Blinatumomab jekeseni

Zamkati

• Asanalandire jakisoni wa blinatumomab,
• Jekeseni wa Blinatumomab ingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena ZOCHITIKA ZAPADERA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Blinatumomab jekeseni iyenera kuperekedwa kokha moyang'aniridwa ndi dokotala wodziwa kugwiritsa ntchito mankhwala a chemotherapy.

Jekeseni wa Blinatumomab imatha kuyambitsa vuto lalikulu, lowopseza moyo lomwe lingachitike mukamulowetsa mankhwalawa. Uzani dokotala wanu ngati mudachitapo kanthu ndi blinatumomab kapena mankhwala aliwonse. Mukalandira mankhwala ena othandizira kupewa zovuta zomwe mumakumana nazo musanalandire blinatumomab. Ngati mukumane ndi zizindikiro izi mukamalandira blinatumomab kapena mutawauza dokotala nthawi yomweyo: malungo, kutopa, kufooka, chizungulire, kupweteka mutu, nseru, kusanza, kuzizira, zotupa, kutupa kwa nkhope, kupuma, kapena kupuma movutikira. Ngati mukumva kuwawa, dokotala wanu amasiya kulowetsedwa kwanu ndikuchiza zisonyezo zake.

Jekeseni wa Blinatumomab itha kuchititsanso mantha kwambiri. Uzani dokotala wanu ngati mwakhalapo ndi matenda okhumudwitsa, kusokonezeka, kusakhazikika, kapena kulephera kuyankhula. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kugwidwa, kugwedezeka kosalamulirika kwa gawo lina la thupi, kuvutika kuyankhula, kusalankhula bwino, kusazindikira, kuvutika kugona kapena kugona, kupweteka mutu, kusokonezeka, kapena kuchepa .

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa blinatumomab.

Blinatumomab imagwiritsidwa ntchito kwa akulu ndi ana kuti athetse mitundu ina ya khansa ya m'magazi (YONSE; mtundu wa khansa yamagazi oyera) yomwe sinakhale bwino, kapena yomwe yabwerera pambuyo pothandizidwa ndi mankhwala ena. Blinatumomab imagwiritsidwanso ntchito kwa akulu ndi ana kuti athetse ZONSE zomwe zili mu chikhululukiro (kuchepa kapena kusowa kwa zizindikilo za khansa), koma umboni wina wa khansa udakalipo. Blinatumomab ali mgulu la mankhwala otchedwa bispecific T-cell Invr antibodies. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Blinatumomab imabwera ngati ufa wosakanikirana ndi madzi kuti uilowetse jakisoni pang'onopang'ono (mumtsempha) ndi dokotala kapena namwino kuchipatala kapena kuchipatala ndipo nthawi zina kunyumba. Mankhwalawa amaperekedwa mosalekeza kwa milungu 4 ndikutsatiridwa ndi milungu iwiri mpaka 8 pomwe mankhwalawo sanaperekedwe. Nthawi yamankhwala iyi imatchedwa kuzungulira, ndipo kuzungulira kumatha kubwerezedwa ngati kuli kofunikira. Kutalika kwa chithandizo kumadalira momwe mumayankhira mankhwalawo.

Dokotala wanu angafunikire kuchedwetsa chithandizo chanu, kusintha mlingo wanu, kapena kuyimitsa chithandizo chanu mukakumana ndi zovuta zina. Ndikofunika kuti muuze dokotala momwe mukumvera mukamalandira chithandizo ndi jakisoni ya blinatumomab.

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

Asanalandire jakisoni wa blinatumomab,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi blinatumomab, mankhwala aliwonse, mowa wa benzyl. kapena zinthu zina zilizonse mu jakisoni wa blinatumomab. 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: cyclosporine (Gengraf, Neoral, Sandimmune) kapena warfarin (Coumadin, Jantoven). Mankhwala ena ambiri amathanso kulumikizana ndi blinatumomab, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati muli ndi matenda kapena ngati mwakhalapo ndi matenda omwe amabwereranso. Komanso, uzani dokotala wanu ngati mudakhalapo ndi radiation pamaubongo kapena mwalandira chemotherapy kapena mwakhala mukudwala matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Muyenera kuyesa mayeso musanalandire mankhwalawa. Simuyenera kutenga pakati mukamamwa mankhwala a blinatumomab komanso masiku osachepera awiri mutapatsidwa mankhwala omaliza. Lankhulani ndi dokotala wanu za mitundu yoletsa yomwe ingakuthandizeni. Mukakhala ndi pakati pogwiritsa ntchito blinatumomab, itanani dokotala wanu. Blinatumomab ikhoza kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukalandira blinatumomab komanso kwa masiku osachepera awiri mutapatsidwa mankhwala omaliza.
• muyenera kudziwa kuti jakisoni wa blinatumomab akhoza kukupangitsani kuti muziwodzera. Osayendetsa galimoto kapena kugwiritsa ntchito makina pomwe mukulandira mankhwalawa.
• mulibe katemera popanda kulankhula ndi dokotala. Uzani dokotala wanu ngati mwalandira katemera m'masabata awiri apitawa. Pambuyo pa mlingo wanu womaliza, dokotala wanu adzakuuzani ngati zili bwino kulandira katemera.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni wa Blinatumomab ingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kudzimbidwa
• kutsegula m'mimba
• kunenepa
• msana, kulumikizana, kapena kupweteka kwa minofu
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka pamalo opangira jekeseni

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena ZOCHITIKA ZAPADERA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kupweteka pachifuwa
• dzanzi kapena kumva kulasalaza mmanja, miyendo, manja, kapena mapazi
• kupuma movutikira
• kupweteka kosalekeza komwe kumayambira m'mimba koma kumafalikira kumbuyo komwe kumatha kuchitika popanda mseru komanso kusanza
• malungo, zilonda zapakhosi, chifuwa, ndi zizindikiro zina za matenda

Jekeseni wa Blinatumomab ingayambitse 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:

• malungo
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• mutu

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzayitanitsa mayeso ena a labu asanadye, nthawi, komanso mutalandira chithandizo kuti muwone momwe thupi lanu likuyankhira jakisoni wa blinatumomab ndikuchiza zotsatirapo zisanakhale zovuta.

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.

• Blincyto^®