Tus Sau: Virginia Floyd
Hnub Kev Tsim: 14 Lub Yim Hli Ntuj 2021
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Update on PI3K inhibitors for CLL: Idelalisib, copanlisib, duvelisib, and umbralisib
Daim Duab: Update on PI3K inhibitors for CLL: Idelalisib, copanlisib, duvelisib, and umbralisib

Zoo Siab

Duvelisib tuaj yeem ua rau mob hnyav lossis tuag taus. Qhia rau koj tus kws kho mob yog tias koj muaj mob, lossis yog tias koj muaj lossis puas tau muaj cytomegalovirus (CMV; tus mob kis uas yuav ua rau muaj kev mob tshwm sim rau cov neeg mob uas tsis muaj zog tiv thaiv). Yog koj muaj cov tsos mob li hais no, hu rau koj tus kws kho mob tam sim ntawd: kub ib ce, mob caj pas, ua daus no, txog siav, los yog lwm yam cim ntawm tus mob.

Duvelisib yuav ua rau mob raws plab lossis colitis (o ntawm cov hnyuv loj). Qhia koj tus kws kho mob yog tias koj muaj mob raws plab lossis yav tag los koj tau mob plab lossis lwm yam mob uas ua rau koj lub plab lossis hnyuv. Yog tias koj muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim: kev nce plab hnyuv ntau zog hauv ib hnub, ntshav hauv koj cov quav, lossis lub plab zom mov lossis mob.

Duvelisib tuaj yeem ua rau tawv nqaij lossis ua kom tawv nqaij hloov pauv. Yog koj muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: tawm pob liab vog los yog ntau dua, tawm pob nrog kub ib ce, tawm pob nrog khaus, tawm pob lossis tawv nqaij tawv, lossis mob tawv nqaij lossis mob rau ntawm koj cov tawv nqaij, daim di ncauj, lossis hauv qhov ncauj.


Duvelisib tuaj yeem ua rau mob ntsws loj lossis tuag taus (mob ntsws). Qhia koj tus kws kho mob yog tias koj muaj mob ntsws lossis ua pa nyuaj. Yog koj muaj cov tsos mob li hais hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: hnoos tshiab lossis txhaws ntswg, ua pa nyuaj, hawb pob, lossis txog siav.

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 xyuas kom kuaj xyuas koj lub cev cov lus teb rau duvelisib.

Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Cov Lus Qhia Txog Tshuaj Noj) thaum koj pib kho nrog duvelisib 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.

Duvelisib yog siv los kho tus mob lymphocytic leukemia ntev (CLL; ib hom mob cancer uas pib hauv cov qe ntshav dawb) lossis cov lymphocytic lymphoma me me (SLL; ib hom mob qog uas pib feem ntau nyob hauv cov qog ntshav) uas tau rov qab los yog qhov tsis ua raws li. tsawg kawg yog ob qho kev kho mob ntxiv. Nws kuj tseem siv los kho qee yam mob follicular lymphoma (FL; ib hom mob cancer uas pib hauv cov qe ntshav dawb) rau cov neeg laus uas muaj mob qog nqaij hlav uas tau rov qab los lossis tsis muaj kev cuam tshuam txog tsawg kawg ob yam kev kho mob ntxiv. Duvelisib yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua kinase inhibitors. Nws ua haujlwm los ntawm kev thaiv cov cim taw qhia uas ua rau qog nqaij hlav cancer hlav tawm tsam. Qhov no yuav pab tiv thaiv kev kis tus mob hlwb.


Duvelisib los ua tshuaj ntsiav los noj ntawm qhov ncauj. Nws feem ntau yog noj ob zaug ib hnub nrog lossis tsis muaj zaub mov. Noj duvelisib 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 duvelisib 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 tshuaj ntsiav tag nrho; tsis txhob qhib, chew, lossis ua txhaum lawv.

Koj tus kws kho mob tuaj yeem txo koj cov koob tshuaj duvelisib lossis qhia koj kom tsis txhob noj tshuaj rau ib lub sijhawm lossis mus ib txhis yog tias koj muaj kev phiv loj thaum lub sijhawm kho koj. Qhov no nws nyob ntawm seb cov tshuaj ua hauj lwm zoo npaum li cas rau koj thiab kev phiv uas koj ntsib. Tham nrog koj tus kws kho mob txog saib koj xav li cas thaum kho koj tus mob. Txuas mus noj cov duvelisib txawm hais tias koj tus kheej yuav zoo siab. Tsis txhob tsum noj duvelisib yam tsis tham nrog koj tus kws kho 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 duvelisib,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau duvelisib, lwm yam tshuaj noj, lossis lwm yam tshuaj hauv duvelisib tsiav 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 tus kws muag tshuaj tias lwm yam tshuaj uas tsis yog kws kho mob thiab cov ntawv yuav tshuaj, cov vitamins, khoom noj khoom haus muaj txiaj ntsig zoo, koj noj lossis npaj yuav noj. Nco ntsoov hais qee yam ntawm cov hauv qab no: carbamazepine (Epitol, Tegretol, Teril, lwm tus); clarithromycin (Biaxin); cov tshuaj siv los kho tib neeg cov tshuaj tiv thaiv kab mob (HIV) xws li efavirenz (Sustiva, hauv Atripla), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), thiab ritonavir (Norvir, hauv lwm tus); itraconazole (Onmel, Sporanox); ketoconazole, midazolam; nefazodone; phenobarbital; phenytoin (Dilantin, Phenytek); pioglitazone (Actos); rifabutin (Mycobutin); thiab rifampin (Rifadin, Rimactane, hauv Rifamate). Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog duvelisib, 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. 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 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 kab mob siab dua.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Koj yuav tsum muaj kev kuaj cev xeeb tub ua ntej koj pib noj cov tshuaj duvelisib. Koj yuav tsum tsis txhob cev xeeb tub thaum lub sijhawm kho nrog duvelisib. Yog tias koj yog poj niam, koj yuav tsum siv kev tswj kom tsis txhob muaj menyuam kom tsis txhob muaj menyuam hauv kev kho mob nrog duvelisib thiab tsawg kawg 1 hlis tom qab koj cov tshuaj zaum kawg. Yog tias koj yog tus txiv neej thiab koj tus khub tuaj yeem cev xeeb tub, koj yuav tsum siv tshuaj tswj kom tsis muaj menyuam thaum lub sijhawm kho thiab rau 1 hlis tom qab kawg koob tshuaj. Yog tias koj lossis koj tus khub xeeb tub thaum tab tom noj duvelisib, hu rau koj tus kws kho mob tam sim ntawd. Duvelisib tuaj yeem cuam tshuam cov 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 noj duvelisib thiab tsawg kawg 1 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.

Yog tias koj tsis nco qab txhaj koob tshuaj duvelisib tsawg dua 6 teev, noj koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws thiab tom qab ntawd noj cov tshuaj ntxiv rau lub sijhawm. Txawm li cas los xij, yog tias koj tsis nco qab ntau dua li 6 teev, hla lub koob 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.

Duvelisib 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:

  • xeev siab
  • ntuav
  • cem quav
  • nkees nkees
  • mob taub hau
  • leeg los yog koom nrog mob

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:

  • qhov muag daj lossis tawv nqaij; mob plab; piav tsis tau ua kom doog ntshav lossis los ntshav; tsis qab los noj mov; cov xim daj daj lossis xim av; daj ntseg cov quav; lossis mob hauv sab qaum kev sab ntawm lub plab

Duvelisib yuav ua rau muaj kev phiv ntxiv. 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).

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

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.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

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.

  • Copiktra®
Kawg Kho - 11/15/2018

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