Temozolomide Jekiseni
Zvemukati
- Usati wagamuchira temozolomide,
- Temozolomide 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, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Temozolomide inoshandiswa kurapa mamwe marudzi emota dzehuropi. Temozolomide iri mukirasi yemishonga inonzi alkylating agents. Inoshanda nekudzora kana kumisa kukura kwecancer maseru mumuviri wako.
Temozolomide jekiseni inouya sehupfu kuti iwedzerwe ku fluid uye jekiseni pamusoro pemaminitsi makumi mapfumbamwe mukati mekubaya (mutsinga) nachiremba kana mukoti. Inowanzojowa kamwe pazuva. Kune mamwe marudzi emota dzehuropi, temozolomide inopihwa zuva nezuva kwemazuva makumi mana nemakumi mana nepfumbamwe. Zvino, mushure mekuzorora kwemazuva makumi maviri nemasere, inogona kupihwa kamwe pazuva kwemazuva mashanu akateedzana, ichiteverwa neyemazuva makumi maviri nematatu isati yadzokorodza iyo inotevera dosi kutenderera. Nekurapa kweimwe mhando yemamota ehuropi, temozolomide inopihwa kamwe pazuva kwemazuva mashanu akateedzana, ichiteverwa neyemazuva makumi maviri ezororo usati wadzokorora rinotevera dosi kutenderera. Kureba kwekurapa kunoenderana nekuti muviri wako unopindura sei pairi uye mhando yekenza yauinayo.
Chiremba wako angangoda kunonoka kurapwa kwako kana kugadzirisa yako dose zvichienderana nemhinduro yako pakurapwa uye chero mhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako netemozolomide.
Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati wagamuchira temozolomide,
- udza chiremba wako uye wemishonga kana uri weergoria kune temozolomide, dacarbazine (DTIC-Dome) chero mimwe mishonga, kana chimwe chezvinhu zvinosanganiswa mu temozolomide jekiseni. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
- udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: carbamazepine (Carbatrol, Epitol, Tegretol); co-trimoxazole (Bactrim, Septra); phenytoin (Dilantin, Phenytek); steroids senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); uye valproic acid (Stavzor, Depakene).
- udza chiremba wako kana iwe wakambove kana uine chirwere cheitsvo kana chiropa.
- iwe unofanirwa kuziva kuti temozolomide inogona kukanganisa kugadzirwa kwehurume muvarume. Nekudaro, iwe haufanire kufunga kuti haugone kuitisa mumwe munhu nhumbu. Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri, kana kana iwe uronga kuronga kuva nemwana. Iwe kana mumwe wako haufanire kuve nepamuviri iwe uri kugamuchira temozolomide. Shandisa nzira yakavimbika yekudzivirira kuberekwa kudzivirira kubata nhumbu. Kana iwe ukava nepamuviri iwe uchigamuchira temozolomide, fonera chiremba wako. Temozolomide inogona kukuvadza fetus.
- udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwa paunenge uchigamuchira temozolomide.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Temozolomide inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kusvotwa
- kurutsa
- manyoka
- kuvimbiswa
- kurasikirwa nenzara
- maronda mumuromo nehuro
- musoro
- ganda rakachenuruka
- kushaya simba
- kurasikirwa kwechiyero kana kubatana
- kufenda
- dzungu
- kurasikirwa nevhudzi
- kushaya hope
- matambudziko ekurangarira
- kurwadziwa, kuchenesa, kuzvimba, kana kutsvuka munzvimbo yaibayiwa mishonga
- shanduko pane zvakaratidzwa
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- kubuda ropa zvisina kujairika kana kupwanya
- dzvuku kana nhema, zvigaro zvekugara
- pink, tsvuku, kana yakasviba weti
- kukosora kana kurutsa ropa kana zvinhu zvinoita kunge kofi nzvimbo
- fivha, huro, kuora kuri kuramba kuchiita uye kuzara, kana zvimwe zviratidzo zvehutachiona
- kuneta zvisina kujairika kana kushaya simba
- mapundu
- isingakwanise kufambisa rumwe rutivi rwemuviri
- mweya wekufema
- pfari
- yero yeganda kana maziso
- kurwadziwa kumusoro kwepamusoro chikamu chedumbu
- kuderera kwekuita weti
Temozolomide inogona kuwedzera njodzi yekuti unozogadzira mamwe kanzira. Taura nachiremba wako nezve njodzi dzekutora temozolomide.
Temozolomide 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).
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:
- kubuda ropa zvisina kujairika kana kupwanya
- dzvuku kana nhema, zvigaro zvekugara
- pink, tsvuku, kana yakasviba weti
- kukosora kana kurutsa ropa kana zvinhu zvinoita kunge kofi nzvimbo
- fivha, huro, kuora kuri kuramba kuchiita uye kuzara, kana zvimwe zviratidzo zvehutachiona
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira bvunzo dzemarabhoritari zvisati zvaitika, panguva, uye mushure mekurapwa kwako kuti utarise mhinduro yemuviri wako uye ku temozolomide kuti uone kana masero ako eropa abatwa nemushonga uyu.
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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