IiCapsule zePomalidomide: Masifunde kakuhle ngale chiza lilwa nomhlaza!

Ndiyaqonda ukuba kunzima kangakanani ukufumanisa ukuba wena okanye umntu kusapho lwakho unomhlaza. Ngelo xesha, oogqirha bacebisa unyango kunye namayeza ahlukeneyo. Elinye iyeza elinceda ukulawula iiseli zomhlaza libizwa ngokuba yiPomalidomide. Liza ngohlobo lweekhaphu. Ngoko ke, kubaluleke kakhulu ukuba ulazi eli yeza. Makhe sithethe ngalo ngokweenkcukacha, akunjalo?

Luhlobo luni lonyango iPomalidomide?

Ngamafutshane, iPomalidomide liyeza elikhethekileyo elinceda ekumiseni ukukhula kweeseli zomhlaza . Ngokuchanekileyo, liyeza elikwiqela le -chemotherapy . Oogqirha basebenzisa eli yeza ukunyanga iimeko ezimbini eziphambili:

1. I-Multiple Myeloma : Olu luhlobo lomhlaza oluvela kumongo wethambo.

2. I-Kaposi Sarcoma : Le yimeko ebangela iithumba ezinomhlaza kwiindawo ezifana nolusu, ii-lymph nodes, kunye nezitho zangaphakathi.

Ngoko ke eli yeza lisebenza njani? Cinga ngeeseli zomhlaza njengabantwana abangoongantweni. Zisebenzisa iiproteni ezithile ezikhethekileyo kuzo ukuze zikhule kwaye zisasazeke. I-Pomalidomide ijolise kwiiproteni ezibalulekileyo kwezo seli zomhlaza kwaye iphazamise ukusebenza kwazo. Emva koko ezo seli zomhlaza ezingoongantweni azisenakukwazi ukukhula nokusasazeka.

Eli yeza ngamanye amaxesha lingasetyenziswa ngoogqirha kwezinye iimeko, ngoko ke ukuba unemibuzo malunga noku, kungcono ukubuza ugqirha wakho okanye ingcali yezonyango.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iPomalidomide, kubaluleke kakhulu ukuxelela ugqirha wakho ngempilo yakho. Oku kungenxa yokuba abantu abaneengxaki ezithile zempilo bafuna unyango olukhethekileyo xa bethatha eli yeza. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:

• Ingaba unalo ifuthe eliphezulu ?
• EgaziniNgaba i-cholesterol iphezulu?
• Ngaba wakha waba nembali yokuqhekeka kwegazi ?
• Ukuba ungumfazi, ngaba unexesha elingacwangciswanga okanye ujikeleza ixesha lokuya exesheni?
• Ngaba unesifo sezintso ?
• Ngaba unesifo sesibindi ?
• Ngaba uyatshaya icuba ?
• Ngaba wakha waba ne-allergy okanye i-reaction engaqhelekanga kwi-Pomalidomide, naluphi na olunye unyango, ukutya, idayi, okanye isithinteli?
• Ngaba ukhulelwe? Okanye uzama ukukhulelwa? Lo ngumbuzo obaluleke kakhulu .
• Ingaba ungumama oncancisayo ?

Kuphela kukukuxelela ezi nyaniso ngokuchanekileyo apho ugqirha anokukwazi ukukunika eli yeza ngokukhuselekileyo.

Ulisebenzisa njani kanye kanye eli yeza?

Kubaluleke kakhulu ukwazi kakuhle indlela yokusebenzisa eli yeza.

• I-Pomalidomide yikhaphu ethathwa ngomlomo ekufuneka ithathwe neglasi yamanzi.
• Sela amayeza kanye njengoko kuyalelwe kwileyibhile kagqirha okanye yekhemesti.
• Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya . Nangona kunjalo, ukuba uziva ungakhululekanga esiswini, kungcono ukulisebenzisa kunye nokutya.
• Ungaze uwaphule, uwatyumze, okanye uwahlafune la ma-capsule. Afanele aginywe aphelele.
• Sela amayeza ngexesha elimiselweyo kwaye kuphela ngomlinganiselo ochazwe ngugqirha wakho. Musa ukuthatha ngaphezu komlinganiselo omiselweyo nangasiphi na isizathu.
• Musa ukuyeka ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho.

