Okudingeka ukwazi ngama-capsule e-Estramustine

Uma wena noma umuntu oseduze nawe etshelwa ukuthi unomdlavuza wendlala, kuvamile ukuba nemibuzo eminingi mayelana nomuthi owunikezwayo. I-Estramustine umuthi okhethekile osetshenziswa odokotela ezimweni ezinjalo. Kalula nje, umuthi ongoweqembu le-chemotherapy. Usebenza ngokulawula ukukhula kwamaseli omdlavuza. Lo muthi ungase utholakale emakethe ngaphansi kwegama elithi Emcyt. Kodwa igama elinikezwa udokotela wakho libalulekile. Kulesi sihloko, sizokhuluma ngokuningiliziwe ngalo muthi, okungukuthi, ukuthi wenzani, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele.

Ngaphambi kokuqala lo muthi, kufanele nakanjani utshele udokotela wakho ngalezi zinto, akunjalo?

Yebo, ngaphambi kokuba uqale ukusebenzisa i-Estramustine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba abantu abanezifo ezithile badinga ukunakekelwa okukhethekile lapho benikeza lo muthi. Ngakho-ke uma unezinye zalezi zinto, kufanele ubatshele nakanjani:

• Uma unezinkinga zegazi.
• Uma unesifo sikashukela (`(Diabetes Mellitus)`).
• Uma unesifo senhliziyo.
• Uma unesifo, ikakhulukazi isifo segciwane njenge-chickenpox, izilonda zomkhuhlane, noma i-herpes.
• Uma unesifo sezinso.
• Uma une-migraine.
• Uma unesifo sokuwa (ukuxhuzula) njengesithuthwane.
• Uma uke waba nokusabela kokungezwani komzimba ne-estramustine, ama-estrogen, eminye imithi yamakhemikhali, eminye imithi, ukudla, imibala yokwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Uma usho lezi zinto ngokunembile, udokotela wakho angahlela ukwelashwa okukufanele kakhulu.

Ngiyisebenzisa kanjani ngempela le mithi?

Kubaluleke kakhulu ukuthatha lo muthi njengoba nje udokotela wakho ekutshelile, ngoba yileyo ndlela ozothola ngayo okuningi kuwo futhi unciphise imiphumela emibi.

Lokhu kuza ngesimo sama-capsule. Kufanele uwuthathe nengilazi yamanzi. Into ebaluleke kakhulu ukuthatha lo muthi esiswini esingenalutho. Okusho ukuthi, kufanele uwuthathe okungenani ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla. Ungawuthathi nokudla. Ikakhulukazi ungawuthathi nokudla okune-calcium eningi, njengobisi, ushizi, ne-yogurt. Ngoba i-calcium inganciphisa ukumuncwa kwalo muthi emzimbeni.

Thatha umuthi njengoba nje udokotela wakho ekutshela kulebula kadokotela, ngesikhathi esifanele, ngenani elifanele. Ungathathi okungaphezu kwalokho udokotela wakho akutshela ukuthi uphuze, noma uwuthathe kaningi. Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Uma unikeza izingane lo muthi, kufanele ukhulume nodokotela wezingane ngakho. Kungadinga ukunakekelwa okukhethekile.

Uma ngengozi uthatha umuthi omningi kakhulu: Uma lokhu kwenzeka, futhi ucabanga ukuthi uthathe umuthi omningi kunalokho obekucabanga, ungesabi futhi ngokushesha shayela isibhedlela esiseduze negumbi lezimo eziphuthumayo noma isikhungo sokulawula ubuthi ukuze uthole iseluleko.

Khumbula lokhu: Lo muthi ungowakho wedwa. Ungabelani ngemithi yakho nabanye, noma ngabe banesifo esifana nesakho. Akuyona yonke imithi esebenzela wonke umuntu.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, zingakapheli amahora ambalwa, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili. Ukwenza kanjalo kungase kwandise inani lomuthi owuthathayo futhi kubangele imiphumela emibi. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Yebo, kuneminye imithi engabangela izinkinga uma ithathwa nge-estramustine. Ngakho-ke, uma uthatha eminye imithi, kungakhathaliseki ukuthi uyinikwe udokotela noma uyithenge ekhemisi, kubalulekile ukutshela udokotela wakho ngayo yonke.

