Ado-trastuzumab Emtansine jekeseni

Zamkati

• Asanalandire ado-trastuzumab emtansine,
• Ado-trastuzumab emtansine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Ado-trastuzumab emtansine imatha kuyambitsa mavuto owopsa kapena owononga moyo. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi, kuphatikiza chiwindi. Dokotala wanu amalamula kuyesedwa kwa labotale nthawi zonse musanadye komanso mukamalandira chithandizo kuti muwone ngati ado-trastuzumab emtansine ikukhudza chiwindi chanu. Dokotala wanu angakuuzeni kuti simuyenera kulandira mankhwalawa ngati mayeso awonetsa kuti muli ndi vuto la chiwindi. Uzani dokotala wanu komanso wamankhwala zamankhwala onse omwe mukumwa kuti athe kuwona ngati mankhwala anu aliwonse angawonjezere chiwopsezo kuti chiwindi chitha kuwonongeka mukamachiza ndi ado-trastuzumab emtansine. Itanani dokotala wanu nthawi yomweyo ngati mukukumana ndi izi: kunyansidwa, kusanza, kutopa kwambiri, kusowa mphamvu, kusowa njala, kupweteka kumtunda chakumanja kwa m'mimba, chikasu cha khungu kapena maso, mkodzo wamdima, zizindikiro ngati chimfine, kusokonezeka, kugona, kapena kulankhula kosamveka bwino.

Ado-trastuzumab emtansine amathanso kuyambitsa mavuto owopsa kapena owopseza moyo. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda amtima, matenda amtima, kupweteka pachifuwa, kapena kugunda kwamtima mosalekeza. Dokotala wanu adzaitanitsa mayeso musanachitike komanso mukamalandira chithandizo kuti muwone ngati mtima wanu ukugwira ntchito bwino kuti mulandire ado-trastuzumab emtansine. Dokotala wanu angakuuzeni kuti simuyenera kulandira mankhwalawa ngati mayeserowa akuwonetsa kuti mtima wanu wokhoza kupopa magazi wachepa. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: chifuwa; kupuma movutikira; kutupa kwa mikono, manja, mapazi, akakolo kapena miyendo yakumunsi; kunenepa (oposa mapaundi 5 [pafupifupi 2.3 kilogalamu] mu maola 24); chizungulire; kutaya chidziwitso; kapena kugunda kwamtima, kosasinthasintha, kapena kopanda.

Uzani dokotala wanu ngati muli ndi pakati kapena ngati inu kapena mnzanu mukukonzekera kutenga pakati. Ado-trastuzumab emtansine atha kuvulaza mwana wanu wosabadwa. Ngati mutha kutenga pakati, muyenera kukhala ndi mayeso olimbana ndi mimba musanayambe chithandizo ndi ado-trastuzumab emtansine. Muyenera kugwiritsa ntchito njira zakulera kuti muchepetse mimba mukamalandira chithandizo komanso kwa miyezi 7 mutatha kumwa. Ngati ndinu wamwamuna ndipo mnzanu atha kutenga pakati, muyenera kugwiritsa ntchito njira zakulera mukalandira mankhwalawa, komanso kwa miyezi 4 mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Ngati inu kapena mnzanu mumakhala ndi pakati mukamamwa ndi ado-trastuzumab emtansine, itanani dokotala wanu mwachangu.

Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa ado-trastuzumab emtansine.

Ado-trastuzumab emtansine jekeseni amagwiritsidwa ntchito pochiza khansa ya m'mawere yamtundu wina yomwe yafalikira mbali zina za thupi ndipo sinasinthe kapena yaipiraipira atalandira chithandizo ndi mankhwala ena. Ado-trastuzumab emtansine imagwiritsidwanso ntchito pambuyo pochitidwa opaleshoni yamtundu wina wa khansa ya m'mawere mwa azimayi omwe adalandira chithandizo chamankhwala ena a chemotherapy asanawachitire opareshoni, komabe panali khansa yomwe idatsalira m'minyewa yomwe idachotsedwa pakuchita opaleshoni. Ado-trastuzumab emtansine ali mgulu la mankhwala otchedwa anti-drug conjugates. Zimagwira ntchito popha ma cell a khansa.

Ado-trastuzumab emtansine jekeseni amabwera ngati ufa wothira madzi ndikulowetsa (jekeseni pang'onopang'ono) mumtsinje wa dokotala kapena namwino kuchipatala kapena kuchipatala. Nthawi zambiri amabayidwa kamodzi milungu itatu iliyonse. Kutalika kwa chithandizo chanu kumadalira momwe thupi lanu limayankhira ndi mankhwala komanso zovuta zomwe mumakumana nazo.

