Pamwe iwe kana mumwe munhu wemumhuri mako makanyorerwa mushonga unonzi 'Ruxolitinib' nachiremba wenyu. Zita racho ringanzwika serakaoma. Asi musatya. Chinhu chakakosha ndechekuziva zvizere nezvemishonga iyi yakakosha uye kuishandisa. Saka nhasi, ngatitaurei nezvemushonga uyu, unoita sei, uye zvatinofanira kungwarira patinenge tichiushandisa.
Chii chinonzi Ruxolitinib?
Muchidimbu, Ruxolitinib mushonga unoshandiswa pakurwisa mamwe mapuroteni ari mumasero emuviri wedu uye unodzora mashandiro awo, zvichireva kuti unomisa kukura kwemasero. Izvi zvinonzi targeted therapy .
Mushonga uyu unonyanya kushandiswa kurapa zvirwere zvitatu:
- Myelofibrosis: Apa ndipo apo fibrous tishu inoungana mumongo wemapfupa, zvichikanganisa kugadzirwa kwemasero eropa ane hutano.
- Polycythemia Vera: Mumamiriro ezvinhu aya, muviri unogadzira masero matsvuku eropa akawanda kupfuura zvinodiwa.
- Chirwere chegraft-versus-host: Izvi zvinoitika mushure mekuisirwa kwemapfupa, apo masero akaisirwa anotanga kurwisa miviri yedu.
Chiremba wako anogonawo kukurudzira mushonga uyu kune zvimwe zvirwere.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga mushonga uyu, zvakakosha kuudza chiremba wako nezvematambudziko ehutano auri kusangana nawo. Kana uine chimwe chezvinotevera, iva nechokwadi chekuvaudza nezvazvo.
| Chinzvimbo | Tsananguro |
|---|---|
| Zvirwere zvemwoyo nematambudziko etsinga dzeropa | Kana wakambova nechirwere chemwoyo kana sitiroko, matambudziko ekugwamba kweropa, kana kuti cholesterol yakakwira. |
| Utachiona | Nhoroondo yeTB iripo kana yekare, Hepatitis, kana chero humwe hutachiona hwebhakitiriya, hutachiona, kana hwefungus. |
| Chirwere cheitsvo kana chiropa | Kana uine chirwere cheitsvo kana uri pa dialysis, kana kuti uine chirwere chechiropa. |
| Matambudziko eropa nekenza | Kana uine ropa shoma, masero machena mashoma, masero matsvuku mashoma, kana kuti maplatelet mashoma, kana kuti une imwe kenza. |
| Mamwe mapoinzi | Udza chiremba wako kana uri kusvuta fodya, uri kuedza kubata pamuviri, kuva nepamuviri, kana kuyamwisa. Udza chiremba wako kana uine allergies kune ruxolitinib kana chero imwe mishonga kana chikafu. |
Ndinofanira kushandisa mushonga uyu sei?
Mushonga uyu unofanira kunwiwa negirazi remvura. Unogona kunwiwa nechikafu kana usina. Zvisinei, kana ukasangana nedambudziko remudumbu, zvakanaka kuunwa nechikafu.
Zvakakosha: Usanwe muto wegrapefruit zvachose paunenge uchitora mushonga uyu, sezvo muto wegrapefruit unogona kukanganisa mashandiro emushonga uyu.
Edza kutora mushonga wako panguva imwe chete zuva nezuva. Inwa mushonga sezvawakarairwa nachiremba wako. Kana uine migumisiro yakaipa, chiremba wako anogona kukuudza kuti uchinje mushonga kana kurega kutora mushonga. Usambofa wakachinja mushonga kana kurega kutora mushonga usina kurairwa nachiremba wako.
Ko kana ukarasikirwa nemushonga wawakapihwa?
Inwa mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore mushonga unotevera, siya mushonga wawakarasikirwa nawo wotora mushonga unotevera panguva yakatarwa. Usatore mushonga wakapetwa kaviri chero chikonzero chipi zvacho.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mimwe mishonga inogona kupindirana neRuxolitinib
Udza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yakanyorerwa nachiremba uye inotengeswa kunze kwemutemo, mishonga yechivanhu, mavhitamini, uye mishonga yemiti (yakadai seSt. John's wort). Mimwe mishonga inogona kukanganisana neRuxolitinib.
