Nivolumab Jekiseni

Zvemukati

• Usati wagamuchira nivolumab jekiseni,

Nivolumab jekiseni inoshandiswa:

• oga kana musanganiswa neipilimumab (Yervoy) kurapa mamwe marudzi e melanoma (rudzi rwegomarara reganda) iro rakapararira kune dzimwe nhengo dzemuviri kana risingakwanise kubviswa nekuvhiya,
• kurapa uye kudzivirira kudzoka kweimwe mhando yemelanoma mushure mekuvhiyiwa kuibvisa uye chero nyama yakakanganiswa uye lymph node,
• pamwe ne ipilimumab (Yervoy) kurapa imwe mhando yekenza yemapapu (isiri-diki kenza yemapapu kenza; NSCLC) yakapararira kune dzimwe nhengo dzomuviri,
• mukubatana ne ipilimumab (Yervoy) uye platinum chemotherapy yekurapa imwe mhando yeNSCLC yakadzoka kana yakapararira kune dzimwe nhengo dzomuviri,
• ndega kurapa imwe mhando yeNSCLC yakapararira kune zvimwe zvikamu zvemuviri uye yakawedzera kana panguva kana mushure mekurapwa neplatinamu chemotherapy mishonga,
• kurapa imwe mhando yekenza yemapapu (diki kenza yemapapu kenza, SCLC) iyo yakapararira kune zvimwe zvikamu zvemuviri zvakatonyanya kukuvara mushure mekurapwa mushure meplatinum chemotherapy uye pamwe neimwe imwe chemotherapy mishonga,
• kurapa yakakwira renal cell carcinoma (RCC, rudzi rwekenza inotanga mumasero eitsvo) yakawedzera mushure mekurapwa nemamwe mishonga yekemotherapy,
• mukubatana ne ipilimumab (Yervoy) kurapa yakakwira RCC mune vanhu vasina kurapwa nemamwe mishonga yekemotherapy,
• kurapa Hodgkin's lymphoma (Hodgkin's disease) muvanhu vakuru vakawedzera kana kusapindura kune autologous stem cell transplant (maitiro ayo mamwe masero eropa anobviswa mumuviri uye ndokuzodzokera kumuviri mushure mekemotherapy uye / kana radiation kurapwa) uye brentuximab vedotin (Adcetris) kurapwa kana angangoita matatu mamwe marapirwo anosanganisira iyo stem cell kuisirwa,
• kurapa imwe mhando yemukenza wemusoro nemutsipa unoramba uchidzoka kana wakapararira kune dzimwe nhengo dzomuviri kana kuwedzera munguva kana mushure mekurapwa nemamwe mishonga yekemotherapy,
• kurapa kenza yeurothelial (cancer yemubhedha wedundira uye zvimwe zvikamu zveweti) iyo yakapararira kune dzimwe nhengo dzemuviri uye yakawedzera panguva kana mushure mekurapwa nemamwe mishonga yekemotherapy,
• ari oga kana akabatana nepilimumab kurapa imwe mhando yekenza yakajeka (kenza inotanga mumatumbo makuru) muvanhu vakuru nevana vane makore gumi nemaviri zvichikwira zvakapararira kune zvimwe zvikamu zvemuviri uye zvanyanya mushure mekurapwa neimwe chemotherapy. mishonga,
• oga kana musanganiswa nepilimumab kurapa hepatocellular carcinoma (HCC; rudzi rwegomarara rechiropa) muvanhu vakamborapwa ne sorafenib (Nexafar),
• kurapa esophageal squamous cell cancer (kenza yehubhu inobatanidza huro yako nedumbu rako) iyo yakapararira kune mamwe mativi emuviri, yawedzera mushure mekurapwa nemamwe mishonga yekemotherapy, kana isingakwanise kurapwa nekuvhiya,
• uye pamwe chete neipilimumab yekurapa malignant pleural mesothelioma (mhando yekenza inobata mukati memukati memapapu uye chipfuva) mune vanhu vakuru vasingakwanise kubviswa nekuvhiya.

