Tshuaj Tiv Thaiv Histrelin
Zoo Siab
- Ua ntej tau txais histrelin cog ntoo,
- Kev cog tshuaj rau pob zeb pob zeb Histrelin yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
Cov tshuaj tiv thaiv Histrelin (Vantas) yog siv los kho cov tsos mob cuam tshuam nrog kev mob qog nqaij hlav prostate. Kev cog qoob loo rau keeb neeg (relrelin LA) yog siv los kho qhov nruab nrab ntawm txoj cai pub dawb (CPP; qhov mob ua rau menyuam nkag mus rau hauv pub dhau sai, uas ua rau muaj kev nrawm dua li cov pob txha kev loj hlob thiab kev loj hlob ntawm cov yam ntxwv sib deev) hauv cov ntxhais feem ntau muaj hnub nyoog 2 thiab 8 xyoo thiab nyob hauv cov tub hluas feem ntau muaj hnub nyoog 2 mus rau 9 xyoos. Kev cog tshuaj rau Histrelin yog nyob hauv chav kawm ntawm cov tshuaj hu ua gonadotropin-tso cov tshuaj hormone (GnRH) agonists. Nws ua haujlwm los ntawm kev txo qee yam tshuaj hormones hauv lub cev.
Histrelin los ua ib qho cog hniav (me me, nyias, yoog raws lub raj tshuaj uas muaj tshuaj) uas tau ntxig los ntawm kws kho mob sab hauv sab caj npab sab saud. Tus kws kho mob yuav siv cov tshuaj kom loog ntawm caj npab, txiav me me hauv daim tawv nqaij, tom qab ntawd ntxig rau qhov cog hniav uas tsis tuaj yeem (hauv qab daim tawv xwb). Qhov kev txiav yuav raug kaw nrog cov hlua dai lossis cov hlua phais thiab them nrog ib qho ntaub qhwv. Txoj kev cog hniav no tuaj yeem tso ntxiv txhua 12 lub hlis. Tom qab 12 lub hlis, kev cog hniav tam sim no yuav tsum tau muab tshem tawm thiab tuaj yeem hloov nrog lwm qhov cog hniav ntxiv kom tau txais kev kho mob txuas ntxiv. Kev cog tshuaj Histrelin (Supprelin LA) thaum siv rau hauv cov menyuam yaus nrog kev muaj menyuam sai, yuav tau tso tseg los ntawm koj tus menyuam tus kws kho mob ua ntej 11 xyoos hauv cov menyuam ntxhais thiab 12 xyoos hauv cov tub.
Ua kom thaj chaw ib ncig ntawm qhov cog cog qoob loo huv si thiab qhuav rau 24 teev tom qab tso ntxig. Tsis txhob ua luam dej lossis da dej thaum lub sijhawm no. Tso daim ntaub qhwv tso rau qhov chaw tsawg kawg 24 teev. Yog siv phais mob phais, siv nws mus kom txog thaum lawv poob lawv tus kheej. Zam kev tshem tawm hnyav thiab ua haujlwm lub cev (nrog rau kev ua si hnyav lossis ua exercise rau menyuam yaus) nrog caj npab raug kho rau 7 hnub tom qab tau txais kev cog hniav. Txav tawm ntawm thaj chaw ncig cog hniav rau ob peb hnub tom qab tso ntxig rau.
Histrelin yuav ua rau muaj kev nce ntxiv hauv qee cov tshuaj hormones hauv thawj ob peb lub lis piam tom qab kev tso tshuaj ntawm qhov cog hniav. Koj tus kws kho mob yuav saib xyuas koj kom zoo rau cov kev mob tshwm sim tshiab lossis qhov ua tsis zoo nyob rau lub sijhawm no.
