Ingabe udokotela wakho ukunike wena noma othile emndenini wakho umuthi obizwa ngokuthi i-Asciminib njengokwelapha i-leukemia? Uma uzwa ngomuthi omusha nothuthukile kangaka, kuvamile ukuthi ube nemibuzo eminingi ngawo. Ungase uzibuze izinto ezinjengokuthi, "Kwenzenjani lokhu?", "Ngiwusebenzisa kanjani ngempela?", "Ingabe kukhona imiphumela emibi?" Ungakhathazeki. Namuhla, sizokhuluma ngalomuthi ngesiSinhala esilula ongasiqonda, njengokungathi ukhuluma nomngane.
Kuyini i-Asciminib?
Kalula nje, i-Asciminib umuthi okhethekile onikezwa ukwelapha izinhlobo ezithile zomdlavuza, njenge-leukemia. Kukhona iphrotheni ekhethekile emzimbeni wethu esiza amangqamuzana omdlavuza ukuba akhule futhi ande. Lo muthi uvimba ukusebenza kwaleyo phrotheni. Khona-ke ikhono lamangqamuzana omdlavuza lokukhula liyancishiswa, noma ayeke ngokuphelele. Ngale ndlela, lo muthi usiza ukulawula ukusabalala komdlavuza emzimbeni wonke.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unakho okulandelayo:
- Uma unomlando wokuqhekeka kwegazi .
- Uma unesifo senhliziyo .
- Uma uke waba ne -pancreatitis ngaphambilini.
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi, i-asciminib, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe , noma uhlela ukuba nomntwana maduze.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi lo muthi ukulungele yini noma ukuthi umthamo udinga ukushintshwa.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngomuthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Leli philisi kufanele liphuzwe ngomlomo . Ligwinye lonke ngengilazi yamanzi. Ungaliphuli, ulichoboze, noma ulihlafune.
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina imithi isezingeni elifanayo emzimbeni wakho.
- Lokhu kubaluleke kakhulu: Lo muthi kufanele uthathwe esiswini esingenalutho . Okusho ukuthi, okungenani amahora ama-2 ngaphambi noma okungenani ihora eli-1 ngemva kokudla .
- Uma uhlangabezana nanoma yimiphi imiphumela emibi, udokotela wakho angase ashintshe umthamo wemithi yakho noma akucele ukuthi uyeke ukuyithatha isikhashana.Ungalokothi ushintshe umthamo noma uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
- Ungawuthathi lo muthi kanye nejusi likaphaphu . Kungathinta indlela umuthi osebenza ngayo.
Inothi elibalulekile: Lo muthi unikezwe wena kuphela. Unganiki omunye umuntu lo muthi ngoba nje enezimpawu ezifanayo nezakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi futhi uthathe isinyathelo ngokushesha. Shayela i-National Poisons Information Centre e-Colombo National Hospital ngokushesha okukhulu. Noma iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Lokhu kwenzeka kubantu abaningi. Ungakhathazeki.
- Uma uphuza iphilisi lakho kanye ngosuku: Thatha iphilisi lakho ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekwephuzile ngaphezu kwamahora ayi-12 , yeqa umthamo ongawuphuzanga bese uphuza umthamo wakho olandelayo ngesikhathi esijwayelekile.
- Uma uphuza iphilisi lakho kabili ngosuku: Thatha iphilisi ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekwephuzile ngaphezu kwamahora ayisithupha , yeqa umthamo ongawuphuzanga bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ongawusebenzisi. Uma ungaqiniseki, buza udokotela wakho.
Yiziphi ezinye izinto ezingasebenzisana nalo muthi?
