Ingabe udokotela wakho ukutshelile noma othile emndenini wakho ukuthi unomdlavuza wendlala? Kungenzeka ukuthi unikezwe umuthi obizwa ngokuthi i-Apalutamide. Igama lawo lomkhiqizo yi-ERLEADA. Ngakho-ke ungase ube nemibuzo ngalo muthi. Ngakho-ke namuhla, ake sixoxe ngalo muthi kalula nangokunembile.
Kuyini i-Apalutamide?
Kalula nje, lo umuthi onikezwa ukwelapha umdlavuza wendlala. I-Testosterone, i-hormone yesilisa emizimbeni yethu, kanye namanye ama-hormone afana nawo, asiza amangqamuzana omdlavuza ukuba akhule. Ngakho-ke lo muthi uvimba ukusebenza kwalawo ma-hormone. Bese ukusabalala nokukhula kwamangqamuzana omdlavuza kulawulwa.
Odokotela ngezinye izikhathi bangase bakunike lo muthi kwezinye izimo. Uma unemibuzo ngawo, buza udokotela wakho.
Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?
Ngaphambi kokuthi uqale ukusebenzisa i-Apalutamide, kubaluleke kakhulu ukutshela udokotela wakho ngempilo yakho. Kufanele utshele udokotela wakho ikakhulukazi uma unezinye zezimo ezilandelayo:
| Ukugula noma isimo | Kungani kubalulekile? |
|---|---|
| Izimo ezifana nezimila zobuchopho, ukulimala ekhanda, ukuquleka, noma isifo sohlangothi | Lo muthi ngezinye izikhathi ungandisa ingozi yokuquleka. |
| Isifo senhliziyo, umfutho wegazi ophakeme, noma i-cholesterol ephezulu | Lolu lwazi lubalulekile ngoba umuthi ungandisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. |
| Isifo sikashukela | Amazinga kashukela egazini kungadingeka aqashwe ngesikhathi sokwelashwa. |
| I-Osteoporosis | Ukusetshenziswa kwalomuthi isikhathi eside kungenza amathambo abe buthaka futhi kwandise ingozi yokuqhekeka. |
| Ukungezwani komzimba ne-apalutamide noma eminye imithi, ukudla, noma udayi | Lokhu kubalulekile ukuvimbela ukusabela kwe-allergy. |
| Uma umlingani wakho ekhulelwe noma ezama ukukhulelwa | Lo muthi ungalimaza kakhulu ingane engakazalwa. |
Ngingawusebenzisa kanjani umuthi?
Leli iphilisi okufanele uliphuze ngomlomo. Kungcono ukuliphuza ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekuyalele.
- Ungawaphuli, uwachoboze, noma uwahlafune amaphilisi. Wagwinye wonke.
- Uma unenkinga yokugwinya amaphilisi wonke, khuluma nodokotela wakho. Angase akwazi ukukutshela ukuthi uwathatha kanjani ngokuwaxuba ne-applesauce, amanzi, noma ijusi yezithelo.
- Lomuthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, thatha kanye nokudla .
- Uma uhlangabezana nemiphumela emibi, udokotela wakho angase ashintshe umthamo wakho noma ayeke ukuthatha umuthi isikhashana. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eNational Hospital , noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lomuthi unikezwe wena wedwa. Ngakho-ke, ungalokothi wabelane ngalo muthi nanoma ubani omunye.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi yokunciphisa izinhlungu), njengoba eminye imithi ingasebenzisana ne-Apalutamide futhi ibangele izinkinga.
