Umbhali: Joan Hall
Umhla Wokudalwa: 25 Eyomdumba 2021
Hlaziya Umhla: 21 Eyenkanga 2024
Anonim
Leucovorin rescue therapy with methotrexate
Ividiyo: Leucovorin rescue therapy with methotrexate

Umxholo

ILeucovorin isetyenziselwa ukuthintela iziphumo eziyingozi ze-methotrexate (Rheumatrex, Trexall; amayeza e-chemotherapy) xa i-methotrexate isetyenziselwa ukunyanga iintlobo ezithile zomhlaza. ILeucovorin ikwasetyenziselwa ukunyanga abantu abafumene ngengozi i-methotrexate okanye amayeza afanayo. ILeucovorin ikudidi lwamayeza abizwa ngokuba zii-analogs ze-folic acid. Isebenza ngokukhusela iiseli ezinempilo kwiziphumo ze-methotrexate okanye amayeza afanayo ngelixa ivumela i-methotrexate ukuba ingene kwaye ibulale iiseli zomhlaza.

ILeucovorin iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa qho emva kweeyure ezi-6 de uvavanyo lwaselebhu lubonise ukuba akusafuneki. Ngamanye amaxesha i-leucovorin ithathwa kwishedyuli eyahlukileyo, kuxhomekeke kwisizathu sokufuneka kwayo. Thatha i-leucovorin malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-leucovorin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


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

Ngaphambi kokuba uthathe i-leucovorin,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-leucovorin, levoleucovorin, folic acid (Folicet, kwii-multivitamini), nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi zeleucovorin. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amayeza athile okuxhuzula afana ne-phenobarbital, phenytoin (Dilantin), kunye ne-primidone (Mysoline); kunye ne-trimethoprim-sulfamethoxazole (Bactrim, Septra). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba une-anemia (inani eliphantsi leeseli ezibomvu zegazi) elibangelwa kukungabikho kwe-vitamin B12 okanye ukungakwazi ukufumana i-vitamin B12. Ugqirha wakho akanakumisela i-leucovorin ukunyanga olu hlobo lwe-anemia.
  • xelela ugqirha wakho ukuba ukhe wakha ulwelo kwisifuba okanye kwindawo yesisu okanye isifo sezintso. Xelela ugqirha wakho ukuba uyabikwa.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa uthatha i-leucovorin, tsalela ugqirha wakho.

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


Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

  • urhudo
  • irhashalala
  • urhwebo
  • ukurhawuzelela
  • ubunzima bokuphefumla okanye ukugwinya

ILeucovorin 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).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).


Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

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.

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

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

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.

  • Wellcovorin
  • citrovorum factor
  • iicic acid
  • I-5-formyl tetrahydrofolate

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-06/15/2017

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