Jekeseni wa Etoposide

Zamkati

• Asanalandire jakisoni wa etoposide,
• Jekeseni wa Etoposide ingayambitse 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:

Jekeseni wa Etoposide imayenera kuperekedwa kokha moyang'aniridwa ndi dokotala wodziwa kugwiritsa ntchito mankhwala a chemotherapy.

Etoposide imatha kutsitsa kwambiri kuchuluka kwama cell am'mafupa anu. Dokotala wanu adzaitanitsa mayeso a labotale nthawi zonse musanamwe komanso mukamalandira chithandizo. Kuchepa kwa maselo amwazi mthupi lanu kumatha kuyambitsa zizindikilo zina ndipo kumatha kuonjezera chiwopsezo kuti mutenge 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.

Jakisoni wa Etoposide amagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse khansa ya machende yomwe sinasinthe kapena yomwe yaipiraipira atalandira chithandizo ndi mankhwala ena kapena mankhwala a radiation. Jakisoni wa Etoposide amagwiritsidwanso ntchito limodzi ndi mankhwala ena kuti athetse khansa yamapapo yam'mapapo (kansa yaying'ono yamapapo yam'mapapo; SCLC). Etoposide ali mgulu la mankhwala omwe amadziwika kuti zotengera za podophyllotoxin. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.

Jakisoni wa Etoposide amabwera ngati yankho (madzi) kapena ufa wosakanizidwa ndi madzi kuti alowetsedwe pang'onopang'ono kudzera mumitsempha ndi dokotala kapena namwino kuchipatala. Kutalika kwa chithandizo kumatengera mitundu ya mankhwala omwe mukumwa, momwe thupi lanu limayankhira, komanso mtundu wa khansa yomwe muli nayo.

Jakisoni wa Etoposide nthawi zina amagwiritsidwa ntchito pochiza Hodgkin's lymphoma (matenda a Hodgkin), non-Hodgkin's lymphoma (mitundu ya khansa yomwe imayamba mumtundu wamagazi oyera omwe amalimbana ndi matenda), ndi mitundu ina ya leukemia (khansa yamagazi oyera ), kuphatikiza pachimake myeloid leukemia (AML, ANLL) ndi acute lymphoblastic leukemia (ALL) mwa ana. Nthawi zina amagwiritsidwanso ntchito kuthana ndi chotupa cha Wilms (mtundu wa khansa ya impso yomwe imapezeka mwa ana), neuroblastoma (khansa yomwe imayamba m'mitsempha yam'mitsempha ndipo imachitika makamaka mwa ana), khansara ya ovari (khansa yomwe imayambira ziwalo zoberekera zachikazi komwe mazira amapangidwa), khansa ina yam'mapapo yam'mapapo (khansa ya m'mapapo yosakhala yaying'ono; NSCLC), ndi Kaposi's sarcoma yokhudzana ndi matenda a immunodeficiency syndrome (AIDS). 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 jakisoni wa etoposide,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la etoposide, etoposide phosphate (Etopophos), mankhwala ena aliwonse, kapena zosakaniza zilizonse mu jakisoni wa etoposide kapena etoposide phosphate. 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: cisplatin (Platinol), cyclosporine (Gengraf, Neoral, Sandimmune). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi etoposide, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kutenga pakati kapena kuyamwitsa mukalandira jakisoni wa etoposide. Mukakhala ndi pakati mukalandira jakisoni wa etoposide, itanani dokotala wanu. Etoposide itha kuvulaza mwana wosabadwayo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni wa Etoposide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutupa, kupweteka, kufiira, kapena kutentha pamalo obayira
• nseru
• kusanza
• zilonda mkamwa ndi pakhosi
• kupweteka m'mimba
• kutsegula m'mimba
• kudzimbidwa
• kusowa chilakolako kapena kunenepa
• kutopa kapena kufooka kosazolowereka
• khungu lotumbululuka
• kukomoka
• chizungulire
• kutayika tsitsi
• kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi
• kupweteka kwa diso

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

• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kugwidwa
• chikasu cha khungu kapena maso

Etoposide imatha kuonjezera chiopsezo kuti mungakhale ndi khansa zina. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Etoposide 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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena kuti muwone momwe thupi lanu limayankhira ku etoposide.

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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