Ungathathi i-Estramustine kanye nemithi elandelayo:

• I-asidi ye-Nalidixic (`(asidi ye-nalidixic)`)

Futhi, i-Estramustine ingase ihlangane nemithi elandelayo. Ngakho-ke khuluma nodokotela wakho ngaphambi kokuyithatha:

• Izithako ze-calcium (njengoba kushiwo ngaphambili, khumbula ukungaphuzi ubisi nokudla okune-calcium eningi.)
• Imithi ekhulisa inani lamaseli egazi, isibonelo, i-filgrastim, i-pegfilgrastim, i-sargramostim
• Izinhlobo zemithi yokugoma (eminye imithi yokugoma ayihambisani nalo muthi, ngoba amasosha omzimba aphansi)

Okunye, uma uthatha lezi zinhlobo zemithi yokubulala izinhlungu, tshela udokotela wakho ngalokho futhi:

• I-Acetaminophen (evame ukubizwa ngokuthi i-paracetamol)
• I-aspirini (`(i-aspirini)`)
• I-Ibuprofen (`(ibuprofen)`)
• I-Ketoprofen (`(ketoprofen)`)
• I-Naproxen (`(naproxen)`)

Lolu hlu lungase lungahlanganisi konke ukusebenzisana. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imikhiqizo yamakhambi, amavithamini, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye zalezi zinto zingase zihlangane nemithi yakho.

Yini okufanele ngiyiqaphele kakhulu lapho ngithatha lo muthi?

Ngesikhathi uthatha lo muthi, udokotela wakho kuzodingeka akubone njalo (`(ukuhlolwa)`) ukuze ahlole intuthuko yakho. Imithi yokwelapha ngamakhemikhali ayithinti nje kuphela amangqamuzana omdlavuza, kodwa ngezinye izikhathi amangqamuzana anempilo emzimbeni wethu. Ngakho-ke kuyinto evamile ukuthi uzizwe ungakhululekile, ugula, noma ukhathele kunokujwayelekile. Kodwa uma unemiphumela emibi, tshela udokotela wakho. Qhubeka uthatha umuthi njengoba uyalelwe, noma ngabe uzizwa ugula, kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Ngezinye izikhathi, unganikezwa imithi eyengeziwe ukusiza ukulawula imiphumela emibi. Qiniseka ukuthi usebenzisa le mithi njengoba nje kuyalelwe.

Okubalulekile: Uma unomkhuhlane, ukubanda, umphimbo obuhlungu, noma izimpawu zomkhuhlane noma umkhuhlane, shayela udokotela wakho ngokushesha. Ungaziniki imithi. Lo muthi ungase unciphise amandla omzimba wakho okulwa nezifo. Ngakho-ke, zama ukuhlala kude nabantu abagulayo ngangokunokwenzeka. Futhi, qaphela lapho uya ezindaweni ezinabantu abaningi.

Lo muthi ungandisa ingozi yakho yokopha noma ukuklwebheka. Uma ubona noma yikuphi ukopha okungajwayelekile, njengokuphuma kwegazi ekhaleni, ukuphuma kwegazi ezinsinini, ukukhomba amabala abomvu ngaphansi kwesikhumba, umnyama, indle ephuzile, noma igazi emchameni, tshela udokotela wakho ngokushesha.

Qaphela lapho uxubha amazinyo akho, uxubha nge-floss, noma usebenzisa amazinyo okuxubha. Sebenzisa ibhulashi lamazinyo elithambile. Lokhu kungenxa yokuthi ungathola kalula izifo ezibangelwa amagciwane futhi izinsini zakho zingase zophe phakathi nalesi sikhathi. Uma kwenziwa noma yimuphi umsebenzi wamazinyo, tshela udokotela wamazinyo ukuthi uthatha lo muthi.

Ngaphandle kokuthi udokotela wakho akutshele ukuthi uphuze imithi equkethe i-aspirin, i-acetaminophen, i-ibuprofen, i-naproxen, noma i-ketoprofen. Le mithi inganciphisa umkhuhlane wakho, okwenza kube nzima ukubona ukuthi unesifo.

Kubaluleke kakhulu ukuthi ngesikhathi uthatha lo muthiBobabili amadoda nabesifazane kufanele basebenzise izindlela zokuvimbela inzalo ezisebenzayo ukuvimbela ukukhulelwa. Ungakhulelwa ngenkathi uthatha lo muthi. Lokhu kungenxa yokuthi kunethuba lemiphumela emibi enganeni engakazalwa. Buza udokotela wakho noma usokhemisi ukuze uthole ulwazi olwengeziwe. Abesifazane kufanele bagweme ukuncelisa ngenkathi bethatha lo muthi.

Yimiphi imiphumela emibi engingayithola kulo muthi?

Njenganoma yimuphi umuthi, i-estramustine ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kuhle ukuqaphela engaba khona. Eminye yayo kufanele ibikwe kudokotela wakho ngokushesha, kanti eminye kufanele ibikwe kuphela uma iqhubeka noma iba yinkinga.

