Kunzima ukusho ngamazwi ukwesaba nokushaqeka okuhambisana nokufunda ukuthi unomdlavuza. Kodwa ngokuthuthuka kwezokwelapha zesimanje, manje sekukhona izindlela zokwelapha eziphumelela kakhulu zokulwa nomdlavuza. I-Dostarlimab ingenye yokwelapha okusha nokuthembisayo. Kufana nokusiza ibutho lemizimba yethu, amasosha omzimba, ukuqaphela nokuhlasela amangqamuzana omdlavuza. Namuhla, sizokhuluma nje ngalo muthi wokugomela i-Dostarlimab, ukuthi usebenza kanjani, okufanele uqaphele ngakho, nakho konke okunye.
Uhlobo luni lomuthi i-Dostarlimab?
Kalula nje, i-Dostarlimab umuthi osetshenziselwa ukwelapha izinhlobo ezithile zomdlavuza. Ungowesigaba semithi ebizwa ngokuthi "ama-antibodies e-monoclonal." Wenza umsebenzi omuhle kakhulu. Umsebenzi oyinhloko walo muthi ukutshela amasosha omzimba wethu ukuthi amangqamuzana omdlavuza ayingozi emzimbeni futhi adinga ukubhujiswa. Ngemuva kwalokho amasosha omzimba ethu aqala ukuvimba ukusabalala kwamangqamuzana omdlavuza noma ukuwabhubhisa.
Lo muthi uvame ukutholakala emakethe ngaphansi kwegama elithi `(Jemperli)`. Kodwa khumbula, lo muthi akuwona wonke umuthi womdlavuza. Udokotela wakho kuphela onganquma ukuthi uyafaneleka yini esimweni sakho somdlavuza noma cha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha ophelele ngaphambi kokuqala ukwelashwa nge-Dostarlimab. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Qiniseka ukuthi utshela udokotela wakho uma kukhona okulandelayo okukusebenzelayo.
- Uma uke wafakelwa i-stem cell: Lokhu kusho ukuthi uke waba nama-stem cell avela komunye umuntu (i-allogeneic stem cell transplant).
- Izifo ezizenzakalelayo: Lezi yizimo lapho amasosha omzimba wakho ehlasela khona amangqamuzana akho aphilile. Isibonelo, uma unezifo ezifana nesifo sikaCrohn, i-ulcerative colitis , noma i-lupus.
- Uma uke welashwa ngemisebe endaweni yesifuba.
- Izifo zesimiso sezinzwa: Uma unezifo ezihlobene nezinzwa njenge-Guillain-Barre syndrome noma i-myasthenia gravis.
- Uma uke wafakelwa esinye isitho.
- Ukungezwani komzimba: Uma une-allergy ku-Dostarlimab noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa: Lokhu kubaluleke kakhulu. Ukukhulelwa ngenkathi uthatha lo muthi kungalimaza kakhulu ingane.
- Uma ungumama oncelisayo.
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Dostarlimab iwumjovo ofakwa emthanjeni. Ngakho-ke inikezwa esibhedlela noma emtholampilo ngudokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi.
- Ngaphambi kokuba unikezwe ukwelashwa, uzonikezwa incwajana ekhethekile (i-MedGuide) equkethe ulwazi mayelana nalomuthi. Yifunde ngokucophelela njalo.
- Uma unikeza izingane lo muthi, kufanele uqaphele kakhulu, ngakho khuluma nodokotela wakho ngakho.
Okubalulekile: Lo muthi ungowakho kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa ngaphansi kokuqashwa kwezokwelapha, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo?
Kubaluleke kakhulu ukuthatha imithamo enqunyiwe ngezinsuku ezinqunyiwe ukuze lokhu kwelashwa kuphumelele. Ngakho-ke, qiniseka ukuthi uya ngqo ezinsukwini nezikhathi ezinikezwe udokotela. Uma ngesizathu esithile esiphuthumayo ungakwazi ukuya ngosuku olunqunyiwe, shayela ithimba lakho lezokwelapha ngokushesha bese ubazisa.
Izinto okufanele uziqaphele kakhulu ngesikhathi sokwelashwa
Ithimba lakho lezokwelapha lizokuqapha eduze ngenkathi uthatha lo muthi. Lokhu kungafaka ukuhlolwa kwegazi njalo. Ngaphezu kwalokho, kufanele futhi uqaphele lezi zinto.