Pazasi pane mienzaniso mishomanana chete:
- Mimwe mishonga inorwisa mavhairasi inotorwa yeHIV kana AIDS
- Mishonga yezvirwere zvefungus (semuenzaniso fluconazole, ketoconazole)
- Mamwe maantibiotic (semuenzaniso clarithromycin, erythromycin)
- Mimwe mishonga yekurapa pfari/ pfari (semuenzaniso carbamazepine, phenytoin)
- Rifampin (mushonga weTB)
- Mushonga wemiti weSt. John's wort
Rondedzero iyi haina kukwana, saka zvakakosha kuudza chiremba wako nezvese zvauri kutora .
Ndezvipi zvinhu zvakakosha zvekungwarira pakushandisa mushonga?
Zvakanaka kutarisisa shanduko dziri kuitika mumuviri wako paunenge uchitora mushonga uyu.
- Kuongororwa kweropa: Chiremba wako anowanzo kuraira kuongororwa kweropa kuti aone kana paine shanduko muhukuru hwemasero eropa rako.
- Njodzi yekutapukirwa: Mushonga uyu unogona kuderedza kugona kwemuviri kurwisa zvirwere, kureva, dziviriro yemuviri. Saka, kana ukaona zviratidzo zvakaita sefivha, dzihwa, pahuro, kukosora, usazvirape, asi udza chiremba wako. Deredza kuenda kunzvimbo dzine vanhu vanorwara zvakanyanya sezvinobvira.
- Kubuda ropa uye mavanga: Kana ukava nemavanga asingatsananguriki pamuviri wako, kana kubuda ropa kusingamire kunyangwe nekukuvara kudiki, zivisa chiremba wako.
- Njodzi yegomarara: Vamwe vanhu vanotora mushonga uyu vanogona kunge vaine njodzi yakakura yekubatwa nemamwe marudzi egomarara, akadai segomarara reganda. Saka vhara ganda rako paunenge uchibuda muzuva, shandisa mafuta ekudzivirira zuva, uye taura nachiremba wako nezvazvo zvakare.
- Kutapukirwa nehutachiona hwakakomba muuropi: Kashoma, vamwe varwere vanogona kutapukirwa nehutachiona hwakakomba muuropi. Udza chiremba wako nekukasika kana uchinetseka kuona, kutaura, kufunga, kufamba, kana kumira, kana kana uine kuvhiringidzika.
- Madzimai anoyamwisa: Musayamwisa mwana wenyu pamunenge muchitora mushonga uyu uye kwemavhiki maviri mushure mekurega mushonga.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Ruxolitinib inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa. Zvakakosha kuziva izvi.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kugwamba kweropa | Kurwadziwa pachipfuva, kunetseka kufema, kurwadziwa, kuzvimba, kana kunzwa kudziya mugumbo. |
| Kumira kurova kwemoyo | Kuoma kufema, kurwadziwa kana kuomarara muchipfuva, mutsipa, musana, kana maoko, kuneta kwakanyanya. |
| Kurohwa | Kuchinja kwekuona, kuvhiringidzika, kuoma kutaura kana kunzwisisa, musoro wakakomba, kusanzwa kana kushaya simba pachiso, ruoko, kana gumbo. |
| Kubuda ropa kusingawanzoitiki kana mavanga | Mavanga asina kutsanangurwa, kubuda ropa kusingazomboperi. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Zvimwe zvirwere zvidiki | Manyoka, musoro, kurwadziwa kwetsandanyama, kuzvimba kwemakumbo nemaoko. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika, taura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Iva nechokwadi chekuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Dzivisa kunwa muto wegrapefruit paunenge uchitora mushonga uyu.
- Kana ukaona zviratidzo zvehutachiona zvakaita sefivha nekukosora, kana kubuda ropa kusingawanzoitiki kana mavanga, tsvaga rubatsiro rwechiremba nekukasika.
- Kana ukaona zviratidzo zvakakomba zvakaita sekurwadziwa pachipfuva, kufema zvakaoma, kana kuoma kutaura, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kurairwa nachiremba wako.
- Kana uine zvinokunetsa nezvemushonga uyu, usatya kutaura nachiremba wako nezvazvo.
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