Munyori: Marcus Baldwin
Zuva Rekusika: 21 Chikumi 2021
Gadziridza Zuva: 1 Kubvumbi 2025
Anonim
Everolimus - Transplant Medication Education
Vhidhiyo: Everolimus - Transplant Medication Education

Zvemukati

Kutora everolimus kunogona kudzora kugona kwako kurwisa hutachiona kubva kubhakitiriya, mavairasi, uye fungi uye kuwedzera njodzi yekuti iwe uchawana hutachiona hwakakomba kana hunotyisa hupenyu. Kana iwe wakambove uine hepatitis B (rudzi rwechiropa chirwere) munguva yakapfuura, hutachiona hwako hunogona kushanda uye unogona kukura zviratidzo panguva yekurapa kwako neeverolimus. Udza chiremba wako kana iwe wakambove kana uine hepatitis B kana kana uine kana kufunga kuti ungave uine chero hutachiona hutachiona izvozvi. Udza chiremba wako uye wemishonga kana uri kutora mimwe mishonga inodzvinyirira immune system yakadai saazathioprine (Imuran), cyclosporine (Gengraf, Neoral, Sandimmune), dexamethasone (Decadron, Dexpak), methotrexate (Rheumatrex, Trexall), prednisolone (Orapred, Pediapred, Prelone), prednisone (Sterapred), sirolimus (Rapamune), uye tacrolimus (Prograf). Kana ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza: kuneta zvakanyanya; yero yeganda kana maziso; kurasikirwa nenzara; kusvotwa; kurwadza kwemajoini; weti yakasviba; zvituru zvakachenuruka; kurwadziwa kumusoro kwepamusoro chikamu chedumbu; mapundu; zvakaoma, zvinorwadza, kana kazhinji weti; nzeve yekunzwa kana kubuda; sinus kurwadziwa uye kumanikidza; kana kurwadziwa pahuro, kukosora, fivha, kutonhora, kunzwa kusagadzikana kana zvimwe zviratidzo zvehutachiona.


Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozoraira mimwe bvunzo kuti utarise mhinduro yemuviri wako kune everolimus.

Chiremba wako kana wemishonga achakupa pepa reruzivo rwemurwere (Medication Guide [Zortress] kana pepa reruzivo rwevarwere [Afinitor, Afinitor Disperz]) paunotanga kurapwa neeverolimus 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 everolimus.

Kune varwere vari kutora everolimus kudzivirira kuiswa kwekuramba:

Iwe unofanirwa kutora everolimus pasi pekutarisirwa nachiremba ane ruzivo mukutarisira kwekuisa varwere uye kupa mishonga inodzvinyirira immune system.


Njodzi yekuti iwe uchava nekenza, kunyanya lymphoma (gomarara rechimwe chikamu chemuviri immune) kana kenza yeganda inowedzerwa panguva yekurapa kwako neeverolimus. Udza chiremba wako kana iwe kana ani zvake mumhuri yako ane kana akambove nekenza yeganda kana kana iwe uine ganda rakanaka. Kuti uderedze njodzi yako yekenza yeganda, ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva kana ultraviolet mwenje (mibhedha yekuchenesa uye mwenje wezuva) uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen panguva yekurapwa kwako. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukasira: nzvimbo tsvuku, yakasimudzwa, kana ine waini paganda; maronda matsva, mapundu, kana kupenya paganda; maronda asingapore; mapundu kana mashoma chero mumuviri wako; kuchinja kweganda; husiku hweziya; kuzvimba gland mumutsipa, muhapwa, kana kugomera; kunetseka kufema; kurwadziwa muchipfuva; kana kushaya simba kana kuneta kusingaendi.

