Tonsefe tikudziwa kuti chithandizo cha khansa, kapena chemotherapy, si chinthu chophweka kuchita. Chimodzi mwa zinthu zomwe zimapangitsa anthu ambiri kusasangalala, m'maganizo komanso mwakuthupi, ndi nseru ndi kusanza. Chifukwa chake, lero tikulankhula za jakisoni wapadera komanso wamphamvu womwe madokotala amagwiritsa ntchito poletsa kusasangalala kumeneku. Dzina lake ndi Fosaprepitant .
Mwachidule, kodi Fosaprepitant ndi chiyani?
Fosaprepitant ndi mankhwala omwe amaperekedwa kuti apewe nseru ndi kusanza zomwe mungakumane nazo panthawi ya chemotherapy. Ndi m'gulu la mankhwala otchedwa antiemetics.
Tangoganizirani, pali mankhwala m'thupi lathu omwe amatumiza zizindikiro ku ubongo wathu kuti "tidwale tsopano." Chomwe jakisoni uyu amachita ndikuletsa zizindikirozo kuti zisatumizidwe. Kunena zoona, 'zimatseka' njira za zizindikirozo. Zotsatira zake, kusasangalala komwe mumamva mukalandira chithandizo cha chemo kumachepa kwambiri. Mankhwalawa amapezeka kwambiri pansi pa dzina la `Emend`.
Chofunika kwambiri ndichakuti izi ziperekedwe kuti mupewe nseru ndi kusanza zisanachitike . Ngati mukusanza kale, iyi si njira yoyenera yochizira. Muyenera kufunsa dokotala wanu zomwe mungachite panthawiyo.
Zinthu zomwe dokotala wanu ayenera kudziwa asanakupatseni mankhwala awa
Musanayambe chithandizochi, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Musabise zinthuzi, chifukwa ndi chitetezo chanu. Ndikofunikira kuti gulu lanu lachipatala lidziwe zinthuzi.
- Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi, onetsetsani kuti mwatiuza za matendawa.
- Matenda a ziwengo: Uzani dokotala wanu ngati muli ndi vuto la ziwengo ndi mankhwala awa, kaya ndi fosaprepitant kapena aprepitant. Komanso, uzani dokotala wanu ngati muli ndi vuto la ziwengo ndi mankhwala ena aliwonse, zakudya, zotetezera, kapena utoto.
- Mimba: Uzani dokotala wanu ngati muli ndi pakati kapena mukukonzekera kukhala ndi mwana posachedwa.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi woyamwitsa, muyeneranso kudziwitsa mwana wanu za zimenezo.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa amaperekedwa ngati jakisoni mumtsempha. Amaperekedwa kuchipatala kapena ku chipatala kokha motsogozedwa ndi dokotala. Chifukwa chake, simudzapatsidwa mankhwala awa kuti mupite nawo kunyumba.
Kodi mumapereka izi kwa ana aang'ono?
Inde, nthawi zina madokotala amapereka mankhwalawa kwa ana a miyezi 6. Koma njira zodzitetezera zapadera ziyenera kutsatiridwa. Chifukwa chake, ngati mupatsa mwana mankhwalawa, dokotala wanu yekha ndiye angasankhe.
Nanga bwanji ngati mlingo wa mankhwala ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala osokoneza bongo ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika, uzani dokotala kapena namwino nthawi yomweyo . Pakagwa mwadzidzidzi, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Mankhwala ena omwe amagwirizana ndi Fosaprepitant
Pali mankhwala ena omwe angagwirizane ndi mankhwalawa. Mankhwala ena ndi oletsedwa kugwiritsa ntchito. Pa mankhwala ena, lankhulani ndi dokotala wanu ndipo sinthani mlingo ngati pakufunika kutero.
