Enye yezona ngxaki zinkulu kunye nokungonwabi abantu abaninzi abakufumanayo xa befumana unyango lomhlaza, oko kukuthi, i-chemotherapy, kukucaphuka nokuhlanza. Le yinto ebeka uxinzelelo olukhulu emzimbeni nasengqondweni. Ngoko ke namhlanje siza kuthetha ngohlobo oluthile lwamayeza olunikwa ukulawula nokuthintela oku kungakhululeki. Igama lale mayeza yi-Aprepitant.
Yintoni iAprepitant?
Ngamafutshane, i-Aprepitant liyeza elithintela ezinye zeempawu emzimbeni wakho ezikwenza uzive ugula kwaye uhlanze. Sizibiza ngokuba zii-antiemetics. Isetyenziswa kakhulu ukuthintela isicaphucaphu kunye nokuhlanza okwenzeka ngexesha lonyango lomhlaza (i-chemotherapy). Eli liyeza elikuthintela ekuhlanzeni, endaweni yeyeza elikuthintela ekuhlanzeni. ESri Lanka, ungalifumana phantsi kwegama lophawu lwe-Emend.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuba ugqirha wakho azi ngezi zinto ngaphambi kokuba akunike eli yeza, kuba lichaphazela kakhulu ukhuseleko lwakho.
| Imeko eza kuxelwa | Kutheni oko kubalulekile? |
|---|---|
| Ukuba unesifo sesibindi | Eli yeza lisuswa emzimbeni ngesibindi, ngoko ke ukuba unengxaki yesibindi, kunokufuneka ulungise umthamo okanye unyamekele ngokukodwa. |
| Ukuba une-allergy kwi-Aprepitant, i-Fosaprepitant okanye naluphi na olunye unyango okanye ukutya | Oku kubalulekile ukuthintela i-allergies enzulu. |
| Ukuba ukhulelwe, okanye uzama ukukhulelwa | Akukabikho datha ipheleleyo malunga nokhuseleko lwale mithi ngexesha lokukhulelwa, ngoko ke kubalulekile ukuxoxa ngale nto nogqirha wakho. |
| Ukuba ungumama oncancisayo | Kubalulekile ukuqinisekisa ukuba iyeza lidluliselwa ebantwaneni ngobisi lwebele okanye akunjalo. Kungoko ke, kubalulekile ukufuna iingcebiso zonyango. |
Ulisebenzisa njani kanye kanye eli yeza?
Indlela yokusebenzisa eli yeza ilula kakhulu, kodwa kubaluleke kakhulu ukulilandela ngokuchanekileyo.
- Oku kuza ngendlela yekhaphu. Ginya yonke ngeglasi yamanzi.
- Umthamo wakho wokuqala udla ngokuthathwa malunga neyure ngaphambi kokuba unyango lwakho lwe-chemotherapy luqale.
- Emva koko, kwiintsuku ezimbini ezilandelayo emva konyango lwe-chemotherapy, uya kuyalelwa ukuba uthathe idosi enye yonke imihla kusasa .
- Eli yeza lingasetyenziswa nokutya okanye ngaphandle kokutya. Oko akuyongxaki.
- Eyona nto ibalulekileyo kukuthatha oku kuphela njengoko ugqirha wakho ekuyalele, kangangexesha elithile. Musa ukuthatha okungaphezulu koko.
Ngaba eli yeza linokunikwa abantwana abancinci?
Abantwana abangaphezu kweminyaka eli-12 ubudala banokunikwa eli yeza kwiimeko ezithile ezikhethekileyo. Nangona kunjalo, ngugqirha wakho kuphela onokugqiba ngale nto. Ke ngoko, ukuba unika umntwana eli yeza, kufuneka ulandele imiyalelo kagqirha ngokuchanekileyo.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Yiphathe le nto njengengxamiseko.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo xa ukhumbula, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha eliqhelekileyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Amayeza ekungafanelekanga ukuba asetyenziswe kunye neli yeza kwaye ekufuneka uwalumkele
I-Aprepitant liyeza elinokunxibelelana namanye amayeza amaninzi. Ngoko ke, kufuneka wazise ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka amayeza kagqirha namayeza athengiswa ngaphandle kwemvume kagqirha, iimveliso zezityalo, iivithamini, kunye neemveliso zezityalo.
