Kunzima ukuchaza ukwesaba nokukhathazeka okufika engqondweni yakho lapho wena noma umuntu oseduze nawe enomdlavuza. Lapho nje sizwa igama elithi "chemotherapy", umbuzo owodwa ufika ezingqondweni zethu. Kodwa khumbula, ukuba nolwazi oluhle ngalezi zindlela zokwelapha kuyisinyathelo esingcono kakhulu sokubhekana nale nselele. Namuhla sizokhuluma ngomuthi okhethekile obizwa ngokuthi iLomustine, osetshenziselwa ukulawula amangqamuzana omdlavuza anjalo. Uma lo umuthi owunikezwayo, lesi sihloko sizokusiza uqonde konke ngawo ngendlela elula.
Uhlobo luni lomuthi iLomustine?
Kalula nje, i-lomustine uhlobo lomuthi we-chemotherapy. Cabanga ngamaseli omdlavuza emizimbeni yethu njengokhula. Ahlukana futhi asakazeke ngokushesha kakhulu kunamaseli avamile. Ngakho-ke lokho okwenziwa yilesi sidakamizwa esibizwa ngokuthi i-lomustine ukuvimba ukukhula kwalawo maseli omdlavuza akhula ngokushesha futhi uwalawule.
Lo muthi usetshenziswa kakhulu ekwelapheni izimila zobuchopho kanye nesifo sikaHodgkin. Kodwa ngezinye izikhathi odokotela bangase bawunike ezinye izinhlobo zomdlavuza. Uma unemibuzo ngawo, buza udokotela wakho.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Kubaluleke kakhulu ukuthi udokotela wakho abe nesithombe esiphelele sempilo yakho. Ngakho-ke, ngaphambi kokuqala ukwelashwa nge-lomustine, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Isimo esithathelwanayo: Ikakhulukazi uma unegciwane elifana ne-chickenpox noma i-herpes.
- Inani lamaseli egazi eliphansi: Uma ukuhlolwa kwangaphambilini kuthole ukuthi unamazinga aphansi ama-platelet, amaseli abomvu egazi, noma amaseli amhlophe egazi egazini lakho.
- Izifo zamaphaphu: Uma unesifo esihlobene namaphaphu.
- Ukungezwani komzimba: Uma une-allergies ku-lomustine, eminye imithi ye-chemotherapy, eminye imithi, ukudla, izithasiselo, noma udayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele utshele udokotela wakho ngaphambi kokuqala ukwelashwa.
Ngingawusebenzisa kanjani umuthi?
Ukulandela imiyalelo eqondile yokusebenzisa lo muthi kubaluleke kakhulu empumelelweni yokwelashwa.
Kungumqondo omuhle ukugqoka amagilavu uma uphatha la ma-capsule, ikakhulukazi uma othile oseduze nawe ekusiza.
Gwinya lo muthi uphelele ngengilazi yamanzi. Ungalokothi uwaphule, uwachoboze, noma uwahlafune ama-capsule. Ukwenza kanjalo kungathinta ukusebenza kahle komuthi. Udokotela wakho angakunikeza umthamo ofanele, futhi angakweluleka ukuthi uthathe ama-capsule amaningana ngobukhulu nemibala ehlukene ngesikhathi esisodwa. Ngakho-ke, qiniseka ukuthi uyayiqonda kahle umthamo.
Lokhu kuyinto ebaluleke kakhulu: I-Lomustine akuyona imithi yansuku zonke. Ivame ukuthathwa kanye kuphela njalo emavikini ayisithupha . Ngakho-ke qaphela ukuthi uyithatha ngosuku olufanele, ngesikhathi esifanele. Ungayeki ukuthatha imithi kuze kube yilapho udokotela wakho ekuyala, noma uthathe okungaphezu komthamo onqunyiwe.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)
Uma ucabanga ukuthi ngephutha uthathe imithi eminingi kunaleyo oyinikeziwe, ungesabi futhi ngokushesha shayela iNational Poisons Information Centre eColombo National Hospital noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Njengoba lo muthi uthathwa kanye njalo emavikini ayisithupha, kubaluleke kakhulu ukuwuthatha ngesikhathi. Uma ngesizathu esithile ungakwazi ukuthatha umuthi wakho ngosuku oluhleliwe, shayela udokotela wakho ukuze akunike iseluleko sokuthi yini okufanele uyenze ngokulandelayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
Udinga ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
- Ukuhlolwa kwezokwelapha: Udokotela wakho kuzodingeka akubone njalo ukuze ahlole inqubekela phambili yokwelashwa kwakho. Njengoba ukwelashwa ngamakhemikhali kuthinta namaseli anempilo, kuvamile ukuzizwa ungakhululekile futhi ukhathele. Kodwa-ke, uma uhlangabezana nanoma yimiphi imiphumela emibi, tshela udokotela wakho . Qhubeka nokwelashwa, noma ngabe kungakhululekile, kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Ukuhlolwa kwegazi: Ngisho noma uthatha lo muthi kanye njalo emavikini ayisithupha, udokotela wakho cishe uzoyala ukuhlolwa kwegazi okuvamile. Lokhu kuzohlola inani lamaseli amhlophe egazi, amaseli abomvu egazi, nama-platelet egazini lakho. Uma lokhu kuphansi, kungadingeka ulinde isikhashana ngaphambi kokuthatha umthamo olandelayo.
