Ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yiTamoxifen njengonyango lomhlaza webele. Kuqhelekile ukuba nemibuzo ethile, umdla, mhlawumbi nokuba nexhala malunga neyeza elibaluleke kangaka. Ngoko ke, namhlanje siza kuthetha ngale yeza, indlela eliyichaphazela ngayo imizimba yethu, into ekufuneka siyilumkele, kunye nemiphumo emibi enokubakho.
Yintoni iTamoxifen? Isebenza njani?
Ngamafutshane, iTamoxifen liyeza elilawula ukukhula nokusasazeka kweeseli zomhlaza webele, kwaye likwathintela umhlaza ukuba ungaphindi uvele.
Cinga ngayo, ezinye iintlobo zomhlaza wamabele zifana nesityalo esincinci. Esi sityalo sifuna amanzi ukuze sikhule size sibe sikhulu. Ngendlela efanayo, ezi seli zomhlaza zifuna ihomoni yabasetyhini ebizwa ngokuba yi-estrogen ukuze ikhule. Iyeza i-tamoxifen lenza umsebenzi onzima kakhulu. Lingena kwizicubu zamabele kwaye lithintele ihomoni ye-estrogen ukuba ingafikeleli kwezo seli zomhlaza. Kufana nokuvala umbhobho wamanzi kwisityalo. Emva koko, ngaphandle kwe-estrogen, iiseli zomhlaza zilahlekelwa ngamandla azo okukhula nokusasazeka.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Okukhona ugqirha wakho ekunika ulwazi olupheleleyo ngawe, kokukhona unyango lwakho luya kuba lukhuselekile. Ngoko ke, ngaphambi kokuba uqale i-tamoxifen, qiniseka ukuba uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo:
| Naziphi na iimeko zempilo esele zikhona okanye ezinye iingxaki onokuba nazo |
|---|
| Ukuba unembali yokuqhekeka kwegazi |
| Ukuba ukhe waba nestroke ngaphambili |
| Ukuba unomhlaza wesibeleko okanye i-uterine fibroids |
| Ukuba une-endometriosis |
| Ukuba unezinga eliphezulu le-cholesterol egazini |
| Ukuba unemijikelo yokuya exesheni engahambelaniyo |
| Ukuba unesifo sesibindi |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa umntwana |
| Ukuba une-allergy kwi-tamoxifen okanye nakweyiphi na enye iyeza okanye ukutya |
Indlela yokusebenzisa amayeza ngokuchanekileyo?
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
- Le pilisi mayithathwe ngomlomo. Kungumkhwa omhle ukuyithatha ngexesha elifanayo yonke imihla , kanye njengoko ugqirha emyalele.
- Ungayithatha le nto nokuba utya okanye ungenakutya. Nangona kunjalo, abanye abantu banokufumana ukucaphuka kwesisu okanye isicaphucaphu xa beyithatha ngaphandle kokutya. Ukuba oku kuyenzeka, thatha le mithi xa usitya .
- Eyona nto ibalulekileyo kukuhlala usela eli yeza de ugqirha wakho athi, "Kwanele, yeka." Musa ukuyeka phakathi.
Ukuba ngempazamo usele amayeza amaninzi kakhulu, musa ukuchitha ixesha kwaye ngoko nangoko yiya kwiCandelo loNyango oluNgxamisekileyo (ETU) lesibhedlele esikufutshane. Okanye utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo .
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, ungakhathazeki. Yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba ikufutshane kakhulu nedosi yakho elandelayo (umz., kwiiyure ezimbalwa nje), yeka idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Amanye amayeza anokusebenzisana ne-tamoxifen
Amanye amayeza owasebenzisayo anokuchaphazela ukusebenza kwe-tamoxifen, ngoko ke kubalulekile ukwazisa ugqirha wakho ngawo onke amayeza owasebenzisayo.
