Ingabe udokotela wakho uke wanikeza i-Ixabepilone umuthi womdlavuza webele? Kuvamile ukuba nemibuzo eminingi ngisho nokwesaba okuncane ngalo muthi. "Kuzokwenzekani ngalokhu?", "Ingabe kuzoba nzima kakhulu kimi?", "Kufanele ngikhathazeke ngani?" Ungase uzibuze. Ungakhathazeki. Namuhla, sizoxoxa ngokuthi lo muthi uyini, wenzani, kanye nakho konke okudingeka ukwazi mayelana nalokhu kwelashwa.
Uhlobo luni lomuthi i-Ixabepilone?
Kalula nje, i-Ixabepilone (igama lomkhiqizo: Ixempra) umuthi we-chemotherapy obulala amangqamuzana omdlavuza. Usetshenziswa ngqo ukwelapha umdlavuza webele.
Umdlavuza yisimo lapho amangqamuzana emzimbeni wethu ehlukana ngokungalawuleki futhi ekhula ngokushesha. Ngakho-ke lo muthi uvimba ukukhula kwalawo maseli omdlavuza ahlukanisa ngokushesha noma awabhubhise. Yileyo ndlela umdlavuza olawulwa ngayo. Ngezinye izikhathi unikezwa kanye neminye imithi. Udokotela okwelaphayo uzochaza lokhu kuwe.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Ukuze akwelaphe ngokuphephile, udokotela wakho kudingeka aqaphele ngokugcwele isimo sakho sempilo. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala ukwelashwa.
| Isimo sempilo noma inkinga | Isizathu sokutshela udokotela |
|---|---|
| Isifo senhliziyo | Lo muthi ngezinye izikhathi ungathinta ukushaya kwenhliziyo. |
| Isifo sesibindi | Isibindi singumshini wokugaya ukudla emzimbeni. Uma isibindi sakho sibuthakathaka, umthamo wakho ungadinga ukulungiswa. |
| Ukwehla kwamangqamuzana amhlophe egazi noma ama-platelet | Lo muthi ungabangela ukwehla okwengeziwe kwamangqamuzana egazi, okwandisa ingozi yokutheleleka nokopha. |
| Ukuba ndikindiki, ubuhlungu, noma ukuvuvukala ezandleni nasezinyaweni (i-Neuropathy) | Lesi simo cishe sizoba sibi kakhulu ngenxa yemithi. |
| Ukungezwani komzimba okuhlukahlukene (Ukungezwani komzimba) | Kubaluleke kakhulu ukwazisa udokotela wakho uma une-allergies ku-Ixabepilone, i-Cremophor EL, eminye imithi, ukudla, noma izithasiselo. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Lo muthi ungalimaza kakhulu ingane engakazalwa. |
| Ukuncelisa ingane | Umuthi ungadluliselwa enganeni ngobisi lwebele. |
Uthola kanjani umuthi?
Lona umuthi akuwona owokuwuthatha ekhaya. I-Ixabepilone iwumjovo we-intravenous (IV) . Uwunikezwa udokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi esibhedlela noma emtholampilo. Udokotela uvame ukufaka umuthi emzimbeni wakho ngesisombululo se-saline.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Kubaluleke kakhulu ukuthola lokhu kwelashwa ngosuku nesikhathi esibekiwe. Uma ungakwazi ukuza esibhedlela ngosuku olubekiwe, shayela udokotela wakho noma iyunithi yokwelapha ngokushesha bese ubazisa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi uthathe umuthi omningi kakhulu, yazisa ithimba lezokwelapha ngokushesha. Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yiziphi izindlela ezisetshenziswa ngayo lo muthi?
Eminye imithi, ukudla, neziphuzo zingase zihlangane nalo muthi futhi zinciphise noma zandise ukusebenza kwawo, noma zibangele imiphumela emibi engafuneki.
Okulandelayo cishe akuvunyelwe ngokuphelele nge-Ixabepilone:
- I-Disulfiram (isidakamizwa esisetshenziselwa ukuyeka ukusetshenziswa kotshwala)
- Imithi yokugomela igciwane ephilayo
Futhi, kufanele unake kakhulu okulandelayo:
- Amanye ama-antibiotic (ama-macrolides) afana ne-Erythromycin ne-Clarithromycin
- Eminye imithi yokulwa namagciwane enikezwa i-HIV noma i-Hepatitis
- Imithi yokulwa nesikhunta efana neKetoconazole ne-Itraconazole
- Eminye imithi esetshenziselwa ukuquleka, njenge-carbamazepine ne-phenytoin
- Ijusi le-Grapefruit noma i-grapefruit
- Umkhiqizo wezitshalo we-St. John's Wort
Into ebaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini), kanye nokuthi ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele ngesikhathi sokwelashwa
Kujwayelekile ukuzizwa ungakhululekile kancane lapho wenza i-chemotherapy. Lokhu kungenxa yokuthi le mithi ayithinti nje kuphela amangqamuzana omdlavuza, kodwa futhi namaseli anempilo ahlukana ngokushesha emizimbeni yethu (isib. izinwele, ulwelwesi lomlomo wethu, amaseli egazi).
