Ngaba ugqirha wakho ukunike okanye umntu omaziyo iyeza iTamoxifen lomhlaza webele? Xa oko kusenzeka, kuyinto eqhelekileyo ukuba nemibuzo uze uzive usoyika kancinci. "Kuza kwenzeka ntoni?", "Zithini iziphumo ebezingalindelekanga?", "Ndifanele ndiyazi ntoni?", njl. Mhlawumbi unemibuzo emininzi engqondweni yakho. Ngoko ke namhlanje, masithethe ngayo yonke loo nto ngokulula nangokucacileyo, ngokungathi uthetha nomhlobo.
Yintoni iTamoxifen?
Ngamafutshane, i-tamoxifen liyeza elikhethekileyo elinikwa ukuthintela ukukhula kweeseli zomhlaza webele kunye nokunyanga umhlaza osele ukho. Ezinye iintlobo zomhlaza webele zifuna ihomoni ebizwa ngokuba yi-estrogen, eveliswa ngokwendalo emizimbeni yethu, ukuze ikhule, njengokuba isityalo sifuna amanzi.
Cinga ngezi seli zomhlaza njengeentshaba ezincinci ezifuna "ukutya" okubizwa ngokuba yi-estrogen. Into eyenziwa sisiyobisi i-tamoxifen kukungena kwizicubu zebele kwaye ivale indlela yokuba le hormone i-estrogen inamathele kwiiseli zomhlaza. Ngamanye amazwi, iyayithintela iiseli zomhlaza ekufumaneni "ukutya". Emva koko ezo seli azinakusasaza okanye zikhule ngakumbi.
Ugqirha wakho angakunika eli yeza kwezinye iimeko ngaphandle komhlaza webele. Ngoko ke hlala ulandela imiyalelo kagqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale ukusebenzisa la mayeza, kubaluleke kakhulu ukunika ugqirha wakho umfanekiso opheleleyo wemeko yakho yempilo . Kuba olo lwazi luya kuqinisekisa ukuba la mayeza afaneleka kangakanani kuwe kwaye afanele anikwe njani. Ukuba unayo nayiphi na kwezi meko zingezantsi, qiniseka ukuba wazise ugqirha wakho.
| Imeko ekufuneka uyixele | Kutheni ufanele ukhathalele? |
|---|---|
| Ukuba ukhe waba namahlwili egazi okanye isifo sohlangothi kwixesha elidlulileyo | I-Tamoxifen inokunyusa kancinci umngcipheko wokuqhekeka kwegazi. |
| Iimeko ezinje ngomhlaza wesibeleko, i-uterine fibroids, okanye i-endometriosis | Kubalulekile ukuqaphela oku kuba eli yeza linokuchaphazela ulwelo lwesibeleko. |
| Isifo sesibindi | Ngenxa yokuba isibindi sinceda ekususeni iziyobisi emzimbeni, kubalulekile ukwazi ngemisebenzi yaso. |
| Inqanaba eliphezulu le-cholesterol egazini | Eli yeza ngamanye amaxesha linokuchaphazela amanqanaba e-cholesterol. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye ungumama oncancisayo | Oku kubaluleke kakhulu. Eli yeza linokulimaza usana olungekazalwa kwaye linokudluliselwa kumntwana ngobisi lwebele. |
| Ukuba une-allergies kwamanye amayeza, ukutya okanye izinto ezithile | Oku kubalulekile ukwazi ukuba une-allergy kwiTamoxifen okanye nakweyiphi na izithako zayo. |
Ndingayisebenzisa njani kanye kanye le yeza?
- Landela imiyalelo kagqirha wakho: Sela idosi echanekileyo kanye njengoko ugqirha wakho ekuyalele. Musa ukwandisa okanye ukunciphisa idosi.
- Yithathe ngexesha elinye: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla kangangoko unako. Wakuba ukwenze oku kube ngumkhwa wemihla ngemihla, amathuba okuba ungalibali.
- Nokuba utya okanye awutyanga: Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini okanye unesitshiso sentliziyo, kungcono ukulisebenzisa kunye nesidlo.
- Musa ukuyeka: Musa ukuyeka ukuthatha amayeza akho de ugqirha wakho akuxelele ukuba wenjenjalo. Kubalulekile ukugqiba unyango olunikiweyo, nokuba uzive ungcono.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
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 elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyiphosileyo.