Kutora everolimus kunogona kuwedzera njodzi yekuti iwe uchava nezvimwe zvisingawanzo uye zvakakomba hutachiona, kusanganisira hutachiona neBK hutachiona, hutachiona hwakakomba hunogona kukuvadza itsvo uye hunokonzeresa itsvo yakaisirwa kutadza), uye inofambira mberi multifocal leukoencephalopathy (PML; zvisingawanzoitika hutachiona hwehuropi husingakwanise kurapwa, kudzivirirwa, kana kurapwa uye izvo zvinowanzo kukonzera kufa kana kuremara kwakanyanya). Fonera chiremba wako nekukasira kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona zviratidzo zve PML: kushaya simba kune rumwe rutivi rwemuviri kunowedzera nekufamba kwenguva; kusindimara kwemaoko kana makumbo; shanduko mukufunga kwako, kufamba, kuenzanisa, kutaura, kuona, kana simba rinogara mazuva mazhinji; musoro; pfari; kuvhiringidzika; kana hunhu hunoshanduka.


Everolimus inogona kukonzera kuvhara kweropa mumidziyo yeropa yetsvo yako yakasimwa. Izvi zvinonyanya kuitika mukati memazuva makumi matatu ekutanga mushure mekuiswa kweitsvo yako uye zvinogona kukonzera kuti kuiswa kwacho kusabudirire. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasira: kurwadziwa mukugomera kwako, kuderera kumashure, parutivi, kana mudumbu; kuderera kuita weti kana kusaita weti; ropa mune weti yako; weti yakasviba-tema; kupindwa nechando; kusvotwa; kana kurutsa.

Kutora everolimus pamwe chete necyclosporine kunogona kukonzera kukuvadza kune itsvo dzako. Kuti uderedze njodzi iyi, chiremba wako achagadzirisa muyero wecyclosporine uye otarisa iwo mazinga emishonga uye kuti itsvo dzako dziri kushanda sei. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasira: kudzikira kwekuita weti kana kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi.

Muzvidzidzo zvekiriniki, vanhu vazhinji vakatora everolimus vakafa mukati memwedzi mishoma yekutanga mushure mekugamuchira moyo wekuchinjika pane vanhu vasina kutora everolimus. Kana iwe wakagamuchira moyo wekuchinjisa, taura nachiremba wako nezve njodzi dzekutora everolimus.

Everolimus (Afinitor) inoshandiswa kurapa epamberi renal cell carcinoma (RCC; kenza inotangira muitsvo) iyo yatove kurapwa zvisina kubudirira nemimwe mishonga. Everolimus (Afinitor) inoshandiswawo kurapa imwe mhando yekenza yemazamu yepamusoro yakatove yakarapwa neimwewo mimwe mishonga. Everolimus (Afinitor) inoshandiswa zvakare kurapa imwe mhando yekenza yepancreas, dumbu, ura, kana mapapu akapararira kana kufambira mberi uye asingakwanise kurapwa nekuvhiya. Everolimus (Afinitor) inoshandiswa zvakare kurapa tumarara tetsvo muvanhu vane tuberous sclerosis complex (TSC; genetiki mamiriro ayo anoita kuti mamota akure munhengo zhinji). Everolimus (Afinitor uye Afinitor Disperz) inoshandiswawo kurapa subependymal giant cell astrocytoma (SEGA; mhando yehuropi bundu) muvakuru uye vana gore rimwe zera nekure vane TSC. Everolimus (Afinitor Disperz) inoshandiswawo pamwe chete nemimwe mishonga yekurapa mamwe marudzi ekubatwa muvanhu vakuru uye vana makore maviri ekuberekwa uye vakuru vane TSC. Everolimus (Zortress) inoshandiswa nemimwe mishonga kudzivirira kuisirwa kurambidzwa (kurwiswa kwechinhu chakaiswazve nema immune system emunhu akagashira nhengo) kune vamwe vanhu vakuru vakagashira itsvo. Everolimus iri mukirasi yemishonga inonzi kinase inhibitors. Everolimus anobata kenza nekumisa cancer maseru kubva mukuberekazve uye nekudzora kupihwa kweropa kumasero ekenza. Everolimus inodzivirira kuiswa kwekuramba nekuderedza chiitiko chemuviri wemuviri.

