Ripretinib
Zvemukati
- Usati watora ripretinib,
- Ripretinib 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:
Ripretinib inoshandiswa kurapa matumbo emimba (GIST; rudzi rwebundu rinokura mudumbu, ura [ura], kana sophagus [chubhu inobatanidza huro nedumbu]) kune vanhu vakuru vakambowana mimwe mishonga, kusanganisira imatinib (Gleevec). Ripretinib iri mukirasi yemishonga inonzi kinase inhibitors. Inoshanda nekudzivirira chiito chepuroteni isina kujairika iyo inoratidza masero ekenza kuti iwande. Izvi zvinobatsira kudzora kana kumisa kupararira kwekenza maseru.
Ripretinib inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete zuva nezuva kana kana pasina chikafu. Tora ripretinib 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 ripretinib chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.
Kana iwe ukarutsa mushure mekutora ripretinib, usatore imwe dosi. Enderera yako yenguva dzose dosing purogiramu.
Chiremba wako angangoda kumbomira kurapwa kwenguva pfupi kana zvachose kana kudzikisa yako dose ripretinib panguva yekurapwa kwako. Izvi zvinoenderana nekuti mushonga unoshanda sei kwauri uye nemhedzisiro iwe yaunosangana nayo. Ive neshuwa yekuudza chiremba wako kuti uri kunzwa sei panguva yekurapwa kwako ne ripretinib.
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 ripretinib,
- udza chiremba wako uye wemishonga kana iwe uri weergoria kune ripretinib, chero mimwe mishonga, kana chero chinhu chinogadzirwa mumapiritsi e ripretinib. 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: antifungals senge itraconazole (Onmel, Sporanox) uye ketoconazole; carbamazepine (Carbatrol, Tegretol, Equetro, nevamwe); clarithromycin (Biaxin, muPrevpac); mimwe mishonga yehutachiona hwehutachiona hweHIV (HIV) kana kuwana immunodeficiency syndrome (AIDS) inosanganisira efavirenz (Sustiva), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase) ; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pioglitazone (Actos); rifabutin (Mycobutin); uye rifampin (Rifadin, Rimactane, muRifamate, muRifater). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kusangana ne ripretinib, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
- udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
- udza chiremba wako kana wakambove neBPJ kana chirwere chemwoyo.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana kana iwe uronga nezve kubereka mwana. Iwe haufanire kuve nepamuviri iwe paunenge uchitora ripretinib. Kana iwe uri munhukadzi, iwe unozofanirwa kutora kutora nhumbu usati watanga kurapwa uye kushandisa kuberekwa kudzivirira kudzivirira kubata pamuviri panguva yekurapwa kwako ne ripretinib uye kwevhiki rimwe mushure meyako yekupedzisira dosi. Kana iwe uri murume, iwe nemukadzi wako waunofambidzana naye muchishandisa mabhureki panguva yekurapa kwenyu ne ripretinib uye kwevhiki rimwe mushure mekupedzisira kwedosi. Kana iwe kana mumwe wako mukava nepamuviri muchitora ripretinib, danai chiremba wako nekukasira. Ripretinib inogona kukonzera kukuvara kwemucheche.
- udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa iwe paunenge uchitora ripretinib uye kwevhiki rimwe mushure mekupedzisira kwako.
- iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekutora ripretinib.
- kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora ripretinib. Chiremba wako anogona kukuudza kuti usatora ripretinib 1 vhiki usati wavhiyiwa kana maitiro uye anokuudza iwe paunofanira kutanga kutora mushonga zvakare.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana iri mukati maawa masere eiyo inotevera dosi, ruka iro rakarasika dhizaini uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Ripretinib inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- mhasuru kana kurwadziwa kwemajoini
- kurasikirwa nevhudzi
- ganda rakaoma kana rinonhuwa
- kushaya simba
- kusvotwa
- kurwadziwa nemudumbu
- kuvimbiswa
- manyoka
- maronda emumuromo kana maronda
- musoro
- kuonda
- kurasikirwa nenzara
- mhasuru
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
- kutsvuka, kurwadziwa, kuputika, kubuda ropa, kana kuzvimba pamaoko kana tsoka; kana mapundu
- nyowani nyowani
- shanduko pakuonekwa kweganda
- ganda rinorwadza kana tsvuku bundu rinobuda ropa kana risingapore
- chinja saizi kana ruvara rwema mole
- kuneta; kuzvimba kwemudumbu, makumbo, kana makumbo; mweya wekufema; kana mutsipa mutsipa kubuda
Ripretinib inogona kuwedzera njodzi yekuti iwe uchava nekenza yeganda. Taura nachiremba wako nezve njodzi iyi.
Ripretinib 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 nechiedza, kupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usabvisa iyo desiccant (kadiki kapaketi inosanganisirwa nemahwendefa ekuwana hunyoro) kubva mubhodhoro rako.
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 uye ongorora yako BP kuti utarise mhinduro yemuviri wako ku ripretinib. Chiremba wako anozotarisawo ganda rako chero shanduko usati uye panguva yekurapa kwako.
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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