Iwe kana mumwe munhu waunoda makambopihwa mushonga weDasatinib semushonga wegomarara here? Zvakajairika kuti munzwe kutya uye kutya kana izvozvo zvikaitika. Mungave nemibvunzo yakawanda pamusoro pekuti mushonga uyu ndewerudzii, ungaushandisa sei, uye chii chekungwarira. Saka nhasi, ngatidzidzei zvese nezvemushonga uyu nenzira iri nyore, sekunge tiri kutaura neshamwari.
Mushonga uyu unonzi Dasatinib chii?
Zvichitaurwa zviri nyore, dasatinib mushonga unodzivirira kukura kwemasero ekenza. Unoshanda se 'kurapa kwakanangana'. Izvi zvinoreva kuti mushonga uyu haungorwisi masero mumuviri chete. Pane kudaro, unoona mamwe mapuroteni anobatsira masero ekenza kupatsanurana nekupararira, uye unotarisa nekumisa kushanda kwawo. Unoshanda semurwi ane hunyanzvi hwekuuraya kenza.
Mushonga uyu unonyanya kushandiswa kurapa mhando mbiri dze leukemia.
- Chirwere cheLeukemia Chisingaperi (CML)
- Acute Lymphoblastic Leukemia (YOSE)
Dzimwe nguva chiremba wako anogona kukupa mushonga uyu kune zvimwe zvirwere zvakare. Saka, bvunza chiremba wako kuti sei wakapihwa mushonga uyu.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Chiremba wako anofanira kuva neruzivo rwakakwana rwehutano hwako asati atanga mushonga uyu. Izvi zvakakosha kuti uchengetedzeke. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana uine matambudziko ekubuda ropa kana kuti uchida kubuda ropa.
- Kana uine chirwere chemwoyo kana kurova kwemoyo kusina kurongeka.
- Kana uine kusasimba mumasoja ako emuviri.
- Kana wakamboudzwa kare kuti potassium kana magnesium muropa rako yakaderera.
- Kana uine allergy yemushonga uyu wedasatinib, lactose, kana chero imwe mushonga, chikafu, kana dhayi.
- Izvi zvinonyanya kukosha kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa .
Kutaura zvinhu izvi usingazvivanzi kuchakubatsira zvikuru nekubudirira kwekurapwa uye kuchengetedzeka kwako.
Nzira yekushandisa mushonga uyu nemazvo sei?
Ichi chikamu chakakosha zvikuru. Kuti uwane zvakawanda kubva mumushonga, unofanirwa kuushandisa nemazvo.
- Maitiro ekunwa: Medza piritsi iri rose negirazi remvura. Usapwanye, kupwanya, kana kutsenga piritsi. Kuita izvi kunogona kukanganisa mashandiro emushonga wacho.
- Nechikafu: Unogona kutora mushonga uyu uine kana usina chikafu. Hapana dambudziko nazvo.
- Nguva yekutora: Edza kutora mushonga wako panguva imwe chete zuva rega rega, sezvakarairwa nachiremba wako. Kana ukarasikirwa nedosi, tora dosi rinotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete kuti udzorere dosi yawakakanganwa.
- Zano rechiremba: Usarega kutora mushonga wako usina kurairwa nachiremba wako.
- Zvakakosha: Usanwe muto wegrapefruit kana grapefruit paunenge uchitora mushonga uyu. Muchero wegrapefruit unogona kuchinja mashandisirwo anoita muviri wako mushonga uyu, izvo zvinogona kukonzera migumisiro yakaipa.
- Mishonga Inorwisa Asidhi: Inwa mishonga inorwisa asidhi ine aruminiyamu, calcium, kana magnesium (semuenzaniso, Digene, Gelusil) maawa maviri usati watora mushonga uyu kana maawa maviri watora. Usatore pamwe chete. Udza chiremba wako zvakare kana uri kutora mimwe mishonga inoderedza acid yemudumbu (semuenzaniso, Omeprazole, Famotidine).
Kana uri kupa mushonga uyu kuvana, unofanira kutaura navanachiremba vevana nezvazvo. Kunyangwe zvichikurudzirwa kuvana vanopfuura gore rimwe chete, pane zvimwe zvinhu zvekungwarira.
Chii chaunofanira kuita kana ukanwa doro zvakanyanya?
Kana uchifunga kuti watora mushonga unopfuura wakatarwa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano. Usatore izvi sezvisina basa.
Mimwe mishonga inogona kushanda pamwe chete neDasatinib (Kudyidzana Kwemishonga)
Paunenge uchitora mushonga uyu, unofanirawo kungwarira nezvemimwe mishonga yauri kutora. Mimwe mishonga inogona kukanganisa dasatinib, zvichiita kuti ishande zvishoma kana kukonzera migumisiro yakaipa.