Qee zaum cov keeb kwm pleev cov tshuaj histrelin nyuaj rau qhov tawv nqaij yog li tus kws kho mob yuav tsum tau siv qee qhov kev kuaj mob, xws li ntsuas ultrasound lossis MRI kuaj (cov duab hluav taws xob tsim los qhia cov duab ntawm cov qauv hauv lub cev) kom pom cov cog hniav thaum nws txog sijhawm tshem nws. Qee zaum, histrelin cog hniav tuaj yeem tawm los ntawm qhov chaw ntxig chaw qub ntawm nws tus kheej. Koj tuaj yeem lossis tsis paub txog qhov tshwm sim no. Hu rau koj tus kws kho mob tam sim ntawd yog tias koj xav tias qhov no tshwm sim rau koj.
Nug koj tus kws muag tshuaj lossis tus kws kho mob txog cov ntawv luam ntawm cov ntaub ntawv tsim tawm rau tus neeg mob.
Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.
Ua ntej tau txais histrelin cog ntoo,
- qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau histrelin, goserelin (Zoladex), leuprolide (Eligard, Lupaneta Pob, Lupron), nafarelin (Synarel), triptorelin (Trelstar, Triptodur Kit), tshuaj loog xws li lidocaine (Xylocaine), lwm yam tshuaj noj, los yog ib qho ntawm cov khoom xyaw hauv histrelin cog. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
- qhia rau koj tus kws kho mob thiab kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov tshuaj uas tsis yog kws kho mob sau, tshuaj vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog qee yam ntawm cov hauv qab no: amiodarone (Nexterone, Pacerone), anagrelide (Agrylin), bupropion (Aplenzin, Forfivo, Wellbutrin, Zyban, hauv Kev Tiv Thaiv), chloroquine, chlorpromazine, cilostazol, ciprofloxacin (Cipro), cital , clarithromycin, disopyramide (Norpace), dofetilide (Tikosyn), donepezil (Aricept), dronedarone (Multaq), escitalopram (Lexapro), flecainide (Tambocor), fluconazole (Diflucan), fluoxetine (Prozac, Sarafem, Selfemra) fluvoxamine (Luvox), haloperidol (Haldol), ibutilide (Corvert), levofloxacin, methadone (Dolophine, Methadose), moxifloxacin (Avelox), ondansetron (Zuplenz, Zofran), paroxetine (Brisdelle, Paxil), Pexeva pimozide (Orap), procainamide, quinidine (hauv Nuedexta), sertraline (Zoloft), sotalol (Betapace, Sorine, Sotylize), thioridazine, vilazodone (Viibryd), thiab vortioxetine (Trintellix). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog histrelin, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no.
- qhia rau koj tus kws kho mob yog tias koj muaj ntshav qabzib ntau lossis magnesium nyob rau hauv koj cov ntshav. lossis yog tias koj tau lossis puas tau muaj ntshav qab zib, ntshav siab, ntshav siab, txhaws QT ntev (ntu plawv tsis tshua muaj neeg uas yuav ua rau lub plawv dhia tsis xwm yeem, tsaus muag, lossis cia li tuag kiag), mob qog nqaij hlav tau kis rau tus txha nqaj qaum (qaum), tso zis tsis zoo (txhaws uas ua rau tso zis nyuaj), qaug dab peg, mob hlwb lossis hlab ntsha teeb meem lossis qog, mob hlwb, lossis mob plawv.
- koj yuav tsum paub tias histrelin tsis yog siv rau cov poj niam cev xeeb tub los yog cev xeeb tub. Qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj xav tias koj tau xeeb tub thaum tau txais cov tshuaj pleev rau cov tshuaj tiv thaiv histrelin, hu rau koj tus kws kho mob tam sim ntawd. Kev cog tshuaj rau pob zeb ntoo (Histrelin implant) tuaj yeem tsim kev mob rau tus me nyuam.
Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.