Kuthekani ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, musa ukoyika. Ngoko nangokoFowunela iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele esikufutshane.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
Xa amanye amayeza esetyenziswa kunye, anokuchaphazela ukusebenza kwawo. Oku sikubiza ngokuba yi-"Drug Interaction". Ngoko ke, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza emifuno, kunye nezongezo).
| Ungaze uthathe iTamoxifen kunye nale yeza. | |
|---|---|
| - I-Cisapride | - I-Dronedarone |
| - I-Pimozide | - I-Thioridazine |
| Yazisa ugqirha wakho ukuba usebenzisa la mayeza. | |
| - Amanye amayeza omhlaza afana ne-Anastrozole, i-Letrozole | - Izinto zokunciphisa igazi ezifana neWarfarin |
| - Amayeza okudakumba afana neParoxetine | - Amayeza okulwa nesifo sokuwa afana neCarbamazepine kunye nePhenytoin |
| - I-Rifampin (iyeza lesifo sephepha) | - Amanye amayeza achaphazela isingqisho sentliziyo (ixesha le-QT) |
Izinto ekufuneka uziqaphele xa usebenzisa iTamoxifen
- Ukuhlolwa rhoqo kwezonyango:Qiniseka ukuba ugcina amadinga akho okulandela kunye nogqirha wakho. Baza kujonga inkqubela yakho baze benze uvavanyo lwamabele, iimammogram, kunye novavanyo lwe-pelvic rhoqo.
- Kuphephe ukukhulelwa: Oku kubaluleke kakhulu . Kuphephe ukukhulelwa ngokupheleleyo ngelixa usela eli yeza kwaye emva kweenyanga ezimbini emva kokuliyeka. Kukho ithuba lokuba umntwana ongekazalwa angenzakaliswa kakhulu. Ngoko ke thetha nogqirha wakho malunga nolawulo lokuzala olufanelekileyo.
- Kuphephe ukuncancisa: Kuphephe ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza kwaye emva kweenyanga ezi-3 uyekile ukulincancisa.
- Ukuzala: Eli yeza lisenokuchaphazela ukuzala kwabanye abafazi. Ukuba uneenkxalabo malunga noku, thetha nogqirha wakho ngalo mba.
Masifunde ngemiphumo emibi.
Njengayo nayiphi na imithi, iTamoxifen inokuba nemiphumo emibi. Kodwa ayinguye wonke umntu oyifumanayo. Ezinye ziyingozi, ngelixa ezinye zixhaphakile. Into ebalulekileyo kukuba uzazi kwaye uthathe amanyathelo ngokukhawuleza ukuba kuyimfuneko.
| Yiya kugqirha wakho okanye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zehlwili legazi | Intlungu yomlenze, ukudumba okanye ukuziva ufudumele, ubunzima bokuphefumla, intlungu yesifuba. |
| Iimpawu zestroke | Ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, intloko ebuhlungu, utshintsho embonweni. |
| Iimpawu zokulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo omnyama. |
| Ezinye iimpawu ezinzulu | Emva kokuya exesheni, iimpawu zosulelo ezifana nokopha kwegazi kwilungu lobufazi, iintlungu zesinqe, ukukrweleka okanye ukopha okungaqhelekanga, umkhuhlane, kunye nokubanda. |
| Ukuba ezi zinto ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho. | |
| Ubushushu obugqithisileyo | Ubushushu obugqithisileyo ngequbuliso. |
| Ukuhamba kweemvakalelo | Utshintsho oluhlala lusenzeka kwimo yengqondo. |
| Ukukhupha ulwelo kwi-vaginal | Ukukhupha ulwelo oluphuma kwilungu lobufazi. |
Umyalezo Wokuya Ekhaya
- I-Tamoxifen liyeza elibaluleke kakhulu lomhlaza webele elisebenza ngokuthintela i-hormone ye-estrogen.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Sela amayeza kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
- Lumka ngemiphumo emibi kakhulu, efana neempawu zokuqhekeka kwegazi okanye isifo sohlangothi. Ukuba ufumana nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
- Kuphephe ukukhulelwa ngelixa usebenzisa eli yeza kwaye emva kweenyanga ezimbini uyekile.
- Ukuya rhoqo kwiimvavanyo ezicwangcisiweyo kunye namadinga kunye nogqirha wakho kubalulekile kwimpilo-ntle yakho.
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