Peginterferon Alfa-2b jekeseni (Sylatron)

Zamkati

• Musanafike jekeseni wa peginterferon alfa-2b,
• Peginterferon alfa-2b jekeseni imatha kuyambitsa zovuta. 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:

Peginterferon alfa-2b jekeseni imapezekanso ngati chinthu china (PEG-Intron) chomwe chimagwiritsidwa ntchito kuchiza matenda a chiwindi a hepatitis C (kutupa kwa chiwindi chomwe chimayambitsidwa ndi kachilombo). Izi zimangopereka chidziwitso chokhudza jakisoni wa peginterferon alfa-2b (Sylatron) womwe umagwiritsidwa ntchito kuchepetsa mwayi woti khansa yoyipa ya khansa ibwererenso pambuyo pochita opaleshoni kuti ichotse. Ngati mukugwiritsa ntchito Peg-Intron, werengani monograph yomwe ili ndi mutu Peginterferon alfa-2b (PEG-Intron) kuti mudziwe zamalonda.

Kulandila jakisoni wa peginterferon alfa-2b kungakulitse chiopsezo choti mungakhale ndi mavuto azaumoyo kapena owopseza moyo, kuphatikiza kukhumudwa kwakukulu komwe kungakupangitseni kulingalira, kukonzekera, kapena kuyesa kudzivulaza kapena kudzipha; psychosis (zovuta kuganiza bwino, kumvetsetsa zenizeni, komanso kulumikizana ndikuchita moyenera); ndi encephalopathy (chisokonezo, zovuta zokumbukira, ndi zovuta zina zomwe zimayambitsidwa ndi ubongo wosagwira ntchito). Uzani dokotala wanu ngati mwakhalapo ndi matenda amisala kapena ngati mudaganizapo zodzivulaza kapena kudzipha. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kumva chisoni kapena kusowa chiyembekezo; kuganiza, kukonzekera, kapena kuyesa kudzipha kapena kudzivulaza; nkhanza; chisokonezo; mavuto okumbukira; kukwiya, chisangalalo chachilendo; kapena kuwona zinthu kapena kumva mawu omwe kulibe. Onetsetsani kuti achibale anu kapena omwe akukusamalirani amadziwa zomwe zitha kukhala zovuta kuti athe kupeza chithandizo chamankhwala ngati simungakwanitse kupita nokha.

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu adzafuna kulankhula nanu zaumoyo wanu kamodzi pamasabata atatu kumayambiriro kwa chithandizo chanu ndipo kamodzi pa miyezi isanu ndi umodzi pamene chithandizo chanu chikupitilira. Dokotala wanu angakuuzeni kuti musiye kugwiritsa ntchito jakisoni wa peginterferon alfa-2b mukakhala ndi zizindikilo za matenda amisala. Komabe, ngati mukukhala ndi mavuto amisala munthawi ya chithandizo chanu, mavutowa sangathere mukasiya kulandira mankhwala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi jekeseni wa peginterferon alfa-2b 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 kolandila jakisoni wa peginterferon alfa-2b.

Peginterferon alfa-2b jekeseni imagwiritsidwa ntchito kwa anthu omwe ali ndi khansa ya khansa (khansa yowopsa yomwe imayamba m'maselo ena akhungu) omwe achita opaleshoni kuti athetse khansayo. Mankhwalawa amagwiritsidwa ntchito pochepetsa mwayi woti khansa ya khansa ibwererenso ndipo iyenera kuyambitsidwa patatha masiku 84 kuchokera opaleshoniyi. Peginterferon alfa-2b jakisoni ali mgulu la mankhwala otchedwa interferon. Zimagwira ntchito poletsa kukula kwa maselo a khansa kuti achepetse mwayi wa khansa ya khansa yobwereranso.

Peginterferon alfa-2b jakisoni amabwera ngati ufa wosakanikirana ndi madzi omwe amaperekedwa ndikujambulira subcutaneously (pansi pa khungu). Nthawi zambiri amabayidwa kamodzi pa sabata kwa zaka zisanu. Jekeseni jekeseni wa peginterferon alfa-2b tsiku lomwelo sabata iliyonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito jakisoni wa peginterferon alfa-2b ndendende momwe mwalangizira. Osabaya jakisoni wochulukirapo kapena kumubaya nthawi zambiri kuposa momwe adanenera.

