Vinorelbine jekeseni

Zamkati

• Asanalandire vinorelbine,
• Vinorelbine amatha 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:

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

Vinorelbine imatha kutsitsa kwambiri kuchuluka kwama cell am'mafupa anu. Izi zitha kuyambitsa zizindikilo zina ndipo zitha kuonjezera chiopsezo kuti mutenga matenda akulu. Dokotala wanu adzaitanitsa mayeso a labotale musanachitike komanso mukamalandira chithandizo kuti muwone kuchuluka kwa maselo oyera m'magazi anu. Dokotala wanu akhoza kuchepetsa mlingo wanu, kapena kuchedwa, kusokoneza, kapena kuyimitsa chithandizo chanu ngati kuchuluka kwa maselo oyera amagazi ndikotsika kwambiri. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda.

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

Vinorelbine imagwiritsidwa ntchito yokha komanso kuphatikiza mankhwala ena kuti athetse khansa yaing'ono yamapapo yam'mapapo (NSCLC) yomwe yafalikira kumatenda oyandikira kapena mbali zina za thupi. Vinorelbine ali mgulu la mankhwala otchedwa vinca alkaloids. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Vinorelbine amabwera ngati yankho (madzi) kuti alowe jakisoni (mu mtsempha) ndi dokotala kapena namwino kuchipatala. Nthawi zambiri amaperekedwa kamodzi pamlungu. Kutalika kwa chithandizo kumadalira momwe thupi lanu limayankhira ndi mankhwala ndi vinorelbine.

Muyenera kudziwa kuti vinorelbine imayenera kuperekedwa mumitsempha yokha. Komabe, imatha kutayikira minofu yoyandikana nayo yomwe imakhumudwitsa kwambiri kapena kuwonongeka. Dokotala wanu kapena namwino adzayang'anira dera lomwe lili pafupi ndi mankhwala omwe adayikidwa. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kupweteka, kuyabwa, kufiira, kutupa, zotupa, kapena zilonda pafupi ndi pomwe adaliritsa mankhwalawo.

Vinorelbine nthawi zina amagwiritsidwa ntchito pochiza khansa ya m'mawere, khansa ya kum'mero ​​(chubu chomwe chimalumikiza pakamwa ndi m'mimba), ndi ma sarcomas ofewa (khansa yomwe imapanga minofu). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

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

Asanalandire vinorelbine,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi vinorelbine, mankhwala aliwonse, kapena chilichonse chosakaniza mu jakisoni wa vinorelbine. 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: ma antifungal ena monga itraconazole (Onmel, Sporanox, Tolsura) ndi ketoconazole; kumvetsetsa; HIV protease inhibitors kuphatikizapo indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra, Technivie, Viekira), ndi saquinavir (Invirase); kapena nefazodone. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati ,, kapena konzekerani kukhala ndi mwana. Inu kapena mnzanu musatenge mimba mukalandira jakisoni wa vinorelbine. Muyenera kuyezetsa asanayambe kulandira mankhwala kuti mutsimikizire kuti mulibe pakati. Ngati ndinu wamkazi, gwiritsani ntchito njira yolerera yoyenerera mukamalandira chithandizo komanso kwa miyezi 6 mutapatsidwa mankhwala omaliza. Ngati ndinu wamwamuna, gwiritsani ntchito njira yolerera yoyenerera mukamalandira chithandizo komanso kwa miyezi itatu mutamaliza kumwa mankhwala. Ngati inu kapena mnzanu mumakhala ndi pakati mukalandira jakisoni wa vinorelbine, itanani dokotala wanu. Vinorelbine atha kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa. Dokotala wanu angakuuzeni kuti musamamwe mkaka mukamamwa mankhwala komanso masiku 9 mutatha kumwa mankhwala.
• muyenera kudziwa kuti vinorelbine imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha momwe mumadyera komanso kugwiritsa ntchito mankhwala ena kupewa kapena kudzimbidwa mukamamwa vinorelbine.

Dokotala wanu angakuuzeni kuti mutsimikizire kumwa madzi okwanira, ndipo idyani zakudya zamafuta ambiri monga letesi, sipinachi, broccoli, squash, nyemba, mtedza, mbewu, zipatso, mkate wonse wa tirigu, pasitala wathunthu, kapena mpunga wofiirira. Onetsetsani kuti mwatsatira malangizo mosamala.

Vinorelbine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kusowa chilakolako
• kuonda
• kusintha kwa kulawa chakudya
• zilonda mkamwa ndi pakhosi
• kutaya kumva
• minofu, kapena kulumikizana
• kutayika tsitsi
• kusowa mphamvu, kusamva bwino, kutopa

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

• kupuma movutikira kapena kupuma movutikira, kutsokomola
• kudzimbidwa, kupweteka m'mimba, nseru, kusanza
• kutuluka mwachilendo kapena kuphwanya
• ming'oma, kuyabwa, zidzolo, kupuma movutikira kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, ndi maso
• khungu kapena khungu
• chikasu cha khungu kapena maso, mkodzo wamtundu wakuda, chopondapo choyera
• dzanzi, kumva kulasalasa pakhungu, khungu lowoneka bwino, kuchepa mphamvu yakukhudza, kapena kufooka kwa minofu
• malungo, kuzizira, zilonda zapakhosi kapena zizindikiro zina za matenda
• kupweteka pachifuwa, kupuma movutikira, kutsokomola magazi
• ofiira, otupa, ofewa, kapena mkono wofunda kapena mwendo

Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa vinorelbine.

Vinorelbine amatha 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).

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:

• zilonda mkamwa ndi pakhosi
• kupweteka m'mimba
• kudzimbidwa
• malungo, zilonda zapakhosi, kuzizira, kapena zizindikiro zina za matenda
• kutaya mphamvu yosuntha minofu ndikumverera gawo la thupi

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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• Didehydrodeoxynorvincaleukoblastine

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