Teniposide jekeseni
Zamkati
- Asanalandire teniposide,
- Teniposide ingayambitse 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:
- Zizindikiro za bongo zingaphatikizepo:
Jekeseni wa Teniposide uyenera kuperekedwa kuchipatala kapena kuchipatala moyang'aniridwa ndi dokotala yemwe amadziwa bwino kupereka mankhwala a chemotherapy a khansa.
Teniposide ingayambitse kuchepa kwakukulu kwa kuchuluka kwama cell am'mafupa anu. Izi zimawonjezera chiopsezo kuti mutenga matenda akulu kapena magazi. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, zilonda zapakhosi, kuzizira, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda; kutuluka mwachilendo kapena kuvulala; mipando yakuda ndi yodikira; magazi ofiira m'mipando; kusanza kwamagazi; zinthu zosanza zomwe zimawoneka ngati malo a khofi.
Teniposide imatha kuyambitsa mavuto ena kapena owopsa. Ngati mukumana ndi vuto la jakisoni wa teniposide, imatha kuyamba kapena mutatha kulowetsedwa, ndipo mutha kukhala ndi izi: ming'oma; zidzolo; kuyabwa; kutupa kwa maso, nkhope, mmero, milomo, lilime, manja, mikono, mapazi, kapena akakolo; kuvuta kupuma kapena kumeza; kuthamanga; chizungulire; kukomoka; kapena kugunda kwamtima. Dokotala wanu kapena namwino adzakuyang'anirani mosamala mukalandira gawo lililonse la teniposide komanso kwakanthawi pambuyo pake. Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi izi. Mudzalandira mankhwala ena othandizira kupewa zovuta musanalandire mlingo uliwonse wa teniposide ngati mwakumana ndi vuto la teniposide.
Teniposide imagwiritsidwa ntchito ndi mankhwala ena a chemotherapy kuti athetse khansa ya m'magazi (ALL; mtundu wa khansa yamagazi oyera) mwa ana omwe sanasinthe kapena omwe awonjezeka atalandira chithandizo ndi mankhwala ena. Teniposide ali mgulu la mankhwala omwe amadziwika kuti zotengera za podophyllotoxin. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.
Teniposide imabwera ngati yankho (madzi) kuti alandire jakisoni osachepera mphindi 30 mpaka 60 kudzera m'mitsempha (mumtsempha) ndi dokotala kapena namwino kuchipatala. Dokotala wanu adzakuwuzani kuti mudzalandira teniposide kangati. Ndandanda yake imadalira momwe thupi lanu limayankhira mankhwalawo.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanalandire teniposide,
- uzani dokotala ndi wamankhwala ngati muli ndi vuto la teniposide, mankhwala ena aliwonse, mafuta opangidwa ndi polyoxyethylated castor (Cremophor EL), kapena china chilichonse mu jakisoni wa teniposide. 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 izi: mankhwala a nseru ndi kusanza, methotrexate (Abitrexate, Folex, Rheumatrex, Trexall), kapena tolbutamide (Orinase). Mankhwala ena amathanso kulumikizana ndi teniposide, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- auzeni adotolo ngati mudakhalapo ndi matenda a impso kapena chiwindi kapena ngati muli ndi Down syndrome (mkhalidwe wobadwa nawo womwe umayambitsa mavuto osiyanasiyana amakulidwe ndi thupi).
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, ngati mukuyamwitsa, kapena ngati mukufuna kukhala ndi mwana. Muyenera kudziwa kuti teniposide ingaletse kupanga umuna mwa amuna. Simuyenera kutenga pakati kapena kuyamwitsa mukalandira jakisoni wa teniposide. Ngati inu kapena mnzanu muli ndi pakati mukalandira jakisoni wa teniposide, itanani dokotala wanu. Teniposide itha kuvulaza mwana wosabadwayo.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Teniposide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kusanza
- zilonda mkamwa kapena lilime
- kutsegula m'mimba
- kutayika tsitsi
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
- kusawona bwino
- khungu lotumbululuka
- kutopa kwambiri
- mutu
- chisokonezo
- kupweteka, dzanzi, kutentha, kapena kumva kulasalasa m'manja kapena m'mapazi
- kugunda pang'onopang'ono kapena kosasinthasintha
Teniposide ikhoza kuonjezera chiopsezo kuti mungakhale ndi khansa zina. Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa teniposide.
Teniposide ingayambitse 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:
- kupuma pang'ono
- kutopa kwambiri
- kugunda pang'onopang'ono kapena kosasinthasintha
- chisokonezo
- kukomoka
- chizungulire
- kusawona bwino
- malungo, zilonda zapakhosi, kuzizira, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda
- kutuluka mwachilendo kapena kuphwanya
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu lingayankhire pa teniposide.
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.
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