Kana iwe kana mumwe munhu mumhuri yako atanga kurapwa kenza, zvakajairika kunzwa kutya uye kuda kuziva nezvemishonga yaunonyorerwa nachiremba. Zvakakosha kuva neruzivo rwakakwana paunotanga mushonga mutsva. Saka nhasi tichataura nezvemumwe mushonga wekurapa kenza, Lorlatinib. Ngatitaurei nezvazvo zviri nyore, sekunge shamwari iri kukutsanangurirai.
Chii chinonzi Lorlatinib?
Zvichitaurwa zviri nyore, lorlatinib haisi mushonga wechemotherapy unowanzo shandiswa. Inoshanda se "kurapa kwakanangana." Izvi zvinoreva kuti inonanga zvakananga mapuroteni chaiwo anobatsira masero ekenza kukura. Nekuita izvi, inomisa masero ekenza kukura.
Inonyanya kushandiswa kurapa chirwere chinonzi "kenza yemapapu isiri diki." Chiremba wako anogonawo kunyora mushonga uyu kune zvimwe zvirwere. Kana uine mibvunzo nezvazvo, bvunza chiremba wako.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Chiremba wako asati akupa mushonga uyu, zvakakosha kuti uzive zvizere nezvezvimwe zvirwere zvaungave nazvo. Mushonga uyu unogona kukanganisa mamiriro ezvinhu iwayo. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako.
- Chirwere cheshuga (shuga yakakwira muropa)
- Kukwira kweropa
- Kolesteroli yakakwira
- Kusarongeka kwemutinhimira wemoyo kana chirwere chemwoyo
- Chirwere cheitsvo
- Chirwere chemapapu kana mavanga emapapu
- Chero chirwere chepfungwa
- Mamiriro ezvinhu akadai sepfari
- Pfungwa dzekuzvikuvadza, pfungwa dzekuzviuraya, kuedza kuzviuraya, kana kuti kuva nenhengo yemhuri ichizvikuvadza
- Kuedza kubata pamuviri kana kuti parizvino une pamuviri
- Kuyamwisa mwana
- Wakambova nechirwere che lorlatinib kana chero mimwe mishonga, chikafu, kana dhayi.
Mushonga uyu unoshandiswa sei chaizvo?
Kutevedzera mirairo chaiyo yekushandisa mushonga uyu kwakakosha zvikuru pamhedzisiro.
- Inwa piritsi iri sezvakarairwa nachiremba wako, panguva imwe chete zuva nezuva .
- Usapwanye, kupwanya, kana kutsenga piritsi. Medza rose nemvura.
- Unogona kuitora usati wadya kana kuti wapedza kudya, asi kana uchinzwa kurwadziwa mudumbu, zvakanaka kuitora pamwe chete nechikafu.
- Ramba uchishandisa mushonga uyu kusvika chiremba wako akuudza kuti urege.
- Zvakakosha zvikuru:Usanwe muto wegrapefruit zvachose paunenge uchitora mushonga uyu.
Ko kana dose yacho yakakwira zvakanyanya? (Kudarika mwero)
Kana uchifunga kuti watora mushonga wakawandisa, enda kuEmergency Department (ETU) iri pedyo nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana kwasara maawa asingasviki mana kuti mushonga wako unotevera utore, svetuka mushonga wausina kutora. Ingotora mushonga unotevera panguva yakatarwa. Usambofa watora mushonga kaviri .
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Lorlatinib mushonga une mukana wakakura wekushanda pamwe chete nemimwe mishonga. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini, mishonga yemishonga, uye tii yemishonga). Inogona kushanda pamwe chete nemishonga inotevera:
| Usambofa watora izvi ne lorlatinib. | |
|---|---|
| apalutamide, enzalutamide, mitotane, ranolazine | Mishonga inopihwa yekenza dzakasiyana siyana nezvirwere zvemwoyo |
| Mishonga yekurwisa pfari yakaita secarbamazepine, phenytoin, uye phenobarbital | Mishonga yekurapa pfari |
| rifampin, rifapentine | Mishonga inorwisa mabhakitiriya yehutachiona hwakadai seTB |
| Wort yeSt. John | Chinwiwa chemishonga chekuderedza kushushikana |
| lumacaftor; ivacaftor | Mishonga yeCystic Fibrosis |
| Unogona kupindura kana ukasangana neizvi - bvunza chiremba wako. | |
| Mishonga inorwisa mabhakitiriya | Semuenzaniso: clarithromycin |
| Mishonga inorwisa fungus | Semuenzaniso: ketoconazole, itraconazole, fluconazole |
| Mishonga yeHIV nehepatitis | Semuenzaniso: ritonavir, boceprevir |
| Mahormone uye kudzora pamuviri | Zvinhu zvakaita semapiritsi ekudzivirira pamuviri, machira, majekiseni, nezvimwewo. |
| Mimwe mishonga | bosentan, modafinil, midazolam |
Zvinhu zvekurangarira kana uchitora mushonga
Zvakajairika kunzwa kusagadzikana panguva yekurapwa kwegomarara, sezvo zvichikanganisa masero egomarara nemasero ane hutano. Asi usamira kurapwa kusvika chiremba wako akuudza kuti udaro. Udza chiremba wako nezvechero migumisiro yakaipa.