- Ukusabela okukhulu kwesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba. Lokhu kungenzeka ngisho namasonto ambalwa ngemva kokuqala umuthi. Uma uhlaselwa ukuqubuka kwesikhumba okubomvu noma okunsomi kanye nomkhuhlane, ubuhlungu bomzimba, bese kuba namaqhubu bese isikhumba siphuma, tshela udokotela wakho ngokushesha. Futhi, uma ubona ukubomvu kwesikhumba kanye nokuvuvukala kobuso, izindebe, noma amaqhubu amancane entanyeni noma emakhwapheni, shayela udokotela wakho ngokushesha.
- Izinguquko zombono: Uma ubona noma yiziphi izinguquko noma ukufiphala embonweni wakho, kubike ngokushesha.
- Ukukhulelwa nokuncelisa: Lokhu kubaluleke kakhulu . Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga ezine ngemuva kokuyeka ukwelashwa . Lokhu kungabangela izinkinga ezinkulu zokuzalwa enganeni yakho. Ngakho-ke, kufanele uqiniseke ukuthi awukhulelwe ngaphambi kokuqala ukwelashwa futhi usebenzise uhlobo olusebenzayo lokuvimbela inzalo phakathi nalesi sikhathi. Futhi, kufanele ugweme ngokuphelele ukuncelisa ingane yakho ngesikhathi sokwelashwa kanye nezinyanga ezine ngemuva kokuyeka ukwelashwa.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-Dostarlimab ingabangela imiphumela emibi. Eminye yayo ingaba mibi futhi kufanele ibikwe ngokushesha. Eminye ayibi kakhulu kangako. Ake siqonde lokhu ngokucacile kusukela kuthebula elingezansi.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ubunzima bokuphefumula | Ukukhwehlela okomile okungachazeki, ubunzima bokuphefumula. |
| Izinkinga zamehlo | Ukubomvu kwamehlo, ubuhlungu, ukudabuka, ukubona okufiphele noma okunciphile. |
| Ukuvuvukala kwemisipha yenhliziyo | Ukukhathala okungajwayelekile, ukuphefumula kanzima, ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuvuvukala kwamaqakala, izinyawo, noma izandla. |
| Izinkinga ngezindlala zama-hormone | Ikhanda elibuhlungu, ukuzwela ukukhanya, ukukhathala okungavamile, isiyezi, ukushaya kwenhliziyo okusheshayo, ukuzwela okukhulu emakhazeni noma ekushiseni, ukujuluka ngokweqile, ukuqunjelwa, ukuqothuka kwezinwele, ukoma ngokweqile, ukuthuthumela. |
| Ukusabela kokumnika | Ubuhlungu esifubeni, ubunzima bokuphefumula, ukuquleka, noma isiyezi. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, umchamo obomvu noma onsundu omnyama, umchamo onegwebu, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle ephuzi, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ukukhathala okungavamile. |
| Izinkinga zesistimu yezinzwa | Ubuhlungu ezithweni zomzimba, ukungazweli, ubuthakathaka, ubuthakathaka bemisipha, ukushintsha kombono, ukudideka, ubunzima bokukhuluma, ubunzima bokuhamba, ukuxhuzula. |
| Ukusabela okukhulu kwesikhumba | Ukuqubuka kwesikhumba, umkhuhlane kanye nokuvuvukala kwesikhumba. Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
| Ubuhlungu obukhulu besisu | Ubuhlungu obukhulu besisu obungazelelwe, uhudo olunegazi, umkhuhlane, isicanucanu, nokuhlanza. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Ubuhlungu bamathambo, amalunga noma imisipha, isifo sohudo, ukukhathala, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuqubuka kwesikhumba okuncane. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, ungesabi ukukhuluma nodokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Dostarlimab iyindlela yokwelapha yesimanje esiza amasosha omzimba wakho ukulwa namaseli omdlavuza.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo.
- Ungaphuthelwa izinsuku zakho zokwelashwa ezihleliwe. Uma ungakwazi ukuya, sazise ngokushesha.
- Hlala uqaphile imiphumela emibi efana nokusabela kwesikhumba okubi, ubunzima bokuphefumula, kanye nobuhlungu besifuba. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa nokuncelisa ngokuphelele ngesikhathi sokwelashwa kanye nezinyanga ezine ngemuva kokuyeka.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Awuwedwa kule mpi.
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