndi rabeprazole (AcipHex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi vismodegib, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• osamwa mkaka pamene mukumwa vismodegib komanso kwa miyezi 7 mutalandira chithandizo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Vismodegib itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutuluka kwa minofu
• kupweteka pamodzi
• kutopa
• kutayika tsitsi
• kusintha momwe zinthu zimalawira kapena kutayika kwa kukoma
• kuchepa kudya
• kuonda
• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• anasiya kusamba

Vismodegib itha 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri 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

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.

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.

• Kutulutsidwa^®