Wena, noma mhlawumbe ingane yakho, kungenzeka ukuthi utshelwe udokotela wakho ukuthi uqale ukuthatha umuthi obizwa ngokuthi i-Alpelisib (igama lomkhiqizo: i-Vijoice). Uma uzwa igama lomuthi okhethekile kangaka, kuvamile ukuba kuvele imibuzo eminingi engqondweni yakho, njengokuthi "Kwenzani lokhu?", "Kufanele ngiwuthathe kanjani?", "Yiziphi izinyathelo zokuphepha?" Ngakho ungesabi. Namuhla, sizokhuluma ngalo muthi obizwa ngokuthi i-Alpelisib ngendlela ecacile nelula.
Uhlobo luni lomuthi i-Alpelisib?
Kalula nje, i-Alpelisib umuthi olawula ukukhula okungajwayelekile, okungalawulwa kwamaseli athile emzimbeni. Lo muthi usetshenziselwa ngqo ukwelapha isimo lapho izingxenye ezithile zomzimba (isibonelo, ingalo, umlenze, noma ezinye izicubu) ziba zinkulu kakhulu ngenxa yokuguquka kwezakhi zofuzo okuthiwa i-PIK3CA . Lesi simo sibizwa ngokuthi i-PIK3CA-related overgrowth spectrum (PROS) . Lo muthi usebenza ngokuvimba indlela yokubonisa ebangela ukukhula okungajwayelekile kwamaseli, ngaleyo ndlela ulawula lesi sifo.
Udokotela wakho angase akunike lokhu nakwezinye izimo zezokwelapha, ngakho-ke uma unemibuzo, khuluma nodokotela wakho ngakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ukuze uphephe futhi uthole okuningi ngemithi, kubalulekile ukutshela udokotela wakho lolu lwazi ngaphambi kokuqala i-Alpelisib.
- Uma unesifo sikashukela: Sitshele ukuthi usuvele unesifo sikashukela noma amazinga aphezulu kashukela egazini.
- Izifo zamaphaphu: Uma unesifo samaphaphu, njenge-asthma noma i-pneumonia.
- Ukungezwani komzimba: Qiniseka ukuthi utshela udokotela wakho uma une-allergies ku-Alpelisib noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma usola ngisho nokuncane ukuthi ukhulelwe.
- Uma ungumama oncelisayo: Uma uncelisa ingane.
Uma udokotela esezazi lezi zinto, kuzoba lula ngaye ukuhlela ukwelashwa okukufanele kakhulu.
Ngiyisebenzisa kanjani ngempela le mithi?
Kubaluleke kakhulu ukulandela imiyalelo eqondile yokusebenzisa lo muthi.
- Thatha umuthi njengoba nje udokotela emyalile, ngesikhathi esifanayo nsuku zonke .
- Ungalisiki noma ulihlafune leli philisi. Gwinya lonke iphilisi ngamanzi.
- Kungcono ukuthatha umuthi kanye nokudla .
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo, noma ngabe uzizwa ungcono.
Yini okufanele uyenze uma iphilisi kunzima ukuligwinya?
Abanye abantu, ikakhulukazi izingane, banenkinga yokugwinya amaphilisi. Uma kunjalo, nansi indlela yokukwenza:
1. Beka ithebhulethi engilazini enama-ounces angu-2-4 (cishe ama-60-120 ml) wamanzi.
2. Ngemva kwemizuzu engaba mi-5, cindezela ithebhulethi kahle ngesipuni esihlanzekile bese uvuselela kahle kuze kube yilapho incibilika emanzini.
3. Phuza le ngxube ngokushesha.
4. Bese, engeza izipuni ezimbili noma ezintathu zamanzi engilazini efanayo, ugeze noma yimuphi umuthi osele engilazini, bese uphuza lowo. Yenza lokhu ngendlela yokuthi kungabikho nethonsi elilodwa lomuthi elichithwayo.
Okubalulekile: Lo muthi uphinde unikezwe izingane ezingaphezu kweminyaka emibili ubudala kwezinye izimo ezikhethekile. Kodwa-ke, udokotela wakho kuphela onganquma ngalokhu. Ngakho-ke, uma unikeza ingane lo muthi, landela imiyalelo kadokotela ngokucophelela.
Kuthiwani uma ngiphuza umuthi omningi kakhulu (umthamo oweqile)?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kungaphansi kwamahora angu-9 ngaphambi komthamo wakho olandelayo uma ukhumbula (okungukuthi, sekudlule amahora angaphezu kwangu-9), yeqa umthamo ongawutholanga. Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ongawutholanga.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Eminye imithi oyithathayo ingase ixhumane ne-Alpelisib futhi ithinte ukusebenza kwayo noma imiphumela emibi. Ngakho-ke, tshela udokotela wakho uma uthatha noma yimiphi yale mithi elandelayo noma ezinye izithasiselo, amavithamini, noma imithi yamakhambi.
- Eminye imithi esetshenziselwa isifo sokuwa: Isibonelo, `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`.
