Munyori: Clyde Lopez
Zuva Rekusika: 22 Chikunguru 2021
Gadziridza Zuva: 1 Chikunguru 2024
Anonim
Andreas Hochhaus: Asciminib vs. Bosutinib in Chronic Myeloid Leukemia
Vhidhiyo: Andreas Hochhaus: Asciminib vs. Bosutinib in Chronic Myeloid Leukemia

Zvemukati

Bosutinib inoshandiswa kurapa imwe mhando yechirwere chisingaperi che myeloid leukemia (CML; rudzi rwekenza yemasero machena eropa), kusanganisira kurapwa kune vanhu vakawanikwa munguva pfupi yapfuura vaine mamiriro aya uye mune avo vasingachagone kubatsirwa nemamwe mishonga. yeCML kana ndiani asingakwanise kutora mishonga iyi nekuda kwemhedzisiro. Bosutinib iri mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira chiito chepuroteni isina kujairika iyo inoratidza masero ekenza kuti iwande. Izvi zvinobatsira kumisa kupararira kwekenza masero.

Bosutinib inouya sehwendefa kutora nemuromo. Inowanzo kutorwa nechikafu kamwe pazuva. Tora bosutinib 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 bosutinib chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya. Kana chero mahwendefa akaputsika kana kupwanyika, usabata iwo nemaoko ako asina maoko.


Chiremba wako anogona kumbomira kurapwa kana kumbomira zvachose kana kugadzirisa yako bosutinib zvichienderana nemhinduro yako pakurapwa uye chero mhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako. Ramba uchitora bosutinib kunyangwe iwe uchinzwa zvakanaka. Usarega kutora bosutinib usina kutaura nachiremba wako.

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 watora bosutinib,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune bosutinib kana chero chipi chezvinhu zvinosanganiswa mumapiritsi e bosutinib. 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: mamwe maantifungal akadai ketoconazole uye itraconazole (Sporanox); aprepitant (Simbisa); mimwe mishonga inoshandiswa kurapa hutachiona hwehutachiwana hwevanhu (HIV) senge indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), uye saquinavir (Invirase); mishonga yekudzora mudumbu acid (proton-pump inhibitors) senge esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), uye rabeprazole (AcipHex); diltiazem (Cardizem, Cartia, Tiazac); erythromycin (EES, E-Mycin, Erythrocin); nefazodone; rifabutin (Mycobutin); uye rifampin (Rifadin, Rimactane muRifamate, muRifater). Mimwe mishonga yakawanda inogona zvakare kusangana ne bosutinib, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • kana uri kutora antacids, senge aluminium hydroxide / magnesium hydroxide (Maalox), calcium carbonate (Tums) kana calcium carbonate uye magnesium (Rolaids) kana mishonga yekudzikisa mudumbu acid, senge cimetidine (Tagamet), famotidine (Pepcid), kana ranitidine (Zantac), tora ivo maawa maviri pamberi kana maviri maawa mushure mekutora bosutinib.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana iwe wakambove neitsvo, chiropa, kana chirwere chemwoyo.
  • udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe unozofanirwa kutora nhumbu yekubata usati watanga kurapwa uye haufanire kuve nepamuviri iwe paunenge uchitora bosutinib. Iwe unofanirwa kushandisa inobudirira fomu yekurapa panguva yekurapa ne bosutinib uye kwemasvondo maviri mushure mekupedzisira dosi. Taura nachiremba wako nezvenzira dzekudzivirira kuberekwa dzinokushandira. Kana iwe ukava nepamuviri uchitora bosutinib, danaidza chiremba wako. Bosutinib inogona kukuvadza fetus.
  • udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa iwe paunenge uchitora bosutinib uye kwemavhiki maviri mushure medosi yako yekupedzisira.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora bosutinib.

Usadye grapefruit, kunwa muto wemazambiringa, kana kutora chero chinowedzera chine grapefruit yakabviswa uchinwa mushonga uyu.


Tora dosi rakarasika nechikafu nekukurumidza paunenge uchirangarira.Nekudaro, kana anga ave anopfuura maawa gumi nemaviri kubva padosi yako yekupedzisira, ruka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

  • musoro
  • kurasikirwa nenzara
  • kuneta kana kushaya simba
  • chinja mukugona kuravira chikafu
  • kurira munzeve

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

  • kusvotwa
  • kurutsa
  • manyoka
  • kamwe kamwe mudumbu nzvimbo kurwadziwa
  • kubuda ropa kusinga tsanangurike kana kupwanya
  • ropa mune weti kana chigaro
  • shandura mune kuwanda kwehuwandu
  • kuwedzera kana kuderera muhuwandu weti
  • dzungu
  • fivha, huro, chironda, kana zvimwe zviratidzo zvehutachiona
  • kufema uye kukosora
  • kurwadziwa pachipfuva
  • kuzvimba kwechiso, maoko, makumbo, tsoka, kana makumbo ezasi
  • kamwe kamwe kuwedzera uremu
  • yero yeganda nemaziso
  • weti yakasviba kana tii
  • mikoko
  • mapundu
  • kuvava
  • kunetseka kufema kana kumedza

Bosutinib 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).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari kuti atarise mhinduro yemuviri wako kune bosutinib.

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 - 12/15/2019

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