Leuprolide Txhaj Tshuaj
Zoo Siab
- Ua ntej tau txais kev txhaj tshuaj leuprolide,
- Leuprolide txhaj tshuaj tuaj yeem tsim cov 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 koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
Leuprolide txhaj tshuaj (Eligard, Lupron Depot) yog siv los kho cov tsos mob cuam tshuam nrog kev mob qog nqaij hlav hauv prostate. Leuprolide txhaj tshuaj (Lupron Depot-PED, Fensolvi) yog siv rau cov menyuam yaus hnub nyoog 2 xyoos lossis laus dua txhawm rau kho qhov nruab nrab ntawm txoj haujlwm tseem ceeb (CPP; qhov mob ua rau cov menyuam ntxhais [feem ntau muaj hnub nyoog qis dua 8 xyoo] thiab cov tub hluas [feem ntau hnub nyoog qis dua 9 xyoos hnub nyoog] nkag rau hauv puberty sai dhau, uas ua rau muaj kev nrawm dua pob txha loj hlob thiab kev loj hlob ntawm tus yam ntxwv kev sib deev). Kev txhaj tshuaj leuprolide (Lupron Depot) tsuas yog siv ib leeg lossis nrog lwm qhov tshuaj noj (norethindrone) los kho tus mob endometriosis (mob uas cov nqaij mos uas ua rau lub tsev menyuam [lub tsev menyuam] loj hlob nyob rau lwm thaj chaw ntawm lub cev thiab ua rau mob, hnyav los yog cev khaub ncaws). [sij hawm], thiab lwm yam tsos mob). Leuprolide txhaj tshuaj (Lupron Depot) kuj tseem siv nrog lwm cov tshuaj los kho cov ntshav liab (tsawg dua cov lej ntawm cov ntshav liab) tshwm sim los ntawm uterine fibroids (noncancerous kev loj hlob hauv lub tsev menyuam). Leuprolide txhaj tshuaj yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua gonadotropin-tso cov tshuaj hormone (GnRH) agonists. Nws ua haujlwm los ntawm kev txo qee yam tshuaj hormones hauv lub cev.
Tus kws kho mob lossis tus nais maum hauv chaw kho mob lossis chaw kho mob tau txhaj ib zaug li ib hlis (Lupron Depot, Lupron Depot-PED) lossis txhua tus txhaj tshuaj ib zaug. 3, 4, lossis 6 hli (Lupron Depot-3 hlis, Lupron Depot-PED-3 hlis, Lupron Depot-4 hlis, Lupron Depot-6 Lub Hlis). Tus kws kho mob lossis tus nais maum hauv chaw kho mob lossis chaw kho mob tau txhaj ib qho kev ncua ntev (Eligard) uas raug txhaj tshuaj subcutaneously (tsuas yog hauv qab daim tawv nqaij) los ntawm tus kws kho mob lossis tus nais maum hauv chaw kho mob lossis tsev kho mob thiab feem ntau muab rau txhua 1, 3, 4, lossis 6 hli. Tus kws kho mob lossis tus nais maum hauv chaw kho mob lossis chaw kho mob tau txhaj tshuaj ncua ntev (leuprolide) uas yog txhaj rau ntev li ntev (txhua daim tawv nqaij). Koj tus kws kho mob yuav qhia koj ntev npaum li cas kho mob leuprolide txhaj yuav nyob ntev. Thaum siv rau hauv cov menyuam yaus nrog kev pub rau lub cev sai, leuprolide txhaj tshuaj (Lupron Depot-PED, Lupron Depot-PED-3 hlis, Fensolvi) yuav raug nres los ntawm koj tus menyuam tus kws kho mob ua ntej 11 xyoos hauv cov menyuam ntxhais thiab 12 xyoos hauv cov tub.
Yog tias koj tau txais leuprolide ua haujlwm ncua ntev (Eligard) raws li kev txhaj tshuaj subcutaneous, koj tuaj yeem pom ib lub menyuam pob me me ntawm qhov chaw uas txhaj tshuaj thaum koj tau txais tshuaj thawj zaug. Lub pob no yuav tsum mus kom kawg.
