Siyazi ukuthi ukulwa nomdlavuza akulula. Phakathi nalolo hambo, ungase ube nemibuzo eminingi mayelana nokwelashwa ozokunikezwa, ikakhulukazi i-chemotherapy. Ingabe udokotela wakho ukutshelile nokuthi uqale umuthi obizwa ngokuthi i-Ifosfamide? Ungesabi. Kulesi sihloko, sizokhuluma ngakho kalula nangendlela ongayiqonda. Lokhu kuzophendula imibuzo eminingi onayo engqondweni yakho.
Iyini i-Ifosfamide?
Kalula nje, i-Ifosfamide umuthi olawula ukukhula kwamaseli omdlavuza, noma onciphisa ukukhula kwawo. Lolu uhlobo lwe-chemotherapy. Amaseli omdlavuza emzimbeni wethu awuhlobo lweseli elihlukana futhi lisakazeke ngokushesha. Ngakho-ke lo muthi umisa lokho kuhlukana okusheshayo.
Lo muthi usetshenziswa kakhulu ukwelapha umdlavuza wamasende. Odokotela bawusebenzisa futhi ukwelapha ezinye izinhlobo eziningana zomdlavuza. Udokotela wakho uzonquma ukuthi lo muthi ukulungele yini ngokusekelwe ohlotsheni lomdlavuza onawo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuthi uqale lokhu kwelashwa, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba lo muthi awuthinti wonke umuntu ngendlela efanayo. Uma unezinye zezimo ezingezansi, qiniseka ukuthi ubatshela ngakho.
- Isifo senhliziyo: Uma unesifo senhliziyo noma umlando wokushaya kwenhliziyo okungajwayelekile.
- Isifo sezinso noma somgudu womchamo: Uma unesifo sezinso, izifo zesinyi noma zomgudu womchamo, noma ubunzima bokuchama, tshela udokotela wakho ngakho.
- Isimiso somzimba sokuzivikela esibuthakathaka: Uma amandla omzimba wakho okumelana nezifo ephansi.
- Ukutheleleka kwamanje: Ikakhulukazi uma unegciwane elifana ne-chickenpox, umkhuhlane, ukukhwehlela, noma umkhuhlane.
- Ukubalwa kwegazi okungavamile: Uma imibiko yangaphambilini ibonise inani eliphansi lamaseli amhlophe egazi, ama-platelet, noma amaseli abomvu egazini.
- Izifo zamaphaphu: Uma unezifo zokuphefumula ezifana ne-asthma.
- Izinkinga zemizwa: Uma unezinzwa ezibuhlungu noma ezinye izinkinga zemizwa.
- Ukwelashwa Ngemisebe: Uma usanda kwelashwa ngemisebe noma okwamanje uyakuthola.
- Ukukhulelwa: Lokhu kubaluleke kakhulu uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Ukungezwani komzimba: Uma une-allergy ku-Ifosfamide noma yimuphi omunye umuthi, ukudla, noma idayi.
Ukutshela udokotela wakho lolu lwazi ngaphandle kokufihla kuzokusiza kakhulu ukuthi ukwelashwa kuphephe futhi kuphumelele.
Ngingakunika kanjani lo muthi?
Lo muthi unikezwa njengokufakwa emthanjeni. Lokhu akuyona into ongayenza ekhaya. Unikezwa esibhedlela noma emtholampilo ngabasebenzi bezokwelapha abaqeqeshwe ngokukhethekile kule ndawo.
Uma unikeza izingane lo muthi, kungase kudingeke ukunakekelwa okukhethekile. Khuluma nodokotela wezingane ngalokhu.
Kuthiwani uma ngiphuthelwa umthamo wokwelashwa?
Kubaluleke kakhulu ukuthola lokhu kwelashwa ngosuku nesikhathi esibekiwe. Uma ngesizathu esithile ungakwazi ukuya esibhedlela ngosuku olubekiwe, shayela udokotela wakho noma isibhedlela ngokushesha ubazise.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Khumbula, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poison Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okungafanele zisetshenziswe nalo muthi (Ukusebenzisana)
Eminye imithi nokudla kungathintana nalo muthi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Ukusebenzisana Kwezidakamizwa | |
|---|---|
| Ungalokothi uthathe lokhu: | |
| Imithi yokugomela igciwane ephilayo | Ngenxa yokuthi amasosha omzimba wakho aba buthaka ngenkathi uthatha lolu hlobo lokwelashwa, ukuthola imijovo equkethe amagciwane aphilayo kungabangela ukutheleleka okukhulu. |
| Buza udokotela wakho ngalokhu (izinkinga zingase ziphakame): | |
| Ezinye izibulali-zinambuzane | Isibonelo: i-fluconazole, i-itraconazole, i-ketoconazole |
| Ezinye izidakamizwa zokulwa nokuxhuzula | Isibonelo: i-carbamazepine, i-phenobarbital, i-phenytoin |
| Eminye imithi kanye nezithasiselo | I-Aprepitant, i-Rifampin, i-St. John's Wort |
| Isithelo segilebhisi | Gwema ukuphuza i-jambola kanye nejusi ye-jambola. |
Izinto okufanele uziqaphele ngesikhathi sokwelashwa
Izinkinga ezivamile kanye nezeluleko zezokwelapha
Ngenxa yokuthi i-chemotherapy ithinta amangqamuzana omdlavuza kanye namaseli anempilo, ungase uzizwe ungakhululekile futhi ugula kancane ngesikhathi sokwelashwa. Lokhu kuvamile. Kodwa-ke, tshela udokotela wakho noma umhlengikazi nganoma yimiphi imiphumela emibi oyitholayo. Ungayeki ukwelashwa ngoba kunzima kakhulu kuze kube yilapho udokotela wakho ekutshele ukuthi uyeke.
