Kuvamile ukuzizwa wesaba kancane futhi wethukile uma sizwa igama elithi "chemotherapy". Kodwa uma siqaphela ngokugcwele lokhu kwelashwa kanye nemithi enikezwayo, singakunqoba lokho kwesaba futhi sibhekane nokwelashwa ngesibindi. Namuhla sizokhuluma nge-Doxorubicin, umuthi onamandla kakhulu futhi obaluleke kakhulu obhubhisa amangqamuzana omdlavuza.
Iyini ngempela i-Doxorubicin?
Kalula nje, i-Doxorubicin umuthi we-chemotherapy osiza ekumiseni ukukhula kwamaseli omdlavuza futhi uwabhubhise. Uwuketshezi olubomvu, ngakho abanye abantu bawubiza ngokuthi "uDeveli Obomvu." Kodwa ungesabi lelo gama, ngoba umuthi obaluleke kakhulu olwa nezinhlobo eziningi zomdlavuza.
Ikakhulukazi, isetshenziselwa ukwelapha izimo zomdlavuza ezifana ne-leukemia, i-lymphoma, i-neuroblastoma, i-sarcoma, kanye ne-Wilms' tumor. Ngaphezu kwalokho, lo muthi usetshenziselwa nomdlavuza wesinyi, umdlavuza webele, umdlavuza wamaphaphu, umdlavuza wesibeletho, umdlavuza wesisu, kanye nomdlavuza we-thyroid.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Lokhu kubaluleke kakhulu. Ukuze uphephe futhi uphumelele ekwelashweni kwakho, kubalulekile ukuvuleleka ngokuphelele kudokotela wakho. Ngaphambi kokuqala ukwelashwa, uma unezinye zezimo ezilandelayo, tshela udokotela wakho ngaphandle kokufihla lutho .
- Uma unesifo senhliziyo noma uma kukhona emndenini wakho oke waba naso.
- Uma unamaseli amhlophe egazi aphansi, amaseli abomvu egazi, noma ama-platelet ngenxa yomuthi odlule.
- Uma unesifo sesibindi .
- Uma usanda kuthola noma okwamanje uthola ukwelashwa ngemisebe .
- Uma uke waba nokusabela kokungezwani komzimba ne-doxorubicin noma yimuphi omunye umuthi we-chemotherapy, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, lokhu kubaluleke kakhulu.
Lo muthi unikezwa kanjani emzimbeni?
I-Doxorubicin akuyona imithi ongayithatha ekhaya. Inikezwa esibhedlela noma emtholampilo ngudokotela noma umhlengikazi oqeqeshwe ngokukhethekile kulokhu. Ngokukhethekile, inikezwa emzimbeni kancane kancane ngokufaka umjovo emthanjeni, njenge-saline.
Kubaluleke kakhulu: Uma uzwa ubuhlungu, ukuvuvukala, ukusha , noma yini engavamile endaweni yomjovo noma eduze kwayo ngesikhathi somjovo, shayela udokotela wakho ngokushesha.Tshela udokotela noma umhlengikazi lapho. Ungakufihli lokho.
Umthamo walo muthi unqunywa ngokucophelela odokotela. Uma usola ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha i-National Poison Information Centre e-Colombo National Hospital , noma uye e-ETU (Emergency Treatment Unit) yesibhedlela esiseduze.
Yiziphi izinto okufanele uzicabangele lapho uphathwa?
Ngesikhathi uthatha lo muthi, ungase ubhekane nezinguquko eziningana emzimbeni wakho. Kubaluleke kakhulu ukuzazi.
Ukungakhululeki kanye nemiphumela emibi evamile
Kujwayelekile ukuzizwa ungakhululekile noma ukhathele ngesikhathi sokwelashwa ngamakhemikhali. Lokhu kungenxa yokuthi umuthi awuthinti nje kuphela amangqamuzana omdlavuza, kodwa namaseli anempilo ahlukana ngokushesha. Ngisho noma uzizwa ungakhululekile, ungayeki ukwelashwa kuze kube yilapho udokotela wakho ekutshelile. Tshela udokotela wakho nganoma yimiphi imiphumela emibi.
Umkhawulo wokuphila konke
Lokhu kukhethekile kancane. Kunomkhawulo wenani le-Doxorubicin umuntu angalithola empilweni yakhe yonke. Udokotela uzonquma inani ngokusekelwe esimweni sakho sempilo futhi agcine irekhodi lalo. Uma uke wathatha lo muthi ngaphambili, kufanele futhi utshele udokotela .
Ushintsho kumbala womchamo
Lokhu kuyinto abantu abaningi abayesabayo, kodwa akukho okufanele uyesabe. Umchamo wakho ungase ube bomvu usuku olulodwa noma ezimbili ngemva kokuthatha umuthi. Lokhu akulona igazi, umbala womuthi. Lokhu kuvamile. Kodwa-ke, uma umchamo wakho uba nsundu ngokumnyama, tshela udokotela wakho ngakho.
