Herceptin, amenenso amadziwika ndi dzina lake lachirendo trastuzumab , ndi mankhwala omwe amavomereza kuti azitha khansa yapakhungu ya adjuvant ndi khansa ya m'mawere. Ndilo mapuloteni omwe amawunikira ndi kumangiriza ku mapuloteni a HER2 (epidermal growth factor receptor2). Pafupifupi 1 pa anthu anayi ali ndi khansara ya m'mawere ali ndi khansa ya m'mawere ya HER2 kapena puloteni ya munthu epidermal kukula factor receptor2.
HER2 ndi khansa ya m'mawere yowawa yomwe ikukula mofulumira ndikufalikira mofulumira.
Mwachidule
Khansa ya m'mimba ya Adjuvant ndi Herceptin
Herceptin amachititsa khansa ya m'mawere oyambirira yomwe ili ndi HER2-positive ndipo ikhoza kufalikira kapena yopitirira kufalikira kwa maselo am'mimba . Kwa khansa ya m'mawere ya adjuvant, Herceptin amagwiritsidwa ntchito ngati gawo la mankhwala opatsirana pa mankhwala a chemotherapy.
Khansara ya Breast Metastatic ndi Herceptin
Herceptin amavomereza kuti azichita khansa ya m'mawere m'matenda awiri. Angagwiritsidwe ntchito pogwiritsa ntchito chemotherapy mankhwala paclitaxel kapena angagwiritsidwe ntchito payekha kwa odwala omwe atalandira kale mankhwala othandizira khansa ya m'mawere.
Momwe Ikugwirira Ntchito
Herceptin ndi mbali ya mankhwala omwe amatchedwa mankhwala a biologic. Mankhwalawa amagwira ntchito pofufuza masewera okha a khansa omwe ali ndi HER2 / neu receptors panja. Geri ya HER2 imapanga mapuloteni pamwamba pa selo yamatenda. Chikumbutso ichi chimawonetsera selo kuti ligawane ndi kuchulukana.
Ngati pali HER2 wochuluka mu minofu ya khansa ya m'mawere, kupatukana kwa selo kumakhala kosalamulirika, kumakula mofulumira kwambiri. Herceptin amagwirizana ndi mapulogalamu a HER2 ndipo amalepheretsa chizindikiro cha kukula, kuteteza kuti maselo ambiri azigawidwa komanso kuchepetsa kukula kwa khansa.
Ndiwotumbululuka woyera kapena wachikasu madzi omwe amaperekedwa kudzera mu chemotherapy.
Ulamuliro
Herceptin amagwiritsidwa ntchito kudzera mu mankhwala osokoneza bongo. Mlingo wanu woyamba udzaperekedwa pang'onopang'ono mu gawo la mphindi 90 kuti muone momwe mumalekerera mankhwala ndi kuyang'ana zotsatira zowopsya. Ngati mukuchita bwino ndi Herceptin, zotsatira zanu zotsatizana zingaperekedwe mu magawo 30 a mphindi.
Zotsatira Zotsatira
Odwala ena amene amalandira khansa ya m'mawere a Herceptin anali ndi zotsatira zotsatirazi:
- Fever
- Kukumva kudwala m'mimba mwanu (kunyoza)
- Kutaya (kusanza)
- Kukhudza kulowetsedwa
- Kutsekula m'mimba
- Matenda
- Chifuwa chowonjezeka
- Mutu
- Kumva kutopa
- Kupuma pang'ono
- Rash
- Khungu loyera ndi lofiira la magazi limawerengera
- Kupweteka kwa minofu
Odwala ena omwe alandira Herceptin chifukwa cha khansa ya m'mimba anali ndi zotsatira zotsatirazi:
- Khungu loyera la magazi limawerengera
- Kutsekula m'mimba
- Kumva kutopa
- Khungu lofiira la magazi lochepa limawerengera
- Kutupa kwa pakamwa pakamwa
- Kutaya thupi
- Matenda opatsirana opuma
- Fever
- Chiwerengero cha platelet chochepa
- Kutupa kwa mucous nembanemba
- Kutupa kwa mphuno ndi mmero
- Sinthani kukoma
Zizindikirozi zimawoneka mkati mwa maola 24 atalandira Herceptin.
Ngati muli ndi vuto la Herceptin, pitani kuchipatala mwamsanga. Zizindikiro zowonongeka zimaphatikizapo kupuma pang'ono, kupuma, kutupa mmero kapena milomo ndi mng'oma. Zizindikiro zofulumira zimaphatikizapo kupuma pang'ono ndi kupweteka pachifuwa.
Ngozi
Herceptin angayambitse mavuto a mtima ndi kusweka mtima kwa mtima. Ntchito yanu yamanzere yozungulira ventricular iyenera kufufuzidwa mwamsanga musanayambe Herceptin, pa nthawi zonse panthawi yake ku Herceptin (ndondomeko ya phukusi pa miyezi itatu iliyonse), komanso atatha mankhwala a Herceptin. Mavuto a mtima amakula ngati mukupatsidwa chithandizo ndi Adriamycin ndi Cytoxan komanso Herceptin.
Musamalandire Mchitidwe Ngati:
- Muli ndi matenda a Herceptin
- Iwe uli ndi pakati kapena kuyamwitsa
Malangizo pa Chithandizo
Akatswiri ambiri amauza kuti musagwiritse ntchito mowa, fodya, kapena caffeine pakamwa ndi Herceptin.
Caffeine imayambitsa kuyanika kwa minofu yanu, yomwe imangowonjezera zotsatira zowuma kale zomwe zimayambitsa mankhwala osokoneza bongo. Uzani gulu lanu la thanzi ngati mukugwiritsa ntchito fodya, mowa kapena mankhwala osangalatsa, ndipo funsani thandizo kuti musiye kugwiritsa ntchito mankhwalawa. Gwiritsani ntchito njira zothandizira kulandira chithandizo pamene akudwala ndi Herceptin, chifukwa mankhwalawa akhoza kuvulaza mwanayo ngati mukuyembekezera. Ngati muli kale pakati, onetsetsani kuti mumauza dokotala wanu.
Malangizo Odzikonda
- Khalani osungunuka bwino mowa mwakumwa madzi awiri kapena atatu pamadzi maola 24 alionse
- Ngati kuli kotheka, tengani mankhwala anu oletsa kutsutsa nkhanza monga momwe amachitira
- Odwala ena amamva chizungulire ndi kugona, choncho sangalalani mpaka zizindikirozi zikulephereka
- Ngati muli ndi zizindikiro za chimfine, mulu wa mabulangete ndi kumwa madzi ambiri (zakumwa zolimbitsa thupi zingathandize)
- Zowawa ndi ululu zingathetsedwe ndi acetaminophen kapena ibuprofen, koma fufuzani ndi dokotala poyamba
- Pumula monga momwe mungathere
- Kudya chakudya chabwino, chopatsa thanzi
Kuchokera
FDA. Zotsatira za mankhwala. Trastuzumab Label Label Details. Zasinthidwa: September 2013.