Ngati dokotala wanu wakuuzani kapena wina m'banja mwanu kuti muli ndi khansa ya m'magazi yotchedwa Chronic Myelogenous Leukemia (CML), mtundu wa khansa ya m'magazi, mwina munamvapo za mankhwala otchedwa Nilotinib. Uwu ndi mankhwala ofunikira kwambiri komanso apadera. Chifukwa chake lero, tikambirana momveka bwino zomwe muyenera kudziwa mukamagwiritsa ntchito mankhwalawa, momwe mungagwiritsire ntchito moyenera, komanso zotsatirapo zake.
Kodi Nilotinib ndi chiyani?
Mwachidule, Nilotinib ndi mankhwala enieni omwe amaletsa kukula kwa maselo a khansa. Timatcha mitundu iyi ya mankhwala "njira yochiritsira yolunjika." Izi zikutanthauza kuti, mankhwalawa amapita mwachindunji kukayang'ana mapuloteni ena m'maselo a khansa, kuwaletsa kugwira ntchito, komanso kuwongolera kugawikana ndi kukula kwa maselo a khansa.
Mankhwalawa amagwiritsidwa ntchito makamaka pochiza mtundu wa khansa ya m'magazi yotchedwa Chronic Myelogenous Leukemia (CML) . Amagulitsidwanso pansi pa dzina lakuti Tasigna .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Nilotinib ndi mankhwala amphamvu kwambiri. Chifukwa chake, musanayambe chithandizochi, dokotala wanu ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe umene ungakukhudzeni |
|---|
| Matenda a shuga |
| Zinthu monga matenda a mtima, kusakhazikika kwa kayendedwe ka mtima, kapena matenda a Long QT. |
| Matenda a chiwindi |
| Ngati muli ndi mbiri ya matenda a kapamba. |
| Ngati muli ndi potaziyamu kapena magnesium yochepa m'magazi anu. |
| Ngati muli ndi vuto la kuyenda kwa magazi m'miyendo. |
| Ngati mimba yachotsedwa kwathunthu ndi opaleshoni (Total Gastrectomy). |
| Ngati muli ndi vuto la nilotinib, lactose, gelatin, kapena mankhwala ena aliwonse kapena chakudya. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Imwani musanayambe kudya: Ichi ndi chinthu chofunika kwambiri. Muyenera kumwa mankhwalawa ola limodzi musanadye kapena maola awiri mutatha kudya. Kumwa mankhwalawa pamodzi ndi chakudya kungathandize kusintha kuchuluka kwa mankhwala omwe amalowa m'thupi ndikuyambitsa zotsatirapo zoopsa.
- Imwani ndi kapu ya madzi: Mezani kapu yonse ndi kapu ya madzi.
- Musamathyole, kuphwanya, kapena kutafuna kapisozi: Musamathyole, kuphwanya, kapena kutafuna kapisozi.
- Ngati mukuvutika kumeza: Anthu ena amavutika kumeza makapisozi. Ngati ndi choncho, musadandaule. Tsegulani kapisozi mosamala, sakanizani ufa ndi supuni ya tiyi ya applesauce, ndipo mezani chisakanizocho nthawi yomweyo . Musachisunge kuti mudzagwiritse ntchito mtsogolo.
- Pewani mapeyala: Musamwe madzi a mapeyala kapena kudya mapeyala pazifukwa zilizonse. Zingasinthe moopsa momwe mankhwala amagwirira ntchito.
- Nthawi yogwiritsira ntchito limodzi ndi mankhwala ena: Ngati mukumwa mankhwala a gastritis, musamwe mankhwala monga mankhwala oletsa asidi (monga Digene) mkati mwa maola awiri musanayambe kapena mutatenga kapisozi iyi. Imwani mankhwala monga H2-blockers (monga Famotidine) maola 10 musanayambe kapena maola awiri mutatenga mankhwalawa. Funsani dokotala wanu kuti atsimikizire izi.
