Jekeseni wa Trastuzumab

Zamkati

• Asanalandire mankhwala opangira jekeseni wa trastuzumab,
• Jakisoni wa Trastuzumab angayambitse 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:

Jakisoni wa Trastuzumab, jakisoni wa trastuzumab-anns, jakisoni wa trastuzumab-dkst, ndi jakisoni wa trastuzumab-qyyp ndi mankhwala a biologic (mankhwala opangidwa kuchokera kuzinthu zamoyo). Biosimilar trastuzumab-anns jekeseni, jakisoni wa trastuzumab-dkst, ndi jakisoni wa trastuzumab-qyyp ndi ofanana kwambiri ndi jakisoni wa trastuzumab ndipo imagwira ntchito chimodzimodzi ndi jakisoni wa trastuzumab mthupi. Chifukwa chake, mawu akuti trastuzumab jekeseni wazogwiritsidwa ntchito kuyimira mankhwalawa pazokambirana izi.

Mankhwala opangidwa ndi jakisoni wa Trastuzumab atha kubweretsa mavuto owopsa kapena owopsa moyo. Uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda amtima. Dokotala wanu adzaitanitsa mayesero musanachitike komanso mukamalandira chithandizo kuti muwone ngati mtima wanu ukugwira ntchito bwino kuti mulandire mankhwala opangira trastuzumab bwinobwino. Uzani dokotala wanu komanso wamankhwala ngati mukukuthandizani ndi ma radiation pachifuwa kapena mankhwala a anthracycline a khansa monga daunorubicin (Daunoxome, Cerubidine), doxorubicin (Doxil), epirubicin (Ellence), ndi idarubicin (Idamycin). Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: chifuwa; kupuma movutikira; kutupa kwa mikono, manja, mapazi, akakolo kapena miyendo yakumunsi; kunenepa (oposa mapaundi 5 [pafupifupi 2.3 kilogalamu] mu maola 24); chizungulire; kutaya chidziwitso; kapena kugunda kwamtima, kosasinthasintha, kapena kopanda.

Mankhwala opangidwa ndi jakisoni wa Trastuzumab atha kuyambitsa mavuto akulu kapena owopsa omwe atha kuchitika pomwe mankhwala akuperekedwa kapena mpaka maola 24 pambuyo pake. Mankhwala opangidwa ndi jakisoni wa Trastuzumab amathanso kuvulaza kwambiri m'mapapo. Uzani dokotala wanu ngati mwakhalapo ndi matenda am'mapapo kapena muli ndi chotupa m'mapapu anu, makamaka ngati zikukuvutitsani kupuma. Dokotala wanu amakuyang'anirani mosamala mukalandira mankhwala opangira trastuzumab kuti chithandizo chanu chisokonezeke mukakumana ndi zovuta. Ngati muli ndi zizindikiro izi, uzani dokotala nthawi yomweyo: malungo, kuzizira, nseru, kusanza, kupweteka, kupweteka mutu, chizungulire, kufooka, zidzolo, ming'oma, kuyabwa, kukhwimitsa kukhosi; kapena kupuma movutikira kapena kumeza.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mankhwala opangidwa ndi jakisoni wa Trastuzumab atha kuvulaza mwana wanu wosabadwa. Muyenera kugwiritsa ntchito njira zakulera kuti muchepetse mimba mukamalandira chithandizo komanso kwa miyezi 7 mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukamamwa mankhwala opangira trastuzumab, itanani dokotala wanu mwachangu.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena kuti aone momwe thupi lanu lingayankhire ndi mankhwala opangira jakisoni wa trastuzumab.

Lankhulani ndi dokotala wanu za kuopsa kolandira mankhwala opangira trastuzumab.

