Ungathanda ukwazi ngeepilisi zeLapatinib zomhlaza webele?

Usenokuba uxelelwe ngeyeza elibizwa ngokuba yiLapatinib ngugqirha wakho, okanye mhlawumbi umhlobo wakho usebenzisa eli yeza. Sonke siyazi ukuba ukulwa nomhlaza webele akulula. Ngoko ke, le yindlela yokuphendula imibuzo yakho malunga neli yeza, nokuthetha nje ngalo.

Lithini eli yeza libizwa ngokuba yiLapatinib?

Ngamafutshane, iLapatinib liyeza elisetyenziselwa ukunyanga umhlaza webele . Usenokuba uzibuza ukuba lisebenza njani. Eli yeza lenza ntoni kukuba kukho iiseli zomhlaza, kwaye linciphisa ukukhula kwazo kancinci. Kufana nokucothisa isantya somgijimi. Emva koko umhlaza ungasasazeka kwaye ukhule ukuya kuthi ga kwinqanaba elithile.

Eli yeza ngamanye amaxesha lingasetyenziswa ngoogqirha kwezinye iimeko, ngoko ke ukuba unemibuzo engaphezulu malunga noku, kungcono ubuze ugqirha wakho okanye ingcali yezemithi. Igama lophawu oludumileyo lwale yeza yiTykerb.

Yintoni omele uyixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa iLapatinib, kufuneka uxelele ugqirha wakho ngemeko yakho yempilo. Kuba abanye abantu abanezifo ezithile banokufuna ukunikwa eli yeza ngononophelo oluthe kratya, okanye kunokufuneka linikwe ngendlela eyahlukileyo. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:

• Isifo sentliziyo: Ukuba unesifo sentliziyo, umzekelo, intliziyo ebuthathaka, okanye ukhe wahlaselwa yintliziyo ngaphambili.
• Ukubetha kwentliziyo okanye isingqisho esingavumelekanga: Ukuba ukubetha kwentliziyo akubetheki ngandlela thile kodwa ngeendlela ezahlukeneyo.
• Uxinzelelo lwegazi oluphezulu: Ukuba unesifo segazi esiphakamileyo.
• Ukuba inqanaba le-magnesium egazini liphantsi.
• Ukuba inqanaba le-potassium egazini liphantsi.
• Isifo sesibindi: Ukuba uneengxaki ngesibindi sakho.
• Ukuba ngaphambili ukhe waba nempendulo engaqhelekanga (i-allergy) kwi-lapatinib, amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa, oku kubaluleke kakhulu.
• Ukuba ungumama oncancisayo.

Ukuba uzithetha ngokuchanekileyo ezi zinto, ugqirha angakunyanga ngokukhuselekileyo. Musa ukufihla nantoni na, nokuba incinci, kulungile?

Ulisebenzisa njani kanye kanye eli yeza?

Kubaluleke kakhulu ukwazi kakuhle indlela yokusebenzisa eli yeza. Ufanele ulithathe kanye njengoko ugqirha wakho ekuxelele, kanye njengoko litshilo kwileyibhile.

• Eli yeza lipilisi eliselwa ngomlomo .
• Zama ukulithatha ngexesha elifanayo yonke imihla. Ngale ndlela, iyeza liza kusebenza kakuhle emzimbeni wakho.
• Ezi pilisiMusa ukuphula, ukutyumza, okanye ukuhlafuna. Ginya ipilisi yonke ngamanzi.
• Kubaluleke kakhulu ukulisela eli yeza ungenanto esiswini . Oko kukuthi, ubuncinane iyure enye ngaphambi okanye emva kokutya. Kuba ukuba ulisela kunye nokutya, umzimba usenokungalifunxi eli yeza.
• Qhubeka usebenzisa eli yeza ude ugqirha wakho athi, "Kwanele, yeka." Musa ukuyeka ngequbuliso, nokuba uzive ungcono.

Enye into, musa ukusela ijusi yegrapefruit ngelixa usela eli yeza. Ijusi yegrapefruit inokuchaphazela ukusebenza kweli yeza. Kungoko ke, kungcono ukuyiphepha.

Ngaba eli yeza lifanele linikwe abantwana?

Kufuneka kuthathelwe ingqalelo ekhethekileyo xa kunikwa abantwana eli yeza. Ngoko ke, ukuba ugqirha ucebisa ukuba umntwana wakho anikwe eli yeza, thetha naye ngononophelo kwaye ulandele imiyalelo ngokuchanekileyo.

Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba oko kuyenzeka, oko kukuthi, ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ubucinga, kufuneka ufowunele iziko lokulawula ityhefu ngokukhawuleza okanye igumbi likaxakeka lesibhedlele elikufutshane. Musa ukuchitha ixesha.

