Leucovorin Txhaj Tshuaj
Zoo Siab
- Ua ntej tau txais kev txhaj tshuaj leucovorin,
- Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
Leucovorin txhaj tshuaj yog siv los tiv thaiv kev puas tsuaj ntawm methotrexate (Rheumatrex, Trexall; kev siv tshuaj kho mob cancer) thaum methotrexate raug siv los kho qee hom mob qog ntshav. Leucovorin txhaj tshuaj yog siv los kho cov neeg uas tau txais kev ua yuam kev ntau dhau ntawm methotrexate lossis cov tshuaj zoo sib xws. Leucovorin txhaj tshuaj tseem yog siv los kho cov ntshav liab (ntshav qog ntshav liab) los ntawm kev muaj cov folic acid tsawg hauv lub cev. Leucovorin txhaj tshuaj kuj tseem siv nrog 5-fluorouracil (tshuaj kho mob) los kho qog nqaij hlav cancer (mob qog nqaij hlav uas pib hauv plab hnyuv loj). Leucovorin txhaj tshuaj yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua folic acid analogs. Nws kho cov neeg uas tau txais methotrexate los ntawm kev tiv thaiv cov hlwb zoo los ntawm kev cuam tshuam ntawm methotrexate. Nws kho cov ntshav liab los ntawm kev muab cov tshuaj folic acid uas xav tau rau kev tsim cov ntshav liab. Nws kho cov mob hnyuv laus los ntawm kev nce ntxiv ntawm 5-fluorouracil.
Leucovorin txhaj tshuaj los ua kua (kua) thiab hmoov los tov nrog ua kua thiab txhaj tshuaj ua kom ntshav (rau hauv cov leeg ntshav) lossis mus rau hauv cov leeg. Thaum txhaj tshuaj leucovorin yog siv los tiv thaiv kev puas tsuaj ntawm methotrexate lossis kho kev noj tshuaj ntau dhau ntawm cov tshuaj methotrexate lossis cov tshuaj zoo sib xws, feem ntau yog muab rau txhua 6 teev kom txog thaum kuaj sim pom tias tsis siv lawm. Thaum leucovorin txhaj tshuaj yog siv los kho ntshav txhaws, feem ntau nws ib hnub ib zaug. Thaum leucovorin txhaj tshuaj yog siv los kho mob qog nqaij hlav, txhawm rau muab ib hnub ib zaug rau tsib hnub ua ib feem ntawm kev kho mob uas yuav rov ua ib zaug txhua 4 rau 5 lub lis piam.
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 kev txhaj tshuaj leucovorin,
- qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau leucovorin, levoleucovorin, folic acid (Folicet, hauv ntau cov vitamins), lossis lwm yam tshuaj noj.
- qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: qee yam tshuaj kho rau qaug dab peg xws li phenobarbital, phenytoin (Dilantin), thiab primidone (Mysoline); thiab trimethoprim-sulfamethoxazole (Bactrim, Septra). 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.
- qhia rau koj tus kws kho mob yog tias koj muaj ntshav tsawg (muaj cov qe ntshav liab tsawg) los ntawm tsis muaj cov vitamin B12 lossis tsis tuaj yeem nqus cov vitamin B12. Koj tus kws kho mob yuav tsis sau ntawv txhaj tshuaj leucovorin rau kev kho mob ntshav txhaws no.
- qhia rau koj tus kws kho mob yog tias koj tau lossis tau muaj cov kua dej hauv lub hauv siab lossis lub plab, mob qog nqaij hlav tau kis mus rau koj lub hlwb lossis lub paj hlwb, lossis mob raum.
- qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj xeeb tub thaum tau txais kev txhaj tshuaj leucovorin, hu rau koj tus kws kho mob.
Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
- qaug dab peg
- tsaus muag
- zawv plab
- ua pob
- khaus
- khaus
- ua pa nyuaj lossis nqos
Leucovorin txhaj tshuaj tuaj yeem ua lwm cov phiv. 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).
Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.
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 sim kuaj xyuas koj lub cev cov lus teb rau kev txhaj tshuaj leucovorin.
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.
- Wellcovorin® I.V.¶
- citrovorum qhov zoo tshaj yuav
- folinic acid
- 5-formyl tetrahydrofolate
¶ Cov khoom muaj npe khoom no tsis nyob rau ntawm kev ua lag luam. Muaj lwm cov kev xaiv uas siv tau.
Kawg Siv - 02/11/2012