Munyori: Virginia Floyd
Zuva Rekusika: 14 Nyamavhuvhu 2021
Gadziridza Zuva: 20 Chikumi 2024
Anonim
Update on PI3K inhibitors for CLL: Idelalisib, copanlisib, duvelisib, and umbralisib
Vhidhiyo: Update on PI3K inhibitors for CLL: Idelalisib, copanlisib, duvelisib, and umbralisib

Zvemukati

Duvelisib inogona kukonzera hutachiona hwakakomba kana hunotyisa. Udza chiremba wako kana uine hutachiona, kana iwe kana wakambove necytomegalovirus (CMV; hutachiona hutachiona hunogona kukonzeresa zviratidzo kune varwere vane immune system isina kusimba). Kana 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 uchiona.

Duvelisib inogona kukonzera manyoka kana colitis (kuzvimba kwemukati ura). Udza chiremba wako kana iwe uine manyoka kana kana iwe wakambove uine colitis kana mamwe mamiriro anokanganisa dumbu rako kana ura. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukasira: kuwedzera kwehuwandu hwekufamba kwemukati pazuva, ropa muchigaro chako, kana chero dumbu rinorwadza kana kurwadziwa.

Duvelisib inogona kukonzeresa kana kutyisidzira hupenyu kuganda. Kana 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 uchiona.


Duvelisib inogona kukonzera zvakakomba kana kutyisidzira hupenyu pneumonitis (kuzvimba kwemapapu). Udza chiremba wako kana iwe uine chirwere chemapapu kana matambudziko ekufema. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza: chitsva kana kuwedzera kukosora, kunetseka kufema, kufema, kana kupfupika kwekufema.

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

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa ne duvelisib 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.

Duvelisib inoshandiswa kurapa chisingaperi lymphocytic leukemia (CLL; rudzi rwekenza inotanga mumasero machena eropa) kana diki lymphocytic lymphoma (SLL; rudzi rwekenza inotanga kunyanya mune node node) yakadzoka kana isingateereri ku dzimwe nzira mbiri. Inoshandiswawo kurapa mamwe marudzi e follicular lymphoma (FL; rudzi rwekenza inotanga mumasero machena eropa) kune vanhu vakuru vane gomarara rakadzoka kana risingateereri kune mamwe marapirwo maviri. Duvelisib ari mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira zviratidzo zvinokonzeresa kuti maseru ekenza awande. Izvi zvinobatsira kumisa kupararira kwemasero ekenza.


Duvelisib inouya sekapuleti kutora nemuromo. Inowanzo kutorwa kaviri pazuva kana pasina kana chikafu. Tora duvelisib panguva dzakatenderedza nguva dzakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora duvelisib chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza iyo capsule yakazara; usavhure, kutsenga, kana kuzvityora.

Chiremba wako anogona kudzikisira muyero wako we duvelisib kana kukuudza kuti usiye kutora mishonga kwenguva kana zvachose kana iwe ukava nematambudziko akakomba 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 duvelisib kunyangwe iwe uchinzwa zvakanaka. Usarega kutora duvelisib usina kutaura nachiremba wako.

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


Usati watora duvelisib,

  • udza chiremba wako uye wemishonga kana uri weergoria kune duvelisib, chero mimwe mishonga, kana chero chipi chezvinhu zvinosanganiswa mu duvelisib capsules. 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, zvekuwedzera zvinovaka muviri, zvauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: carbamazepine (Epitol, Tegretol, Teril, vamwe); clarithromycin (Biaxin); mishonga inoshandiswa kurapa hutachiona hwehutachiona hwehutachiona hweHIV (efavirenz (Sustiva, muAtripla), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), uye ritonavir (Norvir, mune vamwe); itraconazole (Onmel, Sporanox); ketoconazole, midazolam; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pioglitazone (Actos); rifabutin (Mycobutin); uye rifampin (Rifadin, Rimactane, muRifamate). Mimwe mishonga yakawanda inogona zvakare kubatana ne duvelisib, saka ive shuwa yekuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana iwe wakambove kana wakambove nechirwere chechiropa.
  • udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe unofanirwa kuve nemuedzo wepamuviri usati watanga kutora duvelisib. Iwe haufanire kuve nepamuviri panguva yekurapa kwako ne duvelisib. Kana iwe uri munhukadzi, iwe unofanirwa kushandisa kuberekwa kudzivirira kubata pamuviri panguva yekurapa kwako ne duvelisib uye unenge mwedzi mumwe mushure meyako yekupedzisira dosi. Kana iwe uri murume uye mumwe wako achigona kuve nepamuviri, iwe unofanirwa kushandisa zvinobudirira kudzora kubereka panguva yekurapa kwako uye kwemwedzi mumwe mushure meyako yekupedzisira dosi. Kana iwe kana mumwe wako mukava nepamuviri muchitora duvelisib, danai chiremba wako nekukurumidza. Duvelisib inogona kukuvadza fetus.
  • udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa iwe paunenge uchitora duvelisib uye kweinenge mwedzi mumwe mushure mekupedzisira kwezita rako.

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

Kana iwe ukarasikirwa neiyo dose ye duvelisib nemaasingasviki maawa matanhatu, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchinge uchinge uchinge uchinge uchinge watora iyo inotevera dosi panguva yakatarwa nguva. Nekudaro, kana iwe ukarasikirwa nedhiza nemaawa anodarika matanhatu, ruka iro rakarasika uye ramba uchiita yako yenguva dzose dosing chirongwa. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

  • kusvotwa
  • kurutsa
  • kuvimbiswa
  • kuneta
  • musoro
  • mhasuru kana kujoina kurwadziwa

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:

  • yero maziso kana ganda; marwadzo emudumbu; kupwanya kusingatsanangurike kana kubuda ropa; kurasikirwa nenzara; weti yero kana yeruvara-shava; zvituru zvakachenuruka; kana kurwadziwa muchikamu chepamusoro chekurudyi chedumbu

Duvelisib 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 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

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 - 11/15/2018

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