Everolimus inouya sehwendefa kutora nemuromo uye sehwendefa kumira mukati memvura uye kutora nemuromo. Kana everolimus inotorwa kunorapa tumamota tetsvo, SEGA, kana kubatwa nevanhu vane TSC; RCC; kana zamu, chirwatata, dumbu, ura, kana kenza yemapapu, inowanzo kutorwa kamwe chete pazuva. Kana everolimus inotorwa kudzivirira kuisirwa kwekuramba, inowanzo kutorwa kaviri pazuva (maawa gumi nemaviri) panguva imwe chete necyclosporine. Everolimus inofanirwa kugara ichitorwa nechikafu kana kugara isina chikafu. Tora everolimus kwakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora everolimus chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Mahwendefa eEverolimus anouya mune ega blister mapaketi anogona kuvhurwa nekasi. Usavhure blister pack kusvikira wagadzirira kumedza piritsi rayo.

Iwe unofanirwa kutora chero everolimus mapiritsi kana eeverolimus mapiritsi ekumiswa pamuromo. Usatore mubatanidzwa wezvose zviri zviviri izvi zvigadzirwa.

Medza mapiritsi akazara negirazi rizere remvura; usatsemure, kutsenga, kana kuvapwanya. Usatore mahwendefa akapwanywa kana kuputswa. Udza chiremba wako kana wemishonga kana iwe usingakwanise kumedza mapiritsi akazara.

Kana iwe uri kutora mapiritsi ekumiswa pamuromo (Afinitor Disperz), unofanirwa kuasanganisa nemvura usati washandisa. Usamedze mahwendefa aya akazara, uye usaasanganise nejusi kana chero chinhu chisina mvura kunze kwemvura. Usagadzirire musanganiswa maminetsi anodarika makumi matanhatu usati waronga kuushandisa, uye rasa musanganiswa kana ukasashandiswa mushure memaminitsi makumi matanhatu. Usagadzirire mishonga pane iyo yaunoshandisa kugadzirira kana kudya chikafu. Kana iwe uchizogadzirira mushonga wemumwe munhu, iwe unofanirwa kupfeka magurovhosi kudzivirira kusangana nemushonga. Kana iwe uri nepamuviri kana kuronga kuve nepamuviri, iwe unofanirwa kudzivirira kudzivirira kugadzirira mumwe munhu, nekuti kusangana neeverolimus kunogona kukuvadza mwana wako asati azvarwa.

Iwe unogona kusanganisa mapiritsi ekumiswa mumuromo mune sirinji yemuromo kana mugirazi diki. Kugadzirira musanganiswa mune sirinji sirin'i, bvisa plunger kubva kune 10-mL sirinji yemuromo uye woisa nhamba yakatemwa yemapiritsi mudhiramu yesirinji pasina kutyora kana kupwanya mapiritsi. Iwe unogona kugadzirira kusvika gumi mg yeeverolimus mune sirinji panguva imwe chete, saka kana dosi rako rakakura kupfuura 10 mg, uchafanirwa kurigadzirira mune sirinji yechipiri. Tsiva plunger irimo sirinji uye dhonza anenge mashanu mL emvura uye 4 mL yemweya muchirimo uye woisa sirinji mumudziyo netipi yakanongedza kumusoro. Mira maminetsi matatu kubvumira mapiritsi kuti aende mukumiswa. wobva watora sirinji uye zvinyoronyoro kuiburitsa nekudzika nayo kashanu. Isa sirinji mumuromo wemurwere uye pusha plunger yekupa mushonga. Mushure mekunge murwere amedza mushonga, zadza iyo sirinji imwe ne5 mL yemvura uye 4 mL yemhepo uye tenderedza iyo sirinji kuti uburitse chero zvimedu izvo zvichiri musirinji. Ipai musanganiswa uyu kumurwere kuti ave nechokwadi chekuti anogamuchira mishonga yese.

Kugadzirira musanganiswa mugirazi, isa nhamba yakatemwa yemapiritsi mugirazi diki yekumwa isingabatike anodarika zana mL (anenge maawa matatu) pasina kupwanya kana kupwanya mapiritsi. Unogona kugadzirira kusvika 10 mg yeeverolimus mugirazi panguva imwe chete, saka kana dosi rako rakakura kupfuura 10 mg, uchafanirwa kurigadzirira mugirazi yechipiri. Wedzera 25 mL (inenge 1 ounce) yemvura kugirazi. Mirira maminitsi matatu uye zvinyoronyoro fambisa musanganiswa nehupuni. Ita kuti murwere anwe musanganiswa wese nekukasira. Wedzera imwe 25 mL yemvura kugirazi uye unomutsa neichi chipunu kuti usuke chero zvidimbu zvichiri mugirazi. Ita kuti murwere anwe musanganiswa uyu kuti ave nechokwadi chekuti anogamuchira mishonga yese.

