Chiremba wako anogona kunge akakuudza kuti utange kutora mushonga unonzi `Ibrutinib`. Zvakajairika kuti unzwe kutya uye kuvhiringidzika kana ukanzwa zita remushonga wakadai. Asi usazvidya moyo, chinhu chinosangana nevanhu vazhinji. Munyaya ino, tichataura nezvemushonga uyu, zvaunoita mumuviri wako, uye zvaunofanira kungwarira paunenge uchiushandisa, nenzira yaunogona kunzwisisa nenzira iri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Ibrutinib?
Uyu mushonga unonyanya kushandiswa kurapa mamwe marudzi egomarara. Kunyanya, unonyanya kushandiswa pazvirwere zvegomarara zvakaita seleukemia nelymphoma.
Funga nezvazvo, masero ekenza rudzi rwemasero anopatsanuka nekukurumidza uye anokura asingadzoreki. Ane puroteni yakakosha inoabatsira kukura saizvozvo. Mushonga uyu `Ibrutinib` unovhara mashandiro epuroteni iyoyo. Ipapo kugona kwemasero ekenza kukura nekupararira kunoderedzwa kana kumira.
Pamusoro pezvo, mushonga uyu dzimwe nguva unoshandiswa kurapa dambudziko rinonzi "chronic graft versus host disease" rinoitika mushure mekuisirwa bota remapfupa.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga mushonga uyu, chiremba wako anofanira kuva neruzivo rwakakwana rwehutano hwako. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Une mamiriro ezvinhu aya here? | Tsananguro |
|---|---|
| Zvirwere zvekubuda ropa | Kana ronda diki richitora nguva yakareba kuti ropa rimire kubuda kana kuti paine mavanga chete. |
| Chirwere cheshuga | Kana uri kurapwa chirwere cheshuga. |
| Kuvhiya | Kana wakambovhiyiwa nguva pfupi yadarika kana kuti wakarongerwa kuvhiyiwa mune ramangwana. |
| Chirwere chemwoyo | Chero rudzi rwechirwere chemwoyo, kutadza kwemoyo, matambudziko emoyo. |
| Kukwira kweropa kana cholesterol | Kana uine BP yakakwira kana cholesterol yakakwira. |
| Zvirwere zvechiropa | Chero rudzi rwechirwere chechiropa. |
| Kutora mishonga inobvisa ropa rakawanda | Kana uri kutora mishonga yakaita se'Warfarin' kana 'Aspirin' yekudzivirira kuumbwa kweropa. |
| Kubata pamuviri kana kuyamwisa | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
| Zvimwe zvirwere zvemuviri | Kana uine allergies ku `Ibrutinib` kana chero imwe mishonga kana chikafu. |
Ndinofanira kushandisa mushonga uyu sei chaizvo?
- Inwa mushonga uyu (piritsi kana kapisiyumu) negirazi remvura rakazara.
- Edza kuitora panguva imwe chete zuva nezuva. Nenzira iyi, hauzokanganwi uye mushonga wacho unoshanda zviri nani.
- Izvi zvakakosha zvikuru: Usacheke, kupwanya, kana kutsenga mushonga. Medza piritsi/kapisiyumu yese. Kuita izvi kunogona kukanganisa mashandiro emushonga.
- Kana ukasangana nemigumisiro yakaipa, chiremba wako anogona kuchinja mushonga wako kana kukuudza kuti urege kuutora kwenguva yakati. Usamborega kutora mushonga wako kana kuchinja mushonga wacho usina kurayirwa nachiremba wako.
Zvakakosha: Usanwe muto wegrapefruit kana kudya maranjisi eSeville paunenge uchitora mushonga uyu. Izvi zvinogona kukanganisa kushanda kwemushonga.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifungidzira kuti watora mushonga uyu unopfuura mwero wawakarairwa, usapedza nguva uye enda kuchipatara chiri pedyo neEmergency Department (ETU). Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa.
Usambofa watora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakanga warasikirwa nawo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Mimwe mishonga yauri kutora inogona kupindirana neIbrutinib. Saka, zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora.
| Chikamu cheMishonga/Chikafu | Mimwe mienzaniso |
|---|---|
| Mamwe maantibayotiki | `clarithromycin`, `erythromycin`, `rifampin` |
| Mimwe mishonga inorwisa mavhairasi inopihwa yeHIV kana Hepatitis | Bvunza chiremba. |
| Mishonga yezvirwere zvefungus | `ketoconazole`, `itraconazole`, `voriconazole` |
| Mishonga yekurapa pfari/ pfari | `carbamazepine`, `phenobarbital`, `phenytoin` |
| Mimwe mishonga yegomarara | `apalutamide`, `enzalutamide`, `methotrexate` |
| Zvigadzirwa zvemiti | Wort yeSt. John |
Rondedzero iyi haina kukwana. Kuti uchengetedzeke, zvakakosha kuti uudze chiremba wako nezvemishonga yese, mavhitamini, nemishonga yemishonga yauri kutora.
