Created at:10/10/2025
Question on this topic? Get an instant answer from August.
Flutamide mushonga unopiwa nachiremba unonyanya kushandiswa kurapa gomarara re prostate mune varume. Iyo ndeyeboka remishonga inonzi antiandrogens, iyo inoshanda nekudzivirira mhedzisiro yemahomoni evarume senge testosterone anogona kukonzera mamwe marudzi ekukura kwegomarara.
Mushonga uyu wave uchibatsira varume kudzora gomarara re prostate rakaoma kwemakumi emakore. Kunyangwe iri sarudzo yekurapa ine simba, kunzwisisa mashandiro ayo uye zvekutarisira zvinogona kukubatsira kuti unzwe wakagadzirira uye wakavimbika nezve kutarisirwa kwako.
Flutamide mushonga we antiandrogen wemuromo uyo unodzivirira testosterone nemamwe mahomoni evarume kubva kusvika kumasero egomarara. Funga nezvazvo sekugadzira chipingamupinyi chinodzivirira chinodzivirira mahomoni aya kubva pakudyisa gomarara re prostate.
Mushonga uyu unouya muchimiro chemakapsule uye unotorwa nemuromo. Inowanzo kurairwa sechikamu chechirongwa chakazara chekurapa gomarara re prostate rakaoma, kazhinji richibatanidzwa nemamwe marapirwo emahormone.
Flutamide yakabvumidzwa neFDA kubvira 1989 uye ine rekodhi yakasimbiswa mukurapa gomarara. Chiremba wako achanyatsoongorora kana mushonga uyu uri sarudzo yakakodzera yemamiriro ako chaiwo.
Flutamide inonyanya kurairwa kurapa gomarara re prostate rakaoma rakapararira kupfuura prostate gland. Inonyanya kushanda kumagomarara anovimba nemahomoni evarume kuti akure uye apararire.
Mushonga uyu unowanzo shandiswa pamwe chete nemamwe marapirwo senge LHRH agonists (semuenzaniso leuprolide kana goserelin). Iyi nzira yekubatanidza, inonzi combined androgen blockade, inogona kushanda zvakanyanya kupfuura kushandisa chero kurapwa kuri chega.
Chiremba wako anogona zvakare kuraira flutamide usati watanga kurapwa kwemwaranzi kana kuvhiyiwa. Izvi zvinobatsira kudzikisa bundu uye zvinogona kuita kuti mamwe marapirwo ashande zvakanyanya.
Mune dzimwe nguva, flutamide inogona kushandiswa kune dzimwe mamiriro ane chekuita nemahomoni, asi gomarara re prostate rinoramba riri rekutanga uye rinowanzo shandiswa.
Flutamide inoshanda nekudzivisa androgen receptors mumaseru egomarara. Aya ma receptors akaita semakiyi ayo mahomoni echirume anoshandisa semakiyi kuti apinde mumasero uye kumutsa kukura.
Kana flutamide ikagara munzvimbo idzi dze receptor, testosterone nemamwe ma androgens haagone kuzvibatanidza kwavari. Izvi zvinonyatsoita kuti maseru egomarara anotsamira pahomoni asashaye mafuta avanoda kuti awande uye apararire.
Mishonga iyi inoonekwa seyakasimba antiandrogen. Iyo ine simba rakakwana rekuderedza zvakanyanya chiitiko chehomoni asi kazhinji inokonzera mashoma akakomba mhedzisiro kupfuura dzimwe nzira dzakasimba.
Mhedzisiro haiitike husiku. Zvinowanzo tora mavhiki akati wandei kusvika kumwedzi kuti uone mhedzisiro yakazara ye flutamide pakufambira mberi kwegomarara uye zviratidzo.
Tora flutamide sezvinorayirwa nachiremba wako, kazhinji katatu pazuva panguva dzakasiyana. Madosi akajairika i250 mg maawa masere ega ega, asi chiremba wako anogona kuchinjisa izvi zvichienderana nezvido zvako.
Unogona kutora flutamide uine kana usina chikafu, asi kuitora nezvikafu zvinogona kubatsira kuderedza dumbu. Edza kuitora panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana mumuviri wako.
Medza makapisi ese negirazi remvura izere. Usapwanye, kutsenga, kana kuvhura makapisi, sezvo izvi zvinogona kukanganisa nzira iyo mishonga inotorwa nayo.
Kana iwe uchitora flutamide nemamwe mishonga yegomarara re prostate, tevera mirairo chaiyo yachiremba wako nezve nguva. Dzimwe nzira dzinoshanda zvakanyanya kana dzichitorwa pamwe chete, nepo dzimwe dzinofanirwa kupatsanurwa.
Kureba kwekurapa kwe flutamide kunosiyana zvakanyanya kubva kumunhu nemunhu. Vamwe varume vanogona kuitora kwemwedzi, nepo vamwe vachienderera mberi kwemakore, zvichienderana nekuti gomarara rinopindura sei.
