Udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Tamoxifen njengokwelashwa komdlavuza webele. Kuvamile ukuba nemibuzo ethile, ilukuluku, futhi mhlawumbe nokukhathazeka ngomuthi obaluleke kangaka. Ngakho-ke, namuhla sizoxoxa ngalo muthi, ukuthi uthinta kanjani imizimba yethu, lokho okudingeka sikuqaphele, kanye nemiphumela emibi engaba khona.
Iyini iTamoxifen? Isebenza kanjani?
Kalula nje, i-Tamoxifen iwumuthi olawula ukukhula nokusabalala kwamaseli omdlavuza webele, futhi uvimbela nomdlavuza ukuthi ungaphinde uvele.
Cabanga ngakho, ezinye izinhlobo zomdlavuza webele zifana nesitshalo esincane. Lesi sitshalo sidinga amanzi ukuze sikhule futhi sibe sikhulu. Ngendlela efanayo, la maseli omdlavuza adinga i-hormone yesifazane ebizwa ngokuthi i-estrogen ukuze ikhule. Umuthi i-tamoxifen wenza umsebenzi ocashile kakhulu. Ungena ezicutshini zesifuba futhi uvimbele i-hormone ye-estrogen ukuthi ingafiki kulawo maseli omdlavuza. Kufana nokuvala ipayipi lamanzi esitshalweni. Bese kuthi, ngaphandle kwe-estrogen, amangqamuzana omdlavuza alahlekelwe amandla awo okukhula nokusabalala.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Uma udokotela wakho ekhuluma ngokugcwele ngawe, ukwelashwa kwakho kuzoba okuphephile. Ngakho-ke, ngaphambi kokuqala i-tamoxifen, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Noma yiziphi izimo zezokwelapha ezikhona noma ezinye izinkinga ongase ube nazo |
|---|
| Uma unomlando wamahlule egazi |
| Uma wake waba nesifo sohlangothi esikhathini esidlule |
| Uma unomdlavuza wesibeletho noma i-uterine fibroids |
| Uma une-endometriosis |
| Uma unezinga eliphezulu le-cholesterol egazini |
| Uma unemijikelezo yokuya esikhathini engajwayelekile |
| Uma unesifo sesibindi |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa umntwana |
| Uma une-allergy ku-tamoxifen noma kunoma yimuphi omunye umuthi noma ukudla |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Leli philisi kufanele liphuzwe ngomlomo. Kungumkhuba omuhle ukuliphuza ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela ekuyalele.
- Ungakuthatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, abanye abantu bangase babe nokuphazamiseka kwesisu okuncane noma isicanucanu lapho bekuthatha ngaphandle kokudla. Uma lokhu kwenzeka, thatha umuthi kanye nokudla .
- Into ebaluleke kakhulu ukuqhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ethi, "Sekwanele, yeka." Ungayeki phakathi nendawo.
Uma ngephutha uthatha umuthi omningi kakhulu, ungachithi isikhathi bese uya ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, ungakhathazeki. Thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma useduze kakhulu nomthamo wakho olandelayo (isb., emahoreni ambalwa nje ukusuka lapha), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Eminye imithi engase ihlangane ne-tamoxifen
Eminye imithi oyithathayo ingathinta ukusebenza kahle kwe-tamoxifen, ngakho-ke kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
| Imithi okungafanele isetshenziswe ne-tamoxifen | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Pimozide | I-Thioridazine |
| Eminye imithi engabangela izinkinga nge-tamoxifen (tshela udokotela wakho uma uyisebenzisa) | |
| Eminye imithi yokulwa nomdlavuza efana ne-Anastrozole ne-Letrozole | Izinto zokunciphisa igazi ezifana ne-Warfarin |
| Imithi yokulwa nesifo sokuwa efana neCarbamazepine, iPhenobarbital, nePhenytoin | Imithi yokucindezeleka efana neParoxetine |
| I-Rifampin (umuthi wesifo sofuba) | Eminye imithi enweba isikhathi sokuphumula se-QT |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Tshela nodokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
Ukubaluleka kokuhlolwa njalo kwezokwelapha
Kubalulekile ukuhlala uxhumana nodokotela wakho njalo ngenkathi uthatha lo muthi. Kubalulekile ukuya emihlanganweni yasemtholampilo futhi uhlolwe njalo, njengokuhlolwa kwamabele, ukuhlolwa kwe-pelvic, kanye ne-mammogram .
Qaphela ingozi yomdlavuza wesibeletho.
Abesifazane abasebenzisa i-tamoxifen bangase babe nengozi eyengeziwe yokuba nomdlavuza wesibeletho. Lokhu akuyona into okufanele ukhathazeke ngayo, kodwa kubalulekile ukuqaphela. Udokotela wakho uzokhuluma nawe ngale ngozi. Qaphela izimpawu ezifana nokopha kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini kanye nobuhlungu be-pelvic.
Iseluleko esikhethekile mayelana nokukhulelwa nokuncelisa
Lokhu kubaluleke kakhulu!Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga ezimbili ngemuva kokuwuyeka. Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Ngakho-ke, khuluma nodokotela wakho mayelana nokuvimbela ukubeletha okufanele nokuthembekile. Futhi, gwema ukuncelisa ngenkathi uthatha lo muthi kanye nezinyanga ezintathu ngemuva kokuwuyeka.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-tamoxifen ingabangela imiphumela emibi. Nakuba eminingi yale miphumela incane, kunezinto ezithile okufanele siziqaphele ngokukhethekile.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo |
| Izimpawu ze-clot yegazi | Ubuhlungu bomlenze, ukuvuvukala, ukubomvu, ubunzima bokuphefumula, ubuhlungu besifuba |
| Izimpawu zesifo sohlangothi | Ukungabi namandla noma ubuthakathaka bobuso, ingalo, noma umlenze ngokuzumayo, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu, ushintsho embonweni |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, indle ekhanyayo |
| Ezinye izimpawu ezinkulu | Izimpawu zokutheleleka okufana nokulunywa noma ukuphuma kwegazi okungajwayelekile, ukuphuma kwegazi esithweni sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini, ubuhlungu be-pelvic, umkhuhlane kanye nokubanda. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukushisa okukhulu | Ukushisa okungazelelwe kanye nokujuluka kobuso nomzimba. |
| Izinguquko esimweni sengqondo | Ukuzizwa udabuke ngaphandle kwesizathu, ukuthukuthela kalula (ukushintshashintsha kwemizwa). |
| Ukukhishwa kwesitho sangasese sowesifazane | Ukuphuma koketshezi esithweni sangasese sowesifazane, njengokuphuma koketshezi esithweni sangasese sowesifazane. |
Umlayezo Wokuya Nawe Ekhaya
- I-Tamoxifen iyisidakamizwa esibaluleke kakhulu ekwelapheni umdlavuza webele. Ngakho-ke, kubalulekile ukuyithatha yonke isikhathi njengoba udokotela wakho ekuyalele.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo ongase ube nazo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kwemilenze, ubuhlungu besifuba, ubunzima bokuphefumula, noma ukopha okungavamile, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa ngenkathi uthatha lo muthi futhi izinyanga ezimbili ngemuva kokuyeka. Khuluma nodokotela wakho ngalokhu.
- Uma unemibuzo noma ukukhathazeka ngalo muthi, ungathembeli kuphela kulwazi oluku-inthanethi, kodwa xhumana nodokotela wakho.
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