Ngaba ugqirha wakho ukhe wakunika iSelumetinib wena okanye umntwana wakho? Ndiyazi ukuba unemibuzo emininzi ngayo kuba liyeza elikhethekileyo. Yinto eqhelekileyo leyo. Ungakhathazeki, siza kuthetha ngokulula nangokucacileyo ngale mayeza, indlela asetyenziswa ngayo, iziphumo ebezingalindelekanga, kunye nezinto ekufuneka uzilumkele ngakumbi.
Loluphi uhlobo lonyango olu? Yintoni kanye kanye eliyenzayo?
Ngamafutshane, iSelumetinib liyeza elisetyenziselwa ukunyanga imeko ebizwa ngokuba yi -neurofibromatosis . Le meko ibangela ukuba iithumba zikhule ecaleni kwemithambo-luvo emzimbeni wethu. Ngoko ke eli yeza lenza ntoni na kukuthintela iproteni ethile enceda ezo seli zethumba zikhule, zahlulwe, kwaye ziphindaphindeke. Ngokuchanekileyo, lilawula isantya esikhula ngaso iithumba.
Ungathenga eli yeza kwikhemesti phantsi kwegama elithi Koselugo . Ngamanye amaxesha, oogqirha banokukunika eli yeza kwezinye iimeko zonyango.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqalise eli yeza, kubalulekile ukunika ugqirha wakho umfanekiso opheleleyo wemeko yakho yempilo. Oku kubaluleke kakhulu kukhuseleko lwakho. Ukuba unenye yezi meko zilandelayo, qiniseka ukuba uyamxelela ngazo.
| Oko kufuneka ukwazi | Kutheni oko kubalulekile? |
|---|---|
| Ingxaki yokopha | Eli yeza linokunyusa umngcipheko wokopha, ngoko ke ukuba sele unengxaki efana naleyo, ugqirha wakho kufuneka azi ngayo. |
| Isifo samehlo okanye iingxaki zokubona | I-Selumetinib inokuchaphazela umbono, ngoko ke kubalulekile ukwazisa ugqirha wakho ngazo naziphi na iingxaki ezikhoyo. |
| Isifo sentliziyo | Eli yeza ngamanye amaxesha linokuchaphazela ukusebenza kwentliziyo. |
| Isifo sesibindi | Isibindi yindawo apho amayeza asuswa khona emzimbeni. Ukuba unengxaki yesibindi, umthamo wakho unokufuneka ulungiswe. |
| Ukunganyamezelani ne-selumetinib okanye nayiphi na enye izithako | Qiniseka ukuba uyasixelela ukuba unayo nayiphi na i-allergies kweli yeza, amanye amayeza, ukutya, okanye iidayi. |
| Ukuba wena okanye iqabane lakho nizama ukukhulelwa okanye nikhulelwe. | Oku kubaluleke kakhulu. Eli yeza linokwenzakalisa umntwana ongekazalwa. Siza kuthetha ngale nto ngokweenkcukacha. |
| Ukuba ungumama oncancisayo. | Kwakhona yazisa ugqirha ngokuncancisa, njengoko iyeza linokudluliselwa kumntwana ngobisi lwebele. |
Ndingayisebenzisa njani kanye kanye le yeza?
Ukuze ufumane unyango olungcono kakhulu, kubaluleke kakhulu ukulusebenzisa ngokuchanekileyo.
- Le yikhaphu. Ifanele igwinywe yonke ngeglasi yamanzi.
- Ungaze uyiqhekeze, uyityumze, okanye uyihlafune le capsule. Ukwenza njalo kungayitshintsha indlela elisebenza ngayo iyeza.
- Zama ukusela amayeza akho ngexesha elifanayo yonke imihla , njengoko ugqirha wakho ekuyalele. Oku kuya kunceda ukugcina amanqanaba afanayo amayeza emzimbeni wakho.
- Ungayithatha nokuba utya okanye ungenakutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini okanye unesicaphucaphu, kungcono ukuthabatha amayeza kunye nokutya.
