Chiremba wako akakunyorera mushonga weVenetoclax here kana une chirwere chegomarara? Kana zvakadaro, zvakakosha kuti uzive zvizere nezvemushonga uyu. Nekuti uyu mushonga une simba kwazvo, wakasarudzika. Nhasi, tichataura zviri nyore uye zvine hunhu nezvemushonga uyu uye zvaunofanira kungwarira paunenge uchiushandisa.
Mushonga werudzii uyu? (Chii chinonzi Venetoclax?)
Zvichitaurwa zviri nyore, Venetoclax "mushonga wakanangana." Izvi zvinoreva kuti mushonga uyu unonyanya kunanga mapuroteni chaiwo ari mumasero ekenza, uchiamisa kana kuauraya kuti asakure. Unoshanda nenzira yakasiyana nechemotherapy yenguva dzose.
Mushonga uyu unonyanya kushandiswa kurapa kenza dzine chekuita neropa dzakadai se:
- Chirwere cheLeukemia Chisingaperi cheLymphocytic (CLL)
- Diki Lymphocytic Lymphoma (SLL)
- Chirwere cheAcute Myelogenous Leukemia (AML)
Chiremba wako anogonawo kukurudzira mushonga uyu kune zvimwe zvirwere.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati watanga Venetoclax, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere izvi:
- Chirwere cheitsvo kana chiropa: Kana uine chirwere cheitsvo kana chiropa.
- Kusarongeka kweropa: Kana huwandu hweuric acid muropa hwakakwira, kana kuti huwandu hwemunyu hwakadai sepotassium, phosphorus, uye calcium hwakaderera kana kuti hwakakwira.
- Gout: Kana uine gout.
- Kana wakarongerwa kugamuchira mushonga wekudzivirira: Kana uri kuronga kugamuchira mushonga wekudzivirira chirwere munguva pfupi iri kutevera, kunyanya mushonga wekudzivirira chirwere chehutachiona chiripo.
- Kurwara: Kana uine allergy kuVenetoclax kana chero imwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchifungidzira kuti une pamuviri.
- Kana uri amai vanoyamwisa: Kana uri kuyamwisa mwana wako.
Zvichibva paruzivo urwu, chiremba wako achasarudza kuti mushonga wauchapihwa ndeupi, nzira yekupa mushonga wacho, uye matanho ekudzivirira aunofanira kutora.
Ndingashandisa sei mushonga uyu chaizvo?
Ichi chikamu chakakosha zvikuru. Tevedzera mirairo iyi kuti uwane zvakawanda kubva pamushonga uye kuderedza migumisiro yakaipa.
- Tora piritsi iri uchidya: Nguva dzose inwa piritsi iri uchidya uye unwe girazi remvura. Usatore piritsi iri usina chinhu mudumbu.
- Medza piritsi: Usapwanye, usapwanye, kana kutsenga piritsi. Medza rose.
- Usadye michero iyi: Usanwe muto wegrapefruit, usadya maranjisi eSeville, kana starfruit paunenge uchitora mushonga uyu. Izvi zvinogona kuchinja mashandiro emushonga mumuviri.
- Inwa mushonga panguva imwe chete: Edza kutora mushonga wako panguva imwe chete zuva nezuva. Usatore mushonga unopfuura wawakanyorerwa nachiremba wako.
- Usarega kutora mushonga wako usina kurairwa nachiremba wako chero chikonzero chipi zvacho .
Yeuka kuti mushonga uyu wakanyorerwa iwe chete. Usambougovana nemumwe munhu.
Unoita sei kana ukarasikirwa nenguva yekurapwa nemishonga?
Fungidzira wakanganwa kutora mushonga wako.
- Kana kwapfuura maawa masere kubva pawakapedzisira kunwa piritsi panguva yawakayeuka, ritore nekukurumidza.
- Zvisinei, kana kwapfuura maawa anopfuura masere kubva pawakapedza kutora mushonga, mira kutora mushonga wausina kutora. Inwa mushonga wako panguva yako yakatarwa mangwana acho.
- Usambofa watora dose yakapetwa kaviri.
- Kana ukarutsa mushure mekutora mushonga, usatore rimwe piritsi. Inwa mushonga wakajairika panguva yakatarwa mangwana acho.
Zvinhu zvekungwarira zvakanyanya paunenge uchitora Venetoclax
Unofanira kunyatsoteerera muviri wako paunenge uchitora mushonga uyu.
- Njodzi yeTumor Lysis Syndrome (TLS): Iri izwi rakaoma kunzwisisa, asi riri nyore: Kana Venetoclax ikaparadza masero ekenza nekukurumidza, zviri mukati memasero iwayo zvinongoerekana zvabuda muropa. Izvi zvinogona kukanganisa itsvo. Chiremba wako angangokupa mimwe mishonga usati watanga kutora mushonga wekudzivirira izvi.
- Inwa mvura yakawanda: Imwe yenzira dzakanakisisa dzekuderedza njodzi yekubatwa neTLS ndeyekunwa mvura yakawanda mukati mezuva. Unofanira kunwa mvura yaunokurudzirwa nachiremba (kazhinji marita 1.5 - 2 pazuva).
