Enye yezinkinga ezinkulu kanye nokungakhululeki abantu abaningi abanakho lapho bethola ukwelashwa komdlavuza, okungukuthi, ukwelashwa ngamakhemikhali, ukucanuzela kwenhliziyo nokuhlanza. Lokhu kuyinto ebeka ngempela ukucindezeleka okukhulu emzimbeni nasengqondweni. Ngakho-ke namuhla sizokhuluma ngohlobo olukhethekile lomuthi olunikezwa ukulawula nokuvimbela lokhu kungakhululeki. Igama lalo muthi yi-Aprepitant.
Kuyini i-Aprepitant?
Kalula nje, i-Aprepitant umuthi ovimba ezinye zezimpawu emzimbeni wakho ezikwenza uzizwe ugula futhi uhlanze. Sibiza lokhu ngokuthi ama-antiemetics. Isetshenziswa kakhulu ukuvimbela isicanucanu nokuhlanza okwenzeka ngesikhathi sokwelashwa komdlavuza (i-chemotherapy). Lo muthi okuvimbela ekuhlanzeni, kunokuba umuthi okuvimbela ekuhlanzeni kakade. ESri Lanka, ungawuthola ngaphansi kwegama lomkhiqizo i-Emend.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi la maqiniso ngaphambi kokukunikeza lo muthi, ngoba uthinta kakhulu ukuphepha kwakho.
| Isimo okufanele sibikwe | Kungani lokho kubalulekile? |
|---|---|
| Uma unesifo sesibindi | Lo muthi ususwa emzimbeni ngesibindi, ngakho-ke uma unezinkinga zesibindi, kungadingeka ulungise umthamo noma unakekele ngokukhethekile. |
| Uma une-allergy ku-Aprepitant, i-Fosaprepitant noma yimuphi omunye umuthi noma ukudla | Lokhu kubalulekile ukuvimbela ukungezwani komzimba okukhulu. |
| Uma ukhulelwe, noma uzama ukukhulelwa | Akukho datha ephelele ngokuphepha kwalo muthi ngesikhathi sokukhulelwa, ngakho-ke kubalulekile ukuxoxa ngalokhu nodokotela wakho. |
| Uma ungumama oncelisayo | Kubalulekile ukuqinisekisa ukuthi umuthi udlulela enganeni ngobisi lwebele noma cha. Ngakho-ke, kubalulekile ukufuna iseluleko sikadokotela. |
Uyisebenzisa kanjani kahle le mithi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa kubaluleke kakhulu ukuyilandela kahle.
- Lokhu kuza ngesimo sekhaphu. Kugwinye konke ngengilazi yamanzi.
- Umthamo wakho wokuqala uvame ukuthathwa cishe ihora ngaphambi kokuqala kokwelashwa nge-chemotherapy.
- Ngemuva kwalokho, ezinsukwini ezimbili ezilandelayo ngemuva kokwelashwa ngamakhemikhali, uzoyalwa ukuthi uthathe umthamo owodwa nsuku zonke ekuseni .
- Lomuthi ungathathwa nokudla noma ngaphandle kokudla. Lokho akuyona inkinga.
- Into ebaluleke kakhulu ukuthi uyithathe kuphela njengoba uyalelwe udokotela wakho, isikhathi esithile. Ungathathi okungaphezu kwalokho.
Ingabe lo muthi unganikezwa izingane ezincane?
Izingane ezingaphezu kweminyaka eyi-12 zinganikwa lo muthi kwezinye izimo ezikhethekile. Kodwa-ke, udokotela wakho kuphela onganquma ngalokhu. Ngakho-ke, uma unikeza ingane lo muthi, kufanele ulandele imiyalelo kadokotela ngqo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Phatha lokhu njengesimo esiphuthumayo.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo lapho ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile. Ungathathi imithamo ephindwe kabili nganoma yisiphi isizathu.
Imithi okungafanele isetshenziswe nalo muthi futhi okufanele uyiqaphele
I-Aprepitant umuthi ongasebenzisana neminye imithi eminingi. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela kanye nemithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini, kanye nemikhiqizo yamakhambi.
