Ngisho noma sizwa igama elithi "umdlavuza," sivame ukuzizwa sesaba futhi sikhathazekile. Kodwa ngenxa yentuthuko kwezokwelapha namuhla, kunemithi ekhethekile engahlasela futhi yelaphe amangqamuzana omdlavuza kuphela. Ngakho-ke namuhla, sizokhuluma ngomuthi obizwa ngokuthi "iLenvatinib," ovimba ukukhula kwamangqamuzana omdlavuza anjalo futhi ulethe ithemba kubantu abaningi.
Iyini i-Lenvatinib?
Kalula nje, i-lenvatinib umuthi ohlasela amaprotheni athile kumaseli omdlavuza, olawula ukukhula nokusabalala kwawo. Lokhu kubizwa ngokuthi "ukwelashwa okuqondiwe." Odokotela bavame ukunikeza lo muthi ukwelapha izinhlobo eziningana zomdlavuza.
- Umdlavuza we-endometrial
- Umdlavuza wezinso
- Umdlavuza wesibindi
- Umdlavuza we-thyroid
Ngaphandle kwalokhu, udokotela wakho angase futhi ancome lo muthi kwezinye izimo zezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale ukwelashwa nge-lenvatinib, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Ikakhulukazi uma unezinye zezimo ezilandelayo:
- Izifo zamazinyo noma izinsini.
- Isifo sikashukela (amazinga aphezulu kashukela egazini).
- Umfutho wegazi ophezulu.
- Isifo senhliziyo noma izinkinga zokujiya kwegazi.
- Ukushaya kwenhliziyo okungajwayelekile.
- Amazinga aphansi e-calcium, i-magnesium, noma i-potassium egazini.
- Isifo sokuvuvukala kwamathumbu.
- Isifo sezinso noma sesibindi.
- Ukuba khona kweprotheyini emchameni.
- Uma usanda kuhlinzwa noma uhlela ukukwenza esikhathini esizayo.
- Ezinye izifo ze-thyroid gland.
- Uma une-allergy kulo muthi (i-Lenvatinib) noma yimuphi omunye umuthi, ukudla, idayi, noma isilondolozi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ngingawusebenzisa kanjani lo muthi ngqo?
Kubaluleke kakhulu ukuthatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesilinganiso esifanele, nangesikhathi esifanele.
- Gwinya la ma-capsules aphelele ngengilazi yamanzi.
- Ungawaphuli, uwachoboze, noma uwahlafune ama-capsule. Wagwinye wonke.
- Zama ukuphuza umuthi ngesikhathi esifanayo nsuku zonke.
- Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kungaphansi kwamahora ayi-12 ngaphambi komthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kunalokho okufanele ukuthathe, xhumana ne-National Poison Information Centre e-Colombo National Hospital ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
Eminye imithi engase ihlangane nalo muthi
I-Lenvatinib umuthi ongasebenzisana neminye imithi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi, kanye nezithasiselo. Qaphela kakhulu imithi esetafuleni elingezansi.
| Imithi engase ihlangane neLenvatinib | |
|---|---|
| Ungalokothi uthathe le mithi ne-lenvatinib: | |
| I-Cisapride | I-Dronedarone |
| I-Pimozide | I-Thioridazine |
| Qiniseka ukuthi utshela udokotela wakho uma uthatha le mithi: | |
| Eminye imithi esetshenziswa ukwelapha ukushaya kwenhliziyo okungajwayelekile (isib. i-Amiodarone, i-Quinidine) | Amanye ama-antibiotic (isib. i-Azithromycin, i-Clarithromycin) |
| Eminye imithi yokwelapha ukugula ngengqondo nokucindezeleka | Ama-antifungal (isib. i-Ketoconazole, i-Fluconazole) |
| Eminye imithi enweba isikhathi sokuphumula se-QT | Eminye imithi eminingi (lolu akulona uhlu oluphelele) |
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
Udinga ukunaka kakhulu impilo yakho phakathi nalesi sikhathi sokwelashwa.
