Zvakajairika kuti munhu wese anzwe kutya uye kunetseka kana akaonekwa aine kenza. Asi chinhu chakakosha chaunofanira kuziva ndechekuti sezvo sainzi yezvekurapa ichiramba ichifambira mberi, pari zvino kwava nemishonga mitsva inoshanda zvikuru yekenza . Nhasi tichataura nezveimwe nzira itsva yekurapa. Zita remushonga uyu ndiLarotrectinib. Uyu mushonga wakagadzirirwa mhando dzakasiyana dzekenza .
Zvichitaurwa zviri nyore, chii chinonzi Larotrectinib?
Funga nezvemasero ekenza semhando yesora rinopararira risingadzoreki. Pane 'switch' yakakosha inobatsira masora aya kukura nekupararira. 'Switch' iyi ndiyo yatinodaidza kuti protein mukurapa. Mushonga uyu unonzi Larotrectinib unoita chinhu chakangwara kwazvo. Unoenda zvakananga ku 'switch' inobatsira masero ekenza kukura, kureva, protein chaiyo. Unoidzima. Ipapo masero ekenza anorasikirwa kana kuderedza zvakanyanya kugona kwawo kupatsanura, kukura, uye kupararira kune dzimwe nhengo dzemuviri.
Izvi hazvina kufanana nemishonga yenguva dzose yekenza. Mishonga yenguva dzose dzimwe nguva inogona kukuvadza masero ane hutano mumuviri. Asi rudzi urwu rwekurapa rwakanangwa runokuvadza masero ekenza chete. Nokudaro, migumisiro inogona kuderedzwa zvishoma. Mushonga uyu unogona kuwanikwa mumusika pasi pezita rekuti VITRAKVI .
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Chiremba wako asati akupe mushonga uyu, anofanira kuziva mamiriro ako ehutano. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo. Usavanza chero chinhu, nekuti zvakakosha zvikuru kuti uchengetedzeke.
- Chirwere chechiropa : Kana uine chirwere chechiropa chagara chiripo, ndapota tiudze nezvazvo.
- Matambudziko etsinga : Kana uchinzwa kusanzwa zvakanaka muminwe yako kana zvigunwe, kana kana uine chimwe chirwere chetsinga , ndapota tizivise.
- Kurwara :Kana uine allergies, kwete chete kuLarotrectinib, asi kune chero mimwe mishonga, chikafu, dhayi, kana mishonga yekuchengetedza , iva nechokwadi chekutiudza nezvazvo.
- Kubata pamuviri : Iyi inyaya yakakosha zvikuru kana uri nepamuviri, uchiedza kubata pamuviri, kana kuti kana mumwe wako ari kuedza kubata pamuviri.
- Kuyamwisa: Kana uri amai vari kuyamwisa mwana wako, unofanirawo kuudza chiremba.
Yeukai, kubudirira uye kuchengetedzeka kwekurapwa kwenyu zvinoenderana nekururama kweruzivo rwamunopa chiremba wenyu.
Ndingashandisa sei mushonga uyu chaizvo?
Mushure mekunge chiremba wako akunyorera mushonga uyu, zvakakosha zvikuru kuziva mashandisirwo awo chaiwo.
- Mushonga uyu unouya uri muchimiro chemakapisi. Unofanira kuunwa negirazi remvura.
- Edza kunwa mushonga wako panguva imwe chete zuva nezuva , sezvakarairwa nachiremba wako. Izvi zvichabatsira kuchengetedza huwandu hwakafanana hwemushonga mumuviri wako.
- Usambopwanya, kupwanya, kana kutsenga mapods. Mapods anofanira kumedzwa ese.
- Mushonga uyu unogona kutorwa usati wadya kana kuti wapedza kudya. Zvisinei, kana uchinzwa kusagadzikana mudumbu kana kuda kurutsa mushure mekutora mushonga, zvakanaka kutora mushonga uyu pamwe chete nekudya kudiki.
