Irinotecan jekiseni

Zvemukati

• Usati wagamuchira irinotecan,
• Irinotecan inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Irinotecan jekiseni inofanirwa kupihwa pasi pekutarisirwa nachiremba ane ruzivo rwekupa chemotherapy mishonga yekenza.

Unogona kusangana nezviratidzo zvinotevera 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 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 dzimwe nguva inonzi 'manyoka ekutanga'), uye kurwadziwa nemudumbu. Udza chiremba wako kana iwe ukasangana nechimwe chezviratidzo izvi. Chiremba wako anogona kukupa mishonga yekudzivirira kana kubata izvi zviratidzo.

Iwe unogona zvakare kusangana nemanyoka akanyanya (dzimwe nguva anonzi '' anononoka manyoka '') anopfuura maawa makumi maviri nemana mushure mekugamuchira irinotecan. Rudzi rwemanyoka urwu runogona kutyisidzira hupenyu nekuti rwunogona kugara kwenguva yakareba uye rwunotungamira mukushaya mvura, hutachiona, itsvo kutadza, nemamwe matambudziko. Udza chiremba wako kana iwe kana wakambove nekudzivirira ura (kuvhara mukati mako). Udza chiremba wako uye wemishonga kana iwe uri kutora chero einotevera mishonga: mimwe mishonga yemakemikari yekenza; diuretics ('mapiritsi emvura'); kana laxatives akadai bisacodyl (Dulcolax) kana senna (muCorrectol, Ex-Lax, Peri-Colace, Senokot).

Usati watanga kurapwa kwako ne irinotecan, taura nachiremba wako nezve zvaunofanira kuita kana iwe wakanonoka kuita manyoka. Chiremba wako angangokuudza iwe kuti uchengete loperamide (Imodium AD) paruoko kuitira kuti utange kuitora ipapo ipapo kana ukakonzeresa manyoka. Chiremba wako anogona kukuudza iwe kuti utore loperamide nguva nenguva mukati mezuva neusiku. Ive neshuwa yekutevera zvirevo zvechiremba wako zvekutora loperamide; izvi zvichave zvakasiyana nemirayiridzo yakadhindwa papakeji yeLoperamide. Chiremba wako achakuudza zvakare kuti ndezvipi zvekudya zvaunofanira kudya uye ndezvipi zvekudya zvaunofanirwa kudzivirira kudzora manyoka panguva yekurapwa kwako. Inwa mvura zhinji uye uteedzere chikafu ichi nokungwarira.

Fonera chiremba wako ipapo chaipo kekutanga iwe paunenge uine manyoka panguva yekurapwa kwako. Danaidzawo chiremba wako nekukasira kana iwe ukawana chero cheanotevera zviratidzo: fivha (tembiricha yakakwira kupfuura 100.4 ° F); kuzunza chills; dema kana reropa zvituru; manyoka asingamire mukati maawa makumi maviri nemana; kuchena musoro, dzungu, kana kupera simba; kana kusvotwa kwakanyanya uye kurutsa zvinokutadzisa kunwa chero chinhu. Chiremba wako anokucherechedza zvakanyatsonaka uye anogona kukubata nemvura kana mishonga inorwisa mabhakitiriya kana zvichidikanwa.

Irinotecan inogona kukonzera kuderera kwenhamba yemasero eropa akagadzirwa nefupa rako. Udza chiremba wako kana iwe kana wakambove nechirwere cheropa kana Gilbert's syndrome (yakadzikira kugona kuputsa bilirubin, chinhu chechisikigo mumuviri) uye kana uri kurapwa nemwaranzi kudumbu kana chiuno (nzvimbo iri pakati pemabhonzo ehudyu ) kana kana iwe wakamborapwa nerudzi urwu rwemwaranzi. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasira: fivha, kutonhora, chikosoro, kana zvimwe zviratidzo zvehutachiona; mweya wekufema; kukurumidza kurova kwemoyo; kurwadziwa nemusoro; dzungu; ganda rakachenuruka; kuvhiringidzika; kuneta kwakanyanya, kana kubuda ropa kusingawanzo kana kupwanya.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mimwe bvunzo kuti atarise mhinduro yemuviri wako kune irinotecan.

Taura nachiremba wako nezve njodzi dzekushandisa irinotecan.

Irinotecan inoshandiswa yoga kana musanganiswa nemimwe mishonga yekurapa colon kana rectal cancer (kenza inotanga mumatumbo makuru). Irinotecan iri mukirasi yemishonga inorwisa antiplastic inonzi topoisomerase I inhibitors. Inoshanda nekumisa kukura kwekenza masero.

Irinotecan inouya semvura inopihwa inopfuura maminetsi makumi mapfumbamwe mukati metsinga (mutsinga) nachiremba kana mukoti. Inowanzo kupihwa kwete kazhinji kanopfuura kamwe chete pasvondo, zvinoenderana nehurongwa hunoshandura imwe kana anopfuura mavhiki paunogamuchira irinotecan nevhiki imwe chete kana anopfuura pausingagamuchire mushonga. Chiremba wako achasarudza iyo purogiramu ichashanda zvakanyanya kwauri.

