Filgrastim jekiseni

Zvemukati

• Usati washandisa filgrastim jekiseni zvigadzirwa,
• Filgrastim jekiseni zvigadzirwa zvinogona 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:

Filgrastim jekiseni, filgrastim-aafi jekiseni, filgrastim-sndz jekiseni, uye tbo-filgrastim jekiseni ndeye biologic mishonga (mishonga inogadzirwa kubva kuzvinhu zvipenyu). Biosimilar filgrastim-aafi jekiseni, filgrastim-sndz jekiseni, uye tbo-filgrastim jekiseni zvakanyanyisa kufanana neiyo filgrastim jekiseni uye inoshanda nenzira imwecheteyo seiyo filgrastim jekiseni mumuviri. Naizvozvo, izwi rekuti filgrastim jekiseni zvigadzirwa richashandiswa kumiririra iyi mishonga munhaurwa iyi.

Filgrastim jekiseni zvigadzirwa (Granix, Neupogen, Nivestym, Zarxio) anoshandiswa kudzikisira mukana wehutachiona muvanhu vane cancer isiri myeloid (gomarara risingabatanidze mwongo wepfupa) uye vari kugamuchira chemotherapy mishonga iyo inogona kudzikisa huwandu hwe neutrophils ( mhando yesero reropa rinodiwa kurwisa hutachiona). Filgrastim jekiseni zvigadzirwa (Neupogen, Nivestym, Zarxio) anoshandiswa zvakare kubatsira kuwedzera huwandu hweropa chena, uye kudzikisa hurefu hwenguva nefivha muvanhu vane acute myeloid leukemia (AML; rudzi rwekenza yemachena masero eropa) varikugamuchira kurapwa nemakemikari mishonga.Filgrastim jekiseni zvigadzirwa (Neupogen, Nivestym, Zarxio) anoshandiswawo kune vanhu vari kuitiswa mapfupa, mune vanhu vane chirwere chisingaperi neutropenia (mamiriro mune huwandu hwakati wandei hweeutrophil muropa), uye kugadzirira ropa yeleukapheresis (kurapwa uko mamwe masero eropa anobviswa mumuviri. Filgrastim jekiseni (Neupogen) inoshandiswawo kuwedzera mukana wekupona muvanhu vakafumurwa kuwanda kwemwaranzi, izvo zvinogona kukonzeresa uye kutyisidzira hupenyu. Filgrastim iri mukirasi yemishonga inonzi koloni-inomutsa zvinhu.Iyo inoshanda nekubatsira muviri kuti uwedzere neutrophils.

Filgrastim jekiseni zvigadzirwa zvinouya semhinduro (mvura) mumidziyo uye majekiseni akaisirwa kujekesa pasi peganda kana mutsinga. Inowanzo kupihwa kamwe pazuva, asi filgrastim jekiseni zvigadzirwa (Neupogen, Nivestym, Zarxio) inogona kupihwa kaviri pazuva kana ichishandiswa kurapa zvakakomba zvisingaperi neutropenia. Kureba kwekurapa kwako kunoenderana nemamiriro aunayo uye nemuviri wako kupindura kumushonga.

Kana iwe uri kushandisa filgrastim jekiseni zvigadzirwa kudzikisa njodzi yekutapukirwa, kudzikisa nguva nefivha, kana kuwedzera huwandu hwesero chena muropa panguva yekemotherapy, iwe unozogamuchira yako yekutanga dhizaini yemushonga kanenge maawa makumi maviri nemana mushure mekugamuchira dosi chemotherapy, uye ichaenderera ichitambira mishonga mazuva ese kusvika kwevhiki mbiri kana kusvika masero eropa rako adzokere kune zvakajairwa. Kana iwe uri kushandisa filgrastim jekiseni chigadzirwa kuti uderedze njodzi yehutachiona panguva yekupfupa kwemongo, iwe unozogamuchira mishonga kanenge maawa makumi maviri nemana mushure mekugamuchira chemotherapy uye maawa makumi maviri nemana mushure mekupfekedzwa kwemongo. Kana iwe uri kushandisa filgrastim jekiseni zvigadzirwa kugadzirira ropa rako kune leukapheresis, iwe unozogamuchira yako yekutanga dosi mazuva mashoma kana mana pamberi pekutanga leukapheresis uye ucharamba uchingogamuchira mishonga kusvika kwekupedzisira leukapheresis. Kana iwe uri kushandisa filgrastim jekiseni zvigadzirwa kurapa zvakakomba chisingaperi neutropenia, ungangoda kushandisa mushonga kwenguva yakareba yenguva. Kana iwe uri kushandisa filgrastim jekiseni nekuti iwe wakaratidzirwa kune yakawanda inokuvadza ye radiation, chiremba wako anozokutarisa zvakanyatsonaka uye kureba kwekurapwa kwako kunoenderana nekuti muviri wako unopindura sei kumushonga. Usarega kushandisa filgrastim jekiseni zvigadzirwa usingataure nachiremba wako.

