Zizindikiro za kugwiritsa ntchito Ixempra kwa Canast Metastatic Breast Breast
Ixempra ndi mankhwala a chemotherapy omwe amagwiritsidwa ntchito pochizira khansa ya m'mawere . Amagwiritsidwa ntchito pambuyo poti mankhwala ena ayesedwa ndipo khansara yanu siimayankha, kapena sakuyankhira mankhwala. Ixempra ndi membala wa epothilones, ndipo adavomerezedwa ndi FDA kuti athetse khansa ya m'mawere mu 2007.
Amatchedwanso: Ixabepilone
Gwiritsani ntchito Khansa ya m'mimba
Mankhwalawa amagwiritsidwa ntchito pofuna kuthana ndi khansa ya m'mawere ya m'mawere.
Ixempra imaperekedwa makamaka kwa odwala omwe matumbo awo sagonjetsedwa, kapena sapindula ndi anthracyclines (monga Adriamycin ), mafakitale (monga Taxol), ndi capecitabine (Xeloda). Ixempra ikhoza kukhala yochepa kwambiri kusiyana ndi ena mwa mankhwala enawa kuti asakhale opindulitsa pakapita nthawi (khalani otsutsa.)
Momwe Izo Zimagwirira Ntchito
Ixempra ndi gawo la mankhwala ophera tizilombo toyambitsa matenda. Mankhwalawa amachepetsa kapena amalepheretsa kukula kwa chotupa, kapena chotupa, polepheretsa kusweka kwa maselo. Popeza mankhwalawa amalepheretsa kugawidwa kwa maselo, amachititsanso mankhwala enaake (onani tsamba 2).
Momwe Ixempra yaperekedwa
Ixempra imaperekedwa ngati kulowetsa m'mimba mumtambo kapena mankhwala enaake . Ikhoza kuperekedwa yokha, kapena pothandizana ndi mankhwala osokoneza bongo Xeloda (capecitabine.)
Pafupifupi ola limodzi musanalowetsedwe , mudzapatsidwa mankhwala omwe amachititsa kuti musayambe kuchitapo kanthu. Ngati muli ndi vutoli, mukhoza kupatsidwa steroid musanalowetsedwe.
Mankhwalawa amaperekedwa kamodzi pa milungu itatu iliyonse, ndipo mafinya amatenga pafupifupi maola atatu aliwonse.
Ixempra ndi mankhwala a chemotherapy omwe amagwiritsidwa ntchito pochizira khansa ya m'mawere. Mofanana ndi mankhwala ena aliwonse, amachititsa kuti pakhale zotsatira zoopsa - osati zonse zimene munthu aliyense angatenge.
Zotsatira Zowonongeka za Ixempra
- Matenda a ubongo - Kutsegula m'mimba chifukwa cha chemotherapy kungayambitse kupweteka ndi kupweteka m'manja ndi m'mapazi.
- Kutopa
- Kutaya zakudya
- Kutaya tsitsi
- Mavuto ndi zikhomo ndi zopangira
- Fever
- Matenda a magazi (kuchepa kwa maselo ofiira a magazi)
- Thrombocytopenia (chiwerengero chochepa cha platelet)
- Mutu
- Kuphweteka kumodzi ndi kumaliseche
- Nsowa ndi kusanza
- Kutsekula m'mimba kapena kudzimbidwa; ululu wamimba
- Zilonda pamilomo yanu, mkati mwa pakamwa panu ndi pamimba
- Matenda a miyendo (yofiira, yofiira, yowuma ndi yofiira khungu)
Zingatheke Zovuta Kwambiri za Ixempra
- Neutropenia (kuchuluka kwa maselo oyera a magazi, chiopsezo cha matenda)
- Kusakaniza (kuyabwa; ming'oma; kupweteka; nkhope yosweka; kupweteka kwa mtima; kupuma kosautsa; nkhope yotupa, khosi kapena lirime)
Zowopsa Zina Zogwiritsira ntchito Ixempra
- Zingapweteke ana osanabadwe
- Lembani mkaka wa m'mawere
- Zingayambitse odwala matenda a mtima
Kuwala Kumakumbukira
Ngati Ixempra ikugwiritsidwa ntchito mwamsanga wodwala atalandira mankhwala opatsirana ndi dzuwa, pali mwayi wopanga chidziwitso chomwe chimadziwika ngati kukumbukira kwa dzuwa . Kukumbukira mafilimu kumachitika chifukwa cha kutupa m'deralo kumene dzuwa limaperekedwa, ndipo lingabweretse chifuwa cha khungu, kutupa, ndi kupweteka.
Musatenge Ixempra Ngati:
- Muli ndi vuto la chiwindi
- Muli ndi vuto la chiwindi ndipo mutenga kale capecitabine
- Muli ndi zovuta kwa Cremophor EL kapena mafuta odzola
- Selo lanu loyera la magazi liri locheperapo kuposa 1500 maselo / mm3 kapena chiwerengero chaplatelet ndi zosakwana <100,000 maselo / mm3
- Iwe uli ndi pakati
Malangizo pa Chithandizo
- Gwiritsani ntchito njira zothandizira kulera kuti musatenge mimba
- Pewani madzi a mphesa panthawi yopuma, chifukwa ikhoza kukulitsa zotsatira zake
- Peŵani kuyendetsa galimoto kapena kugwiritsa ntchito makina, monga mowa mu Ixempra ukhoza kubweretsa kugona ndi chizungulire
Kuyanjana kwa Mankhwala
Chifukwa cha kayendedwe kake, Ixempra angagwirizane ndi mankhwala ena angapo. Lankhulani ndi oncologist wanu musanayambe kumwa mankhwala ena kapena zakudya zowonjezera panthawi yomwe mukugwiritsa ntchito Ixempra.
> Zotsatira:
> Denduluri, N., ndi S. Swain. Ixabepilone: zomwe zimachitika mu khansa ya m'mawere. Khansa ya m'mimba ya khansa . 2011. 11 (3): 139-45.
> Schott, A. Kachilombo ka khansa ya m'mawere m'thupi mwa amayi: Chemotherapy. Zaposachedwa. Kusinthidwa 08/21/15. http://www.uptodate.com/contents/systemic-treatment-of-metastatic-breast-cancer-in-women-chemotherapy
> Takiar, V. ndi al. Kuyankhulana kwamtundu wa ixabepilone (ixempra) pambuyo poizoni za khansa ya m'mawere. Oncologist . 2013. 18 (3): 265-70.