Chiremba wako angangoda kunonoka kurapwa kwako uye kugadzirisa dhizaini yako kana iwe ukawana mimwe mhedzisiro. Ive neshuwa yekuudza chiremba wako kuti uri kunzwa sei panguva yekurapwa kwako ne irinotecan.

Chiremba wako anogona kukupa mishonga yekudzivirira kusvotwa, kurutsa usati wagamuchira imwe yega irinotecan. Chiremba wako anogona zvakare kukupa iwe imwe mishonga (s) yekudzivirira kana kurapa mimwe mhedzisiro.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Irinotecan zvakare dzimwe nguva inoshandiswa pamwe chete nemimwe mishonga yekurapa diki kenza yemapapu kenza. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati wagamuchira irinotecan,

• udza chiremba wako uye wemishonga kana uri weergoria kune irinotecan, sorbitol, kana chero mumwe mushonga.
• udza chiremba wako kana uri kutora ketoconazole (Nizoral). Chiremba wako angangokuudza kuti usatore ketoconazole kwevhiki imwe usati watanga kurapwa kwako ne irinotecan kana panguva yekurapwa kwako.
• udza chiremba wako kana uri kutora St. John's wort. Haufanire kutora wort yeSt.John kwemasvondo maviri usati watanga kurapwa neirinotecan kana panguva yekurapwa kwako.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera zvinovaka muviri uye zvigadzirwa zvemakwenzi zvauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: atazanavir (Reyataz); gemfibrozil (Lopid); mishonga yekubatwa kwakadai sa carbamazepine (Carbatrol, Epitol, Tegretol), phenobarbital (Luminal), phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); uye rifampin (Rifadin, Rimactane, muRifamate uye Rifater). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove nechirwere cheshuga; kusagadzikana kwefructose (kutadza kugaya shuga yechisikigo inowanikwa muchero); kana chiropa, mapapu, kana hosha yeitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana kuronga kubereka mwana. Iwe kana mumwe wako haufanire kuve nepamuviri iwe uri kugamuchira irinotecan. Iwe unozofanirwa kuve neyakaipa nhumbu bvunzo usati watanga kugamuchira uyu mushonga. Kana iwe uri munhukadzi, shandisa zvinobudirira kuberekwa panguva yekurapwa kwako uye kwemwedzi mitanhatu mushure mekupedzisira dosi. Kana iwe uri murume uye mumwe wako achigona kuve nepamuviri, iwe unofanirwa kushandisa anoshanda ekuberekwa (makondomu) panguva yekurapwa kwako uye kwemwedzi mitatu mushure mekupedzisira kwako dosi. Kana iwe kana mumwe wako ukava nepamuviri paunenge uchigamuchira irinotecan, danaidza chiremba wako. Irinotecan inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa iwe uchiri kugamuchira irinotecan jekiseni, uye kwemazuva manomwe mushure meiyo yekupedzisira dosi.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekugamuchira irinotecan jekiseni.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikugamuchira irinotecan.
• iwe unofanirwa kuziva kuti irinotecan inogona kukuita dzungu kana kukanganisa chiono chako, kunyanya panguva yekutanga kwemaawa makumi maviri nemaviri mushure mekugamuchira dosi. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• taura nachiremba wako usati wagamuchira chero majekiseni panguva yekurapwa kwako neirinotecan.

Chiremba wako anokuudza nezve kudya kwakasarudzika kwekutevera kuti ubatsire kudzora manyoka panguva yekurapa kwako. Tevedza rairo idzi zvakanyatsonaka.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa apo uchigamuchira mushonga uyu.

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

• kusvotwa
• kurutsa
• kuvimbiswa
• kuzvimba uye maronda mumuromo
• chirungurira
• kurasikirwa nenzara
• kuonda
• kurasikirwa nevhudzi
• kushaya simba
• hope
• kurwadziwa, kunyanya kurwadziwa shure

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

• kurwadziwa pachipfuva
• yero yeganda kana maziso
• dumbu rakazvimba
• zvisingatarisirwi kana zvisina kujairika kuwedzera
• kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
• mapundu
• mikoko
• kuvava
• kunetseka kufema kana kumedza

Vamwe vanhu vakagamuchira irinotecan vakagadzira kugwamba kweropa mumakumbo avo, mapapu, pfungwa, kana nemoyo. Iko hakuna kukwana kwakaringana kutaurira kana irinotecan yakakonzera kuwanda kweropa. Taura nachiremba wako nezve njodzi dzekugamuchira irinotecan.

Irinotecan inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge uchigamuchira 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).

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:

• kurwadziwa pahuro, fivha, kutonhora, kukosora uye zvimwe zviratidzo zvehutachiona
• manyoka akakomba

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.

• Camptosar^®

• CPT-11