Uma udokotela wakho ekutshela ukuthi udinga ukwelashwa ngamakhemikhali ngenxa yomdlavuza, kuvamile ukuzizwa wesaba futhi ukhathazekile kancane. Unemibuzo eminingi mayelana nalokhu kwelashwa kanye nemithi esetshenziswa kukho. Namuhla sizokhuluma ngomuthi onamandla kakhulu obizwa ngokuthi i-Mechlorethamine, osetshenziselwa ukubhubhisa amangqamuzana omdlavuza. Sizoxoxa ngakho konke okudingeka ukwazi ngalokhu ngendlela elula neqondakala kalula.
Uyini lo muthi obizwa ngokuthi i-Mechlorethamine?
Kalula nje, i-Mechlorethamine, ngezinye izikhathi ebizwa ngokuthi i-Nitrogen Mustard, iyisidakamizwa se-chemotherapy esilwa nomdlavuza, noma umuthi we-chemotherapy. Umsebenzi wayo oyinhloko ukuthola nokubhubhisa amangqamuzana omdlavuza ahlukana ngokushesha emzimbeni.
Lomuthi usetshenziselwa ukwelapha izinhlobo ezahlukene zomdlavuza. Isibonelo:
- Isifo sikaHodgkin
- I-Non-Hodgkin's lymphoma
- I-Mycosis fungoides, isifo somdlavuza wesikhumba
- Eminye imidlavuza yegazi kanye nemidlavuza yamaphaphu
Udokotela wakho angase futhi akunikeze lo muthi kwezinye izimo ezingekho kulolu hlu. Uma unemibuzo ngawo, buza udokotela wakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
I-Mechlorethamine iyisidakamizwa esinamandla kakhulu, ngakho-ke kubaluleke kakhulu ukunikeza udokotela wakho umlando ophelele wempilo yakho ngaphambi kokuqala ukwelashwa. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Izifo ezihlobene negazi: Uma unezinkinga ezihlobene negazi (isib. izinkinga zokujiya kwegazi, i-anemia).
- I-Gout: Uma une-gout.
- Ukutheleleka: Kubaluleke kakhulu ukutshela udokotela wakho uma unezifo okwamanje, ikakhulukazi izifo ezibangelwa amagciwane njenge-chickenpox noma i-herpes.
- Ukwelashwa ngemisebe: Uma usanda kwelashwa ngemisebe noma okwamanje uyakuthola.
- Ukungezwani komzimba: Uma une-allergy kulo muthi we-Mechlorethamine, eminye imithi ye-chemo, noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma usola ngisho nokuncane ukuthi ukhulelwe, kubalulekile ukutshela udokotela wakho.
- Uma ungumama oncelisayo: Qiniseka ukuthi uyakusho lokhu uma uncelisa ingane.
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Mechlorethamine inikezwa esibhedlela noma emtholampilo kuphela ngudokotela noma abasebenzi abahlengikazi abathole ukuqeqeshwa okukhethekile kulokhu .
Lokhu kuvame ukunikezwa njengomjovo emthanjeni. Kwezinye izimo, kunganikezwa futhi emgodini womzimba.
Kwabantwana: Uma unikeza ingane yakho lo muthi, khuluma nodokotela wezingane ngakho. Izingane zingadinga ukunakekelwa okukhethekile lapho zinikeza lo muthi.
Uma uphuza ngokweqile: Lokhu akunakwenzeka ngoba kunikezwa esibhedlela. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ubike ngokushesha e-National Poisons Information Centre e-Colombo National Hospital noma e-Emergency Treatment Unit (ETU) eseduze .
