Idarubicin
Umxholo
- Ngaphambi kokufumana idarubicin,
- I-Idarubicin 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:
Idarubicin 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-Idarubicin inokubangela iingxaki zentliziyo 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 i-idarubicin ngokukhuselekileyo. 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), epirubicin (Ellence), 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-Idarubicin inokubangela ukwehla okukhulu kwenani 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; enegazi okanye emnyama, ilindle; ukugabha kwegazi; okanye ukugabha igazi okanye izinto ezimdaka ezifana namabala ekofu.
Xelela ugqirha wakho ukuba ukhe unesifo sezintso okanye sesibindi. Ugqirha wakho unokukuxelela ukuba akufuneki ufumane la mayeza okanye unokutshintsha idosi yakho ukuba unesifo sezintso okanye sesibindi.
I-Idarubicin kufuneka inikwe kuphela phantsi kweliso likagqirha onamava ekusetyenzisweni kwamayeza e-chemotherapy.
I-Idarubicin isetyenziselwa ukunyanga i-leukemia ye-myelogenous (AML; uhlobo lomhlaza weeseli ezimhlophe zegazi) ngokudibeneyo namanye amayeza. I-Idarubicin ikudidi lwamayeza abizwa ngokuba zii-anthracyclines. Isebenza ngokunciphisa okanye ukumisa ukukhula kweeseli zomhlaza emzimbeni wakho.
I-Idarubicin iza njengesisombululo (ulwelo) sokujova ngaphakathi (emthanjeni) ngaphezulu kwemizuzu eli-10 ukuya kweli-15 ngugqirha okanye umongikazi kwiziko lonyango kunye namanye amayeza e-chemotherapy. Ihlala inikwa kube kanye ngemini kangangeentsuku ezi-3. Ugqirha wakho unokufuna ukulibazisa unyango lwakho okanye uhlengahlengise idosi yakho ukuba uneziphumo ebezingalindelekanga ezithile. Kubalulekile ukuba uxelele ugqirha wakho ukuba uziva njani ngexesha lonyango lwakho nge-idarubicin.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokufumana idarubicin,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-idarubicin, nawaphi na amanye amayeza, okanye naziphi na izithako kwiinaliti yedarubicin. 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 ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba ubukhe wafumana unyango ngemitha ngaphambili okanye unesifo sentliziyo okanye ukuba unentsholongwane, iingxaki zokunqanda igazi, okanye i-anemia (ukunciphisa inani leeseli ezibomvu egazini).
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Akufanele ukhulelwe okanye uncancise ngelixa ufumana inaliti ye-idarubicin. Ukuba ukhulelwa ngelixa ufumana idarubicin, tsalela ugqirha wakho. Idarubicin inokwenzakalisa umntwana ongekazalwa.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
I-Idarubicin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- isicaphucaphu
- ukugabha
- urhudo
- izilonda emlonyeni nasemqaleni
- isisu esibuhlungu
- intloko ebuhlungu
- intlungu edibeneyo
- ukulahleka kweenwele
- irhashalala
- ububomvu kunye namadyungudyungu ezintendeni nasebusweni
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
- ukuxhuzula
- urhwebo
- isiyezi
- isiqaqa
- ulusu oluthuthu
- ubunzima bokuchama
- mthubi ulusu okanye amehlo
I-Idarubicin 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:
- isicaphucaphu
- ukugabha
- iintlungu ezinzima zesisu
- 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 zebhu ukujonga impendulo yomzimba wakho kwi-idarubicin.
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.
- Idamycin® I-PFS