Zanubrutinib (inorapwa nemumuromo)
Mhando dzinowanikwa
Brukinsa
Nezve mushonga uyu
Zanubrutinib inoshandiswa kurapa mantle cell lymphoma (MCL) muvarwere vakawana kurapwa kwakawanda kamwe chete kenza yavo. Mushonga uyu unoshandiswawo kurapa Waldenström macroglobulinemia (WM). Unoshandiswawo kurapa marginal zone lymphoma (MZL) yakadzoka (relapsed) kana isina kupindura kurapwa (refractory) muvarwere vakawana kurapwa kwakawanda kamwe chete (semuenzaniso, kurapwa kwe-anti-CD20). Mushonga uyu unoshandiswawo kurapa chronic lymphocytic leukemia (CLL) kana small lymphocytic lymphoma (SLL). Zanubrutinib inoshandiswawo pamwe chete ne obinutuzumab kurapa follicular lymphoma (FL) yakadzoka kana isina kupindura kurapwa muvarwere vakawana kurapwa kwakawanda kaviri. Zanubrutinib mushonga unorwisa zvirwere zvekenza (cancer medicine). Inokanganisa kukura kwema cell ekenza, ayo anoparadzwa nemuviri. Mushonga uyu unowanikwa chete nechirango chechiremba. Chigadzirwa ichi chinowanikwa muma fomu anotevera ekurapa:
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 chisina kujairika kana allergic reaction kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisingadi kuraira, verenga zvinyorwa zvepakeji kana zvinosanganiswa zvakanyatsonaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro yezanubrutinib mune vechidiki. Kuvimbika uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo echirwere chevakwegura aizoita kuti kushandiswa kwezanubrutinib kuve kwakaoma muvakuru. 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 wako angada kuchinja chiyero, kana mamwe matanho angave achifanira. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano 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 kunogona kunge kuri kudikanwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti ungashandisa mushonga mumwe kana yose. 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. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwazvo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero zvinotevera kazhinji hakusi kukurudzirwa, asi kungave kusina kukwanisika mune dzimwe nguva. Kana zvakashandiswa pamwe chete, chiremba wako angachinja chiyero 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 washandisa mushonga uyu, ita shuwa kuti unonzwisisa njodzi dzese nemabhenefiti. Zvakakosha kuti ushande pedyo nachiremba wako panguva yekurapa kwako. Tora mushonga uyu chaizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva refu kupfuura yakarayirwa nachiremba wako. Mushonga uyu unouya nepepa remashoko erumwe murwere. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Dya kapusuru yacho yose nemukombe wemvura. Usavhure, usapwanyisa, usaputsa, kana kucheka. Unogona kutora mushonga uyu uchidyira kana usina kudya. Dhozi yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parineni. Ruzivo runotevera rinosanganisira chete mazai epakati emushonga uyu. Kana dhozi yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba yemazai aunotora zuva rega rega, nguva inobvumirwa pakati pemazai, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana ukasapotsa dhozi yemushonga uyu, itora nekukurumidza sezvinobvira. Nekudaro, kana iri nguva yekutora dhozi yako inotevera, siya dhozi yakarasika uye dzokera kune yako purogiramu yekupa dhozi. Usatore mazai maviri kamwechete. 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 yehutano maitiro aunofanira kubvisa mushonga iwo wauri kusashandisa.