Pazasi pane mienzaniso mishoma. Udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini, mishonga yemiti, uye mishonga inoderedza marwadzo).
| Mishonga inogona kushanda pamwe chete nedasatinib | |
|---|---|
| Rudzi rwemishonga | Mienzaniso |
| Usatore izvi pamwe chete nechimwe chinhu. | |
| Mishonga nemimwe mishonga inokanganisa kurova kwemoyo | Cisapride, Dronedarone, Pimozide, Thioridazine |
| Mushonga wefungal | Fluconazole, Posaconazole |
| Izvi zvinogona kuita kuti munhu anzwe kushushikana (tsvaga mazano echiremba) | |
| Mishonga yekurwadziwa | Acetaminophen (Paracetamol), Aspirin, Ibuprofen, Naproxen (NSAIDS) |
| Mishonga inorwisa mabhakitiriya | Clarithromycin, Erythromycin, Rifampin |
| Mishonga inorwisa fungus | Itraconazole, Ketoconazole |
| Mishonga yeHIV/AIDS | Mishonga inorwisa mavhairasi |
| Mishonga yekurwadziwa kwemusoro | Carbamazepine, Phenobarbital, uye Phenytoin |
| Mishonga Inodzivisa Kubuda Kweropa | Warfarin |
| Zvigadzirwa zvemiti | Wort yeSt. John |
Migumisiro yekurapa inofanira kucherechedzwa kana uchitora mushonga uyu
Kufanana nemushonga upi zvawo, dasatinib inogona kukonzera migumisiro yakaipa. Mimwe midiki, asi mimwe inoda kurapwa nekukurumidza.
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kubuda ropa kusingajairika | Tsvina nhema dzinoita sedzekofi, weti yakatsvuka/yakasviba, mavanga matsvuku paganda, kubuda ropa mumhino nematadza. |
| Zviratidzo zveKurwara neMwoyo | Kutadza kufema zvakanaka, kurwadziwa/kuomarara muchipfuva, mumutsipa, kumusana, kana mumaoko, kuneta kwakanyanya. |
| Zviratidzo zvestroke | Kuchinja kwekuona, kuvhiringidzika, kuoma kutaura, kusanzwa kana kushaya simba pachiso/ruoko/gumbo, kuoma kufamba. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, pahuro panorwadza. |
| Kuzvimba kwemuviri/kuwedzera huremu | Kuzvimba mumakumbo, muzvitsitsinho, kana kune dzimwe nhengo dzemuviri, kuwedzera uremu kamwe kamwe. |
| Zvimwe zviratidzo zvakakomba | Kukosora kwakaoma, kurova kwemoyo nekukurumidza kana kusina kurongeka, kurwadziwa kwemapfupa, kugwinha kwetsandanyama, maronda/kubuda kweganda, kusanganisira mumuromo, pfari. |
| Kazhinji hazvina njodzi (asi udza chiremba wako kana zvikaramba zviripo) | |
| Matambudziko ekugaya chikafu | Kurwadziwa kwemudumbu, kuda kurutsa, kurutsa, kuzvimba, kuvimbiwa. |
| Zvimwe zvirwere zvidiki | Musoro, kurasikirwa nechido chekudya, kurwadziwa kwetsandanyama. |
Kuziva kwakakosha nezvepamuviri nekuyamwisa
Izvi zvakakosha zvikuru. Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemazuva makumi matatu mushure mekurega mushonga. Varume vanofanirawo kudzivisa kubereka mwana pavanenge vachitora mushonga uyu uye kwemazuva makumi matatu mushure mekurega. Izvi zvinogona kukonzera kukuvara kukuru kumwana asati aberekwa. Uyewo, dzivisa kuyamwisa paunenge uchitora mushonga uyu uye kwemavhiki maviri mushure mekupedza kutora mushonga uyu.
Mharidzo Yekuenda Nayo Kumba
- Dasatinib mushonga une simba unoshanda kurwisa masero egomarara. Tevedzera mirairo yachiremba wako nokungwarira.
- Udza chiremba wako nezvemishonga yese, mavhitamini, uye chero matambudziko auri kutora usati watanga mushonga wacho.
- Medza piritsi rese usingatyoke, usingapwanye, kana kutsenga.
- Usanwe muto wegrapefruit zvachose paunenge uchitora mushonga uyu.
- Dzivisa kutora mishonga inorwisa asidhi kana wava kuda kutora mushonga wacho.
- Kana ukasangana nematambudziko akakomba akadai sekubuda ropa risingawanzoitiki, kufema zvakaoma, kurwadziwa muchipfuva, kana kuzvimba kwemuviri, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisai pamuviri uye kuyamwisa panguva yamunenge muchitora mushonga uyu uye kwenguva yakatarwa.
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