Sonke siyazi ukuthi ukwelashwa ngomdlavuza, noma 'i-chemotherapy' njengoba sikubiza kanjalo, akuyona into elula ukuyenza. Kuyinselele enkulu emzimbeni kanye nengqondo. Enye yezinto ezicasulayo nezicasulayo kakhulu ezihambisana nalokhu kwelashwa ukucasuka nokuhlanza. Ngakho-ke namuhla sizokhuluma ngomuthi okhethekile ongavimbela lokhu kungakhululeki ngaphambi kokuba kwenzeke. Lowo yiRolapitant .
Uhlobo luni lomuthi iRolapitant?
Kalula nje, i-Rolapitant umuthi onikezwa ukuvimbela isicanucanu nokuhlanza okungenzeka ngesikhathi sokwelashwa ngamakhemikhali. Ivimba ezinye zezimpawu ezibangela isicanucanu nokuhlanza emzimbeni wethu ukuthi zingafiki ebuchosheni. Sibiza lezi zinhlobo zemithi ngokuthi "imithi yokulwa nokugabha".
Lo muthi uyatholakala eSri Lanka ngaphansi kwegama lomkhiqizo elithi `Varubi`. Kodwa-ke, ungasetshenziswa nangezinye izinjongo, ngakho uma unemibuzo, buza udokotela wakho.
Khumbula, lokhu akuwona umuthi okufanele uwuthathe uma usuvele unesicanucanu. Kunikezwa ukuvimbela isicanucanu ukuthi singabi khona .
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokukunikeza amaphilisi e-Rolapitant, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Qiniseka ukuthi ubatshela ngalezi zinto ikakhulukazi.
- Uma unesifo sesibindi .
- Uma uke waba nokusabela kokungezwani komzimba neRolapitant noma yimuphi omunye umuthi, ukudla, noma idayi ngaphambilini .
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha.
Ngingawusebenzisa kanjani umuthi?
Indlela osebenzisa ngayo lo muthi ibaluleke kakhulu.
- Kufanele uphuze leli philisi nengilazi yamanzi .
- Ngokuvamile, kufanele uphuze lokhu cishe ihora ngaphambi kokuba uqale ukwelashwa nge-chemotherapy .
- Akunandaba ukuthi uyayithatha ngaphambi noma ngemva kokudla.
- Sebenzisa kuphela njengoba kuqondiswe udokotela wakho, ngenani elinqunyiwe . Ungalokothi uthathe okungaphezu komthamo onqunyiwe.
Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni, ngakho khuluma nodokotela wakho ngawo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu nganoma yisiphi isizathu.
Kuthiwani uma ngiphuthelwa umthamo?
Uma ukhohlwa ukuphuza umuthi wakho, thatha ngokushesha nje lapho ukhumbula. Kodwa ungaphuzi imithamo emibili noma ngaphezulu ngesikhathi esisodwa.
Eminye imithi engase ihlangane neRolapitant (Ukusebenzisana Kwemithi)
I-Rolapitant umuthi ongasebenzisana neminye imithi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Ungayithathi i-Rolapitant kanye nalomuthi. | |
|---|---|
| I-Pimozide | I-Thioridazine |
| Izinkinga zingavela nakule mithi (yazisa udokotela wakho). | |
| Eminye imithi yokwelapha umfutho wegazi kanye nesifo senhliziyo | Eminye imithi yokwelapha ukugula ngengqondo nokucindezeleka |
| Imithi yokwelapha ukuxhuzula (isib. i-carbamazepine, i-phenobarbital, i-phenytoin) | Imithi evimbela ukujiya kwegazi (isib. i-warfarin, i-dabigatran) |
| I-Rifampin, i-Rifapentine | I-Methotrexate, i-Irinotecan, i-Topotecan (imithi yomdlavuza) |
| I-Apalutamide, i-Enzalutamide | I-Cyclosporine, i-Sirolimus, i-Digoxin |
| I-Rosuvastatin (umuthi we-cholesterol) | I-Dextromethorphan (umuthi wokukhwehlela) |
| Imithi yokubulala izinhlungu ye-opioid | Imithi eminingi kakhulu... |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyiphuzayo, uma ubhema, noma uma uphuza utshwala.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Rolapitant ingabangela imiphumela emibi. Eminye yayo ingaba mibi kakhulu, ngakho-ke kubalulekile ukuyiqaphela.
| Umphumela ongemuhle | Okufanele ngikwenze? |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba - Ukucasuka kwesikhumba, ukulunywa - Ukuvuvukala kobuso, izindebe, ulimi, umphimbo (kungabangela ubunzima bokuphefumula) | Funa iseluleko sezokwelapha ngokushesha. Lokhu kungaba yisimo esiphuthumayo. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu/isiyezi | Uma lokhu kuqhubeka noma kukukhathaza, tshela udokotela wakho ngesikhathi sakho esilandelayo sokubonana nodokotela. |
| Ama-Hiccups | |
| Ukulahlekelwa yisifiso sokudla | |
| Ubuhlungu besisu noma ukungakhululeki | |
Uma uhlangabezana nanoma yikuphi ukungakhululeki okungashiwongo kulolu hlu, khuluma nodokotela wakho ngakho futhi.
Uwugcina futhi uwulahla kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Ungalokothi usebenzise imithi ephelelwe yisikhathi . Yilahle ngendlela efanele. Xhumana nodokotela wakho ukuze uthole indlela efanele yokulahla imithi.
Umlayezo Wokuya Nawe Ekhaya
- I-Rolapitant umuthi onikezwa ukuvimbela isicanucanu nokuhlanza okubangelwa yi-chemotherapy, hhayi ukuwelapha uma usuvele ukhona.
- Njalo thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngokuvamile ihora elilodwa ngaphambi kokwelashwa ngamakhemikhali.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Uma uhlangabezana nezimpawu zokungezwani komzimba njengokuvuvukala kobuso kanye nokuqubuka kwesikhumba, funa iseluleko sikadokotela ngokushesha.
- Ungalokothi wabelane ngemithi oyinikezwe ngudokotela nabanye.
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