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Chiremba wako anowanzo kukumbira kuti uongororwe ropa. Vanofanira kutarisa kana mushonga wacho uchishanda uye kana paine zvimwe zvinokanganisa. Saka usapotsa bvunzo idzi.
- Njodzi yekubuda ropa: Mushonga uyu unogona kuita kuti unzwe mavanga zviri nyore kana kukonzera kubuda ropa rakawanda kubva kuganda diki. Udza chiremba wako nekukasika kana ukaona kubuda ropa kusingawanzoitiki (semuenzaniso, ropa mutsvina yako, ropa mukurutsa kwako, kana madodzi madiki matsvuku/pepuru paganda rako ).
- Njodzi yekutapukirwa: Mushonga uyu unogona kuderedza zvishoma dziviriro yemuviri wako. Nokudaro, njodzi yekutapukirwa yakakura. Kana ukaona zviratidzo zvakaita sefivha, kurwadziwa kwemuviri, uye kurwadziwa kwehuro, usazvirape wega uye fonera chiremba wako. Deredza kushanya kwako kunzvimbo dzine vanhu vanorwara.
- Kubata pamuviri nekuyamwisa: Izvi zvakakosha zvikuru. Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega mushonga. Mushonga uyu unogona kukuvadza mwana asati aberekwa zvakanyanya. Uyewo, dzivisa kuyamwisa paunenge uchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega mushonga.
Nyatsotarisira hutano hwemazino ako.
Kana uchizovhiyiwa kana kuvhiyiwa mazino, udza chiremba kuti uri kutora mushonga uyu. Hazvikurudzirwi kuvhiyiwa mazino makuru paunenge uchitora mushonga uyu. Saka, zvakanaka kuona chiremba wemazino kuti agadzirise matambudziko emazino usati watanga mushonga uyu.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Ibrutinib inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Mimwe yacho yakakomba uye inofanira kutaurwa nekukasika. Mimwe yacho yakajairwa uye inonyangarika mushure memazuva mashoma.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Mhedzisiro yedivi | Zviratidzo zvinoratidza |
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kubuda ropa kusingajairika | Tsvina nhema kana kuti ine ropa, kurutsa kunoita sekofi yakakuyiwa, weti yebrown yakasviba/tsvuku. |
| Kukundikana kwemoyo | Kutadza kufema zvakanaka, kuzvimba kwemakumbo netsoka, kuwedzera uremu kamwe kamwe, kuneta zvakanyanya. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo, dzungu, kurwadziwa pachipfuva. |
| Kukuvara kwechiropa | Kurwadziwa kumusoro kwedumbu, kushaya chido chekudya, kutsvuka kwemaziso/ganda, weti yakasviba. |
| Chirwere cheTumor Lysis (TLS) | Chirwere chinokonzerwa nekukasira kupatsanuka kwemasero egomarara. Kurutsa, manyoka, kugwinha kwetsandanyama, kuchinja kwekurova kwemoyo. |
| Zvinhu zvisingawanzo kuva nengozi, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
|---|---|
| Mhedzisiro yedivi | Tsananguro |
| Kurwadziwa kwemapfupa, majoini, kana tsandanyama | Kurwadziwa kwemuviri, kurwadziwa kwemajoini. |
| Manyoka | Kuzvimba kwemuviri. |
| Kusvotwa | Kunzwa kuda kurutsa. |
| Maronda emuromo | Marwadzo, kutsvuka, kana maronda mumuromo kana pahuro. |
Kana ukaona chimwe chinhu chisina kujairika chisiri pane urongwa uhwu, usatya kutaura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Ibrutinib mushonga unotarirwa kudzivirira kukura kwemasero ekenza akadai seleukemia nelymphoma.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvese zvaunazvo nemishonga yese yauri kutora.
- Inwa mushonga wakanyorwa sezvawaudzwa nachiremba, panguva yakatarwa. Usapwanye, usapwanye, kana kutsenga mushonga.
- Usashandise muto wegrapefruit nemaorenji eSeville zvachose paunenge uchitora mushonga uyu.
- Kana ukasangana nematambudziko akadai sekubuda ropa risingawanzoitiki, fivha, kana kufema zvakaoma, tsvaga rubatsiro rwechiremba nekukasika.
- Unofanira kudzivisa kubata pamuviri uye kuyamwisa paunenge uchitora mushonga uyu uye kwenguva yakatarwa.
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