Ingabe wena noma othile omaziyo utshelwe udokotela wakho ukuthi aqale ukuthatha umuthi obizwa ngokuthi iCobimetinib? Kungenzeka ukuthi uzizwe wesaba futhi ungajwayelekile lapho uzwa leli gama. Lokho empeleni kuyinto evamile. Akumangazi ukuthi uzizwa ngaleyo ndlela ngomuthi onegama elisha, ongalijwayele. Ngakho ungesabi. Namuhla, sizoxoxa ngokuthi lo muthi uyini, wenzani, nokuthi yini okudingeka uyiqaphele lapho uwusebenzisa, ngendlela elula ongayiqonda.
Kuyini i-Cobimetinib?
Kalula nje, i-Cobimetinib umuthi okhethekile ovimba ukukhula kwamaseli omdlavuza. Ivame ukusetshenziswa kakhulu ukwelapha uhlobo lomdlavuza wesikhumba olubizwa ngokuthi i-melanoma .
Okukhethekile ngalokhu ukuthi "kuyindlela yokwelapha eqondiwe." Lokho kusho ukuthi umuthi awuthinti nje wonke amaseli emzimbeni. Kunalokho, uhlose amaprotheni athile asiza amangqamuzana omdlavuza ukuba akhule futhi awavimbele ekwenzeni kanjalo. Ngamanye amazwi, njengokuzama ukuvula umnyango ngokhiye ongalungile, lo muthi uphazamisa inqubo yokukhula kwamangqamuzana omdlavuza. Lo muthi uyatholakala futhi emakethe ngaphansi kwegama elithi Cotellic .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka abe nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
- Izifo zamehlo noma ukukhubazeka kokubona: Uma unesifo samehlo noma ushintsho lokubona.
- Isifo senhliziyo: Uma unesifo senhliziyo.
- Ingozi yokopha: Uma unesifo sokopha noma uma wopha njalo.
- Isifo sesibindi: Uma unesifo sesibindi.
- Ubuhlungu noma ubuthakathaka bemisipha: Uma uvame ukuba nobuhlungu noma ubuthakathaka bemisipha.
- Izimo zesikhumba noma ukuzwela kwesikhumba: Uma unezinkinga zesikhumba noma isikhumba sakho sibucayi.
- Ukungezwani komzimba: Uma une-allergies kulo muthi we-Cobimetinib, eminye imithi, ukudla, noma udayi.
- Ukukhulelwa: Lokhu kubaluleke kakhulu uma ukhulelwe , uzama ukukhulelwa , noma usola ukuthi ukhulelwe .
- Ukuncelisa: Uma ungumama oncelisa ingane yakho.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Indlela osebenzisa ngayo lo muthi ibaluleke kakhulu. Kufanele uwulandele njengoba nje udokotela ekutshelile.
- Phuza leli philisi nengilazi yamanzi.
- Ungayithatha ngaphambi noma ngemva kokudla, kodwa uma uzwa ubuhlungu besisu, kungcono ukuyithatha kanye nokudla.
- Kubaluleke kakhulu: Ungalokothi uthathe lo muthi kanye nejusi yamagilebhisi. Kungathinta kabi indlela umuthi osebenza ngayo.
- Thatha umuthi ngesikhathi esinqunyiwe kanye nezikhawu ezinqunyiwe. Ungathathi ngaphezu kwenani elinqunyiwe.
- Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, noma uma uhlanza ngemva kokuthatha umthamo, ungalithathi elinye iphilisi ngaleso sikhathi. Thatha iphilisi elilandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane ne-Cobimetinib. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi yamakhambi). Qaphela kakhulu okulandelayo:
- Imithi yokutheleleka kwesikhunta: Isibonelo, `(ketoconazole)` kanye `(itraconazole)`.
- Imithi yokuquleka/ ukuquleka : Isibonelo `(carbamazepine)`, `(phenobarbital)`, `(phenytoin)`.
- Amanye ama-antibiotic: njenge-`(ciprofloxacin)`, `(erythromycin)`.
- Eminye imithi: njenge-`(efavirenz)`, `(rifampin)`.
