Cyclophosphamide

Zvemukati

• Usati watora cyclophosphamide,
• Cyclophosphamide 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 nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Cyclophosphamide inoshandiswa yoga kana musanganiswa nemimwe mishonga yekurapa Hodgkin's lymphoma (Hodgkin's disease) uye isiri Hodgkin's lymphoma (mhando dzekenza dzinotanga mune imwe mhando yemasero machena eropa ayo anowanzo kurwisa hutachiona); akachekwa T-cell lymphoma (CTCL, boka remakenza emasoja ekudzivirira muviri anotanga kuoneka seganda mapundu); myeloma yakawanda (mhando yekenza yemongo wemapfupa); uye mamwe marudzi eleukemia (kenza yemasero machena eropa), kusanganisira chisingaperi lymphocytic leukemia (CLL), chisingaperi myelogenous leukemia (CML), acute myeloid leukemia (AML, ANLL), uye acute lymphoblastic leukemia (ALL). Iyo inoshandiswawo kurapa retinoblastoma (kenza iri muziso), neuroblastoma (kenza inotanga mumasero etsinga uye inoitika kunyanya muvana), gomarara reovari (gomarara rinotanga munhengo dzekubereka dzevakadzi panogadzirwa mazai), uye gomarara remuzamu. . Cyclophosphamide inoshandiswawo kurapa nephrotic syndrome (chirwere chinokonzerwa nekukuvara kweitsvo) muvana vane chirwere chisina kusimba, chakanyanya kuwedzera, kana kudzoka mushure mekutora mimwe mishonga kana muvana vakasangana nemhedzisiro isingashivirike nevamwe mishonga. Cyclophosphamide iri mukirasi yemishonga inonzi alkylating agents. Kana cyclophosphamide ichishandiswa kurapa cancer, inoshanda nekudzora kana kumisa kukura kwemasero ekenza mumuviri wako. Kana cyclophosphamide inoshandiswa kurapa nephrotic syndrome, inoshanda nekudzvinyirira immune system yako.

Cyclophosphamide inouya sehwendefa yekutora nemuromo kamwe pazuva. Kureba kwekurapa kunoenderana nemhando dzemishonga yauri kutora, kuti muviri wako unopindura sei kwavari, uye nemhando yekenza kana mamiriro aunayo. Tora cyclophosphamide panguva dzakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora cyclophosphamide chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako angangoda kunonoka kurapwa kwako kana kugadzirisa yako dosi yecyclophosphamide zvichienderana nemhinduro yako pakurapwa uye chero mhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako. Usarega kutora cyclophosphamide usina kutaura nachiremba wako.

Cyclophosphamide zvakare dzimwe nguva inoshandiswa kurapa imwe mhando yekenza yemapapu (diki kenza yemapapu kenza; SCLC). Inoshandiswawo kurapa rhabdomyosarcoma (rudzi rwekenza yemhasuru) uye Ewing's sarcoma (rudzi rwegomarara repfupa) muvana. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora cyclophosphamide,

• udza chiremba wako uye wemishonga kana uri weergoria kune cyclophosphamide, mamwe maalkylating vamiririri senge bendamustine (Treanda^®), busulfan (Myerlan^®, Busulfex^®), carmustine (BiCNU^®, Gliadel^® Chitete), chlorambucil (Leukeran^®), ifosfamide (Ifex^®), lomustine (CeeNU^®), melphalan (Alkeran^®), procarbazine (Mutalane^®), kana temozolomide (Temodar^®), chero mimwe mishonga, kana chero chinhu chinowanikwa mumaciritsi ecyclophosphamide. 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 yeanotevera: allopurinol (Zyloprim^®), cortisone acetate, doxorubicin (Adriamycin^®, Doxil^®), hydrocortisone (Cortef^®), kana phenobarbital (Luminal^® Sodium). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne cyclophosphamide, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa
• udza chiremba wako kana iwe wakambogamuchira kurapwa neimwe chemotherapy mishonga kana kana iwe uine x-ray munguva pfupi yapfuura. Uyezve udza chiremba wako kana iwe wakambove kana uine chirwere cheitsvo kana chiropa.
• iwe unofanirwa kuziva kuti cyclophosphamide inogona kukanganisa neyakajairika yekutevera (nguva) mumadzimai uye inogona kumisa kugadzirwa kwehurume muvarume. Cyclophosphamide inogona kukonzera kusabereka zvachose (kunetseka kuve nepamuviri); zvisinei, haufanire kufunga kuti haugone kubata pamuviri kana kuti haugone kuitisa mumwe munhu nhumbu. Vakadzi vane pamuviri kana kuyamwisa vanofanira kutaurira vanachiremba vavo vasati vatanga kutora mushonga uyu. Iwe haufanire kuronga kuve nevana uchiri kugamuchira chemotherapy kana kwechinguva mushure mekurapwa. (Taura nachiremba wako kuti uwane rumwe ruzivo.) Shandisa nzira yakatendeka yekudzivirira kuberekwa kudzivirira nhumbu. Cyclophosphamide inogona kukuvadza fetus.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora cyclophosphamide.

Inwa mvura yakawanda paunenge uchishandisa mushonga uyu.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kusvotwa
• kurutsa
• kurasikirwa nehavi kana huremu
• marwadzo emudumbu
• manyoka
• kurasikirwa nevhudzi
• maronda pamuromo kana parurimi
• shanduko paganda reganda
• shanduko muvara kana kukura kwemunwe kana zvigunwe zvigunwe

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• kurwadziwa pahuro, fivha, kutonhora, kana zvimwe zviratidzo zvehutachiona
• murombo kana unononoka kupora ronda
• kupwanya kusingawanzo kana kubuda ropa
• nhema, tarisa zvituru
• weti inorwadza kana weti tsvuku
• mapundu
• mikoko
• kuvava
• kunetseka kufema kana kumedza
• mweya wekufema
• kukosora
• kuzvimba mumakumbo, makumbo, kana tsoka
• kurwadziwa pachipfuva
• yero yeganda kana maziso

Cyclophosphamide inogona kuwedzera njodzi yekuti iwe unozoita imwe kenza. Taura nachiremba wako nezve njodzi dzekutora cyclophosphamide.

Cyclophosphamide 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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• nhema, tarisa zvituru
• weti tsvuku
• kupwanya kusingawanzo kana kubuda ropa
• kuneta zvisina kujairika kana kushaya simba
• kurwadziwa pahuro, kukosora, fivha, kana zvimwe zviratidzo zvehutachiona
• kuzvimba mumakumbo, makumbo, kana tsoka
• kurwadziwa pachipfuva

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako ku cyclophosphamide.

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.

• Cytoxan^®¶

• CPM
• CTX
• CYT

^¶ Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.