Nakekela amanzi athathwa ngumzimba wakho.
Phuza amanzi amaningi noma ezinye izinto eziwuketshezi njengoba udokotela wakho ekweluleka. Chama njalo. Uma udinga ukuchama ngisho nasebusuku, yenza kanjalo. Lokhu kuzosiza imiphumela eyingozi yomuthi ukuthi iphume emzimbeni wakho ngokushesha futhi kunciphise umonakalo ezinso zakho.
Zivikele ezifweni
Lo muthi unganciphisa ikhono lomzimba wakho lokumelana nezifo, okungukuthi, amasosha omzimba wakho. Ngakho-ke,
- Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukukhwehlela, ungaziniki imithi bese utshela udokotela wakho ngokushesha.
- Nciphisa ukuxhumana nezindawo ezinabantu abaningi kanye nabantu abagulayo ngangokunokwenzeka.
Qaphela ukopha kanye nokubhoboka.
Lo muthi ungandisa ingozi yokopha noma ukuklwebheka.
- Uma uzwa ukopha okungajwayelekile (isib., okuvela ezinsinini) noma amabala aluhlaza okwesibhakabhaka (imivimbo) emzimbeni wakho, tshela udokotela wakho ngokushesha.
- Qaphela lapho uxubha amazinyo akho futhi usebenzisa i-toothpick. Uma uphathwa amazinyo, tshela udokotela wakho wamazinyo ukuthi uthatha lo muthi.
Funda ngokukhulelwa kanye nokuzala
Lolu udaba olubaluleke kakhulu.
- Abesifazane: Ungakhulelwa ngenkathi uthatha lo muthi.. Tshela udokotela wakho ngokushesha uma uhlela ukukhulelwa noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe. Ungancelisi ngenkathi uthatha lo muthi. Lo muthi ungabangela ukungasebenzi kahle kwesibeletho kwabanye besifazane. Uma unemibuzo mayelana nokuzala kwakho, khuluma nodokotela wakho ngakho.
- Amadoda: Musa ukuba nguyise wengane ngenkathi uthatha lo muthi futhi izinyanga eziyisithupha ngemva kokuyeka. Lo muthi unganciphisa inani lesidoda. Ngakho-ke, ungathinta ikhono lakho lokuba nguyise wengane. Khuluma nodokotela wakho ngalokhu futhi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Ifosfamide ingaba nemiphumela emibi. Eminye yale miphumela kufanele ibikwe ngokushesha, kanti eminye ayibi kakhulu kangako.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ubuhlungu besifuba, ukushaya kwenhliziyo okukhuphukile. |
| Imiphumela ebuchosheni nasezinzwa | Ukudideka, isiyezi, ukubona izinto ezingekho, ukulahlekelwa yibhalansi, ukuxhuzula, ukuthuthumela, ukungazweli ezithweni. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Ukopha: Ukulimala, amabala abomvu esikhumbeni, igazi emchameni, indle emnyama emnyama. Amangqamuzana abomvu egazi aphansi: ukukhathala okukhulu, ukuquleka, isiyezi. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Izimpawu zokulimala kwezinso noma kwesibindi | Ukwehla kokukhishwa komchamo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni ephezulu kwesokudla yesisu. |
| Okunye | Ukucanuzela okukhulu nokuhlanza, ukuvuvukala kwemilenze noma amaqakala. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
|---|---|
| Ukulahlekelwa izinwele | Isifiso sokudla |
| Izilonda zomlomo | Ukuqunjelwa noma isifo sohudo |
| Ikhanda elibuhlungu | Izinguquko ezincane embonweni |
| Ukukhubazeka kokuzwa | Ukulahlekelwa yinkumbulo |
Umlayezo Wokuya Nawe Ekhaya
- I-Ifosfamide umuthi onamandla we-chemotherapy olawula ukukhula kwamaseli omdlavuza.
- Kubalulekile ukutshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo ngaphambi kokuqala ukwelashwa.
- Ngesikhathi sokwelashwa, zivikele ezifweni, phuza uketshezi oluningi, futhi uqaphele ukopha okungajwayelekile.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nomkhuhlane, ubunzima bokuphefumula, ukudideka, noma ukuxhuzula.
- Lo muthi ungathinta ukukhulelwa kanye nokuzala, ngakho-ke khuluma nodokotela wakho ngakho. Ungakhathazeki, udokotela wakho uzokusiza.
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