Ibritumomab Jekiseni

Zvemukati

• Usati wagamuchira ibritumomab jekiseni,
• Ibritumomab 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 zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu kana chimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Maawa akati wandei isati yasvika jekiseni rega rega reibritumomab jekiseni, mushonga unonzi rituximab (Rituxan) unopihwa. Vamwe varwere vakave neakakomba kana kutyisidzira hupenyu hwemaergic reaction pavakagamuchira rituximab kana nguva pfupi mushure mekunge vagamuchira rituximab. Aya maitiro akaitika kazhinji pamwe neyero yekutanga ye rituximab. Vamwe varwere vakafa mukati maawa makumi maviri nemana mushure mekugamuchira rituximab. Udza chiremba wako kana iwe uri weergoria kune rituximab kana mishonga inogadzirwa kubva murine (mbeva) mapuroteni, kana kana iwe usina chokwadi kana mushonga wauri weergoriki wakagadzirwa kubva murine mapuroteni. Uyezve udza chiremba wako kana iwe wakamborapwa nemushonga wakagadzirwa kubva mumurine mapuroteni. Kana zvirizvo, iwe unogona kunge uchikwanisa kuve neanogadzirisa maitiro kune rituximab. Chiremba wako acharaira bvunzo kuti aone kana iwe uchizogona kunge uine allergic reaction kune rituximab.

Chiremba wako anokupa mishonga usati wagamuchira rituximab kubatsira kudzivirira maitiro kune rituximab. 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 uchisangana nazvo kuita rituximab, chiremba wako anogona kumira kukupa iwe mushonga kwenguva kana kuti anogona kukupa iwe zvishoma zvishoma. Kana iko kuita kwakakomba, chiremba wako anomisa iyo rituximab infusion uye haazopfuurira kurapwa kwako neibritumomab jekiseni. Udza chiremba wako ipapo ipapo kana iwe ukaona chero cheanotevera zviratidzo panguva kana pfupi mushure mekurapwa kwako ne rituximab: chikosoro; kunetseka kufema kana kumedza; kuomesa kwehuro; mikoko; kuvava; kuzvimba kwemaziso, kumeso, miromo, rurimi, muromo, kana huro; kurwadziwa mubhokisi, shaya, ruoko, musana, kana mutsipa; kuvhiringidzika; kurasikirwa kwekuziva; kukurumidza kurova kwemoyo; vangadikitira; ganda rakachenuruka; kukurumidza kufema; kuderera kwekuita weti; kana maoko anotonhora nemakumbo.

Kurapa ne rituximab uye ibritumomab jekiseni kunogona kukonzera kuderera kwakanyanya muhuwandu hweropa masero mumuviri wako. Uku kuderera kunogona kuitika masvondo manomwe kusvika mapfumbamwe mushure mekurapwa kwako uye kunogona kupera kwemavhiki gumi nemaviri kana kupfuura. Uku kuderera kunogona kukonzera zvakakomba kana kutyisidzira hupenyu hutachiona kana kubuda ropa. Chiremba wako haazokupe iwe ibritumomab jekiseni kana masero ako eropa akakuvara zvakanyanya nekenza, kana iwe uine pfupa rekumisikidza, kana wanga usingakwanise kuburitsa yakakwana masero masero (masero anowanikwa mumongo wemapfupa anogona kukura kuita chero mhando yeropa reropa) kuve nekugadziriswa kwemongo wemapfupa, kana kana uchitova nenhamba shoma yemasero eropa. Udza chiremba wako kana uri kutora chero ipi yemishonga inotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve); uye clopidogrel (Plavix). Kana uine chimwe chezviratidzo zvinotevera, danaidza chiremba wako ipapo: ganda rakachenuruka; kushaya simba; kupwanya kusingawanzo kana kubuda ropa; mavara epepuru kana zvigamba paganda; dema kana reropa zvituru; rutsa iro rine ropa kana rinotaridzika senge nzvimbo yekofi; manyoka; kana kurwadziwa pahuro, fivha, kutonhora, kukosora, kana zvimwe zviratidzo zvehutachiona.