| Amayeza angafanele asetyenziswe kunye ne-tamoxifen | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Pimozide | I-Thioridazine |
| Amanye amayeza anokubangela iingxaki nge-tamoxifen (xelela ugqirha wakho ukuba uyawasebenzisa la mayeza) | |
| Amanye amayeza okulwa nomhlaza afana ne-Anastrozole kunye ne-Letrozole | Izinto zokunciphisa igazi ezifana neWarfarin |
| Amayeza okulwa nesifo sokuwa afana neCarbamazepine, iPhenobarbital, nePhenytoin | Amayeza okudakumba afana neParoxetine |
| I-Rifampin (iyeza lesifo sephepha) | Amanye amayeza andisa ixesha le-QT |
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho malunga neminye imithi, iivithamini, imifuno, kunye nezongezo ozithathayo. Kwakhona xelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa iyeza
Ukubaluleka kokuhlolwa rhoqo kwezonyango
Kubalulekile ukuhlala unxibelelana nogqirha wakho rhoqo ngelixa usebenzisa la mayeza. Kubalulekile ukuya ekliniki kwaye uhlolwe rhoqo, njengokuhlolwa kwamabele, ukuvavanywa kwe-pelvic, kunye ne-mammograms .
Qaphela umngcipheko womhlaza wesibeleko.
Abafazi abasebenzisa i-tamoxifen banokuba nomngcipheko okhulayo wokuba nomhlaza wesibeleko. Oku akuyonto ibalulekileyo, kodwa kubalulekile ukuba uqaphele. Ugqirha wakho uza kuthetha nawe ngale ngozi. Lumka kwiimpawu ezinje ngokopha kwegazi kwilungu lobufazi emva kokuya exesheni kunye nentlungu ye-pelvic.
Iingcebiso ezikhethekileyo malunga nokukhulelwa nokuncancisa
Oku kubaluleke kakhulu!Kufuneka uphephe ukukhulelwa ngelixa usebenzisa eli yeza kwaye kangangeenyanga ezimbini emva kokuliyeka. Eli yeza linokubangela ingozi enkulu kusana olungekazalwa. Ngoko ke, thetha nogqirha wakho malunga nolawulo lokuzala olufanelekileyo noluthembekileyo. Kwakhona, kuphephe ukuncancisa xa usebenzisa eli yeza kwaye kangangeenyanga ezi-3 emva kokuliyeka.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengayo nayiphi na imithi, i-tamoxifen inokubangela ezinye iziphumo ebezingalindelekanga. Nangona uninzi lwazo zincinci, kukho izinto ezithile ekufuneka siziqaphele ngokukodwa.
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala |
| Iimpawu zehlwili legazi | Intlungu yomlenze, ukudumba, ukuba bomvu, ubunzima bokuphefumla, intlungu yesifuba |
| Iimpawu zestroke | Ukuba ndindisholo okanye ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso, ubunzima bokuthetha, ubunzima bokuhamba, intloko ebuhlungu, utshintsho embonweni |
| Iimpawu zomonakalo wesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo omnyama, indle ekhanyayo |
| Ezinye iimpawu ezinzulu | Iimpawu zosulelo ezifana nokugruzuka okungaqhelekanga okanye ukopha, ukopha kwegazi kwilungu lobufazi emva kokuya exesheni, iintlungu zesinqe, umkhuhlane, kunye nokubanda. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ubushushu obugqithisileyo | Ubushushu obukhawulezileyo kunye nokubila kobuso nomzimba. |
| Utshintsho kwimeko yengqondo | Ukuziva ulusizi ngaphandle kwesizathu, ukucaphuka lula (ukutshintsha kweemvakalelo). |
| Ukukhupha ulwelo kwi-vaginal | Ukukhupha ulwelo kwilungu lobufazi, njengokukhupha ulwelo kwilungu lobufazi. |
Umyalezo Wokuya Ekhaya
- I-Tamoxifen liyeza elibaluleke kakhulu kunyango lomhlaza webele. Ngoko ke, kubalulekile ukulisebenzisa lonke ixesha njengoko ugqirha wakho ekuyalele.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na ezinye izifo onokuba nazo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngokudumba kwemilenze, iintlungu zesifuba, ubunzima bokuphefumla, okanye ukopha okungaqhelekanga, funa ingcebiso kagqirha ngokukhawuleza.
- Kuphephe ukukhulelwa ngelixa usela eli yeza kwaye emva kweenyanga ezimbini uyekile. Thetha nogqirha wakho ngale nto.
- Ukuba unemibuzo okanye iinkxalabo malunga nale mithi, musa ukuthembela kulwazi olukwi-intanethi kuphela, kodwa qhagamshelana nogqirha wakho.
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