Mapiritsi a Mifepristone a matenda a Cushing's? Tiyeni tikambirane za izi!

Kodi muli ndi matenda a Cushing ? Kapena kodi pali munthu amene mumamudziwa amene ali ndi vutoli? Chomwe chimachitika pankhaniyi ndi chakuti thupi lathu limapanga mahomoni ambiri a cortisol kuposa momwe amafunikira, zomwe zimapangitsa kuti shuga m'magazi, kutanthauza shuga, ikwere. Chifukwa chake, imodzi mwa mankhwala omwe madokotala amalangiza nthawi zina ngati awa ndi Mifepristone. Lero, tikambirana mwatsatanetsatane za mapiritsi a Mifepristone awa.

Kodi Mifepristone ndi mankhwala otani?

Mwachidule, mapiritsi a Mifepristone amagwiritsidwa ntchito makamaka poletsa kuchuluka kwa shuga m'magazi pankhani ya Cushing's Syndrome , vuto lomwe limachitika pamene mahomoni a cortisol m'thupi lanu akuwonjezeka kwambiri.

Kodi mukudziwa kuti hormone iyi yotchedwa cortisol ndi yofunika kwambiri m'thupi lathu? Tikakhala ndi nkhawa, thupi lathu limadzikonzekeretsa kuti lithane nayo kudzera mu hormone iyi. Mwachitsanzo, pamene thupi likufunika mphamvu zambiri nthawi yomweyo, cortisol iyi imathandiza kutulutsa shuga wambiri m'magazi. Komabe, izi zikawonjezeka mosalamulirika, mavuto osiyanasiyana amayamba. Mapiritsi a Mifepristone amachepetsa mphamvu ya hormone ya cortisol, motero amachepetsa kuchuluka kwa shuga m'magazi.

Mankhwalawa nthawi zina angakupatseni madokotala chifukwa cha matenda ena. Chifukwa chake, ngati simukudziwa bwino lomwe kuti mankhwalawa ndi a chiyani, ndi bwino kufunsa dokotala wanu kapena wamankhwala ku pharmacy komwe mumagula mankhwala anu. Mankhwalawa amadziwikanso pamsika ndi dzina lodziwika bwino la Korlym .

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito mapiritsi a Mifepristone, pali zinthu zofunika zomwe muyenera kuuza dokotala wanu. Chifukwa, anthu omwe ali ndi matenda enaake kapena omwe akumwa mankhwala ena ayenera kusamala kwambiri akamapereka Mifepristone. Onani ngati izi zikukukhudzani:

• Kodi muli ndi vuto la magazi ?
• Kodi muli ndi khansa panopa kapena mukulandira chithandizo cha khansayo?
• Kodi mukudwala matenda amisala monga kuvutika maganizo ?
• Kodi muli ndi mtundu wina wa matenda a shuga wosagwirizana ndi matenda a Cushing?
• Matenda a mtimaKodi muli ndi matenda a mtima?
• Kodi muli ndi matenda amagazi othamanga ?
• Kodi muli ndi matenda aliwonse a chiwindi?
• Kodi madokotala akuuzani kuti potaziyamu m'magazi mwanu ndi wochepa?
• Kodi munayamba mwapatsidwa chiwalo china?
• Kodi panopa mukugwiritsa ntchito mankhwala a steroid monga dexamethasone kapena prednisone?
• Kodi muli ndi magazi osadziwika bwino m'mimba mwanu?
• Kodi munayamba mwakhalapo ndi vuto la mifepristone, mankhwala ena aliwonse, chakudya, utoto wa chakudya, kapena zotetezera?
• Kodi panopa mukuyesera kutenga mimba? Kapena muli kale ndi mimba?
• Kodi ndinu mayi woyamwitsa? (Woyamwitsa)

Ngati muli ndi vuto ngati ili, ndi bwino kuuza dokotala wanu za vutoli popanda kubisa chilichonse .

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mapiritsi a Mifepristone awa ayenera kumwedwa ndi madzi. Ndikofunikira kwambiri kumwa mankhwalawa nthawi yomweyo tsiku lililonse , monga momwe zalembedwera pa chizindikiro cha mankhwala. Musaswe , kuphwanya, kapena kutafuna mapiritsi awa. Mezani piritsi lonse ndi madzi.

Chinthu china chofunika ndichakuti mankhwalawa ayenera kumwedwa ndi chakudya. Komanso, musamwe mankhwalawa ndi madzi a mphesa pazifukwa zilizonse. Muyenera kupitiriza kugwiritsa ntchito mankhwalawa monga momwe mwalangizidwira mpaka dokotala wanu atakuuzani kuti musiye.

Mukapatsidwa mankhwala awa ndi pharmacy, mudzapatsidwa kabuku kokhala ndi malangizo apadera okhudza mankhwalawa, kotchedwa MedGuide . Ndikofunikira kwambiri kuwerenga ndikumvetsetsa kabuku ka MedGuide mosamala nthawi iliyonse mukamwa mankhwalawo, komanso mukadzalandira mankhwala owonjezera.

