Trifluridine ndi Tipiracil

Zamkati

• Musanayambe kumwa trifluridine ndi tipiracil,
• Trifluridine ndi tipiracil zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

Kuphatikizana kwa trifluridine ndi tipiracil kumagwiritsidwa ntchito pochizira kholingo (matumbo akulu) kapena khansa ya m'matumbo yomwe yafalikira mbali zina za thupi mwa anthu omwe adalandira kale mankhwala ena a chemotherapy kapena sangathe kulandira mankhwalawa. Kuphatikiza kwa trifluridine ndi tipiracil kumagwiritsidwanso ntchito pochiza mitundu ina ya khansa yam'mimba kapena khansa yomwe imapezeka mdera lomwe m'mimba mumakumana ndi kholingo (chubu pakati pakhosi ndi m'mimba) lomwe lafalikira mbali zina za thupi mwa anthu walandira kale mankhwala ena osachepera awiri. Trifluridine ali mgulu la mankhwala otchedwa thymidine-based nucleoside analogues. Zimagwira ntchito poletsa kukula kwa maselo a khansa. Tipiracil ali mgulu la mankhwala otchedwa thymidine phosphorylase inhibitors. Zimagwira ntchito pochepetsa kuwonongeka kwa trifluridine ndi thupi.

Kuphatikiza kwa trifluridine ndi tipiracil kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku ndi chakudya cha masiku 5 motsatizana, ndikutsatira masiku awiri. Dosing iyi imabwerezedwa kenako ndikutsatiridwa ndi milungu iwiri. Kusinthaku kwamasiku 28 kumatha kubwerezedwa kutengera momwe mankhwalawa amagwirira ntchito kwa inu komanso zovuta zomwe mumakumana nazo. Tengani trifluridine ndi tipiracil mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani trifluridine ndi tipiracil ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Trifluridine ndi mapiritsi a tipiracil amabwera mu mphamvu ziwiri zosiyana. Dokotala wanu angafune kuti mutenge mphamvu zonse ziwiri za mapiritsi kuti mupange mlingo wanu wonse. Onetsetsani kuti mukudziwa momwe mapiritsi amtundu uliwonse amawonekera komanso kuchuluka kwake. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso.

Dokotala wanu akhoza kuchedwetsa chithandizo chanu kapena kuchepetsa kuchuluka kwa trifluridine ndi tipiracil kutengera zovuta zomwe mumakumana nazo. Onetsetsani kuti mwalankhula ndi dokotala za momwe mukumvera mukamalandira chithandizo. Osasiya kumwa trifluridine ndi tipiracil osalankhula ndi dokotala.

Sambani m'manja mutatha kugwiritsa ntchito mapiritsi a trifluridine ndi tipiracil. Ngati wina akugwira mapiritsi anu a trifluridine ndi tipiracil, ayenera kuvala magolovesi kapena mphira kuti khungu lawo lisakhudzane ndi mapiritsiwo.

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.

Musanayambe kumwa trifluridine ndi tipiracil,

• uzani dokotala ndi wamankhwala ngati muli ndi matupi awo sagwirizana ndi trifluridine ndi tipiracil, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu mapiritsi a trifluridine ndi tipiracil. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa.
• uzani dokotala wanu ngati muli ndi zaka 65 kapena kupitirirapo, kapena mwakhalapo kapena mwakhalapo ndi matenda a chiwindi kapena impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena ngati mukufuna kukhala ndi mwana. Inu kapena mnzanu simuyenera kutenga pakati mukamamwa mankhwala a trifluridine ndi tipiracil. Ngati ndinu wamkazi, muyenera kuyezetsa asanayambe kulandira mankhwala, ndipo muyenera kugwiritsa ntchito njira yoletsa kupewa kutenga mimba mukamalandira chithandizo komanso kwa miyezi 6 mutalandira mankhwala omaliza. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Ngati ndinu bambo ndipo mnzanu atha kutenga pakati, muyenera kugwiritsa ntchito kondomu mukamamwa mankhwalawa, komanso kwa miyezi itatu mutalandira chithandizo. Ngati inu kapena mnzanu mumakhala ndi pakati mukalandira trifluridine ndi tipiracil, itanani dokotala wanu mwachangu. Trifluridine ndi tipiracil zitha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Dokotala wanu angakuuzeni kuti musamamwe mkaka mukamamwa mankhwala komanso kwa tsiku limodzi mutamwa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya mlingo wa trifluridine ndi tipiracil, musatenge mlingo wina kuti mupange mlingo womwe mwaphonya. Itanani dokotala wanu kuti akupatseni malangizo pazomwe mungachite kuti muphonye mankhwala.

Trifluridine ndi tipiracil zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutayika tsitsi
• sintha momwe zinthu zimamvekera
• kusowa chilakolako
• zilonda mkamwa kapena kutupa mkamwa
• kusowa mphamvu
• kutopa kwambiri

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• malungo, kupweteka kwa thupi, kuzizira, kapena zizindikiro zina za matenda
• nseru, kusanza, kutsegula m'mimba, kapena kupweteka m'mimba koopsa kapena kosatha
• kufooka kapena kupuma movutikira mukamachita masewera olimbitsa thupi
• khungu lotumbululuka
• kupweteka pachifuwa
• kupweteka ndikupuma kozama
• kutsokomola magazi
• kutuluka mwachilendo kapena kuphwanya

Trifluridine ndi tipiracil zimatha kuyambitsa 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).

Ngati mwasunga mankhwalawa kunja kwa chidebe chomwe chidabwera, tulutsani mapiritsi onse osagwiritsidwa ntchito patatha masiku 30.

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.

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

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 trifluridine ndi tipiracil.

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.

• Kuthamangitsidwa^®