Epirubicin

Umxholo

• Ngaphambi kokufumana inaliti ye-epirubicin,
• I-Epirubicin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Epirubicin kufuneka ilawulwe kuphela emthanjeni. Nangona kunjalo, inokuvuza kwizicubu ezijikelezileyo kubangele ukucaphuka okukhulu okanye ukonakala. Ugqirha wakho okanye umongikazi uya kubeka esweni indawo yakho yolawulo ngale mpendulo. Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: iintlungu, ukurhawuzelela, ukuba bomvu, ukudumba, iblisters, okanye izilonda kwindawo apho lalifakwe khona iyeza.

I-Epirubicin inokubangela iingxaki zentliziyo ezinobungozi okanye ezisongela ubomi nangaliphi na ixesha ngexesha lonyango okanye iinyanga ukuya kwiminyaka emva kokuba unyango lwakho luphelile. Ugqirha wakho uya ku-odola uvavanyo ngaphambi nangexesha lonyango lwakho ukuze abone ukuba intliziyo yakho isebenza kakuhle ngokwaneleyo ukuze ufumane ngokukhuselekileyo i-epirubicin. Olu vavanyo lunokubandakanya i-electrocardiogram (ECG; uvavanyo olurekhoda umsebenzi wombane wentliziyo) kunye ne-echocardiogram (uvavanyo olusebenzisa amaza esandi ukulinganisa ukubanakho kwentliziyo yokupompa igazi). Ugqirha wakho angakuxelela ukuba akufuneki ufumane eli yeza xa uvavanyo lubonisa ukubanakho kwentliziyo yakho yokupompa igazi. Xelela ugqirha wakho ukuba ukhe wanalo naluphi na uhlobo lwesifo sentliziyo okanye unyango ngemitha (x-ray) kwindawo yesifuba. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha okanye wakhe wafumana amayeza athile e-chemotherapy anje nge-daunorubicin (Cerubidine), doxorubicin (Doxil), idarubicin (Idamycin), mitoxantrone (Novantrone), cyclophosphamide (Cytoxan), okanye trastuzumab (Herceptin). Ukuba ufumana naziphi na kwezi mpawu zilandelayo, biza ugqirha ngokukhawuleza: ukuphefumla kancinci; ubunzima bokuphefumla; ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi; okanye ukukhawuleza, ukungahambi kakuhle, okanye ukubetha kwentliziyo.

I-Epirubicin inokunyusa umngcipheko wokukhula kwe-leukemia (umhlaza weeseli ezimhlophe zegazi), ngakumbi xa inikwa ngeedosi eziphezulu okanye kunye namanye amayeza e-chemotherapy.

I-Epirubicin inokubangela ukwehla okukhulu kwinani leeseli zegazi kumongo wethambo lakho. Oku kunokubangela iimpawu ezithile kwaye kunokunyusa umngcipheko wokuba ube nosulelo olubi okanye ukopha. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, biza ugqirha ngoko nangoko: umkhuhlane, umqala obuhlungu, ukukhohlela okuqhubekayo nokuxinana, okanye ezinye iimpawu zosulelo; ukopha okungaqhelekanga okanye ukugruzuka.

I-Epirubicin kufuneka inikwe kuphela phantsi kweliso likagqirha onamava ekusebenziseni amayeza e-chemotherapy.

Thetha nogqirha wakho malunga nomngcipheko (s) wokufumana i-epirubicin.

I-Epirubicin isetyenziswa ngokudibeneyo namanye amayeza ukunyanga umhlaza webele kwizigulana eziye zenziwa utyando ukususa ithumba. I-Epirubicin ikudidi lwamayeza abizwa ngokuba yi-anthracyclines. Isebenza ngokunciphisa okanye ukumisa ukukhula kweeseli zomhlaza emzimbeni wakho.

I-Epirubicin iza njengesisombululo (ulwelo) ukuze ifakwe ngaphakathi ngaphakathi (emthanjeni) ngugqirha okanye umongikazi kwiziko lonyango kunye namanye amayeza e-chemotherapy. Inokujova kanye emva kweentsuku ezingama-21 kwimijikelo ye-6 yonyango okanye inokujova kabini (ngeentsuku zoku-1 nangesi-8) rhoqo kwiintsuku ezingama-28 kwimijikelo emithandathu yonyango.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokufumana inaliti ye-epirubicin,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-epirubicin, i-daunorubicin (i-Cerubidine, i-DaunoXome), i-doxorubicin (i-Doxil), i-idarubicin (i-Idamycin), nawaphi na amanye amayeza, okanye naziphi na izithako kwi-epirubicin injection. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nokunye oku kulandelayo: ii-calcium channel blocker ezinje nge-amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac, abanye), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), nisoldipine (Sular), kunye neverapamil (Calan, Isoptin, Verelan); amayeza athile e-chemotherapy anje nge-docetaxel (iTaxotere) okanye ipaclitaxel (Abraxane, Onxol); okanye i-cimetidine (iTagamet). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza anokusebenzisana ne-epirubicin, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba ubukhe wafumana unyango ngemitha ngaphambili okanye unesifo sesibindi okanye sezintso.
• Kuya kufuneka uyazi ukuba i-epirubicin inokuphazamisa umjikelo oqhelekileyo wokuya exesheni (ixesha) kubafazi kwaye inokumisa ukuveliswa kwesidoda emadodeni. Nangona kunjalo, awufanele ucinge ukuba awungekhe ukhulelwe okanye awungekhe umithise omnye umntu. Abasetyhini abakhulelweyo okanye abancancisayo kufuneka baxelele oogqirha babo ngaphambi kokuba baqale ukufumana eli chiza. Akufanele ukhulelwe okanye uncancise ngelixa ufumana inaliti ye-epirubicin. Ukuba ukhulelwa ngelixa ufumana i-epirubicin, tsalela ugqirha wakho. Thetha nogqirha wakho malunga neendlela zokulawula ukuzalwa oza kuzisebenzisa ngexesha lonyango lwakho. I-Epirubicin inokulimaza umbungu.
• awunalo ugonyo ngaphandle kokuthetha nogqirha wakho.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

I-Epirubicin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• izilonda emlonyeni nasemqaleni
• isisu esibuhlungu
• urhudo
• ukuphelelwa ngumdla wokutya okanye ubunzima
• ukudinwa okungaqhelekanga okanye ubuthathaka
• ukulahleka kweenwele
• kushushu
• umbala omnyama womchamo (kangangeentsuku ezi-1 ukuya kwezi-2 emva kwedosi)
• amehlo abuhlungu okanye abomvu
• iintlungu zamehlo
• ubumnyama besikhumba okanye iinzipho

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• ulusu oluthuthu
• isiqaqa
• isiyezi
• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya

I-Epirubicin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• izilonda emlonyeni nasemqaleni
• umkhuhlane, umqala obuhlungu, ingqele, okanye ezinye iimpawu zosulelo
• ukopha okungaqhelekanga okanye ukugruzuka
• izitulo ezimnyama kunye nokulinda
• Igazi elibomvu ilindle
• ukugabha okunegazi
• Izinto ezigabileyo ezibonakala ngathi ziindawo zekofu

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-epirubicin.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Ukudinwa^®