Chimodzi mwa zovuta zazikulu kwa munthu amene akulandira chithandizo cha khansa, kapena chemotherapy monga momwe timachitcha, ndi nseru ndi kusanza. Chifukwa cha izi, anthu ambiri amamva kufooka komanso osatha kudya kapena kumwa bwino. Chifukwa chake, madokotala amagwiritsa ntchito mankhwala osiyanasiyana kuti athetse vutoli. Chabwino, lero tikulankhula za jakisoni wapadera womwe umaperekedwa kuti apewe nseru ndi kusanza. Imeneyo ndi jakisoni wa Aprepitant.
Mwachidule, kodi Aprepitant ndi chiyani?
Aprepitant ndi mankhwala omwe amaperekedwa asanayambe mankhwala a chemotherapy kuti apewe nseru ndi kusanza zomwe zingachitike. Ndi m'gulu la mankhwala otchedwa antiemetics. Mwachidule, mankhwalawa amawongolera zomwe zimayambitsa kusanza ndi nseru.
Mankhwalawa amagwira ntchito poletsa mankhwala ena muubongo mwathu omwe amatumiza mauthenga omwe amayambitsa nseru. Chifukwa chake, amatha kuchepetsa kwambiri kusasangalala komwe kumachitika pambuyo pa chithandizo cha chemotherapy.
Chofunika kwambiri: Iyi si mankhwala oletsa nseru ndi kusanza pamene muli nayo kale. Ndi mankhwala oletsa kuti zisachitike, kuchiza zisanachitike .
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapatsidwe jakisoni wa Aprepitant, dokotala wanu ayenera kudziwa mbiri yanu yonse ya matenda. Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi:
| Nkhani yofunika kuiganizira | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a chiwindi | Mankhwala ambiri omwe amalowa m'thupi mwathu amaphwanyidwa ndi kuchotsedwa ndi chiwindi. Ngati pali matenda a chiwindi, mankhwalawa amatha kukhala m'thupi kwa nthawi yayitali. Chifukwa chake, dokotala ayenera kudziwa izi. |
| Matenda a ziwengo | Ngati munakhalapo ndi vuto la Aprepitant, Fosaprepitant (mtundu wina wa izi), kapena mankhwala ena aliwonse, chakudya, kapena utoto, muyenera kutiuza. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, uzani dokotala wanu. Dokotala wanu ndiye adzasankha ngati mankhwalawa agwira ntchito. |
| Kuyamwitsa | Ngati ndinu mayi woyamwitsa, lankhulani ndi dokotala wanu ngati mankhwalawa apita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Aprepitant si mankhwala omwe mungapite nawo kunyumba. Ndi jakisoni yomwe mumapatsidwa ndi ogwira ntchito zachipatala kuchipatala kapena ku chipatala .
Kawirikawiri imaperekedwa kudzera mu kannula yomwe imayikidwa mumtsempha. Izi zikutanthauza kuti imaperekedwa ngati jakisoni, monga saline, kapena ngati kulowetsedwa kwakanthawi kochepa. Imaperekedwa pafupifupi theka la ola musanayambe chithandizo cha khansa.
Ngati mankhwalawa aperekedwa kwa ana, chisamaliro chapadera chikufunika. Dokotala wanu ndiye adzasankha izi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Popeza izi zimaperekedwa kuchipatala, mwayi woti muphonye mlingo ndi wochepa kwambiri. Komabe, ngati mukumva ngati mwamwa mopitirira muyeso, uzani dokotala kapena namwino nthawi yomweyo. Kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) nthawi yomweyo. Muthanso kuyimbira National Poisons Information Centre ku Chipatala chathu cha Dziko Lonse kuti mupeze upangiri.
Kuyanjana ndi mankhwala ena
Ichi ndi gawo lofunika kwambiri. Aprepitant ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (mankhwala a matenda ena, mavitamini, mankhwala achikhalidwe, zitsamba).
| Musamwe Aprepitant pamodzi ndi mankhwalawa! | |
|---|---|
| - Cisapride | - Pimozide |
| - Flibanserin | - Lomitapide |
| Mankhwalawa angayambitsenso zotsatirapo zoyipa (uzani dokotala wanu). | |
| - Mapiritsi oletsa kubereka ndi njira zamahomoni | - Mankhwala omwe amaletsa magazi kuundana, monga Warfarin |
| - Mankhwala a khunyu (monga Carbamazepine, Phenytoin) | - Mankhwala oletsa bowa (monga Ketoconazole) |
| - Maantibayotiki ena (monga Clarithromycin) | - Mankhwala a HIV |
| - Mankhwala a steroid (monga Dexamethasone) | - Mankhwala oletsa nkhawa kapena kugona (monga Diazepam) |
| - Mankhwala a matenda a mtima monga Diltiazem, Ranolazine | - Rifampin (mankhwala a chifuwa chachikulu) |
Chidziwitso chapadera chokhudza njira zolerera!
Izi ndizofunikira kwambiri. Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka kapena njira zina zolerera kubereka monga mahomoni (monga patch, IUD), mphamvu ya njira imeneyo ingachepe pamene mukumwa Aprepitant komanso kwa mwezi umodzi mutatenga mlingo wanu womaliza . Chifukwa chake, ndikofunikira kugwiritsa ntchito njira yowonjezera yolerera kubereka (monga makondomu) panthawiyi. Onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
Zotsatirapo zomwe zingachitike mukatenga mankhwalawa
Monga mankhwala ena onse, Aprepitant ingayambitse zotsatira zina zoyipa. Ngakhale kuti si aliyense amene amalandira mankhwalawa, ena ndi ang'onoang'ono ndipo muyenera kuuza dokotala wanu nthawi yomweyo.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:
- Matenda oopsa a ziwengo: Kutupa pakhungu, kuyabwa, kufiira, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Ngati izi zitachitika, ndi vuto ladzidzidzi.
Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:
- Mutu
- Kutsegula m'mimba
- Kupweteka m'mimba, m'mimba movutikira
- Kumva kutopa kwambiri kapena kufooka
- Kumva kuwawa, kupweteka, kapena dzanzi m'miyendo
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, musaope kuuza dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Aprepitant ndi mankhwala omwe amagwiritsidwa ntchito poletsa nseru ndi kusanza komwe kumachitika chifukwa cha chithandizo cha khansa, osati kuchiza nseru yomwe ilipo kale.
- Katemerayu amaperekedwa ndi ogwira ntchito zachipatala m'chipatala kapena ku chipatala.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mapiritsi oletsa kubereka).
- Gwiritsani ntchito njira ina yolerera panthawi ya chithandizo komanso kwa mwezi umodzi pambuyo pake, chifukwa mankhwalawa angachepetse mphamvu ya mapiritsi olerera.
- Ngati pali zizindikiro zoopsa za ziwengo (kufiira kwa khungu, kutupa), funsani upangiri wa dokotala nthawi yomweyo.
- Kambiranani momasuka ndi gulu lanu lachipatala za zotsatirapo zilizonse kapena nkhawa zomwe mungakhale nazo. Iwo nthawi zonse amakhala okonzeka kukuthandizani.
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