- `I-Cyclosporine`
- `I-Eltrombopag`
- `I-Enzalutamide`
- `I-Mitotane`
- `Rifampin` (umuthi wesifo sofuba)
- `I-St. John's Wort` (ikhambi lemithi yezempilo yengqondo)
- 'I-Sulfasalazine'
- `I-Warfarin` (umuthi onikezwa ukuvimbela ukujiya kwegazi)
Lolu hlu aluphelele, ngakho-ke kungcono ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Hlola nodokotela wakho njalo ukuze ubone ukuthi izimpawu zakho ziyathuthuka noma ziyanda. Ungayeki ukuhlolwa kwegazi okudingekayo (ukuhlolwa kwegazi).
- Ukusabela okukhulu kwesikhumba: Abanye abantu bangase babe nokusabela okukhulu kwesikhumba ngisho namasonto ambalwa ngemva kokuqala lo muthi.Tshela udokotela wakho ngokushesha uma uba nokuqubuka kanye nezimpawu ezifana nomkhuhlane noma umkhuhlane. Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala bese kuqhekeka. Noma uma ubona ukuqubuka okubomvu ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni kanye nama-lymph node avuvukele, shayela udokotela wakho ngokushesha.
- Uhudo olunzima kanye nokuphelelwa ngamanzi emzimbeni: Tshela udokotela wakho uma unesifo sohudo esinzima, ukuhlanza, noma ukujuluka ngokweqile . Ukulahlekelwa uketshezi oluningi emzimbeni wakho (ukuphelelwa amanzi emzimbeni) kungaba yingozi ngenkathi uthatha lo muthi.
- Ushukela ophezulu egazini (i-Hyperglycemia): Lo muthi ungabangela ushukela ophezulu egazini. Le ngozi iphezulu kubantu asebenesifo sikashukela kakade. Tshela udokotela wakho uma uzizwa womile kakhulu kunokujwayelekile, uchama kaningi, uzizwa ukhathele ngendlela engajwayelekile, noma ungaboni kahle .
- Umlomo owomile: Ungase ube nomlomo owomile. Lokhu kungalawulwa izinto ezifana nokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi. Kodwa-ke, uma inkinga iqhubeka noma inkulu, tshela udokotela wakho.
Isixwayiso sokukhulelwa esibaluleke kakhulu: Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi. Amadoda kufanele futhi agweme ukuba nguyise wengane ngenkathi ethatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Buza udokotela wakho ngolwazi olwengeziwe ngalokhu. Futhi, gwema ukuncelisa ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi.
Imiphumela emibi engase ivele ngenxa yemithi
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Uhudo olubi kakhulu | Ukuqunjelwa okunganqandeki. |
| Ushukela ophezulu egazini (i-Hyperglycemia) | Ukoma ngokweqile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Ukulimala kwamaphaphu | Ubunzima bokuphefumula, ukukhwehlela, i-phlegm enegazi, ubuhlungu besifuba, umkhuhlane. |
| Izifo zesikhumba ezinzima | Ubomvu, amaqhubu, isikhumba esixebukayo (ngisho nangaphakathi emlonyeni). |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Isikhumba esomile | Isikhumba esomile |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu |
| Ukulahlekelwa izinwele | Ukulahlekelwa izinwele |
| Izilonda zomlomo noma zomphimbo | Ubuhlungu, ukubomvu, noma ukuvuvukala okunezilonda emlonyeni noma emphinjeni |
Ugcina kanjani imithi yakho iphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa ephakathi kwama-degree Celsius angama-20 nama-25 (68-77 Fahrenheit), okuyizinga lokushisa elivamile legumbi.
- Ungasebenzisi umuthi ophelelwe yisikhathi.
- Uma ulahla imithi engasetshenziswanga noma ephelelwe yisikhathi, hlola ilebula ukuze ubone ukuthi iphephile yini ukuyilahla. Uma ungabaza, buza udokotela wakho. Uma iphephile ukuyilahla, susa amaphilisi ebhodleleni bese uwaxuba nento efana nekhofi esetshenzisiwe, inhlabathi, noma udoti wekati, uwafake esikhwameni noma esitsheni esivalwe kahle, bese uwaphonsa emgqonyeni kadoti.
Umlayezo Wokuya Nawe Ekhaya
- I-Alpelisib umuthi okhethekile, ngakho-ke hlala uwuthatha njengoba nje udokotela wakho ekutshelile, nangesikhathi esifanele.
- Tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo ngaphambi kokuqala umuthi.
- Njalo qaphela ukusabela okukhulu kwesikhumba (umkhuhlane, ukuqubuka, amabhamuza) kanye nezimpawu zoshukela ophezulu egazini (ukoma ngokweqile, ukuchama njalo). Tshela udokotela wakho ngokushesha uma ubona noma yini.
- Kubaluleke kakhulu ukugwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi futhi isonto elilodwa ngemuva kokuwuyeka.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Uma unemibuzo, ukukhathazeka, noma ukungabaza mayelana nomuthi, ungaqageli, kodwa khuluma nodokotela wakho ngqo.
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