Doxorubicin

Zvemukati

• Usati wagamuchira jekiseni re doxorubicin,
• Doxorubicin 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 kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Doxorubicin inofanira kupihwa chete mutsinga. Nekudaro, inogona kudonhedza matishu akakomberedza zvichikonzera kutsamwa kukuru kana kukuvara. Chiremba wako kana mukoti anozotarisa yako saiti manejimendi kune ino maitiro. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukurumidza: kurwadziwa, kuchenesa, kutsvuka, kuzvimba, blister, kana maronda munzvimbo iyo mushonga wakaiswa.

Doxorubicin inogona kukonzera zvakakomba kana kutyisidzira hupenyu matambudziko emwoyo chero nguva panguva yekurapwa kwako kana mwedzi kusvika makore mushure mekurapwa kwako kwapera. Chiremba wako acharaira bvunzo usati uye panguva yekurapa kwako kuti uone kana moyo wako uchishanda zvakanaka zvakakwana kuti ugamuchire zvakachengeteka doxorubicin. Iyi bvunzo inogona kusanganisira electrocardiogram (ECG; bvunzo iyo inorekodha mashandiro emagetsi emoyo) uye echocardiogram (bvunzo inoshandisa mafungu ezwi kuyera kugona kwemoyo wako kupomba ropa). Chiremba wako anogona kukuudza kuti haufanire kugamuchira mushonga uyu kana uine chirwere chemoyo chisina kujairika kana kana bvunzo dzichiratidza kugona kwemoyo wako kupomba ropa kwaderera. Udza chiremba wako kana iwe wakambove kana chero rudzi rwechirwere chemwoyo, chirwere chemwoyo, kana radiation (x-ray) kurapwa kunzvimbo yechifuva. Udza chiremba wako uye wemishonga kana iwe uri kutora kana kuti wakambogamuchira imwe kenza chemotherapy mishonga yakadai sa cyclophosphamide (Cytoxan), daunorubicin (Cerubidine, DaunoXome), epirubicin (Ellence), idarubicin (Idamycin), mitoxantrone (Novantrone), paclitaxel (Abraxane Onxol), trastuzumab (Herceptin), kana verapamil (Calan, Isoptin). Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza: kupfupika kwemweya wekufema; kunetseka kufema; kuzvimba kwemaoko, tsoka, makumbo kana makumbo ezasi; kana kutsanya, zvisina kujairika, kana kurova kurova kwemoyo.

Doxorubicin inogona kukonzera kudzikira kwakanyanya muhuwandu hwamasero eropa mupfupa rako. Chiremba wako anozoraira bvunzo dzemarabhoritari nguva nenguva uye panguva yekurapwa kwako Kuderera kwenhamba yemasero eropa mumuviri wako kunogona kukonzera zvimwe zviratidzo uye kunogona kuwedzera njodzi yekuti unozoita chirwere chakakomba kana kubuda ropa. Udza chiremba wako uye wemishonga kana iwe uri kutora kana kuti wagamuchira azathioprine (Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), kana progesterone (Provera, Depo-Provera). Kana ukasangana nechimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasira: fivha, huro, kuora kuri kuramba kuchiita uye kuzara, kana zvimwe zviratidzo zvehutachiona; kubuda ropa kusingawanzo kana kupwanya; reropa kana dema, zvigaro zvekugara; kurutsa kweropa; kana kurutsa ropa kana shava zvinhu zvakafanana nekofi nzvimbo.

Doxorubicin inogona kuwedzera njodzi yako yekuva neleukemia (gomarara remasero machena eropa), kunyanya kana ichinge yapiwa muyero wepamusoro kana pamwe chete nemamwe mishonga yekemotherapy uye radiation (x-ray) kurapa.

Udza chiremba wako kana iwe wakambove kana wakambove nechirwere chechiropa. Chiremba wako anogona kukuudza kuti haufanire kugamuchira mushonga uyu kana kuti ungachinja dhizaiti yako kana uine chirwere chechiropa.

Doxorubicin inofanira kupihwa chete pasi pekutarisirwa nachiremba ane ruzivo mukushandisa chemotherapy mishonga.

Doxorubicin inoshandiswa musanganiswa nemimwe mishonga yekurapa mamwe marudzi edundira, zamu, mapapu, mudumbu, uye gomarara reovari; Hodgkin's lymphoma (Hodgkin's disease) uye isiri Hodgkin's lymphoma (kenza inotanga mumasero ezvirwere zvemuviri); uye mamwe marudzi eleukemia (kenza yemasero machena eropa), anosanganisira acute lymphoblastic leukemia (ALL) uye acute myeloid leukemia (AML, ANLL). Doxorubicin inoshandiswawo yoga uye pamwe chete nemimwe mishonga yekurapa mamwe marudzi ekenza yehutachiona uye mamwe marudzi ezvinyoro zvinyoro kana bone sarcomas (kenza inoumba mumhasuru nemapfupa) Iyo inoshandiswawo kurapa neuroblastoma (kenza inotanga mumasero etsinga uye inoitika kunyanya muvana) uye bundu raWilms (rudzi rwegomarara reitsvo rinoitika muvana). Doxorubicin iri mukirasi yemishonga inonzi anthracyclines. Inoshanda nekudzora kana kumisa kukura kwecancer maseru mumuviri wako.

