Nintedanib

Zamkati

• Musanatenge nintedanib,
• Nintedanib atha kubweretsa zovuta. 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:

Nintedanib amagwiritsidwa ntchito pochizira idiopathic pulmonary fibrosis (IPF; zipsera zam'mapapo zosadziwika). Amagwiritsidwanso ntchito pochiza mitundu ina yamatenda am'mapapo am'mapapo (ILD; matenda omwe amakhalabe ndi zotupa m'mapapu). Nintedanib imagwiritsidwanso ntchito pochepetsa kuchepa kwa magwiridwe antchito m'mapapo mwa anthu omwe ali ndi systemic sclerosis yokhudzana ndi matenda am'mapapo am'mapapo (SSc-ILD; yomwe imadziwikanso kuti ILD yokhudzana ndi scleroderma: matenda omwe pali zilonda zam'mapapo zomwe nthawi zambiri zimapha ). Nintedanib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito poletsa michere yomwe imayambitsa matenda a fibrosis.

Nintedanib amabwera ngati kapisozi woti amutenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya maola 12 aliwonse (kawiri patsiku). Tengani makapisozi a nintedanib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nintedanib ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse ndi madzi; musatafune kapena kuwaphwanya.

Dokotala wanu angafunike kuchepetsa mlingo wanu kapena kusiya mankhwala mukakumana ndi zovuta zina. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira chithandizo.

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 nintedanib,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la nintedanib, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a nintedanib. Funsani wamankhwala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: anticoagulants ('' opopera magazi '') monga warfarin (Coumadin, Jantoven); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDS) monga ibuprofen (Advil, Motrin, ena) ndi naproxen (Aleve, Anaprox, Naprelan); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); erythromycin (EES, Ery-Tab, Eryc); ketoconazole; mankhwala ofewetsa tuvi tolimba; oral steroids monga dexamethasone (Decadron, Dexpak), methylprednisolone (Medrol), ndi prednisone; phenytoin (Dilantin, Phenytek); pirfenidone (Esbriet); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); kapena zofewetsa pansi. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adadwalapo magazi, ngati mwakhalapo kapena mwakhalapo ndi matenda a chiwindi kapena a mtima, matenda osokonekera (diverticulitis; zikwama zazing'ono mkatikati mwa matumbo akulu omwe amatha kutentha), kapena kuundana kwamagazi, ndipo ngati mwachitidwapo opaleshoni yapamimba posachedwa.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mutha kutenga pakati. Simuyenera kuyamba kumwa nintedanib mpaka mayeso apakati atawonetsa kuti simuli ndi pakati. Simuyenera kutenga pakati mukatenga nintedanib; mankhwalawa atha kuvulaza mwana wanu wosabadwa. Nintedanib ingachepetse mphamvu ya njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, kapena jakisoni), chifukwa chake simuyenera kugwiritsa ntchito njira yokhayo yolerera. Muyeneranso kugwiritsa ntchito njira yolepheretsa kulera (chipangizo chomwe chimatseketsa umuna kuti usalowe muchiberekero monga kondomu kapena chotsekera). Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza komanso kwa miyezi itatu mutatha kumwa mankhwalawa. Mukakhala ndi pakati mukatenga nintedanib, itanani dokotala wanu mwachangu.
• Uzani dokotala wanu ngati mukuyamwitsa.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa. Muyenera kusiya kusuta musanayambe kumwa nintedanib ndikupewa kusuta mukamamwa mankhwala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya mlingo wa nintedanib, tulukani muyezo womwe mwaphonyawo ndikupitiliza dongosolo lanu. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Nintedanib atha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kuchepa kudya
• kuonda

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kutsegula m'mimba
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• mkodzo wakuda kapena wabulauni (wa tiyi)
• kupweteka pachifuwa
• kupweteka m'manja mwanu, kumbuyo, m'khosi, kapena nsagwada
• kupuma movutikira
• dzanzi kapena kufooka mbali imodzi ya thupi lanu
• zovuta kuyankhula
• mutu
• chizungulire
• mabala omwe sachira
• kupweteka kapena kutupa m'mimba mwanu, nseru, kusanza, malungo, kuzizira, kapena magazi mu mpando wanu
• zidzolo
• kuyabwa

Nintedanib atha 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 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 musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu likuyankhira nintedanib.

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.

• Ofev^®