- Ramba uchitora mushonga kusvika chiremba wako akuudza kuti urege. Usamira pakati.
- Zvakakosha: Usanwe muto wegrapefruit paunenge uchitora mushonga uyu. Muto wegrapefruit unogona kusangana nemushonga uyu wowedzera huwandu hwemushonga mumuviri wako. Izvi zvinogona kuwedzera njodzi yemigumisiro yakaipa.
Mushonga uyu ungapiwa kuvana vadiki here?
Ehe, mune dzimwe nguva, vanachiremba vanopa mushonga uyu kuvana. Asi pane matanho akakosha ekudzivirira. Saka, kana uri kupa mushonga uyu kumwana, taura nachiremba nokungwarira uye uwane mazano.
Unoita sei kana ukatora mushonga wakawandisa?
Kana uchifungidzira kuti watora mishonga yakawanda kupfuura yaunofunga, tora matanho nekukasika usingazengurire.
1. Fonera National Poisons Information Centre kuColombo National Hospital nekukasika.
2. Neimwe nzira, enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo nekukurumidza.
Uyu mushonga unopihwa iwe chete. Usambofa wakapa mushonga wako kune mumwe munhu.
Ko kana ndikarasikirwa nedosi remushonga?
Kukanganwa kutora mushonga wako chinhu chinogona kuitika kune chero ani zvake. Kana izvozvo zvikaitika, usazvidya mwoyo.
- Inwa mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka.
- Asi,Kana kwasara maawa asingasviki matanhatu kuti mushonga wako utore unotevera, svetuka zvachose. Ingotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete, kusanganisira yawakarasikirwa nayo.
- Kana ukarutsa mushure mekutora mushonga, siya mushonga iwoyo wotora mushonga unotevera panguva yakatarwa.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Larotrectinib mushonga unogona kushanda pamwe chete nemimwe mishonga nezvikafu. Saka, udza chiremba wako nezvemishonga yese yaunotora, kwete chete iyo yakanyorerwa nachiremba, asiwo mishonga inonyaradza marwadzo, mavhitamini, mishonga yechivanhu, mishonga yeAyurvedic, uye zvekudya zvinovaka muviri zvaunotenga kupharmacy. Udzawo chiremba wako kana uchisvuta kana kunwa doro.
Heano mamwe emhando dzezvinhu zvinogona kukanganisa mushonga uyu. Iyi haisi rondedzero yakazara.
| Rudzi rwemushonga/chinhu | Mienzaniso |
|---|---|
| Mamwe marudzi emishonga inorwisa mabhakitiriya | Clarithromycin, Telithromycin |
| Mishonga yezvirwere zvefungus | Itraconazole, Ketoconazole, Voriconazole |
| Mimwe mishonga yekurapa pfari | Carbamazepine, Phenytoin, Phenobarbital |
| Mimwe mishonga yekurwisa HIV/AIDS | Bvunza chiremba. |
| Mishonga inodzvinyirira masoja emuviri | Cyclosporine, Sirolimus, Tacrolimus |
| Mimwe mishonga yezvirwere zvemwoyo | Disopyramide, Dofetilide |
| Zvimwe zvinhu zvakakosha | Muto weGrapefruit, St. John's wort |
Zvinhu zvekungwarira zvakanyanya paunenge uchitora mushonga
- Kutarisirwa kwechiremba: Chiremba wako achakutarisa zvakanyanya paunenge uchitora mushonga uyu. Iva nechokwadi chekuenda kukiriniki pamazuva akarongwa uye kuita chero kuongororwa kweropa kunodiwa.
- Dzungu uye Kunyatsoteerera: Mushonga uyu unogona kukonzera dzungu, hope, uye kuoma kutarisisa pfungwa mune vamwe vanhu. Saka, dzivisa zvinhu zvinoda kungwarira, zvakaita sekutyaira kana kushandisa michina inorema, kusvika waziva kuti mushonga uyu unokukanganisa sei.
