Sonke siyazi ukuthi ukwelashwa ngomdlavuza, noma i-chemotherapy, akuyona into elula ukuyenza. Enye yezinto ezenza abantu abaningi bazizwe bengakhululekile, kokubili ngokwengqondo nangokomzimba, isicanucanu nokuhlanza. Ngakho-ke, namuhla sikhuluma ngomjovo okhethekile, onamandla osetshenziswa odokotela ukulawula lokhu kungakhululeki. Igama lawo yi -Fosaprepitant .
Kalula nje, iyini iFosaprepitant?
I-Fosaprepitant umuthi onikezwa ukuvimbela isicanucanu nokuhlanza ongase ukuzwe ngesikhathi sokwelashwa ngamakhemikhali. Iyingxenye yeqembu lemithi ebizwa ngokuthi i-antiemetics.
Cabanga nje, kunamakhemikhali emzimbeni wethu athumela izimpawu ebuchosheni bethu ukuze "asenze sizizwe sigula manje." Lokho okwenziwa yilo mjovo ukuvimba lezo zimpawu ukuthi zingathunyelwa. Ukuze kube sobala, 'kuvimba' lezo zindlela zezimpawu. Ngenxa yalokho, ukungakhululeki okuzwayo ngemva kokwelashwa ngamakhemikhali kuncishisiwe kakhulu. Lo muthi uvame ukutholakala ngaphansi kwegama lomkhiqizo elithi `Emend`.
Into ebaluleke kakhulu ukuthi lokhu kunikezwa ukuvimbela isicanucanu nokuhlanza ngaphambi kokuba kwenzeke . Uma usuvele uhlanza, lokhu akuyona indlela efanele yokwelapha. Kufanele ubuze udokotela wakho ukuthi wenzeni ngaleso sikhathi.
Izinto okufanele udokotela wakho azazi ngaphambi kokukunikeza lo muthi
Ngaphambi kokuthi uqale lolu hlobo lokwelashwa, kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ungazifihli lezi zinto, ngoba kungenxa yokuphepha kwakho. Kubalulekile ukuthi ithimba lakho lezokwelapha lizazi lezi zinto.
- Isifo sesibindi: Uma unesifo sesibindi, qiniseka ukuthi usitshela ngaso.
- Ukungezwani komzimba: Tshela udokotela wakho uma une-allergy kulo muthi, kungaba yi-fosaprepitant noma i-aprepitant. Futhi, tshela udokotela wakho uma une-allergy kunoma yimiphi eminye imithi, ukudla, izithasiselo, noma udayi.
- Ukukhulelwa: Tshela udokotela wakho uma ukhulelwe noma uhlela ukuba nomntwana maduze.
- Uma ungumama oncelisayo: Uma ungumama oncelisayo, kufanele nakanjani utshele ingane yakho ngalokho.
Uyisebenzisa kanjani le mithi?
Lomuthi unikezwa njengomjovo emthanjeni. Unikezwa esibhedlela noma emtholampilo kuphela ngaphansi kokuqashwa kwezokwelapha. Ngakho-ke, ngeke unikezwe lo muthi ukuthi uwuyise ekhaya.
Ingabe lokhu nikunikeza izingane ezincane?
Yebo, ngezinye izikhathi odokotela banikeza lo muthi izingane ezincane njengezinyanga eziyisithupha. Kodwa kumele kulandelwe izinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma uwunika ingane, udokotela wakho kuphela onganquma.
Kuthiwani uma umthamo wemithi ukhuphuka?
Njengoba lokhu kunikezwa esibhedlela, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, tshela udokotela noma umhlengikazi ngokushesha . Esimweni esiphuthumayo, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Eminye imithi esebenzisana neFosaprepitant
Kuneminye imithi engase ihlangane nalo muthi. Eminye imithi ayivunyelwe ngokuphelele ukuyisebenzisa. Kweminye imithi, khuluma nodokotela wakho bese ulungisa umthamo uma kudingeka.
Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo .
| Izidakamizwa ezisebenzisana neFosaprepitant | |
|---|---|
| Gwema ukuthatha i-Fosaprepitant nge: | |
| I-Cisapride | I-Pimozide |
| I-Flibanserin | I-Lomitapide |
| Khuluma nodokotela wakho ngalokhu: | |
| I-Warfarin (isidakamizwa esinciphisa igazi) | Amaphilisi okuvimbela inzalo (i-estrogen/i-progestin) |
| Ama-antibiotic - isib. i-clarithromycin, i-erythromycin | Ama-antifungal - isibonelo i-ketoconazole, i-itraconazole |
| Imithi yokwelapha isithuthwane/ ukuquleka - isib. i-carbamazepine, i-phenytoin | Imithi ye-HIV |
| Imithi ekusiza ulale noma ukuzola - isib. i-alprazolam, i-diazepam, i-midazolam | I-Diltiazem, i-Ranolazine (yesifo senhliziyo) |
| I-Paroxetine, i-Nefazodone (yokucindezeleka) | Izinhlobo zama-steroid - isib. i-dexamethasone, i-methylprednisolone |
| Eminye imithi ye-chemo - isib: i-etoposide, i-vinblastine | I-Rifampin (umuthi wesifo sofuba) |
Izinto okufanele uzicabangele lapho uphathwa
Ukwazi okukhethekile mayelana nokulawula inzalo!
Lokhu kubaluleke kakhulu. Uma uthatha amaphilisi okuvimbela inzalo (aqukethe ama-hormone e-estrogen kanye/noma i-progestin), ukusebenza kwalawo maphilisi kungancipha ngenkathi uthatha i-Fosaprepitant . Lokhu kusho ukuthi usengozini yokukhulelwa.
Ngakho-ke, kufanele usebenzise olunye uhlobo lokuvimbela inzalo, njengekhondomu noma i-diaphragm, ngenkathi uthatha lo mjovo kanye nenyanga ngemuva komthamo wakho wokugcina . Khuluma nodokotela wakho ngalokhu bese uthola iseluleko esicacile sendlela ephephile kuwe.
Amanye amaphuzu
- Lo muthi awunconywa ukusetshenziswa isikhathi eside.
- Udokotela wakho uzokuhlola ngezikhathi ezithile. Lo muthi ungabangela izinguquko ekuhlolweni kokusebenza kwesibindi sakho.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi kwabanye abantu, kodwa akubona bonke abantu abayitholayo.
| Umphumela ongemuhle | Okufanele ngikwenze? |
|---|---|
| Yazisa ithimba lakho lezokwelapha ngokushesha: | |
| Ukusabela kokungezwani komzimba Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. | Lezi izimpawu ezinkulu. Funa iseluleko sezokwelapha ngokushesha. Uma kudingeka, iya e-Emergency Treatment Unit (ETU). |
| Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza: | |
| Uhudo | Lezi zimpawu ngokuvamile azibi zimbi kakhulu, kodwa uma ziqhubeka noma zikukhathaza kakhulu, tshela udokotela wakho. |
| Ukukhathala | |
| Ubuhlungu, ukubomvu, noma ukuvuvukala lapho kujovwe khona | |
| Ubuhlungu, ukungazweli ezandleni nasezinyaweni | |
| Ubuthakathaka obungavamile bomzimba | |
| Ukungakhululeki/ukugcwala kwesisu | |
Lolu hlu aluyona yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, sicela uxhumane nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Fosaprepitant umuthi onikezwa ukuvimbela isicanucanu nokuhlanza okubangelwa yi-chemotherapy, hhayi ukuwelapha uma usuvele ukhona.
- Nikeza udokotela wakho incazelo ephelele yazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo (kufaka phakathi imithi yendabuko).
- Uma uthatha amaphilisi okuvimbela inzalo, qiniseka ukuthi usebenzisa enye indlela yokuvimbela inzalo (isib. amakhondomu) ngenkathi uthatha lo muthi kanye nenyanga eyodwa ngemva kwalokho.
- Uma uzwa izimpawu zokungezwani komzimba (ukuqubuka kwesikhumba, ukuvuvukala, ubunzima bokuphefumula), funa iseluleko sikadokotela ngokushesha.
- Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
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