Xeloda (capecitabine) ndi mankhwala omwe amavomereza ndi FDA kuti athetse khansa ya m'mawere mwa anthu omwe sanayankhe mankhwala monga Taxol (paclitaxel), Taxotere kapena Adriamycin kapena anthracycline-containing chemotherapy.
Xeloda ndi khansa ya m'mawere
Xeloda angaperekedwe yekha kapena ndi mankhwala ena. Ngati mwachitidwa kale ndi paclitaxel ndi Adriamycin (doxorubicin) ndipo mulibe yankho, dokotala wanu angakulimbikitseni kutenga Xeloda pokha.
Ngati simunayankhe ndi mankhwala a anthracyclines, dokotala wanu angakulimbikitseni kutenga Xeloda kuwonjezera pa mankhwala otchedwa Taxotere (docetaxel).
Momwe Ikugwirira Ntchito
Mukatha kutenga mapiritsi anu a Xeloda, imalowa m'thupi lanu. Zimathandiza kupha maselo a kansa mwa kuchita ngati malo osungira zamoyo m'magazi a khansa. Izi zimapangitsa selo kufa isanalekanitse ndikupeweratu kapena kuchepetsa khansara kuti ikule.
Xeloda amapatsidwa ngati 150mg kapena 500mg mlingo. Mapiritsi ndi pichesi yamitundu yosiyanasiyana komanso oblong mawonekedwe. Dokotala wanu atasankha pa mlingo womwe mukufunikira, mudzatenga kawiri pa tsiku, kamodzi m'mawa komanso madzulo, kwa milungu iwiri. Kenako mutenge sabata imodzi kuchokera ku Xeloda, kenako mutabwerera kukazitenga kwa milungu iwiri; izi zitha kupitirira nthawi zonse. Ndikoyenera kuti mutenge Xeloda pafupi maminiti makumi atatu mutatha kudya ndi madzi ambiri.
Zotsatira Zotsatira
Zotsatira zoyipa zambiri zimaphatikizapo:
- Kutsekula m'mimba
- Nausea
- Kuthamanga
- Mlomo mucositis (zilonda m'kamwa mwako, lilime, ndi mmero)
- Kupweteka kwa m'mimba
- Kudya kwakukulu
- Kutaya madzi m'thupi
- Khungu la khungu kapena khungu, khungu
- Chizungulire
- Kutopa
- Mutu
- Kutupa kwa mapazi, makadola kapena manja
- Kutsegula m'mimba , kukumbidwa kwa zala ndi zala
Zotsatira za Xeloda zikhoza kukhala zosiyana ngati mukuzitenga pamodzi ndi Taxotere kapena mankhwala enaake a chemotherapy .
Onetsetsani kulongosola zotsatira zanu zonse kwa dokotala wanu. Tawonani masiku ndi nthawi zomwe zimachitika, ndikuwongolera kuopsa kwake kwa chizindikiro chilichonse.
Itanani dokotala wanu ndipo musamangotenga Xeloda mwamsanga ngati muli ndi zizindikiro izi:
- Kutsekula m'mimba
- Kusanza koopsa
- Zilonda zopweteka pakamwa ndi m'kamwa mwako
- Fever
Zowopsa pamene mutenga Xeloda ndizo:
- Ngati mumagwiritsa ntchito coumadin kapena mankhwala ochepetsa magazi a warfarin, Xeloda angayambitse magazi anu kukhala ochepa kwambiri ndipo amakuika pachiwopsezo chachikulu chokha magazi. Uzani dokotala wanu ngati mutenga magazi alionse omwe amachokera ku coumarin. Mungafunike kutenga mlingo wapang'ono wa Xeloda.
- Ngati muli ndi zaka 80 kapena kupitako, Xeloda akhoza kuyambitsa kutsekula m'mimba, kunyozetsa, ndi kusanza kuposa odwala omwe ali ndi zaka zoposa 80.
Simuyenera kutenga Xeloda ngati:
- Muli ndi matendawa 5-fluorouracil (5-FU)
- Muli ndi mavuto a impso kapena chiwindi
- Mukuyamwitsa chifukwa Xeloda akhoza kuvulaza mwanayo
- Iwe uli ndi pakati kapena ukhoza kutenga pakati chifukwa Xeloda akhoza kuwononga mwana wanu
- Pafupifupi anthu 1 pa 20 ali ndi timadzi timene timayambitsa matenda a chiwindi omwe amachititsa kuti mankhwalawa asakhalenso pang'onopang'ono. Anthuwa akhoza kukhala ndi zotsatira zoyipa monga kutsegula m'mimba komanso malaya ochuluka a kanjedza, erythrodesesthesia, ndi zilonda pazitsamba ndi mapazi. Anthu awa sayenera kutenga Xeloda.
Pamene Mukutenga Xeloda
Mukatenga Xeloda, yesetsani kusungunuka ndi madzi ambiri kuposa momwe mumagwiritsira ntchito; madokotala nthawi zambiri amalimbikitsa kuti mumwe madzi awiri kapena atatu pa maola 24 alionse. Mutha kuuzidwa kuti musiye mowa kapena caffeine, chifukwa izi zingakulepheretseni. Ngati mukumva zilonda zam'kamwa kapena zilankhulo, bweretsani nsabwe yanu yachitsulo ndi imodzi yokhala ndi zofewa.
Kuchulukanso kumakhala kovuta pamene mutenga Xeloda, choncho ndikofunika kuchepetsa chiopsezo chotenga. Nthawi zambiri madokotala amalangiza kuti mutembenuke ku lumo lamagetsi kuti mumeta ndevu pa chifukwa ichi.
Mwinamwake mungakhale ndikumva kutengeka kwa dzuwa; peĊµani kutuluka kwa dzuwa ndipo gwiritsani ntchito kuwala kwa dzuwa nthawi zonse mukakhala kunja.
Anthu ena amamva kuti ndi ozunguza kapena otchera, choncho konzekerani kuti muwone mosavuta mukatenga Xeloda. Ngati muli ndi nsanje, dokotala wanu amalimbikitsa mankhwala osokoneza bongo kuti akuthandizeni.
Zina kusiyana ndi izi, mungathe kudzipumula mwa kupumula, kukhala ndi tulo tambiri, ndi kudya zakudya zopatsa thanzi.
Chitsime:
"Xeloda Kufotokozera Mauthenga" Chakudya ndi Ma Drug Administration. Zosinthidwa 2015.