Doxorubicin Lipid Cirbadda Isku Darka ah

Qanacsan

• Kahor intaadan helin dawada lipid doxorubicin,
• Iskuxirka lipid-ka ee Doxorubicin wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Xarunta dawada ee loo yaqaan 'Doxorubicin lipid complex' waxay sababi kartaa dhibaatooyin wadnaha oo halis ah ama naf-gooya ah wakhti kasta inta lagu jiro daweyntaada ama bilo ama sannado kadib markay daaweyntaadu dhammaato. Dhakhtarkaagu wuxuu amri doonaa baaritaanno kahor iyo inta daaweyntaadu socoto si loo arko haddii wadnahaagu si fiican u shaqeynayo oo aad adigu si ammaan ah ugu heli karto dhismaha 'doxorubicin lipid complex' Baaritaannadan waxaa ka mid noqon kara qalabka korontada ku shaqeeya ee loo yaqaan 'electrocardiogram (ECG; test that diiwaan the electric activity of the heart) and echocardiogram tijaabinta isticmaala hirarka dhawaaqa si loo cabbiro awoodda wadnahaaga ee dhiig soo tuurista). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan helin daawadan haddii tijaabooyinku muujinayaan awoodda wadnahaaga ee dhiig-u-shubistu hoos u dhacday. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa yeelatay nooc ka mid ah cudurrada wadnaha ama daaweynta shucaaca (raajada) ee aagga laabta. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanaysid ama aad waligaa qaadatay dawooyinka kansarka qaarkood ee kansarka sida cyclophosphamide (Cytoxan), daunorubicin (Cerubidine, DaunoXome), epirubicin (Ellence), idarubicin (Idamycin), mitoxantrone (Novantrone), paclitaxel (Abraxane, Onxol), trastuzumab (Herceptin), ama verapamil (Calan, Isoptin). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: neefta oo ku qabata; neefsashada oo ku adkaata; bararka gacmaha, cagaha, anqawyada ama lugaha hoose; ama dhakhso, aan caadi ahayn, ama garaaca wadnaha.

Waxaad la kulmi kartaa fal-celin xasaasiyadeed oo daran inta aad qaadanayso qaddarka cirbadda adag ee dawada loo yaqaan 'doxorubicin lipid complex'. Isla markiiba u sheeg dhakhtarkaaga ama kalkaalisada haddii aad isku aragto mid ka mid ah astaamahan inta aad ka helayso xinjirowga 'lipid complex': finan; cuncun; barar wejiga, indhaha, afka, cunaha, carrabka, ama dibnaha; biyo raacis qandho; qarqaryo; dhabar xanuun; madax xanuun; neefsashada ama liqidda oo ku adkaata; neefta oo ku qabata; ama xabadka oo ceshano.

Doxorubicin waxay sababi kartaa hoos u dhac weyn oo ku yimaada tirada unugyada dhiiga ee dhuuxa laftaada. Dhakhtarkaagu wuxuu amri doonaa baaritaannada shaybaarka si joogto ah kahor iyo inta daaweyntaadu socoto. Hoos u dhaca tirada unugyada dhiiga ee jirkaaga ayaa sababi kara astaamo gaar ah waxayna kordhin kartaa halista ah inaad ku dhacdo infekshin daran ama dhiig bax. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanayso ama aad qaadatay azathioprine (Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), ama progesterone (Provera, Depo-Provera). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: qandho, hungur xanuun, qufac socda iyo saxmadda, ama calaamadaha kale ee infekshinka; dhiigbax ama nabar aan caadi ahayn; saxaro dhiig leh ama madow, saxarada tarry; matag dhiig; ama matagayo dhiig ama wax bunni ah oo u eg qaxwada.

U sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabto cudurka beerka. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaastaada haddii aad qabto cudur beerka ah.