- Imikhiqizo yamakhambi: Umkhiqizo wamakhambi obizwa ngokuthi i-St. John's Wort .
- Ijusi le-grapefruit .
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
Udinga ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
Ukuhlolwa njalo kwezokwelapha
Udokotela uzokutshela ukuthi uze emtholampilo njalo. Uzophinde akuyalele ukuhlolwa kwegazi ukuze kuqashwe inqubekela phambili yokwelashwa. Ungazishiyi lezi zinto.
Ukuvikelwa kwelanga
Leli iphuzu elibaluleke kakhulu. Uma uthatha lo muthi, isikhumba sakho singase sizwele elangeni (photosensitivity) . Cabanga, noma ngabe uphuma elangeni njengenjwayelo, ngemva kwesikhashana isikhumba sakho singase sibe bomvu, sizizwe sengathi siyasha, futhi sibe namabala. Ngakho-ke:
- Gwema ilanga elinamandla ngangokunokwenzeka.
- Uma uphuma elangeni, gqoka izingubo ezimboza umzimba wakho kahle.
- Qiniseka ukuthi usebenzisa i-sunscreen .
- Ungasebenzisi izibani zelanga noma imibhede yokushiswa kwesikhumba.
Ukukhulelwa nokuncelisa
Lokhu kuyinto okufanele uyikhumbule futhi.
Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye namasonto amabili ngemva kokuyeka umuthi. Kungabangela umonakalo omkhulu enganeni engakazalwa. Khuluma nodokotela wakho uma uhlela ukukhulelwa.
Futhi, ungamncelisi umntwana wakho ibele ngenkathi uthatha lo muthi futhi amasonto amabili ngemva kokuyeka.
Imiphumela emibi okufanele uyiqaphele
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye idinga ukunakekelwa okusheshayo, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo kanye nendlela yokunaka |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Izinguquko zesikhumba | Isikhumba siyaqhuma, siyaxebuka, sinezibazi ezinkulu. |
| Izinguquko zombono | Umbono ofiphele, amabala phambi kwamehlo, njll. |
| Ukushaya kwenhliziyo okusheshayo/ubunzima bokuphefumula | Ukuzwa ukushaya kwenhliziyo okusheshayo, ukuqina kwesifuba, nokuphelelwa umoya. |
| Izimpawu zokuphuma kwegazi | Igazi elisendle noma endle emnyama, umchamo obomvu noma onsundu omnyama, ukuhlanza into efana nekhofi eligayiwe, amabala abomvu esikhumbeni, ukuphuma kwegazi okungavamile ekhaleni noma ezinsinini. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, kanye nokuzizwa ukhathele. |
| Izimpawu zokulimala kwemisipha | Umchamo omnyama, ubunzima bokuchama, ubuhlungu obukhulu emisipheni, kanye nomuzwa wobuthakathaka. |
| Ukuvuvukala komzimba | Ukuvuvukala ezindaweni ezinjengamaqakala, izinyawo, kanye nezandla. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Uhudo | Ukuqunjelwa. |
| Imfiva | Ukushisa komzimba. |
Umlayezo Wokuya Nawe Ekhaya
- I-Cobimetinib iyindlela yokwelapha eqondiswe ku-melanoma, umdlavuza wesikhumba.
- Gwema ukuphuza ijusi yamagilebhisi ngokuphelele ngenkathi uthatha lo muthi.
- Tshela udokotela wakho ngayo yonke eminye imithi (kufaka phakathi amavithamini nemikhiqizo yamakhambi) oyithathayo.
- Zivikele elangeni ngenkathi uthatha umuthi. Ukusebenzisa i-sunscreen kuyinto ebalulekile.
- Gwema ukukhulelwa ngenkathi uthatha iphilisi kanye namasonto amabili ngemva kokuyeka. Lokhu kubaluleke kakhulu.
- Uma ubona noma yimiphi imiphumela emibi efana nokushintsha kombono, izinguquko ezinkulu zesikhumba, ubunzima bokuphefumula, noma ukopha okungavamile, yazisa udokotela wakho ngokushesha.
- Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma nodokotela wakho ngakho.
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