Melphalan jekeseni

Zamkati

• Asanalandire jakisoni wa melphalan,
• Jekeseni wa Melphalan ingayambitse 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:

Melphalan jekeseni ayenera kuperekedwa kokha moyang'aniridwa ndi dokotala wodziwa kugwiritsa ntchito mankhwala a chemotherapy.

Melphalan imatha kutsitsa kwambiri kuchuluka kwama cell am'mafupa anu. Izi zitha kuyambitsa zizindikilo zina ndipo zitha kuonjezera chiopsezo kuti mutenga matenda akulu kapena magazi. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda; kutuluka mwachilendo kapena kuvulala; wamagazi kapena wakuda, malo obisalira; kusanza kwamagazi; kapena kusanza magazi kapena zinthu zofiirira zomwe zikufanana ndi khofi.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula kuyesedwa kwa labotale nthawi zonse musanachitike komanso mukamalandira chithandizo kuti muwone ngati maselo anu akukhudzidwa ndi mankhwalawa.

Melphalan ikhoza kuonjezera chiopsezo kuti mudzadwala khansa zina. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito melphalan.

Jekeseni wa Melphalan imagwiritsidwa ntchito pochiza ma myeloma angapo (mtundu wa khansa ya m'mafupa). Jekeseni wa Melphalan uyenera kugwiritsidwa ntchito pochiza anthu omwe sangathe kutenga melphalan pakamwa. Melphalan ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira ntchito poletsa kapena kuchepetsa kukula kwa maselo a khansa mthupi lanu.

Jekeseni wa Melphalan umabwera ngati ufa wosakanikirana ndi madzi kuti ubayike pang'onopang'ono kudzera mumitsempha (mu mtsempha) kupitilira mphindi 15 mpaka 30 ndi dokotala kapena namwino kuchipatala. Nthawi zambiri amaperekedwa kamodzi pamasabata awiri pamiyeso inayi kenako, kamodzi pakatha milungu inayi. Kutalika kwa chithandizo kumadalira momwe thupi lanu limayankhira kuchipatala.

Dokotala wanu angafunikire kuchedwetsa chithandizo chanu kapena kusintha mlingo wanu ngati mukukumana ndi zovuta zina. Ndikofunika kuti muuze dokotala momwe mukumvera mukamalandira melphalan

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

Asanalandire jakisoni wa melphalan,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi melphalan, mankhwala ena aliwonse, kapena zina zilizonse zopangira jakisoni wa melphalan. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• 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: carmustine (BICNU, BCNU), cisplatin (Platinol AQ), cyclosporine (Sandimmune, Gengraf, Neoral), kapena interferon alfa (Intron A, Infergen, Alferon N).
• uzani adotolo ngati mudamwapo kale, koma khansa yanu sinayankhe mankhwalawo. Dokotala wanu mwina sakufuna kuti mulandire jakisoni wa melphalan.
• uzani dokotala wanu ngati mwalandira mankhwala a radiation kapena chemotherapy ina posachedwa kapena ngati mwakhalapo ndi matenda a impso.
• muyenera kudziwa kuti melphalan imatha kusokoneza msambo mwa azimayi ndipo imatha kuimitsa umuna mwa amuna kwakanthawi kochepa kapena kosatha. Melphalan itha kubweretsa kusabereka (zovuta kukhala ndi pakati); komabe, simuyenera kuganiza kuti simungatenge mimba kapena kuti simungapatse wina mimba. Azimayi omwe ali ndi pakati kapena akuyamwitsa ayenera kuuza madokotala awo asanayambe kumwa mankhwalawa. Simuyenera kukonzekera kukhala ndi ana kapena kuyamwitsa mukalandira chemotherapy kapena kwakanthawi mutalandira chithandizo. (Lankhulani ndi dokotala wanu kuti mumve zambiri.) Gwiritsani ntchito njira yodalirika yolerera popewa kutenga pakati. Melphalan itha kuvulaza mwana wosabadwayo.
• mulibe katemera popanda kulankhula ndi dokotala.

Jekeseni wa Melphalan ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kusowa chilakolako kapena kunenepa
• kutsegula m'mimba
• zilonda mkamwa ndi pakhosi
• osasamba msambo (mwa atsikana ndi akazi)
• kutayika tsitsi
• kutentha ndi / kapena kumva kulasalasa

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

• kupweteka, kuyabwa, kufiira, kutupa, matuza, kapena zilonda m'malo omwe munabayidwa mankhwala
• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• khungu lotumbululuka
• kutopa kapena kufooka kosazolowereka
• kukomoka
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kupweteka pachifuwa
• chikasu cha khungu kapena maso
• kupweteka kumtunda chakumanja kwam'mimba
• mkodzo wachikuda
• ziphuphu zachilendo kapena misa

Jekeseni wa Melphalan ingayambitse 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).

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:

• nseru kwambiri
• kusanza kwambiri
• kutsegula m'mimba kwambiri
• zilonda mkamwa ndi pakhosi
• wakuda, wodikira, kapena chimbudzi chamagazi
• masanzi amagazi kapena zinthu zosanza zomwe zimawoneka ngati malo a khofi
• kuvulaza kapena kutuluka mwachilendo
• kugwidwa
• kuchepa chikumbumtima
• kutaya mphamvu yosuntha minofu ndikumverera gawo la thupi

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.

• Alkeran^® Jekeseni

• Phenylalanine mpiru