Ingabe udokotela wakho ukunike wena noma othile emndenini wakho umuthi obizwa ngokuthi i-Midostaurin? Ungase wesabe kancane uma uzwa igama. Kodwa ungakhathazeki. Lokhu kuyindlela yokwelapha ethuthukisiwe kakhulu, ekhethekile ebulala amangqamuzana omdlavuza. Ngakho-ke kunezinto ezibalulekile okudingeka uzazi uma usebenzisa lo muthi. Ake sixoxe ngakho konke ngendlela elula ongayiqonda.
Iyini le Midostaurin?
Kalula nje, lolu uhlobo lomuthi olubizwa ngokuthi 'i-Targeted Therapy'. Okusho ukuthi, alulimazi amangqamuzana anempilo njengokwelashwa ngamakhemikhali okuvamile, kodwa luhlasela ngqo amaprotheni athile kumaseli omdlavuza futhi luvimbele lawo maseli ukuba akhule. Ngamanye amazwi, kufana nokuhlonza ukuthi isitha singubani bese sihlasela wona kuphela.
Lo muthi usetshenziswa kakhulu ukwelapha izimo ezilandelayo:
- I-Acute Myelogenous Leukemia (AML): Lolu uhlobo lomdlavuza oluvela egazini.
- I-Systemic Mastocytosis: Lesi yisimo lapho uhlobo lweseli olubizwa ngokuthi 'i-mast' lukhula ngokungadingekile emzimbeni.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuba uqale ukuthatha lo muthi, kufanele utshele udokotela wakho ngalezi zinto, ngoba zibaluleke kakhulu ekuphepheni kwakho.
- Uma unezinkinga zamaphaphu noma zokuphefumula.
- Uma une-allergies kulo muthi we-Midostaurin noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa , noma unemibuzo ngakho.
- Uma uncelisa ingane.
Ukukhuluma nodokotela wakho ngalezi zinto ngaphandle kokuzifihla kuzosiza kakhulu ukwelashwa kwakho ukuthi kuphumelele.
Ngiyisebenzisa kanjani ngempela le mithi?
Okuwukuphela kwendlela yokuthola okuningi ngomuthi ukuwusebenzisa ngendlela efanele.
- Thatha lo muthi nengilazi yamanzi.
- Qiniseka ukuthi uthatha lo muthi kanye nokudla. Ungawuthathi esiswini esingenalutho.
- Ungawuthathi lo muthi kanye nejusi likaphaphu nganoma yisiphi isizathu, ngoba ungandisa ukusebenza kahle komuthi ngokungadingekile futhi ubangele imiphumela emibi kakhulu.
- Ungawuhlafuni umuthi njengoshungamu. Gwinya wonke.
- Thatha umuthi cishe ngesikhathi esifanayo nsuku zonke.
- Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Uma uphuthelwa umthamo noma uhlanza ngemva kokuthatha umuthi, yeqa umthamo. Ungalokothi uthathe umthamo ophindwe kabili. Thatha umthamo olandelayo ngesikhathi esihleliwe.
Kuthiwani uma ngisebenzisa ngokweqile?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Ngenxa yokuthi iMidostaurin iyisidakamizwa esinamandla kakhulu, ingasebenzisana neminye imithi oyithathayo. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, ngisho namavithamini.
Imithi elandelayo ingabangela izinkinga ezithile ngalokhu.
| Isigaba sezidakamizwa esingadala izinkinga | Izibonelo (azigcini kulezi) |
|---|---|
| Imithi okungafanele ithathwe ndawonye | i-cisapride, i-dronedarone, i-fluconazole, i-pimozide, i-posaconazole, i-saquinavir, i-thioridazine |
| Eminye imithi ye-HIV noma i-AIDS | Imithi efana ne-boceprevir, ritonavir, indinavir, nelfinavir |
| Eminye imithi yokwelapha izifo zesikhunta | i-ketoconazole, i-itraconazole, i-voriconazole |
| Eminye imithi yokwelapha ukuquleka | i-carbamazepine, i-phenytoin |
| Okunye | i-bupropion, i-clarithromycin, i-diltiazem, i-rifampin, i-rosuvastatin, i-St. John's Wort (isitshalo samakhambi) |
Izinto okufanele uzikhumbule lapho uthatha imithi
Ukuhlolwa kwegazi okuvamile
Udokotela wakho uvame uku-oda ukuhlolwa kwegazi lapho ekunika lo muthi. Lokhu kuzokusiza ukuthi unqume ukuthi umuthi uwuthinta kanjani umzimba wakho nokuthi ngabe kukhona yini imiphumela emibi.
Qaphela izifo.
Amasosha omzimba wakho angase abe buthaka kancane ngenkathi uthatha lo muthi, okwandisa ingozi yakho yokuthola izifo.
- Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, kanye nokukhwehlela , ungaziniki imithi bese ushayela udokotela wakho ucingo.
- Zama ukuhlala kude nabantu abagulayo.
- Geza izandla zakho kahle njalo.
Qaphela ukopha.
Uma uzwa imihuzuko noma kuphi emzimbeni wakho, noma uma ukopha kungayeki ngisho nokulimala okuncane, yazisa udokotela wakho ngokushesha.
Ukukhulelwa nokuncelisa
Lokhu kubaluleke kakhulu. Abesifazane kufanele bagweme ngokuphelele ukukhulelwa ngenkathi bethatha lo muthi kanye nezinyanga ezine ngemuva kokuyeka umuthi . Ngokufanayo, amadoda kufanele agweme nokuba nguyise wengane ngenkathi ethatha lo muthi kanye nezinyanga ezine ngemuva kokuyeka umuthi . Lokhu kungenxa yokuthi kunengozi enkulu yokulimala okukhulu enganeni engakazalwa.
Futhi, ungamncelisi umntwana wakho ibele ngenkathi uthatha imithi futhi izinyanga ezine ngemva kokuyeka .
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi. Nakuba kungebona bonke abantu abayitholayo, qaphela izimpawu ezingezansi.
| Uma unanoma yikuphi kwalokhu, yazisa udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ubuhlungu besifuba, isiyezi, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Amazinga kashukela egazini akhuphukile | Indlala eningi, ukoma ngokweqile, ukuchama njalo, ukubona okufiphele. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Ukuncipha kwamaseli abomvu egazi | Ubunzima bokuphefumula, ukuquleka, ukukhathala okukhulu. |
| Ezinye izimpawu ezinkulu | Ukuvuvukala kwamaqakala, izinyawo, izandla, ukopha noma ukuklwebheka okungavamile. |
| Uma lokhu kuqhubeka noma kuba yinkinga, yazisa udokotela wakho. | |
Ubuhlungu bamathambo, ukuqunjelwa, isifo sohudo, ikhanda elibuhlungu, izilonda zomlomo, ubuhlungu bemisipha, isicanucanu, ubuhlungu besisu, ukuhlanza. | |
Umlayezo Wokuya Nawe Ekhaya
- I-Midostaurin umuthi wokwelapha oqondiwe ohlasela amangqamuzana omdlavuza.
- Lomuthi kufanele uphuzwe kanye nokudla njalo. Ungalokothi uwuphuze kanye nojusi we-grapefruit.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Uma uhlangabezana nezimpawu ezingavamile njengomkhuhlane noma ukuphuma kwegazi, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa (bobabili ubulili) ngenkathi uthatha imithi kanye nezinyanga ezine ngemuva kokuyeka.
- Gcina lo muthi ebhodleleni lawo lokuqala, elivalwe kahle, ezingeni lokushisa legumbi, kude nezingane nezilwane ezifuywayo.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho.
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