Daunorubicin

Zamkati

• Asanalandire jakisoni wa daunorubicin,
• Daunorubicin angayambitse mavuto. 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:

Daunorubicin jekeseni ayenera kuperekedwa kuchipatala kapena kuchipatala moyang'aniridwa ndi dokotala yemwe amadziwa bwino kupereka mankhwala a chemotherapy a khansa.

Daunorubicin imatha kubweretsa mavuto owopsa kapena owopsa pa mtima nthawi iliyonse mukamachiza kapena miyezi mpaka zaka mutatha mankhwala anu. Dokotala wanu adzayitanitsa mayeso musanachitike komanso mukamalandira chithandizo kuti muwone ngati mtima wanu ukugwira ntchito bwino kuti mulandire bwino daunorubicin. Mayesowa atha kuphatikizira electrocardiogram (ECG; mayeso omwe amalemba zamagetsi zamagetsi mumtima) ndi echocardiogram (mayeso omwe amagwiritsa ntchito mafunde amawu kuti athe kuyesa mtima wanu kutulutsa magazi). Dokotala wanu angakuuzeni kuti simuyenera kulandira mankhwalawa ngati mayeserowa akuwonetsa kuti mtima wanu wokhoza kupopa magazi wachepa. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi mtundu uliwonse wamatenda amtima kapena mankhwala a radiation (x-ray) m'chifuwa. Uzani dokotala wanu komanso wamankhwala ngati mukumwa kapena munalandirapo mankhwala enaake a khansa monga doxorubicin (Doxil), epirubicin (Ellence), idarubicin (Idamycin), kapena mitoxantrone (Novantrone), cyclophosphamide (Cytoxan), kapena trastuzumab (Herceptin) . Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kupuma movutikira; kuvuta kupuma; kutupa kwa manja, mapazi, akakolo kapena miyendo yakumunsi; kapena kugunda kwamtima, kosasinthasintha, kapena kopanda.

Daunorubicin ikhoza kuyambitsa kuchepa kwakukulu kwa kuchuluka kwama cell am'mafupa anu. Izi zitha kuyambitsa zizindikilo zina ndipo zitha kuonjezera chiopsezo kuti mutenga matenda akulu kapena magazi. 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.

Uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi. Dokotala wanu angafunikire kusintha mlingo wanu ngati muli ndi matenda a impso kapena chiwindi.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena kuti muwone momwe thupi lanu limayankhira pa daunorubicin.

Daunorubicin imagwiritsidwa ntchito ndi mankhwala ena a chemotherapy kuti athetse mtundu wina wa pachimake wa leukemia (AML; mtundu wa khansa yamagazi oyera). Daunorubicin imagwiritsidwanso ntchito ndi mankhwala ena a chemotherapy kuti athetse mtundu wina wa acute lymphocytic leukemia (ZONSE; mtundu wa khansa yamagazi oyera). Daunorubicin ali mgulu la mankhwala otchedwa anthracyclines. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Daunorubicin amabwera ngati yankho (madzi) kapena ngati ufa wosakanizidwa ndi madzi kuti alowe jakisoni (mumtsempha) ndi dokotala kapena namwino kuchipatala pamodzi ndi mankhwala ena a chemotherapy. Daunorubicin imagwiritsidwa ntchito pochizira AML, nthawi zambiri imabayidwa kamodzi patsiku m'masiku ena a nthawi yomwe mumamwa. Daunorubicin akagwiritsidwa ntchito pochiza ZONSE, nthawi zambiri amabayidwa kamodzi pa sabata. Kutalika kwa chithandizo kumatengera mitundu ya mankhwala omwe mukumwa, momwe thupi lanu limayankhira, komanso mtundu wa khansa yomwe muli nayo.

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 daunorubicin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la mankhwala a daunorubicin, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wa daunorubicin. 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 mwatchula mankhwala omwe atchulidwa mu gawo LOFUNIKA CHENJEZO ndi zina mwa izi: azathioprine (Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex, Trexall), sirolimus (Rapamune), ndi tacrolimus (Prograf). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena amathanso kulumikizana ndi daunorubicin, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda aliwonse.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kutenga pakati mukalandira jakisoni wa daunorubicin. Mukakhala ndi pakati mukalandira daunorubicin, itanani dokotala wanu. Daunorubicin akhoza kuvulaza mwana wosabadwayo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Daunorubicin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• zilonda mkamwa ndi pakhosi
• kutsegula m'mimba
• kupweteka m'mimba
• kutayika tsitsi
• mkodzo wofiira

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

• kufiira, kupweteka, kutupa, kapena kuwotcha pamalo pomwe munabayidwa jakisoni
• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza

Daunorubicin itha kukulitsa chiopsezo choti mungakhale ndi khansa zina. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Daunorubicin angayambitse mavuto ena. 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).

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.

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.

• Cerubidine^®

• Daunomycin
• Chithandizo