Filgrastiminjection zvigadzirwa zvinogona kupihwa iwe nemukoti kana mumwe mupi wezvehutano, kana iwe unogona kuudzwa jekiseni mushonga pasi peganda kumba. Kana iwe kana muchengeti muchinge muchibairira filgrastim jekiseni zvigadzirwa kumba, mupi wezvehutano anokuratidza kana iye wekuchengeta nzira yekubaisa mushonga. Iva nechokwadi chekuti unonzwisisa mafambiro aya. Kumbira mubatsiri wako wehutano kana iwe uine chero mibvunzo. Shandisa filgrastim jekiseni zvigadzirwa chaizvo sekurairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Usazununguse hombodo kana majekiseni ane filgrastim mhinduro. Gara uchitarisa filgrastim jekiseni zvigadzirwa usati wabaya jekiseni. Usashandise kana zuva rekupera rapfuura, kana iyo filgrastim mhinduro ine zvimedu kana inotaridzika kunge furo, makore kana kusviba.

Shandisa sirinji imwe neimwe kana vial kamwe chete. Kunyangwe paine imwe mhinduro yasara mujekiseni kana vial, usashandise zvakare. Rasa tsono dzawainge ushandisa, majekiseni nemidziyo muhombodo isingadziviriri. Taura nachiremba wako kana wemabhizimusi nezve maratidziro aungaita mudziyo usingadzivirirwe.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi yeiyo filgrastim jekiseni zvigadzirwa uye zvishoma nezvishoma wedzera yako dosi. Chiremba wako anogona zvakare kudzikisa dosi yako, zvichienderana nekuti muviri wako unoita sei kumushonga.

Kana iwe uri kushandisa filgrastim jekiseni zvigadzirwa kurapa zvakakomba chisingaperi neutropenia, iwe unofanirwa kuziva kuti uyu mushonga unodzora mamiriro ako asi hauzopora. Enderera kushandisa filgrastim jekiseni zvigadzirwa kunyangwe iwe uchinzwa zvakanaka. Usarega kushandisa filgrastim jekiseni zvigadzirwa usingataure nachiremba wako.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Filgrastim jekiseni zvigadzirwa zvakare dzimwe nguva zvinoshandiswa kurapa mamwe marudzi emyelodysplastic syndrome (boka remamiriro ezvinhu umo mwongo wemapfupa unoburitsa masero eropa ayo ari misshapen uye asingaburitse yakakwana masero eropa ane hutano) uye aplastic anemia (mamiriro umo mwongo wepfupa haigadzi masero eropa akakwana). Filgrastim jekiseni zvigadzirwa zvakare dzimwe nguva zvinoshandiswa kudzikisa mukana wehutachiona muvanhu vane hutachiona hwehutachiona hwehutachiona (HIV) kana vanhu vari kutora mimwe mishonga inoderedza huwandu hwetrutrophils. 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 washandisa filgrastim jekiseni zvigadzirwa,

• udza chiremba wako uye wemishonga kana uri weergoria kune filgrastim, pegfilgrastim (Neulasta), chero mimwe mishonga kana chero chinhu chinosanganiswa mumagetsi ejekita ye filgrastim. Uyezve udza chiremba wako kana iwe kana iye munhu achange ari kujowa filgrastim jekiseni zvigadzirwa (Neupogen, Zarxio) haina allergiki kune latex.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe uri kurapwa ne radiation radiation uye kana iwe kana wakambove uine chisingaperi myeloid leukemia (chirwere chinofambira mberi zvishoma nezvishoma umo masero machena eropa akawandisa akagadzirwa mumongo wemapfupa), kana myelodysplasia (matambudziko ane mapfupa masero. izvo zvinogona kukura kuva leukemia).
• udza chiremba wako kana iwe uine chirwere cheseroye (chirwere cheropa chinogona kukonzera matambudziko anorwadza, nhamba yakaderera yemasero matsvuku eropa, hutachiona, uye kukuvara kwenhengo dzemukati). Kana iwe uine sickle cell chirwere, iwe unogona kuve nemukana wekuve nedambudziko panguva yekurapa kwako ne filgrastim jekiseni zvigadzirwa. Inwa zvinwiwa zvakawanda panguva yekurapa kwako nefilgrastim jekiseni zvigadzirwa uye fonera chiremba wako ipapo kana uine jeko maseru dambudziko panguva yekurapwa kwako.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa filgrastim jekiseni zvigadzirwa fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa filgrastim jekiseni zvigadzirwa.
• iwe unofanirwa kuziva kuti filgrastim jekiseni zvigadzirwa zvinoderedza njodzi yehutachiona, asi hazvidziviriri hutachiona hwese hunogona kukura panguva kana mushure memakemikari. Fonera chiremba wako kana iwe ukava nezviratidzo zvehutachiona senge fivhiri; chills; mapundu; huro inorwadza; manyoka; kana kutsvuka, kuzvimba, kana kurwadziwa kwakatenderedza kucheka kana kurwadziwa.
• kana iwe ukawana filgrastim solution paganda rako, geza nzvimbo yacho nesipo nemvura. Kana filgrastim mhinduro ikapinda muziso rako, svinura ziso rako zvakakwana nemvura.