Kurapa ne rituximab uye ibritumomab jekiseni kunogona kukonzera kukomba kana kuuraya kwekuita kweganda. Aya maitiro anogona kuitika nekukurumidza mazuva mashoma mushure mekurapwa kana sekureba semwedzi mina mushure mekurapwa. Udza chiremba wako ipapo ipapo kana iwe ukava nemabhuru paganda rako kana mukati memuromo wako kana mhino, kuputika, kana kupenya kweganda. Chiremba wako haazokupe imwezve ibritumomab jekiseni kana iwe ukaita izvi zviratidzo.

Mushure mekugashira yako yekutanga dosi yeibritumomab jekiseni, chiremba wako anozoraira imaging scans (bvunzo dzinoratidza mufananidzo wezvese kana chikamu chemukati memuviri) kuti uone kuti mushonga wakapararira sei nemuviri wako. Kana iyo mishonga isina kupararira kuburikidza nemuviri wako sezvaitarisirwa, haugamuchire yako yechipiri dhizaini yeibritumomab jekiseni.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mimwe bvunzo panguva yekurapa kwako uye kusvika pamwedzi mitatu mushure mekurapwa kwako kuti utarise mhinduro yemuviri wako kujekiseni reibritumomab.

Taura nachiremba wako nezve njodzi dzekugamuchira ibritumomab jekiseni.

Ibritumomab jekiseni inoshandiswa ne rituximab (Rituxan) kurapa mamwe marudzi easina-Hodgkin's lymphoma (NHL; kenza inotanga mumasero ezvirwere zvemuviri) izvo zvisina kuvandudzika kana izvo zvanyanya kuwedzera mushure mekurapwa nemimwe mishonga. Inoshandiswawo kurapa mamwe marudzi eNHL mune vanhu vakavandudza mushure mekurapwa nemamwe mishonga yekemotherapy. Ibritumomab jekiseni iri mukirasi yemishonga inonzi monoclonal antibodies ine radioisotopes. Inoshanda nekubatanidza kune cancer maseru uye kuburitsa radiation kuti ikanganise maseru ekenza.

Ibritumomab jekiseni inouya semvura inoiswa mukati mutsinga pamusoro pemaminitsi gumi nachiremba akadzidziswa kurapa varwere nemishonga ine radioactive. Iyo inopihwa sechikamu cheimwe chaiyo kenza yekurapa regimen. Pazuva rekutanga regimen rekurapa, muyero we rituximab unopihwa uye wekutanga jekiseni reibritumomab rinopihwa kwete anopfuura maawa mana mushure. Kufungidzira kutarisisa kuti uone kuti ibritumomab jekiseni yakapararira sei kuburikidza nemuviri inoitwa maawa makumi mana kusvika makumi manomwe nemaviri mushure mekupihwa jekiseni reibritumomab jekiseni. Zvimwe zviyero zvinogona kuitwa kana zvichidikanwa mukati memazuva anoverengeka anotevera. Kana zvabuda zve scan (s) zvichiratidza kuti ibritumomab jekiseni rapararira kuburikidza nemuviri sezvingatarisirwa, wechipiri muyero we rituximab uye wechipiri muyero webritumomab jekiseni unozopihwa mazuva manomwe kusvika mapfumbamwe mushure mekupihwa kwekutanga madosi.

