Kuchotsa

Zamkati

• Musanatenge deferiprone,
• Deferiprone itha kuyambitsa zovuta zina. 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:

Deferiprone itha kuchepetsa kuchuluka kwa maselo oyera am'magazi opangidwa ndi mafupa. Maselo oyera amathandiza thupi lanu kulimbana ndi matenda, choncho ngati muli ndi maselo oyera oyera ochepa, pali chiopsezo chachikulu chotenga matenda oopsa kapena owopsa. Uzani dokotala wanu za mankhwala onse omwe mukumwa, chifukwa kumwa mankhwala ena ndi deferiprone kungapangitse chiopsezo kuti kuchuluka kwanu kwama cell oyera kungachepe. Ngati mukukumana ndi zizindikiro zotsatirazi za matenda, lekani kumwa mankhwala otchedwa deferiprone ndipo muyimbireni foni nthawi yomweyo kapena mupeze chithandizo chadzidzidzi: malungo, zilonda zapakhosi, zilonda mkamwa, zizindikiro ngati chimfine, kuzizira, kapena kunjenjemera kwambiri.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso ena a labotale, kuphatikiza mayeso kuti muwone kuchuluka kwama cell anu musanamwe mankhwala komanso kamodzi pamlungu mukamalandira chithandizo.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi deferiprone 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 chiopsezo chotenga deferiprone.

Deferiprone imagwiritsidwa ntchito kuchotsa chitsulo chochulukirapo mthupi mwa anthu omwe alandila magazi ambiri kuti athe kuchiza thalassemia (cholowa chomwe chimayambitsa kuchuluka kwama cell ofiira) komanso omwe sanapindule ndi mankhwala ena achitsulo chowonjezera . Deferiprone ali mgulu la mankhwala otchedwa iron chelators. Imagwira ndikulumikiza chitsulo m'thupi kuti chitha kutulutsidwa (kuchotsedwa mthupi).

Deferiprone imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku, m'mawa, pakati pa tsiku, komanso madzulo. Deferiprone atha kumwa kapena wopanda chakudya, koma kumamwa ndikudya kungathandize kupewa kunyansidwa komwe kungachitike ndi mankhwala. Tengani deferiprone mozungulira nthawi imodzimodzi tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani deferiprone ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mlingo wanu uli ndi theka la piritsi, gawani piritsi mosamala pamalingo.

Dokotala wanu amatha kusintha mlingo wanu wa deferiprone miyezi iwiri kapena itatu iliyonse kutengera zotsatira za mayeso anu a labotale.

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

Musanatenge deferiprone,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la deferiprone, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a deferiprone. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchula okodzetsa (mapiritsi amadzi). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa maantacid, ma multivitamini, kapena ayironi kapena zinc zowonjezerapo, tengani maola 4 musanadye or 4 maola mutamwa deferiprone.
• uzani dokotala wanu za mankhwala omwe mumamwa, makamaka nthula yamkaka.
• auzeni adotolo ngati mwakhala ndi nthawi yayitali ya QT (vuto losowa la mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), kugunda kwamtima pang'ono, mtima kulephera kapena mavuto ena amtima, potaziyamu kapena magnesium wochepa m'magazi anu, kapena matenda a impso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Muyenera kugwiritsa ntchito njira zakulera kuti musakhale ndi pakati mukamalandira chithandizo cha deferiprone. Lankhulani ndi dokotala wanu za njira yolerera yomwe muyenera kugwiritsa ntchito. Mukakhala ndi pakati mukatenga deferiprone, itanani dokotala wanu mwachangu. Deferiprone itha kuvulaza mwana wosabadwayo.

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.

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

• nseru
• kusanza
• kutentha pa chifuwa
• kupweteka m'mimba
• kutsegula m'mimba
• kuchuluka kapena kuchepa kwa njala
• kunenepa
• kupweteka kwa mikono, miyendo, kumbuyo kapena mafupa
• mutu
• mkodzo wofiira kapena wabulauni

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• mawanga ofiira ofiira kapena zotupa, makamaka kumapeto kwa thupi
• ming'oma
• kutupa kuzungulira maso
• kuthamanga kapena kugunda kwamtima
• chizungulire
• wamisala
• kukomoka
• kugwidwa

Deferiprone 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 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 ndi labotale. Dokotala wanu amalamula mayeso a labu kuti muwone kuyankha kwa thupi lanu ku deferiprone.

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.

• Alireza