Pākuʻi Irinotecan

Anter

• Ma mua o ka loaʻa ʻana o ka irinotecan,
• Hoʻokumu paha ʻo Irinotecan i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Pono e hāʻawi ʻia i ka lāʻau Irinotecan ma lalo o ka nānā a ke kauka i ʻike i ka hāʻawi ʻana i nā lāʻau chemotherapy no ka maʻi ʻaʻai.

Hiki iā ʻoe ke ʻike i nā ʻōuli aʻe ke loaʻa nei ʻoe i ka mahele lāʻau o irinotecan a i ʻole 24 mau hola ma hope: ka ihu ihu, hoʻonui ʻia ka huha, nā haumāna ʻūmiʻi (ʻeleʻele i ka waena o nā maka), nā maka wai, ka huehue, kaomi ʻana, ka palahī ( i kekahi manawa i kapa ʻia ʻo 'diarrhea mua'), a me nā ʻōpū o ka ʻōpū. E haʻi i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau e pale a mālama ai i kēia mau ʻōuli.

Hiki paha iā ʻoe ke loaʻa i ka maʻi nui loa (i kekahi manawa i kapa ʻia ʻo '' late diarrhea '') ma mua o 24 mau hola ma hope o kou loaʻa ʻana i ka irinotecan. Hiki i kēia ʻano diarrhea ke hoʻoweliweli i ke ola ʻoiai hiki ke lōʻihi i kahi manawa a alakaʻi i ka make wai, maʻi, maʻi ʻole nā ​​puʻupaʻa, a me nā pilikia ʻē aʻe. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi kahakaha o ka ʻōpū (blockage i kou ʻōpū). E haʻi i kāu kauka a me kāu kauka lāʻau inā ʻoe e lawe i kekahi o nā lāʻau aʻe: nā lāʻau chemotherapy ʻē aʻe no ka maʻi ʻaʻai. diuretics ('pills wai'); aiʻole nā ​​laxatives e like me bisacodyl (Dulcolax) a i ʻole senna (i Correctol, Ex-Lax, Peri-Colace, Senokot).

Ma mua o kou hoʻomaka ʻana i kāu lapaʻau me irinotecan, e kamaʻilio me kāu kauka e pili ana i ka mea e hana ai inā loaʻa ʻoe i ka hope loa o ka diarrhea. E haʻi paha kāu kauka iā ʻoe e mālama i ka loperamide (Imodium AD) ma ka lima i hiki iā ʻoe ke hoʻomaka e lawe koke inā ulu ʻoe i ka diarrhea lohi. E haʻi paha kāu kauka iā ʻoe e lawe i ka loperamide i nā manawa mau i ke ao a me ka pō. E mālama pono i nā kuhikuhi a kāu kauka no ka lawe ʻana i ka loperamide; eʻokoʻa kēia mau mea ma mua o nā kuhikuhi i paʻi ʻia ma ka lepili lepeta o loperamide. E haʻi aku hoʻi kāu kauka iā ʻoe i nā meaʻai āu e ʻai ai a me nā meaʻai āu e hōʻalo ai i ka kaohi ʻana o ka maʻi palahō i kāu mālama ʻana. E inu nui i nā wai a hāhai pono i kēia papaʻai.

Kāhea koke i kāu kauka i ka manawa mua ua loaʻa ʻoe i ka maʻi pākēlē i kou wā o ka mālama ʻana. E kāhea koke aku hoʻi i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: fiva (ʻoi aku ke kiʻekiʻe ma mua o 100.4 ° F); haʻalulu haʻalulu; pahu noho ʻeleʻele a koko paha; maʻi hū ʻaʻole kū i loko o 24 mau hola; ʻālohilohi, puʻupuʻu, a maʻule paha; aiʻole ka nausea nui a me ka luaʻi e hoʻōki iā ʻoe mai ka inu ʻana i kekahi mea. E nānā pono kāu kauka iā ʻoe a mālama iā ʻoe me nā wai a me nā lāʻau ʻaloʻalo inā pono.

