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FLT3-Mutated AML: Midostaurin and Chemotherapy
Daim Duab: FLT3-Mutated AML: Midostaurin and Chemotherapy

Zoo Siab

Midostaurin yog siv nrog lwm cov kev siv tshuaj kho mob los kho qee yam mob myeloid leukemia (AML; ib hom mob cancer ntawm cov qe ntshav dawb). Midostaurin tseem tseem siv rau qee yam mob mastocytosis (ntshav tsis txaus uas muaj cov hlwb mast ntau dhau [ib hom qe ntshav dawb]). Midostaurin yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua kinase inhibitors. Nws ua haujlwm los ntawm kev thaiv qhov kev txiav txim ntawm cov protein tsis txaus ntseeg uas ua teeb liab rau cov cell mob qog hlav. Qhov no pab ua kom tsis txhob muaj tus kab mob mast thiab qog noj ntshav.

Midostaurin los ua tshuaj ntsiav los noj ntawm qhov ncauj. Nws feem ntau yog noj nrog zaub mov ob zaug ib hnub. Noj midostaurin nyob ib ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj midostaurin raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Nqos cov tsiav tshuaj tag nrho; tsis txhob qhib lossis zuaj lawv.

Yog tias koj ntuav tom qab noj tshuaj midostaurin, tsis txhob noj ib qho ntxiv. Ua koj cov tshuaj noj tas li.


Koj tus kws kho mob tuaj yeem txo koj cov koob tshuaj midostaurin lossis qhia koj kom tsis txhob noj midostaurin ib ntus lossis mus tag ib txhis thaum kho koj tus mob. Qhov no nyob ntawm cov kev mob tshwm sim uas koj muaj. Tham nrog koj tus kws kho mob txog saib koj xav li cas thaum kho koj tus mob. Txuas ntxiv mus noj cov tshuaj midostaurin txawm hais tias koj tus kheej zoo. Tsis txhob tsum noj midostaurin yam tsis tau tham nrog koj tus kws kho mob.

Koj tus kws kho mob yuav qhia koj kom noj tshuaj kom tsis txhob xeev siab thiab ntuav ua ntej noj ib zaug hauv midostaurin.

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 noj midostaurin,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau midostaurin, lwm yam tshuaj, lossis ib yam ntawm cov khoom xyaw hauv midostaurin tsiav tshuaj. 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 sau tseg thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, thiab cov khoom noj zoo uas koj noj lossis npaj yuav noj. Nco ntsoov hais ib yam ntawm cov hauv qab no: boceprevir (tsis muaj nyob hauv Tebchaws Asmeskas; Victrelis); carbamazepine (Carbatrol, Equetro, Tegretol, lwm tus); clarithromycin (Biaxin, hauv Prevpac); diltiazem (Cardizem, Cartia, Tiazac, lwm tus); enzalutamide (Xtandi); idelalisib (Zydelig); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); cov tshuaj siv los kho tib neeg cov tshuaj tiv thaiv kab mob (HIV) xws li cobicistat (Tybost, hauv Evotaz, hauv Genvoya, hauv Prezcobix, hauv Stribild), elvitegravir (Vitekta), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, hauv Kaletra) , hauv Technivie, hauv Viekira), saquinavir (Invirase) thiab tipranavir (Aptivus); mitotane (Lysodren); nefazodone; phenytoin (Dilantin, Phenytek); posaconazole (Noxafil); phom phom (Rifadin, Rimactane, hauv Rifamate, hauv Rifater); troleandomycin (tsis muaj nyob rau hauv Asmeskas); thiab voriconazole (Vfend). 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 midostaurin, 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 koj tus kws kho mob tias yam tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John wort.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis muaj lub plawv dhia tsis xwm yeem, QT ncua sijhawm (mob plawv uas yuav ua rau lub plawv dhia tsis xwm yeem, tsaus muag, lossis cia li tuag kiag), mob ntsws, mob siab, lossis mob raum.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Yog tias koj yog poj niam, koj yuav tsum tsis txhob cev xeeb tub thaum koj tab tom noj midostaurin thiab mus txog 4 lub hlis tom qab koj qhov tshuaj zaum kawg. Koj yuav tsum muaj qhov tsis zoo kuaj cev xeeb tub ua ntej 7 hnub ua ntej koj pib noj cov tshuaj midostaurin. Tham nrog koj tus kws kho mob txog kev tiv thaiv kev xeeb tub uas yuav ua haujlwm rau koj. Yog tias koj yog txiv neej, koj thiab koj tus poj niam tus khub yuav tsum siv tshuaj tswj kom tsis txhob muaj menyuam thaum lub sijhawm kho thiab tseem siv tshuaj tiv thaiv kom tsis pub muaj menyuam tau 4 hlis tom qab koj txhaj tshuaj zaum kawg Yog tias koj lossis koj tus khub xeeb tub thaum tab tom noj midostaurin, hu rau koj tus kws kho mob tam sim ntawd. Midostaurin tuaj yeem tsim kev puas tsuaj rau tus menyuam hauv plab.
  • qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Koj yuav tsum tsis txhob pub niam mis thaum koj tab tom noj midostaurin thiab rau 4 lub hlis tom qab koj zaum kawg.
  • koj yuav tsum paub tias cov tshuaj no tuaj yeem txo qis kev muaj menyuam hauv txivneej thiab pojniam.

Tham nrog koj tus kws kho mob txog kev noj txiv kab ntxwv qaub thiab haus kua txiv thaum lub sijhawm noj cov tshuaj no.


Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.

Hla lub tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Midostaurin tuaj yeem ua phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • xeev siab
  • ntuav
  • zawv plab
  • mob taub hau
  • taub ntswg
  • nkees nkees
  • tsis muaj zog
  • kiv taub hau
  • cem quav
  • hemorrhoids
  • nce hws
  • mob plab
  • dawb pliav lossis qhov ncauj tawm ntawm daim di ncauj lossis hauv qhov ncauj thiab caj pas
  • o ntawm tes, taw, pob taws, lossis ceg qis
  • sab nraub qaum, pob txha, pob qij, tes, lossis mob leeg
  • teeb meem tsis tsaug zog los yog pw tsaug zog

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:

  • kub taub hau, hnoos, mob caj pas, ua daus no, thiab lwm yam cim ntawm tus kab mob
  • lub plawv dhia ceev ceev, tsis meej, los yog sib tsoo
  • txog siav
  • mob hauv siab
  • yaug
  • o ntawm daim di ncauj, nplaig, lossis caj pas
  • ua pa nyuaj lossis nqos
  • khaus
  • ua pob
  • khaus
  • tshiab lossis txhawm rau hnoos
  • hawb pob
  • ntuav ntshav lossis ntuav ntuav uas zoo li thaj chaw kas fes
  • ntshav txawv lossis doog ntshav
  • mob lossis mob thaum tso zis

Midostaurin tuaj yeem ua lwm cov kev mob tshwm sim. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj 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 cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

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 khomob yuav xaj qee yam kev kuaj sim kuaj xyuas koj lub cev cov lus teb rau midostaurin.

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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Kawg Kho - 08/15/2017

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