Dokotala wanu mwina angakuyambitseni mlingo waukulu wa jakisoni wa peginterferon alfa-2b ndikuchepetsa mlingo wanu pakatha masabata asanu ndi atatu. Dokotala wanu amathanso kuchepetsa mlingo wanu kapena angakuuzeni kuti musiye kugwiritsa ntchito jakisoni wa peginterferon alfa-2b kwakanthawi kapena kosatha ngati mungakhale ndi zovuta zina.

Pitirizani kugwiritsa ntchito jekeseni wa peginterferon alfa-2b ngakhale mukumva bwino. Osasiya kugwiritsa ntchito jakisoni wa peginterferon alfa-2b osalankhula ndi dokotala.

Mutha kudzipatsa jekeseni wa peginterferon alfa-2b nokha kapena ngati mnzanu kapena wachibale akupatsani jakisoni. Inu ndi munthu amene mukubaya mankhwalawo muyenera kuwerenga malangizo a wopanga kuti musakanize ndi kubaya mankhwala musanagwiritse ntchito koyamba kunyumba. Funsani dokotala wanu kuti akuwonetseni kapena munthu yemwe ati adzalandire peginterferon alfa-2b momwe mungasakanizire ndi jekeseni wake.

Peginterferon alfa-2b amabwera mu chida chomwe chimaphatikizapo ma syringe ofunikira kusakaniza ndi kubaya mankhwala. Musagwiritse ntchito syringe yamtundu wina uliwonse kusakaniza kapena kubaya mankhwala anu. Osagawana kapena kugwiritsanso ntchito ma syringe omwe amabwera ndi mankhwala anu. Kutaya singano, majakisoni, ndi Mbale mu chidebe chosagundika mukazigwiritsa ntchito kamodzi. Funsani dokotala wanu kapena wamankhwala momwe mungatherere chidebe chosagwira mankhwala.

Yang'anani botolo la peginterferon alfa-2b musanakonzekere mlingo wanu. Onetsetsani kuti lalembedwa ndi dzina lolondola ndi mphamvu ya mankhwala ndi tsiku lomaliza ntchito lomwe silinadutse. Mankhwala omwe ali mumtsukowo angawoneke ngati piritsi loyera kapena loyera, kapena piritsi likhoza kuthyoledwa mzidutswa kapena ufa. Ngati mulibe mankhwala oyenera, mankhwala anu atha ntchito, kapena sakuwoneka momwe akuyenera, itanani wamankhwala wanu osagwiritsa ntchito vial.

Muyenera kusakaniza botolo limodzi la peginterferon alfa-2b panthawi imodzi. Ndibwino kusakaniza mankhwala musanakonzekere. Komabe, mutha kusakaniza mankhwalawa pasadakhale, ndikusunga mufiriji, ndikugwiritsa ntchito maola 24. Ngati mukufuna kusungitsa mankhwala anu m'firiji, onetsetsani kuti mumachotsa mufiriji ndikulola kuti ifike kutentha musanayibaye.

Mutha kubaya paliponse pa ntchafu yanu, kunja kwa mikono yanu, kapena m'mimba mwanu kupatula malo oyandikira panyanja kapena m'chiuno mwanu. Ngati muli wochepa thupi kwambiri, simuyenera kubayira mankhwala m'mimba mwanu. Sankhani malo atsopano nthawi iliyonse mukabaya mankhwala anu. Osalowetsa malo aliwonse okwiya, ofiira, otunduka, kapena opatsirana kapena omwe ali ndi zipsera, zotupa, kapena zotambasula.

