Vandetanib

Zvemukati

• Usati watora vandetanib,
• Vandetanib 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:

Vandetanib inogona kukonzera kuwedzera kweQT (irregular moyo rhythm iyo inogona kutungamira mukufenda, kurasikirwa kwekuziva, kubatwa, kana kufa kamwe kamwe). Udza chiremba wako kana iwe kana chero munhu mumhuri yako ane kana akambove neakareba QT syndrome (chinzvimbo chakagarwa mukati umo munhu angangove nekuwedzera kweQT) kana iwe kana wakambove uine yakaderera mwero wecalcium, potasium kana magnesium mukati ropa rako, kurova kwemoyo zvisina kujairika, kutadza kwemoyo, kana chirwere chemwoyo. Udza chiremba wako uye wemishonga kana iwe uri kutora chloroquine (Aralen); clarithromycin (Biaxin, muPrevpac); haloperidol (Haldol); mishonga yekurova kwemoyo zvisina kujairika senge amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide, uye sotalol (Betapace); mimwe mishonga yekusvotwa senge dolasetron (Anzemet) uye granisetron (Sancuso); methadone (Dolophine, Methadose); moxifloxacin (Avelox); uye pimozide (Orap). Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, rega kutora vandetanib uye udane chiremba wako nekukasira kana kuwana kurapwa kwekukurumidzira: kukurumidza, kurova, kana kusagadzikana kwemoyo. kufenda; musoro wakareruka; kana kurasikirwa kwekuziva. Vandetanib inogona kuramba iri mumuviri wako kwemwedzi yakati wandei mushure mekumira kutora mushonga, saka unogona kuramba uri panjodzi yemhedzisiro panguva iyoyo.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira zvimwe bvunzo, senge kuongororwa ropa uye maelectrocardiograms (EKGs, bvunzo dzinorekodha chiitiko chemagetsi chemwoyo) zvisati zvaitika uye nguva zhinji pakurapwa kwako kuve nechokwadi chekuti zvakachengeteka kuti utore vandetanib. Chiremba wako anozorairawo bvunzo idzi nguva ipi neipi iyo dhizeti yako yevanetanib yashandurwa kana ukatanga kutora mimwe mishonga mitsva.

Chirongwa chinonzi Caprelsa Risk Evaluation uye Mitigation Strategic (REMS) chakagadzirirwa kugadzirisa njodzi dzemushonga uyu. Iwe unozongogona chete kugashira vandetanib kana chiremba anokuraira mushonga wako akanyoreswa muchirongwa. Iwe unogona chete kugamuchira mishonga kubva kukemisi inotora chikamu muchirongwa. Kumbira chiremba wako kana iwe uine chero mibvunzo nezve kutora chikamu muchirongwa kana maitiro ekuti uwane mushonga wako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa nevandetanib 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 vandetanib.

Vandetanib inoshandiswa kurapa imwe mhando yegomarara rekenza isingarapike nekuvhiya kana yakapararira kune dzimwe nhengo dzemuviri. Vandetanib ari mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira chiito chepuroteni isina kujairika iyo inoratidza masero ekenza kuti iwande. Izvi zvinobatsira kudzora kana kumisa kupararira kwekenza maseru.

Vandetanib inouya sehwendefa kutora nemuromo. Inowanzo kutorwa pamwe kana pasina chikafu kamwe pazuva. Tora vandetanib panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora vandetanib chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mapiritsi akazara negirazi remvura. Usaparadzanise, kutsenga, kana kuvapwanya. Kana piritsi rakapwanywa netsaona, dzivisa kusangana neganda rako. Kana paine chero kusangana kunoitika, geza nzvimbo yakakanganiswa zvakanaka nemvura.

Kana iwe usingakwanise kumedza mapiritsi akazara, unogona kuanyungudutsa mumvura. Isa hwendefa iri mugirazi ine maoice maviri emvura isina mvura, isina kaboni. Usashandise chero imwe mvura kunyungudutsa piritsi. Simbisai musanganiswa kwemaminitsi gumi kusvikira piritsi racho riri muzvidimbu zvidiki; iyo piritsi hainyungudike zvachose. Imwai musanganiswa ipapo. Sukurudza girazi neaya mana maoreni emvura isina-kabhoni uye nekunwa mvura yekugeza kuti uve nechokwadi chekuti unomedza mishonga yese.

