Tamoxifen

Zvemukati

• Usati watora tamoxifen,
• Tamoxifen inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Tamoxifen inogona kukonzeresa kenza yechibereko (chibereko), kurohwa, uye kugwamba kweropa mumapapu. Aya mamiriro anogona kunge akakomba kana kuuraya. Udza chiremba wako kana iwe wakambove neropa rakavhara mumapapu kana makumbo, sitiroko, kana chirwere chemwoyo. Uyezve udza chiremba wako kana uchisvuta, kana uine BP yakakwira kana chirwere cheshuga, kana kugona kwako kufamba-famba panguva yako yekumuka kushoma, kana kana uri kutora anticoagulants ('vatete veropa') senge warfarin (Coumadin). Kana 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 uchinge uchinge uchinge uchinge taita, raidzira chiremba wako nekukasira: kubuda ropa kwemadzimai zvisina kujairika; zvisina kujairika kumwedzi; shanduko mukubuda mukati memukadzi, kunyanya kana zvinoyerera zvikava neropa, shava, kana ngura kurwadziwa kana kumanikidzwa muhudyu (mudumbu nzvimbo pazasi peguvhu dumbu); kuzvimba gumbo kana unyoro; kurwadziwa muchipfuva; mweya wekufema; kukosora ropa; kukurumidza kushaya simba, kurira, kana kuvevesa kumeso kwako, ruoko, kana gumbo, kunyanya kune rumwe rutivi rwemuviri wako; pakarepo kukanganiswa; kunetseka kutaura kana kunzwisisa; kamwe kamwe kuoma kuona mune rimwe kana maviri maziso; kamwe-kamwe kunetseka kufamba; dzungu; kurasikirwa kwechiyero kana kubatana; kana kamwe kamwe kwakakomba musoro.

Chengetedza zvese zvakagadzwa nachiremba wako. Iwe unozofanirwa kunge uine bvunzo dzechikadzi (bvunzo yenhengo dzevakadzi) nguva nenguva kuti uwane zviratidzo zvekutanga zvegomarara rechibereko.

Kana iwe uri kufunga nezve kutora tamoxifen kuti uderedze mukana wekuti iwe ugoita gomarara repazamu, iwe unofanirwa kutaura nachiremba wako nezve njodzi uye zvakanakira kurapwa uku. Iwe nachiremba wako muchasarudza kana mukana wekubatsirwa kwetamoxifen kurapwa kwakakodzera njodzi dzekumwa mushonga. Kana iwe uchida kutora tamoxifen kurapa kenza yemazamu, zvakanakira tamoxifen zvinopfuura njodzi.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa netamoxifen uye pese paunozadza mushonga wako. 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.

Tamoxifen inoshandiswa kurapa gomarara repazamu rakapararira kune dzimwe nhengo dzemuviri muvarume nevakadzi. Inoshandiswa kurapa kenza yemazamu yekutanga mumadzimai akatorapwa nekuvhiyiwa, radiation, uye / kana chemotherapy. Iyo inoshandiswa kudzikisa njodzi yekukudziridza yakanyanya mhando kenza yemazamu muvakadzi vane ductal carcinoma in situ (DCIS; mhando yekenza yemazamu isingaparadzi kunze kwemukaka wemukaka uko kwaunoumba) uye vanga vari kurapwa nekuvhiya uye radiation. Iyo inoshandiswa kudzikisa njodzi yekenza yemazamu mukati mevakadzi vari panjodzi huru yechirwere nekuda kwezera ravo, nhoroondo yavo yekurapa, uye nhoroondo yemhuri yekurapa.

Tamoxifen iri mukirasi yemishonga inozivikanwa seantiestrogens. Iyo inovhara chiitiko cheestrogen (hadzi mahormone) muzamu. Izvi zvinogona kumisa kukura kwemamwe mamota ezamu anoda estrogen kukura.

Tamoxifen inouya sehwendefa kutora nemuromo. Tamoxifen inowanzo kutorwa kamwe kana kaviri pazuva kana kana pasina chikafu. Tora tamoxifen panenge panguva imwechete (ma) zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chinhu chausinganzwisise. Tora tamoxifen chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kumedza tamoxifen mahwendefa akazara; usatsemure, kutsenga, kana kuvapwanya. Medza mapiritsi nemvura kana chero chimwe chinwiwa chisiri chidhakwa.

Kana iwe uri kutora tamoxifen kudzivirira kenza yemazamu, iwe ungangozvitora kwemakore mashanu. Kana iwe uri kutora tamoxifen kurapa kenza yemazamu, chiremba wako anozosarudza kuti kurapwa kwako kunogara kwenguva yakareba sei. Usarega kutora tamoxifen usina kutaura nachiremba wako.

