Munyori: William Ramirez
Zuva Rekusika: 15 Gunyana 2021
Gadziridza Zuva: 13 Mbudzi 2024
Anonim
Rituximab Jekiseni - Mushonga
Rituximab Jekiseni - Mushonga

Zvemukati

Rituximab jekiseni, rituximab-abbs jekiseni, uye rituximab-pvvr jekiseni ndeye biologic mishonga (mishonga inogadzirwa kubva kuzvinhu zvipenyu). Biosimilar rituximab-abbs jekiseni uye rituximab-pvvr jekiseni zvakanyanya kufanana neiyo rituximab jekiseni uye inoshanda nenzira yakafanana neiyo rituximab jekiseni mumuviri. Naizvozvo, izwi rekuti rituximab zvigadzirwa richashandiswa kumiririra iyi mishonga muhurukuro iyi.

Iwe unogona kusangana nekuita kwakakomba iwe uchigamuchira kana mukati maawa makumi maviri nemaviri mushure mekugamuchira dosi yeiyo rituximab jekiseni chigadzirwa. Aya maitiro anowanzoitika panguva yekutanga dosi yeiyo rituximab jekiseni chigadzirwa uye inogona kukonzera kufa. Iwe unozogamuchira yega yega muyero weiyo rituximab jekiseni chigadzirwa mune yekurapa nzvimbo, uye chiremba kana mukoti anozokutarisa zvakanyatso iwe paunenge uchigamuchira mushonga. Iwe unozogamuchira imwe mishonga yekubatsira kudzivirira kusagadzikana usati wagamuchira imwe yega yeiyo rituximab jekiseni chigadzirwa. Udza chiremba wako kana iwe wakambove neyakaitika kune iyo rituximab chigadzirwa kana kana iwe uine kana wakambove uine zvisina kujairika kurova kwemoyo, kurwadziwa pachipfuva, mamwe matambudziko emoyo, kana matambudziko emapapu. Kana ukasangana nechimwe chezviratidzo zvinotevera, udza chiremba wako kana mumwe mupi wezvehutano nekukasika: mikoko; mapundu; kuvava; kuzvimba kwemiromo, rurimi, kana huro; kunetseka kufema kana kumedza; dzungu; kufenda; kufema kwekufema, kufema; kurwadziwa nemusoro; kurova kana kusagadzikana kwemwoyo; kutsanya kana kushaya simba kupomba; rakachenuruka kana bhuruu ganda; kurwadziwa mubhokisi kunogona kupararira kune zvimwe zvikamu zvemuviri wepamusoro; kushaya simba; kana kudikitira zvakanyanya.


Rituximab jekiseni zvigadzirwa zvakakonzera zvakakomba, kutyisidzira hupenyu ganda uye muromo kugadziriswa. Kana ukasangana nechimwe chezviratidzo zvinotevera, udza chiremba wako nekukurumidza: maronda anorwadza kana maronda paganda, miromo, kana mukanwa; mhoni; mapundu; kana kubvisa ganda.

Unogona kunge watotapukirwa nehepatitis B (hutachiona hunokanganisa chiropa uye hunogona kukonzeresa kukuvara kwechiropa) asi usina zviratidzo zvechirwere. Mune ino kesi, kugashira rituximab jekiseni chigadzirwa kunogona kuwedzera njodzi yekuti hutachiona hwako huchawedzera kana kutyisidzira hupenyu uye iwe uchava nezviratidzo. Udza chiremba wako kana iwe wakambove uine hutachiona hwakakomba, kusanganisira hutachiona hwehutachiona hweH hepatitis B. Chiremba wako anorayira kuongororwa kweropa kuti aone kana iwe uine hutachiona hwehutachiona hweH hepatitis B. Kana zvichidikanwa, chiremba wako anogona kukupa mishonga yekurapa hutachiona uhu usati uye panguva yekurapwa kwako neiyo rituximab jekiseni chigadzirwa. Chiremba wako anozokutarisawo nezviratidzo zvehutachiona hwehepatitis B mukati uye kwemwedzi yakati wandei mushure mekurapwa kwako. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita kurapwa, daidza chiremba wako nekukasira: kuneta kwakanyanya, kuita yero kweganda kana maziso, kurasikirwa nechido, kusvotwa kana kurutsa, kurwadziwa nemhasuru, kurwadziwa mudumbu, kana weti yakasviba.