Xa ufumana eli yeza kwikhemesti, uza kufumana incwadana yemiyalelo ekhethekileyo (iMedGuide) . Funda loo ncwadana ngononophelo ngalo lonke ixesha ufumana icebiso elitsha okanye ugcwalisa kwakhona. Iqulethe ulwazi oluninzi olubalulekileyo kuwe.

Ukuba unika abantwana eli yeza, kufuneka uthethe nogqirha wabantwana ngalo uze ulandele iingcebiso zabo. Kunokufuneka unonophelo olukhethekileyo.

Ukuba ngempazamo usele amayeza amaninzi kakhulu, ungoyiki kwaye ngoko nangoko tsalela umnxeba kwigumbi likaxakeka lesibhedlele elikufutshane okanye kwiziko lokulawula ityhefu.

Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngeli yeza nabanye abantu nangasiphi na isizathu.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ngamanye amaxesha kunokwenzeka ukuba uphoswe yidosi yamayeza, akunjalo? Ukuba oko kuyenzeka, nantsi into omawuyenze:

• Thatha idosi oyiphosileyo ngokukhawuleza nje ukuba uyakhumbula.
• Nangona kunjalo, ukuba kungaphantsi kweeyure ezili-12 ngaphambi kokuba uthathe idosi elandelayo, yitsibe idosi oyiphosileyo. Endaweni yoko, thatha idosi yakho elandelayo ngexesha elicwangcisiweyo.
• Ungaze uthathe amayeza amabini ngaxeshanye. (Musa ukuthatha amayeza aphindwe kabini okanye angaphezulu).

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

I-Pomalidomide inokunxibelelana namanye amayeza owasebenzisayo, okanye ezinye izinto ozisebenzisayo. Ngoko ke kulungile ukwazi oku.

I-Pomalidomide inokunxibelelana nezi zinto zilandelayo:

• Amanye amayeza okubulala iintsholongwane, njenge-ciprofloxacin
• Amanye amayeza okugula ngengqondo, anjenge-fluvoxamine
• Icuba (icuba / iicuba)

Olu luhlu lolunye nje lwezona zixhaphakileyo. Ngoko ke, xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (abhalwe ngugqirha okanye athengiswa ngaphandle kwemvume kagqirha), iimveliso zemifuno, iivithamini, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokudibana namayeza akho.

Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa eli yeza:

Kubaluleke kakhulu ukuba unikele ingqalelo emzimbeni wakho nakweyiphi na inguqu eyenzekayo ngelixa usebenzisa eli yeza.

• Xa usebenzisa i-chemotherapy, ungaziva ungaphilanga okanye udiniwe kuba ichaphazela neeseli ezisempilweni. Oku kuqhelekile. Nangona kunjalo, xelela ugqirha wakho ngazo naziphi na iziphumo ebezingalindelekanga ozifumanayo. Qhubeka nonyango, nokuba alukhululeki, de ugqirha wakho akuxelele ukuba uyeke.
• Ngelixa usebenzisa eli yeza, ugqirha wakho uza kukucela ukuba wenze uvavanyo lwegazi lakho rhoqo . Kubalulekile ukuba olo vavanyo lwenziwe ngokuchanekileyo.

Qaphela ukuba kukho ukusabela okunzulu kwesikhumba!

Oku kubaluleke kakhulu. I-Pomalidomide ngamanye amaxesha inokubangela ukusabela okukhulu kwesikhumba . Oku kunokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqalise iyeza. Ukuba ufumana naziphi na kwezi mpawu, kufuneka ubone ugqirha wakho ngoko nangoko:

• Urhashalala oluneempawu ezifana nomkhuhlane okanye umkhuhlane. Olu rhashalala lunokubonakala lubomvu okanye lumfusa, kwaye kamva lunokuguquka lube ngamadyungudyungu kwaye luqhekeke.
• Okanye, irhashalala ebomvu enokuvuvukala kobuso, imilebe, kunye nee-lymph nodes ezivuvukileyo entanyeni okanye emakhwapheni .