- Imwani pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, musawonjezere kawiri mlingo wotsatira kuti mubwezeretse. Zimenezo zingakhale zoopsa. Iwalani za mlingo womwe mwaphonya ndipo imwani mlingo wokhawo womwe mwapatsidwa panthawi ina.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mwamwa mwangozi mlingo woposa womwe mwapatsidwa, ndi ngozi. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Nilotinib
Nilotinib ndi mankhwala omwe ali ndi kuthekera kwakukulu kogwirizana ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Musamwe Nilotinib pamodzi ndi mankhwalawa. |
|---|
| Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone (mankhwala omwe amakhudza kugunda kwa mtima) |
| Flibanserin, Lomitapide, Saquinavir |
| Fluconazole, Posaconazole (mankhwala oletsa bowa) |
| Ngati mukugwiritsa ntchito zinthu izi, dziwitsani dokotala wanu. |
|---|
| Mankhwala oletsa mavairasi a HIV/AIDS |
| Maantibayotiki monga Clarithromycin ndi Erythromycin |
| Mankhwala a kuthamanga kwa magazi, matenda a mtima, ndi matenda amisala |
| Mankhwala ena opha tizilombo toyambitsa matenda monga Ketoconazole, Itraconazole |
| Mankhwala a gastritis (Antacids, Cimetidine, Omeprazole) |
| Mankhwala ochepetsa magazi monga Warfarin |
| Zinthu zochokera ku zitsamba monga St. John's Wort |
Palibe mndandanda uliwonse mwa mndandandawu womwe uli wokwanira. Chifukwa chake, kuti mukhale otetezeka, ndikofunikira kuuza dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi mankhwala achikhalidwe omwe mukumwa.
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, Nilotinib ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatira zoyipa | Zinthu zomwe mungayembekezere |
|---|---|
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kutuluka magazi | Chimbudzi chakuda kapena chamagazi, kusanza komwe kumaoneka ngati khofi wophikidwa, madontho ofiira pakhungu, kutuluka magazi kosazolowereka kuchokera m'mphuno kapena m'kamwa. |
| Kusintha kwa kugunda kwa mtima | Kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosasinthasintha, kukomoka. |
| Kuvulala kwa chiwindi | Mkodzo wachikasu chakuda kapena bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya. |
| Pancreatitis | Ululu wa m'mimba (makamaka womwe umatuluka kumbuyo), ululu womwe umakula kwambiri mutatha kudya, kutentha thupi, nseru, ndi kusanza. |
| Kuchulukana kwa madzi m'thupi (Edema) | Kulemera mwadzidzidzi, kutupa kwa akakolo, miyendo, komanso kupuma movutikira. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Matenda ofala | Mutu, nseru, kusanza, kutsegula m'mimba, kudzimbidwa. |
Samalani kwambiri panthawi ya mimba ndi kuyamwitsa
Iyi ndi mfundo yofunika kwambiri.
- Musatenge mimba mukamagwiritsa ntchito Nilotinib.
- Pewani kutenga mimba kwa masiku osachepera 14 mutasiya kumwa mankhwala.
- Musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa masiku 14 mutasiya kumwa.
Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa, choncho lankhulani ndi dokotala wanu za izi momasuka.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani Nilotinib pamimba yopanda kanthu, ola limodzi musanadye kapena maola awiri mutadya.
- Musadye chipatso cha mphesa kapena kumwa madzi ake.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati mukukumana ndi mavuto aakulu monga kupweteka pachifuwa, kupuma movutikira, kapena kutuluka magazi mosazolowereka, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kutenga mimba ndi kuyamwitsa kwathunthu mukamamwa mankhwalawo komanso kwa masiku 14 mutasiya kumwa.
- Musamalumphe nthawi yokumana ndi dokotala kuchipatala. Yesani magazi anu monga momwe mwakonzera.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu