Darbepoetin Alfa Jekiseni

Zvemukati

• Usati washandisa darbepoetin alfa jekiseni,
• Darbepoetin alfa jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuti uwane kurapwa kwekukurumidza.

Vese varwere:

Uchishandisa darbepoetin alfa jekiseni inowedzera mukana wekuti ropa rinogadzika riumbe mukati kana kufamba kumakumbo, mapapu, kana huropi. Udza chiremba wako kana iwe wakambove kana wakambove nechirwere chemwoyo uye kana wakamborohwa nesitiroko. Fonera chiremba wako nekukasira kana tora rubatsiro rwechimbichimbi kana ukasangana nechimwe chezviratidzo zvinotevera: kurwadziwa, unyoro, kutsvuka, kudziya, uye / kana kuzvimba mumakumbo; kutonhorera kana kuchena paruoko kana gumbo; mweya wekufema; chikosoro chisingazoperi kana chinounza ropa; kurwadziwa muchipfuva; pakarepo dambudziko kutaura kana kunzwisisa kutaura; pakarepo kukanganiswa; kukurumidza kushaya simba kana kugwinha kweruoko kana gumbo (kunyanya kune rimwe divi remuviri) kana rechiso; kamwe-kamwe kunetseka kufamba, dzungu, kana kurasikirwa kwechiyero kana kubatana; kana kufenda. Kana iwe uri kurapwa nehemodialysis (kurapwa kubvisa tsvina kubva muropa apo itsvo dzisingashande), ropa rinovhara rinogona kuumba mune yako vascular kuwana (nzvimbo iyo hemodialysis tubing inosangana nemuviri wako). Udza chiremba wako kana yako vascular kuwana ikamira kushanda senguva dzose.

Chiremba wako achachinja dhizaini yako yejarbepoetin alfa jekiseni kuitira kuti hemoglobin yako (huwandu hwepuroteni hunowanikwa mumasero matsvuku eropa) ingori yakaringana zvekuti haudi kuwedzerwa masero matsvuku eropa (kuendeswa kwemasero matsvuku eropa kune mumwe muviri wemunhu kurapa zvakanyanya anemia). Kana iwe ukatambira yakakwana darbepoetin alfa kuti uwedzere hemoglobin yako kune yakajairwa kana padyo nhanho, pane njodzi huru yekuti unozobatwa nesitiroko kana kukura zvakakomba kana kutyisidzira hupenyu matambudziko emoyo anosanganisira kurwadza kwemoyo, uye kukundikana kwemoyo. Fonera chiremba wako nekukasira kana tora rubatsiro rwechimbichimbi kana ukasangana nechimwe chezviratidzo zvinotevera: kurwadziwa pachipfuva, kumanikidza kumanikidza, kana kuomesa; mweya wekufema; kusvotwa, musoro wakareruka, ziya, uye zvimwe zviratidzo zvekutanga zvekurwadziwa kwemoyo; kusagadzikana kana kurwadziwa mumaoko, pfudzi, mutsipa, shaya, kana musana; kana kuzvimba kwemaoko, tsoka, kana makumbo.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kune darbepoetin alfa jekiseni. Chiremba wako anogona kudzikisa dosi yako kana kukuudza kuti umire kushandisa darbepoetin alfa jekiseni kwenguva yakati kana bvunzo dzichiratidza kuti uri panjodzi huru yekuva nemhedzisiro. Tevedza zvirevo zvechiremba wako zvakanyatsonaka.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (reMedicine Gwara) paunotanga kurapwa ne darbepoetin alfa uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi dzekushandisa darbepoetin alfa jekiseni.

Cancer varwere:

Mune zvidzidzo zvemakiriniki, vanhu vane mamwe kanzura vakagamuchira darbepoetin alfa jekiseni vakafa nekukurumidza kana kusangana nekukura kwemota, kudzoka kwekenza yavo, kana gomarara rakapararira nekukurumidza kupfuura vanhu vasina kugamuchira mushonga. Kana iwe uine kenza, iwe unofanirwa kupihwa yakaderera inogoneka dosi ye darbepoetin alfa jekiseni. Unofanirwa kungogamuchira darbepoetin alfa jekiseni yekurapa kupererwa neropa kunokonzerwa nekemotherapy kana chemotherapy yako ichitarisirwa kuenderera kwemwedzi miviri mushure mekunge watanga kurapwa nejarbepoetin alfa jekiseni uye kana pasina mukana wakakura wekuti gomarara rako rigorapwa. Kurapa nejarbepoetin alfa jekiseni kunofanira kumiswa kana kosi yako yekemotherapy yapera.

Chirongwa chinonzi iyo ESA APPRISE Oncology Chirongwa chakagadzwa kudzikisa njodzi dzekushandisa darbepoetin alfa jekiseni kurapa kupererwa neropa kunokonzerwa nekemotherapy. Chiremba wako anozoda kupedzisa kudzidziswa uye kunyoresa muchirongwa ichi usati wagamuchira darbepoetin alfa jekiseni. Sechikamu chechirongwa, unozogashira ruzivo rwakanyorwa nezve njodzi dzekushandisa jekiseni re darbepoetin alfa uye uchafanirwa kusaina fomu usati wagamuchira mishonga yekuratidza kuti chiremba wako akurukura nezve njodzi dzejojo ​​ye darbepoetin alfa newe. Chiremba wako achakupa rumwe ruzivo nezvechirongwa uye anopindura chero mibvunzo yauinayo nezvechirongwa uye kurapwa kwako ne darbepoetin alfa jekiseni.

