Mweemba

Zamkati

• Musanatenge bosutinib,
• Bosutinib itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Bosutinib imagwiritsidwa ntchito pochiza mtundu wina wamatenda am'magazi am'magazi (CML; mtundu wa khansa yamagazi oyera), kuphatikiza chithandizo kwa anthu omwe apezeka kuti ali ndi vutoli komanso mwa omwe sangapindule ndi mankhwala ena a CML kapena omwe sangathe kumwa mankhwalawa chifukwa cha zovuta zina. Bosutinib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito poletsa proteni yachilendo yomwe imawonetsa kuti ma cell a khansa achulukane. Izi zimathandiza kuletsa kufalikira kwa maselo a khansa.

Bosutinib imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kamodzi patsiku. Tengani bosutinib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani bosutinib ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya. Ngati mapiritsi aliwonse athyoka kapena akusweka, musawakhudze ndi manja anu.

Dokotala wanu akhoza kuyimitsa chithandizo chanu kwakanthawi kapena kosatha kapena kusintha mlingo wa bosutinib kutengera yankho lanu kuchipatala ndi zovuta zina zomwe mungakumane nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Pitirizani kutenga bosutinib ngakhale mutakhala bwino. Osasiya kumwa bosutinib 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 bosutinib,

• auzeni dokotala wanu komanso wamankhwala ngati muli ndi vuto la bosutinib kapena chilichonse mwazipangizo za bosutinib. 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: ma antifungal ena monga ketoconazole ndi itraconazole (Sporanox); Aprepitant (Emend); mankhwala ena omwe amachiza kachilombo ka HIV monga indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), ndi saquinavir (Invirase); mankhwala ochepetsa asidi m'mimba (proton-pump inhibitors) monga esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), ndi rabeprazole (AcipHex); diltiazem (Cardizem, Cartia, Tiazac); erythromycin (EES, E-Mycin, Erythrocin); nefazodone; rifabutin (Mycobutin); ndi rifampin (Rifadin, Rimactane ku Rifamate, ku Rifater). Mankhwala ena ambiri amathanso kulumikizana ndi bosutinib, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• ngati mukumwa maantacid, monga aluminium hydroxide / magnesium hydroxide (Maalox), calcium carbonate (Tums) kapena calcium carbonate ndi magnesium (Rolaids) kapena mankhwala ochepetsa asidi m'mimba, monga cimetidine (Tagamet), famotidine (Pepcid), kapena ranitidine (Zantac), tengani maola 2 musanatenge kapena 2 mutatenga bosutinib.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso, chiwindi, kapena mtima.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Muyenera kuyezetsa mimba musanayambe mankhwala ndipo simuyenera kutenga pakati mukamamwa bosutinib. Muyenera kugwiritsa ntchito njira yolerera pakumwa mankhwala ndi bosutinib komanso kwa masabata awiri mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukatenga bosutinib, itanani dokotala wanu. Bosutinib itha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa bosutinib komanso masabata awiri mutatha kumwa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kotenga bosutinib.

Musadye zipatso zamphesa, kumwa madzi amphesa, kapena kutenga chilichonse chowonjezera chomwe chili ndi zipatso za manyumwa mukamamwa mankhwalawa.

Tengani mlingo wosowa ndi chakudya mukangokumbukira.Komabe, ngati patha maola opitilira 12 kuchokera pomwe mumaliza kumwa, tulukani mlingo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• mutu
• kusowa chilakolako
• kutopa kapena kufooka

• kusintha kwa kulawa chakudya
• kulira m'makutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• nseru
• kusanza
• kutsegula m'mimba
• kupweteka kwam'mimba mwadzidzidzi
• kutuluka magazi kapena mabala osadziwika
• magazi mkodzo kapena chopondapo
• kusintha pafupipafupi pokodza
• kuonjezera kapena kuchepetsa kuchuluka kwa mkodzo
• chizungulire
• malungo, zilonda zapakhosi, kuzizira, kapena zizindikiro zina za matenda
• kupuma movutikira komanso kutsokomola
• kupweteka pachifuwa
• kutupa kwa nkhope, manja, akakolo, mapazi, kapena miyendo yakumunsi
• kunenepa mwadzidzidzi
• chikasu cha khungu ndi maso
• mkodzo wamdima kapena wa tiyi
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza

Bosutinib 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).

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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira bosutinib.

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.

• Bosulif^®