Mea Kākau: Clyde Lopez
Lā O Ka Hana: 24 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Chemotherapy for NETs: Temozolomide
Wikiō: Chemotherapy for NETs: Temozolomide

Anter

Hoʻohana ʻia ʻo Temozolomide e mālama i kekahi ʻano o nā tumors lolo. Aia ʻo Temozolomide i kahi papa o nā lāʻau i kapa ʻia nā ʻākala alkylating. Hana ia ma ka hoʻolohi a hoʻopaʻa ʻana i ka ulu ʻana o nā hunaola maʻi ʻaʻai i loko o kou kino.

Hele mai ʻo Temozolomide ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā i ke ahiahi i ka wā moe. E lawe i nā capsules temozolomide ma kahi ʻōpū nele me kahi kīʻaha wai. Lawe iā temozolomide ma kahi o ka manawa like i kēlā me kēia lā. No kekahi ʻano tumors lolo, lawe ʻia i temozolomide i kēlā me kēia lā no 42-49 mau lā. A laila, ma hope o ka lā hoʻomaha 28 mau lā, lawe ʻia ia i hoʻokahi manawa i ka lā no 5 mau lā i ka lālani, a ukali ʻia e kahi lā he 23 mau lā ma mua o ka hana hou ʻana i ka pōʻaiapuni kōmi aʻe. No ka mālama ʻana i nā tumors lolo ʻē aʻe, lawe ʻia ʻo temozolomide i hoʻokahi manawa i ka lā no 5 mau lā i ka lālani, a ukali ʻia e kahi lā he 23 mau lā ma mua o ka hana hou ʻana i ka pōʻaiapuni kōmi aʻe. E hoʻoholo kāu kauka i nā manawa hea ʻoe e hana hou ai i nā pōʻaiapuni. Aia ka lōʻihi o ka mālama ʻana i ka maikaʻi o ka pane ʻana o kou kino iā ia a me ke ʻano o ka maʻi ʻaʻai i loaʻa iā ʻoe. Lawe temozolomide pololei e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


Loaʻa paha i kāu kau palena piha ma mua o hoʻokahi ʻano a me ke kala o nā capsule a loaʻa paha i loko o hoʻokahi ʻōmole kuhikuhi. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai.

Hele mai nā capsules Temozolomide i mau ikaika like ʻole. Makemake paha kāu kauka iā ʻoe e lawe i kahi hui o nā capsule i mea e piha ai kāu lāʻau. E ʻike pono i ke ʻano o kēlā me kēia ʻano o ka capsule a me ka nui āu e lawe ai i kēlā me kēia. E noi i kāu kauka a kauka paha inā he nīnau kāu.

Inā haki a kulu paha kekahi o nā capsule, mai hoʻopili aku iā lākou me kou mau lima lima ʻole a akahele hoʻi ʻaʻole e hanu i ka pauka mai nā capsule. Pono ʻoe e komo i nā mīkina lima a i ʻole ka latex ke lawelawe ʻoe i nā capsules naha a wehe ʻia i ʻole e hoʻopili ʻia kou ʻili me ka pauka. Inā pili ka pilina o ka capsule i kou ʻili, holoi maikaʻi i kahi me ka wai.

E ale i nā capsule holoʻokoʻa; mai hoʻokahakaha, nauʻu, a ʻānai ʻana iā lākou.


E luai paha ʻoe ma hope o kou lawe ʻana i ka lāʻau. Inā kū kēia, e hoʻomaopopo koke i kāu kauka. Mai lawe i kahi lāʻau o temozolomide i ka lā like.

Pono paha kāu kauka e hoʻolohi i kāu lāʻau lapaʻau a hoʻoponopono paha i kāu lāʻau o temozolomide ma muli o kāu pane i ka lāʻau a me nā hopena ʻē aʻe āu e ʻike ai. E kamaʻilio me kāu kauka e pili ana i kou ʻano i kāu mālama ʻana. Mai hōʻoki i ka lawe ʻana i temozolomide me ke kamaʻilio ʻole ʻana me kāu kauka.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i temozolomide,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka temozolomide, dacarbazine (DTIC-Dome) i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā capsule temozolomide. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: carbamazepine (Carbatrol, Epitol, Tegretol); co-trimoxazole (Bactrim, Septra); phenytoin (Dilantin, Phenytek); nā steroid e like me dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), a me prednisone (Deltasone); a me ka waikawa valproic (Stavzor, ​​Depakene).
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha iā ʻoe ka maʻi puʻuwai a i ʻole ate.
  • pono ʻoe e ʻike e hoʻopili paha ka temozolomide i ka hana sperm i loko o nā kāne. Eia naʻe, ʻaʻole pono ʻoe e noʻonoʻo ʻaʻole hiki iā ʻoe ke hāpai i kekahi mea ʻē aʻe. E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai, a inā ʻoe e hoʻolālā i kahi keiki i kahi keiki. ʻAʻole ʻoe a i ʻole kāu pakanā e hāpai i ka wā e lawe nei ʻoe i temozolomide. E hoʻohana i kahi ʻano pono o ka kaohi hānau e pale i ka hāpai ʻana. Inā hāpai ʻoe i ka lawe ʻana i temozolomide, e kāhea i kāu kauka. Hiki iā Temozolomide ke hōʻeha i ka fetus.
  • e haʻi i kāu kauka inā ʻoe e hānai umauma ana. ʻAʻole pono ʻoe e hānai i ka wā e lawe nei ʻoe i temozolomide.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


E kamaʻilio me kāu kauka e pili ana i ka mea e hana ai inā ʻike ʻoe i kahi mahele lāʻau o temozolomide. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Temozolomide i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • pāhoehoe
  • kōpaʻa
  • nalo ʻai ʻole
  • ʻeha ma ka waha a me ka puʻu
  • ʻeha poʻo
  • ʻili mae
  • nele i ka ikaika
  • nalo o ke kaulike a me ka hoʻohui ʻana
  • maule ana
  • ʻūpā
  • poho lauoho
  • ʻōlohelohe
  • pilikia pilikia hoʻomanaʻo
  • nā hoʻololi i ka hihiʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe temozolomide a kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • kahe koko ʻole ʻana a palapū paha
  • ʻulaʻula a ʻeleʻele, noho aliʻi
  • mimi, ʻulaʻula, a i ʻole mimi eleele ʻeleʻele
  • ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope
  • fiva, ʻāʻī puʻupuʻu, ʻūhū mau a me ka paʻa, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
  • luhi ʻole a nawaliwali paha
  • hūwī
  • hiki ʻole ke neʻe i kekahi ʻaoʻao o ke kino
  • pokole o ka hanu
  • ka hopu ʻana
  • melemele o ka ʻili a me nā maka
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • hoʻemi urination

Hiki paha iā Temozolomide ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā maʻi ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i temozolomide.

Hoʻokumu paha ʻo Temozolomide i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • kahe koko ʻole ʻana a palapū paha
  • ʻulaʻula a ʻeleʻele, noho aliʻi
  • mimi, ʻulaʻula, a i ʻole mimi eleele ʻeleʻele
  • ʻū ana a luaʻi paha i ke koko a i ʻole mea e like me ke kumu kope
  • fiva, ʻāʻī puʻupuʻu, ʻūhū mau a me ka paʻa, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i nā hoʻokolohua hale hana ma mua, i ka manawa, a ma hope o kāu mālama ʻana e nānā i ka pane o kou kino i temozolomide a e ʻike inā hoʻopili ʻia kāu hunaola koko e kēia lāʻau.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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