Ingozi yokutheleleka nokopha
I-Doxorubicin inganciphisa inani lamaseli amhlophe egazi, amaseli abomvu egazi, nama-platelet egazini lakho.
- Uma amangqamuzana amhlophe egazi ehla, ikhono lomzimba lokulwa nezifo (amasosha omzimba) liyancipha. Ngakho-ke, zama ukuhlala kude nabantu abagulayo phakathi nalesi sikhathi. Yehlisa ukuya ezindaweni ezinabantu abaningi. Uma uzwa izimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu, ungaziphilisi bese ushayela udokotela wakho ucingo ngokushesha .
- Uma ama-platelet ephansi, ikhono legazi lokujiya liyancipha. Ngakho-ke, ngisho nokusikeka okuncane kungalimaza noma kophe kalula. Uma izinsini zakho zopha igazi uma uxubha amazinyo akho, uma unamabala amancane abomvu esikhumbeni sakho, noma uma wopha ngendlela engavamile, tshela udokotela wakho .
Ukukhulelwa Nokuzala
Lolu udaba olubaluleke kakhulu.
Bobabili abesifazane nabesilisa kufanele bagweme ukuthatha lo muthi ngenkathi bewuthatha futhi okungenani izinyanga eziyisithupha ngemva kokuyeka ukwelashwa.Kufanele ugweme ngokuphelele ukuba nabantwana. Uma ukhulelwa phakathi nalesi sikhathi, kungaba yingozi kakhulu enganeni esibelethweni. Ngakho-ke khuluma nodokotela wakho ngendlela yokuvimbela inzalo ephephile.
Futhi, lo muthi ungabangela ukwehluleka kwe-ovarian kwabanye besifazane kanye nokwehla kwenani lesidoda kwabesilisa. Lokhu kungathinta ikhono lakho lokuba nabantwana esikhathini esizayo. Uma unemibuzo ngalokhu noma unethemba lokuba nabantwana, khuluma nodokotela wakho ngalokhu ngaphambi kokuqala ukwelashwa .
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Doxorubicin ingaba nemiphumela emibi. Akuwona wonke umuntu oyitholayo. Kodwa kubalulekile ukuqaphela. Ake siyihlukanise ngezigaba ezimbili.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, umuzwa wokuqina esifubeni. |
| Ubuhlungu besifuba, izinguquko ekushayweni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Ukopha okungavamile | Ukudumba, amabala amancane abomvu esikhumbeni, indle emnyama, kanye negazi emchameni. |
| Ezinye izimpawu ezinkulu | Ukuvuvukala kwamaqakala, izinyawo, izandla, ukukhathala okukhulu, ubuthakathaka bomzimba. |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, isicanucanu, ukuhlanza. |
| Izilonda zomlomo | Izilonda ezibuhlungu emlonyeni nasezindebeni. |
| Ukulahlekelwa izinwele | Ukulahlekelwa izinwele, amashiya, kanye nezinkophe (lokhu kungokwesikhashana futhi kuzokhula futhi ngemva kokumiswa kokwelashwa). |
| Izinguquko ezinzipikili | Ukushintsha kombala wezinzipho noma umonakalo. |
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo. I-Doxorubicin umuthi ongasebenzisana neminye imithi. Isibonelo, ingabangela izinkinga ngemithi efana ne-`(6-mercaptopurine)`, `(paclitaxel)`, `(phenytoin)`, `(St. John's Wort)`, `(trastuzumab)` kanye ne-`(verapamil)`.
Lolu hlu aluphelele. Ngakho-ke , qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo , hhayi nje leyo oyinikezwe udokotela wakho, kodwa nanoma yimaphi amavithamini, amakhambi, imithi yendabuko, kanye nezithasiselo ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Umlayezo Wokuya Nawe Ekhaya
- I-Doxorubicin iwumuthi we-chemotherapy onamandla futhi obalulekile olwa nomdlavuza. Inikezwa esibhedlela kuphela.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo.
- Uma uzwa ubuhlungu noma ukuvuvukala endaweni yokujova, yazisa abasebenzi bezokwelapha ngokushesha.
- Kujwayelekile ukuthi umchamo wakho ube bomvu izinsuku ezimbalwa ngemuva kokuthatha umuthi, kodwa qaphela izimpawu ezifana nomkhuhlane kanye nokopha okungavamile.
- Gwema ukukhulelwa ngokuphelele ngesikhathi sokwelashwa kanye nezinyanga eziyisithupha ngemva kokuyeka.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka ongase ube nakho. Awuwedwa, futhi kunethimba lezokwelapha elizokusiza.
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