Ukuqala ukwelashwa komdlavuza kuwe noma kothandekayo wakho kungaba yisikhathi esicindezelayo nesididayo. Ungase ube nemibuzo mayelana nemithi udokotela wakho akunika yona, amagama ayo, kanye nemiphumela emibi. Ngakho-ke namuhla sizokhuluma ngemithi yomdlavuza ekhethekile, i-Selpercatinib . Ungase uyayazi ngegama lomkhiqizo i-Retevmo. Ake sixoxe ngalo muthi, ukuthi wenzani, nokuthi yini okufanele uyiqaphele ngendlela elula neqondakala kalula.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Selpercatinib ayifani ne-chemotherapy yendabuko. Isebenza "njengokwelashwa okuqondiwe." Amaprotheni athile emizimbeni yethu athumela izimpawu kumaseli omdlavuza ukuze "akhule kakhulu, asakazeke ngokushesha." Cabanga ngakho njengokushintsha okwenza amaseli omdlavuza akhule. Lokho i-Selpercatinib ekwenzayo ukuvala iphrotheni ethumela isignali engalungile . Kufana nokuvala leyo switch. Bese ukukhula nokusabalala kwamaseli omdlavuza emzimbeni wonke kulawulwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lokhu kwelashwa, udokotela wakho kufanele abe nesithombe esiphelele sempilo yakho. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi uma unazo:
| Ingabe unalesi simo? | Kungani isaziso sibalulekile? |
|---|---|
| Izinkinga zokopha | Lo muthi ungandisa ingozi yokopha. |
| Njengoba usanda kwenziwa noma uhlelelwe ukuhlinzwa esikhathini esizayo | Umuthi ungase ubambezele ukuphola kwenxeba. |
| Umfutho wegazi ophakeme | Umuthi ungakhuphula umfutho wegazi kakhulu. |
| Ukushaya kwenhliziyo okungajwayelekile | Izinguquko ekushayeni kwenhliziyo zingase zenzeke. |
| Izifo zesibindi noma zamaphaphu | Umsebenzi walezi zitho ungase uthinteke. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Kubalulekile ukwazi ukuthi une-allergy yini nomuthi noma ezinye zezithako zawo. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Lo muthi ungalimaza kakhulu ingane engakazalwa. |
| Ukuncelisa | Umuthi ungadluliselwa enganeni ngobisi lwebele. |
Ngingawusebenzisa kanjani lo muthi?
Leli yi-capsule oyiphuza ngomlomo. Kubaluleke kakhulu ukuyithatha ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekuyalele.
- Gwinya ikhaphu yonke ngamanzi . Ungayiphuli, ungayichobozi, noma ungayihlafuni ikhaphu.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzizwa unesisu esibuhlungu, kungcono ukuyithatha nokudla.
- Qhubeka nokwelashwa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Kubaluleke kakhulu: Gwema ukuphuza ijusi yamagilebhisi ngokuphelele ngenkathi uthatha lo muthi.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekudlule amahora angaphezu kwangu-18 ngaphambi komthamo wakho olandelayo (okusho ukuthi kusele amahora angaphansi kwayi-6 ngaphambi komthamo wakho olandelayo), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho okucabangayo, ungesabi. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi ingasebenzisana ne-Selpercatinib, ishintshe ukusebenza kwayo noma yandise imiphumela emibi.
Isexwayiso: Uma uthatha noma yimuphi wemithi elandelayo, ungayithathi i-Selpercatinib. Khuluma nodokotela wakho ngalokhu.
* I-Cisapride
* I-Dronedarone
* I-Ketoconazole
* I-Levoketoconazole
* I-Pimozide
* I-Thioridazine
Ngaphezu kwalokho, eminye imithi, imikhiqizo yamakhambi, kanye nokudla kungase kuhlangane nalo muthi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye nezithasiselo).