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

Usati wagamuchira ibritumomab jekiseni,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune ibritumomab, chero ipi yemishonga inotaurwa muchikamu CHINOKOSHA CHENYENZO, chero mimwe mishonga, kana chero chinhu chinosanganiswa mujekiseni reibritumomab. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
• 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 mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakambove kana chero hutano hutano.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanire kuve nepamuviri iwe uri kugamuchira ibritumomab. Kana iwe uri munhukadzi, iwe uchafanirwa kutora nhumbu yekubata usati watanga kurapwa uye kushandisa kuberekwa kudzivirira kudzivirira kubata pamuviri panguva yekurapwa kwako uye kwemwedzi gumi nemaviri mushure meyako yekupedzisira dosi. Kana iwe uri murume ane mukadzi mukadzi, shandisa kuberekwa kudzivirira kubata pamuviri panguva yekurapwa kwako uye kwemwedzi gumi nemaviri mushure mekupedzisira kwako dose. Kana iwe kana mumwe wako mukava nepamuviri muchigamuchira jekiseni reibritumomab, danai chiremba wako nekukurumidza. Ibritumomab jekiseni inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa kana kuronga kuyamwisa. Iwe haufanire kuyamwisa uchigashira ibritumomab uye kwemwedzi mitanhatu mushure mechiyero chako chekupedzisira.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekugamuchira ibritumomab.
• kana iwe uchivhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti iwe wagamuchira ibritumomab jekiseni.
• hauna majekiseni panguva yekurapa uye kwemwedzi gumi nemaviri mushure mekupedzisira dhosi usati watanga kutaura nachiremba wako.
• iwe unofanirwa kuziva kuti radioactivity mune yechipiri dhijitari yeibritumomab jekiseni inogona kunge iripo mumuviri wako mvura kusvika kwevhiki mushure mekunge wagamuchira dosi. Kuchengetedza radioactivity kubva pakupararira kune vanhu vari padhuze newe, unofanirwa kuve nechokwadi chekugeza maoko ako mushure mekushandisa imba yekugezera, shandisa kondomu pese paunosangana pabonde, uye dzivisa kutsvoda kwakadzika. Tevedza izvi zvekudzivirira panguva yekurapa kwako uye kwemazuva manomwe mushure mekunge wagamuchira yako yechipiri dosi yeibritumomab jekiseni.
• iwe unofanirwa kuziva kuti ibritumomab jekiseni ine albumin (chigadzirwa chakagadzirwa kubva kune mupenyu mupi weropa). Kunyangwe paine mukana mudiki kwazvo wekuti hutachiona hunogona kupararira kuburikidza neropa, hapana zviitiko zvehosha yehutachiona kubva muchigadzirwa ichi zvakataurwa.
• iwe unofanirwa kuziva kuti kana iwe ukatambira ibritumomab jekiseni, muviri wako unogona kugadzira masoja ekudzivirira (zvinhu muropa zvinobatsira immune system kuziva nekurwisa zvinhu zvekunze) kumurine mapuroteni. Kana iwe ukagadzira aya maantibhakitiriya, unogona kuve neanogadzirisa paunotora mishonga inogadzirwa kubva murine mapuroteni, kana mishonga iyi inogona kusashanda zvakanaka kwauri. Mushure mekurapwa kwako neibritumomab jekiseni, ita chokwadi chekuudza vese vanachiremba vako kuti iwe kurapwa neibritumomab jekiseni.

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

Shevedza chiremba wako ipapo ipapo kana iwe usingakwanise kuchengeta musangano wekugamuchira ibritumomab jekiseni.

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

• kusvotwa
• kurutsa
• kurwadziwa nemudumbu kana kuzvimba
• kuvimbiswa
• chirungurira
• kurasikirwa nenzara
• musoro
• kushushikana
• dzungu
• kunetseka kurara kana kuramba wakarara
• musana, kubatana, kana kurwadziwa kwemhasuru
• kufashaira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu kana chimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza:

• kutsvuka, unyoro, kana ronda rakavhurika munzvimbo iyo mushonga wakaiswa

Vamwe vanhu vakagashira ibritumomab jekiseni vakagadzira dzimwe nzira dzekenza senge leukemia (kenza inotanga mumasero machena eropa) uye myelodysplastic syndrome (mamiriro umo masero eropa asingakure zvakajairika) mukati memakore akati wandei mushure mekunge vagamuchira mushonga. Taura nachiremba wako nezve njodzi dzekugamuchira uyu mushonga.

Ibritumomab jekiseni 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 zvinotevera:

• ganda rakachenuruka
• kushaya simba
• mweya wekufema
• kuneta zvakanyanya
• kupwanya kusingawanzo kana kubuda ropa
• mavara epepuru kana zvigamba paganda
• huro, fivha, kutonhora, kukosora, uye zvimwe zviratidzo zvehutachiona

Kumbira chiremba wako kana wemishonga chero mibvunzo yauinayo nezve ibritumomab jekiseni.

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.

• Zevalin^®