Doxorubicin inouya semhinduro (mvura) kana sehupfu kuti isanganiswe nemvura inoiswa jekiseni mukati (mutsinga) nachiremba kana mukoti munzvimbo yekurapa. Inowanzo kupihwa kamwe chete pamazuva makumi maviri nerimwe kusvika makumi maviri nemasere. Kureba kwekurapa kunoenderana nemhando dzemishonga yauri kutora, kuti muviri wako unopindura sei kwavari, uye nemhando yekenza yauinayo.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Doxorubicin zvakare dzimwe nguva inoshandiswa kurapa kenza yechibereko, endometrium (lining yechibereko), uye chibereko (kuvhura kwechibereko); kenza yeprostate (kenza yemurume yekubereka nhengo); kenza yepancreatic; kenza yeadrenocortical (kenza mune adrenal gland); gomarara rechiropa; Kaposi's sarcoma inoenderana neiyo yakawanikwa immunodeficiency syndrome (AIDS); Ewing's sarcoma (mhando yekenza yemapfupa) muvana; mesothelioma (kenza mubhokisi rechipfuva kana mudumbu); myeloma yakawanda (mhando yekenza yemongo wemapfupa); uye chisingaperi lymphoblastic leukemia (CLL; mhando yekenza yemachena masero eropa). 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 wagamuchira jekiseni re doxorubicin,

• udza chiremba wako uye wemishonga kana uri weergoria kune doxorubicin, daunorubicin (Cerubidine, DaunoXome), epirubicin (Ellence), idarubicin (Idamycin), chero mimwe mishonga, kana chero chinhu chinosanganiswa mujekiseni ye doxorubicin. 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 mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: mamwe chemotherapy mishonga yakadai sa cytarabine (DepoCyt), dexrazoxane (Zinecard), mercaptopurine (Purinethol), streptozocin (Zanosar); phenobarbital (Luminal Sodium); kana phenytoin (Dilantin). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga inogona zvakare kubatana ne doxorubicin, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana iwe wakambove kana mamwe marapirwo.
• iwe unofanirwa kuziva kuti doxorubicin inogona kupesana neyakajairika yekutevera (nguva) mumadzimai uye inogona kumisa kugadzirwa kwehurume muvarume. Nekudaro, haufanire kufunga kuti haugone kutora nhumbu kana kuti haugone kuitisa mumwe munhu nhumbu. Vakadzi vane nhumbu kana kuyamwisa vanofanira kutaurira vanachiremba vavo vasati vatanga kugamuchira mushonga uyu. Iwe haufanire kuve nepamuviri kana kuyamwisa paunenge uchigamuchira jekiseni re doxorubicin. Kana iwe ukava nepamuviri uchigamuchira doxorubicin, fonera chiremba wako. Shandisa nzira yakavimbika yekudzivirira kuberekwa kudzivirira kubata nhumbu. Doxorubicin inogona kukuvadza fetus.
• hauna majekiseni pasina kutaura nachiremba wako.

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

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

• kusvotwa
• kurutsa
• maronda mumuromo nehuro
• kurasikirwa nenzara (uye kurasikirwa uremu)
• kurema kuwedzera
• kurwadziwa nemudumbu
• manyoka
• kuwedzera nyota
• kuneta zvisina kujairika kana kushaya simba
• dzungu
• kurasikirwa nevhudzi
• kupatsanurwa kwechigunwe kana nzwara kubva pamubhedha wenyatso
• inocheka, tsvuku, inonwisa mvura, kana kutsamwa maziso
• kurwadziwa kweziso
• kurwadziwa, kupisa, kana kurira mumaoko kana tsoka
• kutsvuka kushanduka kwemurini (kwemazuva 1 kusvika maviri mushure megasi)

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:

• mikoko
• kuputika kweganda
• kuvava
• kunetseka kufema kana kumedza
• pfari

Doxorubicin 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).

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:

• maronda mumuromo nehuro
• fivha, huro, chironda, kana zvimwe zviratidzo zvehutachiona
• kubuda ropa zvisina kujairika kana kupwanya
• nhema uye yekumhara zvituru
• ropa dzvuku muzvituru
• kurutsa kweropa
• yakarutsa zvinhu zvinoita kunge kofi nzvimbo

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira zvimwe bvunzo kuti atarise mhinduro yemuviri wako kune doxorubicin.

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.

• Adriamycin^®¶
• Rubex^®¶

• Hydroxydaunomycin Hydrochloride
• Hydroxydoxorubicin Hydrochloride

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