Uma wena noma othile omaziyo elashwa umdlavuza webele, udokotela wakho kungenzeka ukuthi unikeze umuthi obizwa ngokuthi 'i-Abemaciclib'. Uyatholakala emakethe ngaphansi kwamagama anjenge-'Verzenio'. Leli gama lingase lizwakale liyinkimbinkimbi futhi lisha kuwe. Kodwa ungesabi. Ukwelashwa komdlavuza kuyinselele, futhi ukuqonda kahle umuthi ngamunye owutholayo phakathi nalolo hambo kunamandla amakhulu. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi wenzani ngempela, kanye nezinto okudingeka siziqaphele ngendlela elula kakhulu nenobungane.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-`Abemaciclib` uhlobo lomuthi olubizwa ngokuthi i-Targeted Therapy. Cabanga ngale ndlela: Amaseli omdlavuza angamaseli emzimbeni wethu aphula imithetho futhi ahlukane ngokungalawuleki. Adinga izimpawu ezikhethekile ukuze ahlukane ngokushesha futhi asakazeke kuwo wonke umzimba. Kufana nebutho elibi elihlala lithola umyalelo wokuthi "liqhubeke, lisabalale."
I-Abemaciclib isebenza ngokuphazamisa leso simiso sokudlulisa izimpawu. Ivimba amangqamuzana omdlavuza ekutholeni umyalezo wokuthi "ahlukane futhi ande." Ngenxa yalokho, ukukhula nokusabalala kwamangqamuzana omdlavuza kulawulwa noma kuyekwe kakhulu. Ngokuvamile isetshenziselwa izinhlobo ezithile zomdlavuza webele, ikakhulukazi ezimweni ezisemaphethelweni lapho umdlavuza ususakazekele kwezinye izingxenye zomzimba.
Lomuthi unikezwa bani futhi kanjani?
Esikhathini esidlule, lo muthi wawunikezwa kakhulu lapho umdlavuza ususakazeke kakhulu, noma lapho ubuya ngemva kokwelashwa . Kodwa ucwaningo olusha seluthole ukuthi ngisho nasezigabeni zokuqala zomdlavuza, ukunikeza lo muthi kunganciphisa ingozi yokubuya komdlavuza cishe ngo-30%.
Kodwa into ebaluleke kakhulu lapha ukuthi udokotela womdlavuza kuphela okwelaphayo onganquma ukuthi lo muthi ukufanele yini, ukuthi kufanele unikezwe, nokuthi kufanele unikezwe nini. Ungalokothi uthathe lo muthi ngokwakho, kungakhathaliseki ukuthi ufunda okuthile ku-inthanethi noma uzwa okuthile kumuntu omaziyo.
Lo muthi uvame ukunikezwa njengephilisi kabili ngosuku, kanye nokudla. Uma uqala ukuthatha lo muthi, udokotela wakho uzokuqapha kakhulu ezinsukwini ezimbalwa zokuqala. Lokhu kusho ukuthi uzocelwa ukuthi uhlolwe igazi njalo (ukubalwa kwegazi, ukuhlolwa kokusebenza kwesibindi). Lokhu kwenzelwa ukuthola ukuthi umuthi uwuthinta kanjani umzimba wakho kanye nokuhlonza noma yimiphi imiphumela emibi kusenesikhathi.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Lokhu kuyinkinga nakubantu abaningi. Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kuseduze kakhulu nesikhathi somthamo wakho olandelayo (isibonelo, kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe. Uma ungabaza ngalokhu, kungcono ukucela iseluleko kudokotela wakho.
Yimiphi imiphumela emibi okufanele siyiqaphele?
Njenganoma yimuphi umuthi, i-'Abemaciclib' ingaba nemiphumela emibi ethile. Eminye yayo ijwayelekile futhi iyanyamalala ezinsukwini ezimbalwa. Kodwa kunezinto ezithile okudingeka siziqaphele kakhulu. Ake sizibone ngokucacile etafuleni.
| Umphumela Ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ubunzima bokuphefumula, ubuhlungu besifuba | Lokhu kungaba uphawu lokuvuvukala kwamaphaphu. Tshela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. |
| Izinkinga zesibindi (ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu) | Lokhu kungaba izimpawu zokulimala kwesibindi. Tshela udokotela wakho ngokushesha. |
| Ukuphuka okulula, ukopha okungapheli | Kungaba uphawu lwama-platelet aphansi. Yazisa udokotela wakho. |
| Ukuvuvukala kwamalungu, ubuhlungu | Kungase kube nengozi yokuthi igazi lijiye. Funa iseluleko sikadokotela ngokushesha. |
| Ukushaya kwenhliziyo okungavamile, okusheshayo | Kufanele futhi wazise udokotela wakho ngokushesha ngalokhu. |
| Imiphumela emibi evamile, kodwa engemibi kangako | |
| Uhudo | Lokhu kuvame kakhulu. Phuza amanzi amaningi kanye noketshezi. Uma kukubi kakhulu, tshela udokotela wakho. |
| Ukuhlanza, isicanucanu, ubuhlungu besisu | Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla. Uma kuqhubeka, yazisa udokotela wakho. |
| Izilonda zomlomo, ukulahlekelwa yisifiso sokudla | Yidla ukudla okuthambile futhi ugcine umlomo wakho uhlanzekile. Khuluma nodokotela wakho ngalokhu futhi. |
| Ikhanda elibuhlungu, izinhlungu zomzimba, ukukhathala | Lokhu kujwayelekile. Phumula ngokwanele. Uma kukukhathaza, tshela udokotela wakho. |
| Ukulahlekelwa izinwele, ukulunywa kwesikhumba noma ukuqubuka | Lezi futhi yimiphumela emibi elindelekile. Ukulahlekelwa izinwele ngokuvamile kuba okwesikhashana. |
Izingozi ezikhethekile emaphashini
Nakuba lokhu kungavamile kakhulu, umuthi othi `Abemaciclib` utholakale ubangela ukuvuvukala okukhulu kwamaphaphu, noma `Pneumonitis`. Ngakho-ke uma unezimpawu ezifana nobunzima bokuphefumula, ukukhwehlela okusha, noma ubuhlungu besifuba , ungakuthathi njengento "ewumkhuhlane nje." Tshela udokotela wakho ngokushesha. Uma ubona lesi simo kusenesikhathi, singaphathwa kahle.
Umlayezo Wokuya Nawe Ekhaya
- I-Abemaciclib iyindlela yokwelapha ebaluleke kakhulu yomdlavuza webele elawula ukukhula kwamaseli omdlavuza.
- Udokotela wakho onguchwepheshe kuphela onganquma ukuthi lo muthi ukulungele yini futhi aqaphe ukusebenza kwawo. Ungalokothi uwusebenzise ngaphandle kweseluleko sezokwelapha.
- Qaphela imiphumela emibi engaba khona lapho uthatha umuthi. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezinkulu, ikakhulukazi ubunzima bokuphefumula, ubuhlungu besifuba, noma isikhumba esiphuzi.
- Phuza umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele, nangesilinganiso esifanele. Uma uphuthelwa umthamo, ungakhathazeki, kodwa cela udokotela wakho ukuthi akunike inqubo efanele.
- Zizwe ukhululekile ukukhuluma nodokotela wakho ngalokhu kwelashwa, imiphumela emibi, noma yimiphi imibuzo ongase ube nayo. Ngokubambisana, wena nodokotela wakho nizokwenza okungcono kakhulu enhlalakahleni yenu.
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