Cladribine

Zvemukati

• Usati watora cladribine,
• Cladribine 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:

Cladribine inogona kuwedzera njodzi yekuti uchava nekenza. Udza chiremba wako kana iwe wakambove kana uine kenza. Chiremba wako anogona kukuudza kuti usatora cladribine.Taura nachiremba wako nezve izvo zvaunofanirwa kuita kuti uongorore zviratidzo zvekenza sekuzviongorora-wega uye kuongorora bvunzo.

Taura nachiremba wako nezve njodzi dzekutora cladribine.

Usatore cladribine kana iwe uri nepamuviri kana kuronga kuve nepamuviri. Kana iwe ukava nepamuviri uchitora cladribine, rega kutora cladribine uye danaidza chiremba wako nekukurumidza. Pane njodzi yekuti cladribine inogona kukonzera kurasikirwa nepamuviri kana kukonzera mwana kuti azvarwe aine hurema hwekuzvara (matambudziko epanyama aripo pakuzvarwa).

Chiremba wako anozotarisa kuti aone kana uri nepamuviri usati watanga yega nzira yekurapa. Iwe unofanirwa kushandisa kuberekwa kudzivirira kubata pamuviri panguva yega yega yekurapa necladribine uye kweinenge mwedzi mitanhatu mushure meyako yekupedzisira dosi yeyese yekurapa kosi. Kana iwe uri kushandisa mahormone (estrogen) mishonga yekuzvidzivirira (mapiritsi ekudzivirira kubereka, zvigamba, mhete, mapiritsi, kana majekiseni) iwe unofanirwa zvakare kushandisa imwe nzira yekudzivirira kuberekwa panguva yega yega yekurapa necladribine uye kweanenge mavhiki mana mushure mekupedzisira kwako imwe neimwe nzira yekurapa. Kana iwe uri murume ane mukadzi mukadzi waunogona kuve nepamuviri, ita chokwadi chekushandisa kuberekwa panguva imwe neimwe yekurapa ne cladribine uye kweinenge mwedzi mitanhatu mushure meyako yekupedzisira dosi yeyese yekurapa kosi. Taura nachiremba wako nezve nzira dzekudzivirira kuberekwa dzaunogona kushandisa panguva uye mushure mekurapa kwako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa necladribine uye nguva yega yega paunozadza tsamba yako. 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.

Cladribine inoshandiswa kurapa vanhu vakuru vane nzira dzekudzokororazve dze multiple sclerosis (MS; chirwere umo tsinga dzisingashande nemazvo uye vanhu vanogona kuona kushaya simba, kupera simba, kurasikirwa kwekubatana kwemhasuru, uye matambudziko nemaonero, kutaura, uye kudzora dundira), kusanganisira kudzokorodza-kudzora mafomu (kosi yechirwere uko zviratidzo zvinomuka nguva nenguva) uye anoshanda echipiri mafomu anofambira mberi (kosi yechirwere iyo inoteedzazve nzira yekudzokerazve-apo zviratidzo zvinowedzera kuwedzera nekufamba kwenguva). Cladribine inowanzo shandiswa muvarwere vakatoyedza imwe kurapwa kweMS. Cladribine mukirasi yemishonga inonzi purine antimetabolites. Inoshanda nekumisa mamwe maseru ezvirwere zvemuviri kubva mukukonzera kukuvara kwetsinga.

Cladribine inouya sehwendefa kutora nemuromo nemvura. Inowanzo kutorwa pamwe kana pasina chikafu, kamwe chete pazuva kwemazuva mana kana mashanu akateedzana kweimwe yekurapa kutenderera. Yechipiri kurapwa kutenderera kunofanirwa kudzokororwa 23 kusvika 27 mazuva gare gare kuti apedze imwe yekurapa kosi. Yepiri kosi (2 kurapa kutenderera) inowanzo kupihwa angangoita makumi mana nemakumi mana emavhiki mushure mekupedzisira muyero wechipiri kutenderera. Tora cladribine 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 cladribine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.

Bvisa piritsi kubva pane blister pack nemaoko akaomeswa wobva wamedza iyo piritsi ipapo. Deredza nguva iyo piritsi iri kusangana neganda rako. Dzivisa kubata mhino dzako, maziso, uye zvimwe zvikamu zvemuviri wako. Mushure mekutora mushonga, geza maoko ako zvakanaka nemvura. Kana iyo piritsi ikasangana nechero nzvimbo kana zvimwe zvikamu zvemuviri wako, wozvishambidza zvakanaka nemvura ipapo ipapo.