| Imithi okungafanele ithathwe ne-Apalutamide | |
|---|---|
| I-Artemether; I-Lumefantrine | I-Lurasidone |
| Eminye imithi yokulwa namagciwane ye-HIV noma i-Hepatitis | I-Mavacamten |
| I-Isavuconazonium | I-Pacritinib |
| I-Lonafarnib | I-Praziquantel |
| I-Lorlatinib | I-Ranolazine |
| I-Voriconazole | |
| Eminye imithi engase ihlangane ne-Apalutamide | |
| I-Gemfibrozil | I-Midazolam |
| I-Itraconazole | I-Omeprazole |
| I-Ketoconazole | I-Rifampin |
| I-Warfarin | |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Futhi, mtshele uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukungakhululeki ngokomzimba: Njengoba i-chemotherapy ithinta namaseli anempilo, kuvamile ukuzizwa ungakhululekile futhi ukhathele. Kodwa-ke, tshela udokotela wakho nganoma yimiphi imiphumela emibi oyitholayo. Qhubeka nokwelashwa kwakho kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Amathambo abuthakathaka: Ukuthatha lo muthi isikhathi eside kungenza amathambo akho abe buthaka futhi kwandise ingozi yokuphuka. Khuluma nodokotela wakho ngempilo yamathambo akho.
- Ukusabela okukhulu kwesikhumba: Ngezinye izikhathi, ukusabela okukhulu kwesikhumba kungenzeka emavikini ngemva kokuqala umuthi. Tshela udokotela wakho ngokushesha uma uvela amabhamuza abomvu noma onsomi, ukuxebuka, noma ukuxebuka kwesikhumba kanye nomkhuhlane kanye nobuhlungu bomzimba.
- Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi: Kubikwe ukuhlaselwa yinhliziyo kanye nesifo sohlangothi kubantu abasebenzisa lo muthi. Ngakho-ke khuluma nodokotela wakho ngale ngozi.
- Ukuhlela umndeni: Uma umlingani wakho ekwazi ukukhulelwa, kufanele usebenzise ikhondomu ngesikhathi socansi ngenkathi uthatha lo muthi kanye nezinyanga ezi-3 ngemuva kokuyeka umuthi. Uma usola ukuthi umlingani wakho ukhulelwe, tshela udokotela wakho ngokushesha. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa.
- Imiphumela Yokuzala: Lo muthi ungathinta ukuzala kwakho. Uma unenkinga ngalokhu, khuluma nodokotela wakho.
- Ukunikela ngesidoda: Unganikeli ngesidoda ngenkathi uthatha lo muthi futhi izinyanga ezi-3 ngemva kokuyeka.
Yiziphi imiphumela emibi?
Njenganoma yimuphi umuthi, i-Apalutamide ingaba nemiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokuhlaselwa yinhliziyo | Ukuqina noma ubuhlungu esifubeni, emahlombe, ezingalweni, isicanucanu, ubunzima bokuphefumula, ukujuluka. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Ubunzima bokuphefumula | Ukukhwehlela okomile, ubunzima bokuphefumula. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
| Okunye | Ukuquleka, umfutho wegazi ophakeme, umkhuhlane, kanye nezindlala ezivuvukele. |
| Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa okufanele ibikwe uma iqhubeka) | |
| Ukukhathala | Ukushisa okukhulu |
| Ubuhlungu bamalunga | Ukulahlekelwa yisifiso sokudla |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo.
Kufanele uwugcine kanjani umuthi wakho?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Gcina umuthi ephaketheni lokuqala owafika kulo. Vikela emswakama nasekukhanyeni.
- Ungasusi iphakethe elincane (i-desiccant) elingaphakathi ebhodleleni. Lisetshenziselwa ukugcina umuthi womile.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Apalutamide iwumuthi obalulekile womdlavuza wendlala. Yiphuze njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izifo onazo.
- Qiniseka ukuthi usebenzisa uhlobo lokuvimbela inzalo, njengekhondomu, ngenkathi uthatha umuthi kanye nezinyanga ezintathu ngemuva kokuyeka.
- Funa usizo lwezokwelapha ngokushesha uma ubona izimpawu zomphumela omubi kakhulu, njengokuhlaselwa yinhliziyo, isifo sohlangothi, noma ukungezwani komzimba okukhulu nesikhumba.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
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