Uma wena noma othile emndenini wakho etholakala enomdlavuza futhi udokotela wakho ekutshela ukuthi kuzodingeka uqale ukwelashwa ngamakhemikhali njengokwelashwa, kuyinto evamile ukuzizwa ukwesaba okukhulu nokukhathazeka. Kodwa uma unolwazi olufanele ngalokhu kwelashwa, lokho kwesaba kungancishiswa kakhulu. Namuhla sikhuluma ngomuthi obizwa ngokuthi i-Azacitidine, onikezwa izinhlobo eziningana zomdlavuza. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Uhlobo luni lomuthi i-Azacitidine?
Kalula nje, i-Azacitidine umuthi we-chemotherapy. Isetshenziswa kakhulu ukwelapha izinhlobo ezimbili zomdlavuza wegazi.
1. I-Myelodysplastic Syndrome (MDS): Lesi yisifo esihlobene nomnkantsha wamathambo.
2. Ezinye izinhlobo ze-leukemia: Okusho ukuthi, izinhlobo eziningana zomdlavuza wegazi.
Into eyinhloko eyenziwa yilo muthi ukwehlisa ijubane lokukhula kwamangqamuzana omdlavuza nokuwabulala . Lo muthi ulawula nokusebenza kwesimiso somzimba wethu sokuzivikela ngezinga elithile. Yingakho kudingeka siqaphele kakhulu lapho sithatha lo muthi.
Ngingakunika kanjani lo muthi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Azacitidine iwumjovo ongaphansi kwesikhumba . Uhlala unikezwa esibhedlela noma emtholampilo ngudokotela noma umhlengikazi oqeqeshwe ngokukhethekile kulokhu. Ngakho-ke akudingeki ukhathazeke ngokuthi umuthi unikezwa kanjani.
Kwezinye izimo ezikhethekile, lo muthi unganikezwa nezingane. Kodwa-ke, lesi sinqumo senziwa udokotela wezingane. Ngakho-ke, cela udokotela wakho ukuthi akunike ulwazi olwengeziwe ngawo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala ukwelashwa nge-azacitidine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:
| Isimo sempilo | Okufanele ukutshele udokotela |
|---|---|
| Isifo sezinso | Uma unesifo sezinso. |
| Isifo sesibindi | Uma unesifo sesibindi noma izimila zesibindi. |
| Ukungezwani komzimba | Uma une-allergy ku-azacitidine, i-mannitol, eminye imithi, ukudla, amadayi noma izithasiselo. |
| Ukukhulelwa | Uma ukhulelwe, uzama ukukhulelwa, noma usola ukuthi ukhulelwe. |
| Ukuncelisa | Uma uncelisa ingane yakho. |
Izinto okufanele siziqaphele kakhulu lapho sithatha imithi
Umzimba wakho uzoshintsha ngesikhathi uthatha lo muthi, ngakho-ke qaphela kakhulu ngalezi zinto.
Ingozi eyengeziwe yokutheleleka
Njengoba lo muthi wehlisa amasosha omzimba wakho , kungenzeka ukuthi ugule, ikakhulukazi izifo. Ngakho-ke, gwema abantu abanezimpawu ezifana nomkhuhlane, umkhuhlane, ukukhwehlela, kanye nomphimbo obuhlungu ngangokunokwenzeka. Uma uba nomkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu, ungaziphilisi futhi ukhulume nodokotela wakho ngokushesha.
Ingozi eyengeziwe yokopha
Lo muthi unganciphisa inani lama-platelet asiza ukujiya kwegazi. Ngakho-ke, ngisho nokulimala okuncane kungabangela ukopha okwandisiwe futhi kubangele ukuminyana okungadingekile. Uma ubona imivimbo eluhlaza okwesibhakabhaka emzimbeni wakho wonke, amabala amancane abomvu esikhumbeni sakho, indle emnyama, noma igazi emchameni wakho , tshela udokotela wakho ngokushesha.
Ukukhulelwa nokuba nezingane
Leli yiphuzu elibaluleke kakhulu.
- Abesifazane: Ungakhulelwa ngenkathi uthatha lo muthi futhi izinyanga eziyisithupha ngemuva komthamo wokugcina .
- Amadoda: Ungazami ukukhulelwa ingane ngenkathi uthatha lo muthi futhi izinyanga ezintathu ngemuva komthamo wokugcina .
- Lo muthi ungalimaza kakhulu ingane engakazalwa.Ungakwazi. Futhi, ungancelisi ngesikhathi sokwelashwa futhi isonto lonke ngemuva komthamo wokugcina.
Eminye imithi
Tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi yezinye izimo, amavithamini, imithi yendabuko, izithasiselo). Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala. Ezinye izinto zingathintana nalo muthi.
Ungaphuthelwa ukwelashwa.
Kubaluleke kakhulu ukuya emtholampilo ngosuku oluhleliwe ukuze uphuze imithi yakho. Uma ngesizathu esithile ungakwazi ukuya, yazisa udokotela noma isibhedlela.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yikuphi ukwelashwa ngamakhemikhali, eminye imiphumela emibi ingase ivele uma uthatha lo muthi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Uma uhlangabezana nalezi zimpawu, iya kudokotela noma ku-ETU (Emergency Treatment Unit) yesibhedlela ngokushesha. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Izimpawu zokopha | Ukulimala emzimbeni, amabala abomvu esikhumbeni, indle emnyama, igazi emchameni. |
| Izimpawu zamaseli abomvu aphansi | Ukukhathala okungavamile, ubuthakathaka obuvamile, isiyezi, amehlo aluhlaza okwesibhakabhaka. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, isicanucanu. |
| Izimpawu zokulimala kwezinso | Ukwehla kokukhishwa komchamo noma ubunzima bokuchama. |
| Uma lezi zinto ziqhubeka noma ziba yinkinga, tshela udokotela wakho. | |
| Izinkinga zesistimu yokudla | Ukuqunjelwa, uhudo, isicanucanu, ukuhlanza. |
| Indawo yokugoma | Ubuhlungu noma ukubomvu endaweni yomjovo. |
| Ukungakhululeki okuvamile | Umzimba ongenampilo, ukukhathala okungavamile. |
Into ebaluleke kakhulu ukukhuluma nodokotela wakho nganoma yini ebonakala ingajwayelekile kuwe. Ungenzi izinqumo wedwa. Uma usola ukuthi uphuze ngokweqile, kubikele ngokushesha i-National Poisons Information Centre eColombo National Hospital noma e-ETU eseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Azacitidine iwumuthi wokugomela umdlavuza okhethekile onikezwa esibhedlela.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Kukhona ingozi enkulu yokutheleleka nokopha uma uthatha lo muthi. Ngakho-ke qaphela izinto ezifana nomkhuhlane kanye nokubhoboza. Uma kwenzeka into efana naleyo, tshela udokotela wakho ngokushesha.
- Gwema ukukhulelwa ngokuphelele (kwabesifazane nabesilisa) ngesikhathi sokwelashwa futhi uma nje udokotela wakho ekweluleka.
- Ungaphuthelwa ukuya emitholampilo nokuhlolwa kwegazi ngesikhathi.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza okufika engqondweni yakho.
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