Idarubicin

-Delile

• Ngaphambi kokuthola i-idarubicin,
• I-Idarubicin 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 SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Idarubicin kufanele inikezwe kuphela emthanjeni. Kodwa-ke, ingahle ivuze izicubu eziseduze ezibangele ukucasuka okukhulu noma ukulimala. Udokotela wakho noma umhlengikazi uzoqapha indawo yakho yokuphatha ngale ndlela. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ubuhlungu, ukulunywa, ubomvu, ukuvuvukala, amabhamuza, noma izilonda endaweni lapho umjovo wafakwa khona.

I-Idarubicin ingadala izinkinga zenhliziyo ezinkulu noma ezisongela ukuphila nganoma yisiphi isikhathi phakathi nokwelashwa kwakho noma izinyanga kuya eminyakeni ngemuva kokuphela kokwelashwa kwakho. Udokotela wakho uzo-oda ukuhlolwa ngaphambi nangesikhathi sokwelashwa kwakho ukuze abone ukuthi inhliziyo yakho isebenza kahle ngokwanele yini ukuthi uthole i-idarubicin ngokuphepha. Lezi zivivinyo zingafaka i-electrocardiogram (ECG; ukuhlolwa okurekhoda umsebenzi kagesi wenhliziyo) kanye ne-echocardiogram (ukuhlolwa okusebenzisa amaza omsindo ukukala amandla enhliziyo yakho okumpompa igazi). Udokotela wakho angakutshela ukuthi akufanele uthole le mithi uma izivivinyo zibonisa ukuthi amandla enhliziyo yakho okupompa igazi anciphile. Tshela udokotela wakho uma ngabe uke waba nanoma yiluphi uhlobo lwesifo senhliziyo noma ukwelashwa ngemisebe (x-ray) endaweni yesifuba. Tshela udokotela kanye nosokhemisi wakho uma uthatha noma wake wathola imithi ethile yokwelashwa ngamakhemikhali efana ne-daunorubicin (cerubidine), doxorubicin (Doxil), epirubicin (Ellence), mitoxantrone (Novantrone), cyclophosphamide (Cytoxan), noma i-trastuzumab (Herceptin). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukuphefumula okuncane; ukuphefumula kanzima; ukuvuvukala kwezandla, izinyawo, amaqakala noma imilenze engezansi; noma ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla.

I-Idarubicin ingadala ukwehla okukhulu kwenani lamaseli egazi emnkantsheni wakho wethambo. Lokhu kungadala izimpawu ezithile futhi kungakhuphula ubungozi bokuthi uzoba nokutheleleka okungathi sína noma ukopha. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: umkhuhlane, umphimbo obuhlungu, ukukhwehlela okuqhubekayo nokuminyana, noma ezinye izimpawu zokutheleleka; ukopha okungavamile noma ukulimaza; ezinegazi noma ezimnyama, izitulo zokulinda; ukuhlanza kwegazi; noma ukugabha igazi noma okokusundu okufana nezindawo zekhofi.

Tshela udokotela wakho uma uke waba nesifo sezinso noma sesibindi. Udokotela wakho angakutshela ukuthi akufanele uthole le mithi noma angashintsha umthamo wakho uma unesifo sezinso noma sesibindi.

I-Idarubicin kufanele inikezwe kuphela ngaphansi kweso lodokotela onolwazi ekusetshenzisweni kwemithi yokwelapha ngamakhemikhali.

I-Idarubicin isetshenziselwa ukwelapha i-acute myelogenous leukemia (AML; uhlobo lomdlavuza wamaseli amhlophe egazi) ngokuhlangana neminye imithi. I-Idarubicin isekilasini lemithi ebizwa ngama-anthracyclines. Isebenza ngokunciphisa noma ukumisa ukukhula kwamangqamuzana omdlavuza emzimbeni wakho.

I-Idarubicin iza njengesisombululo (uketshezi) ukujova ngomjovo (emthanjeni) ngaphezu kwemizuzu eyi-10 kuye kwengu-15 ngudokotela noma umhlengikazi esikhungweni sezokwelapha kanye neminye imithi yokwelashwa ngamakhemikhali. Imvamisa inikezwa kanye ngosuku izinsuku ezintathu. Udokotela wakho angadinga ukubambezela ukwelashwa kwakho noma alungise umthamo wakho uma uhlangabezana nemiphumela ethile emibi. Kubalulekile ukuthi utshele udokotela wakho ukuthi uzizwa kanjani ngenkathi welashwa nge-idarubicin.

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

Ngaphambi kokuthola i-idarubicin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-idarubicin, noma imuphi omunye umuthi, noma iziphi izithako zomjovo we-idarubicin. 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho ukuthi wake wakuthola yini ukwelashwa ngemisebe noma uke waba nesifo senhliziyo noma unesifo, izinkinga zokuvala igazi, noma i-anemia (ukuncipha kwenani lamaseli abomvu egazini).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Akufanele ukhulelwe noma uncelise ibele ngenkathi uthola umjovo we-idarubicin. Uma ukhulelwa ngenkathi uthola i-idarubicin, shayela udokotela wakho. Idarubicin ingalimaza umbungu.

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

I-Idarubicin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• izilonda emlonyeni nasemphinjeni
• ubuhlungu besisu
• ikhanda
• ubuhlungu obuhlangene
• ukulahleka kwezinwele
• ukuqubuka
• ububomvu namabhamuza ezintendeni nasematheni

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

• isithuthwane
• isifuba
• isiyezi
• ukuquleka
• isikhumba esiphaphathekile
• ubunzima bokuchama
• ukuphuzi kwesikhumba noma kwamehlo

I-Idarubicin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

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:

• isicanucanu
• ukuhlanza
• ubuhlungu obukhulu besisu
• izilonda emlonyeni nasemphinjeni
• umkhuhlane, umphimbo obuhlungu, amakhaza, noma ezinye izimpawu zokutheleleka
• ukopha okungajwayelekile noma ukulinyazwa
• indle emnyama neyokulinda
• igazi elibomvu endle
• ukuhlanza okunegazi
• okokuhlanza okubukeka njengezizathu zekhofi

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

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.

• Idamycin^® I-PFS