Eltrombopag
![Mechanisms of Action of Eltrombopag](https://i.ytimg.com/vi/2v9975V71Gw/hqdefault.jpg)
Zvemukati
- Usati watora eltrombopag,
- Eltrombopag inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Kana iwe uine chirwere chisingaperi chehepatitis C (inogona kuenderera hutachiona iyo inogona kukuvadza chiropa) uye ukatora eltrombopag nemishonga yehepatitis C inonzi interferon (Peginterferon, Pegintron, vamwe) uye ribavirin (Copegus, Rebetol, Ribasphere, vamwe), kune yakawedzera njodzi yekuti uchave nekukuvara kwakakomba kwechiropa. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukasira: yero yeganda kana maziso, weti yakasviba, kuneta kwakanyanyisa, kurwadziwa munzvimbo yepamusoro yekurudyi yedumbu, kuzvimba kwenzvimbo yemudumbu, kana kuvhiringidzika.
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozoraira kumwe kuongorora kwerabhoritari usati uye panguva yekurapwa kwako kuti utarise mhinduro yemuviri wako kune eltrombopag
Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa neeltrombopag 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 dzekutora eltrombopag.
Eltrombopag inoshandiswa kuwedzera huwandu hwemaplatelet (masero anobatsira iro ropa rinogwamba) kudzikisa njodzi yekubuda ropa muvakuru nevana vana vane makore 1 zvichikwira vane immune immune thrombocytopenia (ITP; mamiriro anoenderera anogona kukonzeresa kupwanya kusingawanzo kana kubuda ropa nekuda kwenhamba isina kujairika yemaplatelet muropa) uye vasina kubatsirwa kana vasingakwanise kurapwa nemamwe marapirwo, kusanganisira mishonga kana kuvhiyiwa kubvisa chisvo. Eltrombopag inoshandiswawo kuwedzera huwandu hwemaplatelet muvanhu vane hepatitis C (hutachiona hutachiona hunogona kukuvadza chiropa) kuitira kuti vatange nekuenderera mberi nekurapwa ne interferon (Peginterferon, Pegintron, vamwe) uye ribavirin (Rebetol). Eltrombopag inoshandiswawo pamwe chete nemimwe mishonga yekurapa aplastic anemia (mamiriro umo muviri usingaite masero matsva eropa) muvanhu vakuru nevana makore maviri ekuberekwa nekure. Inoshandiswawo kurapa aplastic anemia kune vanhu vakuru vasina kubatsirwa nemimwe mishonga. Eltrombopag inoshandiswa kuwedzera huwandu hwemaplatelet anokwana kudzikisa njodzi yekubuda ropa kune vanhu vane ITP kana aplastic anemia, kana kubvumidza kurapwa ne interferon ne ribavirin mune vanhu vane hepatitis C. Zvisinei hazvo haina kushandiswa kuwedzera huwandu hwemaplatelet nhanho yakajairwa. Eltrombopag haifanirwe kushandiswa kurapa vanhu vane huwandu hwakaderera hwemaplatelet nekuda kwemamiriro ezvinhu asiri ITP, hepatitis C, kana aplastic anemia. Eltrombopag iri mukirasi yemishonga inonzi thrombopoietin receptor agonists. Inoshanda nekukonzeresa maseru ari mumongo wemapfupa kuburitsa mamwe maplatelet.
Eltrombopag inouya sehwendefa uye sehupfu hwekumiswa pamuromo (mvura) kutora nemuromo. Inowanzo kutorwa kamwe pazuva pazuva musina chinhu, ingangoita 1 awa usati wasvika kana maawa maviri mushure mekudya. Tora eltrombopag panenge panguva imwe chete zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora eltrombopag chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Tora eltrombopag kanokwana maawa maviri usati kana maawa mana mushure mekudya kana kunwa chikafu chine yakawanda calcium, senge zvigadzirwa zvemukaka, calcium-yakasimbiswa majusi, zviyo, oatmeal, uye chingwa; trout; mbama; miriwo yakasvibira yemashizha senge sipinashi uye collard magidhi; uye tofu nezvimwe zvinogadzirwa nesoy. Kumbira chiremba wako kana usina chokwadi kana chikafu chiine calcium yakawanda. Iwe unogona kuona zvichibatsira kutora eltrombopag padhuze nekutanga kana kupera kwezuva rako kuti iwe ugone kuzodya izvi zvekudya panguva zhinji dzemaawa ako ekumuka.