Isku-xirka dufanka loo yaqaan 'Doxorubicin lipid complex' waxaa loo isticmaalaa in lagu daaweeyo kansarka ugxan-sidaha oo aan soo hagaagin ama sii xumaaday ka dib daaweynta daawooyinka kale. Isku-xidhka 'Doxorubicin lipid complex' ayaa sidoo kale loo isticmaalaa in lagu daaweeyo Kaposi's sarcoma (nooc ka mid ah kansarka oo sababa unugyo aan caadi ahayn inay ku koraan qaybaha kala duwan ee jirka) ee la xidhiidha cilladda cillad-darrada la helay (AIDS) ee aan soo fiicnayn ama ka sii dartay ka dib daaweynta daawooyinka kale. Dhismaha lipid-ka ee loo yaqaan 'Doxorubicin lipid complex' ayaa sidoo kale lagu daraa daawo kale oo kiimiko ah oo lagu daaweeyo myeloma badan (nooc ka mid ah kansarka ku dhaca dhuuxa lafta) oo aan soo hagaagin ama ka sii dartay ka dib daaweynta daawooyinka kale. Isku-darka dawada loo yaqaan 'Doxorubicin lipid complex' wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan 'anthracyclines'. Waxay ku shaqeysaa adigoo gaabinaya ama joojinaya koritaanka unugyada kansarka ee jirkaaga.

Dhismaha lipid-ka ee loo yaqaan 'Doxorubicin lipid complex' wuxuu u yimaadaa sidii dareere lagu duray xididka (xididka) in ka badan 1 saac dhakhtar ama kalkaaliye caafimaad oo jooga goob caafimaad. Marka dawada loo yaqaan 'doxorubicin lipid complex' loo isticmaalo in lagu daaweeyo kansarka ugxansidaha, waxaa la siiyaa hal mar 4tii toddobaadba. Marka dawada loo yaqaan 'doxorubicin lipid complex' loo isticmaalo in lagu daweeyo Kaposi's sarcoma, waxaa la siiyaa hal mar 3dii toddobaadba mar. Marka dawada loo yaqaan 'doxorubicin lipid complex' loo isticmaalo in lagu daaweeyo myeloma badan, waxaa la siiyaa maalmo cayiman 3dii usbuucba mar.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan helin dawada lipid doxorubicin,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay dawada loo yaqaan 'doxorubicin', dawooyinka kale, ama mid ka mid ah waxyaabaha ku jira irbadda adag ee dawakorxin-ka. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIINTA MUHIIMKA ah iyo mid ka mid ah kuwan soo socda: dawooyinka qaarkood ee kiimiko-daweynta sida cytarabine (DepoCyt), dexrazoxane (Zinecard), mercaptopurine (Purinethol), streptozocin (Zanosar); phenobarbital (Luminal Sodium); ama phenytoin (Dilantin). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyinka kale waxay sidoo kale la falgalayaan dawada loo yaqaan 'doxorubicin lipid complex', sidaa darteed hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dareentay xaalado caafimaad oo kale.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Waa inaadan uur yeelan ama aad naas nuujiso inta aad qaadanaysid dawada loo yaqaan 'doxorubicin lipid complex'. Haddii aad uur yeelato inta aad qaadanaysid dawada loo yaqaan 'doxorubicin lipid complex', wac dhakhtarkaaga. Iskuxirka dufanka leh ee loo yaqaan 'Doxorubicin lipid complex' ayaa laga yaabaa inuu waxyeeleeyo uurjiifka.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Iskuxirka lipid-ka ee Doxorubicin wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• cunto xumo (ama miisaan lumis)
• lallabbo
• matagid
• calool xanuun
• shuban
• calool istaag
• daal ama daciifnimo aan caadi ahayn
• dawakhaad
• timo lumis
• sanka sanka laga xiirayo
• casaan ama casaan midab doorsoon

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

• nabarro ku dhaca afka iyo cunaha
• xoqid, gubasho, casaan, barar, xoqid ama gariirid, finan, ama nabarro ku yaal calaacalaha gacmaha ama cagaha.
• xanuun, cuncun, casaan, barar, nabarro, ama nabarro meeshii daawada lagu duray

Dhismaha lipid-ka ee Doxorubicin wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• nabarro ku dhaca afka iyo cunaha
• qandho, cuna xanuun, dhaxan, ama calaamado kale oo infekshan ah
• dhiigbax ama nabar aan caadi ahayn
• saxaro madow iyo tarry
• dhiig cas oo saxarada ku jira
• matag dhiig leh
• waxyaabo matag ah oo u eg qaxwaha qaxwada

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa baaritaano gaar ah si loo hubiyo jawaabta jirkaaga ee dawada loo yaqaan 'doxorubicin lipid complex'.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Doxil^®