Chiremba wako anogona kunge akakupa mushonga unonzi Tamoxifen semushonga wekurapa kenza yemazamu. Zvakajairika kuva nemibvunzo, kuda kuziva, uye pamwe kunetseka nezvemushonga unokosha kudaro. Saka, nhasi tichataura nezvemushonga uyu, kuti unokanganisa sei miviri yedu, zvatinofanira kungwarira, uye migumisiro inogona kuitika.
Chii chinonzi Tamoxifen? Inoshanda sei?
Zvichitaurwa zviri nyore, Tamoxifen mushonga unodzora kukura nekupararira kwemasero ekenza yemazamu, uye unodzivirirawo kenza kuti isadzokorore.
Funga nezvazvo, mamwe marudzi ekenza yemazamu akafanana nemuti mudiki. Chirimwa ichi chinoda mvura kuti chikure uye chikure. Saizvozvowo, masero ekenza aya anoda hormone yechikadzi inonzi estrogen kuti ikure. Mushonga we tamoxifen unoita basa rakaoma kwazvo. Unopinda munyama yezamu uye unovhara hormone yeestrogen kuti isasvike kumasero ekenza iwayo. Zvakafanana nekuvhara pombi yemvura kuchirimwa. Zvadaro, pasina estrogen, masero ekenza anorasikirwa nekukwanisa kwawo kukura nekupararira.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Kana chiremba wako achinyatsotaura zvakakwana nezvako, kurapwa kwako kuchava kwakachengeteka. Saka, usati watanga tamoxifen, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Chero matambudziko ehutano awakambosangana nawo kare kana zvimwe zvinetso zvaungave nazvo |
|---|
| Kana uine nhoroondo yekugwamba kweropa |
| Kana wakambova nesitiroko kare |
| Kana uine kenza yemuchibereko kana uterine fibroids |
| Kana uine endometriosis |
| Kana uine cholesterol yakakwira muropa |
| Kana uine nguva yekuenda kumwedzi isina kurongeka |
| Kana uine chirwere chechiropa |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa mwana |
| Kana uine allergy ye tamoxifen kana chero imwe mishonga kana chikafu |
Nzira yekushandisa mushonga nemazvo sei?
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuushandisa nemazvo.
- Piritsi iri rinofanira kunwiwa nemuromo. Itsika yakanaka kurinwa panguva imwe chete zuva nezuva , sezvakarairwa nachiremba.
- Unogona kunwa mushonga uyu uine chikafu kana usina. Zvisinei, vamwe vanhu vanogona kunzwa kurwadziwa mudumbu kana kuda kurutsa kana vakaunwa vasina chikafu. Kana izvi zvikaitika, nwa mushonga uyu panguva yekudya .
- Chinhu chinonyanya kukosha kuramba uchitora mushonga uyu kusvika chiremba wako ati, "Zvakwana, rega." Usamira pakati.
Kana ukatora mushonga wakawandisa netsaona, usatambisa nguva uye enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo. Kana kufonera National Poisons Information Centre paColombo National Hospital .
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, usazvidya moyo. Itore nekukurumidza paunenge uchiyeuka. Zvisinei, kana uri pedyo nekutora mushonga unotevera (semuenzaniso, maawa mashoma chete kubva ipapo), siya mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usatore mushonga wakapetwa kaviri chero chikonzero chipi zvacho.
Mimwe mishonga inogona kupindirana ne tamoxifen
Mimwe mishonga yauri kutora inogona kukanganisa kushanda kwetamoxifen, saka zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora.
| Mishonga isingafanirwe kutorwa ne tamoxifen | |
|---|---|
| Cisapride | Dronedarone |
| Pimozide | Thioridazine |
| Mimwe mishonga inogona kukonzera matambudziko ne tamoxifen (udza chiremba wako kana uri kunwa iyi) | |
| Mimwe mishonga yekurwisa kenza yakaita seAnastrozole neLetrozole | Mishonga inobvisa ropa yakaita seWarfarin |
| Mishonga yekudzivirira pfari yakaita seCarbamazepine, Phenobarbital, Phenytoin | Mishonga yekuora mwoyo yakaita seParoxetine |
| Rifampin (mushonga weTB) | Mimwe mishonga inowedzera nguva yeQT |
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemimwe mishonga, mavhitamini, mishonga yemishonga, nezvimwe zvinovaka muviri zvauri kutora. Udzawo chiremba wako kana uchisvuta kana kunwa doro.