Leuprolide tuaj yeem ua rau qee qhov nce ntxiv hauv qee cov tshuaj hormones hauv thawj ob peb lub lis piam tom qab txhaj tshuaj. Koj tus kws kho mob yuav saib xyuas koj kom zoo rau cov kev mob tshwm sim tshiab lossis qhov ua tsis zoo nyob rau lub sijhawm no.
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 tau txais kev txhaj tshuaj leuprolide,
- qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau leuprolide, goserelin (Zoladex), histrelin (Supprelin LA, Vantas), nafarelin (Synarel), triptorelin (Triptodur, Trelstar), lwm yam tshuaj, lossis lwm yam tshuaj hauv leuprolide txhaj 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 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: qee yam tshuaj noj rau lub plawv tsis xwm yeem xws li amiodarone (Cordarone), disopyramide (Norpace), procainamide (Procanbid), quinidine, thiab sotalol (Betapace, Betapace AF, Sorine); buproprion (Aplenzin, Forfivo, Wellbutrin, hauv Contrave); tshuaj rau qaug dab peg; qhov ncauj steroids xws li dexamethasone (Hemady), methylprednisolone (Medrol), thiab prednisone (Rayos); thiab xaiv serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, hauv Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil), thiab sertraline (Zoloft). 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 leuprolide, 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 koj muaj ntshav txawv txav ntawm lub paum. Koj tus kws kho mob yuav hais kom koj tsis txhob siv cov tshuaj txhaj leuprolide.
- qhia rau koj tus kws kho mob yog tias koj lossis ib tus neeg hauv koj tsev neeg muaj lossis puas tau mob txha (mob qhov twg pob txha yuag dua thiab feem ntau yuav tawg); yog tias koj muaj keeb kwm ntawm kev haus cawv lossis siv cov khoom luam yeeb rau lub sijhawm ntev; lossis yog tias koj tau lossis muaj kev puas siab dua, qaug dab peg, mob hlwb, mob qog nqaij hlav tau kis rau tus txha nqaj qaum (nraub qaum), mob ntshav qab zib, tso zis tawm hws (txhaws ua rau muaj teeb meem tso zis), ntshav hauv koj cov zis, ntu QT ntev li cas (ib qho tsis tshua muaj teeb meem mob plawv uas yuav ua rau lub plawv dhia tsis xwm yeem, tsaus muag, lossis cia li tuag tam sim ntawd), kab mob cerebrovascular (ua rau txhaws lossis ua rau cov hlab ntshav nyob hauv lub hlwb lossis ua rau lub hlwb), mob plawv, lossis muaj cov poov tshuaj, calcium ntau, lossis magnesium nyob hauv. koj cov ntshav.
- koj yuav tsum paub tias leuprolide yuav tsum tsis txhob siv rau cov poj niam cev xeeb tub, tuaj yeem cev xeeb tub, lossis pub niam mis. Qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Koj tus kws kho mob yuav kuaj cev xeeb tub kom paub tseeb tias koj tsis tau xeeb tub thaum koj pib txhaj cov leuprolide. Koj yuav tsum tau siv txoj kev tswj hwm tsis tuaj yeem tiv thaiv kev xeeb tub kom tiv thaiv kev xeeb tub thaum koj tau txais kev txhaj tshuaj leuprolide. Tham nrog koj tus kws kho mob txog hom kev tswj tsis pub muaj menyuam kom raug rau koj, thiab txuas ntxiv siv kev tswj kom tsis txhob muaj menyuam txawm tias koj yuav tsum tsis txhob coj khaub ncaws tsis xwm yeem lub sijhawm kho koj. Yog tias koj xav tias koj xeeb tub thaum tau txais kev txhaj tshuaj leuprolide, hu rau koj tus kws kho mob tam sim ntawd. Leuprolide txhaj tshuaj tuaj yeem cuam tshuam tus menyuam hauv plab.
Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.
Yog tias koj plam lub sijhawm teem kom tau txhaj koob tshuaj leuprolide, koj yuav tsum hu rau koj tus neeg saib xyuas kev noj qab haus huv tamsis ntawd mus teem sijhawm.