Hoʻokumu paha ʻo Irinotecan i kahi hōʻemi o ka nui o nā hunaola i hana ʻia e kou iwi iwi. E haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi koko a i ʻole ʻo Gilbert's Syndrome (hoʻemi i ka hiki ke wāwahi i ka bilirubin, kahi mea kūlohelohe i ke kino) a inā e mālama ʻia ʻoe me ka radiation i kou ʻōpū a i ʻole pelvis (kahi ma waena o nā iwi hip. ) a i ʻole inā ua mālama ʻia ʻoe me kēia ʻano radiation. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: fever, chills, bat, a me nā hōʻailona ʻē aʻe o ka maʻi; pokole o ka hanu; puʻuwai wikiwiki; ʻeha poʻo; ʻūpā; ʻili mae; huikau; luhi nui loa, a i ʻole ka hoʻokahe koko ʻana a ʻeha hoʻi.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ka irinotecan.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i irinotecan.

Hoʻohana hoʻokahi ʻo Irinotecan a i ʻole ka hui pū ʻana me nā lāʻau ʻē aʻe e mālama ai i ke kolone a i ʻole ke kanesa kanesa (ka maʻi ʻaʻai e hoʻomaka i ka ʻōpū nui). Aia ʻo Irinotecan i loko o ka papa o nā lāʻau antineoplastic i kapa ʻia nā mea kāohi ʻo topoisomerase I. Hana ia ma ka hoʻōki ʻana i ka ulu ʻana o nā hunaola maʻi ʻaʻai.

Hele mai ʻo Irinotecan ma ke ʻano he wai e hāʻawi ʻia ma luna o 90 mau minuke i loko o ke aniani (i loko o kahi aa) e ke kauka a kahu hānai paha. Hāʻawi pinepine ʻole ʻia ma mua o hoʻokahi manawa i ka pule, e like me ka papa kuhikuhi e hoʻololi i hoʻokahi a ʻoi paha mau pule ke loaʻa iā ʻoe ka irinotecan me hoʻokahi a ʻoi paha mau pule ke loaʻa ʻole iā ʻoe ka lāʻau. E koho kāu kauka i ka papa hana e kūpono loa iā ʻoe.

Pono paha kāu kauka e hoʻolohi i kāu lāʻau a hoʻoponopono i kāu lāʻau inā ʻike ʻoe i kekahi mau hopena ʻaoʻao. E haʻi pono i kāu kauka i kou ʻano i kou wā e mālama ai me irinotecan.

Hāʻawi paha kāu kauka iā ʻoe i ka lāʻau e pale ai i ka nausea, ka luaʻi ma mua o kou loaʻa ʻana i kēlā me kēia lāʻau o irinotecan. Hāʻawi paha kāu kauka iā ʻoe i nā lāʻau ʻē aʻe e pale a mālama i nā hopena ʻē aʻe.