- Zivikele ezifweni: Lo muthi unganciphisa inani lamaseli amhlophe egazi emzimbeni wakho. Lokhu kusho ukuthi amasosha akho omzimba azoncipha . Ngakho-ke, uma uzwa izimpawu ezifana nomkhuhlane, umkhuhlane, ukukhwehlela, noma umphimbo obuhlungu, ungaziphilisi futhi utshele udokotela wakho ngokushesha. Gwema izindawo ezinabantu abaningi nabantu abagulayo.
- Ukusabela kokungezwani komzimba: Abanye abantu bangase babe nokusabela okukhulu kokungezwani komzimba kulo muthi. Ukuze anciphise le ngozi, udokotela wakho angakunika omunye umuthi (isib. i-Piriton) ngaphambi kokukunikeza lo muthi wokugomela. Landela leyo miyalelo kahle.
- Iziqeda-zinhlungu: Ungathathi imithi efana ne-Aspirin, i-Ibuprofen, noma i-Naproxen ngaphandle kweseluleko sikadokotela wakho. Lokhu kunganciphisa umkhuhlane futhi kwenze kube nzima ukuthola ukutheleleka.
- Amazinyo nezinsini: Qaphela lapho uxubha futhi ufaka i-floss yamazinyo akho. Kungaba nokopha kanye nokutheleleka. Uma uthola ukwelashwa kwamazinyo, tshela udokotela wamazinyo ukuthi uthatha i-chemotherapy.
- Ukukhulelwa nokuncelisa: Lokhu kubaluleke kakhulu!
- Abesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga eziyisikhombisa ngemva kokuyeka ukwelashwa.
- Amadoda: Gwema ukuba nguyise wengane ngenkathi uthatha lo muthi futhi izinyanga ezine ngemuva kokuyeka ukwelashwa.
- Lo muthi ungalimaza kakhulu ingane engakazalwa. Futhi, gwema ukuncelisa ngenkathi uthatha lo muthi kanye namasonto ama-2 ngemva kokuyeka ukwelashwa.
- Ukuzala: Lo muthi ungathinta okwesikhashana noma unomphela ikhono lakho lokuthola abantwana. Uma unenkinga ngalokhu, khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa.
Imiphumela emibi engase ivele ngenxa yemithi
Akuwona wonke umuntu ozobhekana nemiphumela emibi yonke, kodwa kubalulekile ukuqaphela engaba khona.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba, nobunzima bokuphefumula. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Izinkinga ze-neurological | Ubuhlungu obukhulu, ukungazweli, noma ukusha ezandleni nasezinyaweni. |
| Ukuvuvukala | Ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukopha | Ukuphuka kwesikhumba okungachazeki, noma ukuphuma kwegazi okungayeki ngisho nokulimala okuncane. |
| Imiphumela emibi evamile engase ivele futhi okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ukuqunjelwa, uhudo, isicanucanu, ukuhlanza. |
| Izinguquko zomzimba | Ukulahlekelwa izinwele, ukuphelelwa yisifiso sokudla, ikhanda elibuhlungu, ubuhlungu bemisipha noma bamalunga. |
| Izilonda zomlomo | Ubomvu, ukuvuvukala, noma izilonda emlonyeni noma emphinjeni. |
| Izinkinga ngezintende zezandla kanye nezinyawo | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka, noma ukuvuvukala. |
| I-anemia | Ukukhathala okungajwayelekile, ukuphaphatheka, isiyezi, nobunzima bokuphefumula. |
Umlayezo Wokuya Nawe Ekhaya
- I-Ixabepilone umuthi we-chemotherapy womdlavuza webele onikezwa ngemithambo esibhedlela.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyiphuzayo ngaphambi kokuqala ukwelashwa.
- Ngesikhathi sokwelashwa, qaphela kakhulu izimpawu zokutheleleka njengomkhuhlane nokukhwehlela, noma izimpawu zokungezwani komzimba njengokuqubuka kwesikhumba. Uma unenkinga, yazisa udokotela wakho ngokushesha.
- Gwema ukukhulelwa ngokuphelele ngesikhathi sokwelashwa futhi uma nje udokotela wakho ekuncoma. Lokhu kusebenza kwabesifazane nabesilisa.
- Kungakhathaliseki ukuthi uzizwa ungakhululekile kangakanani, ungalokothi uyeke ukwelashwa ngaphandle kweseluleko sikadokotela wakho. Khuluma nodokotela wakho nganoma yiziphi izinkinga. Uzokusiza.
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