Kana chiremba wako akakunyorera mushonga unonzi Larotrectinib iwe kana mumwe munhu waunoziva, zvakajairika kuva nemibvunzo yakawanda nezvawo. Mushonga werudzii uyu? Chii chichaitika nawo? Pane migumisiro yakaipa here? Ungave uchishamisika. Usazvidya mwoyo. Ngatitaurei nezvemushonga uyu zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi Larotrectinib?
Muchidimbu, larotrectinib imhando yemushonga unomisa kukura kwemasero ekenza. Izvi zvinonzi 'targeted therapy'. Izvi zvinoreva kuti mushonga uyu unopinda zvakananga uye unokanganisa chete puroteni chaiyo iri mumasero ekenza, uchimisa kukura kwemasero iwayo.
Asi uyu hausi mushonga unopiwa marudzi ese egomarara. Masero ako egomarara anoongororwa kuti aone kana aine shanduko yakakosha mujini inonzi NTRK (neurotrophic receptor tyrosine kinase gene fusion) . Vanhu vane iyo genetic mutation chete ndivo vanobatsirwa nemushonga uyu. Saka kana chiremba wako akakunyorera mushonga uyu, zvinoreva kuti mhando yegomarara rako ingangoda kupindura zvakanaka.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekuvaudza nezve zvinotevera:
| Chinzvimbo | Zvaunofanira kuzivisa |
|---|---|
| Chirwere chechiropa | Kana uine chirwere chechiropa. |
| Dambudziko retsinga | Kana nhengo dzako dzichinzwa kurwadza kana kuti uine mamwe matambudziko etsinga. |
| Kurwara | Kana uine allergy yemushonga uyu, mimwe mishonga, chikafu, kana madhayi. |
| Pamuviri | Kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uine chero kusava nechokwadi nazvo. |
| Kuyamwisa | Kana uri kuyamwisa mwana wako. |
Ndinofanira kushandisa mushonga uyu sei?
Chinhu chinonyanya kukosha kutora mushonga wacho sezvataurwa nachiremba.
- Medza kapusule iyi yese negirazi remvura .
- Usapwanye, kupwanya, kana kutsenga kapusule.
- Unogona kunwa mushonga uyu usati wadya kana kuti wapedza kudya. Asi, edza kuunwa panguva imwe chete zuva nezuva .
- Zvakakosha: Usambofa watora mushonga uyu nemuto wegrapefruit.
- Usarega kutora mushonga wako usina kurayirwa nachiremba wako.
Kana ikapihwa vana: Mushonga uyu dzimwe nguva unogona kunyorerwa kunyange vana vadiki. Zvisinei, unoda matanho akakosha ekudzivirira. Taura nachiremba wevana nezvenyaya iyi.
Chii chekuita kana dose ikawedzera (overdose)?
Kana uchifunga kuti watora mushonga uyu wakawandisa, usavhunduka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikakanganwa kunwa mushonga wangu?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana kwasara maawa asingasviki matanhatu kuti dosi yako inotevera ikwane, svetuka dosi yawarasikirwa wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Mushonga uyu unogona kupindirana nemimwe mishonga nezvikafu. Saka, udza chiremba wako nezvese zvauri kutora. Izvi zvinosanganisira mishonga yakanyorerwa nachiremba, mishonga isingatengeswi nechiremba, mishonga yemishonga, mavhitamini, nezvimwe zvinowedzera. Zvakare, udza chiremba wako kana uchisvuta kana kunwa doro.
Pazasi pane zvimwe zvinhu zvinogona kukanganisa mushonga uyu.
- Mishonga yeHIV kana AIDS
- Mamwe maantibiotic (akadai se clarithromycin)
- Mishonga yezvirwere zvefungus (senge ketoconazole)
- Mishonga yekurapa pfari (yakadai secarbamazepine, phenytoin)
- Mimwe mishonga yezvirwere zvemwoyo
- Mishonga inodzvinyirira muviri (yakadai se cyclosporine, tacrolimus)
- Mimwe mishonga yekurapa kenza (chemotherapy)
- Mushonga weSt. John's Wort
- Muto weGrapefruit
Rondedzero iyi haina kukwana, saka zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora.
Zvinhu zvekufunga nezvazvo kana uchitora mushonga
- Kuongororwa kweropa: Paunenge uchitora mushonga uyu, chiremba wako anorayira kuongororwa kweropa nguva nenguva kuti aongorore zvinhu zvakaita sekushanda kwechiropa chako.
- Mabasa anoda kutarisirwa: Mushonga uyu unogona kuita kuti unzwe dzungu, hope, kana kuvhiringidzika. Saka, dzivisa mabasa anoda kutarisirwa, akadai sekutyaira kana kushandisa michina, kusvika waziva kuti izvi zvinokanganisa sei muviri wako.
- Kubata pamuviri nekuyamwisa (zvakakosha zvikuru):
- Vakadzi: Dzivisai kubata pamuviri pamunenge muchitora mushonga uyu uye kweinenge vhiki imwe chete mushure mekurega mushonga. Kana muchironga kubata pamuviri kana kufungidzira kuti mune pamuviri, taurirai chiremba wenyu nekukasika.
- Varume: Dzivisai kubereka mwana muchitora mushonga uyu uye kweinenge vhiki imwe chete mushure mekurega mushonga.
- Dzivisa kuyamwisa mwana wako paunenge uchitora mushonga uyu uye kwevhiki imwe chete mushure mekurega.
- Kubereka: Mushonga uyu unogona kukanganisa kugona kwako kubereka vana. Kana uine mibvunzo nezveizvi, taura nachiremba wako.
Migumisiro yemushonga
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe midiki, nepo mimwe ichida kurapwa nekukurumidza.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Zviratidzo zvekukuvara kwechiropa | Weti yero/tsvuku yakasviba, maziso kana ganda richitsvuka, kurwadziwa mudumbu rekumusoro kurudyi, kuda kurutsa, kushaya chido chekudya, tsvina isina kuchena. |
| Matambudziko ehurongwa hwetsinga | Dzungu, kuvhiringidzika, kurasikirwa nekugadzikana, kurwadziwa kana kusanzwa simba mumakumbo, kuoma kutaura. |
| Migumisiro inowanzo fanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kurutsa | Manyoka |
| Kuzvimba | Kukosora |
| Kuneta | |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Larotrectinib mushonga wakanangana nekenza ine NTRK gene fusion.
- Zvakakosha kuudza chiremba wako nezvemimwe mishonga yese, mishonga yemiti, uye zvimwe zvinovaka muviri zvauri kutora.
- Usanwe muto wegrapefruit zvachose paunenge uchitora mushonga uyu.
- Tevedzera matanho akasimba ekudzivirira pamuviri, kuyamwisa, uye kubereka mwana paunenge uchitora mushonga uye kwevhiki imwe chete mushure mekurega.
- Tsvaga rubatsiro rwechiremba nekukasika kana paine zviratidzo zvakaita sekukuvadzwa kwechiropa kana matambudziko makuru etsinga.
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