Zamgululi

Zamkati

• Musanatenge tamoxifen,
• Tamoxifen ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Tamoxifen imatha kuyambitsa khansa ya m'mimba (chiberekero), sitiroko, ndi magazi m'mapapu. Izi zitha kukhala zovuta kapena zakupha. Uzani dokotala wanu ngati mudadwalapo magazi m'mapapu kapena m'miyendo, sitiroko, kapena matenda amtima. Komanso muuzeni dokotala ngati mumasuta fodya, ngati muli ndi matenda othamanga magazi kapena matenda ashuga, ngati kuthekera kwanu kuyenda mozungulira nthawi yakuchedwako kuli kochepa, kapena ngati mukumwa maanticoagulants ('opopera magazi') monga warfarin (Coumadin). Ngati mukumane ndi zizindikiro zotsatirazi mukamalandira chithandizo kapena mutalandira chithandizo, pitani kuchipatala msanga: kusamba kosasamba; kusintha kwa ukazi kumaliseche, makamaka ngati kutuluka kwake kumakhala magazi, bulauni, kapena dzimbiri; kupweteka kapena kupanikizika m'chiuno (m'mimba pansi pamimba); kutupa kwa mwendo kapena kukoma; kupweteka pachifuwa; kupuma movutikira; kutsokomola magazi; kufooka mwadzidzidzi, kulira, kapena dzanzi kumaso, mkono, kapena mwendo, makamaka mbali imodzi ya thupi lanu; kusokonezeka mwadzidzidzi; kuvuta kuyankhula kapena kumvetsetsa; zovuta mwadzidzidzi kuwona m'maso amodzi kapena onse awiri; kuyenda modzidzimutsa; chizungulire; kutayika bwino kapena kulumikizana; kapena kupweteka mutu modzidzimutsa.

Sungani maimidwe onse ndi dokotala wanu. Muyenera kukhala ndi mayeso azamayi (mayeso a ziwalo zachikazi) pafupipafupi kuti mupeze zizindikilo zoyambirira za khansa ya m'chiberekero.

Ngati mukuganiza zotenga tamoxifen kuti muchepetse mwayi wokhala ndi khansa ya m'mawere, muyenera kukambirana ndi dokotala za kuopsa ndi phindu la mankhwalawa. Inu ndi dokotala wanu muwona ngati phindu la chithandizo cha tamoxifen ndi loyenera kumwa mankhwalawo. Ngati mukufuna kumwa tamoxifen kuchiza khansa ya m'mawere, maubwino a tamoxifen amapitilira zoopsa zake.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi tamoxifen ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Tamoxifen imagwiritsidwa ntchito pochiza khansa ya m'mawere yomwe yafalikira mbali zina za thupi mwa abambo ndi amai. Amagwiritsidwa ntchito pochiza khansa ya m'mawere yoyambirira mwa amayi omwe adachitidwa kale opaleshoni, radiation, ndi / kapena chemotherapy. Amagwiritsidwa ntchito pochepetsa chiopsezo chokhala ndi khansa ya m'mawere mwa amayi omwe akhala ndi ductal carcinoma in situ (DCIS; mtundu wa khansa ya m'mawere yomwe siyikufalikira kunja kwa mkaka komwe imapangika) ndi omwe akhala amathandizidwa ndi opaleshoni ndi ma radiation. Amagwiritsidwa ntchito pochepetsa chiopsezo cha khansa ya m'mawere kwa amayi omwe ali pachiwopsezo chachikulu cha matendawa chifukwa cha msinkhu wawo, mbiri yazachipatala, komanso mbiri yazachipatala yabanja.

Tamoxifen ali mgulu la mankhwala omwe amadziwika kuti antiestrogens. Imaletsa ntchito ya estrogen (mahomoni achikazi) m'mawere. Izi zitha kuyimitsa kukula kwa zotupa za m'mawere zomwe zimafunikira estrogen kuti ikule.

Tamoxifen imabwera ngati piritsi kuti itenge pakamwa. Tamoxifen nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku kapena wopanda chakudya. Tengani tamoxifen mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze chilichonse chomwe simukuchimvetsa. Tengani tamoxifen chimodzimodzi monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi tamoxifen lonse; osagawana, kutafuna, kapena kuwaphwanya. Kumeza mapiritsiwo ndi madzi kapena chakumwa chilichonse choledzeretsa.

Ngati mukumwa tamoxifen kuti mupewe khansa ya m'mawere, mutha kuyamwa kwa zaka zisanu. Ngati mukumwa tamoxifen kuti muthane ndi khansa ya m'mawere, dokotala wanu asankha kutalika kwa mankhwala anu. Osasiya kumwa tamoxifen osalankhula ndi dokotala.