Ado-trastuzumab emtansine jekeseni imatha kuyambitsa mavuto ena okhudzana ndi kulowetsedwa, omwe atha kuchitika nthawi yayitali kapena patangopita nthawi yochepa kuchokera ku mankhwalawo. Ziyenera kutenga mphindi 90 kuti mulandire mlingo woyamba wa ado-trastuzumab emtansine. Dokotala kapena namwino adzakuyang'anirani kuti muwone momwe thupi lanu limamvera ndi mankhwalawa. Ngati mulibe mavuto aliwonse mukalandira mankhwala anu oyamba a ado-trastuzumab emtansine, zimangotenga mphindi 30 kuti mulandire mankhwala aliwonse omwe atsala. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kukuwuzani; malungo; kuzizira; chizungulire; mutu wopepuka; kukomoka; kupuma movutikira; kuvuta kupuma; kapena kugunda kwamtima, kosasinthasintha, kapena kopanda.

Dokotala wanu angafunikire kuchedwetsa chithandizo chanu, kuchepetsa kulowetsedwa, kapena kusiya chithandizo chanu mukakumana ndi zovuta zina. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira chithandizo ndi ado-trastuzumab emtansine.

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

Asanalandire ado-trastuzumab emtansine,

• auzeni dokotala komanso wamankhwala kuti ngati muli ndi vuto la ado-trastuzumab emtansine, trastuzumab, mankhwala ena aliwonse, kapena chilichonse chothandizira mu jakisoni wa ado-trastuzumab emtansine. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgawo la CHENJEZO CHENJEZO ndi izi: apixaban (Eliquis), aspirin (Durlaza, ku Aggrenox, ena), atazanavir (Reyataz, ku Evotaz), cilostazol (Pletal), clarithromycin (Biaxin, mu Prevpac), clopidogrel (Plavix), dabigatran (Pradaxa), dalteparin (Fragmin), dipyridamole (Persantine, mu Aggrenox), edoxaban (Savaysa), enoxaparin (Lovenox), fondaparinux (Arixtra), heparin, indinaonolevol (indina) (Onmel, Sporanox), ketoconazole, nefazodone, nelfinavir (Viracept), prasugrel (Effient), ritonavir (Norvir, ku Kaletra, Technivie, Viekira Pak), rivaroxaban powder (Xarelto), saquinavir (Invirase), telithromycin (Ketilith, ticinekromic) Brilinta), vorapaxar (Zontivity), voriconazole (Vfend), ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani adotolo ngati muli ochokera ku Asia, kapena ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA, kupuma movutikira, ngakhale popuma, mankhwala a radiation, kapena matenda ena aliwonse.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukalandira ado-trastuzumab emtansine jekeseni komanso kwa miyezi 7 mutalandira mankhwala anu omaliza.

Lankhulani ndi dokotala wanu za kudya zipatso zamphesa ndi kumwa madzi amphesa pamene mukulandira mankhwalawa.

Ado-trastuzumab emtansine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kudzimbidwa
• kutsegula m'mimba
• kukhumudwa m'mimba
• zilonda mkamwa ndi pakhosi
• pakamwa pouma
• kusintha pakutha kulawa
• kulumikizana kapena kupweteka kwa minofu
• mutu
• owuma, ofiira, kapena misozi
• kusawona bwino
• kuvuta kugona kapena kugona

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• kupweteka, kuyabwa, kufiira, kutupa, matuza, kapena zilonda pafupi ndi malo omwe mankhwala adalowetsedwa
• malungo, zilonda zapakhosi, kuzizira, kuvuta kukodza, kupweteka pokodza, ndi zizindikilo zina za matenda
• Kutuluka magazi m'mphuno ndi magazi ena kapena zipsera zina zachilendo
• wamagazi kapena wakuda, malo obisalira
• kusanza magazi kapena zinthu zofiirira zomwe zimafanana ndi malo a khofi
• kupweteka, kuwotcha, kapena kumva kuwawa m'manja kapena m'mapazi, kufooka kwa minofu, kusuntha
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• nseru; kusanza; kusowa chilakolako; kutopa; kugunda kwamtima mwachangu; mkodzo wamdima; kuchepa kwa mkodzo; kupweteka m'mimba; kugwidwa; kuyerekezera zinthu m'maganizo; kapena kukokana kwaminyewa
• kupuma movutikira, kutsokomola, kutopa kwambiri

Ado-trastuzumab emtansine amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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:

• Kutuluka magazi m'mphuno ndi magazi ena kapena zipsera zina zachilendo
• wamagazi kapena wakuda, malo obisalira
• kusanza magazi kapena zinthu zofiirira zomwe zimafanana ndi malo a khofi

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso a labu musanayambe kumwa mankhwala kuti muwone ngati khansa yanu ingathe kuthandizidwa ndi ado-trastuzumab emtansine.

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.

• Kadcyla^®