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

Hoʻohana pū ʻia ʻo Irinotecan i kekahi manawa me nā lāʻau ʻē aʻe e mālama i ka maʻi ʻaʻai liʻiliʻi liʻiliʻi. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou 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 loaʻa ʻana o ka irinotecan,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka irinotecan, sorbitol, a i ʻole nā ​​lāʻau ʻē aʻe.
• e haʻi i kāu kauka inā lawe ʻoe i ketoconazole (Nizoral). E haʻi paha kāu kauka iā ʻoe mai lawe i ka ketoconazole no hoʻokahi pule ma mua o kou hoʻomaka ʻana i kāu lāʻau me irinotecan a i ʻole i kāu wā e mālama ai.
• e haʻi i kāu kauka inā lawe ʻoe i ka wort a St. ʻAʻole pono ʻoe e lawe i ka wort a St. John no 2 mau pule ma mua o kou hoʻomaka ʻana i kāu lāʻau me irinotecan a i ʻole i kāu wā lapaʻau.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: atazanavir (Reyataz); gemfibrozil (Lopid); nā lāʻau no ka hopu ʻana e like me ka carbamazepine (Carbatrol, Epitol, Tegretol), phenobarbital (Luminal), phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); a me rifampin (Rifadin, Rimactane, ma Rifamate a me Rifater). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka inā loaʻa ʻoe a i ʻole loaʻa ka maʻi diabetes; ka hoʻomanawanui ʻole i ka fructose (hiki ʻole ke ʻeli i ke kō maoli i loaʻa i ka hua); a i ʻole ate, akemāmā, a i ʻole ka maʻi ʻaʻai.
• e haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole hoʻolālā i ka makua kāne o kahi keiki. ʻAʻole ʻoe a i ʻole kāu pakanā e hāpai i ka wā e loaʻa ana iā ʻoe ka irinotecan. Pono ʻoe i kahi hōʻoia hāpai maikaʻi ʻole ma mua o kou hoʻomaka ʻana i ka loaʻa ʻana o kēia lāʻau. Inā he wahine ʻoe, e hoʻohana i ka kaohi hānau pono i kāu mālama ʻana a no 6 mau mahina ma hope o kāu hopena hope loa. Inā he kāne ʻoe a hiki i kāu hoa ke hāpai, pono ʻoe e hoʻohana i ka kaohi hānau hānau (condoms) i ka wā o kāu mālama ʻana a no 3 mau mahina ma hope o kāu hopena hope loa. Inā hāpai ʻoe a ʻo kāu hoa paha i ka loaʻa ʻana o ka irinotecan, e kāhea i kāu kauka. Hoʻopilikia paha ʻo Irinotecan i ka fetus.
• e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. ʻAʻole pono ʻoe e hānai i ka wā e loaʻa ana iā ʻoe ka lāʻau irinotecan, a no 7 mau lā ma hope o kāu hopena hope loa.
• pono ʻoe e ʻike i kēia lāʻau i hoʻemi ai i ka momona i nā kāne a me nā wahine. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka loaʻa ʻana o ka lāʻau irinotecan.
• inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha ke loaʻa nei iā ʻoe ka irinotecan.
• pono ʻoe e ʻike i ka irinotecan e hoʻohoka ai iā ʻoe a hoʻopili ai paha i kāu ʻike, keu hoʻi i nā hola 24 mua ma hope o kou loaʻa ʻana i kahi lāʻau. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
• e kamaʻilio me kāu kauka ma mua o ka loaʻa ʻana iā ʻoe o nā lāʻau āpau i kāu mālama ʻana me irinotecan.

E haʻi aku kāu kauka iā ʻoe e pili ana i kahi papaʻai kūikawā e ukali ai e kōkua i ke kāohi ʻana i ka maʻi diarrhea i kāu mālama ʻana. E hāhai pono i kēia mau ʻōkuhi.

E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona a loaʻa ka lāʻau iā ʻoe.

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

• nausea
• ka luaʻi
• kōpaʻa
• pehu a me ka ʻeha ma ka waha
• puʻuwai puʻuwai
• nalo ʻai ʻole
• Kaumaha emi
• poho lauoho
• nāwaliwali
• hiamoe
• ʻeha, keu hoʻi o ke kua

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:

• ʻeha ka umauma
• melemele o ka ʻili a me nā maka
• ʻōpū pehu
• loaʻa kaumaha kaumaha ʻole ʻia
• ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i nā wāwae lalo
• hūwī
• hives
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana

ʻO kekahi poʻe i loaʻa ka irinotecan i hoʻomohala i nā kīʻaha koko i ko lākou mau wāwae, akemāmā, lolo, a puʻuwai paha. ʻAʻole lawa ka ʻike e haʻi inā he irinotecan ke kumu o ke kahe o ke koko. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka loaʻa ʻana o ka irinotecan.

Hoʻokumu paha ʻo Irinotecan i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o 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).

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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• ʻeha ka ʻāʻī, ke kuni, ke anu, ka ʻū a me nā hōʻailona ʻē aʻe o ka maʻi
• ʻōpū nui loa

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.

• ʻO Camptosar^®

• CPT-11