Chiremba wako akakunyorera iwe kana mumwe munhu wemumhuri mako mushonga unonzi Midostaurin here? Ungatya zvishoma paunonzwa zita racho. Asi usazvidya mwoyo. Uyu mushonga wepamusoro-soro, wakasarudzika unouraya masero ekenza. Saka pane zvimwe zvinhu zvakakosha zvaunofanira kuziva paunenge uchishandisa mushonga uyu. Ngatitaurei nezvazvo zvese nenzira iri nyore yaunogona kunzwisisa.

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Chii chinonzi Midostaurin iyi?

Muchidimbu, uyu mushonga unonzi 'Targeted Therapy'. Kureva kuti, haukuvadzi masero ane hutano senge chemotherapy yenguva dzose, asi unonanga zvakananga mamwe mapuroteni ari mumasero ekenza uye unomisa masero iwayo kukura. Nemamwe mashoko, zvakafanana nekuziva kuti muvengi ndiani wobva warwisa ivo chete.

Mushonga uyu unonyanya kushandiswa kurapa zvirwere zvinotevera:

Acute Myelogenous Leukemia (AML): Iyi imhando yegomarara rinokura muropa.
Systemic Mastocytosis: Ichi chirwere apo rudzi rwesero rinonzi 'mast' rinowedzera zvisina kufanira mumuviri.

Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga

Usati watanga kutora mushonga uyu, unofanira kuudza chiremba wako nezvezvinhu izvi, sezvo zvakakosha zvikuru pakuchengetedza kwako.

Kana uine chero dambudziko remapapu kana rekufema.
Kana uine allergies kune mushonga uyu weMidostaurin kana chero mumwe mushonga, chikafu, kana dhayi.
Kana uine pamuviri, uri kuedza kubata pamuviri , kana kuti uine chero kusava nechokwadi nazvo.
Kana uri kuyamwisa mwana.

Kutaura nachiremba wako nezvezvinhu izvi usingazvivanzi kuchakubatsira zvikuru kuti kurapwa kwako kubudirire.

Ndingashandisa sei mushonga uyu chaizvo?

Nzira chete yekuwana mushonga wakawanda ndeyekushandisa mushonga nemazvo.

Inwa mushonga uyu negirazi remvura.
Iva nechokwadi chekunwa mushonga uyu panguva yekudya. Usautore usina kudya.
Usatore mushonga uyu nemuto wegrapefruit chero chikonzero chipi zvacho, nekuti zvinogona kuwedzera kushanda kwemushonga zvisina kufanira uye kukonzera migumisiro yakaipa.
Usatsenga mushonga sechingamu. Medza wose.
Tora mushonga panguva imwe chete zuva nezuva.
Usarega kutora mushonga wako usina kurayirwa nachiremba wako.
Kana ukarasikirwa nedosi kana kurutsa mushure mekutora mushonga, mira kutora dosi. Usambofa watora dosi mbiri. Tora dosi inotevera panguva yakatarwa.

Ko kana ndikanwa doro zvakanyanya?
Kana uchifunga kuti watora mushonga uyu wakawandisa, usavhunduka uye fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.

Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)

Nekuti Midostaurin mushonga une simba guru, unogona kusangana nemimwe mishonga yauri kutora. Saka, unofanira kuzivisa chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yakanyorerwa nachiremba, mishonga inotengeswa muzvitoro, mishonga yemishonga, uye kunyange mavhitamini.

Mishonga inotevera inogona kukonzera matambudziko chaiwo neizvi.

Kirasi yemishonga inogona kukonzera matambudziko	Mienzaniso (haisi kungogumira pane izvi chete)
Mishonga isingafanirwe kutorwa pamwe chete	cisapride, dronedarone, fluconazole, pimozide, posaconazole, saquinavir, thioridazine
Mimwe mishonga yeHIV kana AIDS	Mishonga yakaita se boceprevir, ritonavir, indinavir, nelfinavir
Mimwe mishonga yekurapa fungus	ketoconazole, itraconazole, voriconazole
Mimwe mishonga yekurapa pfari	carbamazepine, phenytoin
Zvimwe	bupropion, clarithromycin, diltiazem, rifampin, rosuvastatin, St. John's Wort (mushonga wemishonga)

Zvinhu zvekurangarira kana uchitora mushonga

Kuongororwa ropa nguva dzose

Chiremba wako anowanzo raira kuti ropa rako riongororwe pavanenge vachikupa mushonga uyu. Izvi zvichakubatsira kuona kuti mushonga wacho uri kukanganisa sei muviri wako uye kana paine zvimwe zvinokanganisa.