Medza mapiritsi akazara. Usatsemure, kutsenga, kana kuapwanya woasanganisa kuita chikafu kana zvinwiwa.
Kana iwe uri kutora iyo poda yekumisa pamuromo, nyatso verenga mirayiridzo yekugadzira yekushandisa iyo inouya nemushonga. Iyi mirayiridzo inotsanangura maitiro ekugadzirira uye kuyera dosi yako. Sanganisa upfu nemvura inotonhorera kana inotonhorera usati washandisa. Usasanganisa hupfu nemvura inopisa. Pakarepo mushure mekugadzirira, kamedza muyero. Kana ikasatorwa mukati memaminitsi makumi matatu kana kana paine mvura yasara, rasa musanganiswa mumarara (usadururire pasi pasink).
Usarega poda ichibata ganda rako. Kana ukadurura hupfu paganda rako, geza nekukasira nesipo nemvura. Dana chiremba wako kana iwe uine ganda maitiro kana kana iwe uine chero mibvunzo.
Chiremba wako angangotanga iwe padosi yakaderera yeeltrombopag uye gadzirisa yako dosi zvichienderana nemhinduro yako kumushonga. Pakutanga kwekurapwa kwako, chiremba wako acharaira kuongororwa kweropa kuti uone cheplatelet level yako kamwe pasvondo. Chiremba wako anogona kuwedzera dhosi yako kana yako platelet level yakanyanya kuderera. Kana yako platelet nhanho yakanyanya kukwirira, chiremba wako anogona kudzikisira muyero wako kana anogona kusakupa eltrombopag kwenguva. Mushure mekurapa kwako kwaenderera kwenguva yakati uye chiremba wako awana muyero weeltrombopag iyo inokushandira iwe, yako platelet level inozotariswa zvishoma kazhinji. Yako platelet level inozoongororwawo vhiki nevhiki kweinenge mavhiki mana mushure mekumira kutora eltrombopag.
Kana iwe uine chisingaperi ITP, unogona kugamuchira imwe mishonga yekurapa mamiriro ako pamwe neeltrombopag. Chiremba wako anogona kudzikisira muyero wako wemishonga iyi kana eltrombopag ichikushanda zvakanaka.
Eltrombopag haishande kune wese munhu. Kana yako platelet level isina kuwedzera zvakakwana mushure mekutora eltrombopag kwenguva yakati, chiremba wako anogona kukuudza kuti umise kutora eltrombopag.
Eltrombopag inogona kubatsira kudzora mamiriro ako asi haizorape. Ramba uchitora eltrombopag kunyangwe iwe uchinzwa zvakanaka. Usarega kutora eltrombopag usina kutaura nachiremba wako.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora eltrombopag,
- udza chiremba wako uye wemishonga kana iwe uri weergoria kune eltrombopag, chero mimwe mishonga, kana chero chipi zvacho chemapiritsi eeltrombopag. 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 eanotevera: anticoagulants (ropa rakatetepa) senge warfarin (Coumadin, Jantoven); bosentan (Tracleer); cholesterol-kudzikisa mishonga (statins) senge atorvastatin (Lipitor, muCaduet), fluvastatin (Lescol), pitavastatin (Livalo, Zypitamag), pravastatin (Pravachol), rosuvastatin (Crestor), uye simvastatin (Zocor, Flolopid, muVytorin); ezetimibe (Zetia, muVytorin); glyburide (Diabeta, Glynase); imatinib (Gleevec); irinotecan (Camptosar, Onivyde); olmesartan (Benicar, muAzor, muTribenzor); lapatinib (Tykerb); methotrexate (Rasuvo, Trexall, vamwe); mitoxantrone; repaglinide (Prandin): rifampin (Rimactane, Rifadin, muRifamate, Rifater); sulfasalazine (Azulfidine); topotecan (Hycamtin), uye valsartan (Diovan, muBevalson, muEntresto, muEexforge). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.Mimwe mishonga yakawanda inogona zvakare kubatana neeltrombopag, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
- kana iwe uri kutora antacids ine calcium, aluminium, kana magnesium (Maalox, Mylanta, Tums) kana vhitamini kana mamineral zvinowedzera zvine calcium, iron, zinc kana selenium, tora eltrombopag maawa maviri pamberi kana mana maawa mushure mekutora iwo.