Mazano ekubata pamuviri, kuyamwisa uye evarume
Chikamu chino chakakosha zvikuru. Ndapota nyatsoteerera.
- Kuvakadzi: Dzivisa kubata pamuviri zvachose paunenge uchitora mushonga uyu. Uyewo, dzivisa kubata pamuviri kwemwedzi mitanhatu mushure mekurega mushonga. Shandisa nzira yekudzivirira pamuviri isiri yemahormone (semuenzaniso, makondomu, copper T). Udza chiremba wako nekukasika kana uine fungidziro yekuti une pamuviri. Dzivisa kuyamwisa paunenge uchitora mushonga uye kwemazuva manomwe mushure mekurega mushonga.
- Kune varume:Varume vanotora mushonga uyu vanofanira kushandisa kondomu pavanenge vachiita zvepabonde nemukadzi anogona kubata pamuviri. Nzira iyi yekudzivirira pamuviri inofanira kuenderera mberi kwemwedzi mitatu mushure mekumira kushandisa mushonga uyu. Kana ukafungidzira kuti mumwe wako ane pamuviri, zivisa chiremba wako nekukasika.
Utachiona nefivha
Mushonga uyu unogona kuderedza simba remuviri wako rekudzivirira chirwere uye kuwedzera njodzi yekuwana hutachiona. Saka, kana ukaona zviratidzo zvakaita sefivha, dzihwa, pahuro, kana kukosora, usazvirape uye fonera chiremba wako nekukurumidza kuti akupe mazano. Edza kugara kure nevanhu vanorwara.
Cholesterol uye huwandu hweshuga
Lorlatinib inogona kuwedzera cholesterol muropa (kunyanya triglycerides) uye huwandu hweshuga muropa. Inogonawo kuderedza cholesterol yakanaka (HDL). Chiremba wako acharamba achiongorora izvi. Kana zvichidikanwa, vanogona kukurudzira shanduko mukudya kana mishonga mitsva.
Kuchinja kwehutano hwepfungwa
Mushonga uyu unogona kukanganisa pfungwa dzevamwe vanhu. Udza chiremba wako nekukasika kana iwe kana nhengo yemhuri yako mukaona chimwe chezvinotevera:
- Kuora mwoyo kutsva kana kuti kuri kuwedzera
- Pfungwa dzekuzvikuvadza
- Kunetseka
- Kurasikirwa nendangariro
- Maitiro kana pfungwa dzisingawanzoitiki, dzinovhiringidza
Ndezvipi migumisiro inogona kuonekwa?
Kufanana nemushonga upi zvawo, lorlatinib inogona kuva nemigumisiro yakaipa. Mimwe yeiyi inogona kunge yakakomba uye inofanira kutaurwa nekukasika.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, kana rurimi |
| Kurwadziwa kwechipfuva kana kuomarara | Zvinogona kuva zviratidzo zvechirwere chemwoyo |
| Kukosora, kuoma kufema, kuzvimba kwemuviri (edema) | Kuwedzera uremu kamwe kamwe, kuzvimba kwezvitsitsinho, maoko netsoka |
| Zviratidzo zvekukuvara kwechiropa | Weti yero yakasviba kana yebrown, kutsvuka kwemaziso/ganda, kurwadziwa kumusoro kwemudumbu |
| Zviratidzo zvehutachiona | Fivha, dzihwa, pahuro panorwadza |
| Zviratidzo zvehuwandu hwemasero eropa hwakaderera | Kuoma kufema, kuneta zvakanyanya, kupera simba, kusuruvara |
| Kuchinja kwepfungwa kana pfari | Zviratidzo zvepfungwa zviri pamusoro apa, kuvhiringidzika, pfari |
| Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. | |
| Kusvotwa, kurutsa | Kuwedzera kweropa |
| Kuchinja kwekuona, kuona kusina kujeka | Kuwedzera kwemazinga echolesterol |
| Kushaya hope kana kudzikira kwehope | Kurasikirwa nendangariro, kushatirwa |
Mharidzo Yekuenda Nayo Kumba
- Inwa mushonga sezvawakarairwa nachiremba wako, panguva yakakodzera, uye nechiyero chakakodzera. Usambopwanya kana kupwanya piritsi.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, nezvimwe zvinogadzirwa nemiti zvauri kutora. Kunyanya usanwe muto wegrapefruit.
- Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwenguva yakareba sezvinokurudzirwa nachiremba. Vakadzi nevarume vanofanira kuziva izvi.
- Kana ukasangana nematambudziko akakomba akadai sekuoma kwekufema, kurwadziwa pachipfuva, kuzvimba kwakanyanya, kana kuchinja kukuru kwemanzwiro, tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu ndewako chete. Usaugovane nevamwe nekuda kwechikonzero chipi zvacho.
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