Darbepoetin alfa jekiseni inoshandiswa kurapa kupererwa neropa (yakaderera pane yakajairwa nhamba yemasero matsvuku eropa) kune vanhu vane chirwere chisingaperi cheitsvo (mamiriro ayo itsvo zvishoma nezvishoma uye zvechigarire zvinomira kushanda kwenguva yakati rebei). Darbepoetin alfa jekiseni inoshandiswawo kurapa kupererwa neropa kunokonzerwa nekemotherapy mune vanhu vane mamwe marudzi ekenza. Darbepoetin alfa haigone kushandiswa panzvimbo yeropa tsvuku reropa kurapa kushomeka kwakanyanya uye haina kuratidzwa kunatsiridza kuneta kana hutano husina kunaka hunogona kukonzerwa neanemia. Darbepoetin alfa iri mukirasi yemishonga inonzi erythropoiesis-inosimudzira vamiririri (ESAs). Inoshanda nekukonzera iwo mwongo wechipfupa (zvinyoro zvinyoro mukati memapfupa uko kunoitwa ropa) kugadzira mamwe masero matsvuku eropa.

Darbepoetin alfa jekiseni inouya semhinduro (mvura) kujowa subcutaneously (kungori pasi peganda) kana kupinda mukati (mukati mutsinga). Inowanzojowa kamwe chete pa1 kusvika kumavhiki mana. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa darbepoetin alfa jekiseni chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Chiremba wako anozokutangira pane yakaderera dosi yejarbepoetin alfa jekiseni uye gadzirisa yako dosi zvinoenderana nezvako marabhu mhedzisiro uye nemanzwiro auri kunzwa. Chiremba wako anogona zvakare kukuudza kuti usiye kushandisa darbepoetin alfa jekiseni kwenguva. Tevedza rairo idzi zvakanyatsonaka.

Darbepoetin alfa jekiseni inobatsira kudzora anemia yako chero bedzi iwe uchiramba uchiishandisa. Zvinogona kutora 2-6 mavhiki kana kureba usati wanzwa kuzara kwakazara kwejarbepoetin alfa jekiseni. Enderera kushandisa darbepoetin alfa jekiseni kunyangwe iwe uchinzwa zvakanaka. Usarega kushandisa darbepoetin alfa jekiseni usingataure nachiremba wako.

Darbepoetin alfa majekiseni anogona kupihwa nachiremba kana mukoti, kana chiremba wako angafunga kuti unogona kubaya darbepoetin alfa iwe pachako, kana kuti iwe unogona kunge uine shamwari kana hama inopa majekiseni. Iwe uye munhu achange achipa majekiseni unofanirwa kuverenga ruzivo rwemugadziri wemurwere unouya nedharbepoetin alfa jekiseni usati waishandisa kekutanga kumba. Kumbira chiremba wako kuti akuratidze kana munhu achange achijova mushonga kuti anoijowa sei.

Darbepoetin alfa jekiseni inouya mune yakasarudzika majekiseni uye mumidziyo yekushandisa ine inoraswa majekiseni. Kana iwe uri kushandisa ndiro dze darbepoetin alfa jekiseni, chiremba wako kana wemishonga anokuudza iwe rudzi rwei sirinji yaunofanira kushandisa. Usashandise chero imwe mhando yesirinji nekuti unogona kusakwanisa kuwana huwandu hwakaringana hwemishonga.

Usazununguse darbepoetin alfa jekiseni. Kana iwe ukazunza darbepoetin alfa jekiseni inogona kutaridzika kunge furo uye haifanire kushandiswa.

Nguva dzose jekiseni darbepoetin alfa jekiseni mune yaro sirinji. Usaisanganise nechero mvura uye usasanganise nayo chero mimwe mishonga.

Unogona jekesa darbepoetin alfa jekiseni chero panzvimbo yekunze kwemaoko ako ekumusoro, dumbu rako kunze kwenzvimbo ye2-inch (5-centimeter) yakatenderedza guvhu rako (dumbu bhatani), kumberi kwezvidya zvako zvepakati, nenzvimbo dzekunze dzekunze. magaro ako. Sarudza nzvimbo nyowani pese paunobaya darbepoetin alfa. Usabaya darbepoetin alfa munzvimbo ine nyoro, tsvuku, yakapwanyika, kana yakaoma, kana ine mavanga kana mamakisi.

Kana iwe uri kurapwa ne dialysis (kurapwa kubvisa tsvina kubva muropa apo itsvo dzisingashande), chiremba wako anogona kukuudza kuti ubaye mushonga mune yako venous access port (nzvimbo iyo dialysis tubing yakabatana nemuviri wako). Kumbira chiremba wako kana iwe uine chero mibvunzo nezve maitiro ekubaya mushonga wako.

