Injection yeNelarabine

-Delile

• Ngaphambi kokusebenzisa umjovo we-nelarabine,
• INelarabine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo weNelarabine kufanele unikezwe kuphela ngaphansi kokuqondisa kukadokotela onolwazi ekusetshenzisweni kwemithi yokwelapha ngamakhemikhali yomdlavuza.

INelarabine ingadala umonakalo omkhulu ohlelweni lwakho lwezinzwa, olungase luphele noma uyeka ukusebenzisa umuthi. Tshela udokotela wakho uma uke welashwa ngamakhemikhali anikezwe ngqo kuketshezi oluzungeze ubuchopho noma umgogodla noma ukwelashwa ngemisebe ebuchosheni nasemgogodleni futhi uma uke waba nezinkinga ngohlelo lwakho lwezinzwa. Udokotela noma umhlengikazi uzokuqapha ngenkathi uthola umjovo we-nelarabine futhi okungenani amahora angama-24 ngemuva komthamo ngamunye. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukulala ngokweqile; ukudideka; ukuba ndikindiki nokushosheka ezandleni, eminweni, ezinyaweni noma ezinzwaneni; izinkinga ngamakhono amahle emoto njengokugqoka izinkinobho; ubuthakathaka bemisipha; ukungazinzi ngenkathi uhamba; ubuthakathaka lapho usukuma esihlalweni esiphansi noma ngenkathi ukhuphuka izitebhisi; ukwanda kokukhubeka ngenkathi uhamba ezindaweni ezingalingani; ukuzamazama okungalawuleki kwengxenye yomzimba wakho; ukuncipha komuzwa wokuthinta; ukungakwazi ukuhambisa noma iyiphi ingxenye yomzimba; ukuquleka; noma ikhoma (ukulahlekelwa ukwazi isikhathi esithile).

Khuluma nodokotela wakho ngezingozi zokusebenzisa i-nelarabine.

INelarabine isetshenziselwa ukwelapha izinhlobo ezithile ze-leukemia (umdlavuza oqala kumaseli amhlophe egazi) kanye ne-lymphoma (umdlavuza oqala kumaseli amasosha omzimba) angakathuthuki noma abuye emuva kokwelashwa ngeminye imithi. INelarabine isekilasini lemithi ebizwa ngama-antimetabolite. Isebenza ngokubulala amangqamuzana omdlavuza.

Umjovo weNelarabine uza njengoketshezi okufanele lunikezwe ngemithambo yegazi (emthanjeni) ngudokotela noma umhlengikazi esibhedlela noma emtholampilo. Imvamisa inikezwa abantu abadala kanye ngosuku ngosuku lokuqala, lwesithathu, nolesihlanu lomjikelezo wokulinganisa. Imvamisa inikezwa izingane kanye ngosuku izinsuku ezi-5. Le ndlela yokwelashwa ivame ukuphindwa njalo ezinsukwini ezingama-21. Udokotela wakho angabambezela ukwelashwa kwakho uma uhlangabezana nemiphumela ethile emibi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-nelarabine,

• Tshela udokotela kanye nosokhemisi wakho uma uneguliswa i-nelarabine, noma imuphi omunye umuthi, noma yisiphi isithako somjovo we-nelarabine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho i-adenosine deaminase inhibitors njenge-pentostatin (Nipent). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• tshela udokotela wakho uma uke waba nesifo sezinso noma sesibindi.
• utshele udokotela wakho uma wena noma umlingani wakho ukhulelwe noma uhlela ukukhulelwa. Uma ungowesifazane, kuzodingeka wenze ukuhlolwa kokukhulelwa ngaphambi kokuba uqale ukuthola i-nelarabine futhi akufanele ukhulelwe ngenkathi usebenzisa i-nelarabine. Uma ungowesilisa, wena kanye nomlingani wakho wesifazane kufanele nisebenzise ukulawulwa kokubeletha ngesikhathi sokwelashwa futhi izinyanga ezintathu ngemuva komthamo wakho wokugcina. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ongazisebenzisa ngesikhathi sokwelashwa kwakho. Uma wena noma umlingani wakho ukhulelwa ngenkathi usebenzisa i-nelarabine, shayela udokotela wakho ngokushesha. INelarabine ingalimaza umbungu.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ibele ngenkathi usebenzisa i-nelarabine.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola i-nelarabine.
• kufanele wazi ukuthi i-nelarabine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• awunayo imigomo ngesikhathi sokwelashwa kwakho nge-nelarabine ngaphandle kokukhuluma nodokotela wakho.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Shayela udokotela wakho ngokushesha uma ungakwazi ukugcina i-aphoyintimenti yokuthola umthamo we-nelarabine.

INelarabine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• ukulahlekelwa isifiso sokudla
• ubuhlungu besisu noma ukuvuvukala
• izilonda emlonyeni noma olimini
• ikhanda
• isiyezi
• ubunzima bokulala noma ukulala
• ukudana
• ubuhlungu ezingalweni, emilenzeni, emuva, noma emisipheni
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi
• ukungaboni kahle

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• isikhumba esiphaphathekile
• ukuphelelwa umoya
• ukushaya kwenhliziyo okusheshayo
• ubuhlungu besifuba
• ukukhwehlela
• isifuba
• ukopha okungajwayelekile noma ukulinyazwa
• ukuphuma kwamakhala
• amachashazi amancane abomvu noma ansomi esikhunjeni
• umkhuhlane, umphimbo obuhlungu, amakhaza, noma ezinye izimpawu zokutheleleka
• ukoma ngokweqile
• ukuncipha kokuchama
• amehlo acwile
• umlomo owomile nesikhumba

INelarabine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• isikhumba esiphaphathekile
• ukuphelelwa umoya
• ukukhathala ngokweqile
• umkhuhlane, umphimbo obuhlungu, amakhaza, noma ezinye izimpawu zokutheleleka
• ukulimaza noma ukopha okungavamile
• ukuba ndikindiki nokushosheka ezandleni, eminweni, ezinyaweni noma ezinzwaneni
• ukudideka
• ubuthakathaka bemisipha
• ukungakwazi ukuhambisa noma iyiphi ingxenye yomzimba
• isithuthwane
• ikhoma

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-nelarabine.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Arranon^®

• UNelzarabine