Musa ukuthatha i-Aprepitant kunye nala mayeza:
- I-Cisapride
- I-Flibanserin
- I-Lomitapide
- I-Pimozide
Kufuneka ulumke ngakumbi xa uthatha i-Aprepitant kunye nala mayeza:
- Amayeza esifo sentliziyo kunye noxinzelelo lwegazi oluphezulu: Umzekelo, iDiltiazem, iRanolazine.
- Iihomoni zabasetyhini: Oku kuquka iipilisi zokulawula ukuzala, ii-patches zeehomoni, okanye ezinye iindlela zonyango lweehomoni.
- Amayeza osulelo lwefungus: iKetoconazole, iItraconazole.
- Amayeza osulelo lwe-HIV.
- Amayeza okuxhuzula okanye ukuxhuzula: afana neCarbamazepine kunye nePhenytoin.
- Amayeza athomalalisa ingqondo okanye akwenza ulale: afana neAlprazolam, Diazepam, Midazolam.
- Amanye amayeza okubulala iintsholongwane: afana neClarithromycin kunye neErythromycin.
- Iintlobo zee-steroids: iDexamethasone, iMethylprednisolone.
- I-blood thinner: I-Warfarin.
- Amanye amayeza okulwa nomhlaza: i-Etoposide, i-Vinblastine, i-Vincristine.
Olu luhlu aluphelelanga, ngoko ke kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kubaluleke kakhulu: Ukuba usebenzisa iipilisi zokulawula ukuzala okanye ezinye iindlela zokulawula ukuzala ngokwehomoni (umz., i-patch, i-IUD), zisenokungasebenzi kakuhle ngelixa uthatha i-Aprepitant kwaye emva kwenyanga enye uyekile ukuyisebenzisa. Ke ngoko, kubalulekile ukusebenzisa uhlobo olongezelelweyo lokulawula ukuzala (umz., iikhondom) ngeli xesha. Thetha nogqirha wakho ngale nto.
- Musa ukulisebenzisa eli yeza ukuba sele unesicaphucaphu nokuhlanza. Buza ugqirha wakho ukuba wenze ntoni ngeli xesha.
- Eli yeza alinikwanga ukusetyenziswa ixesha elide.
- Qhubeka nokuhlolwa njengoko ugqirha wakho ekuyalele. Eli yeza lisenokutshintsha iziphumo zovavanyo lwakho lokusebenza kwesibindi.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengazo zonke iziyobisi, i-Aprepitant inokubangela iziphumo ebezingalindelekanga kwabanye abantu, nangona kungengabo bonke abantu abazifumanayo.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| Izinto ekufuneka uzixele kugqirha okanye kwi-ETU ngoko nangoko | |
Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala. Ezi zinokuba zizinto ezinzulu kakhulu. | |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
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Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingekho kolu luhlu, thetha nogqirha wakho ngazo.
Ugcina njani amayeza ekhuselekile?
- Yigcine kude nabantwana. Oku kubaluleke kakhulu.
- Gcina kubushushu begumbi (phakathi kwama-20-25 Celsius). Khusela kubushushu obugqithisileyo kunye nokufuma.
- Lahla amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Aprepitant liyeza elisetyenziselwa ukuthintela isicaphucaphu nokuhlanza okubangelwa lunyango lomhlaza (i-chemotherapy).
- Ngaphambi kokuba usebenzise eli yeza, xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo, iingxaki zakho zesibindi, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile.
- Sela amayeza kanye njengoko ugqirha ekuxelela. Ngokwesiqhelo, kufuneka uwasele iyure ngaphambi kwe-chemotherapy kwaye emva kweentsuku ezimbini.
- Okubaluleke kakhulu: Iipilisi zokulawula ukukhulelwa azizukusebenza kakuhle xa usebenzisa eli yeza. Ngoko ke yeka ukusebenzisa eli yeza uze usebenzise olunye uhlobo lokulawula ukukhulelwa kangangenyanga.
- Ukuba usela amayeza amaninzi kakhulu, yiya kwiZiko loLwazi lweTyhefu leSizwe okanye kwi-ETU ngoko nangoko.
- Eli nqaku lishwankathelo nje. Nceda uxoxe ngayo nayiphi na imibuzo onokuba nayo nogqirha wakho.
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