Choncho, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera .
| Mankhwala omwe amagwirizana ndi Fosaprepitant | |
|---|---|
| Pewani kutenga Fosaprepitant ndi: | |
| Cisapride | Pimozide |
| Flibanserin | Lomitapide |
| Lankhulani ndi dokotala wanu za izi: | |
| Warfarin (mankhwala ochepetsa magazi) | Mapiritsi oletsa kubereka (estrogen/progestin) |
| Maantibayotiki - mwachitsanzo clarithromycin, erythromycin | Mankhwala oletsa bowa - mwachitsanzo ketoconazole, itraconazole |
| Mankhwala a khunyu/ kugwidwa - mwachitsanzo carbamazepine, phenytoin | Mankhwala a HIV |
| Mankhwala omwe amakuthandizani kugona kapena kutonthoza mtima - mwachitsanzo alprazolam, diazepam, midazolam | Diltiazem, Ranolazine (yothandiza matenda a mtima) |
| Paroxetine, Nefazodone (yothandiza pa kuvutika maganizo) | Mitundu ya ma steroid - mwachitsanzo dexamethasone, methylprednisolone |
| Mankhwala ena a chemo - mwachitsanzo: etoposide, vinblastine | Rifampin (mankhwala a chifuwa chachikulu) |
Zinthu zofunika kuziganizira mukamalandira chithandizo
Chidziwitso chapadera chokhudza njira zolerera!
Izi ndizofunikira kwambiri. Ngati mukumwa mapiritsi oletsa kubereka (omwe ali ndi mahomoni a estrogen ndi/kapena progestin), mphamvu ya mapiritsi amenewo ingachepe pamene mukumwa Fosaprepitant . Izi zikutanthauza kuti muli pachiwopsezo chokhala ndi pakati.
Choncho, muyenera kugwiritsa ntchito njira ina yolerera, monga kondomu kapena diaphragm, mukamamwa jakisoni iyi komanso kwa mwezi umodzi mutamwa mankhwala omaliza . Lankhulani ndi dokotala wanu za izi ndipo funsani malangizo omveka bwino a njira yotetezeka kwambiri kwa inu.
Mfundo zina
- Mankhwalawa sakuvomerezeka kuti agwiritsidwe ntchito nthawi yayitali.
- Dokotala wanu adzakuyang'anirani nthawi ndi nthawi. Mankhwalawa angayambitse kusintha kwa mayeso a chiwindi chanu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amazilandira.
| Zotsatira zoyipa | Zoyenera kuchita? |
|---|---|
| Dziwitsani gulu lanu lachipatala nthawi yomweyo: | |
| Matenda a ziwengo Kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. | Izi ndi zizindikiro zazikulu. Funsani upangiri wa dokotala nthawi yomweyo. Ngati kuli kofunikira, pitani ku Chipinda Chothandizira Padzidzidzi (ETU). |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani: | |
| Kutsegula m'mimba | Zizindikiro zimenezi nthawi zambiri sizimakhala zazikulu, koma ngati zikupitirira kapena zikukuvutitsani kwambiri, uzani dokotala wanu. |
| Kutopa | |
| Ululu, kufiira, kapena kutupa komwe kunaperekedwa jakisoni | |
| Ululu, dzanzi m'manja ndi m'mapazi | |
| Kufooka kwachilendo kwa thupi | |
| Kusamva bwino m'mimba/kukhuta | |
Mndandanda uwu si zotsatirapo zonse zomwe zingatheke. Ngati mukukumana ndi zizindikiro zachilendo, chonde funsani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Fosaprepitant ndi mankhwala omwe amaperekedwa kuti apewe nseru ndi kusanza komwe kumachitika chifukwa cha mankhwala a chemotherapy, osati kuti awachiritse akangoyamba.
- Uzani dokotala wanu tsatanetsatane wa matenda anu onse ndi mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala achikhalidwe).
- Ngati mukumwa mapiritsi oletsa kubereka, onetsetsani kuti mwagwiritsa ntchito njira ina yolerera kubereka (monga makondomu) mukamamwa mankhwalawa komanso kwa mwezi umodzi pambuyo pake.
- Ngati mukuona zizindikiro za ziwengo (matuza pakhungu, kutupa, kupuma movutikira), funsani thandizo la dokotala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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