Ngati mukupereka mankhwalawa kwa ana aang'ono, onetsetsani kuti mwalankhula ndi dokotala wanu za mankhwalawa, chifukwa angafunike kuyang'aniridwa ndi chisamaliro chapadera chachipatala.

Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku malo oletsa poizoni kapena chipinda chadzidzidzi cha chipatala cha boma kuti mupeze malangizo.

Kumbukiraninso: Mankhwalawa aperekedwa kwa inu nokha. Musapatse mnzanu kapena wachibale wanu pazifukwa zilizonse, ngakhale atakhala ndi zizindikiro zomwezo monga zanu.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mapiritsi a Mifepristone tsiku lina, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri kapena wowonjezera, kutanthauza kuti, imwani mlingo womwe mwaphonya ndi womwe muyenera kumwa nthawi imodzi. Kuchita izi kumawonjezera chiopsezo cha zotsatirapo zoyipa.

Ndi mankhwala ena ati omwe sayenera kumwedwa pamodzi ndi mankhwalawa?

Ngati mukumwa mankhwala aliwonse mwa awa, musawamwe pamodzi ndi Mifepristone. Izi zingayambitse kuyanjana kwakukulu komanso koopsa komwe kungaike moyo pachiswe:

• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a bowa, mwachitsanzo, fluconazole, ketoconazole, ndi posaconazole.
• Mankhwala ena amaperekedwa kuti achepetse kuchuluka kwa cholesterol m'magazi, mwachitsanzo lovastatin ndi simvastatin.
• Cisapride
• Cyclosporine
• Dronedarone
• Ma alkaloid a Ergot ndi gulu la mankhwala, mwachitsanzo, dihydroergotamine ndi ergotamine.
• Fentanyl
• Pimozide
• Quinidine
• Sirolimus
• Tacrolimus
• Thioridazine

Mndandandawu suli wokwanira, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa, ngakhale mavitamini.

Mankhwala ena ndi zinthu zomwe zingagwirizane

Palinso mankhwala ena ndi zinthu zina zomwe zingagwirizane ndi Mifepristone, kotero ndi bwino kudziwa izi:

• Mitundu ina ya maantibayotiki, mwachitsanzo clarithromycin, erythromycin, telithromycin.
• Mankhwala ena oletsa mavairasi amaperekedwa pa matenda a kachilombo ka HIV kapena matenda a chiwindi monga chiwindi.
• Mankhwala omwe amagwiritsidwa ntchito pochiza matenda a mitsempha monga khunyu, mwachitsanzo carbamazepine, phenytoin, ndi phenobarbital.
• Mankhwala ena omwe amaletsa magazi kuundana, mwachitsanzo warfarin.
• Conivaptan
• Madzi a mphesa - Monga tanenera kale, ichi ndi chinthu chomwe sichili bwino kudya mukumwa Mifepristone.
• Mapiritsi oletsa kubereka a mahomoni, jakisoni, ma patch ndi zipangizo zokhala ndi mahomoni.
• Itraconazole
• Mankhwala a matenda amisala monga kuvutika maganizo kapena nkhawa yaikulu.
• Mankhwala ena oletsa ululu amaperekedwa ngati mankhwala ochepetsa ululu.
• Mankhwala ena omwe angayambitse kugunda kwa mtima kosazolowereka, monga omwe amatalikitsa nthawi ya QT.
• Repaglinide
• Rifabutin, Rifampin, Rifapentine.
• Wort wa St. John ndi mankhwala owonjezera a zitsamba.
• Mankhwala a steroid, monga prednisone kapena cortisone.
• Mahomoni a chithokomiro.
• Voriconazole.

Mndandanda uwu sungakhale ndi zonse. Chifukwa chake, onetsetsani kuti mwauza dokotala wanu za mankhwala onse, zitsamba, mankhwala osaperekedwa ndi dokotala, ndi zowonjezera zakudya zomwe mukumwa . Komanso, muuzeni dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Izi zingakhudze Mifepristone yomwe mukumwa.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Mukamamwa Mifepristone, muyenera kupita kwa dokotala wanu kuti akakuwoneni nthawi zonse kuti muwone thanzi lanu. Dokotala wanu angakulangizeninso kuti muyeze magazi anu.

Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, onetsetsani kuti mwalankhula ndi dokotala wanu musanasinthe zakudya zanu kapena mlingo wa mankhwala anu a shuga.

Sungani kabuku ka malangizo apadera a mankhwala awa, kotchedwa MedGuide, mosamala. Ngati mukufuna chithandizo chadzidzidzi, onetsani gulu lachipatala kabuku ka MedGuide. Auzeninso kuti mukumwa Mifepristone.

Zinthu zofunika kwambiri kwa akazi:

• Muyenera kutenga mayeso a mimba kuti mutsimikizire ngati muli ndi pakati musanayambe kumwa mankhwala a Mifepristone. Musatenge mimba mukumwa mankhwalawa kapena kwa mwezi umodzi mutasiya kumwa mankhwalawa.
• Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa. Funsani dokotala wanu kuti akuuzeni zambiri.
• Muyenera kugwiritsa ntchito njira zolerera zogwira mtima mukamamwa Mifepristone. Njira zolerera zosakhala za mahomoni ndi zabwino kwambiri mukamwa mankhwalawa komanso kwa mwezi umodzi mutasiya kumwa mankhwalawa. Lankhulani ndi dokotala wanu za njira yabwino yopewera kutenga mimba. Ngati mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.