Chiremba wako anogona kugadzirisa dhizaini yako yeeverolimus panguva yekurapa kwako zvichienderana nemhedzisiro yekuongororwa kweropa rako, mhinduro yako kumushonga, mhedzisiro yaunowana, uye shanduko mune mimwe mishonga yaunotora neeverolimus.Kana iwe uri kutora everolimus kurapa SEGA kana kubatwa, chiremba wako achachinja yako dhizaini kwete kakawanda kupfuura kamwe kamwe kwe1 kusvika 2 mavhiki, uye kana iwe uri kutora everolimus kudzivirira kupinza kurambwa, chiremba wako achachinja yako dose kwete kazhinji kazhinji kupfuura kamwe mazuva ese mana kusvika mashanu. Chiremba wako anogona kumisa kurapwa kwako kwenguva kana iwe ukava nemhedzisiro yakaipa. Taura nachiremba wako nezvekuti unonzwa sei panguva yekurapwa kwako neeverolimus.

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

Usati watora everolimus,

  • udza chiremba wako uye wemishonga kana uri weergoria kune everolimus, sirolimus (Rapamune), temsirolimus (Torisel), chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi eeverolimus. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa muchikamu CHINOKOSHA CHENYENZISO uye chero ipi inotevera Prinivil, Zestril), moexipril (Univasc) perindopril (Aceon), quinapril (Accupril), ramipril (Altace), kana trandolapril (Mavik); amprenavir (Agenerase), atazanavir (Reyataz), aprepitant (Emend), carbamazepine (Carbatrol, Epitol, Tegretol), clarithromycin (Biaxin, muPrevpac), digoxin (Digitek, Lanoxicaps, Lanoxin), diltiazem (Cardizem, Dizizi, efavirenz (muAtripla, Sustiva), erythromycin (EES, E-Mycin, Erythrocin), fluconazole (Diflucan), fosamprenavir (Lexiva), indinavir (Crixivan), itraconazole (Sporanox), ketoconazole (Nizviraz) , nevirapine (Viramune), nicardipine (Cardene), phenobarbital (Luminal), phenytoin (Dilantin, Phenytek), rifabutin (Mycobutin), rifampin (Rifadin, muRifamate, muRifater), rifapentine (Priftint), ritonavir ), saquinavir (Invirase), telithromycin (Ketek), verapamil (Calan, Covera, Isoptin, Verelan) uye voriconazole (Vfend). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neeverolimus, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana iwe kana wakambove nechirwere cheshuga kana shuga yakakwira muropa; kukwirira kwecholesterol kana triglycerides muropa rako; itsvo kana chirwere chechiropa; kana chero mamiriro anokutadzisa kugaya chikafu chine shuga, starch, kana zvigadzirwa zvemukaka kazhinji.
  • udza chiremba wako kana iwe uri nepamuviri kana kuronga kuve nepamuviri Kana iwe uri mukadzi anokwanisa kuve nepamuviri, iwe unofanirwa kushandisa anoshanda ekudzivirira kubereka panguva yekurapwa kwako uye kwevhiki se8 mushure mekupedzisira kwako dosi. Kana iwe uri murume aine mukadzi mukadzi waunogona kuve nepamuviri, iwe unofanirwa kushandisa zvinobudirira kudzora kubereka panguva yekurapa kwako uye kwemavhiki mana mushure mekupedzisira dosi yako. Taura nachiremba wako nezvenzira dzekudzivirira kuberekwa dzinokushandira. Kana iwe kana mumwe wako mukava nepamuviri muchitora everolimus, danai chiremba wako. Everolimus inogona kukuvadza fetus.udza chiremba wako kana iwe uchiyamwisa. Usamwisa mukaka panguva yekurapa kwako uye kwemasvondo maviri mushure mekuita kwako kwekupedzisira.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora everolimus.
  • hauna majekiseni pasina kutaura nachiremba wako. Munguva yekurapa kwako neeverolimus, unofanirwa kudzivirira kusangana padyo nevamwe vanhu vachangobva kubayiwa jekiseni.
  • taura nachiremba wemwana wako nezve majekiseni ayo mwana wako angangoda kugamuchira asati atanga kurapwa kwake neeverolimus.
  • iwe unofanirwa kuziva kuti iwe unogona kukura maronda kana kuzvimba mumuromo mako panguva yekurapa kwako neeverolimus, kunyanya mukati memavhiki masere ekutanga ekurapa. Paunotanga kurapwa neeverolimus, chiremba wako anogona kunyorera kumwe kushambidza muromo kuti uderedze mukana wekuti uwane maronda emumuromo kana maronda uye kuti uderedze kuomarara kwawo. Tevedza rairo yechiremba wako ekuti ungashandise sei ichi kushambidza muromo. Udza chiremba wako kana iwe ukaita maronda kana kunzwa marwadzo mumuromo mako. Iwe haufanire kushandisa chero kushambidza muromo usingataure nachiremba wako kana wemishonga nekuti mamwe marudzi emuromo anoshambadza ane doro, peroxide, ayodini, kana thyme zvinogona kukuvadza maronda uye kuzvimba.
  • iwe unofanirwa kuziva kuti maronda kana kucheka, kusanganisira iyo yakatemwa paganda rakagadzirwa panguva yekuisirwa itsvo inogona kupora zvishoma zvishoma pane zvakajairwa kana kuti isingarape zvakanaka panguva yekurapwa kwako neeverolimus. Fonera chiremba wako ipapo ipapo kana akachekwa muganda kubva kuitsvo yako yekuisa kana chero imwe ronda ikava inodziya, tsvuku, inorwadza, kana kuzvimba; inozadza neropa, fluid, kana pus; kana kutanga kuvhura.