I-Asciminib ingasebenzisana neminye imithi oyithathayo, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
Nazi ezinye izibonelo:
- Amanye ama-antibiotic (isb. i-clarithromycin)
- Amanye ama-antiviral anikezwa i-HIV noma i-hepatitis
- Eminye imithi yokwelapha izifo zesikhunta (isib. i-ketoconazole, i-itraconazole)
- Ijusi le-Grapefruit
- Izinto zokunciphisa igazi ezifana ne-Warfarin
- Eminye imithi yesifo sikashukela (isib. iRepaglinide, iRosiglitazone)
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi (yaseNtshonalanga, ye-Ayurvedic, yezitshalo), amavithamini, kanye nezithasiselo ozithathayo, kanye nokuthi ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukuhlolwa okuvamile: Udokotela wakho uzovame ukukucela ukuthi umvakashele njalo ukuze ahlole inqubekela phambili yokwelashwa kwakho. Qiniseka ukuthi uyaya ngalezo zikhathi. Kungase kudingeke futhi ukuthi kwenziwe ukuhlolwa kwegazi.
- Ingozi yokutheleleka:Ukuthatha lo muthi kungase kwehlise amasosha omzimba wakho kancane. Ngakho-ke, kungenzeka kakhulu ukuthi uthole izifo. Uma uthola izimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukukhwehlela , ungaziphilisi futhi ukhulume nodokotela wakho. Zama ukugwema izindawo lapho abantu abagulayo bechitha khona isikhathi.
- Ukopha noma ukuklwebheka: Lo muthi ungabangela ukopha okwandisiwe okuvela ngisho nasekulimaleni okuncane, noma ungase ube nokuklwebheka emzimbeni wakho. Uma uzwa ukopha okungajwayelekile , tshela udokotela wakho ngokushesha.
- Ukukhulelwa kanye nokulawula ukubeletha: Lokhu kubaluleke kakhulu. Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi . Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Ngakho-ke, bobabili abesifazane nabesilisa kufanele bakhulume nodokotela wabo mayelana nokusebenzisa ukuvimbela ukubeletha okusebenzayo .
- Ukuncelisa: Ungancelisi ngenkathi uthatha umuthi futhi isonto elilodwa ngemva kokuyeka .
- Izinkinga zokuzala: Lo muthi ungabangela ukungabi nabantwana. Uma unenkinga ngalokhu, khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Asciminib ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ake sihlukanise lokhu kube yizigaba ezimbili.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ihluli | Ubuhlungu emilenzeni, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Isifo senhliziyo | Ukuqina noma ubuhlungu esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ukuphelelwa umoya, ukuzizwa ubanda, noma ukuquleka. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, ukuzizwa ukhathele ngendlela engavamile. |
| I-Pancreatitis | Ubuhlungu obukhulu besisu (obuphuma emhlane), ubuhlungu obuba bubi ngemva kokudla noma uma buthintwa, umkhuhlane, isicanucanu, nokuhlanza. |
| Isifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Ukopha noma ukuklwebheka okungavamile | Ukuphuka kwesikhumba okungachazeki, ukopha okungapheli. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ubuhlungu bamathambo, amalunga, noma imisipha | Ubuhlungu bomzimba. |
| Uhudo | Ukuqunjelwa. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
Ungawugcina kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Gcina umuthi ebhodleleni lokuqala owafika kulo. Vikela umswakama. Gcina isivalo sebhodlela sivaliwe kahle.
- Ungasebenzisi umuthi ophelelwe yisikhathi .
Buza udokotela wakho noma isibhedlela lapho uthola khona imithi yakho mayelana nendlela engcono kakhulu yokulahla imithi ephelelwe yisikhathi noma engafuneki.
Umlayezo Wokuya Nawe Ekhaya
- I-Asciminib iyindlela yokwelapha eqondiswe ku-leukemia. Ilawula ukukhula kwamaseli omdlavuza.
- Njalo thatha lo muthi esiswini esingenalutho . Lokho kusho amahora ama-2 ngaphambi noma ihora eli-1 ngemva kokudla.
- Gwema ukushintsha umthamo noma ukuyeka umuthi ngaphandle kokutshela udokotela wakho.
- Nikeza udokotela wakho incazelo ephelele yayo yonke imithi, amavithamini, kanye nemikhuba yakho yezempilo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ubunzima bokuphefumula, noma ukopha okungavamile , funa iseluleko sezokwelapha ngokushesha.
- Kubalulekile ukusebenzisa izindlela zokuvimbela inzalo ezisebenzayo ngesikhathi sokwelashwa kanye nesonto elilodwa ngemuva kokuyeka.
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