Kwa amayi oyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwala a Mifepristone awa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, Mifepristone ingayambitse zotsatira zina. Pali zotsatira zina zomwe muyenera kuuza dokotala wanu nthawi yomweyo zikachitika. Izi ndi izi:

• Matenda a ziwengo: Matuza pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Izi zitha kukhala zoopsa.
• Kusintha kwa kayimbidwe ka mtima: kugunda kwa mtima mofulumira kapena kugunda kwa mtima kosakhazikika, chizungulire, kumva kufooka kapena mutu wopepuka, kupweteka pachifuwa, kupuma movutikira.
• Kwa akazi: Kusamba kosakhazikika kapena kutuluka magazi kosazolowereka (madontho) panthawi ya kusamba.
• Zizindikiro za kusagwira bwino ntchito kwa adrenal gland: nseru, kusanza, kusowa chilakolako, kufooka kapena kutopa kosazolowereka, chizungulire.
• Zizindikiro za potaziyamu wochepa m'magazi: kupweteka kwa minofu kapena kupweteka m'mimba, kumva kufooka kapena kutopa kwambiri, kugunda kwa mtima mofulumira kapena kosasinthasintha, kudzimbidwa.

Zotsatirapo zomwe zili pansipa nthawi zambiri sizikhala zoopsa, koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Chizungulire
• Kutopa
• Mutu
• Kupweteka kwa mafupa
• Kutaya chilakolako
• Kusanza
• Kutupa kwa akakolo, manja, kapena mapazi.

Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike chifukwa cha Mifepristone. Ngati mukukumana ndi zizindikiro zachilendo, uzani dokotala wanu. Muthanso kunena za zotsatirapo zake ku US Food and Drug Administration (FDA) pa 1-800-FDA-1088.

Kodi ndiyenera kusunga bwanji mankhwala anga?

Sungani mankhwala a Mifepristone awa pamalo otetezeka omwe ana aang'ono ndi ziweto sangawafikire . Sungani kutentha kwa chipinda, pakati pa madigiri 20 ndi 25 Celsius (madigiri 68 ndi 77 Fahrenheit). Yang'anani tsiku lotha ntchito la mankhwala ndipo musagwiritse ntchito mankhwala aliwonse omwe atha ntchito. Tayani bwino.

Kodi mumataya bwanji mankhwala omwe sakufunikanso kapena omwe atha ntchito popanda kuwononga chilengedwe?

• Ma pharmacy kapena zipatala zina zimakhala ndi mapulogalamu ochotsera mankhwala. Ngati n'kotheka, tengani mankhwala anu ku malo amodzi mwa awa. Mutha kudziwa zambiri za izi ku pharmacy yanu kapena ku ofesi ya zaumoyo wa anthu m'deralo.
• Ngati palibe njira yobweza mankhwalawo, yang'anani phukusi la mankhwala kapena malangizo omwe ali mkati kuti muwone ngati ayenera kutayidwa mu zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati mungathe kuwataya mu zinyalala, kuchotsa mapiritsi mu botolo kapena paketi, kuwasakaniza bwino ndi zinyalala za amphaka omwe agwiritsidwa ntchito kale, dothi, ufa wa khofi wophwanyidwa, kapena zinthu zina zofanana ndi izi zosafunikira. Kenako, ikani izi mu thumba la polythene kapena chidebe cha pulasitiki chomwe chingatsekedwenso, chitsekereni bwino, ndikuchitaya mu zinyalala.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, tsopano mwamvetsa kuti Mifepristone ndi mankhwala ofunikira omwe angathandize kuchepetsa kuchuluka kwa shuga m'magazi kwa munthu ngati inu amene ali ndi matenda a Cushing Syndrome. Koma mukuonanso kuti pali zinthu zambiri zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.

Makamaka, ndikofunikira kwambiri kuuza dokotala wanu momveka bwino za mankhwala ena omwe mukumwa ndi matenda ena omwe muli nawo, kumwa mankhwalawo monga momwe dokotalayo wanenera, panthawi yake komanso kuchuluka kwa mankhwala omwe mwapatsidwa, kudziwa zotsatirapo zake, komanso kusamala kwambiri za mimba ndi njira zolerera.

Ngati muli ndi mafunso kapena kukayikira kulikonse pa mankhwala awa, musazengereze kufunsa dokotala wanu kapena wamankhwala ku pharmacy kuti akuthandizeni kuthetsa vutoli. Kumbukirani kuti thanzi lanu ndi lofunika kwambiri kwa inu!

Mifepristone , Cushing's syndrome, cortisol, shuga m'magazi, adrenal gland, kuyanjana ndi mankhwala, zotsatirapo zake