Inkqubo ekhethekileyo yokufumana eli yeza

Yintoni iPomalidomide?Iyeza elifumaneka kuphela ngenkqubo ekhethekileyo. Oku kungenxa yokuba ezinye zeziphumo ebezingalindelekanga zale yeza zifuna ukubekwa esweni ngokukodwa kwabo balisebenzisayo.

• Ugqirha wakho, ikhemesti, kunye nani nonke kufuneka nivumelane nayo yonke imiqathango yale nkqubo. Ukuba uyayidinga le mithi, ugqirha wakho uza kukunceda ubhalisele le nkqubo.
• Ngale nkqubo, ufumana amayeza aneleyo kuphela iintsuku ezingama-28 ngexesha.
• Ngalo lonke ixesha ufumana amayeza aphinda agcwaliswe, udinga icebiso elitsha .

Izilumkiso ezibaluleke kakhulu malunga nokukhulelwa kunye neziphene zokuzalwa!

Le yinyaniso engafanele ilibaleke nangayiphi na indlela, kwaye inokuchaphazela ubomi bakho. I-Pomalidomide inokubangela iziphene ezinzulu zokuzalwa . Ke ngoko, abafazi namadoda kufuneka bayazi kakuhle le nto.

Kwabasetyhini:

• Musa ukukhulelwa nangasiphi na isizathu ubuncinane iiveki ezi-4 ngaphambi kokuba uqale ukuthatha eli yeza, lonke ixesha olithathayo, kunye nezinye iiveki ezi-4 emva kokuba uyekile ukulithatha .
• Ukuba ungumfazi osexesheni lokuzala, kufuneka wenze uvavanyo lokukhulelwa olubonisa ukuba awunayo i-HIV ngaphambi kokuba uqale eli yeza ukuqinisekisa ukuba awukhulelwanga.
• Ngelixa usebenzisa amayeza, kufuneka wenze uvavanyo lokukhulelwa rhoqo emva kweeveki ezi-2 ukuya kwezi-4, njengoko ugqirha wakho eyalele.
• Kufuneka usebenzise iindlela ezimbini zokuthintela ukukhulelwa ezithembekileyo ngelixa usebenzisa la mayeza kwaye kangangeeveki ezi-4 emva kokuyeka ukusebenzisa la mayeza. Thetha nogqirha wakho ngale nto uze ufumane ukuba zeziphi iindlela ezifanelekileyo kuwe.
• Ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.

Kwicala lamadoda:

• Ukuba usebenzisa eli yeza, kufuneka usebenzise ikhondom yelatex ngalo lonke ixesha usenza isondo (nomfazi). Oku kufanele kwenziwe lonke ixesha olisebenzisayo iyeza kunye neeveki ezi-4 emva kokuba uyekile ukulisebenzisa.
• Nokuba sele ukhe wayenza i-vasectomy, kusafuneka usebenzise ikhondom.
• Ukuba iqabane lakho likhulelwe, yazisa ugqirha wakho ngoko nangoko.
• Kuphephe ukunikela ngesidoda ngelixa usebenzisa eli yeza kwaye kangangeeveki ezi-4 emva kokuyeka ukusebenzisa eli yeza.

Amanye amanqaku abalulekileyo:

• Ukunikela ngegazi: Musa ukunikela ngegazi ngelixa usela eli yeza kwaye inyanga emva kokugqiba unyango. Oku kwenzelwa ukuthintela umfazi okhulelweyo ukuba angachaphazeleki leli yeza ngegazi.
• Umngcipheko womhlaza: Ukusela eli yeza kunokunyusa umngcipheko wakho wokuba neentlobo ezithile zomhlaza. Thetha nogqirha wakho ngale nto.
• Kwabo batshayayo:Ukuba ungumntu otshayayo kwaye uvakalelwa kukuba eli yeza alisebenzi kakuhle kuwe, xelela ugqirha wakho. Kwakhona, ukuba ungumntu otshayayo okanye ucinga ngokuyeka, thetha nogqirha wakho ngaloo nto.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, iPomalidomide inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye ziqhelekile, ngelixa ezinye zimbi kakhulu. Into ebalulekileyo kukwazi oku kwaye uthathe amanyathelo ngokukhawuleza ukuba kuyimfuneko.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho okanye kwingcali yezempilo ngoko nangoko:

Ukuba ubona ezi mpawu, musa ukulibazisa, funa ingcebiso kagqirha ngokukhawuleza.

