Uma wena noma othile oseduze nawe elashwa umdlavuza, cishe ujwayelene negama elithi 'chemotherapy'. Omunye wemithi ekhethekile esetshenziswa kulokhu kwelashwa ubizwa ngokuthi i-Liposomal Doxorubicin. Uma uzwa ngalo muthi, ungase uzizwe wesaba futhi ukhathazekile. Kodwa uma ufunda kabanzi ngawo, uzobona ukuthi lokho kwesaba akudingekile. Namuhla, sizoxoxa kafushane ngalo muthi, ukuthi wenzani, nakho konke okudingeka ukwazi.
Luhlobo luni lomuthi lolu?
Kalula nje, lo muthi we-chemotherapy obulala amangqamuzana omdlavuza. Usetshenziselwa ukwelapha izinhlobo eziningana zomdlavuza, ikakhulukazi i-Kaposi's sarcoma , i-multiple myeloma , kanye nomdlavuza wesibeletho .
Ibizwa ngokuthi 'i-Liposomal' ngesizathu. Lo muthi wenziwa ngokufaka umuthi obizwa ngokuthi i-doxorubicin ngaphakathi kwama-fat bubble amancane (ama-liposome). Kufana nokugoqa umuthi ephaketheni elincane. Le ndlela isiza umuthi ukuthi uye ngqo lapho kukhona khona amangqamuzana omdlavuza futhi asebenze khona, ngenkathi inciphisa umonakalo kumaseli anempilo. Lo muthi utholakala ngaphansi kwamagama omkhiqizo i-Doxil noma i-Lipodox.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuba unqume ukukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Ngakho-ke qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:
- Mayelana nezinye izinkinga zegazi onazo.
- Uma unesifo senhliziyo .
- Ukutheleleka okukhona, ikakhulukazi izifo ezibangelwa amagciwane njenge-chickenpox kanye ne-herpes.
- Uma unesifo sesibindi .
- Uma usanda kuthola noma okwamanje uthola ukwelashwa ngemisebe .
- Uma une -allergy ku-doxorubicin, eminye imithi yamakhemikhali, ubhontshisi, eminye imithi, ukudla, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ukunikeza lolu lwazi ngokunembile kuzosiza ithimba lezokwelapha ukuthi likwelaphe ngokuphephile nangendlela ephumelelayo.
Lo muthi unikezwa kanjani emzimbeni?
Lo muthi akuyona into ongayithatha uye nayo ekhaya. Unikezwa esibhedlela noma emtholampilo ngudokotela noma abasebenzi abahlengikazi abaqeqeshwe ngokukhethekile ngalokhu.
Isikhathi esiningi lokhuInikezwa njengokufakwa, njenge-saline, emzimbeni ngomthambo . Uma uzwa ubuhlungu, ukuvuvukala, ukubomvu, noma umuzwa ongavamile endaweni yokujova ngenkathi lo muthi unikezwa, tshela udokotela wakho noma umhlengikazi ngokushesha .
Yini okufanele uyenze uma umthamo wemithi ukhuphuka?
Njengoba lokhu kunikezwa ngaphansi kokuqashwa esibhedlela, akukho bungozi obukhulu bokusebenzisa ngokweqile. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, yazisa udokotela wakho ngokushesha. Esimweni esiphuthumayo, ungashayela iNational Poison Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) eseduze.
Kuthiwani uma ngiphuthelwa usuku lokuphuza umuthi?
Kubaluleke kakhulu ukuthatha umthamo ngosuku oluhleliwe lwalolu hlobo lokwelashwa. Uma ngesizathu esithile ungakwazi ukuza ngosuku oluhleliwe, yazisa udokotela wakho noma ikliniki kusenesikhathi bese ucela iseluleko ngosuku olulandelayo oluzayo.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Udinga ukunakekela umzimba wakho kahle ngenkathi uthatha lo muthi.
Isimo sempilo esijwayelekile kanye nokuhlolwa
Ngesikhathi sokwelashwa, udokotela wakho uzoyala ukuhlolwa kwegazi njalo (umsebenzi wegazi) . Lokhu kungasiza ekunqumeni inani lamaseli egazi lakho kanye nokusebenza kwangaphakathi komzimba wakho.
Ngenxa yokuthi i-chemotherapy ithinta namaseli aphilile, ungase uzizwe ungaphilile kahle noma ukhathele. Lokhu kuvamile. Kodwa tshela udokotela wakho nganoma yimiphi imiphumela emibi oyitholayo. Ungayeki ukwelashwa kwakho ngoba uzizwa ungaphilile ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo.
Ushintsho kumbala womchamo
Umchamo wakho ungase uphenduke obomvu-orenji izinsuku ezimbalwa ngemva kokuthatha umuthi. Lokhu akulona igazi, kodwa umphumela omubi womuthi. Ungakhathazeki ngakho. Kodwa-ke, uma umchamo wakho unombala onsundu omnyama noma unombala wekhofi, tshela udokotela wakho.