Vamwe vanhu vakagashira rituximab jekiseni chigadzirwa vakafambira mberi multifocal leukoencephalopathy (PML; hutachiona husingawanzo hwehuropi husingakwanise kurapwa, kudzivirirwa, kana kurapwa uye izvo zvinowanzo kukonzera kufa kana kuremara kwakanyanya) panguva kana mushure mekurapwa kwavo. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukasira: shanduko nyowani kana kamwe kamwe mukufunga kana kuvhiringidzika; kunetseka kutaura kana kufamba; kurasikirwa nechiyero; kupera simba; nyowani kana kamwe kamwe shanduko muchiono; kana zvimwe zviratidzo zvisina kujairika zvinokurumidza kuitika.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune rituximab jekiseni chigadzirwa.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa nejekiseni yeRituximab uye nguva dzese dzaunogamuchira mishonga. 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 rituximab jekiseni chigadzirwa.

Rituximab jekiseni zvigadzirwa zvinoshandiswa zvega kana nemimwe mishonga yekurapa mhando dzakasiyana dzisiri-Hodgkin's lymphoma (NHL; mhando yegomarara inotanga mumhando yemasero machena eropa ayo anowanzo kurwisa hutachiona). Rituximab jekiseni zvigadzirwa zvinoshandiswa zvakare nemimwe mishonga yekurapa chisingaperi lymphocytic leukemia (CLL; mhando yekenza yemachena machena masero eropa). Rituximab jekiseni (Rituxan) inoshandiswawo ne methotrexate (Otrexup, Rasuvo, Xatmep, vamwe) kurapa zviratidzo zve rheumatoid arthritis (RA; mamiriro ayo muviri unorwisa majoini ayo, zvichikonzera kurwadziwa, kuzvimba, uye kurasikirwa nebasa) muvanhu vakuru vakatorapwa neimwe mhando yemishonga inonzi tumarara necrosis factor (TNF) inhibitor. Rituximab jekiseni (Rituxan, Ruxience) inoshandiswa zvakare muvakuru nevana vana makore maviri ekuberekwa uye vakuru pamwe chete nemimwe mishonga yekurapa granulomatosis ne polyangiitis (Wegener's Granulomatosis) uye microscopic polyangiitis, inova mamiriro ayo muviri unorwisa mutsinga wadzo nezvimwe tsinga dzeropa, dzinokanganisa nhengo, senge moyo nemapapu. Rituximab jekiseni (Rituxan) inoshandiswa kurapa pemphigus vulgaris (mamiriro anokonzeresa maronda paganda uye nekumonera mukanwa, mhino, huro uye nhengo dzesikarudzi). Rituximab jekiseni zvigadzirwa zviri mukirasi yemishonga inonzi monoclonal antibodies. Vanobata mhando dzakasiyana dzeNHL neCLL nekuuraya cancer maseru. Zvimwe rituximab jekiseni zvigadzirwa zvinorapa rheumatoid arthritis, granulomatosis ine polyangiitis, microscopic polyangiitis, uye pemphigus vulgaris nekuvharira chiitiko chechikamu chedziviriro yezvirwere chinogona kukuvadza majoini, tsinga, uye mimwe mitsipa yeropa.

Rituximab jekiseni zvigadzirwa zvinouya semhinduro (mvura) kujowa mutsinga. Rituximab jekiseni zvigadzirwa zvinogadzirwa nachiremba kana mukoti muhofisi yezvokurapa kana infusion nzvimbo. Yako dosing purogiramu inoenderana nemamiriro aunayo, mimwe mishonga yauri kushandisa, uye nemuviri wako kupindura kurapwa

Rituximab jekiseni zvigadzirwa zvinofanirwa kupihwa zvishoma nezvishoma mutsinga. Zvinogona kutora maawa akati wandei kana kuti yakareba kuti ugamuchire wako wekutanga weiyo rituximab jekiseni chigadzirwa, saka iwe unofanirwa kuronga kupedza yakawanda yezuva kuhofisi yezvokurapa kana yekumisikidza nzvimbo Mushure meiyo yekutanga dosi, iwe unogona kugamuchira iyo rituximab jekiseni chigadzirwa nekukurumidza , zvinoenderana nemabatiro aunoita kurapwa.