Nivolumab iri mukirasi yemishonga inonzi monoclonal antibodies. Inoshanda nekubatsira immune system yako kudzora kana kumisa kukura kwemasero ekenza.

Nivolumab inouya semvura inoiswa mukati mutsinga pamusoro pemaminitsi makumi matatu nachiremba kana mukoti muchipatara kana nzvimbo yekurapa. Kana nivolumab ikapihwa yega yekurapa melanoma, isiri-diki kenza yemapapu kenza (NSCLC), Hodgkin lymphoma, kenza yemusoro nemutsipa, kenza yeurothelial, advanced RCC, kenza yakajeka, esophageal squamous cell cancer, kana hepatocellular carcinoma, inowanzo kupihwa kamwe mavhiki maviri kana mana ega ega zvichienderana nedosi yako chero bedzi chiremba wako achikurudzira kuti ugamuchire kurapwa. Kana nivolumab ikapihwa yega yekurapa kenza diki yemukenza yemapapu (SCLC), inowanzo kupihwa kamwe chete kwemavhiki maviri chero bedzi chiremba wako achikurudzira kuti ugamuchire kurapwa. Kana nivolumab ikapihwa musanganiswa neipilimumab kurapa melanoma, hepatocellular carcinoma, colorectal cancer, kana RCC, inowanzo kupihwa kamwe chete kwemavhiki matatu e4 madosi ane ipilimumab, uyezve yega kamwe chete kwega kwega kana mavhiki e4 zvichienderana neyero yako se chero bedzi chiremba wako achikurudzira kuti iwe ugamuchire kurapwa. Kana nivolumab ikapihwa pamwe chete neipilimumab yekurapa NSCLC, inowanzo kupihwa kamwe chete kwevhiki mbiri chero bedzi chiremba wako achikurudzira kuti ugamuchire kurapwa. Kana nivolumab ikapihwa pamwe chete neipilimumab yekurapa yakaipa malphelium mesothelioma, inowanzo kupihwa kamwe chete pavhiki nhatu chero bedzi chiremba wako achikurudzira kuti ugamuchire kurapwa. Kana nivolumab ikapihwa pamwe chete neipilimumab uye platinum chemotherapy yekurapa NSCLC, inowanzo kupihwa kamwe chete pavhiki nhatu chero bedzi chiremba wako achikurudzira kuti ugamuchire kurapwa.

Nivolumab inogona kukonzera zvakakomba kana kutyisidzira hupenyu panguva yekumukirwa. Chiremba kana mukoti anozokutarisa zvakanyanya paunenge 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 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 uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Udza chiremba wako kana mukoti nekukasira kana iwe uchinge waona chero cheanotevera zviratidzo anogona kuitika panguva yekumukirwa: kutonhora kana kuzunza, kuchenesa, kumhanyisa, kufashaira, kunetseka kufema, dzungu, fivha, uye kunzwa kupera simba.

Chiremba wako anogona kudzora infusion yako, kuinonotsa, kana kumisa kurapa kwako nivolumab jekiseni, kana kukubata iwe nemimwe mishonga zvichienderana nemhinduro yako kumushonga uye chero mhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa nejekiseni re nivolumab. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo.