Zvinhu zvaunofanira kungwarira zvakanyanya paunenge uchitora mushonga
Kukosha kwekuongororwa nachiremba nguva dzose
Zvakakosha kugara uchionana nachiremba wako paunenge uchitora mushonga uyu. Zvakakosha kuenda kukiriniki uye kugara uchiongororwa, zvakaita sekuongororwa mazamu, kuongororwa chiuno, uye mammogram .
Ziva njodzi yekubatwa negomarara remuchibereko.
Vakadzi vanotora tamoxifen vanogona kunge vaine mukana wekuwedzera kenza yemuchibereko. Izvi hazvisi zvekutyisidzirwa nazvo, asi zvakakosha kuziva. Chiremba wako achataura newe nezvenjodzi iyi. Ngwarira zviratidzo zvakaita sekubuda ropa muchibereko mushure mekuguma kuenda kumwedzi uye kurwadziwa muchiuno.
Mazano akakosha nezvepamuviri nekuyamwisa
Izvi zvakakosha zvikuru!Unofanira kudzivirira kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi miviri mushure mekurega. Mushonga uyu unogona kukonzera kukuvara kukuru kumwana asati aberekwa. Saka, taura nachiremba wako nezvenzira dzakakodzera uye dzakavimbika dzekudzivirira pamuviri. Uyewo, usayamwisa paunenge uchitora mushonga uyu uye kwemwedzi mitatu mushure mekurega.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemishonga yese, tamoxifen inogona kukonzera mimwe migumisiro yakaipa. Kunyange zvazvo yakawanda yacho iri midiki, pane zvimwe zvinhu zvatinofanira kungwarira zvikuru.
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kurwara | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro |
| Zviratidzo zvekugwamba kweropa | Kurwadziwa kwemakumbo, kuzvimba, kutsvuka, kuoma kufema, kurwadziwa kwechipfuva |
| Zviratidzo zvestroke | Kusanzwa kana kushaya simba kwechiso, ruoko, kana gumbo kamwe kamwe, kuoma kutaura, kuoma kufamba, musoro wakanyanya, kuchinja kwekuona |
| Zviratidzo zvekukuvara kwechiropa | Kurwadziwa mudumbu, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yakasviba, tsvina yakachenuruka |
| Zvimwe zviratidzo zvakakomba | Zviratidzo zvehutachiona zvakaita semavanga kana kubuda ropa zvisina kujairika, kubuda ropa kubva muchibereko mushure mekuguma kuenda kumwedzi, kurwadziwa muchiuno, fivha, uye kutonhora. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kupisa kunopisa | Kupisa kamwe kamwe uye kudikitira kwechiso nemuviri. |
| Kuchinja kwepfungwa | Kunzwa kusuruvara pasina chikonzero, kutsamwa nekukurumidza (kuchinja-chinja kwemanzwiro). |
| Kubuda kwetsvina kubva munhengo yekubereka | Zvinobuda muchibereko, zvakaita sekubuda muchibereko. |
Mharidzo Yekuenda Nayo Kumba
- Tamoxifen mushonga unokosha zvikuru mukurapa kenza yemazamu. Saka, zvakakosha kuti uutore kwenguva yese sezvawakarairwa nachiremba wako.
- Udza chiremba wako nezvemishonga yese yauri kutora uye zvimwe zvirwere zvaungave nazvo.
- Kana ukasangana nematambudziko akakomba akadai sekuzvimba kwemakumbo, kurwadziwa kwechipfuva, kuoma kwekufema, kana kubuda ropa risingawanzoitiki, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi miviri mushure mekurega. Taura nachiremba wako nezvazvo.
- Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu, musavimba neruzivo rwuri pa internet chete, asi bvunzai chiremba wenyu.
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