Capecitabine

Zvemukati

• Usati watora capecitabine,
• Capecitabine 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:

Capecitabine inogona kukonzeresa kubuda ropa kwakakomba kana kuuraya kana ikatorwa pamwe nemaanticoagulants ('vatete veropa') senge warfarin (Coumadin^®). Udza chiremba wako kana iwe uri kutora warfarin. Chiremba wako anozoraira bvunzo dzemarabhoritari kuti aone kuti ropa rako rinovhara zvakadii uye ungangoda kushandura dhizaini yako yewarfarin. Kana ukasangana nechimwe chezviratidzo zvinotevera, dana chiremba wako nekukurumidza: kubuda ropa kusingajairiki; kurutsa kana kupfira ropa kana bhurugwa zvinhu zvakafanana nekofi nzvimbo; reropa kana dema, zvigaro zvekugara; ropa weti; weti tsvuku kana nhema-shava; kana kupwanya kuri nyore.

Capecitabine inoshandiswa musanganiswa nemimwe mishonga yekurapa gomarara repazamu rakadzoka mushure mekurapwa neimwe mishonga. Inoshandiswawo chete kurapa gomarara repazamu risina kuvandudzwa mushure mekurapwa neimwe mishonga. Capecitabine inoshandiswa zvakare kurapa colon kana rectal kenza (kenza inotanga mumatumbo makuru) yatowedzera kana kupararira kune dzimwe nhengo dzomuviri. Inoshandiswa zvakare kudzivirira gomarara rekoloni kubva pakupararira muvanhu vakavhiyiwa kubvisa bundu. Capecitabine iri mukirasi yemishonga inonzi antimetabolites. Inoshanda nekumisa kana kunonoka kukura kwemasero ekenza.

Capecitabine inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kaviri pazuva (mangwanani nemanheru) kwemasvondo maviri, ichiteverwa nekuzorora kwevhiki rimwe usati wadzokorora iyo inotevera dosi kutenderera. Inowanzo kutorwa mushure mekudya (mukati memaminitsi makumi matatu emangwanani uye kudya kwemanheru) uye negirazi remvura. Chiremba wako anozofunga kuti kangani kaunofanirwa kudzokorora kuita uku. Tora capecitabine panenge panguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora capecitabine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako. Chiremba wako anogona kugadzirisa dhizaini yako ye capecitabine kana kumisa kurapwa kwako kwenguva yakati rebei zvichienderana nemhinduro yako pakurapwa uye chero mhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako.

Medza mapiritsi akazara; usatsemure, kutsenga, kana kuvapwanya.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Capecitabine zvakare dzimwe nguva inoshandiswa kurapa advanced gastric cancer (cancer yemudumbu). 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 capecitabine,

• udza chiremba wako uye wemishonga kana uri weergoria kune capecitabine, fluorouracil (Adrucil, 5-FU), chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi e capecitabine. 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: phenytoin (Dilantin), leucovorin, uye folic acid (mune multivitamini). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga inogona zvakare kubatana ne capecitabine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana iwe wakamboudzwa kuti une kana dihydropyrimidine dehydrogenase (DPD) enzyme kushomeka (kushomeka kweanowanzoitika enzyme mumuviri wako). Chiremba wako anogona kunge achikuudza kuti usatora capecitabine.
• udza chiremba wako kana iwe wakambove neitsvo, chiropa, kana chirwere chemwoyo.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Iwe haufanire kuronga kuve nevana iwe uchiri kutora capecitabine. Iwe unofanirwa kushandisa nzira yakavimbika yekudzivirira kuberekwa kudzivirira nhumbu mukati mako kana mumwe wako panguva yekurapwa kwako ne capecitabine. Capecitabine inogona kukuvadza fetus.taurira chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwa-kuyamwa panguva yekurapa kwako ne capecitabine.

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

Darika iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

• kurwadziwa nemudumbu kana kurwadziwa mudumbu
• kuvimbiswa
• kurasikirwa nenzara
• chinja mukugona kuravira chikafu
• kuwedzera nyota
• kuneta zvisina kujairika kana kushaya simba
• dzungu
• musoro
• kurasikirwa nevhudzi
• kuputika kweganda
• kumashure, kujoina, kana kurwadziwa kwemhasuru
• dzvuku, kuzvimba, kunhuwa, kana kuchema maziso
• kunetseka kurara kana kuramba wakarara

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

• manyoka
• kusvotwa
• kurutsa
• maronda mumuromo
• kuzvimba, kurwadziwa, kutsvuka, kana kubvaruka kweganda pazvanza uye pasi petsoka
• fivha, kutonhora, huro, kana zvimwe zviratidzo zvehutachiona
• kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
• kurwadziwa pachipfuva kana kumanikidza
• kukurumidza kurova kwemoyo
• weti yakasviba
• yero yeganda kana maziso

Capecitabine 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:

• manyoka
• kusvotwa
• kurutsa
• kurwadziwa nemudumbu
• fivha, kutonhora, huro, kana zvimwe zviratidzo zvehutachiona
• nhema, tarisa zvituru
• weti tsvuku
• kupwanya kusingawanzo kana kubuda ropa
• kuneta zvisina kujairika kana kushaya simba

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

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.

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