- Qhubeka usebenzisa olu nyango de ugqirha wakho akuxelele ukuba uyeke.
- Kubalulekile: Kuphephe ukusebenzisa eli yeza kunye nejusi yegrapefruit. Linokuba nefuthe elingafunekiyo ekusebenzeni kakuhle kweli yeza.
Ukuba unika abantwana eli yeza
Eli yeza ngamanye amaxesha linokumiselwa ngugqirha kubantwana abaneminyaka emi-2 ubudala kwiimeko ezikhethekileyo zonyango. Kodwa lenziwa ngononophelo olukhulu. Ukuba unika umntwana eli yeza, landela imiyalelo kagqirha ngokuchanekileyo.
Yintoni omawuyenze ukuba usebenzisa amayeza ngokugqithisileyo?
Ukuba unesikrokro sokuba uthathe amayeza amaninzi kunokuba ucinga, musa ukuchitha ixesha. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli liyeza elimiselwe wena kuphela. Ungaze ulinike abanye abantu, nokuba iimpawu zakho ziyafana.
Kuthekani ukuba ndilibele ukusela amayeza am?
Wonke umntu uyalibala izinto. Ukuba oko kuyenzeka, ungakhathazeki.
- Ukuba ulibele ukusela ipilisi yakho kwaye akudluli iiyure ezi-6 emva kwexesha oqhele ukuyisela ngalo, yisele ngokukhawuleza xa ukhumbula.
- Nangona kunjalo, ukuba kudlule iiyure ezingaphezu kwezi-6 emva kwexesha , yiyeke ngokupheleleyo idosi ongayithathanga. Thatha idosi elandelayo ngexesha eliqhelekileyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi elibalekileyo.
- Ukuba uyahlanza emva kokusela iyeza, yiyeke loo dosi. Musa ukuyiphinda uyithathe. Yithathe njengesiqhelo kwixesha elizayo.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Amanye amayeza, iivithamini, kunye nezongezo ozithathayo zinokusebenzisana ne-selumetinib. Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwazo zonke izinto ozithathayo - amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, kunye neevithamini. Kwakhona, xelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Umzekelo, eli yeza linokunxibelelana nezi zinto zilandelayo:
- I-Aspirin kunye namayeza afanayo
- Amanye amayeza okubulala iintsholongwane, anjenge-erythromycin
- Amanye amayeza okubulala iintsholongwane anikwa i-HIV okanye i-Hepatitis
- Imithi yokulwa nefungus efana ne ketoconazole
- Imithi yokulwa nokuxhuzula efana nePhenobarbital kunye nePhenytoin
- Izinto zokunciphisa igazi ezifana neWarfarin
- Ivithamini E
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
- Yiya kuhlolwa rhoqo: Ugqirha wakho uza kukuxelela ukuba uze kuhlolwa rhoqo. Ungaphoswa zezo ntsuku. Yiyo loo ndlela abajonga ngayo ukuba amayeza ayasebenza na kwaye kukho naziphi na iingxaki.
- Umngcipheko wokopha: Eli yeza linokunyusa umngcipheko wokopha ngenxa yokwenzakala okuncinci. Kunokubakho nemivumbo. Ukuba ufumana ukopha okungaqhelekanga, okufana negazi esitulweni sakho, ukuhlanza okufana nekofu, okanye amabala abomvu okanye amfusa emzimbeni wakho, xelela ugqirha wakho ngoko nangoko.
- Lumka amehlo akho:Amehlo akho aza kuhlolwa ngaphambi kokuba uqale ukusebenzisa eli yeza kwaye ngelixa ulisebenzisa. Ukuba ubona naluphi na utshintsho embonweni wakho - njengokubona okufipheleyo, ukubona izinto ngokungathi ziyashukuma, okanye ukubona amabala amnyama - xelela ugqirha wakho ngoko nangoko.
Ukwaziswa okukhethekileyo malunga nokukhulelwa nokuncancisa
Eli candelo libaluleke kakhulu. Nceda unikele ingqalelo.
