Siyazi ukuthi ukwelashwa ngomdlavuza akuwona umsebenzi olula. Kubaluleke kakhulu ukwazi ngokugcwele ngemithi oyinikezwayo phakathi nalolu hambo. Namuhla sizokhuluma ngomunye wemithi enjalo. Lowo yi-Afatinib. Udokotela wakho kungenzeka ukuthi ukunike lo muthi ngaphansi kwegama lomkhiqizo i-GILOTRIF. Ake sixoxe kafushane ngokuthi lo muthi uyini, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele.
Iyini i-Afatinib?
Kalula nje, i-Afatinib umuthi othize ovimba ukukhula kwamangqamuzana omdlavuza. Sibiza lezi zinhlobo zemithi ngokuthi "ukwelashwa okuqondiwe." Okusho ukuthi, lo muthi uya ngqo ekuqondiseni amaprotheni athile kumaseli omdlavuza futhi uwavimbele ukusebenza. Lokhu kuvimbela amangqamuzana omdlavuza ekuhlukaneni nasekukhuleni.
I-Afatinib isetshenziswa kakhulu ukwelapha uhlobo lomdlavuza wamaphaphu olubizwa ngokuthi umdlavuza wamaphaphu ongewona oweseli elincane . Akuwona umuthi wawo wonke umuntu; uzonikezwa kuphela uma udokotela wakho enquma ukuthi lo muthi ulungele wena ngemva kokuhlola izici zofuzo zomdlavuza wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala ukwelashwa nge-afatinib. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Izifo zamehlo, izinkinga zokubona: Sitshele uma unezifo zamehlo, ukubona okungekuhle, noma uma usebenzisa ama-contact lens .
- Isifo senhliziyo: Uma kukhona inkinga ngenhliziyo.
- Isifo sezinso: Uma kunezinkinga ngokusebenza kwezinso.
- Isifo sesibindi: Uma unesifo sesibindi.
- Isifo samaphaphu noma sokuphefumula: Uma unezinye izinkinga zokuphefumula noma izifo zamaphaphu ngaphezu komdlavuza wakho wamanje.
- Izinkinga zesisu noma zamathumbu: Uma unezimo ezifana nezilonda zesisu.
- Ukungezwani komzimba: Uma une-allergy ku-afatinib noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe , uzama ukukhulelwa , noma uncelisa , kubalulekile ukwazisa udokotela wakho ngaphambi kokuqala ukwelashwa.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Ukuze uthole okuningi ngemithi yakho, kubalulekile ukuyithatha njengoba uyalelwe.
1. Thatha isisu esingenalutho: Lena yinto ebaluleke kakhulu. Njalo thatha iphilisi le-afatinib okungenani ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla.Thatha lo muthi kanye nokudla. Ukuthatha lo muthi kanye nokudla kunganciphisa ukumuncwa kwawo emzimbeni. Ngakho-ke, uwuthathe esiswini esingenalutho ukuze uthole umphumela ophelele womuthi.
2. Thatha namanzi: Gwinya ithebhulethi lonke ngengilazi yamanzi. Ungaliphuli noma ulichoboze.
3. Yithathe ngesikhathi: Yenza umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekuyalele.
4. Uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma umthamo wakho olandelayo kufanele udlule ngaphansi kwamahora ayi-12 , yeqa umthamo ophuthelwe. Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Kubaluleke kakhulu: Uma usola ukuthi uphuze kakhulu lo muthi, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ngakho-ke, ungalokothi uwuhlanganyele nanoma ubani omunye.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Afatinib ingasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye nokudla. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini.
| Yini engabangela izinkinga? | Incazelo nezibonelo |
|---|---|
| Eminye imithi | Imithi yenhliziyo (i-Amiodarone, i-Verapamil), imithi yokulwa namagciwane (i-Ketoconazole), imithi yokuxhuzula (i-Carbamazepine, i-Phenytoin), imithi yokulwa namagciwane (i-Erythromycin, i-Rifampicin), kanye neminye imithi ye-HIV. |
| Imikhiqizo yezitshalo | Ikhambi i- St. John's Wort linganciphisa ukusebenza kwalomuthi, ngakho-ke qiniseka ukuthi utshela udokotela wakho uma uthatha lokhu. |
| Ukudla neziphuzo | Ijusi le-grapefruit lingathintana nalo muthi. Ngakho-ke, gwema ukudla i-grapefruit nokuphuza ijusi le-grapefruit ngesikhathi sokwelashwa. |
Lolu hlu aluphelele. Ngakho-ke vula umlomo nodokotela wakho nganoma yimiphi imithi oyithathayo, kungakhathaliseki ukuthi uyabhema, noma uphuza utshwala.
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Yiya emitholampilo ngokwezinsuku ezinikezwe udokotela. Kungase kudingeke ukuthi wenze izinto ezifana nokuhlolwa kwegazi ukuze uqaphe isimo sakho.
- Ukusabela okukhulu kwesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba. Uma uba nokuqubuka kwesikhumba okubomvu nokulumayo okunomkhuhlane kanye nobuhlungu bomzimba obugcina buqhuma futhi buqhekeke, noma uma uvuvukele ubuso, izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni, funa iseluleko sikadokotela ngokushesha .
- Ukukhulelwa nokuncelisa: Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye namasonto ama-2 ngemva kokuyeka umuthi . Lo muthi ungalimaza ingane engakazalwa. Futhi, gwema ukuncelisa amasonto ama-2 ngemva kokuyeka umuthi.
Imiphumela emibi engaba khona yomuthi
Njengayo yonke imithi, i-Afatinib ingaba nemiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
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| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
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Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Ungawugcina kanjani umuthi?
- Yigcine endaweni ephephile kude nezingane .
- Gcina endaweni yokushisa evamile yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Lahla noma yimuphi umuthi osele ngemva kosuku lokuphelelwa yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Afatinib umuthi othize "wokwelapha okuqondiwe" womdlavuza wamaphaphu.
- Njalo thatha lo muthi esiswini esingenalutho, okungukuthi, ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Shayela udokotela wakho ngokushesha uma uhlangabezana nemiphumela emibi efana nesifo sohudo esibi, ukuqubuka kwesikhumba okukhulu, noma ubunzima bokuphefumula.
- Gwema ukukhulelwa nokuncelisa ngesikhathi sokwelashwa kanye namasonto amabili ngemva kokuyeka.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye. Uma unemibuzo, ungesabi ukubuza udokotela wakho.
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