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

Usati wagamuchira nivolumab jekiseni,

• udza chiremba wako uye wemishonga kana iwe uri weergergic kune nivolumab, chero mimwe mishonga, kana chimwe chezvinhu zvinosanganiswa mujoivumum jekiseni. 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, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakambove nekuiswa nhengo. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chekuzvidzivirira muviri (mamiriro umo immune system inorwisa chikamu chine hutano chemuviri) senge chirwere cheCrohn (mamiriro umo immune system inorwisa iyo lining yeiyo yekugaya nzira inokonzera kurwadziwa, manyoka, kuonda, nefivha), ulcerative colitis (mamiriro anokonzeresa kuzvimba uye maronda mumutsara wekoloni [ura hukuru] uye rectum), kana lupus (mamiriro umo immune system inorwisa akawanda matishu uye nhengo dzinosanganisira ganda, majoini, ropa, neitsvo); chero mhando yemapapu chirwere kana matambudziko ekufema; kana chirwere chetachiona, itsvo kana chiropa.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe unozofanirwa kutora nhumbu yekubata usati wagamuchira nivolumab. Iwe haufanire kuve nemimba 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 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 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 uchinge uchinge uchinge uchinge uchinge uchinge uchizogamuchira jekiseni re nivolumab Iwe unofanirwa kushandisa inoshanda yekudzivirira kubata pamuviri panguva yekurapa kwako nivolumab jekiseni uye kweinenge mwedzi mishanu mushure meyako yekupedzisira dosi. Taura nachiremba wako nezvenzira dzekudzivirira kuberekwa dzinokushandira. Kana iwe ukava nepamuviri uchigamuchira nivolumab jekiseni, dana chiremba wako nekukurumidza. Nivolumab jekiseni inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa kana kuronga kuyamwisa. Iwe haufanire kuyamwa uchigashira nivolumab jekiseni uye kwemwedzi mishanu mushure mechiyero chako chekupedzisira.

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

Kana iwe ukarasikirwa musangano wekugamuchira nivolumab jekiseni, fonera chiremba wako nekukurumidza sezvazvinogona.

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

• kubatana, musana, shaya, kana kurwadziwa kwepfupa
• kurwadziwa kwemhasuru kana kushaya simba
• yakaoma, yakatsemuka, ganda rine ganda
• kutsvuka, kuzvimba, kana kurwadziwa pamaoko emaoko ako kana tsoka dzetsoka dzako
• maronda emuromo
• kuoma maziso kana muromo

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHENYAYA, udza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira

• mweya wekufema
• chitsva kana kuwedzera kukosora
• kukosora ropa
• kurwadziwa pachipfuva
• manyoka
• dumbu nzvimbo kurwadziwa kana unyoro
• zvituru zvakasviba, zvinonoka, zvinonamira, kana zvine ropa
• kuneta kana kushaya simba
• kunzwa kutonhora
• kudzika kwezwi kana kutinhira
• shanduko mukurema (kuwana kana kurasikirwa)
• shanduko yemanzwiro kana maitiro (yakaderera bonde drive, kusagadzikana, kana kukanganwa)
• kuomesa kwemutsipa
• kurwadziwa, kupisa, kurira, kana kushaya maoko kana tsoka
• kutemwa nemusoro, kusanganisira izvo zvisina kujairika kana kusingaendi
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• pfari
• kuvhiringidzika
• kupindwa nechando
• kurasikirwa nevhudzi
• kuchenesa, kuputika, mikoko, kana blister paganda rako
• kuvimbiswa
• kusvotwa
• kurutsa
• kutsimwaira
• dzungu kana kupera simba
• yero yeganda kana maziso, yakasviba-yeti weti, kubuda ropa kana kupwanya zviri nyore kupfuura zvakajairwa, kurasikirwa kwechido, kupera simba, kana kurwadziwa kurudyi kwedumbu nzvimbo.
• kuwedzera nyota
• kuderera kana kuwedzera weti
• kuzvimba kwechiso, maoko, makumbo, tsoka kana makumbo
• ropa mune weti
• shanduko pane zvakaratidzwa
• mweya unonhuwirira muchero

Nivolumab 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).

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti aongorore mhinduro yemuviri wako kune nivolumab injection. Kune mamwe mamiriro, chiremba wako acharaira bvunzo bvunzo usati watanga kurapwa kwako kuti uone kana kenza yako ichirapwa nivolumab.

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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