Levoleucovorin Txhaj Tshuaj
Zoo Siab
- Ua ntej tau txais kev txhaj tshuaj levoleucovorin,
- Levoleucovorin txhaj tshuaj thiab cov tshuaj uas nws tau muab nrog nrog yuav ua rau muaj kev mob tshwm sim. 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 tias koj muaj cov tsos mob no lossis cov uas tau nyob hauv ntu TSHWJ XEEB, hu rau koj tus kws kho mob tam sis lossis tau txais kev kho mob kub ceev:
Levoleucovorin txhaj tshuaj yog siv rau cov neeg laus thiab menyuam yaus txhawm rau tiv thaiv kev phom sij ntawm methotrexate (Trexall) thaum methotrexate raug siv los kho pob txha qog nqaij hlav (mob cancer uas ua rau pob txha). Levoleucovorin txhaj tshuaj tseem yog siv los kho cov neeg laus thiab menyuam yaus uas tau txais kev noj tshuaj ntau dhau ntawm methotrexate lossis cov tshuaj zoo sib xws lossis tsis muaj peev xwm tshem tawm cov tshuaj no tawm ntawm lawv lub cev. Levoleucovorin txhaj tshuaj tseem yog siv cov tshuaj fluorouracil (5-FU, tshuaj kho mob) kho cov neeg laus uas muaj mob qog nqaij hlav cancer (mob qog nqaij hlav uas pib hauv plab hnyuv loj) uas tau kis mus rau lwm qhov ntawm lub cev. Levoleucovorin txhaj tshuaj yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua folic acid analogs. Nws ua haujlwm los tiv thaiv kev puas tsuaj ntawm methotrexate los ntawm kev tiv thaiv cov hlwb noj qab haus huv, thaum uas tso cai rau methotrexate nkag mus thiab tua cov qog nqaij hlav.Nws ua haujlwm los kho cov mob hnyuv laus los ntawm kev nce ntxiv ntawm fluorouracil.
Levoleucovorin kev txhaj tshuaj los ua kua (kua) thiab ua hmoov los ntawm kua thiab txhaj tshuaj rau hauv ntshav (los ntshav) los ntawm tus kws kho mob lossis kws saib xyuas mob hauv tsev kho mob lossis chaw haujlwm. Thaum levoleucovorin raug siv los tiv thaiv kev raug mob ntawm methotrexate lossis kho kev noj tshuaj ntau dhau ntawm methotrexate, feem ntau yog muab rau txhua txhua 6 teev, pib 24 teev tom qab txhaj tshuaj ntawm methotrexate lossis sai li sai tau tom qab noj ntau dhau thiab txuas ntxiv mus txog thaum kuaj ntshav kuaj pom tias nws yog tsis xav tau ntxiv lawm. Thaum levoleucovorin txhaj tshuaj yog siv los kho mob qog nqaij hlav, txhawm rau muab ib hnub ib zaug rau 5 hnub ua ib kab ua ib feem ntawm qhov tshuaj noj uas yuav rov ua dua txhua 4 rau 5 asthiv.
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 levoleucovorin,
- qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau levoleucovorin txhaj, leucovorin, folic acid (Folicet, hauv multivitamins), folinic acid, lossis lwm yam tshuaj noj.
- 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 ib qho ntawm cov hauv qab no: phenobarbital, phenytoin (Dilantin), primidone (Mysoline), lossis 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.
- koj tus kws kho mob yuav muab tshuaj levoleucovorin txhaj nrog fluorouracil. Yog tias koj tau txais cov tshuaj no ua ke, koj yuav raug saib xyuas kom zoo vim tias levoleucovorin yuav nce ntxiv cov txiaj ntsig thiab cov txiaj ntsig tsis zoo ntawm fluorouracil. Yog tias koj muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: mob plab zawv heev, mob plab los sis mob plab, nqhis dej, tso zis tsawg, lossis qaug zog heev,
- qhia rau koj tus kws kho mob yog tias koj muaj qhov ncauj qhuav, tso zis tsaus nti, tawm hws tsawg, ua kom tawv nqaij qhuav, thiab lwm cov cim ntawm lub cev qhuav dej thiab yog tias koj muaj lossis muaj cov kua dej hauv lub hauv siab lossis lub plab lossis lub raum mob.
- 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 txhaj tshuaj levoleucovorin, 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.
Levoleucovorin txhaj tshuaj thiab cov tshuaj uas nws tau muab nrog nrog yuav ua rau muaj kev mob tshwm sim. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- qhov ncauj tawm
- xeev siab
- ntuav
- tsis qab los noj mov
- mob plab
- zawv plab
- Kev mob siab
- tsis meej pem
- loog loog, hlawv, lossis kov hauv tes lossis taw
- hloov pauv qhov muaj peev xwm mus saj cov zaub mov
- plaub hau poob
- khaus lossis qhuav tawv nqaij
- nkees nkees
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no lossis cov uas tau nyob hauv ntu TSHWJ XEEB, hu rau koj tus kws kho mob tam sis lossis tau txais kev kho mob kub ceev:
- ua pa nyuaj
- khaus
- ua pob
- ua npaws
- ua daus no
Levoleucovorin txhaj yuav ua rau muaj kev phiv ntxiv. 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 levoleucovorin.
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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