Enzalutamide

Zamkati

• Musanatenge enzalutamide,
• Enzalutamide imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Enzalutamide amagwiritsidwa ntchito pochiza khansa ya prostate yomwe yafalikira mbali zina za thupi mwa amuna ndipo omwe athandizidwa ndi mankhwala ndi opaleshoni omwe amachepetsa ma testosterone. Amagwiritsidwanso ntchito pochiza khansa ya prostate mwa amuna omwe sanathandizidwe ndi mankhwala ndi maopaleshoni omwe amachepetsa ma testosterone. Enzalutamide ali mgulu la mankhwala otchedwa androgen receptor inhibitors. Zimagwira ntchito poletsa zotsatira za androgen (mahomoni oberekera amuna) kuti athetse kukula ndi kufalikira kwa maselo a khansa.

Enzalutamide amabwera ngati piritsi kapena kapisozi kuti atenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Tengani enzalutamide mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani enzalutamide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi kapena makapisozi lonse; osaphwanya, kutafuna, kugawaniza, kusungunula, kapena kutsegula.

Dokotala wanu angakuuzeni kuti musiye kumwa enzalutamide kwakanthawi kochepa kapena muchepetse mlingo wanu ngati mutakumana ndi zovuta zina mukamalandira chithandizo. Onetsetsani kuti mwalankhula ndi adotolo momwe mukumvera mukamalandira enzalutamide.

Ngati dokotala wanu wakulemberani mankhwala ena monga degarelix (Firmagon), goserelin (Zoladex), histrelin (Supprelin LA, Vantas), leuprolide (Eligard, Lupron, ku Lupaneta Pack), kapena triptorelin (Trelstar, Triptodur) yothandizira khansa ya prostate , muyenera kupitiriza kulandira mankhwalawa mukamalandira enzalutamide.

Pitirizani kutenga enzalutamide ngakhale mukumva bwino. Osasiya kumwa enzalutamide osalankhula ndi dokotala.

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.

Musanatenge enzalutamide,

• auzeni adotolo komanso asayansi yanu ngati muli ndi vuto la enzalutamide, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a enzalutamide kapena makapisozi. Funsani wamankhwala wanu kapena onani zambiri za wopanga kuti adziwe mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, ndi zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin, Jantoven), carbamazepine (Carbatrol, Equetro, Tegretol, ena), clopidogrel (Plavix), cyclosporine (Gengraf, Neoral, Sandimmune), dihydroergotamine (DHE 45, Migranal), ergotamine (ku Migergot, ku Cafergot), fentanyl (Actiq, Duragesic, Fentora, Subsys, ena), gemfibrozil (Lopid), itraconazole (Onmel, Sporanox), omeprazole (Prilose , phenytoin (Dilantin, Phenytek), pimozide (Orap), quinidine (ku Nuedexta), rifabutin (Mycobutin, ku Talicia), rifampin (Rimactane, ku Rifamate, ku Rifater), rifapentine (Priftin), sirolimus (Rapamune) (Prograf) Chidwi. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi enzalutamide, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• auzeni adotolo ngati mudagwidwa kapena kudwalapo, kuvulala muubongo, chotupa muubongo, kusokonekera kwamitsempha yamaubongo (kulumikizana kwachilendo pakati pa mitsempha ndi mitsempha muubongo yomwe imayamba asanabadwe ndipo imatha kuyambitsa magazi muubongo), mafupa osweka, kufooka kwa mafupa (matenda omwe mafupa amafooka ndi kufooka ndikuphwanya mosavuta), matenda ashuga, kuchuluka kwama cholesterol, kuthamanga kwa magazi, matenda amtima, kapena kudwala sitiroko.
• muyenera kudziwa kuti enzalutamide ndi kokha kuti mugwiritse ntchito mwa amuna. Azimayi sayenera kumwa mankhwalawa, makamaka ngati ali ndi pakati kapena akhoza kutenga pakati kapena akuyamwitsa. Azimayi, makamaka omwe ali ndi pakati kapena omwe angakhale ndi pakati sayenera kukhudza makapisozi a enzalutamide. Ngati atengedwa ndi amayi apakati, enzalutamide atha kuvulaza mwanayo. Ngati mayi wapakati atenga enzalutamide, ayenera kuyimbira foni msanga.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka mwa amuna. Komabe, musaganize kuti wokondedwa wanu sangatenge mimba. Ngati mnzanu ali ndi pakati, muyenera kugwiritsa ntchito kondomu nthawi iliyonse mukamagonana mukamamwa mankhwala a enzalutamide komanso kwa miyezi itatu mutalandira mankhwala. Ngati bwenzi lanu silili ndi pakati koma atha kukhala ndi pakati, muyenera kugwiritsa ntchito njira yolerera yoyenera mukamagonana mukamalandira chithandizo komanso kwa miyezi itatu mutalandira mankhwala.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa enzalutamide.
• muyenera kudziwa kuti enzalutamide imatha kuyambitsa khunyu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati simukumbukira mpaka tsiku lotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo woposa umodzi tsiku limodzi ndipo musatenge mlingo wowirikiza kuti mupange omwe mwaphonya.

Enzalutamide imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufooka
• kutopa
• kupweteka pamodzi
• kufooka kwa minofu kapena kuuma
• kuonda
• kusowa chilakolako
• mutu
• chizungulire
• kutentha, dzanzi, kapena kumva kulasalasa mmanja, manja, kapena mapazi
• kuchepa kwa kukhudza kapena kutha kumva kumva
• kutentha kotentha
• kuvuta kugona kapena kugona
• nkhawa
• zovuta kukumbukira, kuganiza, kapena kutchera khutu
• kutsegula m'mimba
• kudzimbidwa
• kuyabwa
• khungu lowuma
• mwazi wa m'mphuno
• kukodza pafupipafupi
• kusintha kwa kukoma

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kugwidwa
• mutu; chisokonezo; kapena masomphenya amasintha
• kutupa kwa nkhope, lilime, milomo, mmero, mikono, miyendo, manja, kapena mapazi
• malungo, chifuwa, zilonda zapakhosi, kapena zizindikiro zina za matenda
• kupweteka pachifuwa
• kupuma movutikira
• kupweteka kumbuyo, minofu, ndi / kapena miyendo
• dzanzi kapena kumva kulasalasa m'matako kapena m'miyendo
• zovuta kuwongolera kukodza kapena matumbo
• kuvuta kupuma
• kugwa
• mafupa osweka kapena mafupa
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kukulitsa mawere mwa amuna
• mkodzo wapinki kapena wofiira

Enzalutamide imatha kubweretsa 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).

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

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.

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:

• kugwidwa

Sungani maimidwe onse ndi dokotala wanu.

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.

• Xtandi^®