Enye yezinselele ezinkulu kumuntu othola ukwelashwa komdlavuza, noma i-chemotherapy njengoba sikubiza kanjalo, ukucanuzela nokuhlanza. Ngenxa yalokhu, abantu abaningi bazizwa bebuthakathaka futhi bengakwazi ukudla noma ukuphuza kahle. Ngakho-ke, odokotela basebenzisa imithi ehlukahlukene ukulawula lesi simo. Namuhla sikhuluma ngomjovo okhethekile onikezwayo ukuvimbela ukucanuzela nokuhlanza. Lowo ngumjovo we-Aprepitant.
Kalula nje, iyini i-Aprepitant?
I-Aprepitant umuthi onikezwa ngaphambi kokwelashwa ngamakhemikhali ukuvimbela isicanucanu nokuhlanza okungenzeka. Ingowesigaba semithi ebizwa ngokuthi i-antiemetics. Kalula nje, le mithi ilawula imizwa ebangela ukuhlanza nesicanucanu.
Lo muthi usebenza ngokuvimbela amakhemikhali athile ebuchosheni bethu athumela imiyalezo ebangela isicanucanu. Ngakho-ke, unganciphisa kakhulu ukungakhululeki okwenzeka ngemva kokwelashwa ngamakhemikhali.
Into ebaluleke kakhulu: Lona akuwona umuthi wokuqeda isicanucanu nokuhlanza uma usunaso kakade. Ngumuthi wokuvimbela ukuthi kungenzeki, ukukwelapha ngaphambi kokuba kwenzeke.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba unikezwe lo mjovo we-Aprepitant, udokotela wakho kuzodingeka azi umlando wakho wezokwelapha ophelele. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo okufanele sikhathazeke ngaso | Kungani lokho kubalulekile? |
|---|---|
| Isifo sesibindi | Imithi eminingi engena emizimbeni yethu iyaphulwa futhi isuswe yisibindi. Uma kukhona isifo sesibindi, lo muthi ungahlala emzimbeni isikhathi eside. Ngakho-ke, udokotela kudingeka aqaphele lokhu. |
| Ukungezwani komzimba | Uma wake waba nokungezwani komzimba ne-Aprepitant, i-Fosaprepitant (olunye uhlobo lwalokhu), noma yimuphi omunye umuthi, ukudla, noma udayi, kufanele usitshele nakanjani. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Uma ukhulelwe noma uhlela ukukhulelwa, tshela udokotela wakho. Udokotela wakho uzonquma ukuthi lo muthi uzosebenza yini. |
| Ukuncelisa | Uma ungumama oncelisayo, khuluma nodokotela wakho mayelana nokuthi lo muthi udlulela enganeni yakho ngobisi lwebele yini. |
Uyisebenzisa kanjani le mithi?
I-Aprepitant akuyona imithi ongayithatha ekhaya. Ingumjovo owunikezwa ngabasebenzi bezokwelapha esibhedlela noma emtholampilo .
Ngokuvamile inikezwa nge-cannula efakwe emthanjeni. Lokhu kusho ukuthi inikezwa njengomjovo, njenge-saline, noma njengokufakwa kwesikhashana. Inikezwa cishe isigamu sehora ngaphambi kokuba ukwelashwa komdlavuza kuqale.
Uma lo muthi unikezwa izingane, kudingeka ukunakekelwa okukhethekile. Udokotela wakho uzonquma ngalokhu.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuphuthelwa umthamo aphansi kakhulu. Kodwa-ke, uma uzizwa sengathi uphuze kakhulu, tshela udokotela noma umhlengikazi ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. Ungashayela neNational Poisons Information Centre eSibhedlela sethu Sikazwelonke ukuze uthole iseluleko.
Ukusebenzisana neminye imithi
Lena yingxenye ebaluleke kakhulu. I-Aprepitant umuthi ongasebenzisana neminye imithi eminingi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (imithi yezinye izimo, amavithamini, imithi yendabuko, amakhambi).
| Ungayithathi i-Aprepitant kanye nalomuthi! | |
|---|---|
| - I-Cisapride | - I-Pimozide |
| - I-Flibanserin | - I-Lomitapide |
| Lo muthi ungase ubangele nemiphumela emibi (tshela udokotela wakho). | |
| - Amaphilisi okuvimbela inzalo kanye nezindlela zamahomoni | - Imithi evimbela ukujiya kwegazi, njenge-Warfarin |
| - Imithi yokwelapha ukuxhuzula (isib. i-Carbamazepine, i-Phenytoin) | - Imithi yokulwa nesikhunta (isib. i-Ketoconazole) |
| - Amanye ama-antibiotic (isib. i-Clarithromycin) | - Imithi ye-HIV |
| - Imithi ye-steroid (isib. i-Dexamethasone) | - Imithi yokukhathazeka noma yokulala (isib. i-Diazepam) |
| - Imithi yesifo senhliziyo efana ne-Diltiazem, i-Ranolazine | - I-Rifampin (umuthi wesifo sofuba) |
Ukwazi okukhethekile ngezindlela zokuvimbela inzalo!
Lokhu kubaluleke kakhulu. Uma usebenzisa amaphilisi okuvimbela inzalo noma ezinye izindlela zokuvimbela inzalo zamahomoni (isb., i-patch, i-IUD), ukusebenza kwaleyo ndlela kungancipha ngenkathi uthatha i-Aprepitant futhi inyanga eyodwa ngemuva komthamo wakho wokugcina . Ngakho-ke, kubalulekile ukusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isb., amakhondomu) phakathi nalesi sikhathi. Qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu.
Imiphumela emibi engase ivele lapho uthatha lo muthi
Njengayo yonke imithi, i-Aprepitant ingabangela eminye imiphumela emibi. Nakuba kungebona bonke abantu abayitholayo, eminye mincane futhi kufanele utshele udokotela wakho ngokushesha.
Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha:
- Ukusabela okukhulu kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukubomvu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Uma lokhu kwenzeka, kuyisimo esiphuthumayo.
Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza:
- Ikhanda elibuhlungu
- Uhudo
- Ubuhlungu besisu, isisu esibuhlungu
- Ukuzizwa ukhathele noma ubuthakathaka ngendlela engavamile
- Ukuqaqamba, ubuhlungu, noma ukungazweli emilenzeni
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, ungesabi ukutshela udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Aprepitant umuthi osetshenziselwa ukuvimbela isicanucanu nokuhlanza okubangelwa ukwelashwa komdlavuza, hhayi ukwelapha isicanucanu esikhona.
- Lo mjovo unikezwa ngabasebenzi bezokwelapha esibhedlela noma emtholampilo.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amaphilisi okuvimbela inzalo).
- Sebenzisa uhlobo olwengeziwe lokuvimbela inzalo ngesikhathi sokwelashwa kanye nenyanga eyodwa ngemva kwalokho, njengoba lo muthi unganciphisa ukusebenza kwamaphilisi okuvimbela inzalo.
- Uma kuvela izimpawu ezinkulu zokungezwani komzimba (ukubomvu kwesikhumba, ukuvuvukala), funa iseluleko sezokwelapha ngokushesha.
- Khuluma ngokukhululekile nethimba lakho lezokwelapha nganoma yimiphi imiphumela emibi noma ukukhathazeka ongase ube nakho. Bahlala bekulungele ukukusiza.
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