- Paunosimuka kubva panzvimbo yawakagara kana kuti wakarara, simuka zvishoma nezvishoma. Kana ukasimuka kamwe kamwe, unogona kunzwa dzungu wodonha. Kunwa doro kunogona kuwedzera dambudziko iri.
- Kubata pamuviri uye kudzora pamuviri (zvakakosha zvikuru):
- Kuvakadzi: Kana wava pazera rekubereka, unofanira kuongororwa pamuviri kuti uve nechokwadi chekuti hauna pamuviri usati watanga mushonga uyu. Unofanira kushandisa nzira yekudzivirira pamuviri inoshanda zvikuru mukati menguva yese yekurapwa uye kwevhiki imwe chete mushure mekurega mushonga . Taura nachiremba wako nezvenzira yakakunakira.
- Kune varume: Kana mumwe wako akakwanisa kubata pamuviri, zvakakosha kushandisa kondomu pese pamunoita bonde pamunenge muchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega mushonga.
- Kuyamwisa: Dzivisa kuyamwisa mwana wako paunenge uchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega mushonga.
- Kubereka: Mushonga uyu unogona kukanganisa kugona kwako kubereka vana (kusabereka). Kana uine zvinokunetsa nezvazvo, taura nachiremba wako usati watanga kurapwa.
Migumisiro yemushonga
Kufanana nemushonga upi zvawo, larotrectinib inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho inogona kunge yakakomba, saka zvakakosha kuti uizive.
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Zviratidzo zvekukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, tsvina ine ruvara rwakachenuruka, weti yero kana yero yakasviba, maziso kana ganda richitsvuka, uye kuneta kwakanyanya. |
| Kuchinja kwepfungwa nemaitiro | Kuzvidya mwoyo zvakanyanya, kushaya zororo, kuvhiringidzika, kuona zvinhu zvisipo, hasha, kufunga zvekuzviuraya, uye kuora mwoyo kwakanyanya. |
| Matambudziko ehurongwa hwetsinga | Kushaya simba kana kurwadziwa kwemakumbo, kushaya simba kwetsandanyama, kuchinja kwekuona, kuoma kutaura, kurasikirwa nepfungwa dzakanaka, kuoma kufamba, pfari. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| |
Munochengeta uye munorasa sei mishonga?
- Kuchengeta: Gara uchichengeta mishonga kure nevana nezvipfuyo.Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Usashandise mushonga wapera basa.
- Kurasa: Nzira yakanakisisa yekurasa mishonga yapera kana isingadiwi ndeyekupa kune chirongwa chekutora mishonga kuchipatara kana mune mamwe ma pharmacy. Kana izvozvo zvisingaite, bvisa makapisi mumudziyo, uvasanganise nechimwe chinhu chakaita sekofi yakakuyiwa, ivhu, kana tsvina yekatsi, woisa mubhegi rakavharwa zvakasimba kana mudziyo woirasa mumarara. Usambofa wakaisuka muchimbuzi. Kana usina chokwadi, bvunza chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Larotrectinib mushonga chaiwo, wakanangana nemarudzi akasiyana ekenza.
- Inwa mushonga wacho sezvawakarairwa nachiremba wako, panguva chaiyo. Usapwanye, kupwanya, kana kutsenga makapisi.
- Zvakakosha kuzivisa chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemishonga yauri kutora.
- Usanwe muto wegrapefruit zvachose paunenge uchitora mushonga uyu.
- Kana ukaona zviratidzo zvemigumisiro yakakomba (matambudziko echiropa, matambudziko etsinga, allergies dzakakomba), zivisa chiremba wako nekukasika.
- Dzivisa kutora mushonga uyu panguva yekuzvitakura kana panguva yekuyamwisa. Zvakakosha kuti vaviri vari vaviri vashandise nzira yekudzivirira pamuviri inoshanda zvikuru panguva yekurapwa.
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