- udza chiremba wako kana iwe uri wekuEast Asia (chiChinese, chiJapanese, chiTaiwanese, kana chiKorea) uye kana wakambove kana kana wakambova nekati (kuchenesa kwemaziso eziso izvo zvinogona kukonzera matambudziko ekuona), kugwamba kweropa, chero mamiriro izvo zvinowedzera mukana wekuti iwe ugoita kukura kweropa, matambudziko ekubuda ropa, myelodysplastic syndrome (MDS; chirwere cheropa chinogona kutungamira kugomarara), kana chirwere chechiropa. Uyezve udza chiremba wako kana iwe wakambovhiyiwa kuti ubvise spleen yako.
- udza chiremba wako kana iwe uine pamuviri, kana kuronga kuva nepamuviri. Iwe haufanire kuve nepamuviri panguva yekurapa kwako ne eltrombopag. Shandisa zvinobudirira kubata pamuviri paunenge uchirapwa uye kwemazuva manomwe mushure meyero yako yekupedzisira. Kana iwe ukava nepamuviri uchitora eltrombopag, dana chiremba wako.
- udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwa paunenge uchitora eltrombopag.
- ramba uchidzivirira zviitiko zvinogona kukonzera kukuvara uye kubuda ropa panguva yekurapa kwako ne eltrombopag. Eltrombopag inopihwa kudzikisa njodzi yekuti uchaona kubuda ropa kwakanyanya, asi pachine njodzi yekuti kubuda ropa kunogona kuitika.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Darika iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika. Usatore inopfuura imwechete dhizaiti yeeltrombopag nezuva rimwe.
Eltrombopag inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kurwadziwa shure
- mhasuru kurwadza kana kutsemuka
- musoro
- Zviratidzo zvechirwere zvakadai sefivha, kurwadziwa nemusoro, kurwadziwa pahuro, kukosora, kuneta, kutonhora, uye kurwadziwa nemuviri
- kushaya simba
- kuneta zvakanyanya
- kuderera kwechido
- kurwadziwa kana kuzvimba mumuromo kana pahuro
- kurasikirwa nevhudzi
- mapundu
- ganda rinoshanduka
- kugwinha kweganda, kuchenesa, kana kupisa
- kuzvimba kwemakumbo, tsoka, kana makumbo ezasi
- mazino (muvana)
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- kuzvimba, kurwadziwa, unyoro, kudziya kana kutsvuka mune rimwe gumbo
- kufema kufema, kukosora ropa, kurova kwemoyo nekukurumidza, kufema nekukurumidza, kurwadziwa kana uchifema zvakadzama
- kurwadziwa muchipfuva, maoko, musana, mutsipa, shaya, kana mudumbu, kubuda kubuda kutonhora ziya, hura hwakareruka
- kutaura kunonoka kana kuomarara, kushaya simba nekukasira kana kumeso kwechiso, ruoko kana gumbo, kutemwa nemusoro kamwe kamwe, matambudziko ekuona nekukurumidza, nekukurumidza kufamba kufamba
- kurwadziwa mudumbu, kuda kurutsa, kurutsa, manyoka
- makore, kuona kwakashata, kana kumwe kuchinja kwemaonero
Eltrombopag 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).
Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Kana mushonga wako ukauya ne desiccant packet (kadiki kapaketi kaine chinhu chinotora mwando kuti mishonga iome), siya pakiti iri muhombodo asi chenjera kuti usamedze.
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-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 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:
- mapundu
- kunonoka kurova kwemoyo
- kuneta zvakanyanya
Chiremba wako acharaira kuongorora kwemaziso usati uye panguva yekurapa kwako ne eltrombopag.
Usarega mumwe munhu achitora 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.
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