Glucarpidase
Zamkati
- Musanatenge glucarpidase,
- Glucarpidase imatha kuyambitsa 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:
Glucarpidase imagwiritsidwa ntchito popewa zovuta za methotrexate (Rheumatrex, Trexall) mwa odwala omwe ali ndi matenda a impso omwe amalandira methotrexate kuti athetse mitundu ina ya khansa. Glucarpidase ali mgulu la mankhwala otchedwa ma enzyme. Zimagwira ntchito pothandiza kuwononga ndikuchotsa methotrexate mthupi.
Glucarpidase imabwera ngati ufa wothira madzi ndikubaya jekeseni kudzera mumitsempha. Kawirikawiri amaperekedwa kwa mphindi 5 ngati mlingo wa nthawi imodzi. Glucarpidase imaperekedwa limodzi ndi leucovorin (mankhwala ena omwe amagwiritsidwa ntchito popewa zovuta za methotrexate) mpaka mayeso a labotale akuwonetsa kuti mankhwala sakufunikanso.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge glucarpidase,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la glucarpidase, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wa glucarpidase. 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: folic acid (Folicet, mu multivitamini); levoleucovorin (Fusilev); kapena pemetrexed (Alimta). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- ngati mukulandira leucovorin, muyenera kupatsidwa maola awiri musanadutse kapena maola awiri kuchokera pa glucarpidase.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga glucarpidase, itanani dokotala wanu.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Glucarpidase imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kusanza
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
- malungo
- kuzizira
- kuthamanga kapena kutentha
- zidzolo
- ming'oma
- kuyabwa
- kukhazikika pakhosi kapena kupuma movutikira
- kumva dzanzi, kumva kulasalasa, kumenyedwa, kutentha, kapena kukwawa pakhungu
- mutu
Glucarpidase 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 maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira pa glucarpidase.
Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza glucarpidase.
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.
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