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

Kana iwe uchizove jekiseni filgrastim jekiseni chigadzirwa kumba, taura nachiremba wako nezve izvo zvaunofanirwa kuita kana ukakanganwa kubaya mushonga panguva.

Filgrastim jekiseni zvigadzirwa zvinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsvuka, kuzvimba, kupwanya, kuruma kana bundu munzvimbo yaibayiwa mishonga
• pfupa, kubatana, musana, ruoko, gumbo, muromo, huro, kana kurwadziwa kwemhasuru
• musoro
• mapundu
• kuvimbiswa
• manyoka
• kusvotwa
• kurutsa
• kurasikirwa nenzara
• kunetseka kurara kana kuramba wakarara
• kuderera kwekubata
• kurasikirwa nevhudzi
• mhino dzemhino
• kuneta, kushaya simba
• kunzwa kusagadzikana
• dzungu

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

• kurwadziwa kuruboshwe kumusoro chikamu chedumbu kana muromo wependekete reruboshwe
• fever, kufema kwekufema, kunetseka kufema, kufema nekukurumidza
• kunetseka kufema, kukosora ropa
• fivha, kurwadziwa mudumbu, kurwadziwa musana, kunzwa kusagadzikana
• kuzvimba kwenzvimbo yemudumbu kana kumwe kuzvimba, kuderera kwekuita weti, kunetseka kufema, dzungu, kuneta
• kuputika, mikoko, kuchenesa, kuzvimba kwechiso, maziso, kana muromo, kufema, kufema kwekufema
• kubuda ropa kusingawanzo kana kupwanya, mucherechedzo wepepuru pasi peganda, ganda dzvuku
• kudzikira kwekuita weti, rima kana reropa weti, kuzvimba kwechiso kana makumbo
• zvinorwadza, zvinokurumidza, kana kazhinji weti

Vamwe vanhu vaishandisa filgrastim jekiseni zvigadzirwa kurapa zvakakomba chisingaperi neutropenia yakagadzira leukemia (kenza inotanga mumongo wemapfupa) kana shanduko mumaseru emongo wemapfupa anoratidza kuti leukemia inogona kukura mune ramangwana. Vanhu vane chirwere chisingaperi chine neutropenia vanogona kukura neleukemia kunyangwe vakasashandisa filgrastim. Iko hakuna kukwana ruzivo rwekuudza kana filgrastim jekiseni zvigadzirwa zvinowedzera mukana wekuti vanhu vane yakaoma chisingaperi neutropenia vanozoita leukemia. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu.

Filgrastim jekiseni zvigadzirwa zvinogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Chengetedza filgrastim jekiseni zvigadzirwa mufiriji. Kana iwe netsaona ukaisa chando filgrastim (Neupogen, Nivestym, Zarxio), unogona kuitendera kuti inyungudike mufiriji. Nekudaro, kana iwe ukagwamba iyo sirinji imwe kana girazi re filgrastim kechipiri, iwe unofanirwa kurasa iyo sirinji kana vial. Filgrastim (Neupogen, Nivestym, Zarxio) inogona kuchengetwa pane tembiricha yemukati kwemaawa makumi maviri nemana asi inofanirwa kuchengetedzwa kure nezuva. Filgrastim (Granix) inogona kuchengetwa mufiriji kwemaawa anosvika makumi maviri nemana, kana kuti inogona kuchengetwa mutembiricha yepakati kwemazuva mashanu asi inofanira kuchengetedzwa kubva pachiedza.

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

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.

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 achaodha zvimwe bvunzo bvunzo kuti utarise mhinduro yemuviri wako kune filgrastim jekiseni zvigadzirwa.

Usati wambove nefupa rekufungidzira, udza chiremba wako uye nyanzvi kuti urikushandisa filgrastim jekiseni zvigadzirwa. Filgrastim jekiseni zvigadzirwa zvinogona kukanganisa mhedzisiro yerudzi urwu rwekudzidza.

Usarega mumwe munhu achishandisa 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.

• Granix^® (tbo-filgrastim)
• Neupogen^® (filgrastim)
• Nivestym^® (filgrastim-aafi)
• Zarxio^® (filgrastim-sndz)

• Granulocyte Colony-Inokurudzira Chinhu
• G-CSF
• Yakagadziriswa Methionyl Yemunhu G-CSF