Iwe unogona kuona zviratidzo zvakadai sefivha, kuzunza chills, kuneta, kurwadziwa nemusoro, kana kuda kurutsa paunenge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchichi Udza chiremba wako kana mumwe mupi wezvehutano kana iwe uchinge waona zviratidzo izvi paunenge uchigamuchira mushonga wako. Chiremba wako anogona kupa mimwe mishonga kubatsira kudzivirira kana kubvisa izvi zviratidzo. Chiremba wako anokuudza iwe kuti utore iyi mishonga usati wagamuchira imwe yega yeiyo rituximab chigadzirwa.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

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

Usati wagamuchira rituximab jekiseni chigadzirwa,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune rituximab, rituximab-abbs, rituximab-pvvr, chero mimwe mishonga, kana chero chimwe chezvinhu zvinogadzirwa mune rituximab jekiseni zvigadzirwa. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: adalimumab (Humira); certolizumab (Cimzia); etanercept (Enbrel); golimumab (Simponi); infliximab (Remicade); mimwe mishonga yerheumatoid arthritis; nemishonga inodzvinyirira immune system yakadai saazathioprine (Azasan, Imuran), cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune, Torisel), uye tacrolimus (Envarsus, Prograf). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe uine chero mamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZISO uye kana wakambove kana uine hepatitis C kana mamwe hutachiona senge pox, herpes (hutachiona hunogona kukonzeresa maronda anotonhora kana kuputika kwemablister munhengo yekubereka. nzvimbo), shingles, West Nile virus (hutachiona hunopararira kuburikidza nekurumwa neumhutu uye hunogona kukonzera zvakakomba zviratidzo), parvovirus B19 (chirwere chechishanu; hutachiona hwakajairika muvana hunowanzo kukonzera matambudziko akakomba kune vamwe vanhu vakuru), kana cytomegalovirus (a hutachiona hwakajairika hunowanzo kukonzera zviratidzo zvakakomba muvanhu vakashayisa simba immune kana vane hutachiona pakuzvarwa), kana chirwere cheitsvo.Uyezve udza chiremba wako kana iwe uine chero hutachiona hutachiona izvozvi kana iwe kana uine kana hutachiona hwaisazopera kana hutachiona hunouya nekuenda.
  • udza chiremba wako kana iwe uine pamuviri kana kana iwe uronga kuva nepamuviri. Iwe unofanirwa kushandisa kuberekwa kudzivirira kubata pamuviri panguva yekurapa kwako neiyo rituximab jekiseni chigadzirwa uye kwemwedzi gumi nemaviri mushure mekupedzisira kwako dose. Taura nachiremba wako nezvemhando dzekudzivirira kuberekwa dzinokushandira. Kana iwe ukava nepamuviri iwe uchishandisa rituximab jekiseni chigadzirwa, fonera chiremba wako. Rituximab inogona kukuvadza fetus.
  • udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa panguva yekurapa kwako neiyo rituximab jekiseni chigadzirwa uye kwemwedzi mitanhatu mushure mekupedzisira dosi.
  • bvunza chiremba wako kana iwe uchifanira kugamuchira chero majekiseni usati watanga kurapwa kwako neiyo rituximab jekiseni chigadzirwa. Hauna majekiseni panguva yekurapa kwako pasina kutaura nachiremba wako.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Kana iwe ukarasikirwa musangano wekugamuchira rituximab jekiseni chigadzirwa, fonera chiremba wako ipapo ipapo.

Rituximab jekiseni zvigadzirwa zvinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • manyoka
  • musana kana kurwadziwa kwemajoini
  • kufashaira
  • husiku hweziya
  • kunzwa kunetseka zvisina kujairika kana kunetseka

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:

  • kupwanya kusingawanzo kana kubuda ropa
  • kurwadziwa pahuro, kumhanyisa mhino, kukosora, fivha, kutonhora, kana zvimwe zviratidzo zvehutachiona
  • earache
  • kunorwadza weti
  • kutsvuka, unyoro, kuzvimba kana kudziya kwenzvimbo yeganda
  • kuomesa pachipfuva

Rituximab jekiseni zvigadzirwa zvinogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

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.

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.

  • Rituxan® (rituximab)
  • Ruxience® (rituximab-pvvr)
  • Truxima® (rituximab-abbs)
Yekupedzisira Yakagadziridzwa - 04/15/2020

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