- Eminye imithi yokucindezela kwegazi eliphezulu (i-diltiazem noma i-verapamil)
- Eminye imithi yokulwa namagciwane ye-HIV noma i-Hepatitis
- Imithi yokutheleleka kwesikhunta (i-itraconazole, i-posaconazole)
- Ijusi le-Grapefruit
- Eminye imithi eshintsha izinga lokushaya kwenhliziyo
- I-Repaglinide yesifo sikashukela
- I-Rifampin yesifo sofuba
- Imikhiqizo yamakhambi njenge-St. John's Wort
- Imithi enciphisa i-asidi yesisu (njenge-cimetidine, i-famotidine, i-ranitidine, i-lansoprazole, i-omeprazole)
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukuzizwa ungaphilile: Kuvamile ukuzizwa ungaphilile kahle noma ungaphilile kahle ngenkathi uthatha lo muthi. Lokhu kungenxa yokuthi lo muthi uthinta amangqamuzana omdlavuza kanye namaseli anempilo ngezinga elithile. Kodwa-ke, ungayeki ukwelashwa kuze kube yilapho udokotela wakho ekutshelile. Tshela udokotela wakho nganoma yimiphi imiphumela emibi oyitholayo.
- Ukuhlinzwa: Uma uzohlinzwa (noma ngabe kuyinto encane njengokukhishwa kwezinyo), tshela udokotela wakho. Lo muthi ungase ubambezele ukuphola kwenxeba. Ngakho-ke, ngokuvamile kuzodingeka uyeke ukuthatha umuthi okungenani izinsuku eziyi-7 ngaphambi kokuhlinzwa bese uqala futhi emavikini ama-2 ngemva kokuhlinzwa, lapho inxeba selipholile ngokuphelele.
- Ukukhulelwa Nokuncelisa: Kwabesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi. Yingakho kubalulekile ukusebenzisa uhlobo lokuvimbela inzalo oluthembekile. Kufanele uhlole ukukhulelwa ngaphambi kokuqala umuthi ukuqinisekisa ukuthi awukhulelwe. Futhi, gwema ukuncelisa phakathi nalesi sikhathi kanye nesonto elilodwa ngemuva kokuyeka umuthi. Kwabesilisa: Sebenzisa njalo ikhondomu uma ulala nowesifazane ongakhulelwa ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi. Uma umlingani wakho ekhulelwa, kungaba yingozi enganeni esibelethweni.
- Ukuzala: Lo muthi ungathinta ikhono lakho lokuthola abantwana. Khuluma nodokotela wakho uma unenkinga ngalokhu.
- Ukushaya kwegazi:Hlola njalo umfutho wegazi lakho njengoba udokotela wakho ekutshelile. Yazi ukuthi kufanele kube yini nokuthi kufanele ushayele nini udokotela wakho ucingo.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Selpercatinib ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Indle emnyama noma enegazi, ukuhlanza igazi elifana nekhofi eligayiwe, umchamo onsundu/obomvu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Ubunzima bokuphefumula | Ukukhwehlela okomile, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo, isiyezi, ubuhlungu besifuba. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama. |
| I-Hypothyroidism | Ukukhathala okungavamile, ukungakwazi ukubekezelela umkhuhlane, ukuqunjelwa, ukulahleka kwezinwele, isikhumba esomile, ukukhuluphala. |
| Isifo se-Tumor Lysis (TLS) | Ukuhlanza, uhudo, ukuncipha kokuchama, ukudikiza kwemisipha, ubuhlungu bamalunga, ukudideka. |
| Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. | |
| Ukuqunjelwa, isifo sohudo, umlomo owomile, isicanucanu, ukuqubuka kwesikhumba, ukuvuvukala kwamaqakala, izinyawo nezandla. | |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, khuluma nodokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Selpercatinib umuthi ohlasela futhi uvale iphrotheni ethile ehilelekile ekukhuleni kwamaseli omdlavuza.
- Thatha umuthi ngesikhathi esifanayo nsuku zonke njengoba udokotela wakho ekuyalele. Ungalokothi uwuthathe kanye nejusi lamagilebhisi.
- Tshela udokotela wakho ngayo yonke eminye imithi (kufaka phakathi amavithamini nemikhiqizo yamakhambi) oyithathayo.
- Lo muthi awufaneleki uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. Kubalulekile ukuthi bobabili abesifazane nabesilisa basebenzise izindlela zokuvimbela inzalo ezifanele ngesikhathi sokwelashwa kanye nesonto elilodwa ngemuva kwalokho.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukopha ngokweqile, noma izimpawu ezinkulu zokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
- Ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Khumbula ukuthi awuwedwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho