Abecma
Idecabtagene vicleucel injection inoshandiswa kurapa multiple myeloma (kenza yemugongo wemwongo) muvarwere vane kenza yakadzoka uye vakagamuchira kurapwa kwakawanda kupfuura 4 kare (semuenzaniso, anti-CD38 monoclonal antibody, proteasome inhibitor, uye immunomodulatory agent) izvo zvisina kushanda zvakanaka. Idecabtagene vicleucel injection mushonga unorwisa kenza unoitwa kubva kumasero machena eropa ako, ayo akashandurwa kuti azive uye kurwisa masero ako ekenza. Usati watanga kurapwa, taura nachiremba wako nezvemabhenefiti emushonga uyu pamwe chete nenjodzi dzinogona kuitika pakugamuchira. Mushonga uyu unowanikwa chete pasi pechirongwa chekugovera chakaomeswa chinonzi Abecma® REMS (Risk Evaluation and Mitigation Strategy) Program. Chigadzirwa ichi chinowanikwa mumafomu anotevera ekurapa:
Pakusarudza kushandisa mushonga, njodzi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nenhambo yakanaka yaunozowana. Iyi sarudzo ichaitwa newe nechikamu chako. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana chirwere cheallergy kumushonga uyu kana mimwe mishonga. Udzawo nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisingadi kuraira kwechiremba, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro yekuisa idecabtagene vicleucel mune vechidiki. Kuvimbika uye kushanda zvakanaka hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo emakore ekukwegura aizoita kuti kushandiswa kweidecabtagene vicleucel injection kurege kushanda zvakanaka muvakuru. Hapana ongororo dzakakwana pane vakadzi dzekuona njodzi yemwana pakuishandisa mushonga uyu panguva yekuyamwisa. Yera zvakanaka zvakanaka pamwe nenjodzi 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 paine kuwirirana kungangoitika. Mune izvi, chiremba wako angada kuchinja chiyero, kana kuti mamwe matanho angadiwa. Udza nyanzvi yako yehutano kana uri kutora chero mushonga wekuraira kana usina kuraira (over-the-counter [OTC]). Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nekurima kana kudya marudzi akati echikafu sezvo kuwirirana kungangoitika. Kushandisa doro kana fodya nemamwe mishonga kunogona zvakare kukonzera kuwirirana. Kurukurai nehutano hwako hwenyanzvi kushandiswa kwemushonga wako nechikafu, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Munetsana kana mumwe mushandi wehutano akarovedzwa achakupa mushonga uyu muchipatara kana kuenda ku centre yekurapa kenza. Inopihwa kuburikidza nembambo inoiswa mumutsinga wako uchishandisa pombi. Mushonga uyu unofanira kupihwa zvishoma nezvishoma, saka chubhu yako ye IV ichafanira kuramba iripo kwemaminitsi anopfuura makumi matatu. Inopihwa mazuva maviri mushure mekupedza kurapwa nemimwe mishonga yekenza (semuenzaniso, fludarabine, cyclophosphamide). Unogona zvakare kugamuchira mimwe mishonga (semuenzaniso, mushonga wehosha, mushonga wefivha) maminetsi makumi matatu kusvika makumi matanhatu usati watanga kurapwa nemushonga uyu. Chiremba wako achaongorora zvinokonzerwa nezvinhu zvisingadiwi zuva nezuva kwemazuva manomwe. Chiremba wako achakurudzirawo kuti ugare pedyo nechipatara kana centre kwemavhiki mana mushure mekuiswa kwemushonga. Zvakakosha kuti unzwisise zvinodiwa nehurongwa hweAbecma® REMS, uye uzive bhuku reMishonga yeAbecma®. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana mushonga wako kana uine mibvunzo ipi neipi.