Iwe kana mumwe munhu wemumhuri mako ari kurapwa kenza yemazamu here? Saka unogona kunge wakanzwa nezvemushonga wekuti 'Neratinib'. Pamwe chiremba wako akakuudza kuti utange kutora mushonga uyu. Uyu mushonga unokosha kwazvo unouraya masero ekenza. Saka, kuti tipindure mibvunzo kana kutya nezvemushonga uyu, ngatitaurei nezvazvo nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Neratinib?
Neratinib imhando yemushonga unoshanda pakurwisa mamwe mapuroteni ari mumasero ekenza uye unoadzivisa kukura. Kutaura chokwadi, unoshanda se "mushonga unotarirwa." Unonyanya kushandiswa pakurapa kenza yemazamu. Mushonga uyu unowanikwa pamusika pasi pezita rekuti Nerlynx .
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Chirwere cheChiropa: Izvi zvakakosha zvikuru kana uine chirwere chechiropa, sezvo mushonga uyu unogona kukanganisa mashandiro anoita chiropa chako kuti chibviswe mumuviri wako.
- Kushaya mvura mumuviri: Kana uri kushaya mvura mumuviri wako uye uri kushaya mvura mumuviri, ndapota tiudze nezvazvo.
- Kana uri kuedza kubata pamuviri kana kuti une pamuviri: Izvi zvakakosha zvikuru. Unofanira kudzivirira kubata pamuviri paunenge uchitora mushonga uyu.
- Kana muri amai vanoyamwisa: Hazvikurudzirwi kuyamwisa mwana wenyu muchitora mushonga uyu.
- Zvimwe Zvirwere Zvekurwara: Udza chiremba wako kana uine allergies ye neratinib kana chero imwe mishonga, chikafu, kana dhayi.
Ndinofanira kushandisa mushonga uyu sei?
Zvakakosha kutora mushonga wako sezvawaudzwa nachiremba wako. Heano mamwe mazano ekutevera.
- Medza piritsi iri rose negirazi remvura .
- Usapwanye, kupwanya, kana kutsenga piritsi.
- Inwa mushonga uyu panguva yekudya . Izvi zvinogona kuderedza kusagadzikana kwemudumbu.
- Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva.
- Usatore mushonga uyu nemuto wegrapefruit . Izvi zvinogona kukanganisa kushanda kwemushonga uyu.
- Kana uri kutora mushonga unorwisa asidhi (mvura kana piritsi remaronda emudumbu), usatore mukati memaawa matatu usati watora Neratinib kana kuti wapedza.
- Usarega kutora mushonga wako usina kurayirwa nachiremba wako.
Ko kana ndikarasikirwa nemushonga mumwe chete?
Kana ukakanganwa kutora mushonga, siya mushonga wacho. Tora mushonga unotevera panguva yakatarwa. Usambofa watora mapiritsi maviri kuti udzorere mushonga wawakarasikirwa nawo.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifungidzira kuti watora mushonga wakawandisa, usavhunduka uye fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Apa ndipo paunofanira kungwarira zvishoma. Neratinib inogona kusangana nemimwe mishonga, chikafu, uye mishonga yemishonga. Izvi zvinoreva kuti kuitora pamwe chete nezvinhu izvi kunogona kuderedza kana kuwedzera kushanda kweNeratinib, kana kuwedzera migumisiro yayo.
Saka, unofanira kuudza chiremba wako nezvemishonga yese, mavhitamini, miriwo, nezvimwe zvinovaka muviri zvaunotora, pamwe chete nekuti unosvuta here kana kuti unonwa doro.
Mushonga uyu unogona kusangana nezvinotevera kunyanya:
- Mimwe mishonga inorwisa utachiona yeHIV kana AIDS
- Mishonga yezvirwere zvefungus (semuenzaniso ketoconazole, itraconazole)
- Mamwe maantibiotic (semuenzaniso clarithromycin, erythromycin)
- Mishonga yekurapa pfari (semuenzaniso carbamazepine, phenytoin)
- Mishonga inoderedza acid yemudumbu (semuenzaniso omeprazole, famotidine, lansoprazole)
- Mishonga yemishonga yakaita seSt. John's Wort
- Muchero weGrapefruit (Jambola)
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvese zvauri kutora.
Zvinhu zvakakosha zvekuziva paunenge uchitora mushonga
Kubata pamuviri uye kuyamwisa
Izvi zvakakosha zvikuru.
- Vakadzi: Dzivisai kubata pamuviri pamunenge muchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega kushandisa mushonga uyu. Taurai nachiremba wenyu nezvenzira dzakakodzera dzekudzivirira pamuviri.
- Varume: Kana muri kutora mushonga uyu, iva nechokwadi chekuti mumwe wenyu anodzivirira kubata pamuviri pamunenge muchitora mushonga uye kwemwedzi mitatu mushure mekurega .
- Dzivisa kuyamwisa mwana wako paunenge uchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega .
Manyoka, kurutsa, uye kupera mvura mumuviri
Vamwe vanhu vanotora neratinib vanogona kugara vachirwara nemanyoka. Kana uine manyoka akanyanya, kurutsa, kana kudikitira zvakanyanya, unogona kurasikirwa nemvura yakawanda mumuviri wako wobva washaya mvura mumuviri. Izvi zvinogona kuva nengozi, saka taurira chiremba wako nekukurumidza.
Kuongororwa kweropa
Paunenge uchitora mushonga uyu, chiremba wako anogona kukukumbira kuti uongororwe ropa nguva nenguva (basa reropa) kuti utarise zvinhu zvakaita sekushanda kwechiropa chako.
Migumisiro inogona kuitika yemushonga uyu
Kufanana nemushonga upi zvawo, Neratinib inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
| Manyoka akanyanya kana kurutsa | Manyoka akanyanya kakawanda pazuva, kurutsa kusingagone kumisa. |
| Zviratidzo zvekukuvara kwechiropa | Maziso kana ganda rakatsvuka, weti yero kana yero dema, tsvina yakachenuruka, kurwadziwa kumusoro kwedumbu, kushaya chido chekudya, uye kuneta kwakanyanya. |
| Zviratidzo zveBP yakaderera | Dzungu, maziso ebhuruu, kupera simba, kupera simba, kuneta kusingawanzoitiki. |
| Zviratidzo zvehutachiona | Fivha kana kutonhorera, kukosora, kurwadziwa pahuro, kurwadziwa paunenge uchiita weti. |
| Kana zvikaramba zvichiitika kana kuti zvichikunetsa, udza chiremba wako. | |
| Migumisiro yakajairika | Muromo wakaoma, kurasikirwa nechido chekudya, maronda mumuromo, kurwadziwa kwetsandanyama, mavanga matsvuku paganda, kurwadziwa mudumbu, kusagadzikana mudumbu, kudzikira kwehuremu. |
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora mapiritsi eNeratinib sezvawakarairwa nachiremba wako, panguva yakatarwa, pamwe chete nechikafu.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, mishonga yemishonga, uye zvirwere zvako zvese.
- Dzivisai kubata pamuviri nekuyamwisa zvachose pamunenge muchitora mushonga uyu uye kwenguva yakati.
- Kana ukanzwa manyoka akanyanya, kurutsa, kana zviratidzo zvekukuvadzwa kwechiropa (sekunge ganda rava yero), fonera chiremba wako nekukasika.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
- Chengeta mushonga wako patembiricha yemukamuri (pakati pe20-25 degrees Celsius), kure nevana.
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