- Ukuvikelwa ezifweni: Lo muthi unciphisa ikhono lomzimba wakho lokulwa nezifo (amasosha omzimba). Ngakho-ke, uma ubona izimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu , ungaziphilisi bese ushayela udokotela wakho ngokushesha. Kubaluleke kakhulu ukuzama ukuhlala kude nabantu abagulayo.
- Ukopha: Lo muthi ungabangela ukuklwebheka nokopha ngisho noma unenxeba elincane emzimbeni wakho. Tshela udokotela wakho uma ubona ukuklwebheka okungajwayelekile, amabala amancane abomvu esikhumbeni sakho, noma okunye ukopha okungajwayelekile.
- Ukuzala nokukhulelwa: Lo muthi ungathinta ukuzala. Uma unenkinga ngalokhu, khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa.
- Abesifazane:Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye namasonto amabili ngemva kokuyeka.
- Amadoda: Gwema ukuba nguyise wengane ngenkathi uthatha lo muthi futhi izinyanga ezingu-3.5 ngemva kokuyeka.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-lomustine ingabangela imiphumela emibi. Eminye yale miphumela kufanele ibikwe ngokushesha, kanti eminye ayibi kangako.
| Imiphumela emibi engaba khona yeLomustine | |
|---|---|
| Izinto okufanele uzitshele udokotela wakho ngokushesha | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Ukuthambekela okukhulu ekuthelelekeni ngezifo (umkhuhlane, ukukhwehlela, umphimbo obuhlungu) kanye nokopha (ukuphuka, amabala abomvu esikhumbeni, igazi emchameni). |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ukukhwehlela. |
| Ezinye izimpawu ezinkulu | Ukushintsha kokubona, ukulahlekelwa yinkumbulo, izilonda emlonyeni, ubunzima bokuchama noma ushintsho ngobukhulu (isibonakaliso sokulimala kwezinso). |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo/isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, isicanucanu, ukulahlekelwa yisifiso sokudla. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukulahlekelwa izinwele | Ukulahlekelwa izinwele kungenzeka ngesikhathi sokwelashwa. |
| Isicanucanu nokuhlanza | Lona umphumela ovamile wecala. Udokotela wakho uzokunikeza eminye imithi yokuwulawula. |
Ngingawugcina kanjani umuthi?
- Yigcine ngokuphephile kude nezingane .
- Gcina ekamelweni lokushisa (phakathi kuka-15-30 Celsius).
- Gcina ibhodlela lemithi livaliwe kahle futhi ulivikele ekushiseni okukhulu (ngaphezu kwama-40 Celsius).
- Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- I-Lomustine umuthi onamandla we-chemotherapy obulala amangqamuzana omdlavuza. Ngokuvamile uthathwa kanye njalo emavikini ayisithupha.
- Ungalokothi uwaphule, uwachoboze, noma uwahlafune ama-capsule. Wagwinye wonke.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezimo zezokwelapha ozisebenzisayo.
- Funa iseluleko sezokwelapha ngokushesha uma uba nezimpawu zokutheleleka njengomkhuhlane, ukukhwehlela, noma ukopha/ukuphuka okungavamile.
- Ungalokothi uphuthelwe ukuhlolwa kwegazi okuhleliwe.
- Khuluma nodokotela wakho ngaphambi kokuqala ukwelashwa mayelana nokukhathazeka ngokukhulelwa kanye nokuzala.
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