Amaqiniso abalulekile mayelana nokukhulelwa nokuzala
Lena yingxenye ebaluleke kakhulu.
- Kwabesifazane: Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi kanye nezinyanga eziyisithupha ngemuva kokuyeka ukwelashwa. Uma ukhulelwa phakathi nalesi sikhathi, kungadala umonakalo omkhulu enganeni engakazalwa.
- Kwabesilisa: Gwema ukuba nguyise wengane ngenkathi uthatha lo muthi kanye nezinyanga eziyisithupha ngemuva kokuyeka ukwelashwa.
- Imiphumela ekuzaleni: Lo muthi ungabangela ukwehluleka kwe-ovarian kwabanye besifazane kanye nokwehla kwenani lesidoda kwabesilisa. Lokhu kungathinta ikhono lakho lokuba nabantwana esikhathini esizayo. Uma unenkinga ngalokhu, khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa .
Mayelana ne-Co-Enzyme Q-10
Lo muthi ukhulisa i -Co-Enzyme Q-10 yomzimba.Amazinga angase ehle. Ngakho-ke, xoxa nodokotela wakho mayelana nokudla okuqukethe i-Co-Enzyme Q-10 kanye, uma kudingeka, namavithamini phakathi nalesi sikhathi.
Imiphumela emibi engaba khona kanye nokusebenzisana
Njenganoma yimuphi umuthi, ungabangela imiphumela emibi. Ungaphinde uhlangane neminye imithi oyiphuzayo.
| Okufanele ukunake | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa; ukuvuvukala kobuso, izindebe, ulimi; ubunzima bokuphefumula. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. Izimpawu zokopha: amabala egazi, ukuklwebheka okungahlosiwe, igazi emchameni, kanye nendle emnyama. Amangqamuzana abomvu egazi aphansi: ukukhathala okukhulu, ukuphaphatheka, ukuquleka. |
| Isifo sezinyawo zesandla | Ukuba ndikindiki, ukusha, ukubomvu, ukuvuvukala, isikhumba esixebukayo, noma amabhamuza amancane ezintendeni nasematheni ezinyawo. |
| Ezinye izimpawu ezinkulu | Ubuhlungu besifuba; ukushaya kwenhliziyo okusheshayo noma okungajwayelekile; izilonda emlonyeni; ubuhlungu obukhulu, ukuvuvukala endaweni yomjovo; ukuvuvukala kwamaqakala, izinyawo, noma izandla; ukuhlanza okukhulu. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Uhudo, isicanucanu, ukuphelelwa yisifiso sokudla, ukuphatheka kabi kwesisu, ukulahleka kwezinwele (lokhu kuvame ukubuyela esimweni esijwayelekile ngemva kokwelashwa), kanye nokushintsha kombala wezinzipho. |
| Eminye imithi okungafanele ithathwe nalo muthi futhi engase ihlangane nawo | |
| Imithi okungafanele ithathwe | I-Zidovudine |
| Izidakamizwa ezingase zibangele izingxabano | Imithi yokwandisa inani lamaseli egazi (isib. i-filgrastim, i-pegfilgrastim), imijovo. |
| Buza udokotela ngaphambi kokuthatha. | Iziqeda-buhlungu ezifana ne-acetaminophen, i-aspirin, kanye ne-ibuprofen (lezi zingandisa ingozi yokopha). |
Lolu hlu alubandakanyi konke. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko), uma uphuza utshwala, nokuthi uyabhema yini.
Umlayezo Wokuya Nawe Ekhaya
- I-Liposomal Doxorubicin umuthi onamandla wokulwa nomdlavuza onikezwa esibhedlela ngochwepheshe abaqeqeshiwe.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zakho zezokwelapha ngaphambi kokuqala ukwelashwa.
- Kuvamile ukuzizwa ungakhululekile ngesikhathi sokwelashwa, kodwa gwema ukuyeka ukwelashwa ngaphandle kweseluleko sikadokotela.
- Uma uhlangabezana nemiphumela emibi kakhulu njengobunzima bokuphefumula, ubuhlungu besifuba, ukuvuvukala okukhulu, noma ukusabela okukhulu kokungezwani komzimba, yazisa udokotela wakho noma iyunithi yokwelapha ngokushesha.
- Gwema ukukhulelwa ngesikhathi sokwelashwa kanye nezinyanga eziyisithupha ngemva kwalokho. Lokhu kusebenza kokubili kwabesifazane nabesilisa.
- Uma unenkinga ngokuzala kwakho (ikhono lokuba nabantwana), khuluma nodokotela wakho ngakho ngokukhululekile.
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