Iwe, kana kuti mwana wako, ungave wakaudzwa nachiremba wako kuti utange kutora mushonga unonzi Alpelisib (zita rechiratidzo: Vijoice). Paunonzwa zita remushonga wakadaro, zvakajairika kuti mibvunzo yakawanda iuye mupfungwa dzako, yakaita sekuti "Iyi inoitei?", "Ndinofanira kuitora sei?", "Ndedzipi nzira dzekudzivirira?" Saka usatya. Nhasi, tichataura nezvemushonga uyu unonzi Alpelisib nenzira yakajeka uye iri nyore.
Mushonga werudzii weAlpelisib?
Muchidimbu, Alpelisib mushonga unodzora kukura kusingadzoreki kwemasero mamwe mumuviri. Mushonga uyu unoshandiswa zvakanyanya kurapa chirwere umo zvimwe zvikamu zvemuviri (semuenzaniso, ruoko, gumbo, kana mamwe matishu) zvinokura zvakanyanya nekuda kwekuchinja kwemajini kunonzi PIK3CA . Tinodaidza chirwere ichi kuti PIK3CA-related overgrowth spectrum (PROS) . Mushonga uyu unoshanda nekuvhara nzira yekuzivisa inokonzeresa kukura kusingadzoreki kwemasero, nokudaro uchidzora chirwere ichi.
Chiremba wako anogona kunyora izvi kune zvimwe zvirwere zvakare, saka kana uine mibvunzo, taura nachiremba wako nezvazvo.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Kuti muve vakachengeteka uye kuti muwane zvakawanda kubva pamushonga uyu, zvakakosha kuudza chiremba wenyu ruzivo urwu musati matanga kushandisa Alpelisib.
- Kana uine chirwere cheshuga: Tiudze kana uine chirwere cheshuga kana kuti shuga yako yeropa yakakwira.
- Zvirwere zvemapapu: Kana uine chirwere chemapapu, chakadai seasthma kana pneumonia.
- Kurwara: Iva nechokwadi chekuudza chiremba wako kana uine allergies yeAlpelisib kana chero imwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uine kakufungira kuti une pamuviri.
- Kana uri amai vanoyamwisa: Kana uri kuyamwisa mwana.
Kana chiremba achiziva zvinhu izvi, zvichava nyore kuti aronge kurapwa kwakakodzera iwe.
Ndingashandisa sei mushonga uyu chaizvo?
Zvakakosha kutevedzera mirairo chaiyo yekushandisa mushonga uyu.
- Inwa mushonga sezvawakarairwa nachiremba, panguva imwe chete zuva nezuva .
- Usacheke kana kutsenga piritsi iri. Medza piritsi rose nemvura.
- Zvakanakisisa kunwa mushonga uyu panguva yekudya .
- Ramba uchitora mushonga kusvika chiremba wako akuudza kuti urege. Usarega kamwe kamwe, kunyangwe uchinzwa zviri nani.
Chii chaunofanira kuita kana piritsi racho richinetsa kumedza?
Vamwe vanhu, kunyanya vana, vanonetseka nekumedza mapiritsi. Kana zvakadaro, heino maitiro ekuzviita:
1. Isa piritsi mugirazi rine 2-4 ounces (inenge 60-120 ml) yemvura.
2. Mushure memaminitsi angangoita mashanu, pwanya piritsi zvakanaka nechipunu chakachena wobva wasanganisa zvakanaka kusvika yanyungudika mumvura.
3. Inwa musanganiswa uyu nekukasika.
4. Wobva wawedzera mamwe maspuni maviri kusvika matatu emvura mugirazi rimwe chete, geza mushonga wasara mugirazi, wonwa iwoyo. Ita izvi nenzira yekuti hapana kana donhwe rimwe chete remushonga rinorasika.
Zvakakosha: Mushonga uyu unonyorerwawo vana vane makore anopfuura maviri ekuberekwa mune dzimwe nguva. Zvisinei, chiremba wako chete ndiye anogona kusarudza pane izvi. Saka, kana uri kupa mwana mushonga uyu, tevera mirairo yachiremba nokungwarira.
Ko kana ndikatora mushonga wakawandisa (overdose)?
Kana uchifunga kuti watora mushonga uyu wakawandisa, usanonoka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana uri pasi pemaawa mapfumbamwe usati watora mushonga unotevera paunoyeuka (kureva kuti, wanonoka kupfuura maawa mapfumbamwe), siya mushonga wausina kutora. Ingotora mushonga unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete kuti udzorere mushonga wausina kutora.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Mimwe mishonga yauri kutora inogona kukanganisa kushanda kwayo kana migumisiro yayo. Saka, udza chiremba wako kana uri kutora mimwe yemishonga inotevera kana mimwe mishonga yekuwedzera, mavhitamini, kana mishonga yemiti.
- Mimwe mishonga inoshandiswa pakurapa pfari: Semuenzaniso, `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`.
- 'Cyclosporine'
- `Eltrombopag`
- `Enzalutamide`
- `Mitotane`
- `Rifampin` (mushonga weTB)
- `St. John's Wort` (mushonga wemishonga wehutano hwepfungwa)
- 'Sulfasalazine'
- `Warfarin` (mushonga unopiwa kudzivirira kugwinha kweropa)
Rondedzero iyi haina kukwana, saka zvakanaka kuzivisa chiremba wako nezvemishonga yese yauri kutora.
