Lapatinib (inowanikwa nemuromo)
Mhando dzinowanikwa
Tykerb
Nezve mushonga uyu
Lapatinib inoshandiswa pamwe chete necapecitabine kurapa kenza yemazamu yakakura kana kuti yakapararira (kenza yakato pararira) ine HER2-receptor positive muvarwere vakato gamuchira kurapwa kwekenza kwakasiyana (semuenzaniso, anthracycline, taxane, trastuzumab) kwakanga kusina kubudirira. Lapatinib inoshandiswawo pamwe chete neletrozole kurapa vakadzi vakapfuura menopause vane hormone-receptor positive uye HER2-receptor positive metastatic breast cancer. Lapatinib inobva muchikwata che mishonga inonzi antineoplastics (mishonga yekenza). Inokanganisa kukura kwema cell ekenza, ayo pakupedzisira anoparadzwa. Sezvo kukura kwema cell akajairika kunogona kukanganiswawo nemushonga, mimwe mhedzisiro isingadiwi ichaitikawo. Zvimwe zvezvi zvinogona kuva zvakakomba uye zvinofanira kuziviswa kuchiremba wako. Uyu mushonga unowanikwa chete nechirango chechiremba wako. Chigadzirwa ichi chinowanikwa mumafomu anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutorwa kwemushonga dzinofanira kuyeranidzwa ne zvakanaka zvichaita. Iyi sarudzo iwe nechikamu chako muchaiita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero chirwere chisina kujairika kana allergic reaction kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekuzvikafu, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisingadi kuraira, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro yelapapinibu muvanhu vevana. Kuvimbika uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo emakore ekukwegura aizoita kuti kushandiswa kwelapapinibu kuvanhu vakwegura kuve kwakaoma. Zvisinei, varwere vakwegura vanonyanya kunzwa migumisiro yemushonga uyu kupfuura vakuru vaduku. Hapana ongororo dzakakwana muvakadzi dzekuona ngozi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera zvakanaka zvinogona kuitika pamwe nengozi dzinoitika 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 kungangoitika. Munyaya idzi, chiremba wako angada kuchinja dose, kana mamwe matanho angave anodiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana ne kukosha kwazvo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusi kukurudzirwa. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kudiwa mune dzimwe nguzi. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kengozi yemigumisiro yakati, asi kushandisa mishonga yose kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati ezvokudya sezvo kuwirirana kungangoitika. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kuwirirana kunotevera kwakasarudzwa zvichienderana ne kukosha kwazvo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero chinotevera kazhinji hakusi kukurudzirwa, asi kungasakwanisiki mune dzimwe nguva. Kana zvakashandiswa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa zvokudya, 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
Mishonga inoshandiswa kurapa kenza ine simba kwazvo uye inogona kuva nemigumisiro yakawanda. Usati watanga kurapwa nemushonga uyu, ita shuwa kuti unonzwisisa njodzi dzose nemabhenefiti. Zvakakosha kuti ushande pedyo nachiremba wako panguva yekurapwa kwako. Tora mushonga uyu chaizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Mushonga uyu unouya nepepa rekuzivisa murwere. Verenga utevedzere mirairo zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Tora piritsi awa rimwe chete usati wadya kana awa rimwe chete mushure mekudya. Mapiritsi ese anotengwa pamwechete sedosi imwe. Lapatinib inopiwa pamwe chete necapecitabine kana letrozole. Zvakakosha kuti utenge mishonga yese panguva yakakodzera. Tevedzera mirairo yechiremba wako pane nguva yekutora mishonga iyi. Usadya grapefruit kana kunwa muto we grapefruit paunenge uchishandisa mushonga uyu. Dhozi yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera runosanganisira chete mazai epakati emushonga uyu. Kana dozi yako yakasiyana, usachinje kunze kwekunge chiremba wako akuudza kuti uite izvozvo. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba yemazai aunotora zuva rega rega, nguva inobvumirwa pakati pemazai, uye nguva yaunotora mushonga inotsamira pane dambudziko remuviri rauri kushandisa mushonga. Kana ukasapotsa dozi yemushonga uyu, itora nekukurumidza sezvinobvira. Nekudaro, kana iri nguva yekutora dozi yako inotevera, siya dozi yakarasika uye dzoka kune yako yakajairwa dosing schedule. Usatore mazai maviri kamwechete. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chaicho. Chengetedza kuti urege kuvhunduka. Chengetedza kure nevana. Usachengetere mishonga yakare kana mishonga isingachadiwi. Bvunza nyanzvi yako yehutano maitiro aunofanira kubvisa mishonga ipi neipi yausashandisi.