Izinkomba zokusebenzisa i-Ixempra ye-Metastatic Breast Cancer
Ixempra yisidakamizwa samakhemikhali asetshenziselwa ukwelapha umdlavuza webele . Isetshenzisiwe ngemuva kokuba ezinye izidakamizwa zivivinywe futhi umdlavuza wakho awuphenduli, noma awusabe usabela ekwelashweni. U-Ixempra uyilungu le-epothilones, futhi wamukelwa yi-FDA ekwelapheni umdlavuza webele we-metastatic ngo-2007.
Eyaziwa nangokuthi: Ixabepilone
Sebenzisa i-Cancer Breast
Lesi sidakamizwa sisetshenziselwa ukwelapha umdlavuza webele we- metastatic noma locally .
Ixempra inqunyiwe ngokuyinhloko iziguli ezinezinambuzane ezingamelana nazo, noma ezingasenayo i-anthracycline (njenge- Adriamycin ), ama-taxanes (njenge-Taxol), ne-capecitabine (Xeloda). Ixempra ingase ibe yinto encane kunaleyo yaleminye iminye imithi yokwenza ingasebenzi ngesikhathi. (Ukuthuthukisa ukumelana).
Isebenza kanjani
I-Ixempra iyingxenye yeklasi le-agent ye-antineoplastiki yezidakamizwa. Lesi sidakamizwa sinciphisa noma sivimbela ukukhula kwe-neoplasm, noma isisu, ngokuvimbela ukuhlukaniswa kweseli. Njengoba izidakamizwa ziphazamisa ukuhlukaniswa kwamaseli, kubangela nemiphumela emibi ye-chemotherapy (bheka ikhasi 2 ..)
Indlela i-Ixempra inikezwa ngayo
I-Ixempra inikezwa njenge-infusion emangcwabeni emgodini we-vein noma i- chemotherapy . Inganikezwa yedwa, noma ngokuhambisana nomuthi womsindo Xeloda (capecitabine.)
Cishe ihora ngaphambi kokukhipha kwakho, uzonikezwa ukulungiswa okunciphisa ithuba lakho lokuphendula okweqile. Uma une-reactionergic reaction, unganikwa i-steroid ngaphambi kokukhipha kwakho.
Lesi sidakamizwa sivame ukunikezwa kanye emva kwamasonto amathathu, kanti ama-infusions athatha cishe amahora amathathu ngamunye.
Ixempra yisidakamizwa se-chemotherapy esetshenziselwa ukwelapha umdlavuza webele we-metastatic. Njengazo zonke izidakamizwa, kubeka ingozi yemiphumela emibi - engekho konke okuzobekwa yilowo nalowo owenzayo.
Imiphumela Ejwayelekile Ye-Ixempra
- I-neuropathy ye-peripheral - I- neuropathy ngenxa ye-chemotherapy ingabangela ukuphazamiseka nobuhlungu ezandleni nasezinyaweni.
- Ukukhathala
- Ukulahlekelwa kwesifiso
- Ukulahlekelwa izinwele
- Izinkinga ngeminwe kanye nezinsipho
- Fever
- I-anemia (inani elibomvu seli-red red)
- I-Thrombocytopenia (inani leplatelet eliphansi)
- Izinwele
- Ubuhlungu obuhlangene nobunzima
- I-nausea nokuhlanza
- Uhudo noma ukuqotshwa; ubuhlungu besisu
- Izilonda ezindebe zakho, ngaphakathi emlonyeni wakho nasesimweni sakho
- Isifo samandla ezinyawo (ithenda, elibomvu, elomile nelishubile)
Imiphumela emibi engaba yingozi ye-Ixempra
- I-Neutropenia (inani eliphansi legazi elimhlophe; ingozi yokutheleleka)
- Ukusabela okwehlayo (ukucheka; ukuvuthwa; ukuqhuma; ubuso obomvu; ukushaya kwenhliziyo; ukuphefumula okukhathazayo; ubuso obuvuvukile, umphimbo noma ulimi)
Ezinye Izingozi Zokusebenzisa i-Ixempra
- Kungabangela ukulimala ezinganeni ezingakazalwa
- Kwangathi ungene ubisi lwebele
- Kungabangela ukusabela okubi ezigulini ezinesifo senhliziyo
Ukukhunjulwa Khumbula
Uma i-Ixempra isetshenziswe ngokushesha nje lapho isiguli sithola ukwelashwa kwemishanguzo, kunethuba lokuthuthukisa inkinga ebizwa ngokuthi ukukhumbula imisebe . Ukukhunjulwa kwemisebe kwenzeka ngenxa yokuvuvukala esifundeni lapho kutholakala khona imisebe, futhi kungabangela ukuvuvukala isikhumba, ukuvuvukala nokuphuza.
Ungathathi i-Ixempra Uma:
- Unomsebenzi wesibindi ompofu
- Unezinkinga zesibindi futhi usuvele uthatha i-capecitabine
- Unesifo sokungabi nomzimba ku-Cremophor EL noma i-ossoror
- I-cell yakho yegazi elimhlophe lingaphansi kuka-1500 amaseli / mm3 noma izibalo zeplatelet zingaphansi kwe- <100,000 amaseli / mm3
- Ukhulelwe
Izincomo Ngesikhathi Ukwelashwa
- Sebenzisa isisu sokuvimbela ukukhulelwa
- Gwema ijusi lamagilebhisi ngesikhathi sokungcoliswa, njengoba kungakwandisa imiphumela yakho yecala
- Gwema ukushayela noma ukusebenzisa imishini, njengoba utshwala e-Ixempra lungabangela ukulala nokusizi
Ukusebenzisana kwezidakamizwa
Ngenxa yokusebenza kwayo, i-Ixempra ingaxhumana neminye imithi eminingi. Khuluma ne-oncologist yakho ngaphambi kokuthatha noma yimiphi imithi noma ukwesekwa okunomsoco ngenkathi usebenzisa i-Ixempra.
> Imithombo:
> Denduluri, N., noS S. Swain. Ixabepilone: indima yomtholampilo emdlalweni we-metastatic breast. I-Cancer Clinical Cancer . 2011. 11 (3): 139-45.
> Schott, A. Ukwelashwa okunamandla komdlavuza webele we-metastatic kubantu besifazane: Chemotherapy. Kusesikhathini. Kubuyekezwe 08/21/15. http://www.uptodate.com/contents/systemic-treatment-of-metastatic-breast-cancer-in-women-chemotherapy
> Takiar, V. et al. Ukusebenzisana kwe-Locoregional ye-ixabepilone (ixempra) ngemuva kwe-cancer yomdlavuza webele. Oncologist . 2013. 18 (3): 265-70.