Lurbinectedin jekiseni

Zvemukati

• Usati wagamuchira jekiseni lurbinectedin,
• Lurbinectedin 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:

Lurbinectedin jekiseni inoshandiswa kurapa diki kenza yemapapu kenza (SCLC) iyo yakapararira kune zvimwe zvikamu zvemuviri uye haina kuvandudza panguva kana mushure mekurapwa neplatinamu chemotherapy. Lurbinectedin jekiseni iri mukirasi yemishonga inonzi alkylating agents. Inoshanda nekudzora kana kumisa kukura kwecancer maseru mumuviri wako.

Lurbinectedin jekiseni inouya sehupfu kuti isanganiswe nemvura kuti ijowe mukati (mukati mutsinga) pamusoro pemaminetsi makumi matanhatu nachiremba kana mukoti muchipatara kana nzvimbo yekurapa. Inowanzo kupihwa kamwe chete mazuva makumi maviri nerimwe. Chiremba wako anozofunga kuti kangani kaunogashira lurbinectedin zvichienderana nemhinduro yemuviri wako kumushonga uyu.

Chiremba wako angangoda kumbomira kurapwa kwenguva pfupi kana zvachose kana kudzikisa dosi yako kana iwe ukawana mamwe mhedzisiro. Izvo zvakakosha kuti iwe uudze chiremba wako kuti uri kunzwa sei panguva yekurapa kwako ne lurbinectedin jekiseni.

Chiremba wako anokupa iwe mushonga wekudzivirira kusvotwa uye kurutsa usati wawana imwe yega ye lurbinectedin.

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 wagamuchira jekiseni lurbinectedin,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune lurbinectedin, chero mimwe mishonga, kana chero chinhu chinosanganiswa mujekiseni lurbinectedin. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, kana zvinowedzeredza zvekudya zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: antifungal mishonga senge fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), uye voriconazole (Vfend); clarithromycin (Biaxin, Prevpac); diltiazem (Cardizem, Dilacor, Tiazac, nevamwe); erythromycin (E-mycin, Ery-Tab, vamwe); mimwe mishonga yeHIV yakadai seEfavirenz (Sustiva), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase); nefazodone; pioglitazone (Actos, muOseni); rifabutin (Mycobutin); prednisone; rifampin (Rifadin, Rimactane, muRifamate, muRifater); mimwe mishonga yekubatwa kwakadai se carbamazepine (Carbatrol, Epitol, Tegretol, vamwe), phenobarbital, uye phenytoin (Dilantin, Phenytek); uye verapamil (Calan, Verelan). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona kusangana ne lurbinectedin, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura kuyerwa kwemishonga yako kana kukutarisisa zvakanyatso chenjera 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 uri nepamuviri, ronga kuve nepamuviri, kana kana iwe uchironga kubereka mwana. Iwe kana mumwe wako haufanire kubata pamuviri 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 Chiremba wako anogona kuita nhumbu yekuedza kuti uve nechokwadi chekuti hauna nhumbu usati wagamuchira lurbinectedin jekiseni. Kana iwe uri munhukadzi, iwe unofanirwa kushandisa kuberekwa panguva yekurapa kwako uye kwemwedzi mitanhatu mushure mekupedzisira kwako dose. Kana iwe uri murume, iwe neako mukadzi mukadzi iwe unofanirwa kushandisa kuberekwa panguva yekurapwa kwako uye kwemwedzi mina mushure meyako yekupedzisira dosi. Kana iwe kana mumwe wako ukava nepamuviri paunenge uchigamuchira jekiseni lurbinectedin, danaidza chiremba wako. Lurbinectedin jekiseni inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kunwisa mwana uchigashira lurbinectedin jekiseni uye kweanenge mavhiki maviri mushure mekupedzisira dosi.

Usadya grapefruit kana kunwa muto wemazambiringa uchinge uchigamuchira uyu mushonga.

Shevedza chiremba wako ipapo ipapo kana iwe usingakwanise kuchengeta musangano kuti ugamuchire muyero we lurbinectedin.

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

• kuneta
• kusvotwa
• kurutsa
• kuvimbiswa
• manyoka
• kurasikirwa nenzara
• kurwadziwa kwemhasuru
• musoro
• kurira, chiveve, uye kurwadziwa mumaoko nemakumbo

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

• kurwadziwa pachipfuva
• mweya wekufema
• kupenya-kujeka ura kufamba, kutsvukisa kweganda kana maziso, kurasikirwa kwechido, kubuda zvisina kujairika kubuda ropa kana kupwanya, rima yero kana shava weti, kana kurwadziwa kumusoro kwekurudyi chikamu chedumbu
• fivha, kukosora, kutonhora, kana zvimwe zviratidzo zvehutachiona
• kuneta kana ganda rakachenuruka

Lurbinectedin 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).

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 ekuongorora usati uye panguva yekurapa kwako kuti utarise mhinduro yemuviri wako kune lurbinectedin.

Kumbira wemishonga wako chero mibvunzo yauinayo nezve lurbinectedin.

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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