Mutha kukhala ndi zizindikilo zonga chimfine monga kutentha thupi, kuzizira, kupweteka kwa minofu, kupweteka kwa mafupa, kutopa, ndi kupweteka mutu mukatha jekeseni wa peginterferon alfa-2b. Dokotala wanu angakuuzeni kuti mutenge acetaminophen (Tylenol) mphindi 30 musanafike jakisoni wanu woyamba ndipo mwina musanabayire jekeseni wanu wotsatira wa peginterferon alfa-2b. Kubaya jekeseni wa mankhwala musanagone kungathandizenso kuchepetsa izi. Onetsetsani kuti mumamwa madzi ambiri ngati mukumva ngati chimfine.

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

Musanafike jekeseni wa peginterferon alfa-2b,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la peginterferon alfa-2b jekeseni (PegIntron, Sylatron), interferon alfa-2b (Intron), mankhwala ena aliwonse, kapena zosakaniza zilizonse za peginterferon alfa-2b jekeseni. 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: amitriptyline, aripiprazole (Abilify), celecoxib (Celebrex), clomipramine (Anafranil), codeine, desipramine (Norpramin), dextromethorphan (mu chifuwa ndi mankhwala ozizira, ku Nuedexta), diclofenac (Cambia, Cataflam , Flector, Voltaren, ena), duloxetine (Cymbalta), flecainide (Tambocor), fluvastatin (Lescol), glipizide (Glucotrol), haloperidol (Haldol), ibuprofen (Motrin), imipramine (Tofranil), irbesartan (Avapro), Cozaar), mexiletine, naproxen (Anaprox, Naprosyn), ondansetron (Zofran), paroxetine (Paxil, Pexeva), phenytoin (Dilantin), piroxicam (Feldene), propafenone (Rhythmol), risperidone (Risperdal), rosigandia (ku Bactrim, mu Septra), tamoxifen, thioridazine, timolol, tolbutamide, torsemide, tramadol (Conzip, Ultram, Ryzolt), venlafaxine (Effexor), ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mudakhalapo ndi hepatitis yokhayokha (momwe maselo amthupi amatetezera chiwindi) kapena kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha mankhwala kapena matenda. Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa peginterferon alfa-2b.
• uzani adotolo ngati munagwiritsapo ntchito mankhwala osokoneza bongo am'mbali kapena mankhwala ogwiritsidwa ntchito mopitirira muyeso ndipo ngati mwakhalapo kapena munakhalapo ndi matenda opatsirana pogonana (kuwonongeka kwa maso chifukwa cha matenda ashuga kapena matenda ena), matenda ashuga, kapena matenda a chithokomiro.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga jakisoni wa peginterferon alfa-2b, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Funsani dokotala wanu zomwe muyenera kuchita ngati mwaphonya mlingo. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya.

Peginterferon alfa-2b jekeseni imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chizungulire
• kutsegula m'mimba
• nseru
• kusanza
• mavuto ndi kulawa kapena kununkhiza
• kusowa chilakolako
• dzanzi, kuwotcha, kapena kulira kwa mikono, manja, miyendo, kapena mapazi
• chifuwa
• zidzolo
• kutayika tsitsi

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

• kuthamanga kapena kusakhazikika kwamtima
• kupweteka pachifuwa
• kuvuta kupuma
• chikasu cha khungu kapena maso
• kutupa kwa m'mimba
• zovuta kulingalira
• Kumva kuzizira kapena kutentha nthawi zonse
• kunenepa kapena kutayika
• ludzu lowonjezeka
• kuchuluka kukodza
• mpweya wabwino
• kuchepa kapena kusawona bwino

Peginterferon alfa-2b jakisoni imatha 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. Sungani mbale zosasakanikirana zamankhwala kutentha komanso kutentha pang'ono ndi chinyezi (osati kubafa). Sungani mankhwala omwe asakanizidwa mufiriji ndikugwiritsa ntchito mkati mwa maola 24. Musalole kuti mankhwalawo azizire.

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.

Zizindikiro za bongo zingaphatikizepo:

• kutopa kwambiri
• mutu
• kupweteka kwa minofu
• zilonda zapakhosi, malungo, kuzizira, ndi zizindikiro zina za matenda
• kuvulaza kapena kutuluka mwachilendo

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu musanamwe komanso mukamalandira chithandizo.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Sylatron^®