Ixazomib

Zamkati

• Musanatenge ixazomib,
• Ixazomib ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:

Ixazomib imagwiritsidwa ntchito limodzi ndi lenalidomide (Revlimid) ndi dexamethasone pochiza ma myeloma angapo (khansa yama cell a plasma m'mafupa) omwe awonjezeka atalandira chithandizo ndi mankhwala ena a chemotherapy. Ixazomib ali mgulu la mankhwala otchedwa proteasome inhibitors. Zimagwira ntchito pothandiza kupha maselo a khansa.

Ixazomib imabwera ngati kapisozi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi madzi osadya kanthu, osachepera ola limodzi musanadye kapena maola awiri mutadya. Amatengedwa masiku 1,8, ndi 15 pa masiku 28 azithandizo. Tengani ixazomib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ixazomib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Musamamwe ixazomib ndi dexamethasone nthawi yomweyo chifukwa muyenera kumwa dexamethasone ndi chakudya.

Kumeza makapisozi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Samalani mukamagwiritsa makapisozi a ixazomib. Musalole kuti khungu lanu, maso anu, pakamwa panu, kapena mphuno zanu zigwirizane ndi makapisozi a ixazomib osweka kapena osweka. Ngati kukhudzana koteroko kumachitika, sambani khungu lanu bwino ndi sopo kapena madzi kapena tsukani bwino ndi madzi osalala.

Ngati musanza mutatenga ixazomib, musabwereze mlingo. Tengani mlingo wanu wotsatira wa ixazomib tsiku lotsatira lomwe mukuyenera kumwa.

Dokotala wanu angafunikire kuyimitsa chithandizo chanu kwakanthawi kapena kosatha kapena kuchepetsa mlingo wanu wa ixazomib, kapena mankhwala ena omwe mukumwa, kutengera zovuta zomwe mumakumana nazo. Onetsetsani kuti mwalankhula ndi dokotala za momwe mukumvera mukamalandira chithandizo. Osasiya kumwa ixazomib osalankhula ndi dokotala.

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 ixazomib,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ixazomib, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a ixazomib. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, zowonjezera zakudya zomwe mumamwa kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: carbamazepine (Epitol, Equetro, Carbatrol, Tegretol, Teril), efavirenz (Sustiva, ku Atripla), nevirapine (Viramune), phenobarbital, pioglitazone (Actos, ku Actoplus, Duetact, Oseni), phenytoin (Dilantin, Phenytek), rifabutin (Mycobutin), ndi rifampin (Rifadin, Rimactane, ku Rifamate, Rifater). 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.
• auzeni adotolo ngati mwadwalapo chiwindi kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati, kapena konzekerani kukhala ndi mwana. Simuyenera kutenga mimba mukamamwa ixazomib. Gwiritsani ntchito njira zothandiza kubereka mukamalandira chithandizo cha ixazomib komanso masiku 90 mutatha kumwa mankhwala. Ngati ndinu wamwamuna ndipo mnzanu atha kukhala ndi pakati, muyenera kugwiritsa ntchito njira yolerera yoyenerera mukamalandira chithandizo komanso masiku 90 mutatha kumwa mankhwala. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Ngati inu kapena mnzanu mumakhala ndi pakati mukatenga ixazomib, itanani dokotala wanu mwachangu. Ixazomib ikhoza kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa ixazomib.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira.Komabe, ngati mkati mwa maola 72 (masiku 3) a mlingo wanu wotsatira womwe mukukonzekera, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ixazomib ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kudzimbidwa
• nseru
• kuthamanga kwatsopano kapena kukulira
• kupweteka kwa msana
• kutupa kwachilendo kwa mikono kapena miyendo yanu
• kunenepa chifukwa cha kutupa
• kusawona bwino
• maso owuma
• diso la pinki

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

• nseru
• kutopa kwambiri
• kusowa chilakolako
• zizindikiro ngati chimfine
• kutuluka mwachilendo kapena kuphwanya
• chikasu cha khungu lanu kapena maso
• ululu kumtunda chakumanja kwa m'mimba mwanu
• kutentha, kumva kulasalasa, kuchita dzanzi, kupweteka, kapena kufooka m'manja kapena m'miyendo
• wamagazi kapena wakuda, chembetsani chopondapo

Ixazomib ikhoza 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). Siyani mankhwalawo muzoyika zoyambirira mpaka pomwe musanamwe.

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 kuti muwone kuyankha kwa thupi lanu ku ixazomib.

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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