Alpelisib

Zamkati

• Musanatenge alpelisib,
• Alpelisib itha 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 kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo:

Alpelisib imagwiritsidwa ntchito limodzi ndi fulvestrant (Faslodex) kuchiza mtundu wina wa khansa ya m'mawere yomwe yafalikira kumatumba oyandikira kapena ziwalo zina za thupi mwa amayi omwe adutsa kale kusamba ('' kusintha kwa moyo, '' kutha kwa msambo Nthawi) kapena mwa amuna, omwe khansa yawo idakulirakulira mkati kapena pambuyo pa mankhwala ena. Alpelisib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito potseka zikwangwani zomwe zimapangitsa ma cell a khansa kuchulukana. Izi zimathandiza kuletsa kufalikira kwa maselo a khansa.

Alpelisib amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kamodzi patsiku bola dokotala akakuuzani kuti muchiritsidwe. Tengani alpelisib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani alpelisib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya. Musatenge piritsi lomwe lathyoledwa, losweka, kapena lowonongeka.

Ngati musanza mutamwa alpelisib, musamwe mlingo wina. Pitirizani dongosolo lanu lokhazikika.

Dokotala wanu akhoza kuchepetsa kuchuluka kwa alpelisib, kukuthandizani ndi mankhwala ena, kapena kusokoneza kapena kuyimitsa chithandizo chanu mukakumana ndi zovuta zina. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira chithandizo cha alpelisib.

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 alpelisib,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la alpelisib, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a alpelisib. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala omwe simukulembera, mavitamini, kapena zowonjezera zakudya zomwe mumamwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: carbamazepine (Carbatrol, Equetro, Tegretol, ena), cyclosporine (Gengraf, Neoral, Sandimmune), efavirenz (Sustiva, ku Atripla, Symfi), eltrombopag (Promacta), nevirapine (Viramune), phenobarbital , phenytoin (Dilantin, Phenytek), pioglitazone (Actos, ku Oseni, Duetact), rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, ku Rifamate, Rifater), ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi alpelisib, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka curcumin ndi wort wa St.
• auzeni dokotala ngati mwakhalapo ndi zotupa ndi zilonda zofiira pamilomo, pakamwa kapena pakhungu, kapena pakhungu lotuluka; kapena adakhalapo ndi matenda ashuga kapena impso.
• Uzani dokotala wanu ngati inu kapena mnzanu muli ndi pakati, kapena konzekerani kutenga pakati. Inu kapena mnzanu musakhale ndi pakati mukamamwa ndi alpelisib. Ngati ndinu wamkazi amene angatenge mimba, muyenera kupita kukayezetsa musanalandire chithandizo, ndipo muyenera kugwiritsa ntchito njira yolerera munthawi ya chithandizo chanu komanso kwa sabata limodzi mutapatsidwa mankhwala omaliza. Ngati ndinu wamwamuna wokhala ndi bwenzi lachikazi lomwe lingatenge mimba, gwiritsani ntchito kondomu mukamalandira chithandizo komanso kwa sabata limodzi mutapatsidwa mankhwala omaliza. Ngati inu kapena mnzanu muli ndi pakati mukatenga alpelisib, itanani dokotala wanu.
• uzani dokotala wanu ngati mukuyamwitsa. Dokotala wanu angakuuzeni kuti musamamwe mkaka mukamamwa mankhwala komanso kwa sabata limodzi mutamwa mankhwala omaliza.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kwa kumwa alpelisib.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati kupitilira maola 9 kuchokera pomwe mwaphonya, tulukani mlingo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Alpelisib itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutopa kwambiri
• kuchepa kudya
• sintha momwe zinthu zimamvekera
• kuonda
• kupweteka m'mimba
• kutentha pa chifuwa
• kutayika tsitsi
• mutu
• kuyabwa
• khungu lowuma
• pakamwa pouma
• kuuma kwa nyini
• malungo
• kutupa kwa mikono kapena miyendo

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

• vuto kumeza kapena kupuma, kuthamanga, kuthamanga, malungo, kapena kugunda kwamtima mwachangu
• khungu, khungu, khungu, khungu lofiira, zilonda pamilomo kapena mkamwa, malungo, zizindikiro ngati chimfine
• ludzu lowonjezeka, pakamwa pouma, chilakolako chowonjezeka ndi kuchepa thupi, kukodza nthawi zambiri kapena zochulukirapo kuposa masiku onse, mpweya womwe umanunkhira ngati zipatso
• kupuma movutikira, chifuwa, kupweteka pachifuwa, kupuma movutikira
• Kutsekula m'mimba, kukamwa kouma, kukokana, kufooka, kuchepa kwa madzi, kutupa kwa miyendo kapena akakolo
• kukodza pafupipafupi, kupweteka, kapena mwachangu

Alpelisib itha 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).

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.

Zizindikiro za bongo zingaphatikizepo:

• nseru
• kusowa mphamvu
• zidzolo
• kuchuluka kwa ludzu ndi njala
• pakamwa pouma
• kukodza nthawi zambiri kapena zokulirapo

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso a labu musanayambe kumwa mankhwala kuti muwone ngati khansa yanu ingathe kuthandizidwa ndi alpelisib. Dokotala wanu adzaitanitsanso mayeso ena a labu musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu likuyankhira kwa alpelisib.

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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