Usadye grapefruit kana kunwa muto wemazambiringa uchinwa mushonga uyu.

Kana iwe uchirangarira iro rakarasika dhizaini mukati maawa matanhatu yenguva iwe yawakarongerwa kuitora, tora iyo yakarasika dosi ipapo ipapo. Nekudaro, kana anopfuura maawa matanhatu apfuura apfuura kubva panguva yakatarwa, ruka iro rakarasika dhizaini uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

  • manyoka
  • kuvimbiswa
  • chinja mukugona kuravira chikafu
  • kuonda
  • muromo wakaoma
  • kushaya simba
  • musoro
  • kunetseka kurara kana kuramba wakarara
  • mumhino
  • ganda rakaoma
  • acne
  • matambudziko nezvipikiri
  • kurasikirwa nevhudzi
  • kurwadziwa mumaoko, makumbo, musana kana majoini
  • tsandanyama
  • kurasikirwa kana kusarongeka kumwedzi
  • kubuda ropa kwakanyanya kumwedzi
  • kunetseka kuwana kana kuchengeta erection
  • kushushikana
  • hasha kana kumwe kuchinja muhunhu

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

  • mikoko
  • kuvava
  • kuzvimba kwemaoko, tsoka, maoko, makumbo, maziso, kumeso, muromo, miromo, rurimi kana huro
  • hoarseness
  • kunetseka kufema kana kumedza
  • kurira
  • kufashaira
  • kurwadziwa pachipfuva
  • nyota yakanyanyisa kana nzara
  • kubuda ropa zvisina kujairika kana kupwanya
  • ganda rakachenuruka
  • nekukurumidza kana zvisina kujairika kurova kwemoyo
  • dzungu
  • pfari

Everolimus inogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora everolimus.

Everolimus inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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 mishonga iyi mublister pack iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nechiedza uye kupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Chengeta blister packs uye mahwendefa akaoma.

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.

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.

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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Yekupedzisira Yakagadziridzwa - 06/15/2018

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