Chiremba wako achatarisa kufambira mberi kwako kuburikidza nemiedzo yeropa yenguva dzose, zvidzidzo zve imaging, uye bvunzo dzemuviri. Izvi zvinobatsira kuona kana mushonga uri kushanda nemazvo uye kana iwe uchifanira kuenderera mberi nekurapa.
Kurapa kunowanzoenderera mberi chero bedzi kenza ichiramba ichinzwa mahomoni uye mushonga uchishivirirwa zvakanaka. Kana kenza ikaramba kurapa mahomoni, chiremba wako anogona kukurudzira kuchinja kune dzimwe nzira dzekurapa.
Usambofa wakamira kutora flutamide kamwe kamwe usina kubvunza chiremba wako, kunyangwe uchinzwa zviri nani. Kumisa kurapa mahomoni kamwe kamwe kunogona kubvumira masero ekenza kutanga kukura zvakare.
Flutamide inogona kukonzera matambudziko akasiyana-siyana, kunyangwe kwete munhu wese anoawana. Mazhinji emigumisiro inogona kutariswa uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.
Heano matambudziko akajairika aunogona kusangana nawo:
Izvi zvinokonzerwa nekuti flutamide inovharisa mahomoni echirume mumuviri wako wese, kwete chete mumasero ekenza. Kunyangwe zvisinganzwisisike, zvinowanzoita zviratidzo zvekuti mushonga uri kushanda.
Zvimwe zvisingawanzoitiki asi zvakanyanya matambudziko anoda kutariswa kwekurapa nekukurumidza. Izvi zvinosanganisira matambudziko akakomba echiropa, anogona kukonzera kuyeruka kweganda kana maziso, weti yakasviba, kana kurwadziwa kwakanyanya mudumbu.
Zvisingawanzoitiki asi zvakanyanya matambudziko anosanganisira kuzvimba kwemapapu, matambudziko eropa, uye matambudziko emoyo. Bata chiremba wako nekukurumidza kana ukaona kuoma kufema, kubuda ropa kusinganzwisisike, kana kurwadziwa muchipfuva.
Flutamide haikodzerwi nemunhu wese. Chiremba wako achanyatsoongorora nhoroondo yako yezvokurapa asati akupa mushonga uyu kuti ave nechokwadi chekuti wakachengeteka kwauri.
Haufaniri kutora flutamide kana uine chirwere chakakomba chechiropa kana wakambove nekupindura kwakakomba kwechiropa kumushonga uyu munguva yakapfuura. Mushonga uyu unogona kuoma pachiropa, zvichiita kuti matambudziko aripo echiropa awedzere.
Vakadzi vane pamuviri kana vangave nepamuviri havafaniri kutora flutamide. Mushonga uyu unogona kukonzera zvikanganiso zvakakomba zvekuzvarwa uye kukuvadza vana vari kukura.
Udza chiremba wako nezve mishonga yese yaunotora, kunyanya mishonga inotetesa ropa yakaita se warfarin. Flutamide inogona kuwedzera mhedzisiro yemishonga iyi, zvichikonzera kubuda ropa kunotyisa.
Vanhu vane mamiriro emoyo akati wandei, matambudziko emapapu, kana zvirwere zveropa vangangoda kuongororwa kwakakosha kana mamwe marapirwo. Chiremba wako achayerera mabhenefiti achipesana nenjodzi dzinogona kuitika mumamiriro ezvinhu aya.
Flutamide inowanikwa pasi pemazita akati wandei emhando, neEulexin ndiyo inonyanya kuzivikanwa. Mamwe mazita emhando anosanganisira Flutamid uye Fugerel, kunyangwe kuwanikwa kuchisiyana nenyika.
Mhando dzakajairika dze flutamide dzinowanikwa zvakanyanya uye dzinobata zvakanyanya semhando dzemhando. Pharmacy yako inogona kutsiva vhezheni yakajairika kunze kwekunge chiremba wako achikumbira zita remhando.
Kunyangwe iwe ukagamuchira zita remhando kana generic flutamide, chinhu chinoshanda uye kushanda zvinoramba zvakafanana. Misiyano mikuru inowanzoita ruvara rwecapsule, chimiro, kana mugadziri.
Mishonga yakati wandei inopesana neandrogen inogona kushandiswa panzvimbo pe flutamide. Bicalutamide (Casodex) inowanzo farirwa nekuti inotorwa kamwe chete pazuva uye inogona kukonzera mashoma mativi emhedzisiro.
Mishonga mitsva yakaita se enzalutamide (Xtandi) uye apalutamide (Erleada) mishonga inopesana neandrogen ine simba rakawanda inogona kushanda zviri nani kenza yeprostate yakakura. Zvisinei, inogonawo kukonzera migumisiro yakawanda.
