Chlorambucil

Zamkati

• Asanatenge chlorambucil,
• Chlorambucil imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Chlorambucil imatha kuchepa kwama cell am'mafupa anu. Dokotala wanu adzaitanitsa mayeso a labotale musanapite, mkati, komanso mutatha chithandizo kuti muwone ngati maselo anu amakhudzidwa ndi mankhwalawa. Sungani maimidwe onse ku labotale.

Chlorambucil ikhoza kuonjezera chiopsezo kuti mudzadwala khansa zina. Lankhulani ndi dokotala wanu za chiopsezo ichi.

Chlorambucil imatha kusokoneza msambo mwa amayi ndipo imatha kusiya umuna mwa amuna. Chlorambucil ingayambitse kusabereka kwamuyaya (zovuta kukhala ndi pakati); komabe, simuyenera kuganiza kuti simungatenge mimba, kapena kuti simungapatse wina mimba. Amayi omwe ali ndi pakati 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 chlorambucil, itanani dokotala wanu mwachangu. Chlorambucil ikhoza kuvulaza mwana wosabadwayo.

Chlorambucil imagwiritsidwa ntchito pochiza mtundu wina wamatenda am'magazi am'magazi (CLL; mtundu wa khansa yamagazi oyera). Chlorambucil imagwiritsidwanso ntchito pochiza non-Hodgkin's lymphoma (NHL) ndi matenda a Hodgkin (mitundu ya khansa yomwe imayamba m'maselo oyera amtundu wina omwe nthawi zambiri amalimbana ndi matenda). Chlorambucil ali mgulu la mankhwala otchedwa alkylating agents. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Chlorambucil imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kwa masabata 3 mpaka 6, koma nthawi zina amatha kumwa mosiyanasiyana, ngati kamodzi kamodzi pamasabata awiri, kapena kamodzi kamodzi pamwezi. Kutalika kwa chithandizo kumatengera mitundu ya mankhwala omwe mukumwa, momwe thupi lanu limayankhira, komanso mtundu wa khansa yomwe muli nayo. Tengani chlorambucil mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani chlorambucil ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu amatha kusintha mlingo wanu wa chlorambucil kutengera mayankho anu kuchipatala ndi zovuta zina zomwe mungakumane nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Osasiya kumwa mankhwala a chlorambucil osalankhula ndi dokotala.

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.

Asanatenge chlorambucil,

• uzani dokotala wanu komanso wamankhwala ngati mankhwala a chlorambucil, mankhwala ena monga bendamustine (Treanda), busulfan (Myleran, Busulfex), carmustine (BiCNU, Gliadel Wafer), cyclophosphamide (Cytoxan), ifosfamide (Ifex), lomustine (CeeNU ), melphalan (Alkeran), procarbazine (Mutalane), kapena temozolomide (Temodar), mankhwala ena aliwonse, kapena chilichonse cha mankhwala a chlorambucil. 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.
• uzani adotolo ngati mudamwa chlorambucil kale, koma khansa yanu sinayankhe mankhwalawo. Dokotala wanu angakuuzeni kuti musamwe chlorambucil.
• uzani dokotala wanu ngati mwalandira mankhwala a radiation kapena chemotherapy ina m'masabata 4 apitawa.
• uzani dokotala wanu ngati munakhalapo ndi khunyu kapena kuvulala kumutu.
• uzani dokotala wanu ngati mukuyamwitsa.
• mulibe katemera popanda kulankhula ndi dokotala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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.

Chlorambucil imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• zilonda mkamwa ndi pakhosi
• kutopa
• osasamba msambo (mwa atsikana ndi akazi)

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• zotupa pakhungu
• kuvulaza kapena kutuluka mwachilendo
• wakuda, malo odikira
• mkodzo wofiira
• chifuwa
• chikhure
• kuchulukana
• malungo
• kuvuta kupuma
• kugwidwa
• chikasu cha khungu kapena maso
• kupweteka kumtunda chakumanja kwam'mimba
• mkodzo wachikuda
• kukodza pafupipafupi
• ziphuphu zachilendo kapena misa

Chlorambucil 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. Sungani mu firiji.

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.

Sungani maimidwe onse ndi dokotala wanu.

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.

• Leukeran^®