Mukaiwala kumwa tamoxifen, tengani mlingo womwe mwaphonya mukangokumbukira, ndipo tengani mlingo wanu wotsatira mwachizolowezi. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Tamoxifen imagwiritsidwanso ntchito nthawi zina kuyambitsa mazira (mazira) mwa amayi omwe samabala mazira koma amafuna kukhala ndi pakati. Tamoxifen imagwiritsidwanso ntchito pochiza matenda a McCune-Albright (MAS; vuto lomwe limatha kuyambitsa matenda amfupa, kukula koyambirira kwa kugonana, ndi mawanga akuda pakhungu mwa ana). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge tamoxifen,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la tamoxifen kapena mankhwala aliwonse.
• 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: aminoglutethimide (Cytadren); anastrozole (Arimidex), bromocriptine (Parlodel); mankhwala a khansa chemotherapy monga cyclophosphamide (Cytoxan, Neosar) letrozole (Femara); medroxyprogesterone (Depo-Provera, Provera, ku Prempro); phenobarbital; ndi rifampin (Rifadin, Rimactane). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Kuphatikiza pa zomwe zatchulidwa mgulu la CHENJEZO LOFUNIKA, uzani dokotala wanu ngati mwakhalapo ndi cholesterol yamagazi ambiri kapena.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Simuyenera kukonzekera kukhala ndi pakati mukatenga tamoxifen kapena miyezi iwiri mutalandira chithandizo. Dokotala wanu akhoza kuyesa mimba kapena angakuuzeni kuti muyambe kumwa mankhwala pa nthawi ya kusamba kuti mutsimikizire kuti simuli ndi pakati mukayamba kumwa tamoxifen. Muyenera kugwiritsa ntchito njira yodalirika yopewera mahomoni kuti muchepetse mimba mukamamwa tamoxifen komanso kwa miyezi iwiri mutalandira chithandizo. Lankhulani ndi dokotala wanu za mitundu yoletsa yomwe ili yoyenera kwa inu, ndipo pitirizani kugwiritsa ntchito njira zakulera ngakhale simumasamba nthawi zonse mukamalandira chithandizo. Lekani kumwa tamoxifen ndipo itanani dokotala nthawi yomweyo ngati mukuganiza kuti mwakhala ndi pakati mukamalandira chithandizo. Tamoxifen itha kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa mukamamwa mankhwala ndi tamoxifen.
• auzeni madotolo anu onse ndi ena othandizira zaumoyo kuti mukumwa tamoxifen.
• mufunikabe kuyang'ana zizindikilo zoyambirira za khansa ya m'mawere chifukwa ndizotheka kukhala ndi khansa ya m'mawere ngakhale mutalandira chithandizo cha tamoxifen. Lankhulani ndi dokotala wanu za kuchuluka kwa nthawi yomwe muyenera kuyesa mabere anu nokha, dokotala adziwone mabere anu, ndikukhala ndi mammograms (mayeso a x-ray a mabere). Itanani dokotala wanu nthawi yomweyo ngati mupeza chotupa chatsopano m'mawere anu.

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.

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

• kuchuluka kwa mafupa kapena chotupa
• kupweteka kapena kufiira mozungulira chotupacho
• kutentha kotentha
• nseru
• kutopa kwambiri
• chizungulire
• kukhumudwa
• mutu
• kupatulira tsitsi
• kuonda
• kukokana m'mimba
• kudzimbidwa
• kutaya chilakolako cha kugonana kapena kuthekera (mwa amuna)

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:

• mavuto owonera
• kusowa chilakolako
• chikasu cha khungu kapena maso
• kuvulaza kapena kutuluka mwachilendo
• malungo
• matuza
• zidzolo
• kutupa kwa maso, nkhope, milomo, lilime, mmero, manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• ludzu
• kufooka kwa minofu
• kusakhazikika

Tamoxifen imatha kuwonjezera chiopsezo choti mungakhale ndi khansa zina, kuphatikiza khansa ya chiwindi. Lankhulani ndi dokotala wanu za chiopsezo ichi.

Tamoxifen imatha kuwonjezera chiopsezo choti mungakhale ndi ng'ala (mitambo yamaso m'maso) yomwe ingafunike kuchitidwa opaleshoni. Lankhulani ndi dokotala wanu za chiopsezo ichi.

Tamoxifen ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Sungani tamoxifen mu chidebe chomwe chidalowa, 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:

• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kusakhazikika
• chizungulire

• Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira tamoxifen.
• Musanayezetsedwe kwa labotale, uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukumwa tamoxifen.
• Musalole kuti aliyense azimwa mankhwala anu. Lankhulani ndi wamankhwala wanu ngati muli ndi mafunso okhudza 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.

• Nolvadex^®
• Soltamox^®¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.