Mawallafi: Clyde Lopez
Ranar Halitta: 18 Yuli 2021
Sabuntawa: 15 Nuwamba 2024
Anonim
FLT3-Mutated AML: Midostaurin and Chemotherapy
Video: FLT3-Mutated AML: Midostaurin and Chemotherapy

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Ana amfani da Midostaurin tare da sauran magunguna don magance wasu nau'ikan cutar sankarar myeloid mai ƙarfi (AML; wani nau'in ciwon daji na farin ƙwayoyin jini). Midostaurin kuma ana amfani dashi ga wasu nau'ikan mastocytosis (cuta ta jini wacce a ciki akwai ƙwayoyin mast masu yawa da yawa [wani irin farin ƙwayoyin jini]). Midostaurin yana cikin rukunin magunguna da ake kira masu hana motsi. Yana aiki ta hanyar toshe aikin sunadarin da ba shi da kyau wanda ke nuna ƙwayoyin kansar su ninka. Wannan yana taimakawa dakatar da yaduwar mast da kwayoyin cutar kansa.

Midostaurin ya zo a matsayin kwantena don ɗauka da baki. Yawanci ana ɗaukarsa da abinci sau biyu a rana. Midauki midostaurin kusan sau ɗaya a kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Midauki midostaurin daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.

Hadiɗa capsules duka; kar ka bude ko ka murkushe su.

Idan kayi amai bayan shan midostaurin, kar a sake shan wani maganin. Ci gaba da tsarin jadawalin yau da kullun.


Likitanka na iya rage yawan aikinka na midostaurin ko kuma ya gaya maka ka daina shan midostaurin na wani lokaci ko na har abada yayin jinyarka. Wannan ya dogara da illar da kake fuskanta. Yi magana da likitanka game da yadda kake ji yayin maganin ka. Ci gaba da ɗaukar midostaurin koda kuna jin daɗi. Kada ka daina shan midostaurin ba tare da yin magana da likitanka ba.

Likitanku na iya gaya muku ku sha magani don hana tashin zuciya da amai kafin kowane kashi na midostaurin.

Tambayi likitan ko likitan ku don kwafin bayanan masu sana'anta ga mai haƙuri.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan midostaurin,

  • gaya wa likitan ku da likitan ku idan kun kasance masu rashin lafiyan matsakaicin kwayoyi, wasu magunguna, ko kuma duk wani sinadaran da ke cikin kawunansu. Tambayi likitan ku kan jerin kayan hadin.
  • gaya wa likitanka da likitan kantin ku wasu irin takaddun magani da magunguna marasa magani, bitamin, da kayan abinci mai gina jiki da kuke sha ko shirin sha. Tabbatar da ambaci kowane ɗayan masu zuwa: boceprevir (wanda ba a sake samunsa a Amurka ba; Victrelis); carbamazepine (Carbatrol, Equetro, Tegretol, wasu); clarithromycin (Biaxin, a cikin Prevpac); diltiazem (Cardizem, Cartia, Tiazac, wasu); enzalutamide (Xtandi); idelalisib (Zydelig); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); magunguna da ake amfani da su don magance ƙwayar cuta ta ɗan adam (HIV) kamar su cobicistat (Tybost, a Evotaz, a Genvoya, a Prezcobix, a Stribild), elvitegravir (Vitekta), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, a Kaletra) , a cikin Technivie, a cikin Viekira), saquinavir (Invirase) da tipranavir (Aptivus); mitotane (Lysodren); nefazodone; phenytoin (Dilantin, Phenytek); posaconazole (Noxafil); rifampin (Rifadin, Rimactane, a cikin Rifamate, a cikin Rifater); troleandomycin (ba a cikin Amurka ba); da voriconazole (Vfend). Likitanku na iya buƙatar canza ƙwayoyin magungunanku ko saka idanu a hankali don abubuwan illa. Sauran magunguna da yawa na iya yin ma'amala da midostaurin, don haka tabbatar da gaya wa likitanka game da duk magungunan da kuke sha, har ma waɗanda ba su bayyana a wannan jeri ba.
  • gaya wa likitanka irin kayan ganyen da kake sha, musamman St. John’s wort.
  • gaya wa likitanka idan kana da ko ka taba samun bugun zuciya mara kyau, tsawan QT (matsalar zuciya da ka iya haifar da bugun zuciya mara kyau, suma, ko mutuwa kwatsam), huhu, hanta, ko cutar koda.
  • gaya wa likitanka idan kana da ciki ko ka shirya yin ciki. Idan kun kasance mace, bai kamata ku yi ciki ba yayin da kuke shan midostaurin kuma har zuwa watanni 4 bayan aikinku na ƙarshe. Kuna buƙatar yin gwajin ciki mara kyau a cikin kwanaki 7 kafin fara fara midostaurin. Yi magana da likitanka game da hanyoyin hana haihuwa waɗanda zasu yi aiki a gare ku. Idan kai namiji ne, kai da abokiyar zaman ku yakamata kuyi amfani da maganin haihuwa yayin maganin ku kuma ku ci gaba da amfani da maganin haihuwa na tsawon watanni 4 bayan aikinku na ƙarshe. Idan kai ko abokiyar zaman ku sun yi ciki yayin shan midostaurin, kirawo likitan ku kai tsaye. Midostaurin na iya cutar da ɗan tayi.
  • gaya wa likitanka idan kana shayarwa. Bai kamata ku shayar da nono ba yayin shan midostaurin kuma tsawon watanni 4 bayan aikinku na ƙarshe.
  • ya kamata ku sani cewa wannan magani na iya rage haihuwa ga maza da mata.

Yi magana da likitanka game da cin ɗanyen inabi da shan ruwan anab yayin shan wannan magani.


Sai dai idan likitanku ya gaya muku in ba haka ba, ci gaba da abincinku na yau da kullun.

Tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa.

Midostaurin na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

  • tashin zuciya
  • amai
  • gudawa
  • ciwon kai
  • zubar hanci
  • gajiya
  • rauni
  • jiri
  • maƙarƙashiya
  • basir
  • ƙara zufa
  • ciwon ciki
  • farin faci ko ciwo a leɓɓa ko a cikin bakin da maqogwaro
  • kumburin hannu, ƙafa, idon kafa, ko ƙananan ƙafafu
  • baya, kashi, haɗin gwiwa, gaɓa, ko ciwon jiji
  • wahalar bacci ko bacci

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun, kira likitan ku nan da nan ko ku sami likita na gaggawa:

  • zazzabi, tari, ciwon wuya, sanyi, da sauran alamun kamuwa da cuta
  • saurin, mara tsari, ko bugawar bugun zuciya
  • karancin numfashi
  • ciwon kirji
  • wankewa
  • kumburin lebe, harshe, ko maƙogwaro
  • wahalar numfashi ko haɗiyewa
  • amya
  • kurji
  • ƙaiƙayi
  • sabon ko tari mai tsanani
  • kumburi
  • amai jini ko kayan amai wanda yayi kama da wurin hada kofi
  • zubar jini ko rauni
  • zafi ko zafi yayin yin fitsari

Midostaurin na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin shan wannan magani.


Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Ajiye shi a zafin jiki na ɗaki kuma nesa da yawan zafin rana da danshi (ba cikin gidan wanka ba).

Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku.Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.

Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Likitanku na iya yin odar wasu gwaje-gwajen gwaje-gwaje don bincika amsar jikinku zuwa midostaurin.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

  • Rydapt®
Arshen Bita - 08/15/2017

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