Sonke siyazi ukuthi ukwelashwa komdlavuza, okungukuthi, i-chemotherapy, akuyona into elula ukuyenza. Ngesikhathi selashwa lesi sifo, imiphumela emibi yokwelashwa, njengokucasuka nokuhlanza, kubangela ukungakhululeki okukhulu emzimbeni nasengqondweni. Ngakho-ke, namuhla sikhuluma ngomjovo okhethekile osetshenziswa odokotela ukulawula lokhu kungakhululeki, okungukuthi, ukuvimbela isicanucanu nokuhlanza.
Kalula nje, uyini lo muthi?
Lomuthi unamagama amabili: i-Fosnetupitant kanye ne-Palonosetron . Ungumjovo ohlanganisiwe walezi ezimbili. Umsebenzi wawo oyinhloko ukuvimbela isicanucanu nokuhlanza okubangelwa ukwelashwa komdlavuza (i-chemotherapy).
Kalula nje, amakhemikhali athile emizimbeni yethu athumela izimpawu ebuchosheni ezithi "Ngidinga ukuhlanza manje." Lo muthi uvimba ukuthi lezo zimpawu zingathunyelwa. Uma sikhuluma iqiniso, lezi zingeqembu lemithi yokulwa nokugabha, noma eyaziwa ngokwezokwelapha ngokuthi "imithi yokulwa nokugabha." Njengoba lokhu kunikezwa ngaphambi kokuba ukwelashwa kuqale, amathuba okuba nesicanucanu nokuhlanza ancishiswa kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukuthi udokotela wakho azi ngesimo sakho sempilo esiphelele. Lokhu kungenxa yokuthi lo muthi ungase uhlangane nezinye zezinkinga zakho zezempilo. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho .
| Isimo sakho | Kungani kubalulekile kudokotela ? |
|---|---|
| Isifo sezinso | Ngenxa yokuthi imithi ikhishwa emzimbeni ngezinso, kubalulekile ukuqaphela ukusebenza kwezinso. |
| Isifo sesibindi | Ngenxa yokuthi isibindi sicubungula imithi, umsebenzi waso ungathinta umthamo womuthi. |
| Ukungezwani komzimba | Uma une-allergy kulo muthi noma eminye imithi yokulwa nokugabha efana nayo (isib. i-ondansetron, i-granisetron), kufanele utshele udokotela wakho. Futhi mtshele uma une-allergy kweminye imithi, ukudla, noma udayi. |
| Uma ukhulelwe noma ulindele umntwana | Kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokusebenzisa noma yimuphi umuthi ngesikhathi sokukhulelwa. |
| Uma umama encelisa ingane yakhe | Udokotela kumele anqume ukuthi izithako zomuthi zingadlulela yini enganeni ngobisi lwebele. |
Uyisebenzisa kanjani le mithi?
Lona akusiwo umuthi ongawuthatha ekhaya.
- Lokhu kunikezwa njengomjovo emthanjeni .
- Inikezwa esibhedlela noma emtholampilo kuphela ngaphansi kokuqondisa kwabasebenzi bezokwelapha.
- Uma unikeza izingane ezincane lo muthi, kungase kudingeke ukunakekelwa okukhethekile. Khuluma nodokotela wakho ngalokhu.
Okubalulekile: Uma ucabanga ukuthi uphuze kakhulu lo muthi ngephutha, kufanele ushayele ucingo ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ingabe ingasebenzisana neminye imithi?
Yebo, impela. Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo. Eminye imithi ingasebenzisana nalo muthi wokugoma futhi ibangele imiphumela engafuneki. Tshela udokotela wakho nganoma yimaphi amavithamini, amakhambi, noma izithasiselo ozithathayo. Qaphela kakhulu ngemithi elandelayo:
- Eminye imithi esetshenziselwa umdlavuza
- Imithi yezimo ezinjengokucindezeleka nokukhathazeka
- Imithi yokutheleleka kwesikhunta (isb. i-ketoconazole, i-itraconazole)
- Eminye imithi yokulala
- Imithi evimbela ukujiya kwegazi (isib. i-warfarin)
- Izibulali-zinhlungu, isibonelo `(Fentanyl)`, `(Tramadol)`
- Imithi efana ne-'Dexamethasone', 'Midazolam', 'Rifampin'
- Imithi engaphansi kweqembu le-'MAOI'
- `I-Methylene eluhlaza okwesibhakabhaka` (ngaphakathi kwemithambo yegazi)
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, kuneminye imiphumela emibi engaba khona. Eminye idinga ukunakekelwa okusheshayo, kanti eminye ngokuvamile ayibi mibi kakhulu.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho noma umhlengikazi ngokushesha. | |
|---|---|
| Umphumela ongemuhle | Izimpawu ezingaba khona |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| I-Serotonin Syndrome | Ukukhathazeka, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane omkhulu, ukuxhuzula, ukuhlanza, isifo sohudo. (Lesi yisimo esibi kakhulu) |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Ukuqunjelwa | Ubunzima bokuya endlini yangasese. |
| Ukukhathala | Ukukhathala ngokweqile emzimbeni. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elivamile. |
| Isisu esibuhlungu | Ukushisa kwesisu noma ukungakhululeki. |
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwalokhu, sicela wazise abasebenzi bezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-Fosnetupitant; I-Palonosetron iwumuthi wokugomela onikezwa ukuvimbela isicanucanu nokuhlanza okubangelwa ukwelashwa komdlavuza (i-chemotherapy).
- Ngaphambi kokuthatha lo muthi, kubalulekile ukutshela udokotela wakho nganoma yikuphi ukungezwani komzimba onakho, ezinye izimo zezokwelapha, kanye nayo yonke eminye imithi oyithathayo.
- Lona umuthi onikezwa esibhedlela noma emtholampilo, ngaphansi kokuqondisa kochwepheshe bezokwelapha.
- Uma uhlangabezana nanoma yiziphi izimpawu zokungezwani komzimba (ukuqubuka kwesikhumba, ukuvuvukala) noma izimpawu ezihambisana ne-serotonin syndrome (umkhuhlane ophakeme, ukucasuka) ngesikhathi noma ngemuva kokuthatha umuthi, yazisa abasebenzi bezokwelapha ngokushesha .
- Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
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