Ukuhlolwa kwezokwelapha
Bona udokotela wakho ngezinsuku ezihleliwe bese wenza ukuhlolwa kwegazi okudingekayo kanye nokunye ukuhlolwa, njengoba lokhu kubalulekile ukuqapha imiphumela yalo muthi emzimbeni.
Ukukhulelwa kanye nokuncelisa
Lokhu kubaluleke kakhulu: Ungakhulelwa ngenkathi uthatha lo muthi kanye nezinsuku ezingu-30 ngemva kokuyeka ukuwuthatha. Kungabangela umonakalo omkhulu enganeni yakho. Futhi, ungamncelisi umntwana ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemva kokuyeka ukuwuthatha. Uma uhlela ukuba nezingane, khuluma nodokotela wakho ngakho.
Ukuhlinzwa kanye nokulimala
Uma uzohlinzwa, tshela udokotela wakho. Lo muthi ungase ubambezele ukuphola kwenxeba. Ngakho-ke, kuvame ukwelulekwa ukuthi uyeke ukuthatha umuthi isonto ngaphambi kokuhlinzwa futhi ungawuqali futhi kuze kube okungenani amasonto amabili ngemva kokuhlinzwa. Umuthi kufanele uqalwe kabusha kuphela ngemva kokuba inxeba selipholile ngokuphelele.
Impilo yamazinyo nezinsini
Lomuthi ungabangela ukuphuma kwegazi. Ngakho-ke qaphela kakhulu lapho uxubha futhi ufaka i-floss emazinyweni akho. Uma uzobe uthola ukwelashwa kwamazinyo, qiniseka ukuthi utshela udokotela wakho wamazinyo ukuthi uthatha lo muthi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-lenvatinib ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye imnene. Kubalulekile ukubika noma yiziphi izimpawu ezingavamile kudokotela wakho.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ukopha okungavamile | Indle emnyama noma ephuzile; ukuhlanza okufana nekhofi; ukuphuma kwegazi ekhaleni noma ezinsinini; amabala abomvu esikhumbeni. |
| Izinguquko ekushayeni kwenhliziyo | Ubunzima bokuphefumula, ubuhlungu besifuba, isiyezi, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Ukulimala kwesibindi noma kwezinso | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, ubuhlungu esiswini esingaphezulu kwesokudla, ukwehla kokukhishwa komchamo. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungabi namandla/ubuthakathaka obungazelelwe bobuso, ingalo, noma umlenze; ubunzima bokukhuluma; ikhanda elibuhlungu kakhulu; ubunzima bokuhamba. |
| Ezinye izimpawu ezinkulu | Ikhanda elibuhlungu kakhulu, umfutho wegazi ophakeme, ukuquleka, ubuhlungu bamazinyo, ukuvuvukala kweqakala. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhudo | Isifiso sokudla |
| Ubuhlungu bamalunga nemisipha | Izilonda zomlomo |
| Isicanucanu nokuhlanza | Ukwehlisa isisindo |
Kuvamile ukuzwa ukungakhululeki nokukhathala ngesikhathi sokwelashwa komdlavuza. Lokhu kungenxa yokuthi le mithi ithinta amangqamuzana omdlavuza kanye namaseli anempilo ngezinga elithile. Kodwa-ke, naphezu kwalokhu kungakhululeki, imiphumela emihle kakhulu ingatholakala ngokuqhubeka nokwelashwa njengoba kuqondiswe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Lenvatinib umuthi ohlasela amangqamuzana omdlavuza. Yithathe njengoba nje udokotela wakho ekuyalele, futhi ngesikhathi.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngayo yonke imithi oyithathayo kanye nazo zonke izimo zezokwelapha onazo.
- Uma ubona imiphumela emibi kakhulu (ukopha okungajwayelekile, izinguquko ekushayeni kwenhliziyo, izimpawu zokushaywa yisifo sohlangothi), yazisa udokotela wakho noma isibhedlela ngokushesha.
- Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nezinsuku ezingu-30 ngemva kokuyeka. Gwema ukuncelisa.
- Lo muthi onikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Khumbula ukuthi awuwedwa.
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