Jemcitabine jekiseni

Zvemukati

• Usati wagamuchira gemcitabine,
• Gemcitabine 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:

Gemcitabine inoshandiswa musanganiswa ne carboplatin kurapa gomarara reovari (kenza inotangira munhengo dzekubereka dzechikadzi panogadzirwa mazai) iyo yakadzoka kanokwana mwedzi mitanhatu mushure mekupedzisa kurapwa kwapfuura. Iyo zvakare yakashandiswa pamwe chete ne paclitaxel (Abraxane, Taxol) kurapa kenza yemazamu isina kuvandudzika kana yakawedzera mushure mekurapwa nemimwe mishonga. Gemcitabine inoshandiswa musanganiswa necisplatin kurapa mhando yekenza yemapapu (isiri-diki kenza yemapapu kenza; NSCLC) iyo yakapararira kune dzimwe nhengo dzemuviri uye isingakwanise kurapwa nekuvhiyiwa. Gemcitabine inoshandiswawo kurapa gomarara repancreatic iro rapararira kune dzimwe nhengo dzemuviri uye harina kuvandudzika kana kuwanda mushure mekurapwa nemumwe mushonga. Gemcitabine iri mukirasi yemishonga inonzi antimetabolites. Inoshanda nekudzora kana kumisa kukura kwecancer maseru mumuviri wako.

Gemcitabine inouya sehupfu hunosanganiswa nemvura inoiswa jekiseni pamusoro pemaminitsi makumi matatu mukati mekubaya (mutsinga) nachiremba kana mukoti munzvimbo yekurapa. Kana gemcitabine inoshandiswa kurapa ovari kana kenza yemazamu, inowanzo kupihwa kune mamwe mazuva mamwe mavhiki matatu. Kana gemcitabine inoshandiswa kurapa kenza yemapapu, inowanzo kupihwa kune mamwe mazuva mamwe mavhiki matatu kana mana. Kana gemcitabine inoshandiswa kurapa cancer yepancreatic, inogona kuiswa jekiseni kamwe chete pasvondo. Kureba kwekurapa kunoenderana nemhando dzemishonga yauri kutora, kuti muviri wako unopindura sei kwavari, uye nemhando yekenza kana mamiriro aunayo.Chiremba wako angangoda kumira kana kunonoka kurapwa kwako kana iwe ukawana mamwe mhedzisiro.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Gemcitabine zvakare dzimwe nguva inoshandiswa kurapa gomarara redundira uye gomarara repabiliary turakiti (gomarara munhengo nemadhiri zvinogadzira nekuchengetedza bile, iro mvura inogadzirwa nechiropa). 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 gemcitabine,

• udza chiremba wako uye wemishonga kana uri weergoria kune gemcitabine, chero mimwe mishonga, kana chero chipi zvacho chezvinhu zviri mu gemcitabine. 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 yemakwenzi yauri kutora kana kuronga kutora.
• udza chiremba wako kana iwe uchinwa kana wakambonwa doro rakawanda kana kana iwe kana wakambove nechirwere chechiropa, kusanganisira hepatitis, kana chirwere cheitsvo.
• udza chiremba wako kana iwe wakambogamuchira kana uri kugamuchira radiation radiation.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana kana iwe uchironga kubereka mwana. Kana iwe uri munhukadzi, iwe uchafanirwa kutora bvunzo yemimba usati watanga kurapwa uye shandisa zvinobudirira kudzora kubata kudzivirira kubata pamuviri panguva yekurapwa kwako uye kweinenge mwedzi mitanhatu mushure meyako yekupedzisira dosi. Kana iwe uri murume, iwe nemukadzi wako mukadzi munofanira kushandisa zvinobudirira kudzora kuberekwa 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 kuita Taura nachiremba wako nezve kushandisa kudzora kudzivirira kubata pamuviri panguva yekurapa kwako ne gemcitabine. Kana iwe kana mumwe wako ukava nepamuviri paunenge uchigamuchira gemcitabine, danaidza chiremba wako. Gemcitabine inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa iwe paunenge 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 waita.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume. Taura nachiremba wako nezve njodzi dzekugamuchira gemcitabine.

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

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

• kusvotwa
• kurutsa
• manyoka
• kuvimbiswa
• kurasikirwa nenzara
• maronda mumuromo nehuro
• kurasikirwa nevhudzi
• musoro
• tsandanyama dzinorwadza kana dzinorwadza
• kurwadziwa, kupisa, kana kurira mumaoko kana tsoka
• kuzvimba, kurwadziwa, kutsvuka, kana kupisa panzvimbo yejojo

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

• kuputika, kuchenesa, mikoko, huro kana rurimi kuzvimba, kupfupika kwekufema, kunetseka kufema, kurutsa, musoro wakareruka, kana kupera simba
• kubuda ropa zvisina kujairika kana kupwanya, zvituru kana zvitema zvekumhara, kana kukosora kana kurutsa ropa kana zvinhu zvinoita senge kofi nzvimbo
• shanduko muhuwandu weti
• fivha, huro, kuora kuri kuramba kuchiita uye kuzara, kana zvimwe zviratidzo zvehutachiona
• kuneta zvisina kujairika kana kushaya simba, kufema kwekufema, kana kufema
• yero yeganda kana maziso, weti yakasviba, kurasikirwa kwechido, kuneta, kana kurwadziwa kana kusagadzikana munzvimbo yepamusoro yepamusoro mudumbu.
• kuzvimba kwetsoka, makumbo, kana makumbo ezasi; kurwadziwa mudumbu; zvituru zvine mvura; kana kuneta
• nekukurumidza, zvisina kujairika, kana kurova kurova kwemoyo
• kurwadziwa nemusoro, kubatwa, kuneta, kuvhiringidzika, kana kuchinja kwemaonero

Gemcitabine 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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• mapundu akakomba
• kurwadziwa, kupisa, kana kurira mumaoko kana tsoka
• kubuda ropa zvisina kujairika kana kupwanya
• dzvuku kana nhema, zvigaro zvekugara
• pink, tsvuku, kana yakasviba weti
• kukosora kana kurutsa ropa kana zvinhu zvinoita kunge kofi nzvimbo
• fivha, huro, kuora kuri kuramba kuchiita uye kuzara, kana zvimwe zviratidzo zvehutachiona
• kuneta zvakanyanya

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari ekuongorora usati uye panguva yekurapa kwako kuti utarise mhinduro yemuviri wako kune gemcitabine.

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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