Idarubicin

Zamkati

• Asanalandire idarubicin,
• Idarubicin imatha kuyambitsa mavuto. 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 mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Idarubicin imayenera kuperekedwa mumitsempha yokha. Komabe, imatha kutayikira minofu yoyandikana nayo yomwe imakhumudwitsa kwambiri kapena kuwonongeka. Dokotala wanu kapena namwino adzayang'anira tsamba lanu loyang'anira izi. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kupweteka, kuyabwa, kufiira, kutupa, matuza, kapena zilonda m'malo omwe munabayira mankhwala.

Idarubicin imatha kubweretsa mavuto owopsa kapena owopsa pa mtima nthawi iliyonse mukamachiza kapena miyezi mpaka zaka mutatha mankhwala anu. Dokotala wanu amalamula kuyesedwa musanachitike komanso mukamalandira chithandizo kuti muwone ngati mtima wanu ukugwira ntchito bwino kuti mulandire idarubicin bwinobwino. 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 daunorubicin (cerubidine), doxorubicin (Doxil), epirubicin (Ellence), 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.

Idarubicin imatha kuchepa kwambiri pamaselo amwazi m'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 kuvulala; wamagazi kapena wakuda, malo obisalira; kusanza kwamagazi; kapena kusanza magazi kapena zinthu zofiirira zomwe zikufanana ndi khofi.

Uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi. Dokotala wanu angakuuzeni kuti simuyenera kulandira mankhwalawa kapena mutha kusintha mlingo wanu ngati muli ndi matenda a impso kapena chiwindi.

Idarubicin ayenera kuperekedwa kokha moyang'aniridwa ndi dokotala wodziwa kugwiritsa ntchito mankhwala a chemotherapy.

Idarubicin imagwiritsidwa ntchito pochiza khansa ya m'magazi (AML; mtundu wa khansa yamagazi oyera) kuphatikiza mankhwala ena. Idarubicin ali mgulu la mankhwala otchedwa anthracyclines. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Idarubicin imabwera ngati yankho (madzi) kuti alowe jakisoni (mumtsempha) kupitilira mphindi 10 mpaka 15 ndi dokotala kapena namwino kuchipatala pamodzi ndi mankhwala ena a chemotherapy. Nthawi zambiri amaperekedwa kamodzi patsiku kwa masiku atatu. Dokotala wanu angafunikire kuchedwetsa chithandizo chanu kapena kusintha mlingo wanu ngati mukukumana ndi zovuta zina. Ndikofunika kuti muuze dokotala momwe mukumvera mukamalandira chithandizo cha idarubicin.

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

Asanalandire idarubicin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la idarubicin, mankhwala ena aliwonse, kapena zosakaniza zilizonse za jakisoni wa idarubicin. 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 mankhwala omwe atchulidwa mgulu la CHENJEZO LOFUNIKA. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mudalandirapo chithandizo chama radiation kapena kale kapena mudakhalapo ndi matenda amtima kapena ngati muli ndi matenda, kutseka magazi, kapena kuchepa kwa magazi (kuchepa kwa maselo ofiira m'magazi).
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kutenga pakati kapena kuyamwitsa pamene mukulandira jakisoni wa idarubicin. Mukakhala ndi pakati mukalandira idarubicin, itanani dokotala wanu. Idarubicin itha kuvulaza mwana wosabadwayo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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

• nseru
• kusanza
• kutsegula m'mimba
• zilonda mkamwa ndi pakhosi
• kupweteka m'mimba
• mutu
• kupweteka pamodzi
• kutayika tsitsi
• zidzolo
• kufiira ndi matuza pamanja ndi pansi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kugwidwa
• ming'oma
• chizungulire
• kukomoka
• khungu lotumbululuka
• kuvuta kukodza
• chikasu cha khungu kapena maso

Idarubicin 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).

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:

• nseru
• kusanza
• kupweteka kwambiri m'mimba
• zilonda mkamwa ndi pakhosi
• malungo, zilonda zapakhosi, kuzizira, kapena zizindikiro zina za matenda
• kutuluka mwachilendo kapena kuphwanya
• mipando yakuda ndi yodikira
• magazi ofiira m'mipando
• masanzi amagazi
• zinthu zosanza zomwe zimawoneka ngati malo a khofi

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

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.

• Idamycin^® Zolemba