Jekeseni wa Trabectedin
Zamkati
- Asanalandire jakisoni wa trabectedin,
- Jakisoni wa Trabectedin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
Jakisoni wa Trabectedin amagwiritsidwa ntchito pochiza liposarcoma (khansara yomwe imayamba m'maselo amafuta) kapena leiomyosarcoma (khansa yomwe imayamba ndi minofu yosalala) yomwe yafalikira mbali zina za thupi ndipo singathe kuchitidwa opaleshoni mwa anthu omwe amachiritsidwa kale ndi mankhwala ena a chemotherapy. Trabectedin ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.
Jakisoni wa Trabectedin amabwera ngati ufa woti usakanikirane ndi madzi kuti alandire jakisoni kwa maola 24 kudzera mu mtsempha) ndi dokotala kapena namwino kuchipatala. Nthawi zambiri amaperekedwa kamodzi pamasabata atatu aliwonse malinga ngati dokotala akuwalangizani kuti mulandire chithandizo.
Dokotala wanu akhoza kuchedwetsa kapena kuyimitsa chithandizo chanu ndi jakisoni wa trabectedin kutengera kuyankha kwanu kwa mankhwala ndi zovuta zina zomwe mungakumane nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo.
Dokotala wanu mwina angakupatseni mankhwala oti mumwe musanalandire mlingo uliwonse wa trabectedin kuti muteteze zovuta.
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.
Asanalandire jakisoni wa trabectedin,
- Uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi jakisoni wa trabectedin, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wa trabectedin. 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: ma antifungal ena monga itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), ndi voriconazole (Vfend); boceprevir (Wopambana); clarithromycin (Biaxin, mu Prevpac); conivaptan (Vaprisol); mankhwala ena a HIV kuphatikiza indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, ku Technivie, ena), ndi saquinavir (Invirase); nefazodone; phenobarbital; rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); telaprevir (Incivek; sichikupezeka ku U.S.); ndi telithromycin (Ketek). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala kapena nthawi yomwe mumamwa kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi trabectedin, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
- auzeni adotolo ngati mwadwalapo chiwindi kapena impso.
- muyenera kudziwa kuti jakisoni wa trabectedin angayambitse kusabereka (zovuta kukhala ndi pakati); komabe, simuyenera kuganiza kuti simungakhale ndi pakati. Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati ndinu wamkazi, muyenera kugwiritsa ntchito njira zakulera kuti muchepetse mimba mukamamwa mankhwala a trabectedin komanso kwa miyezi iwiri mutasiya kugwiritsa ntchito mankhwalawa. Ngati ndinu wamwamuna, inu ndi mnzanuyo muyenera kugwiritsa ntchito njira zakulera mukamamwa mankhwala a trabectedin ndipo pitirizani miyezi 5 mutasiya kulandira jakisoni wa trabectedin. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa trabectedin, itanani dokotala wanu. Jakisoni wa Trabectedin atha kuvulaza mwana wosabadwayo ndikuwonjezera chiopsezo chotaya mimba.
- uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukalandira jakisoni wa trabectedin.
Musadye zipatso zamphesa kapena kumwa madzi amphesa mukalandira mankhwalawa.
Jakisoni wa Trabectedin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kutopa
- mutu
- kupweteka pamodzi
- kudzimbidwa
- kutsegula m'mimba
- kuchepa kudya
- kuvuta kugona kapena kugona
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kufiira, kutupa, kuyabwa komanso kusapeza bwino kapena kutayikira pamalo a jakisoni
- kutupa kwa nkhope
- kuvuta kupuma
- kufinya pachifuwa
- kupuma
- zidzolo
- chizungulire kapena kupepuka
- malungo
- kuvulaza kapena kutuluka mwachilendo
- kutuwa
- chikasu chachikopa ndi maso
- kupweteka kumtunda kwam'mimba
- nseru
- kusanza
- zovuta kulingalira
- chisokonezo
- kupweteka pachifuwa
- kupuma movutikira
- kutupa kwa miyendo yanu, akakolo, kapena mapazi
- kupweteka kwa minofu kapena kufooka
Jakisoni wa Trabectedin angayambitse 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.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku trabectedin.
Funsani wamankhwala wanu mafunso aliwonse omwe mungakhale nawo pankhani ya jakisoni wa trabectedin.
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.
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