Mankhwala opangidwa ndi jakisoni wa Trastuzumab amagwiritsidwa ntchito ndi mankhwala ena kapena mankhwala ena akagwiritsidwa ntchito pochiza khansa ya m'mawere yamtundu wina yomwe yafalikira mbali zina za thupi. Mankhwala opangidwa ndi jakisoni wa Trastuzumab amagwiritsidwanso ntchito panthawi ndi pambuyo pake ndi mankhwala ena kuti muchepetse mwayi woti mtundu wina wa khansa ya m'mawere ubwerere. Zilonda za Trastuzumab zimagwiritsidwanso ntchito ndi mankhwala ena kuchiza mitundu ina ya khansa yam'mimba yomwe yafalikira mbali zina za thupi. Trastuzumab ali mgulu la mankhwala otchedwa monoclonal antibodies. Zimagwira ntchito poletsa kukula kwa maselo a khansa.

Mankhwala opangidwa ndi jakisoni wa Trastuzumab amabwera ngati madzi kapena ngati ufa woti azisakanikirana ndi madzi oti alowe mu mtsempha ndi dokotala kapena namwino kuchipatala kapena kuchipatala. Pogwiritsa ntchito jakisoni wa trastuzumab pochiza khansa ya m'mawere yomwe yafalikira, imaperekedwa kamodzi pa sabata. Mukamagwiritsa ntchito jakisoni wa trastuzumab kuteteza khansa ya m'mawere, imaperekedwa kamodzi pa sabata mukamamwa mankhwala ena a chemotherapy, ndipo kamodzi pakatha milungu itatu iliyonse mutalandira chithandizo ndi mankhwala ena mpaka milungu 52. Pogwiritsa ntchito jakisoni wa trastuzumab pochiza khansa yam'mimba, imaperekedwa kamodzi pamasabata atatu alionse. Kutalika kwa chithandizo chanu kumadalira momwe thupi lanu limayankhira ndi mankhwala komanso zovuta zomwe mumakumana nazo.

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

Asanalandire mankhwala opangira jekeseni wa trastuzumab,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi trastuzumab, trastuzumab-anns, trastuzumab-dkst, trastuzumab-qyyp mankhwala opangidwa kuchokera ku Chinese hamster ovary cell protein, mankhwala ena aliwonse, kapena benzyl mowa. Funsani wamankhwala wanu ngati simukudziwa ngati mankhwala omwe simukugwirizana nawo amapangidwa kuchokera ku puloteni ya Chinese hamster ovary cell kapena muli ndi benzyl mowa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgulu la CHENJEZO CHENJEZO kapena matenda ena aliwonse.
• uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukulandira mankhwala opangidwa ndi trastuzumab.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Itanani dokotala wanu nthawi yomweyo ngati simungathe kusungitsa nthawi yokumana kuti mulandire mankhwala a jakisoni wa trastuzumab.

Jakisoni wa Trastuzumab angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kudzimbidwa
• kupweteka m'mimba
• kutentha pa chifuwa
• kusowa chilakolako
• msana, fupa, kulumikizana, kapena kupweteka kwa minofu
• kuvuta kugona kapena kugona
• kutentha kotentha
• dzanzi, kutentha, kapena kumva kulasalasa mmanja, manja, mapazi, kapena miyendo
• kusintha kwa misomali
• ziphuphu
• kukhumudwa

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

• zilonda zapakhosi, malungo, kuzizira, kukodza movutikira, kupweteka mukakodza, ndi zizindikiro zina za matenda
• Kutuluka magazi m'mphuno ndi mabala ena osadziwika kapena magazi
• kutopa kwambiri
• khungu lotumbululuka
• nseru; kusanza; kusowa chilakolako; kutopa; kugunda kwamtima mwachangu; mkodzo wamdima; kuchepa kwa mkodzo; kupweteka m'mimba; kugwidwa; kuyerekezera zinthu m'maganizo; kapena kukokana kwaminyewa

Jakisoni wa Trastuzumab angayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).

Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti aone momwe thupi lanu likuyankhira jakisoni wa trastuzumab.

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.

• Malangizo^® (chinthaka)
• Kanjinti^® (trastuzumab-anns)
• Ogivri^® (trastuzumab-dkst)
• Trazimera^®(trastuzumab-qyyp)