Ukwelashwa komdlavuza kungaba yindaba eyinkimbinkimbi, mhlawumbe eyethusayo kubantu abaningi. Kuvamile ukuba nemibuzo eminingi, ikakhulukazi uma udokotela wakho ekubhalela umuthi ofana ne-'Gefitinib' noma othandekayo wakho. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa ngokuthi i-Gefitinib, ukuthi usebenza kanjani, kanye nezinto okufanele uziqaphele uma uwusebenzisa, ngendlela elula kakhulu ongayiqonda.
Uhlobo luni lomuthi iGefitinib?
Kalula nje, i-Gefitinib iyisidakamizwa esiwela esigabeni sokwelashwa okuqondiwe. Lokhu kusho ukuthi lesi sidakamizwa sihlasela ngqo amaprotheni athile kumaseli omdlavuza futhi siwavimbele ekukhuleni. Lesi akusona isidakamizwa esinikezwa wonke umdlavuza.
Lo muthi uvame ukusetshenziselwa ukwelapha izimo ezithuthukile zesimo esibizwa ngokuthi umdlavuza wamaphaphu ongewona oweseli elincane . Ungase uwazi lo muthi ngegama lomkhiqizo elithi `Iressa`. Odokotela bangase bakunike lo muthi nakwezinye izimo. Ngakho-ke qiniseka ukuthi ubuza udokotela wakho ngesimo sakho esithile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala ukwelashwa nge-Gefitinib, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha. Ikakhulukazi uma unezinye zezimo ezilandelayo:
- Izifo zamehlo noma izinkinga zokubona: Uma unesifo samehlo noma ukukhubazeka kokubona.
- Isifo sesibindi: Noma yiluphi uhlobo lwesifo sesibindi.
- Izifo zamaphaphu noma zokuphefumula: Izimo ezifana ne-asthma.
- I-Lung Fibrosis noma Ukuqina Kwamaphaphu: Uma uke watholakala unezibazi noma ukuqina kwamaphaphu ngaphambilini.
- Ukwelashwa Ngemisebe: Uma usanda kuthola noma okwamanje uthola ukwelashwa ngemisebe.
- Ukungezwani komzimba: Uma une-allergy ku-Gefitinib noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma usola ukuthi ukhulelwe.
- Ukuncelisa: Uma ungumama oncelisa ingane.
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi lo muthi ukulungele yini nokuthi kufanele unikezwe kanjani.
Ngingawusebenzisa kanjani lo muthi?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo yokuthi ungayisebenzisa kanjani le mithi.
- Gwinya leli philisi lonke ngengilazi yamanzi.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla.
- Zama ukuphuza umuthi wakho cishe ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina ukuhlushwa komuthi egazini lakho kusezingeni elifanayo.
- Ungalokothi uthathe ngaphezu komthamo onqunyiwe noma uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela.
- Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho. Uzokwazi ukukweluleka ngezindlela ezihlukile.
Inothi elibalulekile: Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kungaphansi kwamahora ayi-12 ngaphambi komthamo wakho olandelayo, yeqa umthamo ophuthelwe. Thatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Futhi, uma kungenzeka, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
I-Gefitinib umuthi ongasebenzisana neminye imithi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (imithi enqunywe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini).
| Ukusebenzisana Kwezidakamizwa | |
|---|---|
| Ungawuthathi lo muthi kanye nanoma yimuphi omunye umuthi. | |
| I-Thioridazine | Umuthi wokugula ngengqondo. |
| Eminye imithi engase ihlangane (yazise udokotela) | |
| Ama-antacid kanye nama-acid anciphisa isisu | (isib. i-Cimetidine, i-Famotidine, i-Omeprazole, i-Lansoprazole) |
| Imithi yokulwa negciwane lengculazi noma ingculazi | |
| Eminye imithi yokwelapha izifo zesikhunta | (isib. iKetoconazole, i-Itraconazole) |
| Eminye imithi yokwelapha ukuquleka | (isib. i-Carbamazepine, i-Phenobarbital, i-Phenytoin) |
| Imithi yokuvimbela ukuqhekeka kwegazi | (isib. i-Warfarin) |
| I-Rifampin | I-antibiotic enikezwa isifo sofuba. |
Imiphumela emibi okufanele uyiqaphele lapho uthatha imithi
Eminye imiphumela emibi ingase ivele uma uthatha i-gefitinib. Eminye yayo ingaba yingozi, ngakho-ke kubalulekile ukuyiqaphela.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ukukhwehlela okusha, noma umkhuhlane. Lokhu kungaba uphawu lwesifo samaphaphu. |
| Izinkinga zamehlo | Ukushintsha kombono, ubuhlungu bamehlo. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni), amabala abomvu esikhumbeni. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, indle ephaphathekile, ukuphelelwa yisifiso sokudla, isicanucanu, ukukhathala okungavamile. |
| Ubuhlungu obukhulu besisu | Ubuhlungu obukhulu besisu obungazelelwe. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Uhudo | Qaphela ngoba uhudo olunzima, isicanucanu, nokuhlanza kungabangela ukuphelelwa amanzi emzimbeni. |
| Induna | Amaqhubu afana nezinduna esikhumbeni. |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo | |
| Isikhumba esomile | |
Ukunakwa okukhethekile ngesikhathi sokukhulelwa nokuncelisa
Lokhu kubaluleke kakhulu: Gwema ukukhulelwa ngazo zonke izindleko ngenkathi uthatha lo muthi noma amasonto amabili ngemva kokuyeka umuthi.Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Abesifazane kufanele bahlole ukukhulelwa ukuqinisekisa ukuthi abakhulelwe ngaphambi kokuqala ukwelashwa. Futhi, gwema ukuncelisa ibele ngokuphelele ngenkathi uthatha lo muthi.
Umlayezo Wokuya Nawe Ekhaya
- I-Gefitinib umuthi okufanele uthathwe kuphela ngaphansi kweseluleko sikadokotela, ngomthamo onqunyiwe. Ungalokothi ushintshe noma uyeke umthamo ngokwakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezimo zezokwelapha ozithathayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nobunzima bokuphefumula, ukusabela okukhulu kwesikhumba, ubuhlungu bamehlo, noma izimpawu zokulimala kwesibindi.
- Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi futhi amasonto amabili ngemva kokuyeka.
- Gcina lo muthi ezingeni lokushisa legumbi (phakathi kuka-20-25 Celsius), kude nezingane.
- Ungalokothi wabelane ngemithi yakho nabanye. Ingase ibe yingozi kubo.
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