Tivozanib

Zamkati

• Musanatenge tivozanib,
• Tivozanib itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la ZOCHITIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo:

Tivozanib imagwiritsidwa ntchito pochizira renal cell carcinoma (RCC; khansa yomwe imayamba mu impso) yomwe yabwerera kapena sinayankhe pafupifupi mankhwala ena awiri. Tivozanib ali mgulu la mankhwala otchedwa kinase inhibitors. Zimagwira ntchito poletsa mapuloteni achilendo omwe amawonetsa kuti ma cell a khansa achulukane. Izi zimathandiza kuletsa kapena kuchepetsa kufalikira kwa maselo a khansa.

Tivozanib imabwera ngati kapisozi woti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse popanda kapena chakudya kwa masiku 21 oyambira masiku 28. Kuzungulira kumatha kubwerezedwa monga momwe dokotala akuwalimbikitsira. Tenga tivozanib mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tivozanib ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse ndi madzi; musatsegule.

Dokotala wanu akhoza kuchepetsa mlingo wanu kapena kuimitsa kanthawi kochepa kapena kosatha ngati mukukumana ndi zovuta zina. Izi zimadalira momwe mankhwalawa amakuthandizirani komanso zovuta zomwe mumakumana nazo. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira chithandizo cha tivozanib.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge tivozanib,

• auzeni adotolo ndi azachipatala ngati muli ndi matupi awo sagwirizana ndi tivozanib, aspirin, tartrazine (utoto wachikasu wazakudya ndi mankhwala osokoneza bongo), mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a tivozanib. 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: apalutamide (Erleada), carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), enzalutamide (Xtandi), phenytoin (Dilantin, Phenytek), ndi rifampin (Rifadin, Rimactane, Rifamate Mfuti). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu komanso wazamankhwala zomwe mumamwa mankhwala azitsamba, makamaka wort ya St. Musatenge wort ya St. John mukatenga tivozanib.
• uzani dokotala wanu ngati muli ndi bala losapola kapena ngati mwakhala mukudwala kapena mwakhalapo ndi vuto lakukha magazi; magazi atsekemera; mtima kulephera; matenda a mtima; kuthamanga kwa magazi; kugwidwa; kapena matenda a mtima, chithokomiro, impso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena ngati mukufuna kukhala ndi mwana. Inu kapena mnzanu simuyenera kutenga pakati mukatenga tivozanib. Ngati ndinu wamkazi, muyenera kuyezetsa asanayambe kulandira mankhwala, ndipo muyenera kugwiritsa ntchito njira yoletsa kupewa kutenga mimba mukamamwa mankhwala a tivozanib komanso kwa mwezi umodzi mutapatsidwa mankhwala omaliza. Ngati ndinu wamwamuna, inu ndi mnzanuyo muyenera kugwiritsa ntchito njira zakulera kuti muchepetse kutenga pakati mukamalandira tivozanib komanso kwa mwezi umodzi mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Tivozanib ikhoza kuchepetsa kubereka kwa abambo ndi amai. Komabe, musaganize kuti inu kapena mnzanuyo simungakhale ndi pakati. Ngati inu kapena mnzanu muli ndi pakati mukatenga tivozanib, itanani dokotala wanu. Tivozanib itha kuvulaza mwana wosabadwayo.
• Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa mankhwala ndi tivozanib komanso kwa mwezi umodzi mutatha kumwa mankhwala omaliza.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tivozanib. Dokotala wanu angakuuzeni kuti musiye kumwa tivozanib osachepera masiku 24 musanachite opareshoni yanu chifukwa imatha kukhudza kuchiritsa kwa bala. Dokotala wanu angakuuzeni nthawi yoyamba kumwa tivozanib mukatha opaleshoni.
• muyenera kudziwa kuti tivozanib itha kuyambitsa kuthamanga kwa magazi. Kuthamanga kwanu kwa magazi kuyenera kuyang'aniridwa pafupipafupi mukamamwa tivozanib.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo umodzi tsiku lomwelo kuti mupange zomwe mwaphonya.

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

• kutsegula m'mimba
• nseru
• kusanza
• kutopa
• kusowa chilakolako
• kuonda
• kukweza mawu
• kupweteka kwa msana
• zilonda mkamwa
• chifuwa
• kupuma movutikira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la ZOCHITIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kuvulaza kapena kutuluka mwachilendo
• chimbudzi chamagazi kapena chakuda komanso chochedwa
• magazi mkodzo
• kusanza kapena kutsokomola magazi
• kutuluka magazi m'kamwa
• kugwidwa, kupweteka mutu, kusintha masomphenya, kapena kusokonezeka
• kufiira, kutupa, ndi kupweteka m'manja ndi / kapena mapazi
• chisokonezo, mutu, chizungulire, kupweteka pachifuwa, kapena kupuma movutikira
• kupuma pang'ono kapena kutupa kwa akakolo
• kupweteka pachifuwa kapena kupanikizika; dzanzi kapena kufooka mbali imodzi ya thupi; kupweteka m'manja, kumbuyo, m'khosi kapena nsagwada; kuvuta kuyankhula; kupuma movutikira; mutu mwadzidzidzi; masomphenya amasintha; kapena kutupa mikono kapena miyendo

Tivozanib 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).

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:

• kupweteka pachifuwa; kupuma movutikira; kugunda kwamtima msanga, kosasinthasintha, kapena kwamphamvu; mutu; chisokonezo; kapena kusawona bwino

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira tivozanib.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

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.

• Fotivda^®