- Ukukhulelwa ngelixa usebenzisa eli yeza kunokubangela iziphene ezinkulu zokuzalwa .
- Ngoko ke, ngaphambi kokuba uqale amayeza, uvavanyo lokukhulelwa lwenziwa ukuqinisekisa ukuba awukhulelwanga.
- Kufuneka usebenzise uhlobo lokuthintela ukukhulelwa olusebenza kakuhle kakhulu ngelixa usela ipilisi kwaye emva kweveki uyekile ukuyisebenzisa . Thetha nogqirha wakho ngendlela efanelekileyo kuwe.
- Ukuba iqabane lakho liyakwazi ukukhulelwa, kubalulekile ukusebenzisa ikhondom ngexesha lokwabelana ngesondo ngelixa usela ipilisi kwaye emva kweveki yonke uyekile.
- Kwakhona, musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza kwaye emva kweveki enye uyekile.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, i-selumetinib inokubangela iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa kubalulekile ukuba uzazi.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Ukopha okungaqhelekanga (Ukopha) | Indle emnyama okanye enegazi, ukuhlanza okufana nekofu egayiweyo, umchamo obomvu/omdaka omnyama, amabala abomvu/amfusa eluswini. |
| Utshintsho lombono | Umbono ofipheleyo, ukulahleka kombono, ukubona izinto ngokungathi ziyarhuqa, ukubona amabala amnyama. |
| Iimpawu zokusilela kwentliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo, izandla, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| Iimpawu zokulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo omnyama. |
| Ukulimala kwemisipha | Ukudinwa okungaqhelekanga, iintlungu zemisipha, umchamo otyheli okanye omdaka. |
| Urhudo olukhulu okanye iintlungu zesisu | Intlungu yesisu engapheliyo okanye enzima kunye norhudo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Intlungu yamathambo, amalungu okanye izihlunu, ulusu olomileyo, ukungakhululeki nokudinwa ngokubanzi, intloko ebuhlungu, isicaphucaphu, iintlungu zesisu, ukuhlanza. |
Uligcina kwaye ulisusa njani iyeza?
- Gcina ukhuselekile: Gcina kude nabantwana kunye nezilwanyana zasekhaya .
- Indawo yokugcina: Gcina kubushushu begumbi (20-25 degrees Celsius). Gcina iyeza kwibhotile yokuqala livaliwe kakuhle kwaye likhuselekile kumswakama. Musa ukususa ipakethe encinci (ipakethe efunxa umswakama) ebhotileni, kuba inceda ukugcina iyeza lomile.
- Ukuphelelwa lixesha: Musa ukusebenzisa amayeza aphelelwe lixesha.
- Ukususwa:Amayeza aphelelwe lixesha okanye angasafunekiyo kufuneka alahlwe ngokufanelekileyo. Ukuba awuqinisekanga nokuba uwakhuphele ethoyilethi okanye uwalahle enkunkuma, buza ugqirha wakho. Ukuba uwalahla enkunkuma, khupha amayeza ebhotileni, uwaxube nento efana namagqabi eti asetyenzisiweyo, intlama yekofu, okanye umhlaba, yifake ebhegini, uyivale kakuhle, uze uyilahle enkunkuma.
Umyalezo Wokuya Ekhaya
- Soloko uginya iikhaphu zeSelumetinib ziphelele. Musa ukuziqhekeza, ukuzityumza, okanye ukuzihlafuna.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana ukopha okungaqhelekanga, ukukrweleka, utshintsho embonweni, okanye iintlungu eziqatha zesisu.
- Kubalulekile ukuphepha ukukhulelwa ngelixa usebenzisa eli yeza kwaye emva kweveki enye uyekile. Sebenzisa uhlobo lokuthintela ukukhulelwa oluthembekileyo kakhulu.
- Ukuba unemibuzo malunga nale mithi, ungaze ungathandabuzi ukuthetha nogqirha wakho.
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