Lo muthi ungowakho kuphela. Ungabelani ngalo muthi nanoma ubani omunye nganoma yisiphi isizathu.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
Kubaluleke kakhulu ukuthatha umuthi ngosuku nesikhathi esibekiwe salokhu kwelashwa. Uma ungakwazi ukuza esibhedlela ngosuku olubekiwe, shayela udokotela wakho noma isibhedlela ngokushesha ubazise.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane ne-Mechlorethamine. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, amakhambi, kanye nemithi ye-Ayurvedic.
| Uhlobo lwesidakamizwa | Izinto okufanele uzicabangele |
|---|---|
| Imithi okungafanele ithathwe | I-asidi ye-Nalidixic |
| Eminye imithi engase ihlanganyele |
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| Imithi okufanele uyibuze udokotela wakho ngaphambi kokuyithatha |
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Okubalulekile: Lolu hlu aluphelele. Tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izinto ezingekho emthethweni.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Udokotela wakho uzoqapha isimo sakho phakathi nokwelashwa kwakho. Njengoba i-chemotherapy ithinta namaseli anempilo, kuyinto evamile ukuthi uzizwe ungakhululekile futhi ugula. Qhubeka nokwelashwa noma ngabe kunzima kuwe kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke . Tshela udokotela wakho uma unemiphumela emibi.
Zivikele ezifweni! Lo muthi unciphisa ikhono lomzimba wakho lokulwa nezifo. Ngakho-ke, zama ukuhlala kude nabantu abanezimpawu ezifana nomkhuhlane, umkhuhlane, ukukhwehlela, nomphimbo obuhlungu. Uma uthola izimpawu ezifana nomkhuhlane, ukubanda, nomphimbo obuhlungu, ungaziphilisi bese ushayela udokotela wakho ucingo ngokushesha.
Qaphela ukopha: Lo muthi ungandisa ingozi yakho yokopha noma ukuklwebheka. Tshela udokotela wakho uma ubona noma yikuphi ukopha okungajwayelekile (isib. ukopha kwezinsini lapho uxubha amazinyo akho, ukopha ekhaleni).
Ukukhulelwa kanye nokuzala:
- Kwabesifazane: Ungakhulelwa ngenkathi uthatha lo muthi. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Tshela udokotela wakho ngokushesha uma uhlela ukukhulelwa noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe. Ungancelisi ibele ngenkathi uthatha lo muthi.
- Kwabesilisa: Lo muthi ungase wehlise inani lesidoda. Uma uhlela ukuba nezingane, khuluma nodokotela wakho ngalokhu ngaphambi kokuqala ukwelashwa.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Mechlorethamine ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. Izimpawu zokopha: isikhumba esiluhlaza okwesibhakabhaka, amabala amancane abomvu esikhumbeni, indle emnyama noma enegazi, igazi emchameni. Izimpawu zamaseli abomvu aphansi: ukukhathala okukhulu, ubuthakathaka, ukuquleka, isiyezi. |
| Ezinye izimpawu ezinkulu | Ubunzima bokuphefumula, ukushintsha kokuzwa, ubuhlungu, ukuvuvukala, ukubomvu, ukuhlanza, ukuphuzi kwamehlo noma isikhumba endaweni yokujova. |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Imiphumela emibi evamile | Uhudo, ukuqothuka kwezinwele, ukuphelelwa yisifiso sokudla, ukunambitheka kwensimbi emlonyeni, ukuyeka ukuya esikhathini, isicanucanu. |
Uma uhlangabezana nanoma yimiphi eminye imiphumela emibi engashiwongo kulolu hlu, tshela udokotela wakho ngayo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Mechlorethamine umuthi onamandla we-chemotherapy obulala amangqamuzana omdlavuza. Unikezwa esibhedlela kuphela ngabasebenzi bezokwelapha abaqeqeshwe ngokukhethekile.
- Kubalulekile ukutshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo ngaphambi kokuqala ukwelashwa.
- Ngesikhathi sokwelashwa, qaphela kakhulu izimpawu zokutheleleka (umkhuhlane, ukukhwehlela) kanye nezimpawu zokopha (isikhumba esiluhlaza okwesibhakabhaka). Uma ubona noma yiziphi zalezi zimpawu, yazisa udokotela wakho ngokushesha.
- Gwema ukukhulelwa ngenkathi uthatha lo muthi. Futhi, ungancelisi.
- Kuyilungelo lakho ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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