Mifepristone (Mifeprex)

Zvemukati

• Usati watora mifepristone,
• Mifepristone inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Yakakomba kana kutyisidzira hupenyu kusangana nekutsi kwemukadzi kubuda ropa kunogona kuitika kana nhumbu yapera nekubvisa nhumbu kana nekurapa kana kuvhiya kubvisa nhumbu. Hazvizivikanwe kana kutora mifepristone kunowedzera njodzi yekuti uchasangana nekubuda ropa kwakanyanya. Udza chiremba wako kana wakambove kana nedambudziko rekubuda ropa, kupererwa neropa (pasi pechiverengero chakajairika chemasero matsvuku eropa), kana kana uri kutora anticoagulants ('ropa rakapfava') senge aspirin, apixaban (Eliquis), dabigatran (Pradaxa) , dalteparin (Fragmin), edoxaban (Savaysa). enoxaparin (Lovenox), Fondaparinux (Arixtra), heparin, rivaroxaban powder (Xarelto), kana warfarin (Coumadin, Jantoven). Kana zvirizvo, chiremba wako anogona kukuudza kuti usatora mifepristone. Kana mukawana rinorema kwazvo kusangana nekutsi kwemukadzi ropa, akadai soaking kuburikidza maviri gobvu renguva saizi utsanana Mapedhi ose awa kuramba maawa maviri, dana chiremba wako pakarepo kana kutsvaka zvashata kurapwa.

Zvirwere zvakakomba kana zvehupenyu zvinotyisidzira zvinogona kuitika kana nhumbu yapera nekuparara kana nekurapa kana kuvhiya kubvisa nhumbu. Chiverengero chidiki chevarwere vakafa nekuda kwehutachiona hwavakagadzira mushure mekushandisa mifepristone uye misoprostol kupedza nhumbu. Hazvizivikanwe kana mifepristone uye / kana misoprostol yakakonzera hutachiona kana kufa. Kana iwe ukava nehutachiona hwakakomba, unogona kunge usina zviratidzo zvakawanda uye zviratidzo zvako zvinogona kunge zvisina kunyanyisa. Iwe unofanirwa kufonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira kana iwe ukawana chero yeanotevera eanotevera zviratidzo: fivha yakakura kupfuura 100.4 ° F (38 ° C) inogara kweanopfuura maawa mana, kurwadziwa kwakanyanya kana hunyoro munzvimbo iri pasi pechiuno kutonhora, kukurumidza kurova kwemoyo, kana kupera simba.

Iwe unofanirwa zvakare kufonera chiremba wako nekukasira kana kuwana kurapwa kwekukurumidzira kana iwe uine zviratidzo zvekurwara sekushaya simba, kusvotwa, kurutsa, manyoka, kana kunzwa kurwara kweanopfuura maawa makumi maviri nemana mushure mekutora mifepristone kunyangwe iwe usina fever kana kurwadziwa munzvimbo iri pasi pechiuno chako.

Nekuda kwenjodzi dzezvinetso zvakakomba, mifepristone inowanikwa chete kuburikidza nechirongwa chakatemerwa. Chirongwa chiri pasi pechinonzi Mifeprex Risk Evaluation uye Mitigation Strategies (REMS) Chirongwa chakagadzirirwa vese varwere vechikadzi vakapihwa mifepristone. Chiremba wako achakupa pepa reruzivo revarwere (Medication Guide) kuti uverenge usati watanga kurapwa ne mifepristone. Iwe zvakare unofanirwa kusaina chibvumirano chevarwere usati watora mifepristone. Udza chiremba wako kana iwe uine mibvunzo nezve kurapwa pamwe mifepristone kana kana iwe usingakwanise kutevedzera nhungamiro muchibvumirano chevarwere. Mifepristone inongowanikwa mumakiriniki, mahofisi ekurapa, uye zvipatara uye haina kupihwa kuburikidza nekutengesa zvitoro.

Taura nachiremba wako uye sarudza wekufonera uye zvekuita kana paitika njodzi mushure mekutora mifepristone. Udza chiremba wako kana iwe usingafunge kuti iwe unozogona kutevedzera chirongwa ichi kana kuwana kurapwa nekukurumidza mune emergency mune mavhiki maviri ekutanga mushure mekutora mifepristone. Tora gwara rako rekurapwa kana iwe ukashanyira mukamuri rekukurumidzira kana kutsvaga kurapwa kwekukurumidzira kuitira kuti vanachiremba vanokurapa vanzwisise kuti urikubvisa nhumbu.

Chengetedza zvese zvakagadzwa nachiremba wako. Aya maratidziro anodikanwa kuti uve nechokwadi chekuti nhumbu yako yapera uye kuti hauna kukura kwakakomba kunetseka kwekubvisa nhumbu.