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho noma umhlinzeki wezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa noma ukuqhuma, ukuvuvukala kobuso, izindebe, noma ulimi
• Izimpawu zokutheleleka - umkhuhlane noma ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu noma ubunzima bokuchama
• Izimpawu zokwehla kwama-platelet noma ukopha - ukubhoboza, ukukhomba amabala abomvu esikhumbeni, umnyama, indle ephuzi, igazi emchameni
• Izinkinga zokuphefumula
• Izinguquko embonweni (`(izinguquko embonweni)`) - umbono ofiphele ngokuzumayo
• Ubuhlungu besifuba (`(ubuhlungu besifuba)`) - Lokhu kungaba uphawu lokuhlaselwa yinhliziyo
• Umfutho wegazi ophezulu (`(umfutho wegazi ophezulu)`)
• Ubuhlungu, ukuvuvukala, ukufudumala emlenzeni - Lokhu kungaba yigazi elijiyile.
• Ukuvuvukala kwamaqakala, izinyawo, izandla (`(ukuvuvukala kwamaqakala, izinyawo, izandla)`)
• Izinkinga ngokulinganisela, ukukhuluma, ukuhamba (`(inkinga ngokulinganisela, ukukhuluma, ukuhamba)`) - ngokuzumayo ukukhuluma kubonakala sengathi kudidekile, ukuhamba kubonakala sengathi kufana nokuhamba
• Ukuhlanza njalo (`(ukuhlanza)`)
• Ukwanda kwesisindo ngokuzumayo
• Ukuphuzi kwamehlo noma isikhumba - Lokhu kungaba yinkinga yesibindi.

Imiphumela emibi okufanele ifunwe iseluleko sezokwelapha uma iqhubeka noma ikhathaza:

Le miphumela emibi ngokuvamile ayidingi ukunakekelwa kwezokwelapha. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Ukukhula noma ubuhlungu bebele kokubili kwabesilisa nabesifazane (`(ukukhula kwebele kokubili kwabesilisa nabesifazane)`)
• Izinguquko esifiso sobulili noma ekusebenzeni (`(ushintsho esifiso sobulili noma ekusebenzeni)`)
• Uhudo
• Isikhumba esomile
• Ukulahlekelwa yisifiso sokudla
• Isicanucanu (ukuzizwa sengathi uhlanza)
• Ukuphazamiseka kwesisu, ukugcwala kwesisu (`(ukuphazamiseka kwesisu)`)
• Inkinga yokulala

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi. Ungabika futhi imiphumela emibi ku-FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Ngingayigcina kanjani imithi yami?

Gcina lo muthi endaweni ephephile, phezulu, kude nezingane.

Lokhu kufanele kugcinwe esiqandisini ezingeni lokushisa eliphakathi kwama-degree Celsius angu-2 no-8 (ama-degree Fahrenheit angu-36 no-46). Ungagcini noma yimuphi umuthi ongasetshenziswanga osudlule usuku lokuphelelwa kwawo yisikhathi, bese uwulahla ngendlela efanele. Ungabuza usokhemisi wakho ngalokhu.

Okunye okufanele ukukhumbule: Lokhu kumane nje kuyisifinyezo salokho esikhulume ngakho. Kungase kungabi nayo yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Bangakuchazela noma yini.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kulokho esikhulume ngakho?

I-Estramustine umuthi we-chemotherapy osetshenziselwa ukwelapha umdlavuza wendlala. Ulawula ukukhula kwamaseli omdlavuza.

• Umuthi kufanele uphuzwe esiswini esingenalutho, ngamanzi. Uphuze ihora elilodwa ngaphambi kokudla noma amahora amabili ngemva kokudla. Ungawuphuzi nobisi noma ukudla okune-calcium eningi.
• Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi osuvele uyisebenzisa, noma yiziphi ezinye izifo onazo, kanye nanoma yikuphi ukungezwani komzimba onakho.
• Qaphela izifo kanye nokopha kwegazi ngenkathi uthatha umuthi. Uma ubona noma yini efana nomkhuhlane, ukuphuka okukhulu, noma ukopha okungavamile, tshela udokotela wakho ngokushesha.
• Bobabili amadoda nabesifazane kufanele basebenzise izindlela zokuvimbela inzalo ezisebenzayo ukuvimbela ukukhulelwa. Ungakhulelwa noma uncelise ngenkathi uthatha lo muthi.
• Imiphumela emibi ingase ivele. Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, noma ukuvuvukala kwemilenze, funa iseluleko sezokwelapha ngokushesha.
• Gcina umuthi esiqandisini, kude nezingane. Lahla umuthi ophelelwe yisikhathi.

Uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho. Bazokusiza. Inhlalakahle yakho iyona nto ebaluleke kakhulu kubo.

I- Estramustine, umdlavuza, umdlavuza we-prostate, i-chemotherapy, i-Emcyt, imithi yomdlavuza, imiphumela emibi