Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho wena noma othandekayo wakho nizoqala ukwelashwa ngamakhemikhali. Kodwa ukuba nolwazi oluphelele ngokwelashwa kanye nemithi kuyindlela engcono kakhulu yokunqoba lokho kwesaba. Namuhla sikhuluma ngesidakamizwa esikhethekile samakhemikhali, i-Busulfan. Lona umuthi ovame ukunikezwa ukulungiselela iziguli ukwelashwa okukhulu, njengokufakelwa iseli le-stem, ikakhulukazi iziguli ezine-leukemia ezifana ne-Chronic Myelogenous Leukemia (CML).
Kalula nje, iyini iBusulfan?
I-Busulfan iyisidakamizwa esinamandla kakhulu se-chemotherapy. Umsebenzi wayo oyinhloko ukubhubhisa amangqamuzana omdlavuza. Ikakhulukazi ngaphambi kokufakelwa umnkantsha wamathambo, lo muthi ususa amangqamuzana omonkantsha wamathambo agulayo noma anomdlavuza emzimbeni futhi wenze indawo yokuthi kufakwe amangqamuzana amasha aphilile.
Lo muthi awusiwo iphilisi ongalithatha ekhaya. Ungumjovo onikezwa ngemithambo yegazi, njenge-saline (i-infusion). Futhi unikezwa esibhedlela noma emtholampilo kuphela ngabasebenzi bezokwelapha abaqeqeshwe ngokukhethekile. Ngakho khumbula ukuthi usezandleni eziphephile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala ukwelashwa kwe-Busulfan, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele sempilo yakho. Lolu lwazi luzosiza ekunqumeni ukwelashwa okungcono kakhulu nokuphephile kuwe. Uma kukhona okulandelayo okusebenzayo kuwe, qiniseka ukuthi utshela udokotela wakho.
| Isimo okudingeka usibike | Incazelo |
|---|---|
| Ukukhulelwa noma ukuncelisa | Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma usola ukuthi ukhulelwe. Futhi, tshela udokotela wakho uma uncelisa. |
| Ukungezwani komzimba | Sitshele uma une-allergies ku-Busulfan noma kunoma yimuphi omunye umuthi we-chemotherapy, noma yimuphi omunye umuthi, ukudla, noma udayi. |
| Ukulimala ekhanda noma ukuxhuzula | Uma uke waba nokulimala okukhulu ekhanda noma unomlando wokuquleka. |
| Izifo ezikhona | Uma okwamanje unesifo (ikakhulukazi izifo ezibangelwa amagciwane njenge-chickenpox noma i-herpes). |
| Izifo zesibindi noma zamaphaphu | Uma unesifo sesibindi, amaphaphu noma izifo zokuphefumula ezifana ne-asthma. |
| Izinkinga zegazi | Uma unenani eliphansi lamaseli abomvu egazi, amaseli amhlophe egazi, noma ama-platelet egazini lakho, noma uma unesimo esifana ne-thalassemia. |
| Ukwelashwa ngemisebe | Uma usanda kuthola noma okwamanje uthola ukwelashwa ngemisebe. |
Izinto okufanele uziqaphele kakhulu ngesikhathi sokwelashwa
Umzimba wakho ungase uziphathe ngendlela ehlukile kancane ngenkathi uthatha lo muthi, futhi kubalulekile ukuqaphela lokho.
Qaphela kakhulu ngezifo ezithathelwanayo.
I-Busulfan inganciphisa inani lamaseli amhlophe egazi emzimbeni wakho alwa nezifo. Lokhu kusho ukuthi unamathuba amaningi okuthola izifo kalula.
- Gwema abantu abanezimpawu ezifana nomkhuhlane, umkhuhlane, izinhlungu zomzimba kanye nomphimbo obuhlungu ngangokunokwenzeka.
- Uma uzizwa sengathi unemfiva, ukubanda, ukukhwehlela, noma umphimbo obuhlungu, ungaziniki imithi futhi wazise udokotela wakho noma isibhedlela lapho welashwa khona ngokushesha.
Qaphela ukopha kanye nokubhoboka.
Lo muthi unganciphisa inani lama-platelet asiza ukujiya kwegazi. Ngakho-ke,
- Bheka ukuthi uphuka kalula yini kunokujwayelekile.
- Qaphela izinsini eziphuma igazi, ukuphuma kwegazi ekhaleni, igazi emchameni, kanye nendle emnyama.
