Lurbinectedin jekeseni

Zamkati

• Asanalandire jakisoni wa lurbinectedin,
• Lurbinectedin ikhoza kuyambitsa 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:

Jakisoni wa Lurbinectedin amagwiritsidwa ntchito pochiza khansa yaying'ono yamapapo yam'mapapo (SCLC) yomwe yafalikira mbali zina za thupi ndipo sinasinthe nthawi yayitali kapena atalandira chithandizo chamankhwala a platinamu. Jakisoni wa Lurbinectedin ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Jekeseni wa Lurbinectedin umabwera ngati ufa wosakanikirana ndi madzi kuti alowe jakisoni (mumtsempha) kwa mphindi 60 ndi dokotala kapena namwino kuchipatala kapena kuchipatala. Nthawi zambiri amaperekedwa kamodzi masiku 21 alionse. Dokotala wanu adzasankha kuti mulandire kangati lurbinectedin kutengera momwe thupi lanu limayankhira mankhwalawa.

Dokotala wanu angafunikire kuyimitsa chithandizo chanu kwakanthawi kapena kosatha kapena kuchepetsa mlingo wanu ngati mukukumana ndi zovuta zina. Ndikofunika kuti muuze dokotala momwe mukumvera mukamalandira chithandizo cha jakisoni wa lurbinectedin.

Dokotala wanu adzakupatsani mankhwala kuti muchepetse kunyoza ndi kusanza musanalandire mulingo uliwonse wa lurbinectedin.

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 lurbinectedin,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la lurbinectedin, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wa lurbinectedin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe mumalandira kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala oletsa mafungal monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), ndi voriconazole (Vfend); clarithromycin (Biaxin, Prevpac); diltiazem (Cardizem, Dilacor, Tiazac, ena); erythromycin (E-mycin, Ery-Tab, ena); mankhwala ena a HIV monga efavirenz (Sustiva), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); nefazodone; pioglitazone (Actos, ku Oseni); rifabutin (Mycobutin); zida; rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); mankhwala ena ogwidwa monga carbamazepine (Carbatrol, Epitol, Tegretol, ena), phenobarbital, ndi phenytoin (Dilantin, Phenytek); ndi verapamil (Calan, Verelan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amatha kulumikizana ndi lurbinectedin, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala pazotsatira.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena ngati mukufuna kukhala ndi mwana. Inu kapena mnzanu simuyenera kutenga pakati mukalandira jekeseni wa lurbinectedin. Dokotala wanu akhoza kuyezetsa kutenga pakati kuti atsimikizire kuti simuli ndi pakati musanalandire jakisoni wa lurbinectedin. Ngati ndinu wamkazi, muyenera kugwiritsa ntchito njira zakulera mukamalandira chithandizo komanso kwa miyezi 6 mutatha kumwa. Ngati ndinu wamwamuna, inu ndi mnzanuyo muyenera kugwiritsa ntchito njira zakulera mukamalandira chithandizo komanso kwa miyezi 4 mutalandira mankhwala omaliza. Ngati inu kapena mnzanu muli ndi pakati mukalandira jakisoni wa lurbinectedin, itanani dokotala wanu. Jekeseni wa Lurbinectedin imatha kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwitsa pamene mukulandira jakisoni wa lurbinectedin komanso kwa masabata osachepera 2 mutapatsidwa mankhwala omaliza.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukalandira mankhwalawa.

Itanani dokotala wanu nthawi yomweyo ngati simungathe kusungitsa nthawi yokumana ndi lurbinectedin.

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

• kutopa
• nseru
• kusanza
• kudzimbidwa
• kutsegula m'mimba
• kusowa chilakolako
• kupweteka kwa minofu
• mutu
• kumva kulasalasa, kuchita dzanzi, ndi kupweteka mmanja ndi m'mapazi

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

• kupweteka pachifuwa
• kupuma movutikira
• kusuntha kwa matumbo ofiira, khungu lachikaso kapena maso, kusowa kwa njala, kutuluka mwadzidzidzi kapena kuvulala, mkodzo wakuda wachikaso kapena bulauni, kapena kupweteka kumtunda chakumanja kwa m'mimba
• malungo, chifuwa, kuzizira, kapena zizindikiro zina za matenda
• kutopa kapena khungu lotumbululuka

Lurbinectedin ikhoza kuyambitsa 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 musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu likuyankhira lurbinectedin.

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza lurbinectedin.

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.

• Zepzelca^®