Ngaba ugqirha wakho ukunike iyeza elibizwa ngokuba yiVandetanib? Okanye ngaba kukho umntu osondeleyo kuwe oye wanikwa eli yeza? Eli liyeza elihlala linikwa ukunyanga iintlobo ezithile zomhlaza ezenzeka kwi-thyroid gland (umhlaza we-thyroid we-medullary). Kukho izinto ezimbalwa ekufuneka sizilumkele xa sisebenzisa eli yeza. Ngoko ke ungakhathazeki, masithethe ngayo yonke into ngokulula nangokucacileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqalise eli yeza, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo. Oku kungenxa yokuba ezinye iimeko zonyango zinokwenza kube yingozi ukusebenzisa eli yeza kunye nalo. Ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
- Isifo sentliziyo: Ngaba unesifo sentliziyo, ukubetha kwentliziyo okungahambelaniyo, okanye imbali yexesha elide le-QT?
- Uxinzelelo lwegazi: Ngaba unoxinzelelo lwegazi oluphezulu?
- Iingxaki zokopha: Ngaba unayo nayiphi na ingxaki yokopha okanye iingxaki zokujiya kwegazi?
- Isifo sesibindi okanye sezintso: Ngaba unesifo sesibindi okanye sezintso?
- Izifo zemiphunga: Ngaba unengxaki yokuphefumla okanye ezinye izifo zemiphunga ezifana ne-asthma?
- Amanqanaba eeminerali egazini: Ngaba wakha waxelelwa ukuba amanqanaba e-calcium, i-magnesium, okanye i-potassium egazini lakho aphantsi?
- Amanqanaba ehomoni ye-thyroid: Ngaba inqanaba lehomoni evuselela i-thyroid (TSH) egazini liphezulu?
- Ezinye iimeko: Ngaba unesifo sorhudo, ukuxhuzula, izifo zolusu okanye ubuthathaka kulusu?
- Utyando: Ngaba uza kutyandwa kungekudala? Okanye usandul’ utyando?
- Ii-Allergies: Ngaba une-allergy kula mayeza eVandetanib, amanye amayeza, ukutya, okanye iidayi?
- Ukukhulelwa nokuncancisa: Ngaba ukhulelwe? Uzama ukukhulelwa? Okanye ungumama oncancisayo?
Musa ukufihla naluphi na olu lwazi. Kubaluleke kakhulu kukhuseleko lwakho ukuba ugqirha azi konke oku.
Ndingayisebenzisa njani kanye kanye le yeza?
Indlela yokusebenzisa eli yeza ilula kakhulu, kodwa kubalulekile ukulandela imiyalelo ngokuchanekileyo.
- Ginya le pilisi yonke ngeglasi yamanzi .
- Musa ukuphula, ukutyumza, okanye ukuhlafuna ithebhulethi.
- Sela amayeza kanye njengoko ugqirha wakho ewayalele, ngexesha elimiselweyo. Musa ukuwasela ngaphezu kwenani elimiselweyo lezihlandlo ngemini.
- Musa ukuyeka ukusebenzisa amayeza ngaphandle kwengcebiso kagqirha wakho . Ukwenza njalo kunokuyenza mandundu imeko yakho.
- Xa unikwa eli yeza, uza kufumana incwadana yolwazi ekhethekileyo (iMedGuide) ngalo. Liza nayo yonke imithi kagqirha. Lifunde ngononophelo rhoqo.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba kungaphantsi kweeyure ezili-12 ngaphambi kokuba uthathe idosi elandelayo, yitsibe idosi oyiphosileyo. Thatha nje idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyiphosileyo.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngoko nangoko . Okanye utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo.
Amanye amayeza angafanele asetyenziswe kunye neli yeza kwaye anokuchaphazela nalo
I-Vandetanib liyeza elinokusebenzisana namanye amayeza, ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Amayeza angafanele asetyenziswe neVandetanib | |
| Amayeza ahlukeneyo | ICisapride, iDronedarone, iPimozide, iThioridazine, iZiprasidone |
| Amanye amayeza anokusebenzisana neVandetanib | |
| Amayeza okubetha kwentliziyo okungaqhelekanga | Amachiza afana ne-Amiodarone, iSotalol, iQuinidine, iProcainamide |
| Amayeza okuxhuzula | I-Carbamazepine, iPhenobarbital, iPhenytoin |
| Amanye amayeza kunye nemifuno | I-Digoxin, iMetformin, iRifampin, iSt. John's Wort (iHypericum perforatum) |
| Amayeza andisa ixesha le-QT yentliziyo | Amachiza afana neDofetilide, iZiprasidone |
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngalo naliphi na iyeza olisebenzisayo, nokuba limiselwe ngugqirha, lithengwe kwikhemesti, okanye imveliso yezityalo.