- Uma ubona into efana nale, tshela udokotela wakho ngokushesha.
Ukukhulelwa Nokuzala
Lolu udaba lubaluleke kakhulu. Sicela ulunake ngokukhethekile.
Kwabesifazane: Kubalulekile ukugwema ngokuphelele ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga eziyisithupha ngemuva kokuyeka ukwelashwa. Kunengozi enkulu yokulimala okukhulu enganeni engakazalwa.
Kwabesilisa: Kufanele ugweme ukuba nguyise wengane ngenkathi uthatha lo muthi futhi izinyanga ezi-3 ngemuva kokuyeka ukwelashwa.
Ungancelisi ingane ngenkathi uthatha lo muthi nganoma yisiphi isizathu. Futhi, lokhu kwelashwa kungaba nomthelela ekhonweni lakho lokuthola abantwana esikhathini esizayo. Uma unenkinga noma ukwesaba ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi onamandla, iBusulfan ingaba nemiphumela emibi. Eminye yale miphumela kufanele ibikwe ngokushesha, kanti eminye ayibi kakhulu. Ake siyichaze.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ubuhlungu besifuba. |
| Ukuquleka | Ukuquleka okungazelelwe. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, ubuhlungu engxenyeni engenhla kwesokudla yesisu, isicanucanu, ukulahlekelwa yisifiso sokudla. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Izimpawu zokutheleleka: umkhuhlane, ukubanda, umphimbo obuhlungu. Izimpawu zokopha: ukuphuka okungavamile, amabala abomvu ngaphansi kwesikhumba, indle emnyama. Izimpawu ze-anemia: ukukhathala okukhulu, ukuphaphatheka, ukuquleka. |
| Ubuhlungu obukhulu besisu noma ukuhlanza | Ubuhlungu obukhulu besisu noma ukuhlanza okungenakunqandwa. |
| Izinto ezivame ukungabi yingozi, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
|---|---|
| Uhudo | Isisu esibuhlungu |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu ngezikhathi ezithile |
| Ukukhathazeka | Ukuzizwa ukhathazekile, ungahlaliseki |
| Izilonda zomlomo | Izilonda ezibuhlungu emlonyeni noma ezindebeni |
| Ukungalali | Ubunzima bokulala ebusuku |
Izinkinga ezingaba khona ngeminye imithi
Eminye imithi oyithathayo ingase ihlangane ne-Busulfan. Ngakho-ke, yonke imithi oyithathayo kufanele iqashwe ngokucophelela.Tshela udokotela wakho ngemithi yakho. Lokhu akusho nje kuphela imithi oyinikezwe udokotela wakho, kodwa futhi nanoma yimiphi imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela (isib. i-acetaminophen), amavithamini, imithi yezitshalo noma ye-Ayurvedic/Sinhala, kanye nezithasiselo zokudla. Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi elandelayo oyithathayo:
- `I-Acetaminophen` (njengePanadol)
- `Itraconazole` (isidakamizwa sokulwa nezifo)
- `I-Metronidazole`
- I-Phenytoin (umuthi wokuquleka)
- Imithi yokugoma ephilayo
Mayelana nomthamo wemithi
Njengoba lo muthi unikezwa esibhedlela, uma ungakwazi ukuthola ukwelashwa ngosuku oluhleliwe, sicela ushayele udokotela wakho ngokushesha bese umazisa. Ungayeki noma ushintshe ukwelashwa ngokungenasizathu nganoma yisiphi isizathu. Uma usola ukuthi uphuze ngokweqile, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Busulfan umuthi onamandla we-chemotherapy onikezwa ngaphambi kokufakelwa umnkantsha. Unikezwa esibhedlela ngabasebenzi abaqeqeshiwe.
- Qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo ngaphambi kokwelashwa.
- Ngesikhathi sokwelashwa, qaphela izimpawu zokutheleleka (umkhuhlane, ukukhwehlela) kanye nezimpawu zokopha (ukuphuka okungavamile, indle emnyama). Uma kukhona okusolayo, tshela udokotela wakho ngokushesha.
- Kubaluleke kakhulu: Abesifazane kufanele bagweme ngokuphelele ukukhulelwa kwezingane izinyanga eziyisithupha ngemva kokwelashwa, kanye nabesilisa izinyanga ezintathu.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka ongase ube nakho. Khumbula ukuthi awuwedwa.
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