Zamgululi

Zamkati

• Musanatenge busulfan,
• Busulfan imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Busulfan imatha kutsitsa kwambiri kuchuluka kwama cell am'mafupa anu. Uzani dokotala ndi wamankhwala za mankhwala onse omwe mukumwa. Mukatenga busulfan ndi mankhwala ena omwe angayambitse kuchepa kwa magazi, zotsatirapo za mankhwalawo zitha kukhala zovuta kwambiri. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda; kutuluka mwachilendo kapena kuphwanya.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso a labotale musanapite, mkati ndi pambuyo pa chithandizo chanu kuti muwone momwe thupi lanu likuyankhira busulfan kuti muwone ngati ma cell amwazi wanu akukhudzidwa ndi mankhwalawa. Dokotala wanu angafunike kusintha mlingo wanu kapena angakuuzeni kuti musiye kumwa busulfan kwakanthawi kuti magazi anu abwerere mwakale ngati atsika kwambiri. Tsatirani malangizo a dokotala mosamala ndikufunsani dokotala ngati simukudziwa kuchuluka kwa busulfan muyenera kutenga.

Busulfan itha kukulitsa chiopsezo kuti mudzadwala khansa zina. Lankhulani ndi dokotala wanu za kuopsa kotenga busulfan.

Busulfan imagwiritsidwa ntchito pochiza mtundu wina wamatenda am'magazi am'mimba (CML; mtundu wa khansa yamagazi oyera). Busulfan ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Busulfan amabwera ngati piritsi kuti atenge pakamwa kamodzi patsiku. Kutalika kwa chithandizo kumatengera mitundu ya mankhwala omwe mukumwa, momwe thupi lanu limayankhira, komanso mtundu wa khansa yomwe muli nayo. Tengani busulfan mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani busulfan ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kusintha mlingo wanu wa busulfan kutengera yankho lanu kuchipatala ndi zovuta zina zomwe mungakumane nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Osasiya kumwa busulfan osalankhula ndi dokotala.

Mapiritsi a Busulfan amagwiritsidwanso ntchito limodzi ndi mankhwala ena kuwononga mafupa ndi maselo a khansa pokonzekera kupititsa mafupa.

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

Musanatenge busulfan,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la busulfan, mankhwala ena aliwonse, kapena zina mwazomwe zimaphatikizidwa m'mapiritsi a busulfan. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acetaminophen (Tylenol); mankhwala ena a chemotherapy monga bendamustine (Treanda), carmustine (BiCNU, Gliadel Wafer), cyclophosphamide (Cytoxan), ifosfamide (Ifex), lomustine (CeeNU), melphalan (Alkeran), procarbazine (Mutalane), temozolomide (Temodar), Temogarine, Temogar), clozapine (Clozaril, FazaClo); cyclosporine (Sandimmune, Gengraf, Neoral); itraconazole (Sporanox); mankhwala a matenda amisala ndi nseru; phenytoin (Dilantin); kapena meperidine (Demerol). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi busulfan, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mudalandirapo mankhwala a radiation kapena mankhwala ena a chemotherapy kapena ngati mudagwidwa kapena kudwala mutu. Komanso muuzeni dokotala ngati mudamwapo busulfan kale, koma khansa yanu sinayankhe mankhwalawo.
• Muyenera kudziwa kuti busulfan imatha kusokoneza msambo (nthawi) mwa akazi, itha kusiya kupanga umuna mwa amuna. Komabe, simuyenera kuganiza kuti simungatenge mimba kapena kuti simungapatse wina mimba. Azimayi omwe ali ndi pakati kapena akuyamwitsa ayenera kuuza madokotala awo asanayambe kumwa mankhwalawa. Simuyenera kukonzekera kukhala ndi ana mukalandira mankhwala a chemotherapy kapena kwakanthawi mutalandira chithandizo. (Lankhulani ndi dokotala wanu kuti mumve zambiri.) Gwiritsani ntchito njira yodalirika yolerera popewa kutenga pakati. Mukakhala ndi pakati mukatenga busulfan, itanani dokotala wanu mwachangu. Busulfan atha kuvulaza mwana wosabadwayo.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Busulfan imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kusowa chilakolako kapena kunenepa
• kudzimbidwa
• zilonda mkamwa ndi pakhosi
• pakamwa pouma
• mutu
• kuvuta kugona kapena kugona
• kumva kuda nkhawa kapena kuda nkhawa modabwitsa
• chizungulire
• kutupa kwa nkhope, mikono, manja, mapazi, akakolo kapena miyendo yakumunsi
• kupweteka pachifuwa
• olowa, minofu kapena kupweteka kwa msana
• zotupa pakhungu
• kuyabwa komanso khungu louma
• khungu lakuda
• kutayika tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• wakuda, malo odikira
• mkodzo wofiira
• kutopa kapena kufooka kosazolowereka
• kuvuta kupuma
• kusintha kwa masomphenya
• kusanza
• kupweteka m'mimba
• kugwidwa

Busulfan itha kuyambitsa kulephera kwamchiberekero ndipo itha kuletsa atsikana kuti atha msinkhu. Lankhulani ndi dokotala wanu za chiopsezo cha kusabereka chifukwa cha busulfan. Lankhulani ndi dokotala wanu za kuopsa kolandira mankhwalawa.

Busulfan imatha kubweretsa 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).

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.

Zizindikiro za bongo zingaphatikizepo izi:

• wakuda, malo odikira
• mkodzo wofiira
• kuvulaza kapena kutuluka mwachilendo
• kutopa kapena kufooka kosazolowereka
• zilonda zapakhosi, chifuwa, malungo, kapena zizindikilo zina za matenda
• nseru
• kusanza
• kutsegula m'mimba
• zilonda mkamwa ndi pakhosi

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.

• Myleran^®

• Zamgululi