Ipilimumab Txhaj Tshuaj
Zoo Siab
- Ua ntej tau txais ipilimumab txhaj,
- Ipilimumab 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 tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev.
Ipilimumab txhaj tshuaj yog siv:
- txhawm rau kho kab mob melanoma (hom mob qog nqaij daim tawv) rau cov laus thiab menyuam yaus hnub nyoog 12 xyoos thiab laus dua uas tsis tuaj yeem siv rau kev phais mob lossis uas kis mus rau lwm qhov ntawm lub cev.
- txhawm rau pab tiv thaiv kom txhob mob melanoma los ntawm kev rov qab los tom qab phais tas kom tshem tawm nws thiab txhua qhov ua cov qog ntshav.
- ua ke nrog nivolumab (Opdivo) los kho cov kab mob hauv lub raum pob txha mos (RCC; ib hom mob qog nqaij hlav uas pib hauv cov hlwb ntawm ob lub raum).
- kev sib xyaw nrog nivolumab los kho qee yam mob kheesxaws mob hnyuv (mob cancer uas pib hauv plab hnyuv loj) hauv cov neeg laus thiab menyuam yaus hnub nyoog 12 xyoos thiab laus dua uas tau kis mus rau lwm qhov ntawm lub cev thiab tau mob hnyav dua tom qab kev kho mob nrog lwm yam kev siv tshuaj kho mob.
- ua ke nrog nivolumab los kho tus mob hepatocellular carcinoma (HCC; ib hom mob qog nqaij hlav cancer) hauv cov neeg uas tau kho yav tas los nrog sorafenib (Nexafar).
- ua ke nrog nivolumab rau qee yam mob ntsws (tsis yog mob ntsws hauv hlwb tsawg; NSCLC) hauv cov neeg laus uas tau kis mus rau lwm qhov ntawm lub cev.
- ua ke nrog nivolumab thiab platinum chemotherapy los kho qee yam ntawm NSCLC hauv cov neeg laus uas tau rov qab los lossis tau kis mus rau lwm qhov ntawm lub cev.
- ua ke nrog nivolumab los kho tus mob malignant pleural mesothelioma (hom mob cancer uas cuam tshuam rau sab hauv lub ntsws thiab lub hauv siab) cov laus tsis tuaj yeem tshem tawm los ntawm kev phais mob.
Ipilimumab txhaj tshuaj yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua monoclonal tiv thaiv kab mob. Nws ua haujlwm los ntawm kev pabcuam lub cev kom qeeb lossis nres kev loj hlob ntawm cov kabmob kheesxaws.
Tus kws kho mob lossis tus nais maum hauv tsev kho mob lossis chaw kho mob tau txhaj tshuaj (Ipilimumab injection) tuaj kho qhov tshuaj (ua kua) los txhaj rau txoj leeg ntshav (rau hauv cov leeg ntshav). Thaum ipilimumab tau muab rau kho melanoma, feem ntau yog muab sijhawm 90 feeb ib zaug txhua 3 asthiv ntev npaum li koj tus kws kho mob pom zoo kom koj tau txais kev kho mob. Thaum ipilimumab tau muab nrog nivolumab los kho mob raum cell carcinoma, hepatocellular carcinoma, lossis mob qog plab hnyuv, feem ntau nws tau tshaj 30 feeb ib zaug txhua 3 lub lis piam txog 4 koob tshuaj. Thaum ipilimumab tau muab nrog nivolumab lossis nrog nivolumab thiab platinum tshuaj kho los kho NSCLC, feem ntau muab 30 feeb ib zaug txhua 6 lub lis piam ntev npaum li koj tus kws kho mob pom zoo kom koj tau txais kev kho mob. Thaum ipilimumab tau muab nrog nivolumab los kho malignant pleural mesothelioma, feem ntau yog muab 30 feeb ib zaug txhua 6 lub lis piam ntev npaum li koj tus kws kho mob pom zoo kom koj tau txais kev kho mob.
Kev txhaj tshuaj Ipilimumab tuaj yeem ua rau mob hnyav lossis tuag taus thaum lub sijhawm nqus ntshav. Tus kws kho mob lossis tus nais maum yuav saib xyuas koj kom zoo thaum koj tau txais kev lis ntshav thiab tsis ntev tom qab Txoj kev lis ntshav ntawd kom paub tseeb tias koj tsis muaj qhov kev txhaum dab tsi rau cov tshuaj. Qhia rau koj tus kws kho mob lossis tus neeg saib xyuas neeg mob sai yog tias koj pom muaj cov tsos mob hauv qab no uas yuav tshwm sim thaum lub sijhawm ntawd: ua daus no lossis tshee, khaus, tawm pob, ua xua, ua pa nyuaj, kiv taub hau, kub cev, lossis tsaus muag.
Koj tus kws kho mob tuaj yeem txo koj txoj kev noj qab haus huv, ncua, lossis tso tseg kev kho mob nrog ipilimumab txhaj tshuaj, lossis kho koj nrog kev noj tshuaj ntxiv nyob ntawm koj cov lus teb rau cov tshuaj thiab cov kev mob tshwm sim uas koj tau ntsib dua. Tham nrog koj tus kws kho mob txog saib koj xav li cas thaum kho koj tus mob.
Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia cov neeg mob rau koj (Siv Lus Qhia Tshuaj) thaum koj pib kho nrog ipilimumab thiab txhua zaus koj rov ntim tshuaj rau koj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib tau Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) lossis cov chaw tsim tshuaj paus lub vev xaib kom tau txais Kev Qhia Tshuaj.
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 ipilimumab txhaj,
- qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau ipilimumab txhaj, lwm yam tshuaj noj, lossis lwm yam tshuaj hauv ipilimumab txhaj tshuaj. Nug koj tus kws muag tshuaj lossis tshawb xyuas Phau Ntawv Qhia Tshuaj Kho Mob rau cov npe ntawm cov khoom siv.
- 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. 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 tau muaj kev hloov hauv nruab nrog cev, kab mob siab, lossis yog tias koj lub siab tau raug mob los ntawm kev noj tshuaj lossis muaj mob. Tsis tas li, qhia koj tus kws kho mob yog tias koj muaj lossis tau muaj kab mob autoimmune (mob uas lub nruab zog tiv thaiv ib qho tsis muaj mob ntawm lub cev) xws li Crohn's mob (mob uas lub nruab zog tua cov leeg hauv plab zom mov ua rau mob mob) mob raws plab, yuag poob, thiab kub ib ce), mob plab ua paug (mob uas ua rau o thiab ua mob rau sab hauv txoj hnyuv [txoj hnyuv loj thiab lub qhov quav), lupus (ib yam mob uas lub nruab zog tua ntau cov nqaij thiab kabmob nrog rau tawv nqaij, pob qij txha, ntshav, thiab raum), lossis mob sarcoidosis (mob uas txhaws cov leeg ntshav tsis zoo hlav tuaj ntawm ntau qhov chaw ntawm lub cev suav nrog rau lub ntsws, tawv nqaij, thiab qhov muag).
- qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Koj yuav tsum tau coj mus kuaj cev xeeb tub ua ntej koj tau txais ipilimumab. Koj yuav tsum siv kev tswj kom tsis txhob muaj menyuam kom tsis txhob muaj menyuam hauv kev kho mob nrog kev txhaj tshuaj ipilimumab thiab rau 3 hlis tom qab koj koob kawg. Tham nrog koj tus kws kho mob txog kev tiv thaiv kev xeeb tub uas yuav ua haujlwm rau koj. Yog tias koj xeeb tub thaum koj tau txhaj tshuaj ipilimumab, hu rau koj tus kws kho mob tam sim ntawd. Kev txhaj tshuaj Ipilimumab tuaj yeem tsim kev puas tsuaj rau tus me nyuam hauv plab.
- qhia rau koj tus kws kho mob yog tias koj pub mis niam lossis npaj yuav pub mis. Koj yuav tsum tsis txhob pub niam mis thaum tau txais kev txhaj tshuaj ipilimumab thiab rau 3 lub hlis tom qab koj zaum kawg.
Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.
Ipilimumab 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:
- teeb meem tsis tsaug zog los yog pw tsaug zog
- mob tej pob txha
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev.
- tsis tso zis, ntshav nyob hauv cov zis, o ntawm ko taw, pob taws, los sis qis ceg, lossis tsis qab los
- raws plab, ntshav lossis tawv dub, tarry, nplaum quav, mob plab heev lossis mob nruj, lossis ua npaws
- hnoos, mob hauv siab, lossis txog siav
- nkees nkees, tsis meej pem, teeb meem nco qab, txhaws ntswg, qaug dab peg, lossis txhav caj dab
- mloog zoo li nkees, qab los noj mov, nqhis dej heev, tso zis ntau ntxiv, los yog poob phaus
- lub plawv dhia ceev ceev, tswj tsis tau ntawm ib feem ntawm lub cev, ua kom qab los, tawm hws
- qaug zog los sis qoj ib ce, nce rhiab rau qhov mob khaub thuas, cem quav, mob ib ce thiab tsis muaj zog, hnyav ntxiv, hnyav dua lub cev ntas lossis cev tsis meej, yuag cov plaub hau, mob taub hau, kiv taub hau, chim siab, tsis nco qab, poob siab nrog txiv neej pw, lossis kev nyuaj siab
- daj tawv nqaij lossis qhov muag, tsaus (xim-xim ntsuab) zis, mob rau sab sauv sab xis ntawm lub plab, xeev siab, ntuav, lossis doog yooj yim lossis los ntshav
- tsis muaj zog tsis zoo ntawm txhais ceg, caj npab, lossis ntsej muag; lossis loog lossis tingling hauv tes lossis taw
- xoo pob khaus los yog tsis khaus, hlwv lossis tev tawv nqaij, lossis qhov ncauj tawm
- ua kom pom kev tsis pom kev, ob lub zeem muag, hnov qhov muag lossis liab, lossis lwm yam teeb meem tsis pom kev
Ipilimumab txhaj tshuaj tuaj yeem tsim cov kev phiv lwm yam. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum koj 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.
Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev txhaj tshuaj ipilimumab.
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 yam kev kuaj ua ntej thiab thaum kho koj tus mob seb koj puas yuav tau txhaj koob tshuaj ipilimumab thiab kuaj xyuas koj lub cev teb rau kev txhaj tshuaj ipilimumab.
Rau qee qhov xwm txheej, koj tus kws kho mob yuav xaj kuaj sim ua ntej koj pib kho koj tus mob seb koj puas tuaj yeem kho tus mob cancer ipilimumab.
Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev txhaj tshuaj ipilimumab.
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.
- Yervoy®