Mea Kākau: Virginia Floyd
Lā O Ka Hana: 8 Aukake 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2025
Anonim
Managing Chronic Immune Thrombocytopenia (ITP) With Doptelet® (avatrombopag) - Dr. Maitland
Wikiō: Managing Chronic Immune Thrombocytopenia (ITP) With Doptelet® (avatrombopag) - Dr. Maitland

Anter

Hoʻohana ʻia ʻo Avatrombopag e mālama i ka thrombositopenia (kahi helu haʻahaʻa o nā pā [e pono ai ke kōpulu koko)) i ka poʻe me nā maʻi ate (hoʻomau) o ke akepaʻa i hoʻonohonoho ʻia e loaʻa i kahi hana olakino a kahua niho paha e pale ai i nā pilikia kahe o ke kahe. Hoʻohana ʻia ia e mālama i ka thrombositopenia i ka poʻe me ka thrombositopenia immune mau loa (ITP; kahi ʻano mau e hiki ai ke hōʻeha a i ʻole ke kahe ʻana o ke kahe ma muli o ka helu haʻahaʻa o nā platelet i loko o ke koko) ʻaʻole i kōkua ʻia me kahi lāʻau ʻē aʻe. Aia ʻo Avatrombopag i kahi papa o nā lāʻau i kapa ʻia nā agonists receptor thrombopoietin (TPO). Hana ia ma ke kumu ʻana i ke kino e hoʻohua i nā pāhale.

Hele mai ʻo Avatrombopag ma ke ʻano he papa e lawe ma ka waha. No ka mālama ʻana i ka thrombositopenia i ka poʻe me ka maʻi maʻi akepau i hoʻonohonoho ʻia e loaʻa kahi kaʻina hana, lawe mau ʻia me ka meaʻai i hoʻokahi manawa i kēlā me kēia lā no 5 mau lā, e hoʻomaka ana ma 10 a 13 mau lā ma mua o ke kaʻina hana. No ka mālama ʻana i ka thrombositopenia i ka poʻe me ITP, lawe mau ʻia ia i kēlā me kēia lā me ka meaʻai no ka mea i kuhikuhi ʻia. E lawe i ka avatrombopag ma kahi o ka manawa like i kēlā me kēia lā. 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. E lawe i ka avatrombopag 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.


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 ka avatrombopag,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka avatrombopag, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa avatrombopag. 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E haʻi pono i kekahi o kēia mau mea: amiodarone (Nexterone, Pacerone); aprepitant (Emend); kekahi mau antifungals e like me fluconazole, itraconazole (Onmel, Sporanox), ketoconazole, a i ʻole voriconazole (Vfend); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); clarithromycin (Biaxin, i Prevpac); diltiazem (Cardizem, Cartia, Diltzac, Taztia); enzalutamide (Xtandi); erythromycin (EES, Erythrocin, a me nā mea ʻē aʻe; kekahi mau lāʻau e mālama ai i ka maʻi HIV e like me efavirenz (Sustiva, ma Atripla), indinavir (Crixivan), nelfinavir (Viracept), a i ʻole nevirapine (Viramune); phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin Mycobutin); rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); ritonavir (Norvir, ma Kaletra, a me nā mea ʻē aʻe), a i ʻole saquinavir (Invirase); nefazodone; a me verapamil (Calan, Covera, Verelan). me ka avatrombopag, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaukana o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi kahe koko, a i ʻole ke ʻano genetics e hiki ai ke alakaʻi i ke koko.
  • e haʻi i kāu kauka inā hāpai ʻoe, a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ka avatrombopag, e kāhea i kāu kauka.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. E haʻi paha kāu kauka iā ʻoe ʻaʻole e hānai i ka wā o kāu mālama ʻana a no 2 mau pule ma hope o kāu hopena hope loa.

Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu i ka hoʻohana ʻana i kēia lāʻau.


Inā ʻoe e lawe i ka avatrombopag e mālama ai i ka thrombositopenia ma mua o ke kaʻina hana, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia. Inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau, akā e ʻike pono e hoʻopau i ka lawe ʻana i nā lāʻau āpau (ʻoiai inā ʻaʻole lawe ʻia lākou i 5 mau lā i ka lālani). Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Inā ʻoe e lawe i ka avatrombopag e mālama i ka thrombositopenia immune mau loa, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia. Inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

  • luhi loa
  • ʻeha poʻo
  • nā ihu a i ʻole ke kahe ʻana o ke kāpili
  • ʻeha pū

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka:

  • ʻōhū, ʻeha, ʻulaʻula, a ʻūhā paha
  • ka pōkole o ka hanu, ke kuni, ka puʻu, ka ʻeha o ka umauma, a i ʻole ke kuʻi puʻuwai wikiwiki
  • ʻeha o ka ʻōpū a palupalu paha
  • pehu o nā lima a me nā wāwae paha

Hiki i ka Avatrombopag ke hana 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.

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

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.

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:

  • pehu, ʻeha, ʻulaʻula a wāwae palupalu paha
  • ka pōkole o ka hanu, kahe, ka ʻeha o ka umauma, ka puʻuwai wikiwiki
  • ʻeha o ka ʻōpū a palupalu paha

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab ma mua o kou hoʻomaka ʻana i ka lāʻau e hoʻoholo ai i kāu mahele lāʻau avatrombopag a i ka lā o ke kaʻina hana.

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 Doptelet®
Nānā Hou - 08/15/2019

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