Siyazi ukuthi ukuthola ukwelashwa komdlavuza akulula. Kuvamile ukuba nemibuzo eminingi kanye nokwesaba okuthile, ikakhulukazi uma udokotela wakho eqala ukusebenzisa umuthi omusha. Namuhla sikhuluma ngephilisi i-Decitabine ne-Cedazuridine (igama lomkhiqizo: INQOVI), elisetshenziselwa ukwelapha isimo somdlavuza esinjalo. Ake sibheke ukuthi uyini lo muthi, ukuthi usetshenziswa kanjani ngempela, nokuthi yini okudingeka siyiqaphele kakhulu.
Uyini ngempela lo muthi?
Kalula nje, umuthi we-chemotherapy. Usetshenziswa kakhulu ukwelapha isimo esibizwa ngokuthi i-Myelodysplastic Syndromes (MDS) . Lesi yisifo esenzeka emnkantsheni wethu wamathambo. Lesi simo sivimbela umzimba ekukhiqizeni amangqamuzana egazi anempilo (amangqamuzana abomvu, amangqamuzana amhlophe, nama-platelet). I-Decitabine ne-Cedazuridine zisebenza ndawonye ukulawula ukukhula kwamangqamuzana angajwayelekile futhi zisize ekukhiqizeni amangqamuzana egazi anempilo.
Udokotela wakho angase futhi akunike lo muthi kwezinye izimo zezokwelapha, ngakho-ke uma unemibuzo, buza udokotela wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ubatshela ngalokhu okulandelayo:
- Ukungezwani komzimba: Sitshele uma une-allergy kule mithi (i-Decitabine, i-Cedazuridine), eminye imithi, ukudla, amadayi athile, noma izithasiselo.
- Isifo sezinso noma sesibindi: Uma unesifo sezinso noma sesibindi, sicela usazise.
- Ukutheleleka Kwamanje: Uma okwamanje unezifo, isibonelo, i-chickenpox, ukutheleleka ngegciwane njenge-herpes, umkhuhlane, noma ukukhwehlela, sicela usitshele ngazo.
- Ukukhulelwa nokuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele nakanjani utshele udokotela wakho.
Ungayisebenzisa kanjani le philisi ngendlela efanele?
Ukuthatha imithi njengoba nje udokotela emyalile nangesikhathi esifanele kubaluleke kakhulu empumelelweni yokwelashwa.
- Gcwalisa ingilazi yamanzi bese uphuza leli philisi kanye nalo.
- Kubaluleke kakhulu: Ungaliphuli, ulichoboze, noma ulihlafune iphilisi. Gwinya iphilisi lonke.
- Lomuthi kufanele uthathwe esiswini esingenalutho . Okusho ukuthi, kufanele uthathwe emahoreni ama-2 ngaphambi noma emahoreni ama-2 ngemva kokudla. Ungawuthathi kanye nokudla.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo owunikeziwe ngaphandle kweseluleko sikadokotela wakho.
- Lo muthi unikezwa izingane kuphela ngaphansi kokuqashwa okukhethekile kwezokwelapha.
Isexwayiso: Lo muthi unikezwe wena kuphela. Ungabelani ngomuthi wakho nanoma ubani omunye nganoma yisiphi isizathu.
Ukweqisa umthamo
Uma ucabanga ukuthi usuthathe lo muthi omningi kunalokho okuyalelwe, ungesabi futhi ngokushesha xhumana ne-National Poisons Information Centre e-Colombo National Hospital. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Uma kungumthamo owodwa ngosuku, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kungaphansi kwamahora ayi-12 ngaphambi komthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo olandelayo ngesikhathi esijwayelekile. Uma uhlanza ngemva kokuthatha umuthi, yeqa lowo mthamo bese uthatha umthamo olandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili. Uma weqa umthamo, kungcono ukwazisa udokotela wakho.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
Udinga ukunakekela umzimba wakho kahle ngenkathi uthatha lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Udokotela wakho kuzodingeka akubone njalo. Uzophinde akuyalele ukuhlolwa kwegazi njalo ukuze ahlole inani legazi lakho. Lokhu kuzosiza ukubona ukuthi ukwelashwa kuyasebenza yini nokuthi kukhona yini imiphumela emibi.
- Isexwayiso esiqinile sokukhulelwa:
- Kwabesifazane: Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi futhi okungenani izinyanga eziyisithupha ngemva kokuyeka umuthi. Uma uhlela ukukhulelwa noma usola ukuthi kungenzeka ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha.
- Kwabesilisa: Amadoda kufanele agweme ukuba nguyise wengane ngenkathi ethatha lo muthi futhi okungenani izinyanga ezintathu ngemva kokuyeka umuthi.
- Isizathu: Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa.
- Ukuncelisa: Gwema ukuncelisa ingane yakho ngenkathi uthatha lo muthi kanye namasonto amabili ngemva kokuyeka.
- Ukuzala: Lo muthi ungathinta ikhono lakho lokukhulelwa. Uma unenkinga ngalokhu, khuluma nodokotela wakho.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye iyingozi, eminye ivamile. Into ebaluleke kakhulu ukuqaphela lezi zimpawu bese wazisa udokotela wakho ngokushesha okukhulu uma kudingeka.
| Uhlobo lomphumela ongemuhle | Izimpawu ongase uzibone |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izibalo zegazi eziphansi | Lo muthi ungabangela ukwehla kwamangqamuzana amhlophe egazi, amangqamuzana abomvu egazi, nama-platelet, okwandisa ingozi yokutheleleka nokopha. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Izimpawu zokuphuma kwegazi | Ukuphuka okungachazeki, amabala amancane abomvu esikhumbeni, indle emnyama, kanye negazi emchameni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, ukuhlanza, uhudo, ukuqunjelwa, ukulahlekelwa yisifiso sokudla. |
| Ukungakhululeki ngokomzimba okuvamile | Ikhanda elibuhlungu, isiyezi, ubuhlungu bomzimba kanye namalunga, ukukhathala okukhulu, ukukhwehlela. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, tshela udokotela wakho ngazo.
Uwugcina kanjani lo muthi uphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa ephakathi kuka-20 no-25 degrees Celsius (20-25 °C).
- Gcina umuthi ebhodleleni noma ephaketheni lokuqala owafika kulo.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Cela iseluleko kudokotela wakho mayelana nendlela yokulahla imithi ephelelwe yisikhathi noma engafuneki ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Decitabine ne-Cedazuridine yimithi enamandla ye-chemotherapy esetshenziselwa ukwelapha izimo zomdlavuza ezifana ne-Myelodysplastic Syndromes (MDS).
- Gwinya leli philisi lonke, ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna. Lithathe njalo esiswini esingenalutho.
- Tshela udokotela wakho ngayo yonke imithi, amavithamini, imithi yendabuko, kanye nazo zonke izimo zakho zezokwelapha.
- Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi futhi isikhathi esithile ngemva kokuwuyeka. Lokhu kusebenza kokubili kwabesifazane nabesilisa.
- Uma uba nomkhuhlane, ukuqubuka, noma ezinye izimpawu zokutheleleka, yazisa udokotela wakho ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi uwunike abanye. Khuluma nodokotela wakho uma unezinkinga.
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