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

Usati watora cladribine,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune cladribine, chero mimwe mishonga, kana chero chipi zvacho chemapiritsi e cladribine. 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 chero yeanotevera: cilostazol; dipyridamole (Persantine, muAgrenrenox); elrombopag (Promacta); furosemide (Lasix); gabapentin (Gralise, Horizant, Neurontin); ibuprofen (Advil, Midol, Motrin, vamwe); interferon beta (Avonex, Betaseron, Extavia, Rebif); lamivudine (Epivir, muEpzicom); mishonga inodzvinyirira immune system yakadai saazathioprine (Azasan), cyclosporine (Gengraf, Neoral, Sandimmune), methotrexate (Otrexup, Rasuvo, Trexall, Xatmep), sirolimus (Rapamune), uye tacrolimus (Astagraf, Envarsus, Prograf); nifedipine (Adalat, Procardia); nimodipine (Nymalize); reserpine; ribavirin (Rebetol, Ribasphere, Virazole); rifampin (Rifadin, Rimactane, muRifamate, muRifater); ritonavir (Norvir, muKaletra, muTechnivie, muViekira); stavudine (Zerit); steroids senge dexamethasone (Decadron, Dexpak), methylprednisolone (Medrol), uye prednisone (Rayos); sulindac; uye zidovudine (Retrovir, muCombivir, muTrizivir). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne cladribine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• kana iwe uri kutora chero mimwe mishonga nemuromo, tora iwo maawa matatu pamberi kana maawa matatu mushure mekiradhi.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya curcumin uye St. John's wort.
• udza chiremba wako kana uine hutachiona hwehutachiona hwehutachiona hweHIV, hutachiona (hutachiona hunokanganisa chiropa uye hunogona kukonzera kukuvara kwechiropa), tibhii (TB; chirwere chakakomba chinokanganisa mapapu uye dzimwe nguva zvimwe zvikamu zvemuviri), kana zvimwe zvirwere zviri kuenderera mberi. Chiremba wako angangokuudza kuti usatore cladribine.
• udza chiremba wako kana iwe wakambove kana wakambove nechiropa, itsvo, kana chirwere chemwoyo.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwa-kuyamwa panguva yekurapa kutenderera, uye kwemazuva gumi mushure mekupedzisira muyero wekurapa kutenderera.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti uri kutora cladribine.
• hauna majekiseni mukati memavhiki mana kusvika matanhatu zvisati zvaitika, panguva, kana mushure mekurapwa kwako necladribine usina kutaura nachiremba wako. Taura nachiremba wako nezve kana uchifanira kupihwa majekiseni usati watanga kurapwa kwako.

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

Tora dosi rakarasika nekukurumidza paunenge uchirangarira pazuva rimwe chete. Nekudaro, kana ikasatorwa pazuva rakarongwa, tora iro rakarasika pazuva rinotevera uye wedzera rimwe zuva kune iro kurapwa kutenderera. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• musoro
• kusvotwa
• kurwadziwa shure
• kurwadza kwemajoini uye kuomarara
• kunetseka kurara kana kuramba wakarara
• kuora mwoyo
• kurasikirwa nevhudzi
• kurira, kuvaviwa, kana kupisa maronda pamatadza, pamiromo, kana pamuromo

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• fivha, kurwadziwa pahuro, kutonhora, kurwadziwa kana mhasuru dzinorwadza, chikosoro, kana zvimwe zviratidzo zvehutachiona
• kukosora, kurwadziwa pachipfuva, kukosora ropa kana mamasi, kushaya simba kana kuneta, kuonda, kurasikirwa nehavi, kutonhora, kupisa muviri, kudikitira usiku
• mapundu anorwadza ane mhoni
• kutsva, kurira, chiveve, kana kuvaviwa kweganda
• mapundu, kunetseka kufema kana kumedza, kuzvimba kana kuchenesa kumeso, miromo, rurimi, kana huro
• kutonhora, kupisa muviri, kusvotwa, kurutsa, kurwadziwa kumusana kwako, parutivi, kana kugomera, kazhinji uye kunorwadza kuita weti
• kubuda ropa zvisina kujairika kana kupwanya
• kushaya simba kune rumwe rutivi rwemuviri wako, kurasikirwa kwekubatana mumaoko ako kana makumbo, kuderera kwesimba, matambudziko nekuyera, kuvhiringidzika, shanduko pane ako maonero, kufunga, ndangariro, kana hunhu
• kupfupika kwemweya wekufema, kurova kwemoyo nekukurumidza, kutemwa nemusoro, dzungu, ganda rakachenuruka, kuvhiringidzika, kuneta
• kusvotwa, kurutsa, kuneta zvakanyanya, kurasikirwa nechido, kurwadziwa kuchikamu chepamusoro kurudyi chedumbu, yero yeganda kana maziso, weti yakasviba
• kupfupika kwemweya, kukurumidza kana kusagadzikana kwemoyo, kuzvimba mune chikamu chemuviri wako

Cladribine 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.

Chengeta zvese zvakagadzwa wituh yor chiremba uye murabhoritari. Chiremba wako anozoraira mimwe bvunzo usati, panguva, uye mushure mekurapwa kwako kuti uve nechokwadi chekuti zvakachengeteka kuti iwe utore cladribine uye kutarisa mhinduro yemuviri wako ku cladribine.

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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