Yog tias koj tsis tau teem caij mus txais kev cog hniav ntawm histrelin los yog kom muaj cov kuab tshuaj histrelin tshem tawm, koj yuav tsum hu rau koj tus neeg saib xyuas kev noj qab haus huv sai sai mus teem dua sijhawm teem caij. Yog tias muaj kev kho mob txuas ntxiv, cov tshuaj pleev rau histrelin tshiab yuav tsum tau muab tso rau hauv ob peb lub lis piam.
Kev cog tshuaj rau pob zeb pob zeb Histrelin yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Ua kom nqaij ntuag, o, tawm pob, lossis khaus ntawm qhov chaw uas cog khoom
- caws pliav ntawm qhov chaw cog qhov khoom
- kub muag (nthwv dej ntawm lub cev me lossis khaus khaus)
- nkees nkees
- lub teeb paum qhov paum hauv cov menyuam ntxhais
- tsam ob lub mis
- ua kom tsawg dua cov noob qes
- txo qis kev sib deev muaj peev xwm lossis kev txaus siab
- cem quav
- hnyav
- teeb meem tsis tsaug zog los yog pw tsaug zog
- mob taub hau
- quaj, txob taus, siab luv, npau taws, coj tus yam ntxwv
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
- mob, los ntshav, o, lossis liab ntawm qhov chaw cog khoom
- khaus
- ua pob
- khaus
- ua pa nyuaj lossis nqos
- mob pob txha
- tsis muaj zog lossis loog hauv ob txhais ceg
- mob, hlawv, lossis tingling hauv caj npab lossis txhais ceg
- maj lossis hais lus nyuaj
- kiv tob hau lossis tsaus muag
- mob hauv siab
- mob mob ntawm caj npab, nraub qaum, caj dab, lossis puab tsaig
- tsis muaj peev xwm txav tau
- nyuaj tso zis los yog tsis tso zis
- ntshav hauv zis
- tsis tso zis tsawg
- ntshav txawv lossis doog ntshav
- nkees heev
- tsis qab los noj mov
- mob hauv sab saud hauv plab
- daj ntawm daim tawv nqaij lossis qhov muag
- cov tsos mob khaub thuas zoo li
- kev nyuaj siab, xav txog kev tua koj tus kheej lossis npaj lossis sim ua li ntawd
- qaug dab peg
Kev cog tshuaj rau pob zeb pob zeb Histrelin tuaj yeem hloov pauv koj cov pob txha uas tuaj yeem ua rau muaj feem ntau ntawm cov pob txha tawg thaum siv lub sijhawm ntev. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev tau txais cov tshuaj no.
Hauv cov menyuam yaus uas tau txais histrelin implant (Supprelin LA) rau kev muaj nkauj nraug sai, qhov tshwm sim tshiab lossis qhov tsis txaus ntshai ntawm kev sib deev tej zaum yuav tshwm sim thawj ob peb lub lis piam tom qab kev tso tshuaj pleev ib ce. Hauv cov menyuam ntxhais uas tau txais histrelin implant (Supprelin LA) rau kev muaj nkauj nraug sai, qhov ntshav me me hauv lub paum los yog lub mis o tuaj yeem tshwm sim thawj lub hlis ntawm kev kho mob.
Kev cog tshuaj rau pob zeb pob zeb Histrelin tuaj yeem ua lwm cov kev phiv tshuaj. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum tau txais cov tshuaj no.
Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).
Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj ntshav kuaj mob thiab ntsuas qee qhov ntsuas kom kuaj xyuas koj lub cev cov lus teb rau cov hnoos qeev histrelin. Koj cov piam thaj hauv ntshav thiab glycosylated hemoglobin (HbA1c) yuav tsum kuaj xyuas tsis tu ncua.
Ua ntej muaj kev sim ntsuas, qhia koj tus kws kho mob thiab cov neeg ua haujlwm hauv chaw kuaj mob tias koj muaj keeb kwm kev cog qoob loo histrelin.
Nug koj tus kws muag tshuaj yog tias koj muaj lus dab tsi txog cov tshuaj tiv thaiv histrelin.
Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.
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