Izinto ekufuneka uzilumkele xa usebenzisa iyeza
Ukukhulelwa kunye nokuncancisa
Oku kubaluleke kakhulu . Musa ukukhulelwa ngelixa usela eli yeza. Abafazi kufuneka basebenzise ucwangciso-nzala olusebenzayo ngelixa besela eli yeza kwaye emva kweenyanga ezi-4 emva kokuliyeka. Linokubangela ingozi enkulu kumntwana osesibelekweni. Kwakhona, musa ukuncancisa umntwana wakho ngelixa usela eli yeza kwaye emva kweenyanga ezi-4 emva kokuliyeka.
Ngaphambi kotyando
Ukuba uza kwenziwa utyando, kufuneka uxelele ugqirha wakho ngalo mba. Eli yeza linokulibazisa ukuphiliswa kwamanxeba otyando. Ngoko ke, kufuneka uyeke ukuthatha eli yeza inyanga enye ngaphambi kotyando. Emva kotyando, kufuneka ulinde ubuncinane iiveki ezimbini ngaphambi kokuba uqale kwakhona iyeza. Eli yeza kufuneka liqalwe kuphela emva kokuba inxeba lipholile ngokupheleleyo. Thetha nogqirha wakho ngale nto.
Ukukhuselwa lilanga
Eli yeza linokwenza ulusu lwakho lube buthathaka kakhulu kwilanga (photosensitivity). Ngoko ke, kuphephe ukukhanya kwelanga ngokuthe ngqo kangangoko unako ngelixa usela iyeza kwaye kangangeenyanga ezi-4 emva kokuba uyekile. Ukuba uphuma phandle, nxiba impahla egquma umzimba wakho kakuhle kwaye usebenzise i-sunscreen elungileyo. Musa ukusebenzisa izibane zelanga okanye iibhedi zokutshisa ilanga.
Amanye amanqaku
- Usenokuziva ulele okanye unesizungu xa usebenzisa eli yeza. Ngoko ke, ziphephe izinto ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba eli yeza likuchaphazela njani.
- Ugqirha wakho uza kujonga rhoqo umsebenzi wegazi lakho kunye nokusebenza kwentliziyo yakho (njenge-ECG). Qiniseka ukuba uyaya kwezo mvavanyo kunye neekliniki.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengazo zonke amayeza, le inokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Ukuba ufumana ezi mpawu, yiya kugqirha okanye kwi-ETU ngokukhawuleza. | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Intliziyo kunye nemithambo yegazi | Iintlungu zesifuba, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuquleka, isiyezi. |
| Ukopha | Igazi elikwisitulo okanye indle emnyama, ukuhlanza i-coffee grounds, ukudumba okungaqhelekanga, kunye nomchamo obomvu/omdaka omnyama. |
| Ezinxulumene nolusu | Ubomvu, amadyungudyungu, ukuxobuka kolusu (nangaphakathi emlonyeni). |
| Inkqubo yemithambo-luvo | Intloko ebuhlungu kakhulu, ukuxhuzula, utshintsho embonweni, ukudideka, ubunzima bokuthetha, ukudinwa ngequbuliso okanye ubuthathaka bobuso, ingalo, okanye umlenze. |
| Ezinye iimpawu ezinzulu | Ubunzima bokuphefumla, umkhuhlane, isitulo esikhanyayo, ukutyheli kwamehlo okanye ulusu (i-jaundice), ukudumba kwemilenze okanye amaqatha. |
| Iziphumo ebezingalindelekanga ezihlala zingadingi nyango (kodwa xelela ugqirha wakho ukuba ziyaqhubeka) | |
| |
Umyalezo Wokuya Ekhaya
- I-Vandetanib liyeza elikhethekileyo lomhlaza we-thyroid. Lisebenzise kanye njengoko ugqirha wakho ekucebisile .
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na iingxaki zempilo onazo.
- Kuphephe ukukhulelwa nokuncancisa ngelixa usela amayeza kwaye emva kweenyanga ezi-4 uyekile.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu ezifana nentloko ebuhlungu kakhulu, iintlungu zesifuba, ukopha okungaqhelekanga, okanye ukusabela okukhulu kwesikhumba.
- Usenokuba novelwano elangeni, ngoko ke thabatha amanyathelo afunekayo ukuze uzikhusele elangeni.
- Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye. Ligcine kude nokufikelela kwabantwana.
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