Ungayithathi i-Aprepitant nale mithi:
- I-Cisapride
- I-Flibanserin
- I-Lomitapide
- I-Pimozide
Kufanele uqaphele kakhulu uma uthatha i-Aprepitant nale mithi:
- Imithi yesifo senhliziyo kanye nomfutho wegazi ophakeme: Isibonelo, i-Diltiazem, i-Ranolazine.
- Ama-hormone abesifazane: Lokhu kufaka phakathi amaphilisi okuvimbela inzalo, ama-patches ama-hormone, noma ezinye izindlela zokwelapha ngama-hormone.
- Imithi yokutheleleka kwesikhunta: i-Ketoconazole, i-Itraconazole.
- Imithi yokutheleleka nge-HIV.
- Imithi yokwelapha isithuthwane noma ukuxhuzula: njengeCarbamazepine nePhenytoin.
- Imithi ethulisa ingqondo noma ekwenza ulale: njenge-Alprazolam, i-Diazepam, i-Midazolam.
- Amanye ama-antibiotic: njenge-Clarithromycin ne-Erythromycin.
- Izinhlobo zama-steroid: i-Dexamethasone, i-Methylprednisolone.
- Umuthi wokunciphisa igazi: i-Warfarin.
- Eminye imithi yokulwa nomdlavuza: i-Etoposide, i-Vinblastine, i-Vincristine.
Lolu hlu aluphelele, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kubaluleke kakhulu: Uma usebenzisa amaphilisi okuvimbela inzalo noma ezinye izindlela zokuvimbela inzalo zamahomoni (isb., i-patch, i-IUD), zingase zingasebenzi kahle ngenkathi uthatha i-Aprepitant futhi inyanga eyodwa ngemva kokuyeka ukuyisebenzisa. Ngakho-ke, kubalulekile ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isb., amakhondomu) phakathi nalesi sikhathi. Khuluma nodokotela wakho ngalokhu.
- Ungawuthathi lo muthi uma usuvele unesicanucanu nokuhlanza. Buza udokotela wakho ukuthi wenzeni phakathi nalesi sikhathi.
- Lo muthi awunqunyelwe ukusetshenziswa isikhathi eside.
- Qhubeka nokuhlolwa njengoba kuqondiswe udokotela wakho. Lo muthi ungashintsha imiphumela yokuhlolwa kokusebenza kwesibindi sakho.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-Aprepitant ingabangela imiphumela emibi kwabanye abantu, yize kungebona bonke abantu abayitholayo.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Izinto okufanele uzibike kudokotela noma ku-ETU ngokushesha | |
Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Lokhu kungaba kubi kakhulu. | |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
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Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingekho kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Ugcina kanjani imithi iphephile?
- Yigcine kude nezingane. Lokhu kubaluleke kakhulu.
- Gcina ekamelweni lokushisa (phakathi kuka-20-25 Celsius). Vikela ekushiseni okukhulu kanye nomswakama.
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Aprepitant umuthi osetshenziselwa ukuvimbela isicanucanu nokuhlanza okubangelwa ukwelashwa komdlavuza (i-chemotherapy).
- Ngaphambi kokuthatha lo muthi, tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, izinkinga zakho zesibindi, kanye nanoma yikuphi ukungezwani komzimba onakho.
- Thatha umuthi njengoba nje udokotela ekutshela. Ngokuvamile, kufanele uwuthathe ihora ngaphambi kokwelashwa ngamakhemikhali kanye nezinsuku ezimbili ngemva kwalokho.
- Okubaluleke kakhulu: Amaphilisi okuvimbela inzalo ngeke asebenze kahle ngenkathi uthatha lo muthi. Ngakho-ke yeka ukuthatha umuthi bese usebenzisa olunye uhlobo lokuvimbela inzalo inyanga yonke.
- Uma uphuza umuthi omningi kakhulu, iya eNational Poison Information Center noma e-ETU ngokushesha.
- Lesi sihloko simane nje siyisifinyezo. Sicela uxoxe nganoma yimiphi imibuzo ongase ube nayo nodokotela wakho.
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