Ukwelashwa komdlavuza kungaba yinto eyesabekayo futhi ejabulisayo ngezinye izikhathi. Uma udokotela wakho ekutshela ukuthi uzoqala umuthi omusha, kuyinto evamile ukuba nemibuzo eminingi ngawo. Ngakho-ke, uma unikezwe umuthi obizwa ngokuthi i-Fludarabine, ake sixoxe ngawo ngendlela elula nenobungane namuhla. Ngithemba ukuthi lokhu kuphendula imibuzo yakho eminingi.
Iyini i-Fludarabine?
Kalula nje, i-fludarabine uhlobo lomuthi we-chemotherapy . Okusho ukuthi, umuthi osiza ukubhubhisa amangqamuzana omdlavuza ngokuphazamisa ukukhula kwawo. Usetshenziswa ngqo ukwelapha uhlobo lomdlavuza wegazi olubizwa ngokuthi i-chronic lymphocytic leukemia (CLL). Okusho ukuthi, lo muthi uhlose amangqamuzana omdlavuza futhi uwavimbele ekuhlukaneni nasekukhuleni kwawo.
Ngezinye izikhathi odokotela bangasebenzisa lo muthi kwezinye izinhlobo zomdlavuza, ngakho-ke uma unemibuzo ngalokhu, buza udokotela wakho. Lo muthi uyatholakala futhi emakethe ngaphansi kwegama elithi Fludara.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala ukwelashwa nge-fludarabine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yempilo yakho. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezingezansi.
- Isimo sokutheleleka njengamanje: Ikakhulukazi uma unezifo ezibangelwa amagciwane njenge-chickenpox noma i-herpes.
- Isifo sezinso: Uma unezinkinga zezinso.
- Izinkinga zegazi: Uma uke watholakala unenani eliphansi lamaseli abomvu egazi, amaseli amhlophe egazi, noma ama-platelet.
- Ukungezwani komzimba: Uma une-allergy ku-fludarabine, eminye imithi ye-chemotherapy, eminye imithi, ukudla, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa: Lokhu kubaluleke kakhulu.
- Uma ungumama oncelisayo.
Ngokunikeza udokotela wakho lolu lwazi, uzokwazi ukukwelapha ngokuphephile nangendlela ephumelelayo.
Uyisebenzisa kanjani le mithi?
Lo muthi awuyona into ongayisebenzisa ekhaya. I-Fludarabine umuthi onikezwa njengokufakwa (njengosawoti) emthanjeni . Unikezwa esibhedlela noma emtholampilo nguchwepheshe wezempilo oqeqeshwe ngokukhethekile ngale njongo. Ngakho-ke awunalutho okufanele ukhathazeke ngalo.
Uma unikeza izingane lo muthi, kudingeka ukunakekelwa okukhethekile. Kufanele ukhulume nodokotela wezingane ngakho.
Qaphela: Uma nganoma yisiphi isizathu ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye. Uma uphuthelwa umthamo ngosuku lwakho oluhleliwe, shayela udokotela wakho ngokushesha.
Ukusebenzisana neminye imithi
Uma uthatha i-fludarabine, kufanele uqaphele neminye imithi oyithathayo. Eminye imithi ingase ihlangane nayo.
| Uhlobo lwesidakamizwa | Incazelo |
|---|---|
| Ungalokothi uthathe lo muthi | |
| I-Pentostatin | Lona omunye umuthi we-chemotherapy. Ukuthatha lokhu kokubili ndawonye kungaba nemiphumela emibi kakhulu. |
| Tshela udokotela wakho uma uthatha lezi zidakamizwa. | |
| Imithi ethuthukisa amangqamuzana egazi | Izibonelo: filgrastim, pegfilgrastim, sargramostim |
| Imigomo | Akukhuthazwa ukuthola izinhlobo ezithile zokugoma ngesikhathi sokwelashwa. |
| Izinhlungu ezivamile | Imithi efana ne-acetaminophen (paracetamol), i-aspirin, i-ibuprofen, ne-naproxen. |
Lolu hlu aluphelele. Ngakho-ke uthathaTshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo). Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Kuvamile ukuzizwa ungakhululekile futhi ukhathele ngenkathi uthatha i-chemotherapy. Lokhu kungenxa yokuthi imithi ithinta amangqamuzana omdlavuza kanye namaseli anempilo ngezinga elithile. Kodwa-ke, qhubeka nokwelashwa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Zivikele ezifweni
Lo muthi ungawenza buthaka amasosha omzimba wakho , okusho ukuthi unamathuba amaningi okuthola izifo.
- Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, kanye nokukhwehlela, shayela udokotela wakho ngokushesha.
- Gwema izindawo ezinabantu abaningi nezindawo lapho abantu abanezifo betholakala khona ngangokunokwenzeka.
- Uma uzithola unemivimbo engachazeki, amabala amancane abomvu esikhumbeni sakho , izinsini eziphuma igazi , noma indle emnyama, tshela udokotela wakho ngokushesha.
- Qaphela kakhulu lapho uxubha amazinyo akho futhi uhlanza phakathi kwamazinyo akho. Uma ubona udokotela wamazinyo, mtshele ukuthi uthatha lo muthi.
- Abesifazane: Ungakhulelwa ngenkathi uthatha lo muthi. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Futhi, ungamncelisi umntwana wakho ngesikhathi sokwelashwa.
- Amadoda: Lo muthi unganciphisa inani lesidoda. Ngakho-ke uma unethemba lokuba nomntwana, khuluma nodokotela wakho ngakho ngaphambi kokuqala ukwelashwa.
- I-Fludarabine umuthi onamandla we-chemotherapy olawula ukukhula kwamaseli omdlavuza.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Ngesikhathi sokwelashwa, qaphela izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nokopha okungavamile. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa ngenkathi uthatha lo muthi. Amadoda kufanele futhi akhulume nodokotela wawo mayelana nokuzala.
- Ungesabi ukukhuluma nodokotela wakho nganoma yikuphi ukungakhululeki, izinkinga, noma imiphumela emibi ongase ube nayo. Awuwedwa.
Ungathathi umuthi onjenge-paracetamol wedwa, njengoba le mithi inganciphisa umkhuhlane futhi ingase ingakwazi ukubona ukutheleleka.
Qaphela ukopha.
I-Fludarabine ingabangela ukwehla kwenani lama-platelet egazini, okusiza ukujiya kwegazi uma uphuma igazi.
Ukukhulelwa nokubeletha
Yimiphi imiphumela emibi engingayithola?
Njengayo yonke imithi, i-fludarabine ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Umphumela ongemuhle | Incazelo / Okufanele ukwenze |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, ukutheleleka komgudu womchamo. |
| Izimpawu zokopha | Imivimbo, amabala abomvu esikhumbeni, ukuphuma kwegazi ekhaleni, indle emnyama. |
| Izimpawu ze-anemia | Ukukhathala okungavamile, ukuphaphatheka, ukuphelelwa yithemba, amehlo aluhlaza okwesibhakabhaka. |
| Ezinye izimpawu ezinkulu | Ubunzima bokuphefumula, izinguquko embonweni noma ekuzweni, ukudideka, izilonda emlonyeni, ukungazweli noma ubuhlungu ezithweni, ukuvuvukala kwamaqakala, izandla nezinyawo, ukuphuzi kwamehlo noma isikhumba. |
| Izinto okufanele uzitshele udokotela wakho uma ngokuvamile zingabi zimbi kakhulu, kodwa ziqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ukuqunjelwa, uhudo, isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla. |
| Ezinye izifo ezincane | Ukulahlekelwa izinwele, ukuqwasha. |
Khuluma nodokotela wakho nganoma yiziphi izimpawu ezingavamile ezingashiwongo kulolu hlu.
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