Zotsatira za Tarceva ndi zomwe mungachite kuti muzilimbana nazo
Tarceva (erlotinib) ndi mankhwala opatsirana khansa omwe amalembedwa kuti apange kansa yapamwamba ya sepakhungu yamapapu komanso yapitanso khansa yapakhungu (kuphatikizapo gemcitabine chemotherapy). Zimagwira ntchito polimbana ndi mapuloteni otchedwa epidermal growth factor receptor (EGFR) omwe amachititsa kuti khungu la khansa likule. Ndi mankhwala am'lomo ndipo amalembedwa mu mawonekedwe a piritsi.
Tarceva Zotsatira Zachimake
Mofanana ndi mankhwala alionse a khansa, pangakhale zotsatirapo. Onetsetsani kuti mukambirane zizindikiro zilizonsezi ndi dokotala ngati zikuchitika. Zotsatira zapadera za Tarceva zikuphatikizapo:
Rash ndi Tarceva
Ma Rashes okhudzana ndi Tarceva kawirikawiri amawonekera masiku asanu ndi awiri asanayambe kumwa mankhwala. Amene amatenga Tarceva kuphatikizapo gemcitabine akhoza kuyamba kuthamanga nthawi iliyonse pa chithandizo. Masamba a Tarceva amawoneka ofanana ndi mavala kapena khungu louma ndipo amatha kuwonekera pa thupi ndi nkhope. Nthawi zambiri imapezeka kuchokera m'chiuno. Kwa ena, kutukwana kungakhale kovuta kapena kumva ngati kutentha kwa dzuwa. Sikuti anthu onse adzakhala ndi ziphuphu zamtundu ku Tarceva. Anthu omwe amayamba kuthamangira kawirikawiri amawauza kuti amapereka thandizo pa nthawi ya kuchipatala komanso ngati mlingowo umachepetsedwa.
Kafukufuku wa 2007 adapeza kuti awo omwe adayamba kuthamanga pamene anatenga Tarceva adali ndi zotsatira zabwino kuposa omwe sanatero. Sikuti mankhwalawa sanagwire ntchito mwa iwo omwe sanatulukidwe, koma omwe adayamba kuphulika anali opindula kwambiri.
Choncho, ngakhale kuthamanga komwe kunagwirizana ndi ntchito ya Tarceva kumawoneka bwino ndi oncologists, sizitsimikizo.
Ndikofunika kwambiri kuti mulole dokotala wanu adziwe ngati mukuyamba kukula. Musagwiritse ntchito mankhwala alionse kuti muwachiritse, samwanire ngakhale mankhwala kapena mankhwala a zitsamba. Funsani dokotala wanu poyamba.
Dokotala wanu angapereke mankhwala othandiza maantibayoti kapena mafuta ena kuti athandizidwe. Ena angapindule ndi kuimitsa kanthawi kwa chithandizo, ngakhale ngati kwa masiku angapo chabe.
Ndikofunika kuzindikira kuti ziphuphu zowawa za khungu zakhala zikuchitika panthawi yamayesero. Ndizovuta kwambiri zomwe zimakhala zosiyana ndi zomwe zimachitika ndi matenda a Stevens-Johnsons, omwe amawopsa kwambiri chifukwa chowopsa kwambiri kwa mankhwala.
Kutsekula m'mimba ndi Tarceva
Chinthu china chofala cha Tarceva ndi kutsegula m'mimba. Kuda nkhawa ndi kutsekula m'mimba ndiko kungachititse kuti madzi asatenthe mphamvu, choncho mukufuna kukambirana ndi dokotalayo. Ngakhale kuti nthawi zambiri imatha kuyang'aniridwa ndi mankhwala oletsa kutsekula m'mimba , funsani dokotala musanatenge chilichonse. Iye akhoza kukhala ndi malingaliro enieni okhudza chizindikiro ndi mlingo. Ngati kutsekula m'mimba kumakula kapena simungathe kulamulidwa ndi mankhwala owonjezera, dandauzani dokotala wanu.
Zotsatira Zina Zotsatira za Tarceva
Zotsatira zina zofala za Tarceva zimaphatikizapo kusowa kwa njala, kutopa, kunyoza, ndi kusanza. Nthawi zonse kumbukirani kuwauza adokotala za mavuto omwe mukukumana nawo.
Kawirikawiri Tarceva Zotsatira Zachimake
M'mayesero am'chipatala, zotsatirazi zosayembekezereka za Tarceva zinati:
- matumbo
- matenda a m'mapapo
- impso / chiwindi kuwonongeka
- kuwonongeka kwa maso
Onetsetsani kupereka dokotala wanu mbiri yakale yaumoyo yomwe imaphatikizapo mankhwala onse opatsirana, mankhwala a zitsamba, ndi mankhwala omwe mumalandira. Zinthu zina zingakulepheretseni kuti mukhale ndi zotsatira zosazolowereka.
Kumbukirani kuti izi ndizovuta kwambiri. Ngati mukuda nkhawa za zotsatira za zotsatirazi, lankhulani ndi dokotala wanu. Pamodzi, mutha kukambirana za ubwino ndi zoopsa za kutenga Tarceva.
Pamene Mungatchule Dokotala Wanu
Itanani dokotala wanu ngati:
- khala chifuwa
- kukhala ndi mpweya wochepa
- kukumana ndi mkwiyo
- Pangani kutupa kwa khungu kapena kupweteka kwanu kumakula
- ali ndi malungo
- amamva kusanza kapena kutsekula m'mimba zomwe zikuipiraipira
Zotsatira:
Erlotinib, MedlinePlus, National Library of Medicine, yakonzanso 07/01/2009.
Wacker B, Nagrani T, Weinberg J, et al. Kusiyanitsa pakati pa chitukuko cha kuthamanga ndi kuthandizira kwa odwala omwe amagwidwa ndi epidermal kukula factor receptor tyrosine kinase inhibitor erlotinib mu maphunziro awiri aakulu a phase III. Clin Cancer Res. 2007; 13 (13): 3913-3921.