Gara uchitarisa darbepoetin alfa jekiseni mhinduro usati wabaya jekiseni. Ive neshuwa kuti iyo yakasarudzika sirinji kana vial yakanyorwa ine rakakodzera zita uye simba remushonga uye zuva rekupera risingapfuure. Kana iwe uri kushandisa gaba, tarisa kuti uve nechokwadi chekuti ine kapu yevaravara, uye kana uri kushandisa sirinji yakasarudzika, tarisa kuti tsono yakavharwa neyegrey chivharo uye kuti yero yeruvara repurasitiki harina kudhonzwa pamusoro petsono . Uyezve tarisa kuti mhinduro yacho yakajeka uye isina ruvara uye haina mapundu, maflakes, kana zvidimbu. Kana paine chero matambudziko nemushonga wako, fonera wemishonga wako uye usazvibaya jekiseni.

Usashandise majekiseni akafanirwa, majekiseni anoraswa, kana hombodo dzejarbepoetin alfa jekiseni kanopfuura kamwe. Rasa majekiseni akamboshandiswa mumudziyo unodzivira. Kumbira chiremba wako kana wemishonga kuti ungarasa sei mudziyo usingadzivirirwe.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa darbepoetin alfa jekiseni,

• udza chiremba wako uye wemishonga kana uri weergoria kune darbepoetin alfa, epoetin alfa (Epogen, Procrit), chero mimwe mishonga, kana chimwe chezvinhu zviri mujekiseni re darbepoetin alfa.Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa. Kana iwe uchizenge uri kushandisa iwo akafanirwa majekiseni, udza chiremba wako kana iwe kana iye munhu achange ari kubaya jekiseni mishonga iri segeriki kune latex.
• udza chiremba wako kana wakambove neBP, uye kana wakambove nechena tsvuku masero aplasia (PRCA; rudzi rwehutachiona hwakanyanya hunogona kukura mushure mekurapwa neESA senge darbepoetin alfa jekiseni kana epoetin alfa jekiseni). Chiremba wako anogona kukuudza kuti usashandise darbepoetin alfa jekiseni.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakambove kana wakambobatwa nepfari. Kana iwe uri kushandisa darbepoetin alfa jekiseni kurapa kupererwa neropa kunokonzerwa nechirwere chetsvo chisingaperi, udza chiremba wako kana uine kana wakambove nekenza.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa darbepoetin alfa jekiseni, fonera chiremba wako.
• usati waitwa oparesheni, kusanganisira kuvhiya mazino, udza chiremba wako kana chiremba wemazino kuti urikurapwa nedrabepoetin alfa jekiseni. Zvinonyanya kukosha kuudza chiremba wako kuti urikushandisa jekiseni redharbepoetin alfa kana iwe uine coronary artery bypass graft (CABG) kuvhiya kana kuvhiya kuti urape dambudziko repfupa. Chiremba wako anogona kunyorera anticoagulant ('ropa rakatetepa') kudzivirira kugwamba kubva pakuumbwa panguva yekuvhiyiwa.

Chiremba wako anogona kupa chikafu chakakosha kuti ubatsire kudzora kuwedzerwa kweropa rako uye kubatsira kuwedzera masimbi esimbi kuitira kuti darbepoetin alfa jekiseni rishande pamwe nekukwanisika. Tevedza aya madhiri nokungwarira uye bvunza chiremba wako kana chiremba wezvekudya kana uine chero mibvunzo.

Danaidza chiremba wako kuti abvunze zvekuita kana ukarasikirwa nedosi yejarbepoetin alfa jekiseni. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Darbepoetin alfa jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kukosora
• kurwadziwa nemudumbu
• kutsvuka, kuzvimba, kupwanya, kuruma, kana bundu panzvimbo yawakajadza darbepoetin alfa

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuti uwane kurapwa kwekukurumidza.

• mapundu
• kuvava
• kunetseka kufema kana kumedza
• kurira
• hoarseness
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• kutsanya kupomba
• kuneta zvakanyanya
• kushaya simba
• dzungu
• kufenda
• ganda rakachenuruka

Darbepoetin alfa jekiseni inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika kana iwe usinganzwe mushe uchishandisa 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).

Chengetedza mishonga iyi mukatoni iyo yakauya mukati, yakavharwa zvakasimba, uye isingasviki nevana. Kamwe girazi kana sirinji yakasarudzwa yabviswa kunze kwekatoni rayo, rirambe rakavharwa kuti riridzivirire kubva pachiedza chemukati kudzamara chipiwa chirwere. Chengetedza darbepoetin alfa jekiseni mufiriji, asi usazviisa chando. Rasa chero mushonga wakave chando.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. 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.

Chengetedza zvese zvakagadzwa nachiremba wako. Chiremba wako anozotarisa yako yeropa kazhinji panguva yekurapa kwako ne darbepoetin alfa jekiseni.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi ve murabhoritari kuti urikushandisa jekiseni redharbepoetin alfa.

Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

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.

• Aranesp^®