Cyclophosphamide

Zoo Siab

• Ua ntej noj cyclophosphamide,
• Cyclophosphamide 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 koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
• Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

Cyclophosphamide tsuas yog siv ib leeg los yog ua ke nrog lwm cov tshuaj los kho Hodgkin's lymphoma (Hodgkin's disease) thiab tsis-Hodgkin's lymphoma (hom mob cancer uas pib hauv ib hom ntshav dawb uas feem ntau sib ntaus sib tua); cutaneous T-cell lymphoma (CTCL, ib pawg ntawm cov qog nqaij hlav ntawm lub cev tiv thaiv kab mob ua ntej tshaj tawm ua pob tawv nqaij); ntau yam mob myeloma (ib hom mob qog ntshav ntawm pob txha pob txha); thiab qee yam leukemia (mob qog ua ntshav dawb), nrog rau cov leeg ntshav qog ua ntshav (CLL), mob ntshav qab zib myelogenous leukemia (CML), mob ntshav siab myeloid leukemia (AML, ANLL), thiab mob qog nqaij hlav ntshav siab (lymphoblastic leukemia (ALL)). Nws kuj tseem siv los kho tus mob retinoblastoma (mob qog nqaij hlav hauv qhov muag), neuroblastoma (mob qog nqaij hlav uas pib hauv cov hlab hlwb thiab feem ntau tshwm sim hauv cov menyuam yaus), mob qog ntawm zes qe menyuam (mob qog pib hauv poj niam kev muaj me nyuam cov qe uas tsim los), thiab mob cancer mis. Cov. Cyclophosphamide kuj tseem siv los kho nephrotic syndrome (kab mob uas ua rau lub raum puas tsuaj) hauv cov menyuam uas nws tus mob tsis zoo, muaj kev tsis zoo ntau dua, lossis tau rov qab los tom qab noj lwm yam tshuaj lossis hauv cov menyuam yaus uas muaj kev cuam tshuam tsis zoo nrog lwm yam tshuaj noj. Cyclophosphamide yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua alkylating agents. Thaum cyclophosphamide siv los kho mob qog noj ntshav, nws ua haujlwm los ntawm kev maj mam lossis nres kev loj hlob ntawm cov qog nqaij hlav cancer hauv koj lub cev. Thaum cyclophosphamide siv los kho tus mob nephrotic syndrome, nws ua haujlwm los ntawm kev tawm tsam koj lub cev tiv thaiv kab mob.

Cyclophosphamide los ua ib ntsiav tshuaj noj ntawm qhov ncauj ib hnub ib zaug. Lub sijhawm kho yog nyob ntawm ntau hom tshuaj uas koj noj, koj lub cev tau teb rau lawv li cas, thiab hom mob cancer lossis cov mob uas koj muaj. Siv cov tshuaj cyclophosphamide nyob rau 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 cyclophosphamide 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 ntsiav tshuaj tag nrho; tsis txhob sib faib, zom, lossis tsoo lawv.

Koj tus kws kho mob tej zaum yuav tsum tau ncua koj txoj kev kho mob lossis kho koj qhov kev txhaj tshuaj cyclophosphamide nyob ntawm koj cov lus teb rau kev kho mob thiab kev phiv uas koj ntsib. Tham nrog koj tus kws kho mob txog saib koj xav li cas thaum kho koj tus mob. Tsis txhob tsum tsis txhob noj cyclophosphamide yam tsis tau tham nrog koj tus kws kho mob.

Cyclophosphamide kuj tseem siv qee lub sijhawm los kho qee hom mob ntsws (mob ntsws me me hauv lub ntsws; SCLC). Nws kuj tseem siv los kho rhabdomyosarcoma (hom mob cancer ntawm cov leeg) thiab Ewing's sarcoma (hom mob mob pob txha) hauv cov menyuam yaus. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev siv cov tshuaj no rau koj tus 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 cyclophosphamide,

• qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau cyclophosphamide, lwm tus neeg ua haujlwm alkylating xws li bendamustine (Treanda^®), busulfan (Myerlan^®, Busulfex^®), carmustine (BiCNU^®, Gliadel^® Wafer), chlorambucil (Leukeran^®), ifosfamide (Ifex^®), lomustine (CeeNU^®), melphalan (Alkeran^®), procarbazine (Mutalane^®), los yog temozolomide (Temodar^®), lwm yam tshuaj, lossis lwm yam tshuaj nyob hauv cov ntsiav tshuaj cyclophosphamide. 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 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 yam ntawm cov hauv qab no: allopurinol (Zyloprim^®), cortisone acetate, doxorubicin (Adriamycin^®, Doxil^®), hydrocortisone (Cortef^®), lossis phenobarbital (Luminal^® Kev Sodium). 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 cyclophosphamide, 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 rau koj tus kws kho mob yog tias yav dhau los koj tau txais kev kho mob nrog lwm cov tshuaj kho mob lossis yog tias koj tau xoo hluav taws xob tsis ntev los no. Thiab qhia koj tus kws kho mob yog tias koj muaj lossis tau muaj mob raum lossis mob siab.
• koj yuav tsum paub tias cyclophosphamide tuaj yeem cuam tshuam nrog kev coj khaub ncaws tsis tu ncua (coj khaub ncaws) hauv poj niam thiab tej zaum yuav tso tseg kev phev ntau lawm hauv txiv neej. Cyclophosphamide tuaj yeem ua rau mob ntxiv mus ib txhis (nyuaj ua cev xeeb tub); li cas los xij, koj yuav tsum tsis txhob xav tias koj tsis tuaj yeem cev xeeb tub lossis koj tsis tuaj yeem cev xeeb tub rau lwm tus. Cov poj niam cev xeeb tub lossis pub mis niam yuav tsum qhia lawv tus kws kho mob ua ntej lawv pib noj cov tshuaj no. Koj yuav tsum tsis txhob npaj kom muaj menyuam thaum lub sijhawm tau txais tshuaj khomob lossis ib ntus tom qab kho tas. (Tham nrog koj tus kws kho mob kom paub meej ntxiv.) Siv txoj kev tswj tsis pub muaj menyuam kom tsis txhob muaj menyuam. Cyclophosphamide tuaj yeem tsim kev puas tsuaj rau lub menyuam hauv plab.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj cyclophosphamide.

Haus dej kom ntau thaum koj tseem siv hom tshuaj no.

Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Cyclophosphamide 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:

• xeev siab
• ntuav
• tsis qab los noj los sis hnyav
• mob plab
• zawv plab
• plaub hau poob
• ua paug ntawm qhov ncauj lossis tus nplaig
• hloov xim tawv nqaij
• kev hloov pauv ntawm cov xim lossis kev loj hlob ntawm cov ntiv tes lossis ntiv taw cov ntsia hlau

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:

• mob caj pas, ua npaws, ua daus no, los sis muaj lwm yam tsos mob
• kho tsis zoo los yog maj mam zoo
• doog ntshav los ntshav tsis txawv
• dub, tarry quav
• mob tso zis heev los yog tso zis liab
• ua pob
• khaus
• khaus
• ua pa nyuaj lossis nqos
• txog siav
• hnoos
• o hauv cov ceg, pob taws, lossis taw
• mob hauv siab
• daj ntawm daim tawv nqaij lossis qhov muag

Cyclophosphamide yuav ua rau muaj kev pheej hmoo ntau ntxiv tias koj yuav tsim lwm yam qog nqaij hlav thiab. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev noj cyclophosphamide.

Cyclophosphamide yuav ua rau muaj kev phiv ntau 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.

Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

• dub, tarry quav
• zis liab
• doog ntshav los ntshav tsis txawv
• nkees txawv lossis tsis muaj zog
• mob caj pas, hnoos, kub cev, lossis lwm yam cim ntawm kis tau
• o hauv cov ceg, pob taws, lossis taw
• mob hauv siab

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 cyclophosphamide.

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.

• Cytoxan^®¶

• CPM
• CTX
• CYT

^¶ Cov khoom muaj npe khoom no tsis nyob rau ntawm kev ua lag luam. Muaj lwm cov kev xaiv uas siv tau.