Inqaku elibalulekileyo: Eli yeza lelakho kuphela. Ugqirha ulinike wena kuphela. Ngoko ke , ungaliniki omnye umntu, nokuba ucinga ukuba nabo banesifo esifana nesakho.

Kuthekani ukuba ndiphoswa yidosi?

Ngamanye amaxesha ungalibala, akunjalo? Ukuba uphoswe yidosi, yiyeke. Thatha idosi elandelayo njengesiqhelo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi ephoswe yidosi. Ukwenza njalo kunokubangela ukuba kusetyenziswe amayeza amaninzi.

Ngawaphi amanye amayeza angafanele asetyenziswe kunye nale yeza, okanye ngawaphi amanye amayeza anokuchaphazelana nalo?

Eli licandelo ekufuneka ulifunde ngononophelo. I-Lapatinib inokubangela iingxaki xa isetyenziswa namanye amayeza athile. Oko kukuthi, ayikhuthazwa ukuba ithathwe namanye amayeza kwaphela, kwaye inokudibana namanye amayeza.

Musa ukuthatha iLapatinib kunye namayeza alandelayo:

• I-Cisapride
• I-Dronedarone
• I-Fluconazole
• I-Pimozide
• I-Posaconazole
• I-Saquinavir
• I-Thioridazine

Olu luhlu lusenokungaphelelanga, ngoko ke kubalulekile ukuthetha nogqirha wakho ngale nto.

Kwakhona, kukho amanye amayeza anokusebenzisana neLapatinib. Oko kukuthi, anokuchaphazela indlela esebenza ngayo enye kwenye. Nazi imizekelo embalwa:

• Amanye amayeza okulwa neentsholongwane anikwa i-HIV okanye i-AIDS.
• Amanye amayeza okubulala iintsholongwane, afana neClarithromycin, iErythromycin, kunye neTelithromycin.
• Ezinye ii-antibiotics, umzekelo, iRifabutin, iRifampin, kunye neRifapentine.
• Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo.
• Amanye amayeza osulelo lwefungus, njenge-Itraconazole, iKetoconazole, okanye iVoriconazole.
• Amanye amayeza asetyenziswa ukunyanga isifo sokuwa, njenge-carbamazepine, i-phenobarbital, kunye ne-phenytoin.
• I-Dexamethasone
• I-Digoxin
• I-Nefazodone
• Amanye amayeza abangela isigqi sentliziyo esingaqhelekanga (amayeza andisa ixesha le-QT) - umzekelo, iDofetilide, iZiprasidone.
• I-St. John's Wort (le yimifuno)

Olu luhlu alubandakanyi zonke iindlela ezinokwenzeka zokunxibelelana. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha), imifuno, iivithamini, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokuchaphazela amayeza akho.

Yintoni omele uyilumkele xa usebenzisa eli yeza?

Ungaziva ungakhululekanga kwaye ungaphilanga kakuhle ngelixa usebenzisa eli yeza. Oku kuqhelekile. Oku kungenxa yokuba unyango lomhlaza (olufana ne-chemotherapy) alunakuchaphazela iiseli zomhlaza kuphela kodwa neeseli ezisempilweni. Ke ngoko, ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho. Nokuba uziva ungakhululekanga, qhubeka nokuthatha unyango de ugqirha wakho akuxelele ukuba uyeke.

Eyona nto ibalulekileyo yile:

• Musa ukukhulelwa ngelixa usela eli yeza kwaye emva kweveki enye uyekile ukulisebenzisa. Ukuba uceba ukukhulelwa okanye ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
• Amadoda akufuneki azame ukuba nguyise womntwana ngelixa esela eli yeza, okanye iveki emva kokuyeka ukusebenzisa eli yeza. Eli yeza linokubangela iziphumo ebezingalindelekanga ezibi kakhulu kumntwana ongekazalwa. Buza ugqirha wakho ukuba akunike ulwazi oluthe kratya ngalo mba.
• Musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza, okanye iveki yonke emva kokuba uyekile ukusebenzisa eli yeza.

Kufuneka ulumke kakhulu ngezi zinto, kuba zinokuchaphazela impilo yomntwana ongekazalwa.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, iLapatinib inokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa abanye abantu bayazifumana. Ngoko ke kulungile ukuba uzazi.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho okanye iqela lonyango ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala. Oku kungaba yingxamiseko.
• Urhudo: Ukuba urhudo ludla ngokuba nzima kakhulu ngemini.
• Utshintsho lwesingqi sentliziyo: Ukuba intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, uziva unesiyezi, utyhafile, unentlungu esifubeni, okanye unengxaki yokuphefumla.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka, kunye nokudinwa okanye ubuthathaka obungaqhelekanga.
• Ubomvu, ukudumba, ukuxobuka okanye ukukhululeka kolusu nako kunokwenzeka ngaphakathi emlonyeni.
• Ukudumba kwamaqatha, izandla, okanye iinyawo.
• Ubunzima bokuphefumla.