Chiremba wako angangofungawo nezve mamwe marapirwo emahormone akaita seLHRH agonists kana antagonists. Izvi zvinoshanda zvakasiyana nekuderedza kugadzirwa kwe testosterone panzvimbo yekuvharisa mhedzisiro yayo.
Sarudzo yemamwe marapirwo inoenderana nemaitiro ako chaiwo ekenza, hutano hwako hwese, uye kuti wakanaka sei kumishonga yapfuura. Oncologist wako achabatsira kuona sarudzo yakanakisa yemamiriro ako ezvinhu.
Zvese flutamide uye bicalutamide zvinoshanda antiandrogens, asi zvine zvakanakira zvakasiyana. Bicalutamide inowanzo kufarirwa nekuti inotorwa kamwe chete pazuva ichienzaniswa neflutamide's katatu-pazuva dosing.
Zvidzidzo zvinoratidza kuti bicalutamide inogona kukonzera matambudziko mashoma echiropa uye ine chirongwa chiri nyore chekushandisa. Zvisinei, flutamide yakashandiswa kwenguva refu uye ine yakawanda yakareba-nguva yekuchengetedza data.
Kushanda kwemishonga yese iri miviri kwakafanana kana ichishandiswa sechikamu chekubatanidza hormone therapy. Chiremba wako achafunga nezvezvinhu zvakaita sehupenyu hwako, mamwe mishonga, uye migumisiro inogona kuitika pakusarudza pakati pavo.
Vamwe varume vanogona kupindura zviri nani kumushonga mumwe kupfuura mumwe. Kana iwe ukaona migumisiro yakakosha nemumwe antiandrogen, kuchinja kune mumwe kungangopa kushivirira kuri nani uchichengetedza kenza kudzora.
Flutamide inogona kushandiswa nekuchenjerera muvarume vane chirwere chemoyo, asi inoda kunyatso tariswa. Mushonga unogona kukanganisa rhythm yemoyo uye unogona kushamwaridzana nemimwe mishonga yemoyo.
Chiremba wako wemoyo uye oncologist vanofanira kushanda pamwe chete kuti vatarise hutano hwemoyo wako panguva yekurapa. MaEKG enguva dzose uye bvunzo dzemabasa emoyo zvinogona kurairwa kuti zvivimbise kuti mushonga haukonzere matambudziko.
Kana uine chirwere chemoyo chakakomba, chiremba wako angasarudza mamwe antiandrogens kana kugadzirisa chirongwa chako chekurapa. Gara uchizivisa nyanzvi dzese pamusoro pemishonga yese yaunotora.
Kana ukatora flutamide yakawanda netsaona kupfuura yakarairwa, taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira. Kutora zvakanyanya kunogona kuwedzera njodzi yemigumisiro yakakomba, kunyanya matambudziko echiropa.
Usaedze kugadzirisa overdose nekusvetuka mushonga wako unotevera. Pane kudaro, dzokera kune yako yenguva dzose dosing schedule uye rega timu yako yehutano ikutarise chero migumisiro isina kunaka.
Zviratidzo zve overdose zvinogona kusanganisira kusvotwa kwakanyanya, kurutsa, kana kuneta kusinganzwisisike. Tsvaga kutariswa kwekurapa nekukasira kana uine zviratidzo izvi mushure mekutora mushonga wakawedzerwa.
Kana ukarasikirwa nedose ye flutamide, itore nekukasira paunorangarira, kunze kwekunge yava nguva yechirongwa chako chinotevera. Muchiitiko ichocho, svetuka dose yakarasika uye uenderere mberi nechirongwa chako chetsika.
Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dose yakarasika. Izvi zvinogona kuwedzera njodzi yako yemigumisiro isina kupa mamwe mabhenefiti.
Kana iwe uchikanganwa madosi kakawanda, funga kuseta maalarm efoni kana kushandisa murongi wepiritsi. Dosing inoenderana yakakosha pakuchengetedza inoshanda hormone blockade.
Unofanira kungomira kutora flutamide pasi pekutariswa kwachiremba wako. Nguva inoenderana nekuti kenza yako iri kupindura sei uye chirongwa chako chekurapa.
Chiremba wenyu achashandisa bvunzo dzeropa (sekunge mazinga ePSA), zvidzidzo zvekuongorora, uye bvunzo dzemuviri kuti aone kuti rinhi zvakachengeteka kumisa kana kuchinja kurapwa kwenyu. Sarudzo iyi yakanyatsoitirwa munhu mumwe nemumwe.
Vamwe varume vangakwanisa kutora zororo rekurapa kana kenza yavo isingawanikwi, nepo vamwe vachida kuenderera mberi nekusingaperi. Kuongorora nguva dzose kunobatsira chiremba wenyu kuita sarudzo idzi dzakakosha.
Kunyange kana uchinzwa zvakanaka, usamisa mushonga wega. Kenza yegurokuro inogona kudzoka nekukurumidza kana kurapwa kwemahomoni kukamiswa pasina kutarisirwa kwakakodzera kwechiremba.