Wachinyamata

Zamkati

• Musanatenge capecitabine,
• Capecitabine itha kubweretsa zovuta. 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:

Capecitabine ingayambitse magazi oopsa kapena oika moyo pangozi akamatengedwa pamodzi ndi ma anticoagulants ('opopera magazi') monga warfarin (Coumadin^®). Uzani dokotala wanu ngati mukumwa warfarin. Dokotala wanu adzaitanitsa mayeso a labotale kuti awone momwe magazi anu amagwirira mwachangu ndipo angafunike kusintha kuchuluka kwanu kwa warfarin. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kutuluka mwachilendo; kusanza kapena kulavulira magazi kapena zinthu zofiirira zomwe zikufanana ndi malo a khofi; wamagazi kapena wakuda, malo obisalira; magazi mkodzo; mkodzo wofiira kapena wofiirira; kapena kuvulaza kosavuta.

Capecitabine imagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse khansa ya m'mawere yomwe yabwerera pambuyo pochiritsidwa ndi mankhwala ena. Amagwiritsidwanso ntchito payekha pochiza khansa ya m'mawere yomwe sinasinthe pambuyo pothandizidwa ndi mankhwala ena. Capecitabine imagwiritsidwanso ntchito kuthana ndi khansa yam'matumbo kapena yamatumbo (khansa yomwe imayamba m'matumbo akulu) yomwe yafika poipa kapena kufalikira mbali zina za thupi. Amagwiritsidwanso ntchito popewera khansa ya m'matumbo kuti isafalikire kwa anthu omwe achita opaleshoni kuti achotse chotupacho. Capecitabine ali mgulu la mankhwala otchedwa antimetabolites. Zimagwira ntchito poletsa kapena kuchepetsa kukula kwa maselo a khansa.

Capecitabine imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku (m'mawa ndi madzulo) kwa milungu iwiri, kenako sabata limodzi musanabwereze muyeso wotsatira wotsatira. Nthawi zambiri amatengedwa mukadya (pasanathe mphindi 30 kuchokera m'mawa ndi chakudya chamadzulo) komanso ndi kapu yamadzi. Dokotala wanu adzasankha kangati momwe muyenera kubwereza izi. Tengani capecitabine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani capecitabine chimodzimodzi monga mwawuzidwa. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala. Dokotala wanu akhoza kusintha mlingo wanu wa capecitabine kapena kuimitsa chithandizo chanu kwakanthawi malinga ndi kuyankha kwanu kuchipatala ndi zovuta zina zomwe mumakumana nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Capecitabine imagwiritsidwanso ntchito pochiza khansa yapamimba (khansa yam'mimba). 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.

Musanatenge capecitabine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la capecitabine, fluorouracil (Adrucil, 5-FU), mankhwala ena aliwonse, kapena chilichonse mwa mapiritsi a capecitabine. 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 mwatchula mankhwala omwe alembedwa mu gawo LOFUNIKA CHENJEZO ndi zina mwa izi: phenytoin (Dilantin), leucovorin, ndi folic acid (mu multivitamini). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena amathanso kulumikizana ndi capecitabine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• auzeni adotolo ngati mwauzidwa kuti mwakhalapo ndi dihydropyrimidine dehydrogenase (DPD) kuperewera kwa ma enzyme (kusowa kwa enzyme mwachilengedwe mthupi lanu). Dokotala wanu mwina angakuuzeni kuti musatenge capecitabine.
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso, chiwindi, kapena mtima.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Simuyenera kukonzekera kukhala ndi ana mukamamwa capecitabine. Muyenera kugwiritsa ntchito njira yodalirika yolerera popewa kutenga mimba mwa inu nokha kapena mnzanu mukamalandira capecitabine. Capecitabine ikhoza kuvulaza mwanayo. Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwitsa mukamamwa capecitabine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Capecitabine itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka m'mimba kapena kupweteka m'mimba
• kudzimbidwa
• kusowa chilakolako
• kusintha kwa kulawa chakudya
• ludzu lowonjezeka
• kutopa kapena kufooka kosazolowereka
• chizungulire
• mutu
• kutayika tsitsi
• zotupa pakhungu
• kumbuyo, kujowina, kapena kupweteka kwa minofu
• ofiira, otupa, oyabwa, kapena misozi
• kuvuta kugona kapena kugona

Zotsatira zina zoyipa zingakhale zazikulu.Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• kutsegula m'mimba
• nseru
• kusanza
• zilonda mkamwa
• kutupa, kupweteka, kufiira, kapena khungu la zikhatho ndi mapazi
• malungo, kuzizira, zilonda zapakhosi, kapena zizindikiro zina za matenda
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka pachifuwa kapena kupanikizika
• kugunda kwamtima mwachangu
• mkodzo wakuda
• chikasu kapena khungu

Capecitabine 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).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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.

Zizindikiro za bongo zingaphatikizepo:

• kutsegula m'mimba
• nseru
• kusanza
• kupweteka m'mimba
• malungo, kuzizira, zilonda zapakhosi, kapena zizindikiro zina za matenda
• wakuda, malo odikira
• mkodzo wofiira
• kuvulaza kapena kutuluka mwachilendo
• kutopa kapena kufooka kosazolowereka

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

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.

• Xeloda^®