Taura nachiremba wako nezve njodzi dzekutora mifepristone.

Mifepristone inoshandiswa pamwe chete ne misoprostol (Cytotec) kupedza nhumbu yekutanga. Kubata pamuviri kwekutanga zvinoreva kuti ave mazuva makumi manomwe kana mashoma kubva panguva yako yekupedzisira yekuenda kumwedzi. Mifepristone iri mukirasi yemishonga inonzi antiprogestational steroids. Inoshanda nekudzivirira chiitiko che progesterone, chinhu chinoitwa nemuviri wako kubatsira kuramba uine nhumbu

Mifepristone inowanikwawo seimwe chigadzirwa (Korlym), iyo inoshandiswa kudzora hyperglycemia (shuga ine ropa rakawanda) muvanhu vane imwe mhando yeCushing's Syndrome umo muviri unogadzira yakawandisa mahormone cortisol. Iyi monograph inopa chete ruzivo nezve mifepristone (Mifeprex), iyo inoshandiswa yoga kana musanganiswa nemumwe mushonga kupedzisa nhumbu yekutanga. Kana iwe uri kushandisa mifepristone kudzora hyperglycemia inokonzerwa neCushing's syndrome, verenga monograph yakanzi mifepristone (Korlym) yakanyorwa nezve ichi chigadzirwa.

Mifepristone inouya sehwendefa kutora nemuromo. Iwe unotora piritsi rimwe remafepristone kamwe pazuva rekutanga. Mukati memaawa makumi maviri nemana kusvika makumi mana mushure mekutora mifepristone, unozora mahwendefa mana akazara emumwe mushonga unonzi misoprostol buccally (pakati pegum nedama) nekuisa mahwendefa maviri muhomwe yega yega kwemaminetsi makumi matatu, uye nekumedza izvo zvasara zvemvura nemvura kana imwe mvura. Ita shuwa kuti uri munzvimbo yakakodzera paunotora misoprostol nekuti kubuda ropa mukati memadzimai, kurwadza, kusvotwa, uye manyoka zvinowanzotanga mukati memaminetsi maviri kusvika makumi maviri nemaviri mushure mekutora asi zvinogona kutanga mukati maawa maviri.Vaginal kubuda ropa kana kuona kazhinji kunotora kwemazuva 9 kusvika ku16 asi kunogona kugara kwemazuva makumi matatu kana kupfuura. Iwe unofanirwa kudzokera kuna chiremba wako kuno bvunzo kana ultrasound mazuva manomwe kusvika gumi nemana mushure mekutora mifepristone kuratidza kuti nhumbu yapera uye kutarisa huwandu hwekubuda ropa. Tora mifepristone chaizvo sekurairwa.

Mifepristone zvakare dzimwe nguva inoshandiswa kupedza nhumbu kana mazuva anopfuura makumi manomwe apfuura kubva panguva yekupedzisira yekuenda kumwedzi kwemukadzi; sedziviriro yechimbichimbi mushure mekuita bonde zvisina dziviriro ('mangwanani-mushure mepiritsi'); kurapa mamota europi, endometriosis (kukura kwechibereko chechibereko kunze kwechibereko), kana fibroids (isina-cancer mamota muchibereko); kana kukurudzira basa (kubatsira kutanga kuberekwa mumukadzi ane pamuviri). Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.