Chenjerera hutachiona.

Masoja emuviri wako anogona kunge asina simba zvishoma paunenge uchitora mushonga uyu, izvo zvinowedzera njodzi yako yekubatwa nezvirwere.

Kana ukaona zviratidzo zvakaita sefivha, dzihwa, pahuro panorwadza, uye kukosora , usazvirape wega wofonera chiremba wako.
Edza kugara kure nevanhu vanorwara.
Gara uchigeza maoko ako zvakanaka.

Chenjerera kubuda ropa.

Kana ukaona mavanga chero kupi zvako pamuviri wako, kana kubuda ropa kusingamire kunyangwe nekuda kwekukuvara kudiki, zivisa chiremba wako nekukasika.

Kubata pamuviri nekuyamwisa

Izvi zvakakosha zvikuru. Vakadzi vanofanira kudzivirira zvachose kubata pamuviri pavanenge vachitora mushonga uyu uye kwemwedzi mina mushure mekurega mushonga . Saizvozvowo, varume vanofanirawo kudzivirira kubereka mwana pavanenge vachitora mushonga uyu uye kwemwedzi mina mushure mekurega mushonga . Izvi zvinodaro nekuti pane njodzi huru yekukuvadza mwana asati aberekwa.
Uyewo, musayamwisa mwana wenyu muchitora mushonga uye kwemwedzi mina mushure mekurega .

Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?

Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera migumisiro yakaipa. Kunyange hazvo vasiri vese vanoiwana, chenjerera zviratidzo zviri pazasi.

Kana uine chimwe cheizvi, zivisa chiremba wako nekukasika.
Kusawirirana kwemuviri	Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema.
Kuchinja kwekurova kwemoyo	Kurwadziwa pachipfuva, dzungu, kurova kwemoyo nekukurumidza kana kusina kurongeka.
Kuwedzera kwemazinga eshuga muropa	Nzara yakawandisa, nyota yakawandisa, kuita weti nguva nenguva, kuona zvisizvo.
Zviratidzo zvehutachiona	Fivha, dzihwa, kukosora, pahuro panorwadza.
Kuderera kwemasero matsvuku eropa	Kutadza kufema zvakanaka, kupera simba, kuneta zvakanyanya.
Zvimwe zviratidzo zvakakomba	Kuzvimba kwezvitsitsinho, tsoka, maoko, kubuda ropa kusingawanzoitiki kana mavanga.
Kana izvi zvikaramba zvichiitika kana kuti zvichikunetsa, zivisa chiremba wako.
Kurwadziwa kwemapfupa, kuvimbiwa, manyoka, musoro, maronda emuromo, kurwadziwa kwetsandanyama, kuda kurutsa, kurwadziwa mudumbu, kurutsa.

Mharidzo Yekuenda Nayo Kumba

Midostaurin mushonga unorapwa zvakanangana nemasero ekenza.
Mushonga uyu unofanira kunwiwa panguva imwe chete nechikafu. Usambounwa nemuto wegrapefruit.
Udza chiremba wako nezvemimwe mishonga yese yauri kutora.
Kana ukaona zviratidzo zvisingawanzoitiki zvakaita sefivha kana kubuda ropa, tsvaga rubatsiro rwechiremba nekukasika.
Dzivisai kubata pamuviri (vanhurume nevanhukadzi) muchitora mushonga uye kwemwedzi mina mushure mekurega.
Chengeta mushonga uyu mubhodhoro rawo rekutanga, rakavharwa zvakasimba, patembiricha yemumba, kure nevana nezvipfuyo.
Kana muine mibvunzo nezvemushonga uyu, musatya kubvunza chiremba wenyu.