- Kuongororwa kweropa: Paunenge uchitora mushonga uyu, chiremba wako acharaira kuongororwa kweropa kuti aongorore huwandu hwemasero eropa rako uye mashandiro eitsvo nguva nenguva. Usapotsa bvunzo idzi.
- Zvidzivirire kubva kuzvirwere: Mushonga uyu unogona kuderedza dziviriro yemuviri wako. Izvi zvinoreva kuti une mukana wekurwara zvakanyanya. Saka gara kure nevanhu vane fivha kana dzihwa. Kana ukaona zviratidzo zvakaita sefivha, kukosora, kana kurwadziwa pahuro, usazvirape wega wozivisa chiremba wako nekukasika .
- Kubata pamuviri nekuyamwisa: Dzivisa kubata pamuviri paunenge uchitora mushonga uyu uye kwemazuva makumi matatu mushure mekurega. Uyewo, dzivisa kubata pamuviri paunenge uchitora mushonga uye kwevhiki imwe chete mushure mekurega.Dzivisa kuyamwisa . Bvunza chiremba wako kuti akupe rumwe ruzivo nezveizvi.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemushonga upi zvawo, Venetoclax inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho yakakomba, nepo mimwe inowanzoonekwa. Chinhu chakakosha kuziva zviratidzo izvi uye kutora matanho nekukurumidza kana zvichidikanwa.
| Mhedzisiro/chiratidzo | Tsananguro |
|---|---|
| Enda kuna chiremba wako kana kuchipatara cheEmergency Department (ETU) nekukasika. | |
| Kusawirirana Kwakakomba | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema. |
| Zviratidzo zveTumor lysis syndrome (TLS) | Kurutsa/kuda kurutsa, kunetseka kufema, kurova kwemoyo kusina kurongeka, weti yakasviba, kuneta kwakanyanya, kurwadziwa kwetsandanyama kana majoini. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora kusingaperi, pahuro panorwadza, kunzwa kupisa panguva yekuzviitira weti. |
| Zviratidzo zvekubuda ropa | Tsvina nhema kana ine ropa, weti tsvuku kana dema, kurutsa kunoratidzika kunge kofi yakakuyiwa, mavanga matsvuku paganda, kubuda ropa kusingawanzoitiki mumhino kana mumatadza. |
| Kana zvikaramba zvichiitika kana kuti zvikakunetsa, zivisa chiremba wako. | |
| Migumisiro yakajairika | Manyoka, kuzvimba, kurwadziwa mudumbu, kurwadziwa nemusana, musoro, dzungu, kuzvimba kwezvitsitsinho netsoka. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Venetoclax inogona kushanda pamwe chete nemimwe mishonga, mishonga yemiti, nezvimwe zvekudya. Saka taurira chiremba wako nezvese zvauri kutora —kusanganisira mishonga yakanyorerwa nachiremba, mishonga isingatengeswi nechiremba, mavhitamini, mishonga yemiti, uye zvinowedzera. Zvakakosha kuudza chiremba wako kana uri kutora chero ipi yemishonga inotevera:
- Mishonga inorwisa fungus (semuenzaniso Ketoconazole, Fluconazole)
- Mamwe maantibiotic (semuenzaniso Clarithromycin, Erythromycin)
- Mimwe mishonga yekurapa BP yakakwira uye chirwere chemwoyo (semuenzaniso Diltiazem, Verapamil, Carvedilol)
- Mishonga yekurwisa pfari (semuenzaniso Carbamazepine, Phenytoin)
- Mishonga yemiti yakaita seSt. John's wort
- Majekiseni ehutachiona ari mupenyu
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvese zvauri kutora.
Munochengeta uye munorasa sei mishonga?
- Kuchengetera: Chengeta kure nevana nezvipfuyo. Chengeta mumudziyo wekutanga, wakavharwa zvakanaka, kure nehunyoro nekupisa kwakanyanya, patembiricha yemumba (pasi pe30 degrees Celsius).
- Kurasa: Nzira yakachengeteka yekurasira mishonga yapera kana kuti isingadiwi ndeyekuenda nayo kuchipatara chako kana ku pharmacy kuti utore mishonga zvakare. Kana izvozvo zvisingaite, bvisa mapiritsi mubhodhoro, uasanganise nechimwe chinhu chakaita sekofi yakamboshandiswa, tsvina yekatsi, kana ivhu, uaise mubhegi rinovharika, woakanda mumarara. Usamboasundira muchimbuzi.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora mapiritsi eVenetoclax uchidya negirazi remvura. Usapwanye, kupwanya, kana kutsenga piritsi racho.
- Dzivisa kudya kana kunwa mazambiringa emugrapefruit, maranjisi eSeville, uye kumquats paunenge uchitora mushonga uyu.
- Inwa mvura yakawanda zuva rese, sezvakarayirwa nachiremba wako. Izvi zvakakosha zvikuru.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Kana ukaona zviratidzo zvehutachiona zvakaita sefivha, dzihwa, kana zviratidzo zveTLS, tsvaga rubatsiro rwechiremba nekukasika.
- Usarega kutora mushonga usina kupiwa mazano nachiremba chero chikonzero chipi zvacho.
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