Zvinhu zvaunofanira kungwarira zvakanyanya paunenge uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Tarisa nachiremba wako nguva dzose kuti uone kana zviratidzo zvako zviri kuvandudzika kana kuti zvichiwedzera kuipa. Usarega kuongororwa ropa kunodiwa (kuongorora ropa).
- Kukanganiswa kwakanyanya kweganda: Vamwe vanhu vanogona kukonzera kukanganiswa kwakanyanya kweganda kunyangwe mavhiki mashoma mushure mekutanga mushonga uyu.Udza chiremba wako nekukasika kana ukatanga mapundu pamwe chete nezviratidzo zvakaita sefivha kana dzihwa. Mapundu aya anogona kutsvuka kana kutsvukuruka, obva aita maronda uye obva abuda. Kana ukaona mapundu matsvuku pachiso chako, pamiromo, pamutsipa, kana muhapwa pamwe chete nekuputika kwema lymph nodes, fonera chiremba wako nekukasika.
- Manyoka akanyanya uye kushaya mvura mumuviri: Udza chiremba wako kana uine manyoka akanyanya, kurutsa, kana kudikitira zvakanyanya . Kurasikirwa nemvura yakawandisa mumuviri wako (kushaya mvura mumuviri) kunogona kuva nengozi paunenge uchitora mushonga uyu.
- Shuga yakakwira muropa (Hyperglycemia): Mushonga uyu unogona kukonzera shuga yakakwira muropa. Njodzi iyi yakanyanya kune vanhu vane chirwere cheshuga. Udza chiremba wako kana uchinzwa nyota kupfuura zvawagara uchiita, uchiita weti kakawanda, uchinzwa kuneta zvisina kujairika, kana kuti uchiona zvisina kunaka .
- Muromo wakaoma: Unogona kunzwa muromo wakaoma. Izvi zvinogona kudzorwa nezvinhu zvakaita sekutsenga chingamu isina shuga uye kunwa mvura yakawanda. Zvisinei, kana dambudziko rikaramba riripo kana kuti rakakomba, udza chiremba wako.
Yambiro inokosha zvikuru yekubata pamuviri: Dzivisa kubata pamuviri zvachose paunenge uchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega mushonga. Varume vanofanirawo kudzivisa kubereka mwana pavanenge vachitora mushonga uyu uye kwevhiki imwe chete mushure mekurega mushonga. Mushonga uyu unogona kukonzera kukuvara kukuru kumwana asati aberekwa. Bvunza chiremba wako kuti uwane rumwe ruzivo nezveizvi. Uyewo, dzivisa kuyamwisa paunenge uchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega mushonga.
Migumisiro inogona kuitika nekuda kwemishonga
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Manyoka akanyanya | Kuzvimba kwemuviri kusingadzivisiki. |
| Shuga yakakwira muropa (Hyperglycemia) | Nyota zvakanyanya, kuita weti nguva nenguva, kuneta zvakanyanya, kuona zvisizvo. |
| Kukuvara kwemapapu | Kutadza kufema zvakanaka, kukosora, manyoka ane ropa, kurwadziwa pachipfuva, fivha. |
| Zvirwere zveganda zvakakomba | Kutsvuka, matumbu, ganda riri kusvuuka (kunyangwe mukati memuromo). |
| Zvinhu zvekuudza chiremba wako kana zvikaramba zviripo kana kuti zvichikunetsa | |
| Ganda rakaoma | Ganda rakaoma |
| Musoro | Musoro |
| Kudonha kwebvudzi | Kudonha kwebvudzi |
| Maronda emuromo kana pahuro | Marwadzo, kutsvuka, kana kuzvimba pamwe nemaronda mumuromo kana pahuro |
Munochengetedza sei mishonga yenyu yakachengeteka?
- Chengeta kure nevana nezvipfuyo.
- Chengeta patembiricha iri pakati pe20 ne25 degrees Celsius (68-77 Fahrenheit), inova tembiricha yemukamuri yakajairika.
- Usashandise mushonga wapera basa.
- Pakurasa mishonga isina kushandiswa kana yapera, tarisa pane zvakanyorwa kuti uone kana yakachengeteka kurasa. Kana usina chokwadi, bvunza chiremba wako. Kana yakachengeteka kurasa, bvisa mapiritsi mubhodhoro woasanganisa nechimwe chinhu chakaita sekofi yakakangwa, ivhu, kana marara ekatsi, aise mubhegi rakavharwa zvakasimba kana mugaba, woakanda mumarara.
Mharidzo Yekuenda Nayo Kumba
- Alpelisib mushonga wakakosha, saka gara uchitora sezvawaudzwa nachiremba wako, uye panguva yakakodzera.
- Udza chiremba wako nezvemimwe mishonga yauri kutora uye chero zvimwe zvirwere zvaunazvo usati watanga mushonga wacho.
- Gara uchichenjerera ganda rako kana paine matambudziko makuru (fivha, mapundu, maronda) uye zviratidzo zveshuga yakakwira muropa (nyota yakawandisa, kuita weti kakawanda). Udza chiremba wako nekukasika kana ukaona chimwe chinhu.
- Zvakakosha zvikuru kudzivirira kubata pamuviri zvachose paunenge uchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
- Kana muine mibvunzo, zvinokunetsai, kana kusava nechokwadi nezvemushonga uyu, musafungidzire, asi taurai nachiremba wenyu zvakananga.
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