Ukuba ubona into efana nale, ngokuqinisekileyo kufuneka wazise ugqirha wakho ngoko nangoko.

Iziphumo ebezingalindelekanga oqhele ukunganyanzelekanga ukuba uzixelele ugqirha wakho (kodwa kufuneka uzixelele ukuba ziyaqhubeka):

Iziphumo ebezingalindelekanga ezidweliswe ngezantsi azisoloko zimbi kakhulu. Nangona kunjalo, ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho.

• Ukukhwehlela
• Umnqweno wokutya
• Isicaphucaphu
• Intlungu, ubomvu, okanye ukudumba okubangelwa zizilonda emlonyeni okanye emqaleni
• Ukuhlanza

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into engaqhelekanga, thetha nogqirha wakho ngayo.

Ndingaligcina phi eli yeza?

Oku kubalulekile. Ukuba amayeza akagcinwanga kakuhle, ukusebenza kwawo kunokuncipha.

• Yigcine kude nabantwana nezilwanyana zasekhaya.
• Gcina kubushushu begumbi, phakathi kwama-20 nama-25 degrees Celsius (ama-68 nama-77 degrees Fahrenheit). Musa ukugcina kwiindawo ezinobushushu obuphezulu okanye ukufuma.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Walahle.

Uzilahla njani amayeza angasetyenziswanga naphelelwe lixesha?

Ukulahla amayeza nje enkunkuma okanye ukuwalahla endlwini yangasese akusoloko kuyinto elungileyo. Kungonakalisa nokusingqongileyo.

• Eyona nto ingcono onokuyenza kukuthatha amayeza uye kwindawo enenkqubo yokubuyisela amayeza. Ungabuza ikhemesti yakho okanye amapolisa ngeendawo ezinjalo.
• Ukuba akukho ndlela yokuyibuyisela,Jonga ilebheli yamayeza okanye incwadana ehambisana nawo ukuze ubone ukuba kukho na imiyalelo yokuba uwalahle kwinkunkuma okanye uwagungxule kwindlu yangasese.
• Ukuba awukwazi ukuyiqonda, buza ugqirha wakho okanye ikhemisti.
• Ukuba ithi kukhuselekile ukulahlela inkunkuma, khupha iyeza kwisikhongozeli ulixube nenye into engeluncedo, njengenkunkuma yekati, umhlaba, okanye ikofu. Emva koko, faka umxube kwingxowa okanye kwisikhongozeli, uwuvale, uze uwulahle kwinkunkuma. Oku kuya kuthintela omnye umntu ekuwuthatheni aze awusebenzise.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngale chiza, Lapatinib, akunjalo? Okokugqibela, mandishwankathele ezinye zezona zinto zibalulekileyo ekufuneka uzikhumbule.

Ukulwa nomhlaza akulula. Nangona kunjalo, kubaluleke kakhulu ukwazi ulwazi oluchanekileyo, ulandele iingcebiso zoogqirha bakho ngokuchanekileyo, kwaye uhlale unesibindi. I-Lapatinib liyeza elinokukunceda kuloo mlo.

• Sela amayeza kanye njengoko ugqirha etshilo, ngexesha elifanelekileyo, ngedosi efanelekileyo. Khumbula ukuwasela ungenanto esiswini kwaye ungawaseli nejusi yeediliya.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iziqholo, kunye nezongezo ozithathayo, njengoko ezinye izinto zinokuchaphazela eli yeza.
• Ukuba ukhulelwe, uceba ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele ugqirha wakho. Lumka kakhulu xa usebenzisa eli yeza kwaye emva kweveki uyekile.
• Lumka ngemiphumo emibi. Ukuba ubona nantoni na ebonakala inzima, xelela ugqirha wakho ngoko nangoko.
• Ukuba unemibuzo okanye amathandabuzo, musa ukuwagcina kuwe, kodwa buza ugqirha wakho okanye ikhemisti.

Ndikunqwenelela ukuchacha ngokukhawuleza! Hlala uqinile!

I- Lapatinib, Umhlaza Webele, Amayeza Omhlaza, Iziphumo Ezingalindelekanga, iTykerb, Unyango Lomhlaza