Dacomitinib (inorapwa nemumuromo)
Mhando dzinowanikwa
Vizimpro
Nezve mushonga uyu
Dacomitinib inoshandiswa kurapa kenza yemapapu isiri-eseru duku yakapararira (metastatic) ine epidermal growth factor receptor (EGFR) exon 19 deletion kana exon 21L858Rsubstitution mutation gene. Chiremba wenyu achashandisa bvunzo kuongorora mutation usati watanga kurapwa nechinodawa ichi. Chinodawa ichi chinowanikwa chete kana uine chinyorwa chechiremba. Chigadzirwa ichi chinowanikwa mumhando dzinotevera dzekuyeresa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nezvakanaka zvichaita. Iyi sarudzo iwe nesachiremba wenyu muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero chirwere chisingawanzoitika kana chisina kunaka kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yekuchengetedza utano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinhu zviri mukati zvakanyatsonaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye dacomitinib muvanhu vevana. Kwakachengeteka uye kushanda kwakanaka hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo echirwere chevakwegura aizoita kuti kushandiswa kwe dacomitinib kuvanhu vakwegura kuve kwakaoma. Hapana ongororo dzakakwana muvakadzi dzekuona ngozi yemwana pakushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Munyaya idzi, chiremba wenyu angada kuchinja chiyero, kana mamwe matanho angave achidiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yekuchengetedza utano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwazvo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kungadiwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wenyu angachinja chiyero kana kuti kazhinji unoshandisa imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati wandei ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kurukurai nemunyanzvi wenyu wekuchengetedza utano kushandiswa kwemushonga wako nezvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chaizvoizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura zvakarayirwa nachiremba wako. Mushonga uyu unouya nechiratidzo chemashoko kumurwere. Verenga utevedzere mirairo zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Unogona kutora mushonga uyu uchidyisa kana usina kudya. Tora mushonga uyu maawa anenge 6 usati washandisa antacid kana H2 blocker (semuenzaniso, cimetidine, ranitidine) kana maawa gumi mushure mekushandisa. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera runosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana ukakanganwa dose yemushonga uyu, siya dose yakakanganwika wobva wadzoka kune yako dosing schedule. Usatore doses kaviri. Kana ukasvotera mushure mekutora dose, tora dose inotevera panguva yakajairwa. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kuti urege kuomarara. Chengetedza kure nevana. Usachengetse mushonga wakare kana mushonga usingachadiwi. Bvunza nyanzvi yako yehutano maitiro ekurasa chero mushonga usingashandise.