Usati watora mifepristone,

• udza chiremba wako kana uri weergoria kune mifepristone (mikoko, mapundu, kuchenesa, kuzvimba kwechiso, maziso, muromo, huro, maoko; kunetseka kufema kana kumedza); misoprostol (Cytotec, muArthrotec); mamwe ma prostaglandin akadai alprostadil (Caverject, Edex, Muse, vamwe), carboprost tromethamine (Hemabate), dinoprostone (Cervidil, Prepidil, Prostin E2), epoprostenol (Flolan, Veletri), latanoprost (Xalatan), treprostinilod (Orenitram, Orenitram ); chero mimwe mishonga, kana chimwe chezvinhu zviri mumapiritsi emafepristone. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora corticosteroids yakadai beclomethasone (Beconase, QNASL, QVAR), betamethasone (Celestone), budesonide (Entocort, Pulmicort, Uceris), cortisone, dexamethasone, fludrocortisone, flunisolide (Aerospan HFA), fluticasone , Veramyst, vamwe), hydrocortisone (Cortef, Solu-Cortef, U-Cort, vamwe), methylprednisolone (Medrol, Depo-Medrol), prednisolone (Omnipred, Prelone, vamwe), prednisone (Rayos), uye triamcinolone (Kenalog, vamwe ). Chiremba wako angangokuudza kuti usatore mifepristone.
• udza chiremba wako kuti ndeimwe ipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvekuwedzera zvehutano zvaunotora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: benzodiazepines senge alprazolam (Xanax), diazepam (Diastat, Valium), midazolam, kana triazolam (Halcion); buspirone; calcium chiteshi blockers senge amlodipine (Norvasc), diltiazem (Cardizem, Cartia, Diltzac, vamwe), felodipine, nifedipine (Adalat, Afeditab CR, Procardia), nisoldipine (Sular), kana verapamil (Calan, Verelan, muTarka); carbamazepine (Equetro, Tegretol, Teril, nevamwe); chlorpheniramine (antihistamine mukukosora uye kutonhora zvigadzirwa); cholesterol-kudzikisa mishonga (statins) senge atorvastatin (Lipitor, muCaduet), lovastatin (Altoprev, muAdvicor), kana simvastatin (Simcor, Zocor, muVytorin); clarithromycin (Biaxin, muPrevpac); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (EES, Erythrocin, vamwe); haloperidol; furosemide; HIV protease inhibitors senge indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, muKaletra, vamwe), kana saquinavir (Invirase); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); methadone (Dolophine, Methadose); nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pimozide (Orap); propranolol (Hemangeol, Inderal, Innopran); quinidine (muNuedexta); rifampin (Rifadin, Rimactane, muRifamate, muRifater); rifabutin (Mycobutin); tacrolimus (Astagraf, Prograf, Protopic, vamwe); tamoxifen (Soltamox); trazodone; kana vincristine (Marqibo Kit). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
• udza chiremba wako kana iwe wakambove ne ectopic nhumbu ('tubal nhumbu' kana nhumbu kunze kwechibereko), adrenal kutadza (matambudziko neako adrenal gland), kana porphyria (chirwere chakagarwa muropa chirwere chinogona kukonzera ganda kana huta hurongwa ). Chiremba wako angangokuudza kuti usatore mifepristone. Zvakare, udza chiremba wako kana iwe wakamboiswa intrauterine chishandiso (IUD) chakaiswa. Inofanira kubviswa usati watora mifepristone.
• iwe unofanirwa kuziva kuti zvinokwanisika kuti mifepristone haizopedze nhumbu yako. Chiremba wako anozotarisa kuti ave nechokwadi chekuti nhumbu yako yapera paunodzoka kune yako yekutevera musangano mushure mekutora mifepristone. Kana iwe uchiri nepamuviri mushure mekutora mifepristone, pane mukana wekuti mwana wako anogona kuzvarwa aine hurema hwekuzvarwa. Kana nhumbu yako isati yapera zvachose, chiremba wako anokurukura dzimwe sarudzo dzekufunga nezvadzo. Unogona kusarudza kumirira, tora imwe dosi ye misoprostol kana kuvhiyiwa kupedza nhumbu. Kana iwe ukatora unodzokorodza muyero we misoprostol, iwe unofanirwa kuve uine yekutevera-yekushanya nachiremba wako mumazuva manomwe mushure meiyo dosi kuti uve nechokwadi chekuti nhumbu yako yapera.

• udza chiremba wako kana iwe uchiyamwisa.

• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti iwe wakatora mifepristone.
• iwe unofanirwa kuziva kuti mushure mekupedza kubata nhumbu mifepristone, unogona kuita nhumbu zvakare ipapo, kunyangwe nguva yako isati yadzoka. Kana iwe usiri kuda kuve nemimba zvakare, unofanirwa kutanga kushandisa kuberekwa nekukurumidza kana nhumbu iyi ichinge yapera kana usati watanga kuita bonde zvakare.

Usatore mifepristone ine grapefruit muto. Taura nachiremba wako nezve kunwa jisi remuzambiringa mushure mekutora mushonga uyu.

Iwe unongotora mifepristone muhofisi yako yechiremba kana kiriniki, saka haufanire kunetseka nezvekukanganwa kutora mushonga kumba.

Mifepristone inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kubuda ropa kana kusangana nemukadzi
• cramps
• kurwadziwa kwepamuviri
• kupisa kwemukadzi, kuchenesa, kana kubuda
• musoro

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotaurwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukasira.

Mifepristone inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chiremba wako anozochengeta mishonga muhofisi yake.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• dzungu
• kufenda
• kusaona zvakanaka
• kusvotwa
• kuneta
• kushaya simba
• mweya wekufema
• kukurumidza kurova kwemoyo

Iwe unofanirwa kuwana mifepristone chete kubva kuna chiremba akasimbiswa uye shandisa mushonga uyu chete uchiri pasi pekuchengetwa nachiremba. Haufanire kutenga mifepristone kubva kune zvimwe zviwanikwa, seInternet, nekuti unodarika nzira dzinokosha dzekuchengetedza hutano hwako.

Usarega mumwe munhu achitora mushonga wako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Mifeprex^®

• RU-486