Kana iwe ukakanganwa kutora muyero we tamoxifen, tora iyo yakarasika dhizai nekukurumidza kana uchinge uchirangarira iyo, uye tora yako inotevera dosi senguva dzose. Zvisinei, kana yava nguva yenguva yako inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Tamoxifen inoshandiswawo dzimwe nguva kukurudzira ovulation (kugadzirwa kwezai) mune vakadzi vasingaburitse mazai asi vachishuva kuve nepamuviri. Tamoxifen zvakare dzimwe nguva inoshandiswa kurapa McCune-Albright syndrome (MAS; mamiriro anogona kukonzeresa chirwere chepfupa, kukura kwepabonde kwekutanga, uye mavara akasviba paganda muvana). Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora tamoxifen,

• udza chiremba wako uye wemishonga kana uri weergoria kune tamoxifen kana chero mimwe mishonga.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: aminoglutethimide (Cytadren); anastrozole (Arimidex), bromocriptine (Parlodel); kenza chemotherapy mishonga yakadai sa cyclophosphamide (Cytoxan, Neosar) letrozole (Femara); medroxyprogesterone (Depo-Provera, Provera, muPrempro); phenobarbital; uye rifampin (Rifadin, Rimactane). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• pamusoro pemamiriro ezvinhu akanyorwa muchikamu CHENYANZISO CHENYANZISO, udza chiremba wako kana iwe kana wakambove uine huwandu hweropa hwecholesterol.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanire kuronga kuve nepamuviri uchitora tamoxifen kana kwemwedzi miviri mushure mekurapwa kwako. Chiremba wako anogona kuita nhumbu yekubata kana kukuudza iwe kuti utange kurapwa kwako panguva yekuenda kwako kumwedzi kuti uve nechokwadi chekuti hauna nhumbu paunotanga kutora tamoxifen. Iwe unozofanirwa kushandisa yakavimbika isiri yemahormonal nzira yekudzivirira kuberekwa kudzivirira kubata pamuviri iwe uri kutora tamoxifen uye kwemwedzi miviri mushure mekurapwa kwako. Taura nachiremba wako nezvemhando dzekuzvarwa dzakakodzerana newe, uye ramba uchishandisa mabhureki kunyangwe iwe usina kuenda kumwedzi nguva pakurapwa kwako. Rega kutora tamoxifen uye fonera chiremba wako ipapo ipapo kana iwe uchifunga kuti wave nepamuviri panguva yekurapwa kwako. Tamoxifen inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwa panguva yekurapa kwako ne tamoxifen.
• udza vese vanachiremba vako nevamwe vanopa hutano kuti uri kutora tamoxifen.
• iwe unenge uchiri kuda kutsvaga zviratidzo zvekutanga zvegomarara repazamu sezvo zvichikwanisika kuita gomarara repazamu kunyangwe panguva yekurapwa ne tamoxifen. Taura nachiremba wako nezvekuti kangani kaunofanirwa kuongorora mazamu ako iwe, ita kuti chiremba aongorore mazamu ako, uye ave nema mammograms (x-ray bvunzo dzemazamu). Shevedza chiremba wako ipapo ipapo kana iwe ukawana bundu idzva muzamu rako.

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.

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

• yakawedzera pfupa kana bundu kurwadziwa
• kurwadziwa kana kutsvuka kwakatenderedza tumarara nzvimbo
• kupisa kunopisa
• kusvotwa
• kuneta zvakanyanya
• dzungu
• kuora mwoyo
• musoro
• kuonda kwebvudzi
• kuonda
• kurwadziwa nemudumbu
• kuvimbiswa
• kurasikirwa kwechido chepabonde kana kugona (mune varume)

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:

• matambudziko ekuona
• kurasikirwa nenzara
• yero yeganda kana maziso
• kupwanya kusingawanzo kana kubuda ropa
• kupindwa nechando
• mhoni
• mapundu
• kuzvimba kwemaziso, kumeso, miromo, rurimi, huro, maoko, maoko, tsoka, makumbo, kana makumbo ezasi
• nyota
• kushaya simba kwemhasuru
• kusagadzikana

Tamoxifen inogona kuwedzera njodzi yekuti iwe unozoita imwe kanzira, kusanganisira gomarara rechiropa. Taura nachiremba wako nezve njodzi iyi.

Tamoxifen inogona kuwedzera njodzi yekuti iwe unozokura cataract (kuchenesa iyo lens muziso) iyo ingangoda kurapwa nekuvhiya. Taura nachiremba wako nezve njodzi iyi.

Tamoxifen inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Chengeta tamoxifen mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-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.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika 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 wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

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:

• kuzunza kusingadzoreki nhengo yemuviri
• kusagadzikana
• dzungu

• Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune tamoxifen.
• Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora tamoxifen.
• Usarega mumwe munhu achitora mushonga wako. Taura nachiremba wako kana iwe uine chero mibvunzo nezve kuzadza mushonga wako.

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.

• Nolvadex^®
• Soltamox^®¶

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