Ramucirumab jekeseni

Zamkati

• Asanalandire jakisoni wa ramucirumab,
• Jakisoni wa Ramucirumab 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:

Jekeseni wa Ramucirumab imagwiritsidwa ntchito yokha komanso kuphatikiza mankhwala ena a chemotherapy pochiza khansa yam'mimba kapena khansa yomwe imapezeka m'mimba momwe mimba imakumana ndi kholingo (chubu pakati pakhosi ndi m'mimba) pamene izi sizikusintha mukalandira mankhwala ena. Ramucirumab imagwiritsidwanso ntchito limodzi ndi docetaxel pochiza mtundu wina wa khansa ya m'mapapo yaing'ono (NSCLC) yomwe yafalikira mbali zina za thupi mwa anthu omwe adalandira kale mankhwala ena a chemotherapy ndipo sanasinthe kapena kukulirakulira. Amagwiritsidwanso ntchito limodzi ndi erlotinib (Tarceva) ku mtundu wina wa NSCLC womwe wafalikira mbali zina za thupi. Ramucirumab imagwiritsidwanso ntchito limodzi ndi mankhwala ena a chemotherapy kuti athetse khansa ya m'matumbo (matumbo akulu) kapena rectum yomwe yafalikira mbali zina za thupi mwa anthu omwe amachiritsidwa kale ndi mankhwala ena a chemotherapy ndipo sanasinthe kapena kukulirakulira. Ramucirumab imagwiritsidwanso ntchito payokha kuchiza anthu ena omwe ali ndi hepatocellular carcinoma (HCC; mtundu wa khansa ya chiwindi) omwe amachiritsidwa kale ndi sorafenib (Nexafar). Ramucirumab ali mgulu la mankhwala otchedwa monoclonal antibodies. Zimagwira ntchito poletsa kukula kwa maselo a khansa.

Jakisoni wa Ramucirumab amabwera ngati madzi olowetsedwa mumtsinje kwa mphindi 30 kapena 60 ndi dokotala kapena namwino kuchipatala kapena kuchipatala. Pochiza khansa yam'mimba, khansa ya m'matumbo kapena rectum, kapena HCC, imaperekedwa kamodzi pamasabata awiri. Pochiza NSCLC limodzi ndi erlotinib, ramucirumab imaperekedwa kamodzi pamasabata awiri. Pochiza NSCLC limodzi ndi docetaxel, ramucirumab imaperekedwa kamodzi pamasabata atatu. Kutalika kwa chithandizo chanu kumadalira momwe thupi lanu limayankhira ndi mankhwala komanso zovuta zomwe mumakumana nazo.

Dokotala wanu angafunike kusokoneza kapena kuyimitsa chithandizo chanu mukakumana ndi zovuta zina. Dokotala wanu adzakupatsani mankhwala ena otetezera kapena kuthandizira zovuta zina musanalandire jakisoni wa ramucirumab. Uzani dokotala wanu kapena namwino ngati mukumane ndi izi zotsatirazi mukalandira ramucirumab: kugwedeza kosalamulirika kwa gawo lina la thupi; kupweteka kumbuyo kapena kupuma; kupweteka pachifuwa ndi kulimba; kuzizira; kuthamanga; kupuma movutikira; kupuma; kupweteka, kuwotcha, kuchita dzanzi, kubayidwa, kapena kumva kulasalasa m'manja kapena m'mapazi kapena pakhungu; kupuma movutikira; kapena kugunda kwamtima.

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

Asanalandire jakisoni wa ramucirumab,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la ramucirumab kapena mankhwala aliwonse kapena zina mwa zosakaniza mu jakisoni wa ramucirumab. 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. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mudakhalapo ndi kuthamanga kwa magazi, kapena matenda a chithokomiro kapena chiwindi. Muuzeni dokotala wanu ngati muli ndi bala lomwe silinachiritsidwebe, kapena ngati muli ndi bala panthawi ya chithandizo chomwe sichichira bwino.
• muyenera kudziwa kuti ramucirumab itha kubweretsa kusabereka mwa amayi (kuvutika kukhala ndi pakati); komabe, simuyenera kuganiza kuti simungakhale ndi pakati. Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Muyenera kuyezetsa asanayambe kulandira mankhwala. Muyenera kugwiritsa ntchito njira zakulera kuti muchepetse kutenga pakati mukamalandira chithandizo komanso kwa miyezi itatu mutalandira chithandizo chomaliza. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukamalandira jakisoni wa ramucirumab, itanani dokotala wanu mwachangu. Ramucirumab atha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa mankhwala ndi ramucirumab komanso kwa miyezi iwiri mutalandira mankhwala omaliza.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukulandira jakisoni wa ramucirumab. Dokotala wanu akhoza kukuwuzani kuti musalandire jakisoni wa ramucirumab m'masiku 28 musanachite opareshoni. Mutha kuloledwa kuyambiranso chithandizo ndi jakisoni wa ramucirumab ngati pakadutsa masiku 14 kuchokera pamene opareshoni yanu yaphulika.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Itanani dokotala wanu nthawi yomweyo ngati simungathe kusungitsa nthawi yokumana kuti mulandire jakisoni wa ramucirumab.

Jakisoni wa Ramucirumab angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• zilonda mkamwa kapena pakhosi

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

• zidzolo
• kufooka kwadzidzidzi kwa mkono kapena mwendo
• kugwera pansi mbali imodzi ya nkhope
• kuvuta kuyankhula kapena kumvetsetsa
• kuphwanya chifuwa kapena kupweteka m'mapewa
• mawu odekha kapena ovuta
• kupweteka pachifuwa
• kupuma movutikira
• mutu
• chizungulire kapena kukomoka
• kugwidwa
• chisokonezo
• kusintha masomphenya kapena kutayika kwa masomphenya
• kutopa kwambiri
• kutupa kwa nkhope, maso, mimba, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kunenepa kopanda tanthauzo
• mkodzo wa thovu
• zilonda zapakhosi, malungo, kuzizira, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda
• kukhosomola kapena kusanza magazi kapena zinthu zomwe zimawoneka ngati malo a khofi, kutuluka mwachilendo kapena kuphwanya, pinki, wofiira, kapena mkodzo wakuda, wakuda kapena wofiyira
• kutsegula m'mimba, kusanza, kupweteka m'mimba, malungo, kapena kuzizira

Jakisoni wa Ramucirumab amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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. Nthawi zina, dokotala wanu amatha kuyitanitsa kukayezetsa labu musanayambe kumwa mankhwala kuti muwone ngati khansa yanu ingathe kuthandizidwa ndi ramucirumab. Dokotala wanu amayang'ana kuthamanga kwa magazi anu ndikuyesa mkodzo wanu pafupipafupi mukamalandira ramucirumab.

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.

• Cyramza^®