Leuprolide txhaj tshuaj tuaj yeem tsim cov 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:
- nkees nkees
- kub plhws (nthwv dej ntawm lub cev me me lossis hnyav lub cev sov), tawm hws, lossis nplaum
- lub mis tsis sib haum, mob, lossis hloov ntawm lub mis loj hauv txiv neej thiab poj niam
- paum qhov paum, dryness, los yog khaus rau poj niam
- pom ntshav (mob ntshav tawm ntawm qhov paum) lossis kev coj khaub ncaws (ntu)
- ua kom tsawg dua cov noob qes
- txo qis hauv kev muaj peev xwm lossis kev muaj siab rau kev sib deev
- o ntawm tes, taw, pob taws, lossis ceg qis
- mob, kub hnyiab, lossis mob nyhav rau ntawm txhais tes lossis taw
- mob, kub cev, doog ntshav, liab lossis tawv nqaij ntawm qhov chaw txhaj tshuaj
- hloov hauv qhov hnyav
- leeg mob lossis mob pob qij txha
- los ntswg, hnoos, mob caj pas, lossis mob khaub thuas
- ua npaws
- mob plab
- cem quav
- mob taub hau
- pob txuv
- kev nyuaj siab
- tsis tuaj yeem tswj tus cwj pwm txawv thiab nquag hloov
- kev tshee
- kev xav ntawm qhov tsis xis nyob los yog kev tsis xis nyob
- teeb meem nrog txoj kev nco
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob:
- khaus, tawm pob, lossis ua xua
- ua pa nyuaj lossis nqos
- mob mob ntawm caj npab, nraub qaum, hauv siab, caj dab, lossis puab tsaig
- maj lossis hais lus nyuaj
- kiv tob hau lossis tsaus muag
- tsis muaj zog, loog, lossis tsis tuaj yeem txav tau caj npab lossis txhais ceg
- mob pob txha
- mob, nquag, lossis tso zis nyuaj
- ntshav hauv zis
- nqhis dej heev
- tsis muaj zog
- qhov ncauj qhuav
- xeev siab
- ntuav
- kev ua pa uas hnov tsw tsw qab
- tsis nco qab
- dheev mob taub hau
- qhov muag plooj
- kev pom kev hloov
- nyuaj txav qhov muag
- drooping tawv muag
- tsis meej pem
- qaug dab peg
Leuprolide txhaj tshuaj tuaj yeem ua rau qhov txo qis ntawm koj cov pob txha uas tuaj yeem ua rau muaj feem ntau ntawm cov pob txha tawg. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev siv cov tshuaj no thiab kom paub seb koj yuav ua li cas thiaj li txo qis cov kev pheej hmoo no.
Hauv cov menyuam yaus tau txais kev txhaj tshuaj leuprolide (Lupron Depot-PED, Fensolvi) rau kev pub dawb, kev mob tshiab lossis tsis zoo ntawm kev sib deev tej zaum yuav tshwm sim thawj ob peb lub lis piam ntawm kev kho. Hauv cov menyuam ntxhais tau txais kev txhaj tshuaj leuprolide (Lupron Depot-PED) rau kev pub rau lub sijhawm pub dawb, qhov pib ntawm lub cev ntas lossis nqaij ntuag (qhov chaw mos los ntshav) yuav tshwm sim tau rau thawj ob lub hlis ntawm kev kho. Yog tias tseem los ntshav ntxiv ntev txog lub hlis thib ob, hu koj tus kws kho mob.
Leuprolide txhaj tshuaj tuaj yeem ua lwm cov phiv. 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 thiab ntsuas qee qhov ntsuas los xyuas koj lub cev cov lus teb rau kev txhaj tshuaj leuprolide. Koj cov piam thaj hauv ntshav thiab glycosylated hemoglobin (HbA1c) tseem yuav raug kuaj xyuas tsis tu ncua.
Nug koj tus kws muag tshuaj yog tias koj muaj lus dab tsi txog kev txhaj tshuaj leuprolide.
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.
- Eligard®
- Fensolvi®
- Lupron®
- Lupron Liaj Lwg®
- Lupron Depot-PED®
- Lupaneta Pob® (raws li cov khoom sib txuam ua ke uas muaj cov tshuaj Leurprolide, Norethindrone)
- Leuprorelin Acetate