Chiremba wako anogona kudzikisira muyero wako wevanetanib kana kukuudza kuti rega kutora vandetanib kwenguva yakati panguva yekurapa kwako. Izvi zvinoenderana nekuti mushonga unoshanda sei kwauri uye nemhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako. Ramba uchitora vandetanib kunyangwe iwe uchinzwa zvakanaka. Usarega kutora vandetanib usina kutaura nachiremba wako.

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

Usati watora vandetanib,

• udza chiremba wako uye wemishonga kana uri weergoria kune vandetanib, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi evandetanib. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa muchikamu CHINOKOSHA CHENYENZO uye chero ipi inotevera: carbamazepine (Tegretol, Carbatrol, Equetro), dexamethasone, phenobarbital, phenytoin (Dilantin, Phenytek), rifabutin (Mycobutin), rifampin (Rifadin, , rifapentin (Priftin), uye utachiona mahormone senge levothyroxine (Synthroid). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kusangana nevandetanib, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kuti ndeapi mishonga yemakwenzi yauri kutora, kunyanya St. Johns Wort.
• udza chiremba wako kana uchangobva kukosora ropa kana uine rumwe rudzi rwezvinetso zvekubuda ropa uye kana uine kana wakambove neBP, chero rudzi rwehosha yeganda, pfari, kana mapapu, itsvo kana chirwere chechiropa.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanire kuve nepamuviri iwe paunenge uchitora vandetanib uye kweinenge mwedzi mina mushure mekurapwa kwako. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa panguva yekurapa kwako. Kana iwe ukava nepamuviri uchitora vandetanib, danaidza chiremba wako nekukasira. Vandetanib inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora vandetanib.
• iwe unofanirwa kuziva kuti vandetanib inogona kukuita iwe unzwe kukotsira, kushaya simba, kana kukonzera kusajeka kuona. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• ronga kudzivirira kudzivirirwa zvisina kufanira kana kwenguva yakareba kune chezuva uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Vandetanib inogona kuita kuti ganda rako ribate chiedza chezuva panguva yekurapa kwako uye kweinenge mwedzi mina mushure mekumisa kurapwa kwako.

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

Kana yako inotevera dosi inokodzera mumaawa gumi nemaviri kana kupfuura, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchayeuka izvozvo. Nekudaro, kana iyo inotevera dhizaini ichatorwa mune asingasviki maawa gumi nemaviri, ruka iro rakarasika dhizaini uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kusvotwa
• kurutsa
• chirungurira
• kurasikirwa nenzara
• kuonda
• kurwadziwa nemudumbu
• dzihwa
• kuneta zvakanyanya
• kushaya simba
• kunetseka kurara kana kuramba wakarara
• kuora mwoyo

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:

• manyoka
• mapundu kana mburwa
• yakaoma, peeling, kana inocheka ganda
• mapundu kana maronda paganda kana mumuromo
• kutsvuka kwechiso, maoko, kana tsoka dzetsoka
• mhasuru kana majoini akabatana
• kupindwa nechando
• kurwadziwa pachipfuva (izvo zvinogona kuwedzera nekufema kwakadzika kana kukosora)
• hiccups kana kufema nekukurumidza
• kamwe kamwe kufema kwekufema
• kuramba chikosoro
• kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
• kamwe kamwe kuwedzera uremu
• chiveve kana kushaya simba kwechiso, ruoko, kana gumbo, kunyanya kune rumwe rutivi rwemuviri
• kuvhiringidzika kamwe kamwe
• kunetseka kutaura kana kunzwisisa
• pakarepo dambudziko rekuona mune rimwe kana maviri maziso
• kamwe kamwe kunetseka kufamba kana kuenzanisa
• pakarepo musoro wakakomba
• pfari
• kupwanya kusingawanzo kana kubuda ropa

Vandetanib 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).

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.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kune vandetanib. Chiremba wako anozoongorora zvekare kuwedzerwa kweropa rako panguva yekurapwa kwako nevandetanib.

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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