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi.
• Ukubetha kwentliziyo ngokukhawuleza.
• Ukuziva utyhafile, uzive ngathi uza kuphelelwa ngamandla.
• Ukubalwa kwegazi okuphantsi: Eli yeza linokubangela ukuba kubekho iiseli ezimhlophe zegazi, iiseli ezibomvu zegazi, kunye neeplatelet eziphantsi. Oku kunokunyusa umngcipheko wakho wosulelo kunye nokopha. Lumkela iimpawu ezinje ngomkhuhlane, ukubanda, umphimbo obuhlungu, iintlungu zomzimba, ukopha okungaqhelekanga okanye ukukrweleka.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Ubomvu, ukudumba, ukuxobuka okanye ukukhululeka kolusu, nokuba ngaphakathi emlonyeni.
• Iimpawu zegazi eliqhekekileyo: Ubunzima bokuphefumla; Ukutshintsha kombono; Intlungu yesifuba; Intloko ebuhlungu ngequbuliso; Intlungu yomlenze, ukudumba, okanye ukufudumala; Ubunzima bokuthetha; Ukungaziva okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni.
• Iimpawu kunye neempawu zokulimala kwesibindi: Umchamo otyheli okanye omdaka omnyama; ukuziva udiniwe okanye ubanda; indle ekhanyayo; ukungabi namdla wokutya; isicaphucaphu; iintlungu esiswini esingaphezulu ngasekunene; ukudinwa okanye ubuthathaka obungaqhelekanga; ukutyheli kwamehlo okanye ulusu.
• Iimpawu zestroke: Ukutshintsha kombono; ukudideka; ubunzima bokuthetha okanye ukuqonda; intloko ebuhlungu; ukudinwa okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni; ubunzima bokuhamba; isiyezi; ukulahleka kokulinganisela.
• Ukubila.
• Ukurhawuzelela, ukuba ndindisholo ezandleni okanye ezinyaweni.
• Ingxaki yokuginya.
• Ukopha okanye ukukrweleka okungaqhelekanga.

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa. Kodwa ukuba ziyaqhubeka, okanye zikukhathaza kakhulu, xelela ugqirha wakho.

• Umqolo obuhlungu
• Ukuqhinwa
• Urhudo
• Isicaphucaphu
• Ukudinwa

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

Uligcina njani eli yeza?

Kubaluleke kakhulu ukugcina amayeza akho ngokufanelekileyo.

• Yigcine kude nabantwana.
• Eli yeza lifanele ligcinwe kubushushu obuphakathi kwama-20 nama-25 degrees Celsius (ama-20 nama-25 degrees C) okanye phakathi kwama-68 nama-77 degrees Fahrenheit (ama-68 nama-77 degrees F).
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.

Okokugqibela, masikhumbule izinto ezibaluleke kakhulu!

I-Pomalidomide liyeza elibalulekileyo elinceda ekulweni nomhlaza. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzilumkele xa usebenzisa eli yeza.

Khumbula: Eli nqaku lishwankathelo nje kuphela. Ukuba unemibuzo malunga nale yeza, thetha nogqirha wakho, usokhemesti, okanye omnye umntu osebenza ngezempilo ukuze nixoxe ngayo nayiphi na inkxalabo enokuba nayo. Bakho ukuze bakuncede.

Qaphela ngakumbi izilumkiso malunga nokukhulelwa . Kwakhona, ungalibali ukuthatha amanyathelo okhuseleko akhethekileyo, uqaphele iziphumo ebezingalindelekanga, kwaye ungabelani ngamayeza akho nabanye . Kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

I- Pomalidomide, umhlaza, amayeza, iziphumo ebezingalindelekanga, i-multiple myeloma, i-Kaposi's sarcoma, i-chemotherapy